I-hypertrophic chronic rhinitis: iimpawu, iindlela zonyango, ukukhusela

Oogqirha eofisi bavame ukuva izikhalazo ezivela kwizigulane ukuba impumlo ayiphefumli. Ukuba le ngxaki ingakhathazeki kuphela ngexesha lokubanda, mhlawumbi, kukho i-hypertrophic chronic rhinitis. Ubunzima beli ngxaki abantu bayayiqonda, njengomthetho, xa ukuphefumula ngeempumlo akunakwenzeka. Kukho ezinye iimpawu zesifo. Oku kulandelayo, siya kuqwalasela ukuba zeziphi iimpawu eziqhelekileyo kule ngozi, kwakunye neendlela zokwelapha kunye nokukhusela.

Sithetha ntoni esi sifo?

I-rhinitis ye-hypertrophic hypertrophic (ikhowudi ye-ICD-10 J31.0.) Ngaba ukuvuvukala kwamagqabhoko enqabileyo emgodini womnquba, ngexesha apho kukho ukuphuma. Le nkqubo inezigaba eziliqela:

• Isigaba sokuqala. I-epithelium echaphazelekayo. Iimbrane ezinobumba zivutha. Iifomthi eziseduze zihambelana.
• Isigaba sesibini. Izicubu ezinobungozi kunye ne-epithelium eciliated. Inkqubo yokuvuvukala idlulisela kwiindonga zeempahla kunye nemibhobho yemisipha. Ngenxa yoko, imithwalo ye-lymph and blood begins to fry.

• Isigaba sesithathu. Ukuvuvuka kwanda. I-Symptomatic ichazwa ngokucacileyo. I-epithelium eciliated, kunye nezicubu ezinamaqabunga kunye nama-mucous tissues. Iinqwelo zonakaliswe. Inkqubo yokuvuvukala inokuchaphazela kunye nezicubu zethambo. Kule nqanaba, awukwazi ukwenza ngaphandle kokungenelela.

Iintlobo zempilo

I-hypertrophic chronic rhinitis inokuhlatyelwa ngokuxhaphaka kwenkqubo kunye nempawu ezinobomi.

Ngo kubanzi:

• Ukusabalalisa. Ukunyuka okungafaniyo kumthamo we- conal yamanzi.
• KuNcinci.

Ngokutsho kweempawu zengqondo:

• Ifom yeCavernous. Ininzi idla ngokusasazeka.
• Ifomu efanelekileyo. Inokuthi idibanise okanye ifakwe. Uhamba ngokukhawuleza, kodwa utshintsho alupheli.
• I-Bone hypertrophy. Ukunqanda nokunyuka kwe-mucosa yangasese. Iyakuthatha iifom ezinqabileyo, ezingafaniyo, iipinali.

Ezi zinto zilandelayo zichaphazela ukuphuhliswa kwezilwanyana:

• Ubukho benkqubo engapheliyo yokuvuvukala.
• Ukugqithisa ukujikelezwa kwamaplassi kwimizimba.
• Indlala ye-oksijini yamathambo kunye nokuphazamiseka kweenkqubo zokuxilisa.
• Ukuncitshiswa okubalulekileyo kwi-immunity local.
• Ukusetyenziswa kweebhaktheriya zesifo.

Izizathu zesifo

Yintoni enokuyichukumisa eso sifo njenge-hypertrophic chronic rhinitis?

Izizathu zingaba ngolu hlobo:

• Ukusetyenziswa okungalawulwayo kwezilwanyana zamasoconstrictor zendawo.
• Izifo ezithintekayo ngezifo ze-ENT.
• I-rhinitis enganeleyo.
• I-rhinitis yokugula engapheliyo kunye nokungabikho kwanaluphi na unyango.
• Ukuphazamiseka kwenkqubo ye-endocrine.
• Ubuninzi beentsholongwane zomzimba.
• Ulungelelaniso lwamaxabiso.
• Ukukhawulwa kwe-septum yangasese, nokuba ingaba sisifo se-innate okanye siyifumene.
• I-pathology ye-neural-reflex umsebenzi wempumlo.
• Imikhwa emibi, ingakumbi ukutshaya nokukhupha imiphunga yezinto ze-psychotropic.
• Sebenza kwimveliso enobungozi kunye nokuhlala kwindawo engcolileyo. Ukunyuka kwamanzi kwamashishini anobungozi, imisebe, kunye nomoya owomileyo kwaye othulileyo ungabangela izifo zee-ENT.
• Ukunciphisa umzimba.

Uphawu lwe-rhinitis engapheliyo

Iimpawu ze-hypertrophic chronic rhinitis ziya kufana nesimo esichaphazelayo okanye esithathelwanayo sesifo, kodwa siya kuba neempawu zayo.

Iimpawu ze-symptomatology ziya kuba ngale ndlela:

• Ukukhutshwa kwamanzi empumleni. Nangona kunjalo, abanalo umbala nephunga, kodwa banokungahlambulukanga.
• Impumlo ivaliwe, ukuphefumla kunzima. Kule meko, amaconsi e-vasoconstrictor awancedi.
• Intloko.
• Ukunyaniseka.
• Iingxaki zokulala.
• Ukukhathala okungapheliyo.
• Ukutshatyalaliswa kwenyameko kokubona iphunga.
• Ixinzelelo entloko.
• Umntu uthetha ngeempumlo.
• Ukukhawuleza, ubomvu nokukhukhuma kweenkophe.
• Conjunctivitis.

Iimpawu kunye neengxaki ezinokubakho kwengxaki engapheliyo ye-hypertrophic rhinitis kubantwana

Abantwana banokungenwa nentsholongwane, njengokuba umzimba wenziwa kuphela, iimpawu ze-rhinitis ezingapheliyo ziza kuthi zichazwe ngakumbi, eziza kuthintela impilo yengane kwixesha elizayo.

Masiqeshwe iimpawu ezimbalwa ezibonakalayo kubantwana:

• Umntwana uphefumula umlomo wakhe, ukuphefumla kunzima.
• Intloko.
• Ngokukhawuleza ukhathala.
• Ukulahleka kokuva.
• Ukungabi novumba.
• Izwi lomlomo.
• Ukuncipha kokusebenza kwesikolo.
• Ukunqongophala kwengqalelo.

Ziziphi iingxaki ezinokuthi umntwana unesi sifo:

• Impembelelo ebalulekileyo ekuphuhliseni kwengqondo yomntwana, impumelelo yoqeqesho.
• Ixhoba rhoqo i-otitis, sinusitis, i-asthma, i-pneumonia.

Ukuze ugweme ukuguqulwa kwe-rhinitis ukuba ingapheliyo yomsinga, kuyimfuneko ukunamathela kwiingcebiso zegqirha kwiyeza kwaye uphathe ixesha elifanelekileyo ukuphatha izifo ezithathelwanayo kubantwana. Kubalulekile ukwenza iinkqubo ezinzima, ukugcina ukushisa kwegumbi elifanelekileyo, ukuqhuba ukusetyenziswa kwamagciwane okukhusela, ukuhamba ngokuphindaphindiweyo.

Diagnostics

Okokuqala, kufuneka uqhagamshelane neengcali kwi-otolaryngology.

Ukuze uhlolisise eso sifo njenge-hypertrophic chronic rhinitis, azikho iimpawu zokwanela ugqirha. Izindlela zamanje zoviwo zisetyenziswa.

Njani uviwo:

• Ugqirha ugqiba uhlobo kunye nobude bekhosi yesi sifo, indlela iimpawu eziphuhlisiwe ngayo kwaye yintoni unyango olusetyenziswayo.
• Umgca wempumlo uhlolwa. I-rhinoscopy yenziwa.
• I-rhinopneumometry isetyenziselwa ukujonga ukusebenza komgudu wamanzi.

Kwakhona kuyimfuneko ukudlula ezi zilandelayo:

1. Ukuhlolwa kwegazi jikelele.
2. Eosinophils.
3. I-Immunoglobulin E egazini.

Uphando olongezelelweyo:

• Imifanekiso.
• I-tomography yekhompyutheni yesono sempumlo.

Izonyango zonyango

Ukuze kunciphise imeko yesigulane kwi-diagnosis ye-rhinitis engapheliyo, unyango lungabandakanya iinkqubo zonyango ezilandelayo:

1. Kwiinqanaba zokuqala zesi sifo, ukuhlanjululwa ngezisombululo ze-saline zesigxina se-nasal.
2. Ngohlobo olomeleleyo lwe-hypertrophic process, i-cauterization ne-trichloroacetic acid okanye i-chrome, kunye ne "Lyapis". Ngaphambi kwenkqubo, i-injection anesthetic yenziwe.
3. Kwiimeko zeengxaki ze-mucosal, "i-Hydrocortisone" imiselwe.
4. Isilwanyana "iSplenin" silawulwa ngendlela ye-injections kwaye sijojowe nge-intradermally okanye njengamafutha, kwaye ukunyakaza kwe-massage kusetyenziselwa kwiimbrane ezinqabileyo.

Izindlela zonyango zonyango azikwazi ukujamelana nokutshintshwa kwesakhiwo kwiimbumba zangasese, kodwa kunokunciphisa imeko yesigulane ixesha elide kwaye umise ukunyuka kwama-tissue epithelial.

Izicwangciso ze-physiotherapy

Ukuba inkqubo ye-hypertrophic of the membranes yangasese ibonakaliswe ngokunyanisekileyo, ugqirha unokuncomela iinkqubo ezilandelayo ze-physiotherapeutic kunye neyeza zonyango:

• UHF.
• Ukufuthwa kweembumba zamanzi kunye nokusetyenziswa kwamathambo.
• I-ultraviolet irradiation of conal nasal.

Kodwa xa iindlela zonyango zonyango zidibanisa neenkqubo ze-physiotherapeutic azizange zisebenze ngexesha lokunyanga kwesi sifo, kubalulekile ukusebenzisa indlela yokusebenza yokukhupha i-pathology.

Izindlela zokusebenza zonyango

Ukuba ukukhula kwe-mucosa kunye ne-hypertrophic process ayigcinwanga, kwaye i-rhinitis engapheliyo iyaqhubeka nokuphuhliswa, unyango alinakwenzeka ngaphandle kokungenelela ngophengululo.

Ziziphi iintlobo zokungenelela kungenziwa:

• Kwimigangatho yokuqala yefom ye-cavernous, zinokunikezwa nge- vasotomies ye-laser submucosal . Susa izitya phantsi kwe-mucosa yesango.
• Indlela ye-galvanic caustic. Kuya kufuneka ukuba usebenzise i-aneshesia, ekubeni izicubu zixhomekeke kumbane wamandla.
• Indlela yokutshatyalaliswa kwe-ultrasonic yesigxina se- nasal. Ayigazi, kodwa lifuna i-anesthesia. Iqulethwe kukutshatyalaliswa kwe-nasal concha ngokusebenzisa iforki ekhethekileyo yokupakisha, apho i-current electric power is provided.
• Indlela yokudibanisa. I-mucosa isuswe kwezinye iindawo ze-conal nascha. Unokuqhutywa ngeendlela ezahlukeneyo:

1. I-Laser conchotomy. Le ndlela ayiyigazi.
2. Iyonke ikota.
3. I-concotomy ekhethekileyo.

• Indlela yokwakha. Ukusebenzisa ukusetyenziswa kwe-nitrogen. Kukho umphumo kwimimandla echaphazelekayo kunye ne-cryoapplicator ekhethekileyo.

Ungesabi ngongenelelo olwenziwe ngophengululo, lwenziwa ngokusebenzisa i-anesthesia jikelele okanye yendawo, ukuba ukuxilongwa kwe-rhinitis engapheliyo kuqinisekiswa. Ukusebenza kuya kuthatha imizuzu engama-20 ukuya ku-30 ngokubonga kwizixhobo ezikhoyo ze-endoscopic zamanje. Ngosuku lwesithathu isiguli singabuyela ngendlela eqhelekileyo yobomi.

Indlela zonyango zonyango

Ukuba isifo sibonakaliswe kwisigaba sokuqala, ungazama iindlela zonyango.

Kodwa okokuqala kuyimfuneko ukubonisana nogqirha malunga nokusetyenziswa kwemifuno.

Nazi iindlela ezimbalwa:

• Isisombululo se-Saline kunye nokongezwa kwe-iodine ukuhlamba isango.
• Ukusetyenziswa kweoli efunekayo yokunyuselwa kwamanzi. I-lavender esebenzisiweyo, umuthi weti, uSchisandra.
• Ukuhlamba isigxina se-nasal kunye ne-decoctions yamacube: i-sage, i-chamomile, i-mint, i-wort yase-St. John, i-plantain.
• Amaconsi kwimpumlo esuka kwintambo yomyezo okanye ukusuka kumhluzi we-St. John's wort kunye ne-plantain.

Iingxaki ezinokubakho zesifo kunye nokuchazwa kwonyango

I-rhrititis engapheliyo i-Hypertrophic ihamba kancane yaye inokuhlala iminyaka emininzi. Yaye ukuba ungayiphathi lesi sifo, iya kunika iingxaki ezilandelayo:

• I sinusiti.
• Adenoiditis.
• Tonsillites.
• Tracheobronchits.
• Conjunctivitis.
• Ifom ye-eustachyte kunye ne-tubootitis.
• Izifo ezivuthayo eziphefumulayo.
• Ukuphazamiseka kwenkqubo yokutya.
• Ukuphazamiseka kwesimo senhliziyo.

Ngenxa yokuphefumula, ukusebenza ngokuqhelekileyo kwendalo kuyaphazamiseka. Kubalulekile ukunyanga i-rhinitis engapheliyo kwinqanaba lokuqala, ukwenzela ukuba ungabandakanyeli ukungenelela ngoncedo. Ukuba le nkqubo ayinakunyanzeliswa iminyaka emininzi, kwaye iphathwa ngendlela efanelekileyo ngexesha elifanelekileyo, ngoko umbono ulungile, ngaphandle kokuba akukho ziphumo ezibonakalayo.

Ukuthintela ubushushu obuqhelekileyo ukusuka ekuphuhliseni ukuba yi-hypertrophic chronic rhinitis, iprophylaxis kufuneka yenziwe, ngakumbi kubantu abanelungelo lokufa. Ugqirha uya kunika iingcebiso eziyimfuneko.

Amanyathelo okukhusela

Kubalulekile ukuba uhlolisise ugqirha phantsi kolawulo lwesigqirha esinjalo njengesifo se-hypertrophic chronic rhinitis. Iimpawu kunye nonyango esiye sayihlolisisa kwangaphambili, kodwa kuyafuneka ukuba ukwazi ukuba ziphi iindlela zokukhusela ezikhoyo.

Makhe sibhale ezinye iingcebiso ezinokuthi ziqwalaselwe ngamanyathelo okukhusela:

• Unyango olufanelekileyo ngexesha elifanelekileyo kunye nezifo zonke.
• Ukuveliswa kokulimala, okuthuliweyo kunye nobuthakathaka, izixhobo zokukhusela, ezifana neemaski okanye iimpumlo, kufuneka zisetyenziswe.
• Gwema amagumbi avulekileyo kunye namafumba.
• Ukuba kukho ukungabikho kwemithi kwiphina imithi okanye izinto, qha ga mshelana nazo kufuneka zikhutshwe kwaye ama-antihistamine kufuneka athathwe ngokukhawuleza.
• Zama ukungabandakanyi izilwanyana ekudleni kunye noqhagamshelwano nabo kwimpilo yemihla ngemihla.
• Ngexesha, gulisa izifo ezivuthayo zamalungu e-ENT.
• Ukhuthaze iinkqubo ezinzima.
• Ukuhamba emoyeni omtsha.
• Thatha ilanga lokuhlambela.
• Qinisekisa ukhuseleko.
• Lahla imikhwa emibi.
• Musa utywala.

Ngokuqhelekileyo abantu abaselula bavame ukubuza: "Ngaba i-rhinitis engapheliyo kunye nomkhosi iyahambisana?" Kufuneka ukuba uqaphele ukuba ngoxilongo oluthile lulungele ukuya empini. Akunakubizwa ngokuba yiqela leempi ezikhuselekileyo xa kwenzeka ukuba impumlo ye-runti ephilileyo ibonakaliswe, i-purulent okanye i-polyposi sinusitis eneziqhamo eziqhelekileyo kunye nokuphazamiseka okuqhubekayo kokuphefumla komzimba.