Mea Kākau: Lewis Jackson
Lā O Ka Hana: 5 Mei 2021
HōʻAno Hou I Ka Lā: 17 Nowemapa 2024
Anonim
Surgically Mastering the Maxillary & Ethmoid Sinuses by Andrew Goldberg, MD
Wikiō: Surgically Mastering the Maxillary & Ethmoid Sinuses by Andrew Goldberg, MD

Anter

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

He aha ka sinusitis ethmoid?

ʻO nā sinus nā ʻeha i piha i ka ea i kou poʻo. ʻEhā ou set o lākou i kapa ʻia:

  • Sinus maxillary
  • hewa hewa sphenoid
  • Sinus mua
  • hewa Sinoa

Aia kou hewa sinmo e pili ana i ke alahaka o kou ihu.

Kōkua nā sinus i ke kānana, hoʻomaʻemaʻe, a me ka hoʻohaʻahaʻa i ka ea i hoʻoulu ʻia. Mālama lākou i kou poʻo mai ka kaumaha nui. ʻO ka mea hope loa, ʻo ka mucus i hana ʻia i nā sinus e kahe i ka ihu.

Kū ka Sinusitis ke hoʻi ka hope o ka mucus i loko o kāu hewa a lilo i maʻi kāu maʻi. ʻO kēia ma muli o ka pehu ʻana o nā ihu a me kāu wehe sinus. Hiki i nā maʻi hanu kiʻekiʻe a i ʻole nā ​​maʻi āpau ke alakaʻi i ka sinusitis ethmoid. ʻO nā inoa ʻē aʻe no ka sinusitis me ka rhinosinusitis.

He aha nā kumu o ka sinusitis ethmoid?

ʻO nā kūlana e hoʻopili i ke ʻano o nā sinus a i ʻole ke kahe o nā huna ihu hiki ke hana i ka sinusitis. Kumu o sinusitis nā:


  • kahi maʻi hanu luna
  • he anu maʻamau
  • nā mea pākuʻi
  • he septum deviated, ʻo ia ka wā e hoʻoneʻe ʻia ai ka paia o nā ʻaʻa e hoʻokaʻawale i kou mau piko i kekahi ʻaoʻao a i kekahi ʻē aʻe.
  • nasal polyps, kahi ulu ʻole noncancerous i ka uhi o kāu sinus a i ʻole nā ​​ala ihu
  • he maʻi niho
  • hoʻonui ʻia nā adenoids, nā ʻāpana o nā kiko i waiho ʻia ma hope o kou lua ihu kahi e hui ai kou ihu me kou puʻu
  • kū i ka uahi lua
  • hōʻeha i ka ihu a me ka maka
  • mea haole i ka ihu

Nā ʻōuli o ka sinusitis ethmoid

Ma muli o ka pili koke o ka sinus o ka ethmoid i kou mau maka, ʻike paha ʻoe i nā ʻōuli e pili ana i ka maka i kēia ʻano sinusitis ke hoʻohālikelike ʻia i nā poʻe ʻē aʻe. Hiki paha iā ʻoe ke ʻeha ma waena o nā maka a me ka palupalu ke pili i ke alahaka o kou ihu.

ʻO nā ʻōuli ʻē aʻe o ka sinusitis:

  • pehu helehelena
  • ihu holo ka lōʻihi ma mua o 10 mau lā
  • huna huna ihu
  • drip post-nasal, ʻo ia ka mucus e neʻe i hope o kou ʻāʻī
  • ʻeha poʻo hina
  • eha ka 'ā'ī
  • hanu maikaʻi ʻole
  • ʻūhā
  • hoʻemi i ke ʻano o ka pilau a me ka ʻono
  • luhi maʻamau a malaise paha
  • fiva
  • ʻeha pepeiao a i ʻole ka nalo ʻana o ka pepeiao

ʻOiai inā ʻo kou maʻi i loko o nā sinmo ethmoid, ʻaʻole paha ʻoe e ʻeha i kēia wahi. Manaʻo ka poʻe he nui me ka sinusitis i ka ʻeha ma loko o ka maka, me ka nānā ʻole i ka maʻi o ka sinus. Eia kekahi, kahe nā frontal a me nā maxillary sinuses i loko o ka wahi like me nā sinmo ethmoid. Inā kūpaka ʻia kāu hewa sinmo ethmoid, hiki i nā hewa ʻē aʻe ke hoʻi i hope.


Pehea e ʻike ʻia ai ka sinusitis o ka ethmoid?

ʻO ka maʻamau, hiki ke ʻike ʻia ka sinusitis o ka ethmoid ma muli o kāu mau ʻōuli a me ka hoʻokolokolo ʻana i kāu mau ihu ihu. E hoʻohana kāu kauka i kahi kukui kūikawā i kapa ʻia he otoscope e nānā i kou ihu a i loko o kou mau pepeiao no ka hōʻike o ka maʻi sinus. Lawe pū paha ke kauka i kou mahana, hoʻolohe i kāu mau kani māmā, a nānā i kou puʻu.

Inā ʻike kāu kauka i nā huna ihu mānoanoa, hoʻohana paha lākou i kahi ʻōpala e lawe i kahi laʻana. E hoʻouna ʻia kēia hāpana i kahi keʻena e nānā ai i nā hōʻike o kahi maʻi bacteria. Hiki paha i kāu kauka ke kauoha i nā hoʻokolohua koko e nānā no nā hōʻike o ka maʻi.

I kekahi manawa, kauoha nā kauka i nā hoʻokolohua kiʻi e nānā ai no ka sinusitis a e kāpae i nā kumu kūpono ʻē aʻe o kāu mau hōʻailona. Hiki i nā kukuna X o kāu lawehala ke kōkua i ka ʻike ʻana i nā ālai. ʻO kahi CT scan, e hāʻawi ana i nā kikoʻī i ʻoi aku ma mua o kahi X-ray, hiki ke hoʻohana ʻia e nānā no nā palaka, nā lehulehu, nā ulu ʻana, a me nā maʻi a ʻo ka mea maʻamau.

Hiki paha i kāu kauka ke hoʻohana i kahi ʻōmole liʻiliʻi i kāwili ʻia me kahi kāmela i kapa ʻia he endoscope e nānā ai i nā poloka ma kāu mau ihu ihu.


Ke mālama nei i ka sinusitis ethmoid

Hiki i nā mālama ʻana no ka sinusitis ethmoid ke koi i kahi ʻano like ʻole e pili ana mai nā mālama ʻana ma ka home a hiki i ke ʻoki ʻana i nā kūlana ʻoi loa.

Nā lāʻau lapaʻau ma luna o ka counter

Hiki i nā mea hōʻemi ʻeha ʻo over-the-counter ke kōkua i ka hōʻoluʻolu o ka ethmoid sinusitis. ʻO nā laʻana me ka acetaminophen, ibuprofen, a me ka aspirin. ʻO nā sprays nasal stereo, e like me fluticasone (Flonase), he mau manawa pōkole hoʻi no ka ihu ihu.

Wahi a Johns Hopkins Medicine, ʻaʻole e hoʻomāmā ka decongestant a me nā antihistamine i nā hōʻailona sinusitis o ka etmoid. Hiki i nā Antihistamines ke mānoanoa i ka huhū i ka ihu, e ʻoi aku ka paʻakikī i ka hoʻokahe ʻana.

Nā hoʻoponopono home

Hiki i kekahi mau lāʻau lapaʻau ma ka home ke kōkua i ka hōʻoluʻolu i ka ʻeha sinus a me ke kaomi. Hoʻopili kēia i ka hoʻopili ʻana i nā compresses mehana i kou alo. Hiki ke kōkua i ka hoʻoulu ʻana i ka mahu i loko o kāu ʻauʻau ma ka home Hiki iā ʻoe ke hoʻolapalapa i ka wai i loko o ka ipu hao a i ʻole ka ipuhao a kau i kahi kāwele ma luna o kou poʻo i kou wā e neʻe ai i mua e huki i ka mahu. E akahele wale nō mai hoʻokokoke loa aku i ka ipu hao e pale aku ai i ka wela ʻana o ka mahu.

Ke hoʻokiʻekiʻe nei i kou poʻo me ka uluna uluna ke hiamoe ʻoe hiki ke paipai i ka kahe pono o ka ihu. Noho hydrated, me ka inu ʻana i ka nui o ka wai, hiki ke kōkua i ka mucus lahilahi. Kōkua ka hoʻonāukiuki ʻana i kāu mau ihu me ka wai. ʻO kahi ala maʻalahi e hana i kēia e hoʻohana i kahi saline nasal spray i kekahi mau manawa i kēlā me kēia lā. ʻO ka holoi ʻana o ka ihu saline, hana ʻia i nā ʻaoʻao ʻelua i nā manawa he nui i kēlā me kēia lā, kahi ala maikaʻi loa o ka holoi ʻana i kāu sinuses, ke kōkua ʻana i nā ʻōuli o ka sinusitis, a me ka mālama pono ʻana i kou ihu.

Nā lāʻau lapaʻau

Kauoha paha ke kauka i nā lāʻau antibiotic e hōʻemi i ka nui o nā maʻi bacteria. Hiki i kēia mau lāʻau ke hoʻopili i ka amoxicillin, augmentin, azithromycin (Zithromax), a i ʻole erythromycin.

Nā hana ʻoki kino

Hoʻonui maikaʻi ka sinusitis Ethmoid me nā mālama nonsurgical i ʻōlelo ʻia ma mua. Eia nō naʻe, inā ʻaʻole kūleʻa kēia mau lapaʻau, he koho ke ʻoki. Hoʻokomo paha ke kahakaha hewa i ka hemo ʻana i nā mea i hōʻino ʻia, hoʻonui i kou mau ala ihu, a me ka hoʻoponopono ʻana i nā pono ʻole anatomical, e like me nasal polyps a i ʻole septum deviated.

Kāohi i ka sinusitis ethmoid

ʻO ka mālama ʻana i kāu mau ihu ihu ke kōkua i ke pale ʻana i ka sinusitis. He mea kōkua paha kēia mau ʻano hana no ka poʻe maʻi pāwili. Nā ʻano hana pale e komo pū ana:

  • hawaiʻi ihu
  • noho hydrated
  • inhaling mahu e hoʻomaʻemaʻe i nā ala ihu
  • me ka hoʻohana ʻana i kahi mea humuhū, keu hoʻi i nā wahi maloʻo
  • me ka hoʻohana ʻana i nā kulu saline e hoʻomaʻū i nā paukū ihu
  • ke hiamoe nei me kou poʻo i hoʻokiʻekiʻe ʻia
  • e hōʻalo nei i ka puhi pinepine ʻana i kou ihu
  • ke puhi nei i kou ihu ke pono
  • e hōʻalo nei i nā antihistamines, ke ʻole i kuhikuhi ʻia e kāu kauka
  • pale i ka hoʻohana nui ʻia o nā decongestants

Outlook

ʻO ka Ethmoid sinusitis kahi ʻano hōʻoluʻolu ʻole e hiki ke mālama ʻia a me ka pale ʻana. Inā hele mau nā ʻōuli sinusitis ma mua o kekahi mau lā, e kauoha paha ke kauka i nā lāʻau antibiotic e kōkua i ka hoʻomaʻemaʻe koke ʻana o ka maʻi. I nā hanana maʻamau, pono ka poʻe me nā maʻi he nui e pili ana i ka sinusitis i ke kahakaha e hoʻoponopono ai i nā mea kūpono ʻole.

Kākaʻikahi ka Ethmoid sinusitis Inā ʻoe e ʻeha i ka ʻeha o ka maka, nā loli i ka hihiʻo, a i ʻole nā ​​loli i kāu hana noʻonoʻo, e ʻoluʻolu e hele i kāu keʻena pilikia kokoke loa.

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