Fungal sinusitis

Sinuses maburi ari mukati medehenya rakapoteredza mhino, pasi pemapfupa ematama nehuma. Mhando mbiri dzakasiyana dze Aspergillus sinusitis iripo, mune vanhu vane immune immune system:

Allergic fungal sinusitis (kana kuti eosinophilic fungal rhinosinusitis). Kuvharwa kwese kwe sinus nekuda kwekuzvimba mucosa. Mufananidzo wakatorwa kubva kuAspergillus.org

Allergic fungal sinusitis (kana kuti eosinophilic fungal rhinosinusitis). Kuvharwa kwese kwe sinus nekuda kwekuzvimba mucosa. Mufananidzo wakatorwa kubva kuAspergillus.org

Allergic Fungal Rhinosinusitis

Zviratidzo zvinosanganisira kuvharika kwenzira yekufema nemumhino (kutadza kufema nemumhino), kusawirirana kwemhino nemhino (kuvharika nekuda kwekuonekwa kune chimwe chinhu icho munhu wacho ari kurwadziswa nacho), purulent rhinorrhoea (yakasvibira 'snot'), postnasal drainage (mucus inodonha pasi. kumashure kwehuro kubva kumashure kwemhino) nemusoro. Marwadzo haana kujairika asi, kana aripo anoratidza kuwedzera kwehutachiona hwehutachiona hwema sinuses. Allergic fungal rhinosinusitis inowanzoonekwa pachishandiswa ongororo yeropa (kuona masoja ekudzivirira chirwere chefungus), CT scan, endoscopy uye tsika yemasamples akatorwa mu sinus. Nasal polyposis inowanzovapo (NB aya HAZVISI kenza kunyangwe zvichitsanangurwa semamota). Chirwere ichi chinowanzorapwa nesteroids uye kuvhiyiwa. Iyo steroid inowanzoenderera mberi kwenguva yakati, sezvo kuderedzwa kwekuzvimba mukati memhino ndima uye sinuses zvakakosha kubvumira kuyerera kwechisikigo. Kana mvura ikangogadziriswa, kuzvimba kunowanzo kuderera uye pakupedzisira steroid inogona kumiswa zvishoma nezvishoma.

Prognosis

Zvisinei nekuedza kwese uku varwere vanodzoka kakawanda uye vamwe vanachiremba vakaedza kurapa nemishonga yeantifungal kuyedza kupedza fungus. Mibairo yakavhiringika kusvika zvino - iyi inyaya yekutsvagisa.
Muzviitiko zvakasiyana-siyana mapfupa e sinus anogona kuputswa, zvichiita kuti fungus ipinde munzvimbo dzakavakidzana, dzakadai seziso.

Saprophytic sinusitis

Sinusitis inotsanangurwa sekuzvimba kweparanasal sinuses, ine kana isina hutachiona. Kuzvimba kunogona kukonzerwa nehutachiona hwehutachiona, allergy, hutachiona uye fungal utachiona. Kakawanda fungal chirwere chinoonekwa kana mamiriro acho atadza kupindura mishonga inorwisa mabhakitiriya (mishonga inorwisa mabhakitiriya yakagadzirirwa kuuraya utachiona hwehutachiona, asi isina simba pazvirwere zvefungal). Aspergillus sinusitis inofungidzirwa kuti inokonzerwa nehutachiona hunodzokororwa hunokonzera kuzvimba, izvo zvinodzivisa kubuda kwese kwe sinus. Kurapa nemishonga inorwisa mabhakitiriya saka kazhinji kunopa mhinduro isina kukwana, sezvo mabhakitiriya anofa uye kuzvimba kunoderedza; izvi zvinotungamirira kuzvirwere zvakawanda zvisina kukwana. Zviratidzo zvinosanganisira kupera kwemhino, kusagadzikana kwechiso, kutemwa nemusoro uye kubuda kwemhino. Kuongororwa kunoitwa neCT scans, endoscopy (kamera kadiki kakapinzwa muzvivi), kana kuti kazhinji panguva yekuvhiyiwa kuvandudza mvura! Kurapa kuvhiyiwa kuvandudza sinus drainage - chinhu chikuru chinoita kuti dambudziko rivepo kutanga kuve nechimiro chakasiyana kune sinus, zvichiita kuti mvura iwedzere kuoma. Kuvhiya kunogadzirisa kukanganisa ikoko. Antifungals haiwanzo kushandiswa.

Prognosis

Sinusitis inogona kukurumidza kudzoka asi iyi inowanzoita nzira inobudirira.

Kuti uwane rumwe ruzivo nezve marudzi e aspergillosis uye zviratidzo zvavo uye kurapwa shanyira zvinotevera zvinongedzo:

Yakagadziridzwa Kuwedzeredzwa muna Zvita 14, 2019 na Megan