Ukuze uqonde ngokugcwele i-CRSwNP, kungasiza ukuqonda i-rhinosinusitis engapheli ngokujwayelekile. I-rhinosinusitis engapheli yisimo sokuvuvukala (ukuvuvukala) kwezono. Ukuvuvukala kwabantu abane-rhinosinusitis engapheli kwesinye isikhathi kungaholela ekwakhekeni kwalokho okwaziwa ngokuthi ama-polyps akhala. Ngakho-ke, kunezinhlobo ezimbili ze-rhinosinusitis engapheli, eyodwa ene-polyps yamakhala - eyaziwa ngokuthi i-CRSwNP - nenye engenawo.

Lapha kwa-GAAPP, sivame ukuxoxa nge-CRSwNP, ngakho-ke iningi laleli khasi lizogxila kulesi simo.

Ama-polyps ekhala:

  • Ingabe ukukhula (njengamagilebhisi amancane) ngaphakathi kwekhala noma ama-sinus.
  • Ngokuvamile akulimazi.
  • Zivame kakhulu kubantu abadala abangaphezu kweminyaka engama-40.
  • Kwenzeka kaningi kwabesilisa kunabesifazane.
Umdwebo we-Anatomical we-Nasal Polyps

Kulabo abanentshisekelo ngemininingwane eyengeziwe, ake sikhulume ngemvelaphi ye-rhinosinusitis engapheli. I-sinusitis engapheli kanye ne-rhinitis engapheli yizimo ezihlukene ezibangela ukuvuvukala ngaphakathi kwekhala kanye nezono, okungaholela kuma-polyps emakhaleni.

I-rhinitis engapheli ukuvuvukala kwamacici futhi kuvame ukubangelwa ukungezwani komzimba (i-allergic rhinitis). Kungase futhi kubangelwe ezinye izinto, njengokusetshenziswa ngokweqile kwemithi ethile nezinye izimo zezokwelapha (i-nonallergic rhinitis).

I-sinusitis engapheli ukuvuvukala emigodini ye-sinus, okuyizikhala ezingenalutho ekhanda nasemakhaleni. Lokhu kungabangelwa ukutheleleka kanye nokungezwani komzimba nezinto ezithile.

I-rhinosinusitis engapheli yilapho izimo zombili zenzeka ndawonye. I-rhinosinusitis engapheli ivame ukuholela ekubeni nama-polyps emakhaleni. Uma lokhu kuqhubeka isikhathi eside kunamaviki angu-12, kuthathwa njengesifo esingelapheki.

Ukuvuvukala yindlela umzimba osabela ngayo kumagciwane, ukugula, noma ukulimala. Kuyasiza ukuthi ululame umzimba wakho, kodwa uma uhlala isikhathi eside, kungabangela izinkinga zempilo. Nakuba imbangela yangempela ingaziwa, i-CRSwNP kucatshangwa ukuthi ihlobene nokuvuvukala, okungase kubangele kwabanye abantu lapho isimiso somzimba sokuzivikela ezifweni sisabela ngendlela engafanele endaweni ezungezile (njengokuphefumula ukungcola), izifo ezithathelwanayo, isifuba somoya, noma ukutheleleka. I-rhinosinusitis engapheli iyimbangela evame kakhulu ye-polyps yamakhala. Lokhu kuba okungapheli uma kuthatha izinyanga ezintathu noma ngaphezulu.

Abantu abanama-polyps amancane ekhaleni bangase bangaziboni izimpawu. Ama-polyp amakhulu ekhala angavimba ikhala, okungenza kube nzima ukuphefumula. Angase futhi abangele izifo, ukuncipha noma ukulahlekelwa iphunga noma ukunambitheka okuphelele, ukuhona, noma ezinye izimpawu.

Ezinye izimpawu ze-polyp emakhaleni zihlanganisa ikhala eliminyene noma eligijimayo, ukuvuza kwangemuva kwekhala (okuwumfinyila oconsayo futhi uqoqeke ngemuva komphimbo wakho), ikhanda elibuhlungu, nobuhlungu emazinyweni noma ebusweni.

Kungenzeka ube ne-CRSwNP uma unokulandelayo:

  • I-Asthma.
  • Ukushoda kweVitamin D.
  • ICystic fibrosis.
  • Ukuzwela ku-aspirin.
  • Imfiva ethimulisayo.
  • Ukutheleleka kwamazinyo.
  • Ukutheleleka kwe-sinus okungapheli.
  • Umlando womndeni wama-polyp wamakhala.

Kubalulekile ukukhuluma nodokotela wakho uma uba nezimpawu ze-CRSwNP. Kungasiza ukubhala uphawu ngalunye ukuze kube lula ukulukhumbula futhi luchaze lapho ukhuluma nodokotela wakho noma umhlinzeki wezempilo.

Ama-polyp ekhala ngokuvamile awazipheli ngokwawo futhi uzodinga ukwelashwa kudokotela. Ukwelashwa ngokuvamile kuhlanganisa i-corticosteroids (imithi elwa nokuvuvukala) enganciphisa izimpawu futhi yenze ama-polyps abe mancane. Izimo ezimbi kakhulu zama-polyps akhala zingadinga ukwelashwa ngemithi eyengeziwe noma ukuhlinzwa.

I-CRSwNP ingelashwa ngokuthi:

  • Izifutho ze-Corticosteroid nasal.
  • Amaphilisi e-steroid noma imijovo.
  • Ukuhlinzwa.
  • Imithi yebhayoloji.

Kubalulekile ukukhuluma nodokotela wakho mayelana nokuthi yiziphi izindlela zokwelapha ezikulungele wena, uma kubhekwa umlando wakho wezokwelapha, izimpawu, nezinye izimo.

Izenzo zansuku zonke zingasiza ekulawuleni i-CRSwNP.

  • Uma umoya osendlini yakho womile, ungazama ukusebenzisa i-humidifier. Qiniseka ukuthi uyigcina ihlanzekile-ithangi elingcolile lomswakama lingakhulisa isikhunta kanye namagciwane.   
  • Geza izandla njalo ukuze ugweme ukugula, okungaholela ekuvuvukeni kwamakhala.
  • Uma une-allergies noma isifuba somoya, hlala phezu kohlelo lwakho lokwelapha kanye nemithi.
  • Gwema ukungcola, njengothuli, ukungcola, nentuthu, nanoma yini enye engacasula ikhala lakho nezono.
  • Gwema ukuthatha i-aspirin uma unokuzwela kwe-aspirin.

Registry

I-AROMA (isilingo somtholampilo esiqhubekayo seziguli ze-Dupixent kuphela)

Resources

Ukuze ufunde kabanzi, landa amaflaya okufundisa amahhala e-GAAPP:

Izisekelo ze-CRSwNP

Okusanda Kuxilongwa nge-CRSwNP

Futhi funda kabanzi kulawa masayithi athembekile:

Umbiko we-AAFA othi “Life with Nasal Polyps”

Ubufakazi be-EUFOREA CRSwNP