I-Sinus Surgery e-Apollo Hospitals, e-Lucknow

Kungani Iziguli Zikhetha Izibhedlela zase-Apollo eLucknow Zokuhlinzwa Kwesinus

• Ingxenye yeqembu lezibhedlela ze-Apollo, eyasungulwa ngo-1983 Uchungechunge lokuqala lwezibhedlela zenkampani eNdiya, olunefa elingaphezu kweminyaka engamashumi amane kanye nenethiwekhi yezibhedlela ezingaphezu kuka-70 ezweni lonke.
• Izibhedlela zase-Apollo iLucknow iyisikhungo sokunakekelwa kwezokwelapha esikhethekile kakhulu sikhonza i-Uttar Pradesh, nomnyango ozinikele we-ENT (Otorhinolaryngology) kanye noMnyango Wokuhlinzwa Kwekhanda Nentamo ophatha izinkinga zekhala, ama-sinus, ukuhona kanye nezinkinga zomoya.
• Ithimba labeluleki be-ENT abafanelekayo Isekelwa yi-anaesthesiology, i-radiology, i-pulmonology, i-allergy kanye ne-immunology, amaqembu amazinyo kanye nokuhlinzwa kwemizwa - kubalulekile ngoba isifo esiyinkimbinkimbi se-sinus sivame ukuhlangana ne-allergy, i-asthma, ukutheleleka kwamazinyo noma i-anatomy yesisekelo sekhanda. Inani eliqondile lodokotela abahlinzayo be-ENT kuphaneli esebenzayo kanye neminyaka yabo ehlangene yesipiliyoni iyashintsha ngokuhamba kwesikhathi futhi ingaqinisekiswa nomnyango we-ENT ngesikhathi sokubhukha.
• Indlela yokuhlinzwa kwe-sinus ye-Endoscopic (keyhole) Ukuhlinzwa kwe-Functional Endoscopic Sinus Surgery (FESS) yesimanje kwenziwa ngamakhala kusetshenziswa ama-endoscope aqinile kanye nama-micro-debriders, ngaphandle kokusikeka kobuso kanye nezibazi zangaphandle ezimweni eziningi.
• Izithombe ze-CT zangaphakathi endlini ukudwetshwa kwe-sinus kwangaphambi kokuhlinzwa, okuwukuphenya kokuhlela okubaluleke kakhulu ngaphambi kwanoma yikuphi ukuhlinzwa kwe-sinus.
• Ukusekela ukunakekelwa okuphuthumayo kanye nokunakekelwa okubucayi ubusuku nemini, ukufinyelela ebhange legazi kanye nezindawo zokuthola usizo ngemva kokuhlinzwa ekhempasini efanayo ? ezifanele iziguli ezinezinkinga zokopha, isifo sikashukela esingalawuleki, isifo senhliziyo noma labo abasebenzisa imithi yokunciphisa igazi.
• Izindlela zokunakekela zamaqembu ahlukene eminyaka abantu abadala, iziguli ezindala ezinezimo eziningi zezokwelapha, kanye nezingane (izinkinga ze-adenoid zezingane, ukungezwani komzimba kanye ne-sinus ziphathwa ngokusekelwa kwe-anesthesia yezingane).
• Ukusekelwa kwabaculi, othisha, abadlali kanye nabantu abasebenza emisebenzini enothuli noma eveza kakhulu, lapho izikhathi zokubuyela ezwini, ukubuyela ekuqeqeshweni kanye nokubuyela emsebenzini zihlelwa ngazinye kunokuba zihlelwe ngumthetho oqinile.
• Isikhungo esingenamali esinephaneli enkulu yabashuwalensi kanye nama-TPA, kanye nedeski lomshwalense eliphatha amaphepha okugunyazwa kusengaphambili kokwamukelwa okuhleliwe. Uhlu lwephaneli kanye nokuvunyelwa kuyaqinisekiswa edeskini lomshwalense.
• Ukulandelela okuhlelekile nge-endoscopy yangemuva kokuhlinzwa kanye nokususwa kwesikhumba, ubufakazi obusikisela ukuthi kuyisici esiyinhloko sempumelelo yokuhlinzwa yesikhathi eside.

Uhlolojikelele

Ukuhlinzwa kwe-sinus kuyindlela yezokwelapha ekhethekile eklanyelwe ukudambisa i-sinusitis engapheli nezinye izimo ezihlobene ne-sinus ezingaba nomthelela omkhulu izinga lakho lempilo. Esibhedlela sase-Apollo, i-Lucknow, siyaziqhenya ngedumela lethu lokuphumelela ekunakekelweni kwezempilo, sisebenzisa ubuchwepheshe obusezingeni eliphezulu kanye namasu okuhlinza athuthukile ukuze siqinisekise imiphumela engcono kakhulu ezigulini zethu. Ngethimba lodokotela abahlinzayo abanekhono kanye nokuzibophezela ekunakekelweni komuntu siqu, sesibe esinye sezibhedlela ezingcono kakhulu zokuhlinzwa kwesinus esifundeni. Iziguli zethu azisethembi nje kuphela ngobuchwepheshe bethu kodwa nangendlela yethu yozwela yokwelashwa.

Kungani Ukuhlinzwa KweSinus Kudingeka

I-sinusitis engapheli ithinta izigidi zabantu emhlabeni wonke, okuholela ezimpawu eziqhubekayo ezifana nokucinana kwamakhala, ubuhlungu bobuso, nokuncipha nomuzwa wokuhogela. Lapho ukwelashwa okuvamile, njengemithi kanye nezifutho zekhala, zehluleka ukunikeza impumuzo, kungase kudingeke ukuhlinzwa kwe-sinus. Le nqubo ihlose ukususa ama-blockages, ukuthuthukisa ukugeleza kwamanzi, nokubuyisela umsebenzi ojwayelekile kuma-sinus.

Ukubaluleka kwezokwelapha kokuhlinzwa kwe-sinus akukwazi ukweqiwa. Ngokubhekana nezinkinga eziyisisekelo ezibangela i-sinusitis, iziguli zingathola ukuthuthukiswa okuphawulekayo empilweni yabo yonke kanye nokuphila kahle. Izinzuzo zokuhlinzwa kwe-sinus zihlanganisa:

• Ukuphefumula Okuthuthukisiwe: Ngokususa ama-sinus avaliwe, iziguli zingaphefumula kalula futhi ngokunethezeka.
• Amagciwane Ancishisiwe: Ukuhlinzwa kungasiza ekuvimbeleni ukutheleleka kwe-sinus okuphindaphindiwe, okuholela ekunciphiseni izinsuku zokugula kanye nekhwalithi yokuphila engcono.
• Ukuthuthukiswa Kokuzwa Iphunga: Iziguli eziningi zibika ukuthi umuzwa wazo wokuhogela nokunambitha ubuyela emuva ngemva kokuhlinzwa, okungathuthukisa kakhulu injabulo yazo yokudla nokuphila ngokujwayelekile.

Izingozi Zokubambezeleka

Ukubambezeleka kokuhlinzwa kwe-sinus kungaholela enkingeni yezinkinga ezingase zibe zimbi kakhulu isimo sakho. I-sinusitis engapheli ingabangela:

• Ukwanda Kwemvamisa Yokutheleleka: Ukuvaleka isikhathi eside kungaholela ekuthelelekeni kwama-sinus okuvamile futhi okunzima, okungadinga imithi enamandla noma ukwelashwa okwengeziwe.
• Ukuthuthukiswa kwama-Polyps ekhaleni: Ukuvuvukala okungapheli kungaholela ekwakhekeni kwama-polyp ekhaleni, okungavimbela ukuhamba komoya futhi kube nzima ukwelashwa.
• Amathuba Okuthola Izinkinga: Ezimweni ezingavamile, izinkinga ze-sinus ezingalashwa zingaholela ezinkingeni ezinkulu kakhulu, njengokutheleleka kwe-sinus okusakazekela emehlweni noma ebuchosheni.

E-Apollo Hospitals Lucknow, siyakuqonda ukuphuthuma kokwelashwa okufika ngesikhathi. Ithimba lethu lochwepheshe lizinikele ekukunikezeni ukunakekelwa okudingayo ukuze ugweme lezi zingozi futhi uthuthukise impilo yakho.

Izinzuzo Zokuhlinzwa KweSinus

Ukuhlinzwa kwe-sinus kungaholela ezinzuzweni eziningi ezithuthukisa kakhulu izinga lakho lempilo. Ezinye zezinzuzo ezibalulekile zifaka:

• Usizo Lwesikhathi Eside: Iziguli eziningi zithola impumuzo ehlala isikhathi eside ezimpawini ze-sinusitis ezingamahlalakhona, okuzivumela ukuthi zibuyele emisebenzini yazo yansuku zonke ngaphandle komthwalo wokungakhululeki okuqhubekayo.
• Ikhwalithi Yokulala Ethuthukisiwe: Uma ama-sinus ecacile, iziguli zivame ukuthola kulula ukuphefumula ebusuku, okuholela ekulaleni okungcono kanye nempilo ephelele.
• Ikhwalithi Yempilo Ethuthukisiwe: Ikhono lokujabulela imisebenzi, ukuhlangana nabantu, kanye nokwenza izinto zokuzilibazisa ngaphandle kwemingcele ebangelwa izinkinga ze-sinus lingaholela empilweni eyanelisayo.

E-Apollo Hospitals Lucknow, sizimisele ukukusiza ufinyelele lezi zinzuzo ngokusebenzisa amasu ethu athuthukisiwe okuhlinzwa kwesinus nokunakekela komuntu siqu.

Ukulungiselela Nokubuyisela

Ukulungiselela ukuhlinzwa kwe-sinus kuyisinyathelo esibalulekile ekuqinisekiseni umphumela ophumelelayo. Nawa amanye amathiphu asebenzayo angakusiza ukuthi ulungele:

Amathiphu Wokuzilungiselela

• Ukubonisana: Hlela ukubonisana okuningiliziwe nochwepheshe bethu be-sinus ukuze nixoxe ngezimpawu zakho, umlando wezokwelapha, kanye nemininingwane yokuhlinzwa.
• Imiyalo yangaphambi kokuhlinzwa: Landela noma yimiphi imiyalelo yangaphambi kokuhlinzwa enikezwe udokotela wakho ohlinzayo, okuhlanganisa nemikhawulo yokudla kanye nokulungiswa kwemithi.
• Hlela ezokuthutha: Njengoba ungase ulaliswe izinzwa, hlela ukuba othile akushayele akuyise ekhaya ngemva kwenqubo.

Amathiphu Okubuyisela

• Landela Imiyalelo Yokunakekelwa Kwangemva Kokuhlinzwa: Landela uhlelo lokunakekelwa olunikezwa udokotela wakho ohlinzayo, okuhlanganisa nezinhlelo zemithi kanye nama-aphoyintimenti okulandelela.
• Ukuphumula kanye neHydrate: Qinisekisa ukuthi uthola ukuphumula okuningi futhi uhlale uhlanzekile ukuze usekele ukululama kwakho.
• Gwema Izenzo Ezikhandlayo: Gwema ukuphakamisa izinto ezisindayo noma ukuzivocavoca ngamandla amasonto ambalwa ngemva kokuhlinzwa ukuze umzimba wakho ululame kahle.

Ngokulandela lawa macebiso okulungiselela nokululama, ungasiza ekuqinisekiseni ukululama okushelelayo nokuphumelela ekuhlinzweni kwakho kwesinus e-Apollo Hospitals Lucknow.

Lokho Okushiwo Yiziqondiso Zamanje

Izinqumo mayelana nokuhlinzwa kwe-sinus eNdiya ziqondiswa imibhalo yamazwe ngamazwe neyesizwe kunokuba ziqondiswe yizimpawu zodwa:

• I-EPOS 2020 (Iphepha Lesikhundla SaseYurophu Nge-Rhinosinusitis Nama-Polyps Ekhaleni, uhlelo luka-2020) yincwadi yokubhekisela esetshenziswa iningi lezazi ze-rhinosaurs zaseNdiya. Ichaza i-rhinosinusitis engapheli njengokuvaleka noma ukuphuma kwamanzi ekhaleni kanye nobuhlungu/ukucindezeleka kobuso noma iphunga eliphansi, elihlala isikhathi eside 12 amaviki noma ngaphezulu, nge-endoscopy eqinisekisayo noma okutholakele kwe-CT. Ushintsho olukhulu ohlelweni lwango-2020 kwaba ukuhlukaniswa okusemthethweni kube okuyisisekelo futhi secondary i-rhinosinusitis engapheli kanye nesifo esitholakala endaweni ethile uma kuqhathaniswa nesifo esisakazekile, ngokwelashwa okukhethwa uhlobo lokuvuvukala oluyisisekelo kunokuba kube khona noma ukungabikho kwama-polyps. I-EPOS 2020 nayo ibekwe ngokusemthethweni i-biologic therapy (ama-antibodies e-monoclonal njenge-dupilumab, i-omalizumab, i-mepolizumab) njengenketho yesifo esibi kakhulu se-polyp yamakhala esiphinde sivele naphezu kokuhlinzwa kanye nama-steroid.
• I-EPOS 2020 incoma ukuhlolwa okufanele kokwelashwa kwezokwelapha kuqala - isifutho se-corticosteroid sangaphakathi ekhaleni, ukunisela ngosawoti, ukwelashwa kokungezwani komzimba, futhi ezimweni ezithile inkambo emfushane yama-steroid omlomo noma ama-antibiotic ahlala isikhathi eside - inikezwa iziguli eziningi ngaphambi kokuhlinzwa. Ukuhlinzwa akuyona into yokuqala yesifo esilula.
• Ukuhlinzwa okuphuthumayo noma okusheshayo kufanelekile ngaphandle kokuhlolwa okugcwele kwezokwelapha ezimweni ezithile: izinkinga ezifana nokubandakanyeka kwe-orbital (iso), ukusabalala kwangaphakathi kobuchopho, i-fungus ball okusolwayo noma i-invasive fungal sinusitis, i-mucocele, i-tumor okusolwayo, noma ukuvuza kwe-CSF.
• The I-American Academy of Otolaryngology? Umhlahlandlela Wokusebenza Kwezokwelapha Wokuhlinzwa Kwekhanda Nentamo ku-Adult Sinusitis (2015, oqinisekiswe kabusha ngezibuyekezo) Ngokufanayo igcizelela ukuqinisekisa ukuxilongwa ngendlela eqondile ngaphambi kokuhlinzwa futhi ayikhuthazi ama-antibiotic avamile e-rhinosinusitis ebangelwa amagciwane.
• The I-Association of Otolaryngologists yase-India (AOI) kanye nezinkundla zayo ezikhethekile ze-rhinology zikhuthaza indlela efanayo yokuqinisekisa i-endoscopy-plus-CT futhi zigcizelela ukuthi ukwelashwa kwezokwelapha ngemva kokuhlinzwa kanye nokulandelela i-endoscopic kuyingxenye yokwelashwa, hhayi okunye okungakhethwa.
• I-rhinosinusitis yesikhunta esihlaselayo bathole ukunakwa okukhulu enkambisweni yaseNdiya ngemuva kokwanda kwe-mucormycosis ehlobene ne-COVID ka-2021; izinhlangano ze-ENT zaseNdiya manje sezincoma umkhawulo ophansi kakhulu we-endoscopy ephuthumayo yamakhala kubantu abanesifo sikashukela esingalawulwa noma iziguli ezicindezelwe amasosha omzimba ezinezinhlungu zobuso, ukungazweli, uqweqwe lwamakhala olumnyama noma ushintsho lokubona. Lesi yisimo esiphuthumayo sezokwelapha, hhayi inkinga ye-sinus yokuzikhethela.

Iziqondiso zichaza isiguli esijwayelekile. Udokotela wakho ohlinzayo uzochaza ukuthi imiphumela yakho ye-CT, isimo sokungezwani komzimba, i-asthma, ukuzwela kwe-aspirin kanye nokuhlinzwa kwangaphambilini kukubeka kuphi ngaphakathi kwalezi zincomo.

Ubani Ongase Adinge Ukuhlinzwa Kwesinus? Futhi Ubani Ongadingi Ukuhlinzwa Kwesinus

Ukuhlinzwa kuvame ukucatshangelwa uma

• Izimpawu ziqhubeke amasonto ayi-12 noma ngaphezulu naphezu kokwelashwa okulungile nokusetshenziswa kahle.
• I-CT scan ikhombisa ukuvaleka kwangempela, ama-polyp, ibhola lesikhunta, noma izindlela zokukhipha amanzi ezivalekile ezihambisana nezimpawu zakho.
• Kunenkinga yesakhiwo njenge-nasal septum ephambukile kakhulu, i-concha bullosa, noma i-osteomeatal complex encane.
• Ukutheleleka okuphindaphindwayo okubukhali (ngokuvamile iziqephu ezine noma ngaphezulu ezibhalwe kahle ngonyaka) kuyaqhubeka nokuphindaphinda.
• Kukhona inkinga, isimila esisolwayo, noma imbangela ehlobene nesikhunta noma amasosha omzimba.

Ukuhlinzwa ngokuvamile akuyona impendulo uma

• Inkinga enkulu ikhanda elibuhlungu noma ubuhlungu bobuso obuhambisana ne-endoscopy evamile kanye ne-CT ecacile - i-migraine kanye nekhanda elibuhlungu elifana nokucindezeleka livame ukubizwa kabi ngokuthi "i-sinus".
• Izimpawu ziwukungezwani komzimba kuphela (ukuthimula, ukulunywa, ukuphuma kwamanzi) futhi ziyasabela ekugwemeni ukungezwani komzimba, ama-antihistamine kanye nezifutho ze-steroid.
• Izifutho zamakhala zinikezwe kodwa azisetshenziswanga kahle noma isikhathi eside ngokwanele - indlela kanye nobude besikhathi kubaluleke kakhulu kunalokho iziguli eziningi ezikuqaphelayo.
• Isiguli besilokhu sisebenzisa amaconsi okuhlanza athengiswa ngaphandle kwemithi izinyanga eziningi, okubangela ukuvaleka kwe-rebound (rhinitis medicamentosa), okubuyela emuva ngokuhoxa kanye ne-steroid spray.

Isikhathi Sokuhlinzwa kanye Nesigaba Sangaphambi Kwenqubo

Ukuhlinzwa kwe-sinus cishe njalo kuyindlela ehleliwe (ekhethwayo) . Indlela ejwayelekile esibhedlela semfundo ephakeme ibukeka kanje:

Amaphuzu awusizo aqondene neNdiya: yeka izithasiselo zamavithamini ze-ayurvedic, zezitshalo kanye nezomthamo ophezulu ngesonto ngaphambi, njengoba eziningana (ugalikhi, i-ginkgo, uwoyela wenhlanzi, i-vitamin E yomthamo ophezulu) zandisa ukopha. Tshela udokotela wezinzwa ngogwayi, i-gutkha, i-paan masala kanye nokubhema - lokhu kwenza kube kubi kakhulu ukuphulukiswa kwe-mucosal futhi kuhlobene kakhulu nemiphumela emibi yokuhlinzwa kwe-sinus. Uma uzila ukudla ngenxa yomkhosi wenkolo, xoxa ngakho kusenesikhathi ukuze ukuhlinzwa kuhlelwe ngokuphephile.

Izinketho Zobuchwepheshe: Ukuqhathanisa

Akuwona wonke amasu afanele wonke umuntu ogulayo, futhi ikakhulukazi i-balloon sinuplasty inezinkomba ezincane kunalokho okuvame ukusikiselwa ukumaketha. Ukukhetha kwenziwa ngemuva kokuhlolwa kwe-endoscopy kanye ne-CT. Ukutholakala kwanoma yiluphi ubuchwepheshe obuthile esibhedlela esithile kufanele kuqinisekiswe ngumnyango we-ENT.

Izinqubo Ngezinye izikhathi Ezenziwa Ngesikhathi Esifanayo

• I-Septoplasty − ivame ukuhlanganiswa, ngoba i-septum ephambukile ibangela ukuvaleka futhi inciphise ukufinyelela kwe-endoscope.
• Ukunciphisa i-turbinate ngama-turbinates akhuliswe njalo.
• I-Adenoidectomy ikakhulukazi ezinganeni, lapho ukuvuvukala kwe-adenoid kuvame ukuba yimbangela yangempela yezimpawu eziphindaphindayo ze-sinus kanye nokuphefumula komlomo.
• I-Polypectomy njengengxenye ye-FESS.
• I-Dacryocystorhinostomy (DCR) uma kukhona umsele wokukhala ohambisanayo ovinjiwe.
• Ukulungiswa kokuvuza kwe-CSF noma ukususwa kwesilonda esincane esingenabungozi esitholakale ezithombeni.
• I-Biopsy kanye nesiko lesikhunta lapho kusolwa khona isifo sefungus noma isisindo esingavamile.
• Izinqubo zomoya ezihlobene nokulala ezigulini ezikhethiwe ezithola ukwelashwa kokuhona, ingabe zihlolwe ngokwehlukana?

Ukuhlanganisa izinqubo kugwema ukuhlinzwa kwesibili kokubulala izinzwa. Kungase kwengeze isikhathi sokusebenza, ukuhlala esibhedlela kanye nezindleko, futhi ideski lomshuwalense kuzodingeka lazi ukuthi yiziphi izinqubo ezihleliwe ngakho imvume kusengaphambili ihlanganisa zonke.

Umugqa Wesikhathi Wokuthola Isigaba Ngesigaba

Ukuphulukiswa okuphelele kwe-mucosal ngemuva kokuhlinzwa kwe-endoscopic sinus ngokuvamile kuthatha cishe izinyanga ezintathu, futhi ukuthuthuka kwephunga kungasala ngemuva kokuthuthuka kokuphefumula. Ezinye iziguli zidinga ukuvakashelwa okungaphezu kokukodwa kokuhlanza; lokhu kuyinto evamile, akuyona uphawu lokwehluleka.

Ukubuyela Emsebenzini Ojwayelekile, Emsebenzini Nasezemidlaloni

Izinto zangempela zasekhaya zaseNdiya

• Izindlu zangasese zokuzihlalela phansi kanye nezindlu zangasese zesitayela samaNdiya: Ukuzikhandla ngenkathi ugoqa kuphakamisa ingcindezi ekhanda nasemakhaleni. Emasontweni amabili okuqala, sebenzisa i-Western commode uma ikhona, noma i-commode adapter, bese ugcina indle ithambile ngoketshezi, i-fibre kanye nomuthi wokuhlanza umzimba omncane uma unikezwe udokotela.
• Ukuhlala phansi ugoqe imilenze: kuvunyelwe, kodwa gwema ukusunduza usuka phansi ngekhanda eligobile phambili. Sukuma ngezigaba usebenzisa ukwesekwa.
• Ukulala phansi: Kuyamukeleka uma ungagcina ikhanda lakho liphakanyisiwe phezu kwemicamelo emibili eqinile noma indwangu egoqiwe emasontweni amabili okuqala. Ubusuku obuchithwa buphansi bukhulisa ukuminyana kanye nokopha ekuseni.
• Intuthu yasekhishini, i-agarbatti, amakhoyili omiyane, imibala ye-dhoop ne-Holi casula i-mucosa ephulukisayo. Phefumula, bese usuka lapho uthosa kakhulu noma ubhema.
• Ukunakekela umndeni ngokuhlanganyela: khetha umuntu oyedwa oqondayo isimiso sokunisela kanye nesokufafaza. Ukunakekelwa kwangemva kokuhlinzwa kwama-sinus kwehluleka kaningi ngenxa yokugezwa kwamakhala okuphuthelwe kunanoma yini ehlinzwayo.
• Ukuhlikihla ikhanda, i-oyili kanye ne-steam phezu kwebhodwe elivulekile kufanele kugwenywe emasontweni amabili okuqala ngaphandle kokuthi udokotela wakho ohlinzayo azisuse ngokuqondile.

Ukuvimbela Ukuphinda Kubuye Ngemva Kokuhlinzwa

Ukuhlinzwa kuvula ama-sinuses; akukucimi ukuvuvukala okuyisisekelo. Ukuphinda-phinda - ikakhulukazi ama-polyp asekhaleni - kuyaziwa kahle, futhi ukunakekelwa kwesikhathi eside kubalulekile.

• Qhubeka nesifutho se-intranasal steroid esinqunyiwe isikhathi eside njengoba kuceliwe, ngokuvamile izinyanga eziningi. Funda indlela efanele: bhekisa ikhanda kancane phambili, fafaza nge-engela ebheke endlebeni, ungahogeli kakhulu.
• Ukunisela ngosawoti nsuku zonke ngamanzi ahlanzekile, abilisiwe futhi apholisiwe noma ahluziwe kanye nesachet efanele - ungalokothi usebenzise amanzi alula ompompi ngqo.
• Phatha ukungezwani komzimba ngenkuthalo ukulawula uthuli, ukushintsha imibhede masonto onke, ukugwema amakamelo okulala anomswakama ngesikhathi semvula, kanye nokuhlolwa kwe-allergen noma ukwelashwa nge-immunotherapy ezigulini ezikhethiwe.
• Lawula i-asthma uma ikhona; izifo zomgudu womoya ophezulu nophansi zihamba ndawonye.
• Yeka ukubhema, i-gutkha, i-khaini kanye nokuchayeka entuthwini yokubhema ngaphandle kokusebenzisa i-intanethi. Lesi ngesinye sezici eziguquguqukayo kakhulu.
• Lawula ukuchayeka ekungcoleni komoya ? ILucknow kanye nengxenye enkulu yeNyakatho yeNdiya zibona amazinga aphezulu e-PM2.5 phakathi kuka-Okthoba noJanuwari. Sebenzisa imaski ye-N95 kuma-two-wheeler kanye nangesikhathi sokushisa ama-strawbit kanye namaviki e-Diwali; gcina amafasitela evaliwe ngezinsuku ze-high-AQI.
• Yelapha izifo zamazinyo, njengoba ukutheleleka kwe-molar ephezulu kungabangela i-maxillary sinusitis.
• Gcina ama-aphoyintimenti okulandelela endoscopyNgisho noma uzizwa uphilile? Ukubuyela kwesifo kusenesikhathi kulula ukukwelapha ngokwezokwelapha kunokusihlinza.
• Xoxani ngokuzwela kwe-aspirin uma unama-polyps kanye ne-asthma kanye nokusabela ezidakamizweni zobuhlungu; leli qembu elincane liphindelela kaningi futhi lingadinga ukuphathwa okukhethekile.

Izinto Okufanele Zicatshangelwe Ngabantwana Neziguli Ezikhulile

Izingane

• Ukuhlinzwa kwe-sinus akudingi kakhulu ezinganeni. i-adenoids, i-allergy rhinitis kanye nokutheleleka okuphindaphindwayo kwamagciwane kuchaza izimpawu eziningi ze-"sinus" zezingane, kanti i-adenoidectomy ngokwelashwa kwezokwelapha ivame ukuxazulula inkinga.
• Ama-sinus obuso akhula ebuntwaneni; i-sinus yangaphambili ayakheki ngokuphelele kuze kube yilapho umuntu esemusha, ngakho-ke ukuhlela ukuhlinzwa kuyahluka.
• Izingane ezine-cystic fibrosis, i-primary ciliary dyskinesia, ukuntuleka komzimba noma isifo esibi sohlangothi olulodwa zidinga ukuhlolwa okukhethekile ngaphambi kokuhlinzwa.
• Ukusekelwa kwe-anesthesia yezingane, umthamo osekelwe esisindweni, kanye nencazelo enobungane kubazali mayelana nomkhuba wokugeza amazinyo kubalulekile - ingane enqaba ukuchelela ngeke iphole kahle.

Abantu abadala abadala

• Ukulawulwa kwesifo sikashukela (i-HbA1c) kuyabuyekezwa ngaphambi kokuhlinzwa; ushukela ongalawulwa kahle ukhulisa ukutheleleka kanye nengozi yesikhunta.
• Izinto zokunciphisa igazi zesifo senhliziyo, ama-stents, i-atrial fibrillation noma isifo sohlangothi kumele zilungiswe udokotela wenhliziyo noma udokotela, hhayi ukuthi zimiswe zodwa.
• Ukoma kwekhala okuhlobene nokuguga, ukoma okuhlobene nemithi kanye nokuphola kancane kwe-mucosal kusho ukuthi ukuqhekeka kwekhala kungase kuhlale isikhathi eside.
• Ukuzwa okunciphile kwephunga kungase kuhlobane ngokwengxenye nokuguga futhi kungase kungalulami ngokugcwele ngisho noma ukuhlinzwa kuphumelele ngokobuchwepheshe - lokhu kuxoxwa ngakho ngokwethembeka ngaphambi kokuhlinzwa.
• Ingozi yokuwa, isifo samathambo kanye nobunzima bokugoba phezu kwesitsha sokugeza ukuze kuniselwe kufanele kuhlelwe ekhaya.

Kwenzekani Uma Ukhetha Ukungahlinzwa?

Ukwenqaba noma ukuhlehlisa ukuhlinzwa kuyisinqumo esivumelekile ezigulini eziningi, futhi kufanele kube ukukhetha okunolwazi.

• Ukuze isifo esithambile noma esimaphakathi, ukwelashwa okuqhubekayo ngemithi yokufutha, ukuchelela kanye nokulawula ukungezwani komzimba kungase kugcine izimpawu zibekezeleleka unomphela. Ezinye iziguli ziphila ngokunethezeka ngale ndlela iminyaka eminingi.
• Ukuze isifo se-polyp esisakazekile, izimpawu zivame ukuqhubeka noma ziqhubeke kancane kancane, ngokulahlekelwa iphunga okuqhubekayo, ukuvaleka okubi kakhulu, ukuphazamiseka kokulala, ukuphefumula komlomo kanye nokwehla kokukhiqiza emsebenzini. Izifundo eziphindaphindwayo ze-steroid zomlomo zinezingozi zazo - ukukhuluphala, ukunyuka koshukela egazini, ukuncipha kwamathambo, i-cataract kanye, ngemithamo ephezulu ephindaphindwayo, i-avascular necrosis yesinqe.
• Okwe ibhola lefungal noma i-mucocele, imithi yodwa ngeke iyilungise inkinga, futhi ukwandiswa kancane kancane kungagcina kuthinte iso noma ithambo elizungezile.
• Ukuze isimila okusolwayo, ukutheleleka kwesikhunta okungenayo, izinkinga ze-orbital noma zangaphakathi kwekhanda, ukuhlehlisa ukuhlinzwa kuyingozi ngempela futhi akukhuthazwa.
• Ukwelashwa kwebhayoloji kuyindlela entsha etholakala kwisifo esibi kakhulu se-type-2 polyp, kodwa ihlala isikhathi eside, iyabiza, ngokuvamile ayimbozwa ngokugcwele umshwalense, futhi ayithathi indawo yokuhlinzwa kuzo zonke izimo.

Uma unquma ukungakwenzi ukuhlinzwa, cela uhlelo lwezokwelapha olubhaliwe kanye nesikhathi sokubuyekezwa kunokumane uyeke ukulandela.

Izici Ezithonya Izindleko Zokuhlinzwa Kwe-Sinus

Akukho ntengo eyodwa esebenza kuzo zonke iziguli. Isilinganiso sokugcina sincike kulokhu okulandelayo, futhi iphakheji eqondile efanelekile kuwe kufanele iqinisekiswe nekhawunta yokukhokha noma ideski lomshuwalense e-Apollo Hospitals Lucknow.

Cela isilinganiso esibhaliwe sokwamukelwa ngaphambi kokungena, bese ucacisa ukuthi yiziphi izinto ezingaphandle kwephakheji.

Umshuwalense, Ukwelashwa Okungenamali kanye Nenqubo ye-TPA eNdiya

• Isembozo esihleliwe uma kuqhathaniswa nengozi: Ukuhlinzwa kwe-sinus cishe njalo kuyindlela yokwamukelwa ehleliwe, ngakho-ke kwahlulelwa ngaphansi kwemibandela ejwayelekile yokugula yepholisi - hhayi ngaphansi kwesembozo sengozi, esivame ukungabi nesikhathi sokulinda.
• Izikhathi zokulinda: iningi lezinqubomgomo zezempilo zesinxephezelo zaseNdiya libeka isikhathi sokulinda sokuqala sezinsuku ezingaba ngu-30 zokugula, futhi eziningi zibala i-sinusitis, ukuphambuka kwe-nasal septum, ama-polyp ekhala, ama-tonsils nama-adenoids, kanye nokuhlinzwa kwe-ENT phakathi kwezimo ezinesikhathi esithile sokulinda esivame ukuba khona Iminyaka emibiliIzikhathi zokulinda zesifo ebezikhona ngaphambilini, ezifika eminyakeni emine, ziye zafinyezwa ngaphansi kwemithetho yakamuva ye-IRDAI - hlola ishejuli yakho yepholisi, njengoba imigomo ihluka ngomshwalense nangonyaka wokuthenga.
• Izigaba zokunakekelwa kwasemini kanye nokulaliswa esibhedlela: I-FESS ivame ukumbozwa njengenqubo yokunakekelwa kwasemini elaliswa esibhedlela noma ebhalwe ohlwini. Izinqubo zamakhala ezisekelwe ehhovisi noma ezisebenza kahle kuphela azivunyelwe.
• Ukukhishwa kwezimonyo: I-septoplasty eyenzelwe ukuvimba ukuphefumula ivame ukumbozwa; i-rhinoplasty eyenzelwe ukubukeka ayimbozwa. Imibhalo evela kudokotela ohlinzayo exhumanisa inqubo nokuvimba kokusebenza ibalulekile.
• Inqubo yokukhokha ngaphandle kwemali: thumela ipholisi yakho noma ikhadi lakho le-e kanye ne-ID enesithombe edeskini lomshwalense okungenani Izinsuku zokusebenza ezi-3?5 ngaphambi ukwamukelwa okuhleliwe. Isibhedlela sithumela isicelo sokugunyazwa kusengaphambili kumshwalense noma ku-TPA kanye nokuxilongwa, umbiko we-CT, inqubo ehleliwe kanye nesilinganiso. Ukuvunyelwa kungaba okugcwele, okungaphelele noma okuncike embuzweni.
• Indlela yokubuyiselwa kwemali: Uma umshuwalense wakho wenqatshwa noma ungekho ephanelini, uyakhokha bese ufaka isicelo kamuva. Gcina isifinyezo sokukhishwa enkampanini, ibhili lokugcina elibhalwe phansi, wonke amarisidi okukhokha, imibiko yophenyo kanye nezitika zokufakelwa.
• Inkokhelo ngokubambisana, imikhawulo yokuqasha igumbi kanye nemikhawulo engaphansi kungashintsha kakhulu inani lakho eliphuma ephaketheni. Uma ukhetha igumbi elingaphezu kwesigaba sakho esifanelekile, ukuncishiswa okulinganayo kungasebenza kulo lonke ibhili kumapholisi amaningi.
• Izinhlelo zikahulumeni kanye nabaqashi: I-Ayushman Bharat PM-JAY, CGHS, ECHS, izinhlelo zikahulumeni kanye nezinqubomgomo zezinkampani ngayinye inemithetho yayo yokusekela kanye neyokupakisha. Ukuthi uhlelo oluthile luyasebenza yini ezibhedlela zase-Apollo eLucknow kumele kuqinisekiswe yihhovisi lomshwalense wesibhedlela ngaphambi kokungena.
• Izindleko ezingezona ezokwelapha - ukudla okusebenzayo, umbhede owengeziwe, izinto zokugeza, ezinye izinto ezidliwayo - ngokuvamile azikhokhwa ngabashuwalensi.

Ukuhlela Ukwamukelwa Kwakho Nokuthi Yini Okufanele Uyilethe

• Zonke izinqumo zangaphambilini