Fungal sinusitis yog ib yam kab mob txaus ntshai uas nyuaj kho, zoo li tej yam mob zoo sib xws. Qhov phom sij tseem ceeb yog nws tuaj yeem hloov mus rau hauv daim ntawv ntev, qhov no, nyob hauv tus neeg mob lub cev mus tas li ntawm nws lub neej. Nws lub ntsiab causative tus neeg sawv cev yog pathogenic fungi uas yuav ua rau muaj teeb meem ntau rau tus neeg mob. Hauv tsab xov xwm no, peb yuav tham txog qhov ua rau tus kab mob no, nws cov tsos mob thiab kev kho mob.
About tus kab mob
Fungal sinusitis yog nrog los ntawm cov txheej txheem inflammatory uas tsim nyob rau hauv maxillary sinuses. Cov theem mob ntawm tus kab mob no loj hlob sai heev. Yog tsis muaj kev kho mob uas tsim nyog thiab ua tau zoo, tus kab mob yuav mob ntev.
Feem ntau tus kab mob no tshwm sim hauv ob hom. Nws tuaj yeem yog mycetoma lossis muaj tseeb fungal sinusitis. Nyob rau hauv cov ntaub ntawv no, tsis muaj kev zam, tag nrho cov tsos mob ntawm tus kab mobprovoked los ntawm nce kev ua ub no ntawm pathogenic flora. Lub epicenter ntawm kev loj hlob ntawm tus kab mob yog nyob rau hauv lub maxillary sinuses. Cov fungus loj hlob sai, ua rau muaj kev cuam tshuam rau lub qhov ntswg mucosa, hloov nws cov muaj pes tsawg leeg, thiab random multiplies.
Daim ntawv thib ob yog kev ua xua rau cov kab mob. Nyob rau hauv cov ntaub ntawv no, qhov no tsis yog ib tug kab mob, tab sis ib tug teb ntawm tib neeg lub cev tiv thaiv kab mob mus nrhiav kom tau ib tug pathogenic fungus nyob rau hauv ib puag ncig cua. Hom no kuj yuav tsum tau kho raws sijhawm, tab sis feem ntau cov kws kho mob tseem tsom ntsoov rau lawv txoj kev mob siab rau kev txhim kho mycetoma.
theem ntawm tus kab mob
Muaj ob theem ntawm cov kab mob fungal, uas qhov tshwm sim ntawm kev kho mob, txheej txheem kho, thiab lub sijhawm kho ncaj qha nyob ntawm.
Stage tuaj yeem tsis cuam tshuam. Nyob rau hauv cov xwm txheej zoo li no, tus kab mob tuaj yeem kho tau zoo, tus kab mob pib tsis muaj teeb meem. Feem ntau, kev ua haujlwm ntawm lub cev tiv thaiv kab mob tsis cuam tshuam, sinusitis yog amenable rau kev kho tshuaj zoo.
Nyob rau theem invasive, uas tsis tshua muaj ntau, kev pheej hmoo ntawm irreversible txim rau lub cev tiv thaiv kab mob yog siab, thiab nws kuj yog txaus ntshai nrog txhua yam teeb meem.
Koj yuav tsum paub tias qhov no yog qhov mob hnyav. Yog li ntawd, thaum thawj cov tsos mob tshwm sim, koj yuav tsum tam sim nrhiav kev pab tsim nyog los ntawm ib tug kws tshwj xeeb, mus rau tag nrho cov tsim nyog kev kuaj mob los txiav txim seb puas muaj ib tug kab mob fungal nyob rau hauv lub cev, dab tsi yog nws keeb kwm.
Yog vim li cas
hom kab mob sinusitis tuaj yeem tshwm sim txhua lub hnub nyoog. Yooj yimQhov ua rau nws tshwm sim yog ingress ntawm teeb meem fungi ntawm ntau yam mus rau hauv lub maxillary sinuses. Nws tuaj yeem yog Aspergillus, Candida, Mycorrhiza.
Qhov kev phom sij tseem ceeb nyob hauv qhov tseeb tias thaum xub thawj tus kab mob txaus ntshai thiab kab mob tsis tshwm sim nws tus kheej hauv txhua txoj kev. Thaum tus neeg mob tsis muaj qhov ua rau muaj qhov tshwm sim, nws tseem tuaj yeem nyob hauv qhov ntswg mucosa, nyob rau lub sijhawm ntev hauv qhov hu ua pw tsaug zog.
Yam yuav tsum tau muaj rau kab mob
Muaj ntau yam ua rau muaj kev cuam tshuam uas tuaj yeem ua rau muaj kev loj hlob ntawm tus kab mob no. Raws li txoj cai, kev tawm tsam pib thaum muaj ib lossis ntau dua ntawm cov xwm txheej hauv qab no:
- nkag mus rau hauv qhov ntswg qhov ntswg ntawm lub cev txawv teb chaws uas ua rau muaj kab mob ntawm cov mucous membrane;
- lub caij tsis muaj zog tiv thaiv kab mob vim mob khaub thuas, beriberi, kab mob kis;
- cov tshuaj tua kab mob ntev ntev, uas tuaj yeem txo lub cev tiv thaiv kab mob;
- raug mob rau qhov ntswg qhov ntswg lossis qhov ntswg nws tus kheej;
- kab mob ntev ntawm cov kab mob endocrine lossis hormonal ntshawv siab;
- hypothermia ntawm lub cev mus ntev;
- kev kho mob tsis tu ncua ntawm rhinitis ntawm txhua yam, suav nrog kev ua xua.
Cov kab mob no yog lub zog rau qhov tshwm sim ntawm thawj qhov rov tshwm sim, feem ntau nws hloov mus ua ib qho kev xav tsis thoob rau tus neeg mob. Nws yog ib qho tseem ceeb kom pib kho sai sai. Paub dab tsi yog cov tsos mob ntawm fungal sinusitis, kho kojkoj tuaj yeem pib raws sijhawm. Xav txog lawv kom ntxaws.
Symptoms
Cov tsos mob ntawm tus kab mob no tuaj yeem tshwm sim nrog qhov sib txawv. Nws tag nrho yog nyob ntawm tus mob ntawm tus neeg mob nws tus kheej. Nws yuav tsum to taub tias hom sinusitis no tsis tas yuav mus pw hauv tsev kho mob sai. Tab sis nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuas koj tus mob, ua tib zoo saib xyuas cov kev hloov pauv tseem ceeb hauv koj li cas.
Cov tsos mob tseem ceeb ntawm fungal sinusitis yog qhov tso tawm ntawm cov kua dej xim av los ntawm cov sinuses. Tsis tas li ntawd, cov tsos mob tshwm sim tshwm sim hauv maxillary sinuses lawv tus kheej. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov hnoos qeev ntawm cov xim sib txawv yuav qhia txog ntau hom sinusitis. Cov mucus dawb yog Candida thiab cov mucus daj yog pwm. Cov tsos mob ntxiv ncaj qha nyob ntawm qhov tsis saib xyuas tus kab mob thiab daim ntawv ntawm tus kab mob nws tus kheej.
Cov tsos mob ntawm tus kab mob nyob ntawm nws daim ntawv
Yog tus neeg mob muaj mycetoma, ces nws yog cov tsos mob hauv qab no:
- kev ua txhaum ntawm qhov ntswg ua pa;
- o ntawm qhov ntswg mucosa;
- kab mob migraine tawm tsam;
- mob lub puab tsaig sab sauv, uas yog nrog los ntawm cov hniav loog;
- tso tawm ntawm qhov ntswg nrog cov ntxhiab tsw tsw qab thiab ntshav impurities.
Nyob rau hauv ib tug neeg laus, cov tsos mob ntawm fungal sinusitis ntawm daim ntawv tsis haum yog raws li nram no:
- polyps hauv qhov ntswg;
- tsis tshua muaj mob taub hau;
- muag tawm ntawm qhov ntswg;
- tsis hnov tsw;
- Sensation of fullness in the sinus.
Txhua yam kev tsis txaus siab uas thab koj, koj yuav tsum tau qhia tus kws kho mob kom meej kom nws muaj sijhawm los ua kom tiav daim duab ntawm tus kabmob. Hauv qhov no, tom qab kev ntsuam xyuas dav dav, nws yuav muaj peev xwm txiav txim siab seb yuav kho cov kab mob sinusitis hauv cov neeg laus li cas. Cov tsos mob yuav qhia rau koj seb hom kab mob twg tus neeg mob raug mob. Kev kuaj mob yuav tsum tau ua kom raws sij hawm kom tus kab mob tsis ntws mus rau hauv daim ntawv ntev, nco ntsoov txog tus kheej mus txog thaum kawg ntawm ib lub neej nrog kev mob thiab kev tawm tsam tsis zoo.
Diagnosis
Cov kev tshawb fawb soj ntsuam tag nrho uas tus kws kho mob yuav tsum ua yuav pab tau qhov tseeb. Yog tias koj xav tias koj muaj tus kab mob no, tam sim ntawd mus ntsib kws kho mob otolaryngologist. Tus kws kho mob yuav sau cov ntaub ntawv qhia txog keeb kwm. Cov kev kuaj mob hauv qab no yuav tsum tau kuaj pom tseeb: CT scan, sinus X-ray, kuaj mycological kuaj, sinus ultrasound.
Thaum tus kab mob raug tsim los, tus kws kho mob tuaj yeem txiav txim siab txog kev kho mob fungal sinusitis hauv tus neeg laus. Feem ntau siv conservative kev kho mob. Nws lub hom phiaj kawg yog kev puas tsuaj ntawm cov nroj tsuag pathogenic. Koj yuav tsum tau ntxuav cov maxillary sinuses los ntawm cov seem ntawm cov hnoos qeev thiab ntxiv dag zog rau lub cev tsis muaj zog ntawm tus neeg mob.
Rau qhov no, ntau yam tshuaj ntawm ntau pawg kws tshuaj tau sau tseg. Nws yog ib qho tseem ceeb rau categorically tshem tawm kev kho tus kheej.
Kev kho mob
Kev kho cov kab mob fungal sinusitis muaj qee yam uas koj yuav tsum paub txog. Nyob rau theem pib, cov tshuaj tua kab mob tshuaj tua kab mob tau sau tseg. Cov no yog tee, tshuaj pleev, tshuaj tsuag, gels. Yog li, nws muaj peev xwm tsim tau thiab sai sai tshem tawm cov kab mob pathogenic. Ntawm cov tshuaj feem ntau ntawm hom no, Ketoconazole, Amphotericin, Fluconazole, Itraconazole, Nystatin, Terbinafine yuav tsum raug sau tseg.
Immunostimulants yog siv los ua kom lub cev tiv thaiv kab mob thiab yuav tsum tau noj qhov ncauj. Nrog lawv cov kev pab, nws muaj peev xwm ua tau kom muaj zog ntxiv rau cov khoom siv organic. Cov no yog cov tshuaj "Anaferon", "Imunoriks", "Imudon", "Immunal", "Echinacea", "Arbidol"
Txhawm rau txo qhov kev siv ntawm cov tsos mob lawv tus kheej thiab tshem tawm qhov o ntawm qhov ntswg mucosa, yuav tsum tau siv tshuaj pleev tshuaj glucocorticosteroids. "Nasonex", "Avamys", "Flixonase" ua kom pom kev ua haujlwm siab.
Cov tshuaj tiv thaiv kab mob ua lub luag haujlwm tseem ceeb hauv kev txhawb nqa kev noj qab haus huv ntawm tus neeg mob, pab txo qhov ntswg qhov ntswg. Nrog rau tus kab mob no, Supradin, Loratadin, Zirtek, L-Cet, Suprastin, Cetrin, Desloratadine tau ua pov thawj lawv tus kheej zoo.
Kev npaj tshuaj ntsuab tshuaj ntsuab yuav tsis cuam tshuam. Qhov no yogTej zaum yuav muaj ib tug tincture ntawm aralia, qus sawv, leuzea los yog ginseng. Vitamins yuav tsum muaj nyob rau hauv lub complex txoj kev kho. Piv txwv li, multivitamin complexes Complivit, Duovit, Pikovit, Alfavit.
Cov no yog txoj hauv kev zoo tshaj plaws los kho cov kab mob fungal.
Tshuaj tua kab mob yog contraindicated
Nws tsim nyog nco ntsoov tias nrog tus kab mob no, noj tshuaj tua kab mob sab nraud thiab sab hauv tsis yog tsuas yog tsis pom zoo, tab sis yog txwv nruj heev. Vim tias cov tshuaj no, daim duab kho mob tsuas tuaj yeem ua rau mob hnyav heev.
Thaum kawg, xaus lus, nws yuav tsum raug sau tseg tias tus neeg mob yuav tsum xub nkag siab tias tus kab mob hnyav npaum li cas thiab txaus ntshai npaum li cas. Nws txoj kev kho mob ib txwm ntev, tab sis feem ntau ua tsis tiav. Piv txwv li, nws tsis tuaj yeem tiv thaiv kev hloov pauv ntawm sinusitis mus rau hauv daim ntawv ntev. Yog li ntawd, kev kho yuav tsum tau pib sai li sai tau. Tib lub sijhawm, ua siab ntev, ua raws li tag nrho cov lus pom zoo kho mob. Tsis suav nrog kev kho tus kheej thiab ntseeg tias yuav rov qab los rau yav tom ntej. Tsuas yog hauv qhov no koj thiaj li ua tiav.
