Nasal Sinus Surgery Complication
Har ila yau aka sani da : cerebrospinal ruwa (CSF) gani
Ruwan Cerebrospinal (CSF) rhinorrhea shine lokacin likita don yanayin da yake da wuya wanda ruwan da yake kwakwalwa da kwakwalwa, ruwan gishiri, yana gudana daga hanci. Don wannan ya faru wani hanya mara kyau a tsakanin sashin subarachnoid na kwakwalwa da ƙananan / sinus cavities an halicce su da gangan.
Wannan mahaukaciyar yanayi zai iya haifuwa ta hanyar:
- wani nasus na sinus tiyata
- wasu lahani na haihuwa
- babban haɗari na barcin barci wanda ke haifar da karuwa a cikin matsin intracranial (ICP)
- cututtuka zuwa kai da fuska wanda ke haifar da raunin ƙwayar cuta-dabit-ethmoid da lalacewa da kayan cin abinci (wani ɓangare na lobe na gaba wanda ya zama "rufin" sinus)
Ba'a san ainihin abin da ya faru na CSF rhinorrhea ba amma wasu bincike sun nuna cewa ƙimar cutar CSN rhinorrhea daga aikin tiyata sinadari ne 0.5%. Abin godiya, tun lokacin da aka aiwatar da dokokin belin kafa, yanayin da CSF rhinorrhea ya haifar da cutar ta ƙi.
Cutar cututtuka na CSF Rhinorrhea
Rhinorrhea (hanci mai dadi) wanda yake bayyane yake da ruwa yana iya zama alamar farko na rhinorrhea mai ruwan sanyi. Sauran alamu da bayyanar cututtuka na iya haɗawa da:
- ciwon kai
- gyare-gyare na hanci tare da dandano mai salin ko ƙarfe
- hawaye yana ƙaruwa yayin haɗuwa gaba da kai
- rashin wari (anosmia)
- ƙuntataccen hanci
Yana da mahimmanci a fahimci cewa wadannan bayyanar cututtuka na faruwa a wasu da yawa, mafi mahimmanci, yanayi kuma ya kamata a kimanta su ta hanyar wani mashahuriyar kunne (kunnen kunne, hanci, ƙwararren ƙwararru ko ENT). Duk da haka idan kana da alamar cututtuka da aka ambata a sama, kada ka jinkirta kimantawa tun lokacin da CSF rhinorrhea zai iya haifar da rikitarwa mai tsanani.
Abin da za a yi idan kayi tsammanin raunin ƙwayar Cerebrospinal Rhinorrhea
Idan kuna da alamun bayyanar da aka ambata a sama, ya kamata ku nemi bincike ta hanyar wani malami. Idan kana da tiyata, ya kamata ka je wurin likita wanda ya yi aikinka. Duk da haka, idan ba ku da tiyata na sinus, dole ne ku sami wani CT scans ko wasu hotunan hotunan zunuban ku wanda kuka kasance a baya kuma ku kai su zuwa wani gwani na ENT don kimantawa.
A lokacin wannan ganawar za a iya tambayarka don yin gwaje-gwajen Gudanarwar Smell don ƙayyade idan akwai gagarumar rashin lafiya (wari). Dole ne a yi wannan gwajin a gaban wani magani domin sanin ƙayyadaddun aikin. Kwararka na iya yin wani endoscopy , wannan ya shafi likita ta amfani da karamin kyamara don ganin duk wani abu mai banƙyama zuwa ga ma'auni na cribriform. Sauran gwaje-gwaje da likita zasu iya ba da umurni sun hada da:
- CT dubawa
- MRI
- Video-2 transferrin assay (gwajin gwaje-gwajen akan farfajiyar jiki)
- Ruwan watsa labaru na radioactive pledget
- Intrathecal fluorescein
Zaɓuɓɓukan magani don Cerebrospinal Fluid Rhinorrhea
Idan kana da rhinorrhea mai ruwan sanyi yana da mahimmanci a gare ka ka sami magani mai dacewa don hana meningitis ko pneumocephalus (iska a cikin kogin cranial).
Don warkar da rhinorrhea mai ruwan sanyi na cizon sauro, tiyata zai zama dole. Irin aikin tiyata da ake buƙata zai dogara ne a kan yanayin yanayinka (tiyata, cututtuka, barci mai barci ...). Yayinda aikin miki yayi kyau, duk da haka rikitarwa na iya faruwa tare da duk wani aiki mai mahimmanci, musamman ma wadanda ke fama da cutar shan magani . Ya kamata ku tattauna hadarin da kuma amfanon yin aikin tiyata tare da likitan ku kuma bi duk umarnin da suka ba ku game da azumi ranar da rana da rana na tiyata da kuma duk wani umarni game da yadda za ku kula da kanku bayan hanya.
Duk da yake rhinorrhea mai ruwan sanyi na da wuya, matsalolin (misali meningitis) na iya zama mai tsanani kuma bai kamata a ɗauka ba.
Sources:
Goldenberg, D. & Goldstein, BJ (2011). Handbook of Otolaryngology - Harkokin Kai da Buka. New York City, NY: Thieme Medical Publishers, Inc.
Kuzniar, TJ, Gruber, B. & Gokhan, MM (2005). Cerebrospinal Fluid Leak tare da Meningitis Associated tare da Nasal ci gaba mai lafiya Airway Shinge far. Chest. An shiga: Maris 11, 2012 daga http://journal.publications.chestnet.org/article.aspx?articleid=1083773