Nga Mahi Tohutoro Tae Nasal
Ano hoki e mohiotia ana ko te waipiro (CTF)
Ko te Cerebrospinal fluid (CSF) rhinorrhea ko te wahanga hauora mo te ahua o te wai e rereke ana i te roro me te taurakira, te waipiro, ka rere mai i te ihu. Mo tenei ka puta he ara rereke i waenganui i te mokomoko rebarachnoid o te roro me nga kopu / me te haraeka.
Ko tenei waahi rereke ka taea e te:
- he whakaeke i te pokanga harau
- etahi mate whanau
- te nui o te urena moe mo te moe, ka nui ake i te piringa urutaru (ICP)
- te mamae ki te mahunga me te kanohi e whakaeke ana i te whara-a-tipu-a-tipu me te kino ki te paraoa kaikai (he wahanga o te waahi o mua e hanga ana i te "taiao" o te hara)
Kaore i te mohiotia te hua o te CSN rhinorrhea, engari ko etahi rangahau kua whakaarohia ko te tere o nga raruraru a CSF rhinorrhea mai i te taatete harau he 0.5%. Mauruuru, mai i te whakatinanatanga o nga ture whitiki turanga, kua kore te raruraru o te Rhinorrhea CSF i puta mai i te raruraru.
Nga tohu o CSF Rhinorrhea
Ko te Rhinorrhea (te ihu ngongo) e marama ana me te wai ka waiho te tohu tuatahi o te rhinorrhea waipiro. Ko etahi atu tohu me nga tohu ka tohua:
- mate pukupuku
- te taraiwa me te reka o te reka
- ka piki ake te wai ki te heke ki raro
- te kore o te honi (anosmia)
- te porohuinga ira
He mea nui ki te mohio ko enei tohu ano ka puta i roto i etahi atu, he maha ake, he tikanga, me te aromatawaihia e te otolaryngologist (taringa, ihu, tohunga muru, ENT rānei). Engari, ki te whai koe i nga tohu e whakaaturia ana i runga ake, kaua e whakaroa i te aromatawai mai i te CSN rhinorrhea ka arahi ki nga raruraru nui.
He aha te mahi mehemea kei te whakapae koe i te wairangi Cerebrospinal Rhinorrhea
Mena kei a koe nga tohu kua whakaruarangitia i runga, me rapu koe i te aromatawai a te kaitautoko. Mena kua pangia e koe, me haere koe ki te kaitautoko e mahi ana i to mahi. Engari, mehemea kaore i pangia e koe he pokanoa harakore, me whiwhi koe i nga whiwhinga CT me etahi atu whakaahua irirangi o o raatou hara i mua i a koe, ka haria atu ki te tohungatanga ENT mo te aromatawai.
I tenei wa ka uiuia koe ki te mahi i te Tatau Whakamatau Whero ki te whakatau mehemea kei te mate te hinuhaki (kakara). Me mahi tenei whakamatautau i mua i tetahi maimoatanga hei whakatau i te mahi raupapa. Ka taea e to taakuta te mahi i tetahi waitohu , ka uru atu te taote ki te whakamahi i tetahi kamera iti hei tiro i nga mea rerekino ki te rihi kai. Ko etahi atu whakamatautau ka taea e to taakuta kia whakahauhia:
- CT scan
- MRI
- Te whakamātautau-2 whakawhitiwhiti (whakamātautau taiwhanga mo te waihanga ira)
- Whakawhanakehia te whakarewatanga o te raihana radioactive
- Te whakawhitiwhiti i roto i te ipurangi
Ngā Kōwhiringa Tohutoro mo te wairangi Cerebrospinal Rhinorrhea
Mena he rhinorrhea e koe he mea nui ki a koe kia whiwhi koe i te maimoatanga tika hei aukati i te meningitis, te pneumocephalus ranei (te rangi i roto i te waahi taiao).
Ki te rongoa i te rhinorrhea, ka tika te mahi. Ko te momo taahiraa e hiahiatia ana ka whakawhirinaki ki te take o to mate (te pokanga, te taraiwa, te taatai moe ...). He pai te tere o te mahi angitu, engari he raruraru ka puta mai me tetahi tukanga taraiwa, tautautefito ki te hunga e pa ana ki te mate pukupuku whānui . Me matapakihia e koe te painga me nga painga o te mahi taangata me to taakuta me te whai i nga tohutohu e hoatu ana ki a koe mo te nohopuku i te ra i mua atu me te ra o to taahiranga me nga tohutohu me pehea koe e tiaki ai ia koe i muri i te tukanga.
Ahakoa he ahua kino te ahua o te rhinorrhea waipiro, ko nga raruraru (hei tauira, te meningitis) he mea nui, me te kore e marama te tango.
Kaupapa:
Goldenberg, D. & Goldstein, BJ (2011). Handbook of Otolaryngology - Waitohu Ake me te Kohi. New York City, NY: Thieme Medical Publishers, Inc.
Kuzniar, TJ, Gruber, B. & Gokhan, MM (2005). Ko te wai o te Cerebrospinal Leak me te Meningitis e hono ana ki te Tumau Tumau Haumaru Ahurangi. Tuhinga. Kua tae mai: Maehe 11, 2012 mai http://journal.publications.chestnet.org/article.aspx?articleid=1083773