Ukuvumba - ungalunganga

Iphunga elingalunganga kukulahleka okupheleleyo okanye okupheleleyo okanye ukuqonda okungaqhelekanga kwivumba lokujoja.

Ukuphulukana nevumba kunokwenzeka ngeemeko ezithintela umoya ekufikeleleni kwii-receptors zevumba ezifumaneka phezulu empumlweni, okanye ilahleko okanye ukwenzakala kwi-receptors yevumba. Ukuphulukana nevumba akulunganga, kodwa ngamanye amaxesha kunokuba luphawu lwenkqubo ye-nervous system.

Ukuphulukana okwethutyana noluvo lwevumba kuyinto eqhelekileyo kwimikhuhlane nakwizinto ezaliwa ngeempumlo, ezinje ngehay fever (i-allergen rhinitis). Kungenzeka emva kokugula kwintsholongwane.

Olunye ulahleko lwevumba lwenzeka ngokuguga. Kwiimeko ezininzi, akukho sizathu sicacileyo, kwaye akukho lonyango.

Ingqondo yokujoja ikwandisa amandla akho okungcamla. Abantu abaninzi abaphulukana nemvakalelo yabo yokujoja bayakhalaza ukuba balahlekelwe yimvakalelo yokunambitha. Uninzi lunokuxela phakathi kwetyuwa, ubumnandi, ubumuncu, kunye nokukrakra, okuve kulwimi. Basenokungakwazi ukuxelela phakathi kwezinye iincasa. Ezinye iziqholo (ezinje ngepepile) zinokuchaphazela imithambo-luvo yobuso. Unokuziva kunokuba ubanuke.

Ukuphulukana nephunga kunokubangelwa:

• Amayeza atshintsha okanye anciphise amandla okufumana ivumba, njenge-amphetamines, i-estrogen, i-naphazoline, i-trifluoperazine, ukusetyenziswa kwexesha elide kwamayeza okuphelisa impumlo, i-reserpine, kunye neemveliso ezisekwe kwizinki
• Ukuvaleka kwempumlo ngenxa yeempumlo zempumlo, ukukhubazeka kwempumlo, kunye nezilonda zempumlo
• Usulelo lwempumlo, umqala, okanye iisono
• Umzimba
• Iingxaki ze-Endocrine
• Isifo sengqondo esixhalabisayo okanye ezinye iingxaki zemithambo-luvo
• Ukuswela ukutya
• Ukulimala kwentloko okanye utyando lwempumlo okanye lwesono
• Unyango ngemitha entloko okanye ebusweni

Ukunyanga unobangela wengxaki kunokulungisa imeko yokulahleka yevumba. Unyango lunokubandakanya:

• I-Antihistamines (ukuba imeko ibangelwa kukungabikho komzimba)
• Utshintsho kumayeza
• Utyando ukulungisa ukubhloka
• Unyango lwezinye iingxaki

Kunqande ukusebenzisa izinto ezininzi zokuphelisa iimpumlo ngeempumlo, ezinokukhokelela kukuxinana kwempumlo okuphindaphindiweyo.

Ukuba uphulukana nemvakalelo yokujoja, unokuba notshintsho kwincasa. Ukongeza ukutya okunamaxesha aphezulu ekutyeni kwakho kunokunceda ekuvuseleleni iimvakalelo zencasa osenazo.

Ukuphucula ukhuseleko lwakho ekhaya ngokusebenzisa izixhobo zokutshaya umsi kunye nezixhobo zombane endaweni yezixhobo zegesi. Ungangabinako ukunuka irhasi ukuba kukho ukuvuza. Okanye, fakela izixhobo ezifumana umsi wegesi ekhaya. Abantu abanevumba elilahlekileyo kufuneka balebhelishe xa ukutya kuvulwa ukuthintela ukutya ukutya okonakeleyo.

Akukho lunyango lokuphulukana nevumba ngenxa yokwaluphala.

Ukuba ulahlekile ngevumba ngenxa yosulelo olusandul 'ukuphefumla oluphezulu, yiba nomonde. Imvakalelo yevumba inokubuyela esiqhelweni ngaphandle konyango.

Fowunela umboneleli wakho wezempilo ukuba:

• Ukuphulukana nevumba kuyaqhubeka okanye kuya kusiba mandundu.
• Unezinye iimpawu ezingachazwanga.

Umboneleli uya kwenza uvavanyo lomzimba kwaye abuze imibuzo malunga nembali yakho yezonyango kunye neempawu ezikhoyo. Imibuzo inokubandakanya:

• Ivele nini le ngxaki?
• Ngaba onke amavumba achaphazelekayo okanye amanye kuphela? Ngaba ingqiqo yakho yongcamango ichaphazelekayo?
• Ngaba unempawu ezibandayo okanye zokungabikho komzimba?
• Ngawaphi amayeza owasebenzisayo?
• Ngaba unazo ezinye iimpawu?

Umboneleli uya kujonga kwaye ajikeleze impumlo yakho. Uvavanyo olunokwenziwa luya kubandakanya:

• Ukuskena i-CT
• Ukuskena iMRI
• I-endoscopy yempumlo
• Uvavanyo lwe-nerve olfactory
• Uvavanyo lwevumba

Ukuba ukuphulukana nokuziva ngevumba kubangelwa yimpumlo exineneyo (ukuxinana kwempumlo), amayeza okususa isinqandi okanye i-antihistamines inokumiselwa.

Olunye unyango lwempumlo exineneyo lunokubandakanya:

• I-vaporizer okanye i-humidifier inokunceda ukugcina i-mucus ikhululekile kwaye ihamba.
• Ukufafazwa ngeempumlo ze-Steroid okanye iipilisi kunokucetyiswa.
• I-Vitamin A inokunikwa ngomlomo okanye ngokudutyulwa.
• I-Nasal steroid sprays inokumiselwa.

Ukuphulukana nevumba; Anosmia; Hyposmia; IParosmia; Idysosmia

IBaloh RW, uJen JC. Ukuvumba kunye nokunambitha. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 399.

I-Leopold DA, iHolbrook EH. I-physiology ye-olfaction. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 39.