Cacosmia chirwere chekunhuhwirira chinotsanangurwa nekufunga kwekunhuhwirira kusingafadzi kana kwakashata pasina iko kunhuhwirira kwakadaro munzvimbo yekunze yemurwere. Izvi zvinowanzo kuve muromo weiyo iceberg: hutachiona, chinetso chegastric kana kukuvara kwemitsipa kazhinji ndiyo hwaro hwecacosmia.

Tsanangudzo ye cacosmia

Cacosmia chirwere chekunhuhwirira chinotsanangurwa nekufunga kwekunhuhwirira kusingafadzi kana kwakashata pasina kuve nekunhuhwirira kwakadaro munzvimbo yekunze yemurwere uye pasina kusagadzikana kwehurongwa hwake hwekunhuwa.

Kazhinji kacho kunhuwirira kunobva mumuviri wemurwere. Nekudaro, iyo inonhuwira inoonekwa inogona zvakare kuve mhedzisiro yeshanduko yeNeuronal.

Mhando dzekacosmias

Mhando mbiri dzekacosmias dzinogona kusiyaniswa:

• Chinangwa cacosmia: munhuwi, chaiwo, unogadzirwa nemurwere iye. Inogona kunzwika nevamwe vanhu padyo. Isu tinotaura nezve kunhuhwirira kusingaperi;
• Iyo yekuzviisa pasi cacosmia: munhuwi waunonzwa hausi wechokwadi uye hauwonekwe neavo vakakukomberedza. Iyi mhando yecacosmia inoramba isingawanzoitika.

Zvinokonzera cacosmia

Zvinonyanya kukonzera chinangwa cacosmia ndezvi:

• Hutachiona hwemazino, zvitema - sinus aspergillosis, sinusitis, inowanzo kukonzerwa nehutachiona hwemazino -, maton (tonsillitis), nezvimwe.
• Kuzvimba kwemhino dzemhino senge rhinitis - kunyanya iyo inonzi atrophic imwe;
• Kutapukira kwezvipembenene nezvirimwa kuburikidza nekurima fungi senge Scedosporium apiospermum kana Pseudallescheria boydii;
• Chirwere chegastroesophageal Reflux;
• Uye kashoma, kutora esomeprazole: ichiri kusanzwisisika uye isina kujeka, kutora esomeprazole, sechikamu chekurapa kurwisa gastroesophageal Reflux, inogona kukonzera cacosmia.

Munguva yekuzviisa pasi cacosmia, inowanzo kuve yekunze inosimudzira - ruva kunhuwira semuenzaniso - inoonekwa seyakaipa hwema. Subjective cacosmia inosanganisirwa nezvikonzero zvepfungwa kana zvetsinga. Muchiitiko chekupedzisira, tsananguro mbiri dzinogoneka: inga chiratidzo chinofambiswa zvisirizvo kune yepakati tsinga system, kana inopfuudzwa zvakakwana, asi ichidudzirwa zvisizvo neiyo yepakati tsinga system. Izvo zvikonzero zveolfactory hallucination inogona kuve nekuda kwe:

• Zvipembenene zvehuropi, kunyanya mune yemukati lobe;
• Mamota ehuropi anokanganisa iyo olfactory cortex kana iyo tsinga dzemagetsi dzakabatana nazvo.

Kuongororwa kwecacosmia

Kuongororwa kwecacosmia kunoitwa kutanga kwezvose pamusoro pemanzwiro emurwere uye maonero ake ekunhuhwirira kusingafadzi. Nyanzvi yezvehutano inofanirwa kutanga yaona kuti hapana chinotadzisa kubuda kwemhino. Mhando dzakasiyana dzebvunzo dzinozoitwa kuitira kunongedza chinokonzera cacosmia:

• Kuongorora kwe ENT kuona kuzvimba kunooneka kana hutachiona senge hwematoni kana emhino;
• Mufananidzo unowanikwa nemagineti resonance imaging kana neCT scan, kana endoscopy kuti uwane, kana zviripo, chinotapukira chinotarisa, maronda ehuropi kana bundu;
• Tsika yemuenzaniso wemuviri kuratidza kuvepo kwefungus;
• PH-impedancemetry kuyera acidity yemudumbu uye kuongorora gastroesophageal reflux;
• Uye zvizhinji zvakare

Vanhu vanobatwa necacosmia

10% yehuwandu hwevanhu vanotambura nekunhuhwirira kusagadzikana, iyo cacosmia inomiririra.

Zviitiko zvinofarira cacosmia

Izvo zvinhu zvinofarira cacosmia zvakadzorwa zvinoenderana nezvikonzero zvine chekuita nehurwere.

• Utachiona hwemazino: husina kurapwa mazino hutachiona hunofamba huchienda kunjodzi, tsaona panguva yekurapwa kwemazino - semuenzaniso kuzorwa kweiyo sinus pasi nemazino anodyara - meno akaora;
• Sinus hutachiona: asthma, kushingaira kana kungoputa fodya;
• Kuzvimba kwemhino nzira: kusvibiswa kwemhepo;
• Tonsil hutachiona: kuvapo kwe streptococcal-mhando mabhakitiriya mumuviri;
• Kubatwa nefungus: AIDS, neutropenia - isina kujairika nhamba yemautrophil, mhando yesero reropa chena, muropa -, zvirwere zvegomarara zveropa nemongo wemapfupa, kuisazve;
• Gastroesophageal Reflux chirwere: kufutisa, kufutisa, fodya, chikafu chakazara mumafuta chikafu;
• Kukuvara kwehuropi: kudonha, tsaona, kuputika.
• Mamota ehuropi: radiation, kudzvinyirira immune - kushomeka kwekudzivirira kwemuviri;
• Uye zvizhinji zvakare

Kuona kwekunhuhwirira kusingafadzi

Murwere anotambura necacosmia anoona hwema husingafadzi husipo mune zvakatipoteredza uye pasina kusagadzikana kwehurongwa hwake hwekunhuwa.

Pfungwa yekusavira kuravira

Kune rimwe divi, iyo cacosmia haina zvainoita pamaonero ekuravira.

Zviratidzo zvakasiyana

Zviratidzo zvecacosmia zvinosiyana zvichienderana nezvinokonzera:

• Sinus hutachiona: kusanganiswa kwechivi, yero kana yakashandurwa kubuda mhino, kurwadziwa kana uchimanikidza pazvivi, kutemwa nemusoro;
• Utachiona hwemeno: kurwadziwa - kunova kwakanyanya uye kwakanyanya apo hutachiona hunokura -, kunzwisisika pakupisa uye kutonhora;
• Fungal infestation: chikosoro, fivha inogoneka;
• Tonsil hutachiona: huro huro, fivha, kurira panguva yekufemerwa (stridor), kunetseka kufema, hyper-salivation, izwi rakanyarara, sekunge sekunge murwere ane chinhu chinopisa mumuromo;
• Kuzvimba kwenzara dzemumhino: kupwanya, kubuda ropa mumhino, kubuda mhuno, kunyemwerera;
• Gastroesophageal Reflux chirwere: chirungurira, acid Reflux, kuravira kunorwadza mumuromo, kukanganiswa kurara;
• Kukuvara kwehuropi mune yemukati lobe: kutemwa nemusoro, kutaridzika kwekuona, kukanganisika kwendangariro, kukanganisika kwema locomotor, kuda kurutsa kana kurutsa, kuneta, dzungu;
• Mamota ehuropi muiyo olfactory cortex: olfactory hallucination, epileptic seizures.

Kurapa kwecacosmia kunoenderana nechikonzero chayo.

Utachiona hwechivi hunogona kurapwa ne:

• Mafuta akakosha: ndimu eucalyptus, kudzikisa kuzvimba, mhiripiri nhema kune ayo analgesic uye hyperthermizing mhedzisiro, munda mindi, yeiyo decongestant mhedzisiro, eucalyptus radiata, yesimba rayo rinorwisa hutachiona;
• Mishonga: mishonga inorwisa mabhakitiriya, yakadai sepenicillin kurwisa hutachiona, analgesics, senge paracetamol yekudzora marwadzo, corticosteroids, kudzora edema kana zvichidikanwa;
• Kuvhiya: sinus kuwacha, kubvisa mazino kana zvichidikanwa, endonasal microsurgery.

Hutachiona hwemazino hunorapwa kuburikidza:

• Kubviswa kwenzvimbo ine hutachiona nachiremba wezvehutano;
• Iko kuiswa kwemishonga inorwisa mabhakitiriya mukuwedzera kana zvichidikanwa.

Zvichienderana nekuzvimba kwemhino, nyanzvi yezvehutano inogona kupa mishonga inotevera:

• Humidification of the ambient mhepo;
• Kutungamira kwevasoconstrictors kana antihistamines.

Hutachiona hwetoni huchagadziriswa ne:

• Kutungamira kweibuprofen kana paracetamol;
• Gargling ine inopisa mvura yemunyu;
• Huro mapiritsi anoenderana neanesthetic yemuno;
• Iko kunwiwa kwezvikafu zviri nyore kumedza, zvinovaka uye zvinonyorova: muto wakanaka.

Mishonga yekurapa cacosmia inotevera yakaoma gastric Reflux ndeiyi:

• Kuvhiya, kuisa vharuvhu pakati peyopu uye mudumbu uye nekudaro inovhara kufamba kwechikafu;
• Mishonga yekurapa mukuwedzera pakuvhiya sezvo vachingoita zviratidzo uye kwete pachikonzero chaicho cherelux: maantacid kana gastric dressings, ayo anodzikama asina kupora, H2 antihistamines, kudzikisa kugadzirwa kwehydrochloric acid, proton pump inhibitors, kuvhara masero anoita acid.

Kunze kwezvironda zvakakomba, huropi hwepanyama hwepurasitiki - kugona kwehuropi kuzvigadzirisa - kunogona kubatsira kupodza kukuvara kwehuropi. Zvikasadaro, zvinoenderana nenzvimbo uye kukura kwekukuvara kwehuropi, murwere anogona kurapwa kwakasiyana siyana:

• Neurosurgery, kudzima chikamu chakakanganisika cheuropi;
• Kurapa pabasa, kana zvichidikanwa, kuti udzidze zvakare kuita kwehupenyu hwezuva nezuva;
• Physiotherapy, kushanda pachiyero kana zvichidikanwa;
• Kutaura kwekutaura, kugadzirisa kutaurirana kwemuromo kana zvichidikanwa.

Mishonga yekurapa cacosmia inotevera bundu rehuropi ndeiyi:

• Chemotherapy;
• Radiotherapy;
• Targeted therapy
• Kubviswa kwebundu nekuvhiyiwa kana bundu racho rakakura, uye izvi hazvitaridzwe kuti zvine njodzi nenyanzvi yehutano.

Kana zvikaitika kuwanda kwefungus, mushonga mukuru kutora mishonga yekudzivirira.

Kunyangwe paine zvikonzero zvakawanda, cacosmia inogona kudzivirirwa ne:

• Kudzivisa kusangana nevanhu vane hutachiona hunogona kutapukira;
• Kuchengeta mararamiro ane hutano - chikafu, mazino nezvimwe.
• Kudzivisa kuenda kunorara nguva yekudya yapera;
• Uchishandisa mukubatana, pane chipunu cheuchi, iwo akakosha maoiri ebasil, peppermint uye yeRoma chamomile yekuvandudza iyo yekugaya system;
• Uye zvizhinji zvakare