ในผู้ที่มีการผิดปกติของจมูก เช่น ดั้งจมูกคด ผนังกั้นจมูกคดที่เป็นมาแต่กำเนิด หรือจากอุบัติเหตุ เป็นภูมิแพ้ทางจมูก ริดสีดวงจมูก หรือมีหลายสาเหตุร่วมกัน จะทำให้การหายใจทางจมูกเป็นไปได้ยากขึ้น
ผู้ป่วยอาจไม่ทราบว่าการหายใจของตนมีปัญหา เนื่องจากอาการค่อยเป็นค่อยไปมาหลายสิบปี จนมีอาการของโรคอื่นๆเข้าร่วมด้วย เช่น นอนไม่หลับ ฝันร้าย นอนกรน นอนหายใจทางปาก คอแห้งตอนเช้า นั่งหลับกลางวัน ง่วงนอนทั้งวัน
เจ็บคอเรื้อรัง ไอเรื้อรัง ไซนัสอักเสบบ่อยๆ มีกลิ่นปาก เสียงขึ้นจมูก เสียงแหบ หูอื้อ เป็นหวัด เจ็บคอบ่อยๆ หงุดหงิดง่าย ความดันโลหิตสูง โรคหัวใจ
ในอดีต การรักษาได้แก่การรักษาทางยา โดยผู้ป่วยต้องรับประทานยาหลายชนิดทุกๆวัน ตลอดชีวิต ซึ่งยาบางชนิดอาจมีผลแทรกซ้อนที่ไม่น่าปรารถนา เช่น ใจสั่น มือสั่น นอนไม่หลับ หงุดหงิด ง่วงนอน อ่อนเพลีย ขาดสมาธิในการทำงาน ในปัจจุบันการผ่าตัดโดยใช้เครื่องมือผ่าตัดที่ทันสมัย ได้ผลดีมากขึ้นๆ จนสามารถหยุดยาได้
ผู้ป่วยที่แพ้ยาง่าย อายุเริ่มสูงขึ้น หรือไม่ชอบรับประทานยา สามารถมีทางเลือกโดยการผ่าตัด ซึ่งการผ่าตัดมีหลายวิธี ขึ้นกับพยาธิสภาพของผู้ป่วยแต่ละคน โดยแพทย์ผู้ชำนาญจะทำการตรวจร่างกายทั่วไป และตรวจช่องจมูกด้วยกล้อง และอาจเอกซ์เรย์คอมพิวเตอร์ร่วมด้วยในรายที่มีการอักเสบเรื้อรัง หรือมีการบิดคดของผนังกั้นจมูก เพื่อช่วยในการวางแผนผ่าตัดให้ได้ผลที่ดีที่สุด
ในผู้ป่วยที่ต้องการแก้ไขความสวยงามของจมูก สามารถทำการผ่าตัด พร้อมกันในครั้งเดียว ร่วมกับแพทย์ศัลกรรมพลาสติก เพื่อลดความเสี่ยงในการต้องดมยาหลายครั้ง ลดระยะเวลาในการนอนโรงพยาบาล อีกทั้งสามารถแยกใบเสร็จในการชำระเงินได้ตามสิทธิ์ในการเบิกคืนได้อีกด้วย
Air Vice Marchal Dr.Vathit Sakdisubha
Stuffy Nose?
In today’s society, breathing problems have been increasing rapidly because industrial development results directly in producing air pollution and your contacting allergens when breathing.
Nasal obstruction can be caused by a variety of factors such as a deviated nose, deviated nasal septum, congenital deformity or from an accident, nasal allergy, or combination of many factors. An obstructed nose may result in breathing problems that require medical or surgical treatment.
Occasionally, patients do not notice that they have breathing problems, until other complications are involved. These may include insomnia, nightmares, snoring, mouth breathing when asleep, dry mouth in the morning, chronic cough, sinus infections, bad breath, nasal speech, tinnitus, frequent cough and cold, getting angry easily, hypertension, and heart disease.
In the past, nasal obstruction treatment was limited to the use of medication only. This meant that patients had to take many tablets everyday for the rest of their lives. On the other hand, advances in technology provides an operative solution which is more effective so that patients can stop using medication.
For patients who are of an allergic nature, getting old, or do not want to use medication, they now have another alternative, which is to choose an operation. Operation can be performed in many ways depending on each individual’s pathology. The Specialist will normally begin with general physical examination and sinuscope. CT scan may also be required in some chronic cases or deviated nasal septum cases for the best treatment plan possible.
Alternatively if patients would also like to receive cosmetic correction of their nose at the same time, these two operations can be done together. The ENT specialist coordinates with the plastic surgeon in performing this to reduce the risk of many anesthetics. The length of hospitalization is shortened and receipts can be separated to facilitate reimbursement for the patients.
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Food allergies can be caused by shellfish and other fishes, peanuts and other nuts, wheat, soy, dairy and eggs.
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