RESDUNG/Sinusitis
dari sehari ke sehari..saya try nak buat sedikit kajian pasal pertanyaan cybercop GABAN itu...
resdung ni macam tricky sikit laa treatment dia...
anyway...siapakah yg ada resdung ni?....adakah Gaban sendiri..atau sanak saudara gaban?..
Resdung ni adalah inflammation of the paranasal sinuses that may or may not be due to infection.Resdung ni ada 2 jenis .Pertama jenis acute iaitu yang berlaku sekelip mata dan sekejap .Kedua adalah jenis chronic iaitu yang berpanjangan.
So..below are the treatments for Sinusitis:
Acute sinusitis
Conservative measures
Over the counter (OTC) medication such as acetaminophen and ibuprofen can relieve some of the symptoms associated with sinusitis, such as headaches, pressure, fatigue and pain.[citation needed] Nasal irrigation or jala neti using a warm saline solution may also be effective.[14]
Antibiotics
The vast majority of cases of sinusitis are due to viral etiology and thus resolve without antibiotics.[3] However, if the symptoms are prolonged amoxicillin is a reasonable first choice[3] with amoxicillin/clavulanate (Augmentin) being indicated for patients who fail amoxicillin alone. Fluoroquinolones, some of the newer macrolide antibiotics such as clarithromycin, and doxycycline, are used in patients who are allergic to penicillins.[citation needed] Still, 60 to 90% of people do not experience resolution of symptoms with antibiotics.[15]
Corticosteroids
Nasal corticosteroids have not been found to be better than placebo either alone or in combination with antibiotics.[15]
Chronic sinusitis
Conservative measures
Nasal irrigation may help with symptoms of chronic sinusitis.[16] [17][18]
Medical approaches
Based on the recent theories on the role that fungus may play in the development of chronic sinusitis. Trials of antifungal treatments however have had mixed results.[3]
Surgical treatment
For chronic or recurring sinusitis, referral to an otolaryngologist may be indicated for more specialist assessment and treatment, which may include nasal surgery. However, for most patients the surgical approach is not superior to appropriate medical treatment. Surgery should only be considered for those patients who do not experience sufficient relief from optimal medication.[19][20]
A relatively recent advance in the treatment of sinusitis is a type of surgery called functional endoscopic sinus surgery (FESS), whereby normal clearance from the sinuses is restored by removing the anatomical and pathological obstructive variations that predispose to sinusitis. This replaces prior open techniques requiring facial or oral incisions and refocuses the technique to the natural openings of the sinuses instead of promoting drainage by gravity, the idea upon which the Caldwell-Luc surgery was based.[2]
Another recently developed treatment is balloon sinuplasty. This method, similar to balloon angioplasty used to "unclog" arteries of the heart, utilizes balloons in an attempt to expand the openings of the sinuses in a less invasive manner. Its final role in the treatment of sinus disease is still under debate but appears promising.
A number of surgical approaches can be used to access the sinuses and these have generally shifted from external/extranasal approaches to intranasal endoscopic ones. The benefit of the Functional Endoscopic Sinus Surgery FESS is its ability to allow for a more targeted approach to the affected sinuses, reducing tissue disruption, and minimizing post-operative complications.[21]
For persistent symptoms and disease in patients who have failed medical and the functional endoscopic approach, older techniques can be used to address the maxillary sinus such as the Caldwell-Luc radical antrostomy (e.g. incision in the upper gum, opening in the anterior wall of the antrum, removal of the entire diseased maxillary sinus mucosa and drainage is allowed into inferior or middle meatus by creating a large window in the lateral nasal wall.)[22]
mungkin rokok resdung yang disebut oleh gaban itu adalah untuk tujuan membunuh organisma yang ada dalam sinus itu.Mungkin dalam rokok tu ada ubat2 akar kayu yang boleh menyembuhkan resdung yang belum dikaji oleh para saintis perubatan.Tetapi belum ada kajian saintifik lagi pasal rokok resdung itu (setahu saye lah).JIka jerawat tiu disebabkan oleh resdung..makan adalah wajib pesakit itu merawat resdungnya terlebih dahulu sambil merawat symptom jerawat.Namun,untuk jerawat resdung pulih sepenuhnya, masalah sinusitis itu harus dirawat segera.Rawatan jerawat,akan saya terangkan di artikel yang lain.
Tips : Jika sesuatu rawatan itu berkesan untuk merawat sekurang-kurangnya 100 orang manusia,Maka rawatan itu mungkin berkesan untuk anda.Jadi jika gaban rasa rokon resdugn tu dah mampu merawat 100 orang,may be ada manfaat untuk mencubanya.Dalam dunia perubatan ni, tidak semua jenis rawatan di kaji secara santifik.Maka jika sesuatu rawatan itu dirasakan memberi manfaat,maka kita boleh mencubanya walaupun tiada kajian saintifik yang menyokong rawatan tersebut.Lebih baik mencuba sesuatu rawatan daripada membiarkan diri kita terus sakit.Tapi berhati-hati supaya tidak mencuba ubat-ubatan yang boleh membawa maut/ kecacatan.
p/s: Tugas seorang doktor bukan sahaja merawat pesakit/ populasi tetapi mendidik populasi itu tentang penyakit-penyakit mereka.
-sekian-
