Hnar chawr kan tih hi a awmzia ber chu kan hnar(nose) tissues (mucosa leh submucosa) te an lo vung ( swelling) emaw, an lo puar lian emaw hi a ni a. Polyp hi fibro-oedematous tissue inhlawmkhawm a ni.
Polyp chi hrang hrang te: Polyp hi chi hrang hrang pathumah an then a, chungte chu-
(1)Simple mucous polyps: A common ber a, Antro-choanal polyp leh Ethmoidal polyp ah then hran leh theih a ni.
(2)Fungal polyps: Hei hi tun hnai mai atang hian a hluar ve ta hle. Histopathology hmanga awlsam taka hriat chhuah theih a ni.
(3)Neoplastic polyp:
i. Benign tumour thenkhat heng- papilloma, haemangioma etc te hi polyp anga chhiar theih an ni.
ii. Malignant tumour thenkhat te pawh polyp a chhiar tel an ni ve chawk.
Simple Mucous polyp
Tun tumah hian a common ber simple mucous polyp chungchang hi I lo bih thuak the ang.
# A thlentu:-
(a)Allergy vanga polyp tam zawk hi lo awm a ni.
(b)Vasomotor/Vascular phenomenon:- Allergy nen a inang hle;mahse taksa huat ber ( allergen) hriat chhuah leh hmuh a ni lo.
(c)Virus emaw bacteria infection vangin a awm thin bawk.
(d)Allergy leh infection tangkawp vangin a lo thleng theibawk.
(e)Serum a IgE tam lutuk vangin a awm thei.
(f)Barnouilli phenomenon: Hnar kua chhunga middle meatus bul velah pressure a san chuan extra vascular fluid a titlem a, chu chuan tissue fluid a siam thin.
A. Antro-choanal ( of simple mucous polyp):
*Clinical features:
Hei hi naupang leh tleirawl lamah a hluar. Mipa leh hmeichhia-ah a nasat lam a inang reng.
(ii) Hnar kaw leh lam chauhvah a hnawh a, leh lam erawh a normal thung. A hnawhtawt hi a permanent em em.
(iii) Dam lo chu a hahchhiau emaw, hnar atanga hnai chhuak( rhinorrhea) emaw a nei chawk. Hei hi a chhan chu allergy a neih vang a ni.
(iv) Mi thenkhatah erawh hnarkua leh lam v eve a hnawh thin. Hnar tawt tawng ( nasal intonation) a siam fo.
(v) Lu na a awm thei.
* Diagnosis:
X-ray of nasopharynx.
(ii) Post-rhinoscopy.
(iii) CT Scan of nose and paranasal sinus.
*Treatment:
Caldwell Luc or Radial antrostomy. Hei hi surgery chi khat a ni.
(ii) Naupangah chuan simple polypectomy hi a tawk viau. Caldwell Luc operation hi an tan chuan a hlauhawm zawk a ni.
(iii) Allergy thunun turin antihistaminic tablet ei tur.
(iv) Tun hnai mai atng khan FESS ( Functional Endoscopic Sinus Surgery) hmangin polyp te awlsam takin an paih thei ta.
B. Ethmoidal polyp( of simple mucous polyp)
* Clinical features:
Hei hi chu kumupa leh middle age groupzingah a hluar. Mipa zingah a hluar zualdeuh.
(ii) Dan naranin damlo chuan hnarkua pahnihah hnawhtawt ( obstruction) a tuar a. Hnarkua pakhat chauha hnawh tawt chu a awm zeuh zeuh chauh a ni.
(iii) Hnar tawt tawng a hluar hle.
(iv) Lu na a awm fo.
(v) Hnar atanga hnai chhuak ( rhinorrhea) hi a hluar hle bawk.
* Treatment:
A enkawlna te hi surgical vek a ni. Polyp chu lo awm tan tir chauh anih chuan simple surgery hi a tawk ve mai thin. Amaherawhchu polyp chu a lo thang lian zel anih chuan Ethmoidal polypectomy tih ngei ngei a ngai thung.
1.Conservative treatment: A la hlimchhawn a nih chuan antihistaminic tablet ei hian polyp te hi a nuai bo ve thei mai thin. Tin, steroid nasal spray Beclamethasone, Budenase or Fluticazone te pawh hian a nuai bo ve thei mai thin.
2. Surgical treatment hrang hrang te:-
Intra-nasal polypectomy with ethmoidectomy.
(ii) Sinus-ah infection a awm a nih chuan antihistaminic tablet ei tur. Metronidazole hi a tangkai hle.
(iii) Inzai zawhah a lo awm nawn leh turd an nan Steroid nasal spray leh antihistaminic tablet tee i ngei ngei tur a ni.
(iv) Transantral ethmoidectomy of Horgan.
(v) External ethmoidectomy.
(vi) FESS
Aw le, tuna tan chuan I lo duhtawk leh phawt ang. Mi pakhat talin hlawkpui in lo awm chuan he thu ziak hi a hlawhtlingah ka ngai ang. Surgical procedure te khi doctor ni lo tan sawifiah tula ka hriat loh avanga hetia rawn tarlang hi ka ni e.
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hairehai
April 20th, 2011 at 7:43 am
Ka hriatloh thiam zawng tak a ni
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April 20th, 2011 at 7:50 am
Bravo, CFL. Good post. I titha lutuk. Hetiang thuziak tha hi alawm kan mamawh ngawih ngawih chu. A dang pawh rawn ziak zel teh.
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April 20th, 2011 at 8:05 am
ka bo ve hle mai
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April 20th, 2011 at 8:24 am
Hmanah ka hnar ka cauterise(?) tir tawh a,daktorin ‘Che lo la,a nat deuh chuan i ban i phar mai dawn nia’a ti a,tu mah an awm ve lo bawk a,ka ban ka phar zing a sin aw
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April 20th, 2011 at 8:39 am
Hriselna chungchang kan post anih chuan kan hriatthiam vek theih tura ziah thiam emaw kan tangkaipui mai theih tur emaw anih a pawimawhin ka hria..tuna mi pawh hi a detail mah mah a, mi naran ti ila medical lam mi tanlo chuan tangkahna a ndi tampuilo maithei..anyway,kei ka tan chuan gud p6st..
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April 20th, 2011 at 8:56 am
@CFL: post tha lutuk…,
He tiang chiah hian tun ah ka awm,, Buai thlak tuk,,,
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April 20th, 2011 at 9:50 am
kei chu tunah chuan ka mawng a khoihli a,ka beng hi chet zawng apiang hian a na em2 a,ka kapah arngeng lian tawk a awm bawk. Sunday atang khan ka khawsik a la reh lo,huiham. Engtin nge niang CFl,min han chhuneng teh khai.
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April 20th, 2011 at 10:29 am
@7 swifty, khawihli tan chuan Fusiderm hi a tha khawp.
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April 20th, 2011 at 11:07 am
Post tha tak a ni e
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April 20th, 2011 at 11:53 am
A bengvarthlak ngei mai. Ka thianpa pawh a hnar a chawr a, a khawngaihthlak khawp mai.
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April 20th, 2011 at 12:35 pm
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April 20th, 2011 at 2:26 pm
Hetiang natna hi Pi Remtluangi W/O R.Vanlalzauva(Evan) khan tawngtaina nen emawni a tidam thei niin min an sawi thin a,a khawih thi chiam thin a ni awm e.Kan thiannu pakhat pawhin a pan ve a,a hnar a khawih thi sak chiam a,mahse a dampui chuang lemlo a ni awm e a la thawh tep tep thin
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April 20th, 2011 at 3:06 pm
hrethiam pha vaklo na a, hman tangkai tum ang.
?? Sinus-ah infection a awm a nih chuan antihistaminic tablet ei tur. Metronidazole hi a tangkai hle.
antihistaminic hi dawrah lei dawn ila engtinge ka lam ang?
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April 20th, 2011 at 3:17 pm
13 antihistamine chu kan hriat awlsam dan chuan avil tih bawr vel ho hi a ni e
good post CFL
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April 20th, 2011 at 4:26 pm
keipawh allergic rhinitis an tih ang hi ka nei deuh roh va. A ninawm khawp mai. Post tha e.
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April 20th, 2011 at 5:04 pm
Simple Mucous polyp vang hian vawi 3 zai ka tawk tawh. A vawi 3-na ah Dr. hnenah zai ala ngai leh fo angem tia ka zawhna chu “aw” tiin min chhang a, dam var lo mahse a zia deuh tawh avangin ka inzai duh tawh mai mai lo, min hel nuai pek a, na tak a ni na tak!!
Good Post.
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April 20th, 2011 at 9:05 pm
Tha hle mai. Ka nau hi naktuk hian Sinus avangin zai an tum chiah a, a bengvarthlak hle mai
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April 20th, 2011 at 10:01 pm
A tha khawp mai.Mahse kan ti teh ang,medical terms hi a zir ve lo tan chuan hriatthiam hi a har thin a,hei aia simple,mi mir hriat thiam theih zawngin rawn ziak la,a chhawrtu kan tam deuh ngei ka ring.Han post zel teh khai,hetiang lam thil hi;i ti tha lutuk. Hetiang lam thil hi ziah ka lo tum ve fo tawh a,ka buai em avang hian ka vil hman dawn si lova,ka la ziak theilo a;mahse nangin health related article i rawn ziak zauh zauh a,i ti tha khawp mai….Thums up
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April 20th, 2011 at 10:08 pm
Pinocchio thawnthu kan hriatchhuah zawk chu a hairehai
Bengvar thlak thin e.
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April 20th, 2011 at 11:51 pm
A van tha ve le tih mai bak ah a posttupa, ka fak em em a che. A bu in siam la, ka lei ngei ngei ang.
Hman ah Dr.Thangura’n naupang natna tlanglawn landan leh enkawldan a bu in a siam a, kan tangkaipui lutuk, tu ten emaw min hawh bo sak daih. Lei leh ka tum a, a awmtawh si lo, an reprint tawh bawk si lo, ka duh leh tak tak a ni. A mah lah Birmingham ah a awm daih tawh bawk si. A soft copy nei chuan pdf in hotfile ah han upload zeuh teh u a, mahse a phal ang emaw.
Kan engineer te pawh hian thil common lutuk a mistake kan siam hrang hrang, inchung slab chhun chuan a slope deuh tur, water curing pawimawh zia, cement solution hi a khal talh tur, adt, adt an zir chhuah hrang hrang hi mipui vantlang tan a hriat ve mai theih tur hian a bu te hian siam ve thin tur a nia, an thilzirchhuah hi society ah hian an share ve phallo reng reng, an hausa thur thur a, an duh tawk em em ringawt.
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