Maharashtra se hon - #9212

Rizwan ji, Samajh sakti hoon ki baar-baar ethmoidal nasal polyps hone aur multiple revision surgeries se aap kitne pareshan honge. Upar se steroids ka long-term use (60 mg Prednisolone daily) bhi ek issue ban gaya hai. Ab humein isko aise manage karna hai ki na baar-baar surgery karni pade, na steroids pe dependent rehna pade. Surgery ya Allergy Immunotherapy – Pehle kya karein? 1. Agar polyps bade hain, saans lene me dikkat ho rahi hai ya baar-baar infection ho raha hai, toh surgery zaroori ho sakti hai. 2. Agar polyps manageable hain, toh allergy immunotherapy (AIT) shuru karke usko control kar sakte hain. 3. Sabse best approach yeh hai ki pehle allergy test karaya jaye. Agar surgery karni pade, toh uske baad AIT start karna best hoga taaki recurrence kam ho. Long-Term Polyps Control Ke Liye • Nasal saline irrigation (steam & saline sprays) – Naak ko saaf rakhne aur inflammation control karne ke liye zaroori. • Intranasal steroid sprays (OTC – Fluticasone ya Mometasone) – Long-term ke liye oral steroids ka alternative ho sakta hai. • Allergy Triggers Avoid Karein – Dust, pollen, pollution, strong smells, dairy (agar allergic ho). • Probiotics Include Karein – Kyunki steroids immunity pe effect daalte hain, probiotics gut health aur immunity balance karne me help karenge. Steroids Ko Kaise Reduce Karein? 60 mg Prednisolone bahut high dose hai, aur baar-baar courses lene se side effects ka risk badhta hai. Isko taper karna zaroori hai, lekin bina doctor ke supervision ke suddenly band nahi karna chahiye. Agar baar-baar relapse ho raha hai, toh biologics therapy bhi ek option ho sakti hai (ENT specialist se discuss karein). Next Steps – Aapke Liye Best Plan • ENT doctor se consult karein aur check karein ki abhi surgery zaroori hai ya nahi. • Allergy Test karayein (Skin Prick ya IgE Blood Test) taaki pata chale kaunsi allergies aapke polyps ko trigger kar rahi hain. • Agar surgery hoti hai, toh uske baad allergy immunotherapy shuru karein taaki future me polyps wapas na aaye. • Steroids ka long-term use avoid karein aur nasal sprays + lifestyle changes pe shift hone ki koshish karein. Aap jo steps soch rahe ho, woh bilkul sahi direction me hain. Allergy immunotherapy ek long-term solution ho sakta hai, lekin usse pehle surgery ki zaroorat hai ya nahi, woh clear karna zaroori hai. Aap ek proactive approach le rahe ho, jo bahut achi baat hai.