Mastoiditis

Mastoiditis ndimatenda amphongo la mastoid. Mastoid imangokhala kuseli khutu.

Mastoiditis nthawi zambiri imayambitsidwa ndi kachilombo pakati (khutu otitis media). Matendawa amatha kufalikira kuchokera khutu mpaka kufupa la mastoid. Fupa lili ndi chisa chokhala ngati chisa cha uchi chomwe chimadzaza ndi matendawa ndipo chitha kuwonongeka.

Matendawa amapezeka kwambiri kwa ana. Asanachitike maantibayotiki, mastoiditis inali imodzi mwazomwe zimayambitsa kufa kwa ana. Vutoli silimachitika kawirikawiri lero. Komanso sizowopsa kwenikweni.

Zizindikiro zake ndi izi:

• Ngalande kuchokera khutu
• Kumva khutu kapena kusapeza bwino
• Malungo, atha kukhala okwera kapena kuwonjezeka mwadzidzidzi
• Mutu
• Kutaya kwakumva
• Kufiira kwa khutu kapena kumbuyo kwa khutu
• Kutupa kumbuyo kwa khutu, kumatha kupangitsa khutu kutulutsa kapena kumva ngati ladzaza ndimadzimadzi

Kuyezetsa mutu kumatha kuwonetsa zizindikilo za mastoiditis. Mayeso otsatirawa atha kuwonetsa kupindika kwa mafupa a mastoid:

• CT scan ya khutu
• Mutu wa CT

Chikhalidwe cha ngalande kuchokera khutu chitha kuwonetsa mabakiteriya.

Mastoiditis itha kukhala yovuta kuchiza chifukwa mankhwalawa sangakhudze kwambiri fupa. Vutoli nthawi zina limafuna chithandizo mobwerezabwereza kapena kwa nthawi yayitali. Matendawa amathandizidwa ndi jakisoni wa maantibayotiki, kenako mankhwala opha tizilombo omwe amatengedwa pakamwa.

Kuchita opareshoni yochotsa gawo la fupa ndikutsitsa mastoid (mastoidectomy) angafunike ngati mankhwala a antibiotic sakugwira ntchito. Kuchita opaleshoni yotulutsa khutu lapakati kupyola mu eardrum (myringotomy) kungafunike kuchiza matenda apakatikati.

Mastoiditis akhoza kuchiritsidwa. Komabe, zitha kukhala zovuta kuchiza ndipo zitha kubwereranso.

Zovuta zingaphatikizepo:

• Kuwonongeka kwa fupa la mastoid
• Chizungulire kapena vertigo
• Epidural abscess
• Kuuma ziwalo
• Meningitis
• Kutaya pang'ono kapena kwathunthu
• Kufalitsa matenda kuubongo kapena mthupi lonse

Itanani odwala anu ngati muli ndi zizindikiro za mastoiditis.

Komanso itanani ngati:

• Muli ndi matenda amkhutu omwe samayankha chithandizo kapena amatsatiridwa ndi zizindikilo zatsopano.
• Zizindikiro zanu sizimayankha chithandizo.
• Mumazindikira ma asymmetry akumaso.

Kuchiza mwachangu komanso mokwanira matenda am'makutu kumachepetsa chiopsezo cha mastoiditis.

• Mastoiditis - mbali yamutu
• Mastoiditis - kufiira ndi kutupa kumbuyo kwa khutu
• Mastoidectomy - mndandanda

Pelton SI. Otitis kunja, otitis media, ndi mastoiditis. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 61.

Pfaff JA, Moore GP. Otolaryngology. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 62.