Cholesteatoma

Cholesteatoma ndi mtundu wa khungu lotupa lomwe lili pakatikati ndi fupa la mastoid mu chigaza.

Cholesteatoma imatha kukhala vuto lobadwa nalo (kobadwa nako). Nthawi zambiri zimachitika chifukwa cha matenda am'makutu osatha.

Phukusi la eustachian limathandizira kutengera kukakamiza pakatikati. Ngati siyigwira ntchito bwino, kupanikizika koyipa kumatha kukoka ndikutulutsa gawo la eardrum (tympanic membrane) mkati. Izi zimapanga thumba kapena chotupa chomwe chimadzaza ndi khungu lakale lachikopa ndi zinyalala zina.

Chotupacho chimatha kutenga kachilomboka kapena kukula. Izi zitha kuyambitsa kuwonongeka kwa mafupa ena apakati kapena khutu lina. Izi zingakhudze kumva, kulimbitsa thupi, ndipo mwina kugwira ntchito kwa minofu ya nkhope.

Zizindikiro zake ndi izi:

• Chizungulire
• Kutulutsa madzi kuchokera khutu, komwe kumatha kukhala kwanthawi yayitali
• Kutaya kwakumva khutu limodzi
• Kutengeka kwakukhutira khutu kapena kukakamizidwa

Kuyezetsa khutu kumatha kuwonetsa thumba kapena kutsegula (zotsekemera) m'makutu, nthawi zambiri kumakhala ndi ngalande. Malo osungira khungu lakale amatha kuwoneka ndi microscope kapena otoscope, chomwe ndi chida chapadera chowonera khutu. Nthawi zina magulu amitsempha yamagazi amatha kuwonekera khutu.

Mayesero otsatirawa akhoza kuchitidwa kuti athetse zina zomwe zimayambitsa chizungulire:

• Kujambula kwa CT
• Zojambulajambula

Cholesteatomas nthawi zambiri imapitilizabe kukula ngati sichichotsedwa. Nthawi zambiri opaleshoni imachita bwino. Komabe, mungafunike khutu kutsukidwa ndi othandizira azaumoyo nthawi ndi nthawi. Kuchita opaleshoni ina kungafunike ngati cholesteatoma ibwerera.

Zovuta zingaphatikizepo:

• Kutupa kwa ubongo (kawirikawiri)
• Kukokoloka mu mitsempha ya nkhope (kuyambitsa kuwuma nkhope)
• Meningitis
• Kufalikira kwa chotupa muubongo
• Kutaya kwakumva

Itanani omwe akukuthandizani ngati kupweteka kwa khutu, ngalande kuchokera khutu, kapena zizindikilo zina zikuchitika kapena zikuipiraipira, kapena ngati kumva kwakumva kumachitika.

Kuchiza mwachangu komanso mokwanira matenda opatsirana m'makutu kumathandiza kupewa cholesteatoma.

Matenda a khutu - cholesteatoma; Matenda otitis media - cholesteatoma

• Kakhungu ka Tympanic

Kerschner JE, Preciado D. Otitis atolankhani. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 658.

Thompson LDR. Zotupa za khutu. Mu: Fletcher CDM, Mkonzi. Kuzindikira Kuzindikira Kwa Zotupa. 5th ed. Philadelphia, PA: Elsevier; 2021: mutu 30.