Matenda a Perichondritis

Perichondritis ndimatenda akhungu ndi minofu yoyandikira khungu la khutu lakunja.

Cartilage ndi mnofu wandiweyani womwe umapanga mawonekedwe a mphuno ndi khutu lakunja. Cartilage yonse imakhala ndi minofu yocheperako yozungulira yotchedwa perichondrium. Kuphimba uku kumathandiza kuti michere ikhale ndi michere.

Mtundu wofala kwambiri wa mabakiteriya omwe amayambitsa matenda a perichondritis ndi Pseudomonas aeruginosa.

Perichondritis nthawi zambiri imayamba chifukwa chovulala khutu chifukwa cha:

• Kuchita khutu
• Kuboola khutu (makamaka kuboola kwa cartilage)
• Lumikizanani ndi masewera
• Kuvulala kumbali yamutu
  

Kuboola khutu kudzera mu cartilage mwina ndiye chiopsezo chachikulu masiku ano. Kuchita maopareshoni, kuwotcha, ndi kutema mphini kumawonjezeranso chiopsezo chotenga matenda.

Perichondritis imatha kubweretsa chondritis, yomwe ndi matenda am'mimba mwake. Izi zitha kuwononga khutu.

Khutu lowawa, lotupa, lofiira ndi chizindikiro chofala kwambiri. Poyamba, matendawa adzawoneka ngati matenda akhungu, koma amafulumira ndipo amakhudzanso perichondrium.

Kufiira nthawi zambiri kumazungulira malo ovulala, monga kudula kapena kupukuta. Pangakhalenso malungo. Nthawi zovuta kwambiri, madzi amadzimadzi amachoka pachilondacho.

Kuzindikira kumatengera mbiri yakale ya zamankhwala ndikuwunika khutu. Ngati pali mbiri yovutikira khutu ndipo khutu lofiira komanso lofewa kwambiri, ndiye kuti perichondritis imapezeka. Pakhoza kukhala kusintha kwamakutu abwinobwino. Khutu lingawoneke ngati latupa.

Chithandizochi chimakhala ndi maantibayotiki, mwina pakamwa kapena mwachindunji m'magazi kudzera mu mzere wamitsempha (IV). Maantibayotiki amatha kuperekedwa kwa masiku 10 mpaka milungu ingapo. Ngati pali mafinya omwe atsekeka, mungafunike kuchitidwa opaleshoni. Kuchita opareshoni kumachitika kuti athetse madzi amtunduwu ndikuchotsa khungu lakufa ndi khungu.

Momwe munthu amachitira bwino zimadalira momwe kachilomboka kamapezedwera ndikuchiritsidwa. Ngati maantibayotiki atengedwa msanga, amayenera kuchira kwathunthu. Ngati matendawa akuphatikizapo khutu lakumutu, chithandizo chofunikira chimafunika.

Ngati matendawa afalikira ku khutu lakumutu, gawo lina la khutu limatha kufa ndipo limafunika kuchotsedwa opaleshoni. Izi zikachitika, pangafunike opaleshoni ya pulasitiki kuti khutu likhale labwinobwino.

Ngati muli ndi vuto lililonse khutu lanu (kukanda, kuwombera, kapena kuboola) kenako ndikumva kupweteka komanso kufiira mbali yolimba ya khutu lakunja, funsani omwe akukuthandizani. Mungafunike kumwa maantibayotiki.

Pewani kuboola khutu lanu kudzera chichereŵechereŵe. Kuboola khutu la khutu ndi njira yabwinoko. Kutchuka kwa kuboola chichereŵechereŵe kwadzetsa kuwonjezeka kwakukulu kwa matenda a perichondritis ndi matenda a chondritis.

Brant JA, Ruckenstein MJ. Matenda a khutu lakunja. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: chap 137.

Haddad J, Keesecker S. Kunja kwa otitis (otitis kunja). Mu: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 20th. Philadelphia, PA: Elsevier; 2016: chap 639.