Chotupa cha Branchial

Chotupa cha branchial chotupa ndikulephera kubadwa. Zimayambika pamene madzimadzi amadzaza danga, kapena sinus, yotsalira m'khosi pamene mwana amakula m'mimba. Mwana akabadwa, amawoneka ngati chotupa m'khosi kapena pansi penipeni pa nsagwada.

Ziphuphu zakuthwa zimapangidwa pakukula kwa mwana wosabadwayo. Zimapezeka pamene minyewa yapakhosi (branchial cleft) imalephera kukula bwino.

Cholakwika chobadwira chitha kuwoneka ngati malo otseguka otchedwa sinuses, omwe amatha kukhala mbali imodzi kapena mbali zonse ziwiri za khosi. Chotupa cha branchial chimatha kupangika chifukwa chamadzimadzi mu sinus. Chotupacho kapena chotupa chimatha kutenga kachilomboka.

Nthawi zambiri ma cysts amawoneka mwa ana. Nthawi zina, sawonedwa mpaka atakula.

Zizindikiro zimatha kuphatikizira izi:

• Maenje ang'onoang'ono, zotupa, kapena zikopa pakhungu mbali iliyonse ya khosi kapena pansi penipeni pa nsagwada
• Ngalande zamadzimadzi kuchokera mdzenje pakhosi
• Kupuma kaphokoso (ngati chotupacho ndi chachikulu mokwanira kutseka mbali ina yapaulendo)

Wothandizira zaumoyo amatha kudziwa kuti ali ndi vutoli poyesedwa. Mayesero otsatirawa akhoza kuchitika:

• Kujambula kwa CT
• Kujambula kwa MRI
• Ultrasound

Maantibayotiki adzapatsidwa ngati chotupacho kapena sinus zili ndi kachilombo.

Kuchita opaleshoni kumafunikira kuti muchotse chotupa chamagulu kuti mupewe zovuta monga matenda. Ngati pali matenda pamene chotupacho chimapezeka, opareshoni imachitika pambuyo poti matendawa adalandira mankhwala opha tizilombo. Ngati pakhala pali matenda angapo chotupacho chisanapezeke, zingakhale zovuta kuchotsa.

Kuchita opaleshoni nthawi zambiri kumachita bwino, kumakhala ndi zotsatira zabwino.

Chotupacho kapena ziphuphu zimatha kutenga kachilomboka ngati sichichotsedwa, ndipo kubwereza matenda kumatha kuchititsa kuti kuchitidwa opaleshoni kukhale kovuta.

Itanani kuti mukakumane ndi omwe amakupatsani mukawona dzenje laling'ono, kupindika, kapena chotupa m'khosi kapena paphewa la mwana wanu, makamaka ngati madzi akutuluka m'derali.

Sanus sinus

Wopanda TP, Altay MA, Wang Z, Baur DA. Kuwongolera ma branchial cleft cysts, sinuses, ndi fistulae. Mu: Kademani D, Tiwana PS, ed. Atlas of Oral and Maxillofacial Opaleshoni. St Louis, MO: Elsevier Saunders; 2016: chap 92.

Rizzi MD, Wetmore RF, Wotsutsa WP. Kusiyanitsa kosiyanasiyana kwa mitsempha ya khosi. Mu: Lesperance MM, Flint PW, ma eds. Cummings Dokotala Otolaryngology. Philadelphia, PA: Elsevier Saunders; 2015: mutu 19.