Cholesteatoma: Zoyambitsa, Zizindikiro, ndi Kuzindikira

Zamkati

• Kodi chimayambitsa cholesteatoma ndi chiyani?
• Cholesteatoma mwa ana
• Kodi zizindikiro za cholesteatoma ndi ziti?
• Kodi zovuta za cholesteatoma ndizotani?
• Kodi matenda a cholesteatoma amapezeka?
• Kodi mankhwala a cholesteatoma amachiritsidwa bwanji?
• Zokuthandizani kupewa cholesteatomas
• Kuwona kwakanthawi kwa anthu omwe ali ndi cholesteatoma
• Funso:
• Yankho:

Chidule

Cholesteatoma ndikukula kwachilendo, kopanda khansa komwe kumatha kukhala pakatikati khutu lanu, kumbuyo kwa khutu. Kungakhale vuto lobadwa nalo, koma nthawi zambiri limayambitsidwa ndi matenda obwereza apakatikati.

Cholesteatoma nthawi zambiri imayamba ngati chotupa, chomwe chimatulutsa khungu lakale. Maselo ofiirawa akamachuluka, kukula kumatha kukulira ndikuwononga mafupa osakhazikika a khutu lapakati. Izi zingakhudze kumva, kulimbitsa thupi, komanso kugwira ntchito kwa minofu ya nkhope.

Kodi chimayambitsa cholesteatoma ndi chiyani?

Kuphatikiza pa matenda obwerezabwereza, cholesteatoma amathanso kuyambitsidwa ndi chubu chosagwira bwino cha eustachian, chomwe ndi chubu chomwe chimachokera kumbuyo kwa mphuno mpaka pakati khutu.

Phukusi la eustachian limalola mpweya kuyenda khutu ndikufanizira kuthamanga kwa khutu. Itha kugwira ntchito bwino chifukwa cha izi:

• matenda am'makutu osatha
• matenda a sinus
• chimfine
• chifuwa

Ngati chubu yanu ya eustachian sikugwira ntchito moyenera, zingalowe pang'ono zingamveke pakati pakhutu lanu. Izi zitha kupangitsa kuti gawo la khutu lanu lilowetsedwe pakati khutu, ndikupanga chotupa chomwe chingasanduke cholesteatoma. Kukula kumakula ndikamadzaza ndimaselo akale akhungu, madzi, ndi zinyalala zina.

Cholesteatoma mwa ana

Nthawi zambiri, mwana akhoza kubadwa ndi cholesteatoma. Izi zimaonedwa ngati vuto lobadwa. Matenda obadwa nawo amatha kupanga pakatikati kapena m'malo ena akumva.

Nthawi yomwe ana amatenga matenda akumva mobwerezabwereza adakali aang'ono, ndizotheka kuti cholesteatomas imatha kuyambira ali aang'ono.

Kodi zizindikiro za cholesteatoma ndi ziti?

Zizindikiro zomwe zimakhudzana ndi cholesteatoma zimayamba pang'onopang'ono. Zimakhala zowopsa pamene chotupacho chimakula ndikuyamba kuyambitsa mavuto mkati khutu lanu.

Poyamba, khutu lomwe lakhudzidwa limatha kukhetsa madzi onunkhira. Pamene chotupacho chimakula, chimayamba kupangitsa kuti muzimva kupsinjika khutu lanu, zomwe zingayambitse mavuto ena. Muthanso kumva kupweteka kupweteka mkati kapena kuseri kwa khutu lanu. Kupsyinjika kwa chotupa chomwe chikukula kumatha kubweretsa vuto lakumva m'makutu okhudzidwa.

Itanani dokotala wanu nthawi yomweyo ngati muli ndi izi. Vertigo, kufooka kwa minofu ya nkhope, ndi kutayika kwakumva kosatha kumatha kuchitika ngati chotupacho chikupitilizabe kukula.

Kodi zovuta za cholesteatoma ndizotani?

Cholesteatoma ikasiya kusalandidwa, imakula ndikumayambitsa zovuta zomwe zimakhala zochepa kwambiri.

Maselo akhungu omwe amafa omwe amasonkhana m'makutu amapereka malo abwino oti mabakiteriya ndi bowa azikula bwino. Izi zikutanthauza kuti chotupacho chimatha kutenga kachilomboka, kumayambitsa kutupa komanso kupitilira khutu kwamakutu.

Popita nthawi, cholesteatoma itha kuwononganso fupa lozungulira. Ikhoza kuwononga khutu la khutu, mafupa mkati mwa khutu, mafupa pafupi ndi ubongo, ndi minyewa ya nkhope. Kumva kwamuyaya kumatha kuchitika ngati mafupa a khutu asweka.

Chotupacho chimatha kufalikira pankhope ngati chikukula, ndikupangitsa kufooka kwa nkhope.

Mavuto ena omwe angakhalepo ndi awa:

• matenda aakulu a khutu
• kutupa kwa khutu lamkati
• ziwalo za nkhope nkhope
• meningitis, yomwe imayambitsa matenda opha ubongo
• abscesses aubongo, kapena kusonkhanitsa mafinya muubongo

Kodi matenda a cholesteatoma amapezeka?

Kuti mudziwe ngati muli ndi cholesteatoma, dokotala wanu amayesa mkati mwa khutu lanu pogwiritsa ntchito otoscope. Chipangizochi chimalola dokotala kuti awone ngati pali zizindikiro zakukula kotupa. Makamaka, adzafunafuna gawo lowoneka bwino la khungu kapena khungu lalikulu la mitsempha m'makutu.

Dokotala wanu angafunikire kuyitanitsa CT scan ngati palibe zizindikiro zoonekeratu za cholesteatoma. Kujambula kwa CT kumatha kulamulidwanso ngati mukuwonetsa zizindikilo zina, monga chizungulire komanso kufooka kwa minofu yamaso. Kujambula kwa CT ndi mayeso osapweteka omwe amatenga zithunzi kuchokera pamtanda wa thupi lanu. Kujambulako kumalola dokotala wanu kuti awone mkati khutu lanu ndi chigaza. Izi zingawathandize kuwona bwino chotupacho kapena kutulutsa zina zomwe zingayambitse matenda anu.

Kodi mankhwala a cholesteatoma amachiritsidwa bwanji?

Nthawi zambiri, njira yokhayo yothandizira cholesteatoma ndiyo kuchotsedwa opaleshoni. Chotupacho chiyenera kuchotsedwa kuti tipewe zovuta zomwe zingachitike ngati zikukula. Cholesteatomas samachoka mwachilengedwe. Nthawi zambiri zimapitilira kukula ndikubweretsa zovuta zina.

Cholesteatoma ikapezeka, mtundu wa maantibayotiki, madontho a khutu, ndikuyeretsa khutu mosamala zimaperekedwa kuti zithandizire chotupacho, kuchepetsa kutupa, ndi kutsitsa khutu. Dokotala wanu atha kusanthula bwino kukula kwa chotupacho ndikupanga dongosolo lochotsera opaleshoni.

Nthaŵi zambiri, opaleshoniyi ndi njira yochizira odwala. Izi zikutanthauza kuti simuyenera kukhala mchipatala mutatha kuchita izi. Kugona kuchipatala ndikofunikira kokha ngati cyst ndi yayikulu kwambiri kapena ngati muli ndi matenda akulu. Kuchita opaleshoni kumachitika pansi pa anesthesia wamba. Pambuyo pa opaleshoni yoyamba kuchotsa chotupacho, opaleshoni yotsatira kuti mukonzenso mbali iliyonse yowonongeka ya khutu lamkati ndikuonetsetsa kuti cyst yachotsedwa kwathunthu nthawi zambiri imakhala yofunikira.

Cholesteatoma ikachotsedwa, muyenera kupita kukakumana ndi ena kuti mukayese zotsatira ndikuonetsetsa kuti cyst sinabwerere. Ngati chotupacho chaphwanya mafupa aliwonse khutu lanu, mudzafunika kuchitidwa opaleshoni yachiwiri kuti muwakonze.

Atachitidwa opaleshoni, anthu ena amakhala ndi chizungulire kwakanthawi kapena samamva bwino. Zotsatirazi nthawi zambiri zimadzikonza okha m'masiku ochepa.

Zokuthandizani kupewa cholesteatomas

Matenda obadwa nawo sangathe kupewedwa, koma makolo ayenera kudziwa za vutoli kuti athe kuzindikira ndikuthandizidwa mukakhala nawo.

Mutha kupewa cholesteatomas mtsogolo mwa kuchiza matenda amkhutu mwachangu komanso moyenera. Komabe, zotupa zimatha kuchitika. Ndikofunika kuchiza cholesteatomas mwachangu kuti mupewe zovuta. Itanani dokotala wanu nthawi yomweyo ngati mukukhulupirira kuti muli ndi cholesteatoma.

Kuwona kwakanthawi kwa anthu omwe ali ndi cholesteatoma

Kuwona kwakanthawi kwa anthu omwe ali ndi cholesteatomas nthawi zambiri kumakhala kwabwino. Zovuta nthawi zambiri zimakhala zochepa ngati chotupacho chikugwidwa ndikuchotsedwa msanga. Ngati thumba la cholesteatoma lakula kwambiri kapena kuvutikira lisanazindikiridwe, ndizotheka kuti padzakhala vuto lakumva kosatha. Kusalinganika ndi ma vertigo kumathanso chifukwa cha cholesteatoma yayikulu yomwe imadya kudzera m'mitsempha yovuta komanso mafupa osakhazikika khutu.

Ngakhale ikukula kukula, chotupacho nthawi zonse chimatha kuchotsedwa bwino ndikuchitidwa opaleshoni.

Funso:

Kodi zina mwaziwopsezo za cholesteatoma ndi ziti?

Yankho:

Zowopsa kwambiri ndizobwereza matenda pakatikati. Ngalande yosayenera kudzera mu chubu cha eustachian amathanso kuyambitsidwa ndi chifuwa chachikulu. Zowopsa zomwe zimayambitsa matenda obwerezabwereza m'makutu apakati zimaphatikizapo mbiri yakubadwa kwa matenda am'makutu, mikhalidwe yomwe ingakupangitseni kuti mulembe sinus ndi matenda am'makutu, komanso kukhudzana ndi utsi wa ndudu.