Kodi cholesteatoma, zizindikiro ndi momwe mungachiritsire
Zamkati
Cholesteatoma imafanana ndikukula kwakhungu mkati mwa ngalande ya khutu, kumbuyo kwa khutu, komwe kumatha kudziwika potulutsa fungo lamphamvu kuchokera khutu, tinnitus ndikuchepetsa mphamvu yakumva, mwachitsanzo. Malinga ndi chifukwa chake, cholesteatoma itha kugawidwa mu:
- Kupezeka, zomwe zimatha kuchitika chifukwa chobowoleza kapena kuthira khungu kwa khutu la khutu kapena chifukwa chobwereza kapena kusachiritsidwa bwino kwamatenda;
- Kubadwa, momwe munthuyo amabadwira ndi khungu lochulukirapo m'ngalande yamakutu, komabe chifukwa chomwe zimachitikira sizikudziwika.
Cholesteatoma imawoneka ngati chotupa, koma si khansa. Komabe, ikakula kwambiri pangafunike kugwiritsa ntchito opareshoni kuti achotse, kuti apewe kuwonongeka kwakukulu, monga kuwonongeka kwa mafupa a khutu lapakati, kusintha kwakumva, kulimbitsa thupi komanso kugwira ntchito kwa minofu ya nkhope.
Zizindikiro zake ndi ziti
Kawirikawiri zizindikiro zomwe zimakhudzana ndi kupezeka kwa cholesteatoma ndizochepa, pokhapokha zitakula kwambiri ndikuyamba kuyambitsa mavuto akulu khutu, zomwe zimadziwika ndi izi:
- Kutulutsa chinsinsi kuchokera khutu ndi fungo lamphamvu;
- Kutengeka kwa mavuto m'makutu;
- Kusokonezeka ndi kupweteka kwa khutu;
- Kuchepetsa mphamvu yakumva;
- Buzz;
- Vertigo.
Zikakhala zovuta kwambiri, pakhoza kukhalabe phulusa la eardrum, kuwonongeka kwa mafupa am'makutu ndi ubongo, kuwonongeka kwa mitsempha yaubongo, meninjaitisi ndi mapangidwe a ziphuphu muubongo, zomwe zitha kuyika moyo wa munthu pachiwopsezo. Chifukwa chake, akangodziwa zizindikiro zilizonse zokhudzana ndi cholesteatoma, ndikofunikira kukaonana ndi otorhinolaryngologist kapena dokotala wamkulu kuti mupewe kukula kwa cholesteatoma.
Kuphatikiza pa zizindikiritso zomwe zatchulidwa kale, kukula kwachilendo kwa maselo mkati khutu kumapangitsa kuti pakhale chilengedwe chothandiza pakukula kwa mabakiteriya ndi bowa, zomwe zimatha kuyambitsa matenda m'makutu, komanso kutupa ndi kutulutsa kwachinsinsi kumawonekeranso. Onani zifukwa zina zotulutsa khutu.
Zomwe zingayambitse
Cholesteatoma nthawi zambiri imayambitsidwa ndimatenda obwerezabwereza khutu kapena kusintha kwa kagwiridwe kake ka chubu, chomwe ndi njira yolumikizira khutu lapakati ndi pharynx ndikuthandizira kuti pakhale mpweya wabwino pakati pa mbali ziwiri za khutu. Kusintha uku mu chubu chomvera kumatha kuyambitsidwa ndi matenda am'makutu, matenda a sinus, chimfine kapena chifuwa.
Nthawi zambiri, cholesteatoma imatha kukula mwa mwana panthawi yomwe ali ndi pakati, ndiye kuti amatchedwa congenital cholesteatoma, momwe pangakhale kukula kwa minofu pakati khutu kapena zigawo zina za khutu.
Momwe mankhwalawa amachitikira
Chithandizo cha cholesteatoma chimachitika kudzera mu opaleshoni, momwe minofu yochulukirapo imachotsedwa khutu. Musanachite opaleshoni, kugwiritsa ntchito maantibayotiki, kugwiritsa ntchito madontho kapena khutu ndikuyeretsa mosamala kungakhale kofunikira kuti muchepetse matenda omwe angakhalepo ndikuchepetsa kutupa.
Kuchita opareshoni kumachitika pansi pa anesthesia ndipo ngati cholesteatoma siyinayambitse zovuta, kuchira kumakhala kofulumira, ndipo munthuyo amatha kupita kwawo posachedwa. Pazovuta kwambiri, pangafunike kukhala mchipatala nthawi yayitali ndikugwiritsa ntchito opaleshoni yomanga kuti akonze zomwe zawonongeka ndi cholesteatoma.
Kuphatikiza apo, cholesteatoma iyenera kuyesedwa nthawi ndi nthawi, kuti zitsimikizidwe kuti kuchotsedwa kwake kwatha komanso kuti cholesteatoma sichikula.