Ukutholwa Kokuqala Kuyinto Eyisisekelo Ekuvimbeleni Ukuzwa Ukulahlekelwa
I-cholesteatoma yikhukhula elingavamile, elingenakuqhathanisa esikhumbeni esiphakathi , ngemuva kwe-eardrum. Ngaphandle kokuphathwa, kungabangela ukulahlekelwa ukuzwa njengoba iqhubeka ikhula ngobukhulu.
Izimbangela
I-cholesteatoma ingenzeka kunoma yiziphi izindlela eziningana:
- Ama-cholesteatomas avame ukubangelwa ukutheleleka okuphindaphindiwe phakathi kwezindlebe . Uma kungelashwa, ukutheleleka okuvela ku-cholesteatoma esasimisiwe kungasakazeka ezindlebeni zangaphakathi nasebuchosheni.
- Abanye abantu bazalwa benensali encane yesikhumba eboshwe endlebeni, kodwa lokhu akuvamile.
- I-perforation ye-eardrum (isibonelo, kusukela ekuthelelekeni noma ukuhlukunyezwa) ingahlinzeka ukuvula isikhumba sendawo yangaphandle ye-eardrum ukuze sikhule.
- Izifo ezithathelwanayo endlebeni, ukutheleleka kwesinus, ukugula, nemikhuhlane kungathinta ishubhu ye-Eustachian (ukuxhuma ngemuva kwekhasi lakho kuya endlebeni yakho), ukuyigcina ekwenzeni umsebenzi wayo wokulinganisa ukucindezela komoya ngaphesheya kwe-eardrum yakho. Lokhu kungabangela ukuvota okuyingxenye kwendlebe yakho ephakathi okudonsa ingxenye ye-eardrum yakho kuyo. Lezicubu ze-eardrum ziba yi-cholesteatoma.
Njengoba ikhula ikhudlwana, i-cholesteatoma igcwala amangqamuzana ekhanda, ama-fluids, namanye ama-waste, edala indawo enhle yokutheleleka. I-cyst ekhulayo iphinde ikhulise ingcindezi endlebeni yakho, engabangela ukulahlekelwa kokuzwa. Uma likhula kakhulu, lingalimaza ithambo elizungezile, lilimaze i-eardrum yakho, amathambo ngaphakathi kwendlebe yakho naseduze kobuchopho bakho, kanye / noma izinzwa zakho zobuso. Kulesi sigaba, ukulahlekelwa kwezindlebe kungapheli.
Okubukeka Kanjani
I-cholesteatoma ifana nesigqila esikhwameni esidala. Amawebhusayithi ambalwa anezithombe ze-cholesteatomas (ezinye azizona ze-squeamish). Nazi ezimbili:
- EntUSA.com - Kuhlanganisa izithombe ezibonisa ukwakheka kwe-cholesteatoma. Indawo efanayo inezithombe zokuhlinzwa, kufaka phakathi isithombe se-cholesteatoma enkulu esusiwe.
- I-otolaryngology i-Houston inezithombe zokuhlinza izibalo ezifaka isibonelo se-cholesteatoma esebenzile ngendlela ekhuphuka esikhumbeni.
Izimpawu
Kuye ngokuthi kube khona isikhathi eside kangakanani, izimpawu ze-cholesteatoma zingabandakanya:
- ukulahlekelwa kwezindlebe, okungenzeka kube okwesikhashana (uma uphathwe kusenesikhathi) noma unomphela
- Ukucindezeleka kwendlebe
- Ukuzwa ubuhlungu ngemuva noma endlebeni yakho
- I-Vertigo (umqondo wokuzungeza nokulahlekelwa ibhalansi)
- Ukugeleza komuthi ophunga okwephunga
- Ubuso bokukhubazeka kwesisu
Ukwelapha
I-cholesteatoma kumele iphathwe ukuze igweme noma ilawule isithulu, i-meningitis, ukukhubazeka komzimba, ukulahlekelwa kwethambo kanye neminye imiphumela engadingeki. I-cholesteatomas engathí sina isuswa ngokuhlinzwa, ngokuvamile nge-mastoidectomy. Abancinci bangaphathwa ngokuhlanzwa kwezindlebe zomsebenzi kanye nokwelashwa kwama-antibiotic. Ngemuva kokuba ukwelashwa kuqedile, isiguli kumele sihlolwe, ngoba i-cholesteatoma ingahle ibuyele.
Izinsiza
Izincwadi ezishicilelwe mayelana ne-cholesteatoma kanye nokwelapha zihlanganisa:
- I-Cholesteatoma - I-Medical Dictionary, i-Bibliography, ne-Annotated Research Guide ku-Internet References
- Ukwelapha Okuhlinzekwa kwe-Cholesteatoma Ephakathi Ephakathi
Ucwaningo oluqhubekayo lungatholakala ku-National Library of Medicine sika-PubMed database.
Ukusekela
Iqembu le-Yahoo linamaqembu amakhulu asekelayo, "i-Cholesteatoma."
Funda Kuhlangothini Lomuntu Wakho Nge-Cholesteatoma
Isihambi Sokuzizwa Sokuzwa / Ukuzizwa Kanzima (HOH) sabelane ngokuhlangenwe nakho kwakhe siqu ne-cholesteatoma:
"NginguHOH kusukela ngineminyaka engama-2. Ngaqala ukugqoka izinsiza zokuzwa lapho ngineminyaka engu-9 ubudala. Nganginamahloni ezindlebeni zendlebe, futhi ngenxa yokungena komlomo ne-palate - amashubhu ami e-Eustachian asebenzi kahle Lapho ngineminyaka engama-23 ubudala, ngitholwe nginezinambuzane ze-cholesteatoma kuzo zombili izindlebe.
Nganginethuba elingama-50/50 lokuhamba ngithulu noma ukuthuthukisa ukuzwa kwami. Ngaphuma ekuhlinzekeni kwami ngikwazi ukuzwa ama-cricket, izinyoni zicula, njll, kuze kufike ekugqokeni ukugqoka izindlebe ezinkulu ezinamathele ezinjengezisebenzisi ezibhekeni.
Ukulalelwa kwahlala ezinyangeni ezintathu ngaphambi kokubuyela ezingeni lami langaphambilini, ngokulahlekelwa okwengeziwe njengoba isikhathi sidlula.
Ngithole ukuhlinzekwa okwebayisishiyagalolunye kwezidumbu eziphindaphindiwe futhi kuze kube manje ngilungiselela olunye ukuhlinzwa maduze kwenye. Ngesikhathi sokugcina ngitshela udokotela ukuthi nginezinye izidumbu, wabheka ezindlebeni zami wathi akekho, kepha ishidi lamaSilasti ababeka lapho lapho ngigcina ngiphakamise eardrum yami futhi kwakukhona omunye umgodi ngaphandle kwalokho. Ukhulume ngokuhlinzwa ukuze kususwe lokho futhi kulungiswe i-eardrum. Ngathi, "Ake sihambe, singakwenza nini lapho." Wayengekho esheshayo, kodwa ngazi kangcono emva kokudla kwezidumbu eziyisishiyagalombili zangaphambili.
Ngahamba ngesonto elilandelayo futhi lapho ngiphuma ekuphumuleni, isitatimende sami kuphela sasithi, "Awu, bekukhona yini isisu?" Odokotela babe namahloni, kodwa bangitshela ukuthi, "Uyesaba isihogo esivela kithi, kwakukhona isisu futhi kwabhubhisa izitshalo ngakho kwakudingeka sigqoke isitebe sokwethenjelwa endaweni futhi sanquma ukuzama elinye ifomu le-eardrum." Bashintsha i-eardrum nge-gratilage graft esikhundleni se-vein graft standard. Okuzoba ukuhlinzwa okuyi-1-1 / 2 kwaba amahora amahlanu.
Manje odokotela bangilalele uma ngithi kukhona isisu, njengoba ngifinyelele cishe izibonakaliso zendlela yokukhula yabo. Into eyodwa kudingekile: Noma ubani oye waba nalezi zicubu ... ungazondli, ulalele umzimba wakho. Ufuna ukuba ne-CT noma i-MRI ihlaziye njalo ezinyangeni eziyisithupha kuya ngonyaka njalo. Odokotela bami abakaze bacele ukuhlola ngoba ngiyinkampani yeMedare / Medicaid. Abazange bangitshele mayelana nenqubo yokubukela nokuba nezikhathi zokuhlola ukuphindaphinda. Ngacwaninga ukuthola lokho engikuziyo kuze kube yilolu suku futhi ngangifuna ukuba kuthathwe iskena futhi ekugcineni nginomunye wembula isifo sami samanje, kungenjalo ngabe ngabe nginakiwe futhi ngishiywe ukukhuthazelela imiphumela embi kakhulu.
Njengamanje ngingu-candidate for the implant cochlear implantation, kodwa ngenxa yeMedare / Medicaid engaqondi ukuthi ukufakelwa kuyisidakamizwa esiyinkimbinkimbi hhayi ukusizwa kweqiniso, angitholi usizo oluzwakalayo lokuzwa ukuba kube ngumuntu osebenzayo umphakathi.
Umthombo:
"Cholesteatoma." I-HealthLine.Com (2016).
Angikwazi ukugqoka izinsiza ezijwayelekile zokuzwa ngenxa yezicubu eziphindaphindiwe kanye nokungahambi kahle komzimba ezintweni ezenziwe ngamakhompiyutha. Ngakho-ke kulabo abanezibonakaliso ezibalulwe kulesi sihloko engisabelayo, ungalindi, udinga i-CT / MRI noma ulinde ukufa okungenalutho noma okulukhuni nge-meningitis, njll. Thatha kulowo oye waba khona Ukuhlinza 10 nokulinda uNombolo 11.
I-tumor ye-cholesteatoma ayiyona isifo, yilokwakha amangqamuzana esikhumba esikhwameni esithinta kakhulu. Uma uthola ukutheleleka kwezindlebe futhi amabhaktheriya athola ukungena emzimbeni uzokwenza umonakalo omkhulu, njengoba kungukuthi ibhaktheriya ephulukisa ithambo. Uma kungenawo ama-bacteria, ivele ikhule ize ihlanganise ezinye izingxenye zendlebe futhi idala izimpawu ezidinga ukuba zisuswe. Ngakho unakekele izindlebe zakho futhi uzihlole njalo njengoba ukuzwa kuyisipho esiyigugu esivela kuNkulunkulu.
Ngizohlala ngithwala izinkumbulo zezinhlanzi ezinwabuzelayo nezinyoni zihlabelela, amaqabunga amaqabunga, nokukhala kokuqala kokuzalwa okusha (izingane, ama-kittens, kanye nomntwana owehlayo esihlahleni futhi abantu abadala ngeke bangivumele ukuba ngisize) . Ngoba ngiyazi ukuthi ngizolahlekelwa ngukuzwa kwami ngolunye usuku maduzane.
*****
Umama wabelane ngolwazi lomntanakhe:
Indodana yami yayilokhu ikhononda ngezinhlungu zezindlebe , ngamthatha ngokuphindaphindiwe kudokotela wakhe wokunakekelwa ngokuyinhloko futhi wayezokhuluma kaningi iminyaka emibili ukuthi akanalo ukutheleleka indlebe. Wayengitshela ukuthi unamakhi amaningi e-wax endlebeni yakhe. Ngesinye isikhathi wathola umhlengikazi wanisela izindlebe zakhe ukuthi uzohlanza indlebe yakhe - akenzanga. Wangitshela ukuthi ngisebenzise isitoreji se-soft stool ukugcina i-wax ilula ukuze ikwazi ukukhipha. Umhlengikazi ephuza indlebe yakhe ngesikhathi esisodwa evakashela i-eardrum yakhe. Emva kwalokho kwakunzima kakhulu ukumthola ukuba ahlale kahle futhi enokuthula ukuze ahlolwe izindlebe zakhe. Ngacela ngokuphindaphindiwe ukuthunyelwa ku-ENT kodwa wafakazela ukuthi akadingi i-ENT.
Ngolunye uhambo ngathatha isampula yalokho okwaphuma endlebeni yakhe - kwakuyizicubu ezicacile, hhayi i-wax. Kanti futhi, ngatshelwa ukuthi ngiqhubeke ngisebenzisa i-softener softener. Ekugcineni ekuhambeleni kwakhe okulandelayo waba nodokotela omusha. Ngamchazela ukukhathazeka kwami futhi wabheka ishadi lakhe. Wasinika ukuhanjiswa kulokho kuhambela kokuqala. Ngakho ekugcineni ngacabanga ukuthi sizokwenza lokhu kuqashwe.
Ngesikhathi sokuqokwa kokuqala udokotela wakhuluma nge-cholesteatoma engenzeka. Ngakho-ke sahamba ngezinqola ezinhlanu zamatayipi endlebeni yakhe, amathoni kanye nama-addenoids asusiwe. Kwaphela iminyaka emibili futhi sathola ukuhanjelwa ... Wahlela ukuhlolwa kokuzwa, kanye ne-CT scan. Ekugcineni ukuxilongwa nokwelapha - wayene-mastoidectomy ne-tympanoplasty.
Uzwile lokho okuza futhi angene kuleyo ndlebe. Kuzodingeka abe nokuhlinzwa kwesibili ukuzama nokubuyisela ukuzwa. Manje sihamba izinyanga ezintathu phakathi kokuqokwa esikhundleni senyanga noma ngaphezulu. Manje uma ngingathola nje isifunda sesikole ukuba siqaphele ukuthi unokukhubazeka ngokomzimba, hhayi ukukhubazeka kokufunda. Mhlawumbe bazonikeza i-ALD ukuthi kudingeka ifunde.