I-Perichondritis yase-Auricular
I-Perichondritis iyisifo se-perichondrium, okuyinto izicubu ezizungezile futhi zondla u-cartilage owenza ingxenye engaphandle yendlebe yakho. Kufana ne-chondritis, okuyinto ukutheleleka kwe-cartilage endlebeni yakho. Ngaphandle kokwelashwa okufanele futhi okusheshayo, i-perichondritis ingabangela ushintsho oluhlala njalo lwezindwangu zendlebe yakho njengendlebe ye- cauliflower .
Izimbangela ezivamise ukuvame ukubandakanya ukuhlukumezeka kwezicubu bese zifaka:
- ukubhoboza indlebe - ikakhulukazi phezulu kwi-cartilage ingxenye yendlebe
- ukuhlukumezeka kokuhlinzwa
- ukulimala kwezemidlalo noma ezinye izihlukumezo ezimbi
- ukulunywa kwezinambuzane
- ukushisa
- ukusika noma ukuchotshozwa kwanoma yiluphi uhlobo emlonyeni
- ukuphathwa kabi nge-otitis externa (indlebe yokudoba)
- isifo sokuzimela - i-granulomatosis nge-polyangiitis & nokuphindaphinda i-polychondritis
Ukuthola i-Perichondritis
Ukuxilongwa kwe-perichondritis akuyona inkimbinkimbi futhi kusekelwe emlandweni wokuhlukumezeka kuya endlebeni nokubonakala kwendawo elelekile. Ekuqaleni kwezinyathelo, i-perichondritis ibonakala ifana ne- cellulitis . Udokotela wakho uzothatha umlando ukuze abone ingozi ebhalwe ngenhla bese uhlola indlebe yakho. Ngisho noma kungenzeka ukuthi ubuhlungu kancane, udokotela wakho cishe uzofakela indlebe yakho ukuze abone ukuthi kukhona yini "ukunikeza", noma ukushintshashintsha, njengoba lokhu kungabonisa i-abscess (pus) noma i-chondritis. Uma uye waba nezimo eziningi ze-perichondritis, udokotela wakho uzokutshela ku-rheumatologist ukuthola ukuthi une-autoimmune isifo.
Izimpawu ezihlobene ne-Perichondritis
Njengoba ukubhoboza i-cartilage yendlebe yangaphandle kuyindlela evamile, kubonakala sengathi iyimbangela evame kakhulu ye-perichondritis ngalesi sikhathi. I-Perichondritis ivame ukubangelwa i-pseudomonas aeruginosis, kodwa ingabangela nezinye amagciwane aqukethe i-streptococcus aureus ne-streptococcus pyogenes.
I-Perichondritis ingabonakaliswa yizimpawu ezivamile ezilandelayo:
- ubomvu
- ukuvuvukala
- ubuhlungu
- i-pus noma enye ukukhishwa kwamanzi (ezimweni ezinzima)
- umkhuhlane (ezimweni ezinzima)
- ukuguqulwa kwesakhiwo sezindlebe (ezimweni ezinzima)
Uma uhlangabezana ne-perichondritis yokubuyela emuva, ungase uthole ezinye izimpawu ezingavamile ezihlanganisa:
- indlebe ye-floppy
- ukulahlekelwa kokuzwa okungazelelwe
- i-vertigo
- ibhalansi engalungile
- tinnitus
- indlebe yezindlebe
- emaphakathi indlebe izifo
Ukwelashwa kwe-Perichondritis
Ukwelashwa kwe-perichondritis yakho kuzosekelwa ekuhloleni kwakho ngokomzimba. Uma udokotela wakho esolisa i-abscess, ukucubungula okuncane kuyokwenziwa ukuze kukhishwe i-pus. Udokotela wakho uzobe esepake indawo eyayidonswe nge-antibiotic egayiwe i-gauze, noma i-ribbon. Uma ukupakisha kusetshenzisiwe, udokotela wakho uzosetha ukuqokwa kokulandela ukubeka i-sutures embalwa ukuvala isilonda. Uma kungekho ukupakisha esetshenziswayo, udokotela wakho uzobeka i-sutures ngokushesha ngemuva kokukhipha i-pus.
Kungakhathaliseki ukuthi ubukhona be-pus, udokotela wakho uzokunikeza ama-antibiotics. I-Levaquin (levofloxacin) i-antibiotic evamile ye-fluoroquinolone ukuphatha i-perichondritis. Kodwa-ke ungase ubeke umuthi wesibili wokulwa nemithi efana ne-tobramycin ukuze uthole ukunwetshwa okunwetshiwe nokwelashwa okunomlutha uma kuvunyelwe.
Ngokuya ngobukhulu besifo, ama-antibiotic anqunyelwe ukuba athathwe ngomlomo noma anikezwe ngaphakathi.
I-autoimmune perichondritis iphathwa ngokusebenzisa imithi ye-steroid efana ne-prednisone ukucindezela impendulo yomzimba nokuyiyeka ekuhlaseleni i-cartilage endlebeni (nezinye izingxenye zomzimba). Ngemuva kokuqala ukwelashwa, udokotela wakho uzophinde akubhekise ku-rheumatologist ukuze ulandelwe ngokuqhubekayo ngokuphathelene nesifo sakho esizimele.
Uma i-perichondritis ingathà sina ngokwanele ukuthi uye wakhula indlebe ye-cauliflower, ukuhlinzwa kwepulasitiki kungaba yindlela ongakhetha ngayo. Ukuhlinzwa kwepulasitiki kuvame ukuqhutshwa emtholampilo owodwa wokuhlinzwa, futhi kungase kungabikho njalo umshwalense wakho.
Kungcono ukuba nanoma yikuphi ukuhlinzwa kweplastiki ngaphambi kokugunyazwa ngaphambi kokuhlinzwa. Ngemuva kokukhipha izingxenye zendlebe, i-plastic surgeon ingakwazi ukuvuselela ingxenye esusiwe ukuze ibuyise izimpande zakho endle
Ukuvimbela i-Perichondritis
Ngezinye izikhathi i-perichondritis ayikwazi ukuvinjelwa, njengokuthi ukulimala kwengozi. Noma kunjalo, ukubhoboza i-cartilage endlebeni yakho, okuvame ukubhoboza engxenyeni engenhla endlebeni yakho, kukubeka engozini enkulu kakhulu yokuthuthukisa i-perichondritis. Ungakwazi futhi ukwandisa ingozi yakho yokuthuthukisa i-perichondritis ngokuba nokubhoboza okuningi ngokuseduze kwendlebe yakho engenhla. Ngokugcina ukubhoboza indlebe yakho endlebeni yakho, unganciphisa kakhulu ingozi yokuba nezinkinga ezihlobene nokubhoboza indlebe yakho. Ukubikezelwa kwe-perichondritis kuhle uma uphathwe ngokushesha; ukutakula ngokugcwele kulindeleke.
> Imithombo:
> Brant, JA & Ruckenstein, MJ. (2015). I-Cummings i-Otolaryngology: Izifo zendlebe yangaphandle. 6th ed. 137, 2115-2122.e2
> Ukuxilongwa nokuphathwa kwamanye amazwe angaphandle. Yengeza iwebhusayithi. Ibuyekezwe ngoJanuwari 13, 2017. Ithole ngoJulayi 24, 2017.
> Medline Plus Medical Encyclopedia. I-Perichondritis. https://medlineplus.gov/ency/article/001253.htm. Kufinyelelwe kuJulayi 24, 2017.
> I-Perichondritis. I-Merck Manual website. http://www.merckmanuals.com/home/ear--nose--and-throat-disorders/outer-ear-disorders/perichondritis. Kufinyelelwe kuJulayi 24, 2017.
> Ukubuyisela kabusha i-Polychondritis. Iwebhusayithi yeMedscape. http://emedicine.medscape.com/article/331475- ukubukwa kokubukwa. Kubuyekezwe ngomhla ka-21 Juni, 2016. Kufinyelelwe ngoJulayi 24, 2017.