Izinkinga Zendlebe Yokuguquka
I-malignant otitis externa (MEO) iyinkinga engavamile yendlebe yokudoba (i-otitis externa). Kuyenzeka uma ukutheleleka kwezindlebe zangaphandle kwanda kumathisamu aseduze nasetheni. Naphezu kwegama, igama elithi "elibi" alisho ukuthi unomdlavuza. Igama elithi "elibi" lisetshenziswe ekuqaleni ngudokotela owatholile i-MEO ngenxa yesimo esibi saleso sifo futhi kuqhubekela phambili ngokushesha.
Ngokufika kwama-antibiotics, imiphumela ingcono kakhulu futhi igama lidukisa kancane ngokubhekisisa kwesifo. Lesi simo nazo ezinye izinto ezibhekwa njenge-necrotizing (engalungile) i-otitis yangaphandle.
Uhlobo oluvame kakhulu lwebhaktheriya elibhekene ne-horticant otitis externa elibi kakhulu i- pseudomonas aeruginosa .
Izingozi Ze-MEO
I-otitis externa emangalisa yenzeke lapho indlebe yokudoba isakazeka ngaphesheya komgudu wezindlebe futhi ibangele ukutheleleka kwamathambo noma amathambo ekhanda, kuhlanganise nethambo lesikhashana. Izici eziningana zingabangela ukuthi lokhu kwenzeke kubandakanya:
- indlebe yokudoba engaphenduliwe
- amabhaktheriya anomelana nawo
- isisulu somzimba sokuzivikela esivela kumakhemikhali, isifo sikashukela, noma ezinye izimo
Ezinye izici eziyingozi zokuthola i-otitis externa ezimbi zihlanganisa:
- ehlala esimweni esishisayo somswakama
- asebekhulile
- owesilisa
- isifo sikashukela
- ngokuvamile iqala njengenye uhlobo lokudabuka (ukulimala) emgodini wezindlebe wangaphandle
Uma ukutheleleka kusakaze ngaphesheya kwendlebe yomzimba wangaphandle kudala ukutheleleka kwethambo esisekelweni se-skull, ikakhulukazi ithambo lesimanje.
Ukuqhubeka okuqhubekayo kungabangela ukulimala kwezinzwa ze-cranial kanye nesifo sobuso bokukhubazeka.
Izimpawu ze-MEO
Izimpawu ze-malignant otitis externa zizohluka phakathi kwabantu ngokwezimo nokuqhubekela phambili kokutheleleka. Izimpawu zingafaka:
- ubuhlungu obunzima bezindlebe obuye bubi kakhulu ebusuku
- ubuhlungu uma indawo ethinta indlebe yakho ithinteka
- umcengezi wezindlebe ongase uqukethe i-pus, ophuzi noma ohlaza okombala, noma iphunga elibi
- ukulahlekelwa ukuzwa
- umuzwa wokugcwala endlebeni
- izindlebe ezimbi
- umkhuhlane (ongavamile)
- ubunzima bokugwinya
- ubuthakathaka ebusweni
- ukulahleka kwezwi
- ikhanda
Ukuxilongwa kwe-MEO
I-malignant otitis externa ihlonishwa kakhulu ngudokotela ogxile ekuphazamiseni indlebe, impumu nomphimbo okuthiwa i- otolaryngologist , nakuba kungatholakala ukuthi odokotela kwezinye izici. Udokotela wakho uzocabangela umlando wakho wezempilo kubandakanya noma yiziphi izinto eziyingozi ongase ube nazo kanye nezimpawu zakho. Udokotela wakho uzama ukuhlola indlebe yakho nge- otoscope , noma lokhu kungase kube buhlungu kuye ngokuthi ububanzi be-infection buhamba kanjani. Bazobuye bahlolele ikhanda lakho ukuze uthole ithenda. Ukuhlolwa okuningi kungasetshenziswa ukuqinisekisa ukuxilongwa kwe-hormant otitis externa, udokotela wakho angalawula ezinye zezivivinyo ezilandelayo ngokuya kokuthandayo kanye nezimo zakho ngabanye.
- Ukuhlolwa kwegazi kuhlanganisa isilinganiso se-erythrocyte sedimentation (ESR), ukubalwa kwamaseli amhlophe nebomvu wegazi, ama-glucose nama-creatine amazinga
- isiko samanzi endlebe
- ukucabanga nge-radiographic ukuze ubheke ukutheleleka kwe-osteomyelitis bone) usebenzisa i-CT scan
- i-biopsy yezincubu emgodini wezindlebe wangaphandle
Ukwelashwa kwe-MEO
Inkambo ende (izinyanga) zama-antibiotic ngokuvamile kubalulekile ngoba izifo zethambo zinkimbinkimbi kakhulu.
Udokotela wakho kufanele alinde kuze kube yilapho isiko samanzi esindlebe singaqinisekisa uhlobo lwebhaktheriya obangela ukutheleleka kwakho. Izitshalo zizokwazisa nodokotela wakho ukuthi yiziphi izidakamizwa ezokuphatha kahle ukutheleleka kwakho.
Kuzodingeka uhlolwe ngalesi sikhathi futhi uqhubeke nemithi elwa namagciwane kuze kufike izinqubo zokucabanga ezingabonakali ukuvuvukala. Ezimweni ezinzima ukuhlinzwa kungadingeka ukuba ususe ithambo elonakalisiwe.
Ezinye izinto okufanele wazi:
- I-hyperbaric therapy ye-oxygen ngezinye izikhathi isetshenziselwa ngokuhlanganyela nokwelashwa kwama-antibiotic ukuze kube lula ukuphulukiswa kwezicubu ezilinakele.
- Uma unesifo sikashukela, kuzodingeka ugcine ukulawulwa okuqinile kweshukela lakho legazi kusukela amazinga ashukela ephakeme egazini asiza ukukhula kwama-bacterium.
Ingabe i-MEO ingavinjelwa?
Amathiphu alandelayo angasiza ekuvimbeleni i-MEO:
- Uma unezibonakaliso zendlebe yokudoba iye yaphathwa ngokufanele ngokushesha ngangokunokwenzeka.
- Gwema ukuhlanza izindlebe zakho nge-cotton swabs noma ubambe noma yiziphi izinto endlebeni yakho engabangela ukulimala.
Imithombo:
> American Family Physician. I-Necrotizing (Malignant) i-Otitis yangaphandle. Kufinyelelwe: Januwari 31, 2017 kusuka ku-http: //www.aafp.org/afp/2003/0715/p309.html#sec-1
I-Medline Plus. I-malignant otitis externa. Kufinyelelwe: Januwari 31, 2017 kusuka ku-http: //www.nlm.nih.gov/medlineplus/ency/article/000672.htm
I-Medscape. I-Malignant Otitis Externa. Kufinyelelwe: Januwari 29, 2014 kusuka ku-http://emedicine.medscape.com/article/845525- ukubukwa kokubukwa