Cholesteatoma wendlebe: Oonobangela, iimpawu, uxilongo, unyango, iziphumo

Enye imbangela ukuva ilahleko na cholesteatoma ngesiquphe. Le ukwakheka entsha, equka amasuntswana of epithelium akasukanga. Ukukhulisa, oko iibhloko phakathi indlebe kwisisu, ebangela iimpawu ezingemnandi. Xa intlungu buthuntu yaye abantu becinezelwa indlebe, isiyezi, kwaye ukubhobhoza elibi kuyimfuneko ukuba adibane otolaryngologist. Ngubani na kwaye yintoni uphatha wonke umntu owaziyo. Kwinqaku namhlanje, sihlolisise iimpawu zenkqubo zophendlo lwezifo utshilo.

Kakuhle eli sifo

Cholesteatoma ndingenguye kudidi somhlaza. Kuye kuchazwe kuqala kwinkulungwane XIX; kodwa igama mihla lona kutshanje. Kuphela emva kokuba uphando oluneenkcukacha ukwakhiwa nethumba, apho kukho eninzi cholesterol, abaphengululi yaziswa yezonyango ngekota efanelekileyo. Emva kwexesha elithile, ndiye ndakwazi ukuchonga unobangela sifo, khetha unyango olusebenzayo.

indlebe Cholesteatoma - ithumba compound omhlophe, abhijelwe capsule. It ukhandwa emva komnye phezu komnye, kunokudala iiseli abafileyo ulusu. Ubungakanani eziqalela milimitha ezimbalwa ukuya 7.5 cm. Awona macandelo aphambili zezi iikhompawundi protein, zenziwe ngekeratini, lipids kunye cholesterol. Neoplasm matrix camera - esingxotyeni yethishyu nokuqina enamathela ithambo, yaye ngamanye amaxesha sikhula kuyo. Ngethuba lale nkqubo, ancedisana ezingqongileyo zibhuqiwe.

Ubangelwa sifo kunye Pathogenesis layo

Ukwahlula iintlobo ezimbini indlebe cholesteatoma:

1. Naso okanye yinyaniso. Inkangeleko esi sifo sibangelwa kuphuhliso othile osandul yosana olungekazalwa. Amathuba livela kwandisa umfazi ukuba ithatha ngexesha lokukhulelwa iziyobisi ototoxic, baba zizisulu kuphindwa X-reyi. Neoplasm lidla yenzelwe ubume ithambo zezomzuzwana, ubuncinane - engontsini, yaba lukakayi, kwaye enye ventricles ezine ebuchotsheni.
2. Ezifuniweyo. Isifo unesifo nasebudaleni. Ukuba negalelo ezintweni zalo zophuhliso izifo ezingapheliyo yokukrala indlebe (otitis evstahiit), ukwenzakala esibuhlungu.

amayeza Modern idibanisa nasisihlo ufumene ifomu ngezifo nomnye ngeendlela ezimbini.

Kwimeko yokuqala, i-Pathogenesis ibandakanya ukophulwa patency tube eziviwayo phakathi evstahiita. Ingcinezelo kuncipha em- tympanic, yaye inxalenye inwebu ebegqwese shi kuyo. Apha, i ziikristale aqale ukuqokelela cholesterol, exfoliated iiseli epithelial kunye ngekeratini. Ngaloo kwakhiwa cholesteatoma efumaneke ngayo endlebeni.

Kwimeko yokugqibela ukusilela ngomatshini okanye engapheliyo kukhokelela otitis yeyokuchitha le indlebe. Phakathi lomsele engaphandle izandi phakathi indlebe umngxuma kwakheka. Ngenxa kwenzeka ukuntshula epithelium carcinomas kungena kwisisu tympanic. Le philisi yethishyu nokuqina ithintela izinto zasemzini, bakha cholesteatoma.

picture clinical

Kwiimeko ezininzi cholesteatoma wendlebe ophakathi ayithethi iimpawu ezithile. Loo imeko ayenzeki kwaphela. Ezinye izigulane ukuya kwagqirha kunye nezikhalazo zilandelayo:

• intlungu indlebe, luphawulwa ugcwele ngesimilo;
• kabi etempileni okanye ebunzi;
• ukungase-;
• phambi netuwa ukusuka indlebe kunye ubumdaka ubomvu elibi;
• isicaphucaphu kunye Uyagula.

Ngokobukhulu encinane ithumba akakwazi abangaboniyo babone. A kumiswa enkulu Kubonakala ngathi kunjalo curdy emhlophe ewayo ngokusebenzisa yangaphandle eziviwayo meatus.

Kwimeko izifo zasesekondari ziibhakteriya picture lwezonyango yi zincediswe iimpawu kunxilwe. Izigulane ezikhala a abaqala ngesiquphe ifiva, ukudinwa, ubuthathaka kunye nelahleko namdla. Kummandla uchaphazelekayo womGaqo indlebe inokuba buhlungu throbbing.

iingxaki bha

Ukuba ngoyaba iimpawu kunye nonyango ukulibaziseka, oko kunokukhokelela iingxaki. Phakathi kwabo zibonakaliswa kakhulu zixhaphakileyo:

1. Fistula mibono, sikhatshwe ilahleko ngokupheleleyo kwetyala.
2. Paresis ye-luvo yobuso.
3. sinus thrombosis Sigmoid.
4. meningitis Aseptic.
5. Meningoencephalitis.
6. Isiqaqa.
7. Ukudumba yengqondo.

Malimoyike yobubi thumba angafanele ngayo. Cholesteatoma indlebe iiseli azikho ithumba. Abakwazi angalahluli ebuza isasazeka umzimba hematogenous.

Ingozi yenkqubo zophendlo lwezifo kuba isondele ebuchotsheni kunye luvo. Secreted yi ithumba secretion yenza kubume sesichengeni. Ngoko ke, i-meningitis, nokudumba ebuchotsheni kunye nezinye izifo ukuphuhlisa ngokukhawuleza, ekhatshwa iimpawu kubi. Xa ukungabikho komgangatho unyango linokugqiba.

iindlela isifo

Ukuba urhanela cholesteatoma kufuneka ngokukhawuleza idilesi kunokwenzeka ukuba otolaryngologist. Ngubani na kwaye yintoni apholise ugqirha, nokuba abantwana bayazi. Ukuba uye ukuphathwa igqirha yesithili, naye uya kunikela ulwalathiso oyingcaphephe kwenziwe uxilongo eneenkcukacha.

Iqala kunye zangaphandle meatus eziviwayo yi otoscope iimviwo. Nale divayisi kuyenzeka ukubona nangokurhala, ukubona ubukho kwingxelo zophendlo lwezifo kunye notshintsho isakhiwo indlebe. Ngoko ke isigulane eyabelwe ray. Imifanekiso libonwa ithumba ngokucacileyo, ukuba ngoku. An ugqirha onamava kubhekwe ubungakanani kunye nendawo ngqo. Noko ke, umfanekiso eneenkcukacha inika Itomography computer.

Phakathi kwezinye iindlela nokuhlola;

• audiometry ukukhangela ubuzaza wokuxoxwa yesigulana;
• ukuhlolwa ngomsindo yokuzala esebenzisa ifolokhwe iswitch;
• vestibulometriya - uhlahlelo imisebenzi apparatus vestibular.

Le nkqubo ngoku kuqhutywa nokuba iziko Nezomqala clinical. Ugqirha engqina okanye okhanyelayo uxilongo lokuqala, unika iingcebiso ukwenzela ukuphelisa esi sifo esekelwe kwiziphumo ezifunyenweyo zeemviwo ezintsonkothileyo. Namhlanje, unyango yamathumba kungenzeka ngeendlela ezimbini: emithethweni futhi yotyando. Phezu kwabo kuya kuxoxwa ngazo nzulu ngakumbi ngezantsi.

unyango elondoloza

Kumanqanaba okuqala esi sifo lupheliswe ngeendlela angqingqwa. Ngokuqhelekileyo asebenzise isithuba ekuhlanjweni nadbarabannogo nesisombululo boric acid okanye enzyme proteolytic. Zazo kufuneka phindwa imihla iveki enye.

Ukuba inkqubo eqhelekileyo akuthethi ukuphucula imeko yesigulane, kuyimfuneko ukuba kusetyenziswe tube eyodwa esiswini kunye begoba ekupheleni. Ngexesha inkqubo, ugqirha ifaka ebudeni umngxuma indlebe. Nokuphathwa ngexesha ubomvu indlebe iyakuvingca kwaye ancedisana ezonakeleyo kutsha ngokukhawuleza.

ukungenelela kuhlinzwa

Xa iindlela angqingqwa basilele ukuphelisa ngezifo, sicebisa kokususa le cholesteatoma. Phakathi kwezinye izinto ezibonisa ukuba uqhaqho olungxamisekileyo ziquka:

• iingxaki intracranial;
• osteomyelitis;
• paresis ye-luvo yobuso;
• labyrinthitis;
• amane kunokutshiseka polyp.

Le ngasentla kuphela kwiimeko zixhaphakileyo apho kufuneka kokususa le cholesteatoma wendlebe. Olu tyando lusoloko wabelwa qho ngamnye kuthathelwa ingqalelo umfanekiso lwezonyango kunye nempilo jikelele yesigulana.

Inkqubo ngokwawo iqulathe izigaba ezininzi. Okokuqala, ugqirha lususa ukuyilwa ithumba. Ukuze ukuphelisa nokunikezelwa inkqubo usuleleko, siqulethe zococeko kwisisu okuhlamba. Kwezinye iimeko, indlebe zeplastiki eyabelwe ezongezelelweyo ukubuyisela ingqibelelo yayo.

IXesha ekuPhulukenwe nalo emva kokuba ukususwa indlebe cholesteatoma

Imiphumela ukusebenza isicaphucaphu okanye nesiyezi unakho kuhamba isigulana iintsuku 7-10. Ngokuthe ngcembe, ezi mpawu iphela, ngokuqhelekileyo ayifuneki uncedo lwezempilo. Phambi kokuba ushiye ugqirha kufuneka asuse yaseZimbabwe ukusuka enxebeni kukubopha. Kuyanconywa ukuba itshintshwe kwiintsuku ezimbalwa de bachache ngokupheleleyo. Ukukhawulezisa zokunyanga amanxeba amaxesha amisiweyo iinkqubo physiotherapeutic.

Emva kweeveki 4 post-obhobhozayo yoviwo alandele-up kuyimfuneko ukuba sidlule. Kudla ugqirha sijonga indlebe yesigulane. Ukuba ufuna umsebenzi yesibini, oko kwenziwa kuphela emva kweenyanga ezi-6 emva kokuba kuqala. Kungenjalo kuba nako ukuthintela iingxaki.

iindlela zokunqanda

Cholesteatoma ayenziwanga zihlelwa izifo zomhlaza. Kodwa ke oku akuthethi ukuba iimpawu zokuqala ngoyaba oko, musa ukufuna ukhathalelo lwezempilo. lempatho kusoloko ukuphepha iingxaki. Ngaba kunokwenzeka ukuba ukuthintela inkangeleko yale zokugula?

Uthintelo kwesi sifo kwindawo yokuqala kubonisa unyango kwangethuba iinkqubo ukudumba echaphazela ngeendlebe. Oku kubaluleke kakhulu ingakumbi kwabasetyhini abakhulelweyo kunye nabantwana. Cholesteatoma wendlebe womntwana - isenzeko yinto eqhelekileyo. Ngelishwa, oku kudla kukhatshwa kuphuhliso kobuchopho zasekuhlaleni kunye hydrocephalus.

Kwakhona, nokuthintela izifo kubandakanya ekomelezeni inkqubo yomzimba yokuzikhusela. Ukulungiselela le njongo, kufuneka kudla rhoqo izakhiwo vitamin, nidle okulungileyo nokugcina indlela yokuphila esempilweni. Musa ukulibala ngeenkqubo lukhuni kunye umthambo elawulekayo.