Ngaphandle kwesifo esibuhlungu

I-malignant otitis externa sisifo esichaphazela usulelo kunye nokonakala kwamathambo omsele wendlebe nakwisiseko sokhakhayi.

I-malignant otitis externa ibangelwa kukusasazeka kosulelo lwangaphandle lwendlebe (i-otitis externa), ekwabizwa ngokuba yindlebe yokuqubha. Akuqhelekanga.

Iingozi zale meko zibandakanya:

• Unyango ngamayeza
• Seswekile
• Amandla omzimba abuthathaka

I-otitis yangaphandle ihlala ibangelwa ziibhaktheriya ekunzima ukuzinyanga, ezinje nge-pseudomonas. Usulelo lusasazeka ukusuka kumgangatho womsele wendlebe ukuya kwizicubu ezikufutshane kunye nasemathanjeni emazantsi okhakhayi. Usulelo kunye nokudumba kungonakalisa okanye kutshabalalise amathambo. Usulelo lunokuchaphazela i-cranial nerves, ingqondo, okanye amanye amalungu omzimba ukuba iyaqhubeka nokusasazeka.

Iimpawu zibandakanya:

• Umjelo oqhubekayo wendlebe ophuzi okanye oluhlaza kunye nevumba elibi.
• Intlungu yendlebe inzulu ngaphakathi kwendlebe. Ubuhlungu bunokuba mandundu xa uhambisa intloko.
• Ukuphulukana nokuva.
• Ukurhawuzelela indlebe okanye umjelo wendlebe.
• Ifiva.
• Ingxaki yokuginya.
• Ubuthathaka kwiimisipha zobuso.

Umboneleli wakho wezempilo uya kujonga kwindlebe yakho ngeempawu zosulelo lwangaphandle lwendlebe. Intloko ejikeleze nasemva kwendlebe inokuba nokuthamba ukubamba. Inkqubo yeemvakalelo (yemithambo-luvo) inokubonisa ukuba imithambo-luvo ye-cranial iyachaphazeleka.

Ukuba kukho nawuphi na umsele, umboneleli unokuthumela isampulu yawo kwilebhu. Ilebhu iya kwenza inkcubeko isampulu ukuzama ukufumana unobangela wosulelo.

Ukujonga iimpawu zentsholongwane yethambo ecaleni komsele wendlebe, olu vavanyo lulandelayo lunokwenziwa:

• Ukuvavanywa kwentloko kwe-CT
• Ukuvavanywa kwentloko ye-MRI
• Ukuskena iRadionuclide

Injongo yonyango kukunyanga usulelo. Unyango luhlala luhlala iinyanga ezininzi, kuba kunzima ukunyanga ibacteria kunye nokufikelela kusulelo kwithambo leethambo.

Kuya kufuneka uthathe amayeza okubulala iintsholongwane ixesha elide. Amayeza anokunikwa ngomthambo (ngemithambo), okanye ngomlomo. I-Antibiotic kufuneka iqhubeke de kube kuvavanywa okanye ezinye iimvavanyo zibonisa ukuba ukudumba kwehlile.

Izicubu ezifileyo okanye ezosulelekileyo zisenokufuna ukususwa kumngxunya wendlebe. Ngamanye amaxesha, kunokufuneka kwenziwe utyando ukususa izicwili ezifileyo okanye ezonakeleyo.

I-malignant otitis externa ihlala isabela kunyango lwexesha elide, ngakumbi ukuba inyangwa kwangoko. Inokubuyela kwikamva. Iimeko ezinzima zinokubulala.

Iingxaki zinokubandakanya:

• Ukonakaliswa kwemithambo yegazi, ukakayi, okanye ingqondo
• Ukubuya kosulelo, kwanasemva konyango
• Ukusasazeka kosulelo kwingqondo okanye kwamanye amalungu omzimba

Fowunela umnikezeli wakho ukuba:

• Ukhula ube neempawu zesifo esinganyangekiyo se-otitis externa.
• Iimpawu ziyaqhubeka ngaphandle konyango.
• Uba neempawu ezintsha.

Yiya kwigumbi likaxakeka okanye fowunela inombolo yongxamiseko yendawo (enje nge-911) ukuba unayo:

• Ukuxhuzula
• Ukuhla kwengqondo
• Ukudideka okukhulu
• Ubuthathaka bobuso, ukulahleka kwelizwi, okanye ubunzima bokuginya okunxulunyaniswa nentlungu yendlebe okanye amanzi

Ukuthintela usulelo lwangaphandle kwindlebe:

• Yomise kakuhle indlebe emva kokuba imanzi.
• Kuphephe ukuqubha emanzini angcolileyo.
• Khusela umsele wendlebe ngomqhaphu okanye uboya begusha ngelixa ufaka iinwele okanye idayi yeenwele (ukuba unomdla wokufumana usulelo lwangaphandle lwendlebe).
• Emva kokuqubha, beka 1 okanye 2 amathontsi omxube we-50% yotywala kunye ne-50% yeviniga kwindlebe nganye ukunceda ukomisa indlebe nokukhusela usulelo.
• Gcina ulawulo lweglucose olululo ukuba unesifo seswekile.
  

Phatha ngokupheleleyo i-otitis externa. Sukuyeka unyango ngokukhawuleza kunokuba umboneleli wakho ecebisa. Ukulandela isicwangciso somnikezeli wakho kunye nokugqiba unyango kuya kunciphisa umngcipheko we-otitis yangaphandle.

Osteomyelitis yokakayi; I-Otitis yangaphandle - enobungozi; Ukhakhayi olusisiseko se-osteomyelitis; Ukucoca i-otitis yangaphandle

• I-anatomy yendlebe

I-Araos R, D'Agata E. Pseudomonas aeruginosa kunye nezinye iintlobo zepseudomonas. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 219.

I-Pfaff JA, i-Moore GP. I-Otolaryngology. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 62.