Mastoiditis

I-Mastoiditis lusulelo lwethambo lesastoid. Imastoid ibekwe nje emva kwendlebe.

I-Mastoiditis idla ngokubangelwa yintsholongwane yendlebe ephakathi (i-otitis media). Usulelo lunokusasazeka ukusuka endlebeni ukuya kwithambo le-mastoid. Ithambo linobusi obufana nobusi obuzalisa izinto ezisulelekileyo kwaye bunokonakala.

Le meko ixhaphake kakhulu ebantwaneni. Ngaphambi kwee-antibiotics, i-mastoiditis yayiyeyona nto ibangela ukufa kwabantwana. Imeko ayenzeki rhoqo namhlanje. Kukwayingozi kakhulu.

Iimpawu zibandakanya:

• Umjelo wendlebe
• Intlungu yendlebe okanye ukungonwabi
• Umkhuhlane, unokuphakama okanye ukwanda ngokukhawuleza
• Intloko ebuhlungu
• Ukuphulukana nokuva
• Ubomvu bendlebe okanye emva kwendlebe
• Ukudumba emva kwendlebe, kunokubangela indlebe ukuba incamathele ngaphandle okanye ive ngathi izele lulwelo

Uvavanyo lwentloko lunokubonisa iimpawu zesifo seMastoiditis. Olu vavanyo lulandelayo lunokubonisa ukungaqheleki kwethambo le-mastoid:

• Ukuvavanywa kweendlebe nge-CT
• Ukuskena iNtloko ye-CT

Inkcubeko yokuhambisa amanzi endlebeni inokubonisa iibhaktheriya.

I-Mastoiditis kunokuba nzima ukuyinyanga kuba iyeza alinakufikelela nzulu kwithambo. Le meko ngamanye amaxesha ifuna unyango oluphindaphindiweyo okanye lwexesha elide. Usulelo lunyangwa ngenaliti ye-antibiotiki, ilandelwe zii-antibiotics ezithathwe ngomlomo.

Utyando lokususa inxenye yethambo kunye nokukhupha i-mastoid (mastoidectomy) kunokufuneka ukuba unyango lwe-antibiotiki lungasebenzi. Utyando lokukhupha indlebe ephakathi nge-eardrum (myringotomy) inokufuneka ukunyanga usulelo lwendlebe oluphakathi.

Isifo seMastoiditis siyanyangeka. Nangona kunjalo, kunokuba nzima ukunyanga kwaye kunokubuya.

Iingxaki zinokubandakanya:

• Ukutshatyalaliswa kwethambo le-mastoid
• Isiyezi okanye i-vertigo
• Ithumba le-Epidural
• Ukukhubazeka ebusweni
• Ukudumba kwenwebu yengqondo
• Ukuphulukana nendlebe okanye ukulahleka ngokupheleleyo
• Ukusasazeka kosulelo kwingqondo okanye kuwo wonke umzimba

Fowunela umboneleli wakho wezempilo ukuba uneempawu zesifo seMastoiditis.

Biza kwakhona ukuba:

• Unosulelo lwendlebe olungaphenduliyo kunyango okanye olulandelwa ziimpawu ezintsha.
• Iimpawu zakho aziphenduli kunyango.
• Uyaqaphela nayiphi na i-asymmetry yobuso.

Unyango olukhawulezileyo nolucokisekileyo losulelo lweendlebe kunciphisa umngcipheko we-mastoiditis.

• Imastoiditis - icala elibonayo lentloko
• I-Mastoiditis - ubomvu kunye nokudumba emva kwendlebe
• Mastoidectomy - uthotho

IPelton SI. I-Otitis externa, i-otitis media, kunye ne-mastoiditis. 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 61.

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.