Cholesteatoma

I-Cholesteatoma luhlobo lwe-cyst yolusu ebekwe kwindlebe ephakathi kunye nethambo le-mastoid kukhakhayi.

I-cholesteatoma inokuba sisiphene sokuzalwa (isibeleko). Ngokuqhelekileyo kwenzeka ngenxa yokusuleleka kwindlebe engapheliyo.

Ityhubhu ye-eustachian inceda ukulinganisa uxinzelelo kwindlebe esembindini. Xa ingasebenzi kakuhle, uxinzelelo olubi lunokwakha kwaye litsale inxenye yeendlebe (inwebu yetympanic) ngaphakathi. Oku kudala ipokotho okanye umjikelo ogcwalisa iiseli zolusu ezindala kunye nezinye izinto zenkunkuma.

Umqala ungosuleleka okanye ube mkhulu. Oku kunokubangela ukonakala kwamathambo endlebe aphakathi okanye ezinye izinto zendlebe. Oku kunokuchaphazela ukuva, ukulinganisela, kunye nokusebenza kwemisipha yobuso.

Iimpawu zibandakanya:

• Ukuba nesiyezi
• Umjelo wamanzi endlebeni, onokuba sisifo esinganyangekiyo
• Ukuva ilahleko kwindlebe enye
• Ukuziva kokugcwala kwendlebe okanye uxinzelelo

Uvavanyo lwendlebe lunokubonisa ipokotho okanye ukuvulwa (ukugqobhoza) kwi-eardrum, ihlala ine-drainage. Idiphozithi yeeseli ezindala zolusu inokubonwa ngemicroscope okanye i-otoscope, nesisixhobo esikhethekileyo sokujonga indlebe. Ngamanye amaxesha iqela lemithambo yegazi linokubonwa kwindlebe.

Olu vavanyo lulandelayo lunokwenziwa ukukhupha ezinye izinto ezibangela isiyezi:

• Ukuskena i-CT
• Electronystagmography

Iicholesteatomas zihlala ziqhubeka ukukhula ukuba azisuswanga. Ugqirha luhlala luphumelela. Nangona kunjalo, unokufuna ukuba indlebe icocwe ngumboneleli wezempilo amaxesha ngamaxesha. Olunye utyando lunokufuneka ukuba icholesteatoma ibuye.

Iingxaki zinokubandakanya:

• Ithumba lobuchopho (kunqabile)
• Ukhukuliseko lomthambo ebusweni (kubangela ukukhubazeka ebusweni)
• Ukudumba kwenwebu yengqondo
• Ukusasazeka kwecyst kwingqondo
• Ukuphulukana nokuva

Fowunela umnikezeli wakho ukuba iintlungu zendlebe, amanzi aphuma endlebeni, okanye ezinye iimpawu zenzeka okanye zisiba mbi, okanye ukuba kukho indlebe.

Unyango olukhawulezileyo nolucokisekileyo losulelo lwendlebe olungapheliyo lunokunceda ukukhusela icholesteatoma.

Usulelo olungapheliyo lwendlebe - cholesteatoma; Imithombo yeendaba ye-otitis engapheliyo-cholesteatoma

• Inwebu yetympanic

I-Kerschner JE, i-Preciado D. Otitis yeendaba. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahl 658.

I-Thompson LDR. Ukudumba kwendlebe. Ku: Fletcher CDM, ed. I-Diagnostic Histopathology yeeThumba. Umhla we-5. IPhiladelphia, PA: Elsevier; 2021: isahluko 30.