I-Perichondritis

I-Perichondritis yintsholongwane yesikhumba kunye nezicubu ezijikeleze i-cartilage yendlebe yangaphandle.

I-Cartilage sisihlunu esityebileyo esidala ukumila kwempumlo kunye nendlebe engaphandle. Yonke i-cartilage inomaleko omncinci weethambo ejikeleze kuyo ebizwa ngokuba yi-perichondrium. Esi sigqubuthelo sinceda ukubonelela ngezondlo kwi-cartilage.

Uhlobo oluqhelekileyo lweebhaktheriya ezibangela usulelo lwe-perichondritis Pseudomonas aeruginosa.

I-Perichondritis ihlala ibangelwa kukwenzakala endlebeni ngenxa:

• Utyando lwendlebe
• Ukubhoboza indlebe (ngakumbi ukubhoboza intlala)
• Nxibelelana nemidlalo
• Umothuko ecaleni kwentloko
  

Ukubhoboza indlebe ngokusebenzisa intlala kusenokwenzeka ukuba yeyona nto iphambili emngciphekweni namhlanje. Utyando, ukutsha, kunye nokwenza i-acupuncture kukonyusa umngcipheko wosulelo.

I-Perichondritis inokukhokelela kwi-chondritis, eyosulelo lwe-cartilage uqobo. Oku kunokubangela umonakalo omkhulu kwisakhiwo sendlebe.

Indlebe ebuhlungu, edumbileyo, ebomvu luphawu oluqhelekileyo. Ekuqaleni, usulelo luya kujongeka ngathi lusulelo lolusu, kodwa luyakhawuleza ukuba mandundu kwaye lubandakanya i-perichondrium.

Ubomvu buhlala bujikeleza indawo yokulimala, njengokunqunyulwa okanye ukutshitshiswa. Kunokubakho nefiva. Kwiimeko ezinzima kakhulu, ulwelo luya kuphuma kwilonda.

Ukuxilongwa kusekelwe kwimbali yonyango kunye nokuhlolwa kwendlebe. Ukuba kukho imbali yokwenzakala endlebeni kwaye indlebe ibomvu kwaye ithambile, i-perichondritis ifunyaniswa. Kunokubakho utshintsho kwimilo eqhelekileyo yendlebe. Indlebe inokubonakala ngathi idumbile.

Unyango luqukethe ii-antibiotics, nokuba kungomlomo okanye ngokuthe ngqo kwigazi ngokusebenzisa umgca we-intravenous (IV). Amayeza okubulala iintsholongwane anokunikwa kangangeentsuku ezili-10 ukuya kwiiveki ezininzi. Ukuba kukho ingqokelela ebanjiweyo yobofu, unokufuna utyando. Utyando lwenziwe ukukhupha le fluid kunye nokususa naluphina ulusu olufileyo kunye nentlala.

Ukusebenza kakuhle komntu kuxhomekeke ekubeni usulelo lufunyenwe kwaye lunyangwe njani ngokukhawuleza. Ukuba amayeza okubulala iintsholongwane athatyathwa kwangethuba, kulindeleke ukuba uchache ngokupheleleyo. Ukuba usulelo lubandakanya intlala yendlebe, unyango olubandakanyekayo luyafuneka.

Ukuba usulelo lusasazeka kwindlala yendlebe, inxenye yendlebe inokufa kwaye kufuneka isuswe ngotyando. Ukuba oku kuyenzeka, utyando lweplastiki lunokufuneka ukubuyisela indlebe kwimeko yayo yesiqhelo.

Ukuba unayo nayiphi na ingozi endlebeni yakho (ukukrwela, ukuvuthela, okanye ukubhoboza) kwaye emva koko uhlakulele iintlungu kunye nobomvu kwinxalenye eqinileyo yendlebe yangaphandle, nxibelelana nomboneleli wakho wezempilo. Kuya kufuneka ukuba uthathe amayeza okubulala iintsholongwane.

Kuphephe ukugqobhoza indlebe yakho ngokusebenzisa intlala. Ukugqobhoza i-ear lobe lukhetho olungcono. Ukuthandwa kwe-cartilage ukubhoboza kukhokelele kukonyuka okubonakalayo kwinani lesifo se-perichondritis kunye ne-chondritis.

UBrant JA, uRuckenstein MJ. Usulelo lwendlebe yangaphandle. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. Ukutsha kweOtolaryngology. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 137.

IHaddad J, Keesecker S. I-otitis yangaphandle (i-otitis externa). Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla we-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 639.