I-cholesteatoma: oonobangela, iimpawu kunye noxilongo

Umxholo

• Yintoni ebangela cholesteatoma?
• Cholesteatoma ebantwaneni
• Ziintoni iimpawu zecholesteatoma?
• Zeziphi iingxaki ezinokubangelwa yicholesteatoma?
• Ifunyanwa njani icholesteatoma?
• Njani unyango cholesteatoma?
• Iingcebiso zokuthintela iicholesteatomas
• Umbono wexesha elide kubantu abanecholesteatoma
• Q:
• A:

Ushwankathelo

I-cholesteatoma yinto engaqhelekanga, engakhawuleziyo ukukhula kwesikhumba okunokuthi kuphuhle kwicandelo eliphakathi lendlebe, ngasemva kwendlebe. Isenokuba sisiphene sokuzalwa, kodwa esi siqhelo sibangelwa kukosuleleka kwendlebe okuphakathi okuphindaphindayo.

I-cholesteatoma ihlala ikhula njenge-cyst, okanye ingxowa, ekhupha ulusu oludala. Njengokuba ezi seli zesikhumba zifileyo ziqokelela, ukukhula kungonyuka ngobukhulu kwaye kutshabalalise amathambo athambileyo endlebe ephakathi. Oku kunokuchaphazela ukuva, ukulingana, kunye nokusebenza kwezihlunu zobuso.

Yintoni ebangela cholesteatoma?

Ngaphandle kokosulelwa ngokuphindaphindiweyo, icholesteatoma inokubangelwa yityhubhu ye-eustachian engasebenzi kakuhle, yona ke ityhubhu ekhokelela ngasemva kwempumlo iye embindini wendlebe.

Umbhobho we-eustachian uvumela umoya ukuba ungene kwindlebe kwaye ulinganise uxinzelelo lwendlebe. Isenokungasebenzi ngokufanelekileyo ngenxa yoku kulandelayo:

• usulelo olungapheliyo lwendlebe
• usulelo lwesono
• umkhuhlane
• Ukungabikho komzimba

Ukuba ityhubhu yakho ye-eustachian ayisebenzi ngokuchanekileyo, isithuba esincinci sinokuvela kwindlebe yakho ephakathi. Oku kunokubangela ukuba icandelo le-eardrum yakho litsalwe kwindlebe esembindini, lenze umjikelo onokuthi ujike ube yicholesteatoma. Ukukhula kuya kuba nkulu njengoko kugcwalisa iiseli ezindala zolusu, ulwelo kunye nezinye izinto zenkunkuma.

Cholesteatoma ebantwaneni

Kwiimeko ezinqabileyo kakhulu, umntwana unokuzalwa ene-cholesteatoma. Oku kuthathwa njengesiphene sokuzalwa. I-cholesteatomas ye-Congenital inokubakho kwindlebe esembindini okanye kwezinye iindawo zendlebe.

Kwiimeko apho abantwana bafumana usulelo lwendlebe ngokuphindaphindiweyo ebomini, kunokwenzeka ukuba iicholesteatomas zikhule zisemncinci.

Ziintoni iimpawu zecholesteatoma?

Iimpawu ezinxulunyaniswa necholesteatoma ziqala ukuba mnene. Ziba nzima kakhulu xa i-cyst ikhula ikhulu kwaye iqala ukudala iingxaki ngaphakathi kwendlebe yakho.

Ekuqaleni, indlebe echaphazelekayo inokuphuma kulwelo olunukayo. Njengoko i-cyst ikhula, iya kuqala ukwenza uxinzelelo kwindlebe yakho, enokubangela ukungonwabi. Unokuziva ubuhlungu obuhlungu ngaphakathi okanye emva kwendlebe yakho. Uxinzelelo lwe-cyst ekhulayo inokubangela nokulahleka kwendlebe kwindlebe echaphazelekayo.

Shayela ugqirha wakho ngokukhawuleza ukuba unayo nayiphi na le mpawu. I-Vertigo, ukukhubazeka kwemisipha yobuso, kunye nokulahleka ngokusisigxina kokuva kunokwenzeka ukuba i-cyst iyaqhubeka nokukhula ingakhange ihlolwe.

Zeziphi iingxaki ezinokubangelwa yicholesteatoma?

Xa ishiywe inganyangwa, i-cholesteatoma iya kukhula ibe nkulu kwaye ibangele iingxaki ezisusela kubumnene ziye kubukhali kakhulu.

Iiseli zolusu olufileyo eziqokelelana endlebeni zibonelela ngendawo efanelekileyo yokuba ibacteria kunye nefungus zikhule. Oku kuthetha ukuba i-cyst inokusuleleka, ibangele ukuvuvukala kunye nokuhamba kwendlebe okungapheliyo.

Ixesha elingaphezulu, icholesteatoma inokutshabalalisa ithambo elijikelezileyo. Inokonakalisa i-eardrum, amathambo ngaphakathi kwendlebe, amathambo akufutshane nengqondo, kunye nemithambo yobuso. Ukuphulukana nendlebe ngokusisigxina kunokwenzeka ukuba amathambo ngaphakathi kwendlebe aphukile.

I-cyst inokusasazeka ebusweni ukuba iyaqhubeka nokukhula, ibangele ubuthathaka ebusweni.

Ezinye iingxaki ezinokubakho zibandakanya:

• usulelo olungapheliyo lwendlebe
• ukudumba kwendlebe yangaphakathi
• ukukhubazeka kwezihlunu zobuso
• i-meningitis, esisifo esosongela ubomi
• amathumba obuchopho, okanye ingqokelela yobofu kwingqondo

Ifunyanwa njani icholesteatoma?

Ukuchonga ukuba unayo i-cholesteatoma, ugqirha wakho uya kuvavanya ngaphakathi kwendlebe yakho usebenzisa i-otoscope. Esi sixhobo sonyango sivumela ugqirha wakho ukuba abone ukuba ngaba kukho imiqondiso yecyst ekhulayo. Ngokukodwa, baya kujonga idiphozithi ebonakalayo yeeseli zolusu okanye ubunzima obukhulu bemithambo yegazi endlebeni.

Ugqirha wakho unokufuna uku-odola i-CT scan ukuba akukho zimpawu zibonakalayo zecholesteatoma. Iskena se-CT sinokuyalelwa ukuba ubonakalisa iimpawu ezithile, ezinje ngesiyezi kunye nobuthathaka bemisipha yobuso. Uvavanyo lwe-CT luvavanyo lokucinga olungenantlungu oluthatha imifanekiso evela kwicandelo lomzimba wakho. Ukuskena kuvumela ugqirha wakho ukuba abone ngaphakathi kwendlebe yakho kunye nokakayi. Oku kunokubanceda ukuba babone ngcono i-cyst okanye balawule ezinye izizathu ezinokubangela iimpawu zakho.

Njani unyango cholesteatoma?

Ngokubanzi, ekuphela kwendlela yokunyanga i-cholesteatoma kukuba uyisuse ngotyando. Icyst kufuneka isuswe ukuthintela iingxaki ezinokubakho ukuba ikhula inkulu. Iicholesteatomas azihambi ngokwendalo. Bahlala beqhubeka bekhula kwaye babangele ezinye iingxaki.

Nje ukuba kufunyaniswe isifo secholesteatoma, irejimeni yamayeza okubulala iintsholongwane, ukuhla kwendlebe, kunye nokucocwa kwendlebe kuya kubakho ukumiselwa ukunyanga i-cyst eyosulelekileyo, ukunciphisa ukudumba, kunye nokucoca indlebe. Ingcali yakho yezonyango iya kuthi emva koko ikwazi ukuhlalutya ngcono imeko yokukhula kwe-cyst kwaye yenze isicwangciso sokususwa kotyando.

Kwiimeko ezininzi, utyando yinkqubo yezigulana ezingalaliswayo. Oku kuthetha ukuba akukho mfuneko yokuba uhlale esibhedlele emva kwenkqubo. Ukuhlala esibhedlele kuyafuneka kuphela ukuba umjikelo mkhulu kakhulu okanye ukuba unesifo esibi. Olu tyando lwenziwa phantsi kweanesthesia ngokubanzi. Emva koqhaqho lokuqala lokususa i-cyst, utyando olulandelayo ukuze uphinde wakhe naziphi na iinxalenye ezonakalisiweyo zendlebe yangaphakathi kwaye uqiniseke ukuba i-cyst isuswe ngokupheleleyo ihlala ifuneka.

Nje ukuba icholesteatoma isuswe, kuyakufuneka uye kwii-aphoyintimenti zokuvavanya iziphumo kwaye uqinisekise ukuba i-cyst ayibuyanga. Ukuba i-cyst yaphule nawaphi na amathambo endlebeni yakho, uyakufuna utyando lwesibini ukuze uzilungise.

Emva kotyando, abanye abantu bafumana isiyezi okanye ukungcamla okungaqhelekanga. Iziphumo ebezingalindelekanga zihlala zisombulula ngaphakathi kweentsuku ezimbalwa.

Iingcebiso zokuthintela iicholesteatomas

Iicholesteatomas ezizalwe nazo azinakuthintelwa, kodwa abazali kufuneka bayazi le meko ukuze ichongwe ngokukhawuleza kwaye inyangwe xa bekhona.

Unokuthintela iicholesteatomas kamva ebomini ngokunyanga usulelo lwendlebe ngokukhawuleza nangokufanelekileyo. Nangona kunjalo, ii-cysts zisenokwenzeka. Kubalulekile ukunyanga iicholesteatomas ngokukhawuleza ukuthintela iingxaki. Biza ugqirha wakho ngoko nangoko ukuba uyakholelwa ukuba une cholesteatoma.

Umbono wexesha elide kubantu abanecholesteatoma

Umbono wexesha elide wabantu abanecholesteatomas ulungile ngokubanzi. Iingxaki zihlala zinqabile ukuba i-cyst ibanjiwe kwaye isuswe kwangoko. Ukuba i-cholesteatoma sac iye yanda kakhulu okanye inzima ngaphambi kokuba ichongwe, kunokwenzeka ukuba kuya kubakho ukulahleka kwindlebe okusisigxina. Ukungalingani kunye ne-vertigo kunokubangela ukuba icholesteatoma enkulu itye ngeemithambo ezibuthathaka kunye namathambo athambileyo endlebeni.

Nokuba iyenyuka ngobukhulu, i-cyst inokuhlala isuswa ngempumelelo ngotyando.

Q:

Zeziphi ezinye zezinto ezinobungozi becholesteatoma?

Isigulana esingaziwayo

A:

Eyona nto ichaphazela umngcipheko kukuphindaphindeka kosulelo kwindlebe ephakathi. Umjelo ongalunganga ngokusebenzisa ityhubhu ye-eustachian inokubangelwa kukungazinzi komzimba. Imingcipheko yokutheleleka okuphindaphindiweyo kwindlebe ephakathi kubandakanya imbali yosapho yosulelo lwendlebe, iimeko eziza kukubeka kwimeko yokurekhoda isifo sesono kunye neendlebe, kunye nokuvezwa ngumsi wecuba.

UGqirha uMark LaFlammeIimpendulo zimele uluvo lweengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.