Yintoni icholesteatoma, iimpawu kunye nendlela yokunyanga

Umxholo

• Ziintoni iimpawu
• Izizathu ezinokubangela
• Unyango lwenziwa njani

I-cholesteatoma ihambelana nokukhula okungaqhelekanga kwesikhumba ngaphakathi komsele wendlebe, ngasemva kwe-eardrum, enokuchongwa ngokukhupha ivumba elinamandla kwindlebe, i-tinnitus kunye nokunciphisa amandla okuva, umzekelo. Ngonobangela, icholesteatoma inokuhlelwa ibe:

• Ifunyenwe, ezinokuthi zenzeke ngenxa yokugqobhoza okanye ukufakwa kwilungu le-eardrum okanye ngenxa yokuphindaphindeka okanye ukungaphathwa kakuhle kosuleleko lwendlebe;
• Ukuzalwa, apho umntu azalwe enolusu olugqithisileyo kumngxuma wendlebe, nangona kunjalo isizathu sokuba oku kwenzekile asaziwa.

I-cholesteatoma ibonakala njenge-cyst, kodwa ayisiwo umhlaza. Nangona kunjalo, ukuba ikhula kakhulu kunganyanzeleka ukuba ubhenele kuqhaqho ukuze ulususe, ukunqanda umonakalo omkhulu ngakumbi, njengokutshatyalaliswa kwamathambo endlebe ephakathi, utshintsho kwindlebe, ukulinganisela kunye nokusebenza kwezihlunu zobuso.

Ziintoni iimpawu

Ngokwesiqhelo iimpawu ezinxulunyaniswa nobukho be cholesteatoma zithambile, ngaphandle kokuba ikhula ngokugqithileyo kwaye iqala ukudala iingxaki ezinkulu kwindlebe, iimpawu eziphambili ziyaqwalaselwa:

• Ukukhutshwa kwemfihlo kwindlebe enephunga elinamandla;
• Ukuziva uxinzelelo endlebeni;
• Ukuphazamiseka kunye nentlungu yendlebe;
• Ukuhla kwamandla okuva;
• Buzz;
• Vertigo.

Kwiimeko ezinzima kakhulu, kusenokubakho ukugqobhoza kwe-eardrum, ukonakala kwamathambo endlebe kunye nengqondo, ukonakala kwimithambo-luvo yobuchopho, i-meningitis kunye nokwakheka kwamathumba kwingqondo, okunokubeka ubomi bomntu emngciphekweni. Ngenxa yoko, nje ukuba naziphi na iimpawu ezinxulumene necholesteatoma ziqatshelwe, kubalulekile ukuba ubonane ne-otorhinolaryngologist okanye ugqirha jikelele ukunqanda ukukhula kwecholesteatoma.

Ukongeza kwiimpawu esele zikhankanyiwe, oku kukhula okungaqhelekanga kweeseli ngaphakathi kwendlebe kudala imeko efanelekileyo yokuphuhliswa kwebhakteria kunye nefungi, enokubangela usulelo endlebeni, kunye nokudumba nokukhululwa kwemfihlo nako kuyavela. Jonga ezinye izizathu zokukhutshwa kwendlebe.

Izizathu ezinokubangela

I-cholesteatoma ihlala ibangelwa kukosuleleka kwendlebe okuphindaphindiweyo okanye utshintsho ekusebenzeni kwetyhubhu yokuphicotha, elijelo elidibanisa indlebe esembindini kwi-pharynx kwaye inceda ukugcina ulungelelwaniso loxinzelelo lomoya phakathi kwamacala amabini endlebe. Olu tshintsho kumbhobho wokuva lunokubangelwa kukosuleleka kwindlebe okungapheliyo, usulelo lwe-sinus, ukubanda okanye i-aleji.

Kwiimeko ezinqabileyo, ikholesteatoma inokukhula elusaneni ngexesha lokukhulelwa, emva koko ibizwa ngokuba yi-cholesteatoma yokuzalwa, apho kunokubakho ukukhula kwezicubu kwindlebe esembindini okanye kweminye imimandla yendlebe.

Unyango lwenziwa njani

Unyango lwecholesteatoma lwenziwa ngotyando, apho izicwili ezigqithisileyo zisuswe endlebeni. Ngaphambi kokwenza inkqubo yotyando, ukusetyenziswa kwezibulala-ntsholongwane, ukusebenzisa amathontsi okanye indlebe kunye nokucoca ngononophelo kunokuba yimfuneko ukunyanga usulelo olunokwenzeka kunye nokunciphisa ukudumba.

Utyando lwenziwa phantsi kwe-anesthesia ngokubanzi kwaye ukuba icholesteatoma khange ibangele iingxaki ezinzulu, ukubuyela kwimeko yesiqhelo kuhlala kukhawuleza, kwaye umntu angaya ekhaya kwakamsinya emva koko. Kwiimeko ezinzima kakhulu, kunokuba yimfuneko ukuba uhlale esibhedlele ixesha elide kwaye ubhenele kutyando lokwakha ngokutsha ukulungisa umonakalo obangelwe yicholesteatoma.

Ukongeza, icholesteatoma kufuneka ihlolwe rhoqo, ukuqinisekisa ukuba ukususwa kugqityiwe kwaye ukuba icholesteatoma ayiphindi ikhule.