So wo moma so ahonhon na ɛte sɛ akuru a ɛyɛ nwonwa? Eyi betumi ayɛ Pott Puffy Tumor!

Ɛtɔ da bi a, wobɛte nka sɛ wowɔ akuru ketewaa bi wɔ wo moma so a ɛte sɛ akisikuru. Ebia wo tiyɛ ne atiridii nso. Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wuhu biribi a ɛte sɛɛ no. Nanso ɛnsɛ sɛ ɛyɛ kokoram kɛse bere nyinaa. Ɛnnɛ yɛbɛka tebea bi a ɛda saa nsɛnkyerɛnne yi adi ho asɛm, nanso ɛsɛ sɛ wohwɛ yiye kakra. Wɔfrɛ ɛno Pott Akisikuru a Ɛyɛ Puffy . Ɛwom sɛ edin no ka sɛ "tumor" de, nanso eyi nyɛ kokoram ankasa. Enti ma yɛnhwɛ nea ɛyɛ.

Dɛn ne eyi (Pott Puffy Tumor)?

Sɛ yɛbɛka no tiawa a, Pott’s Puffy Tumor yɛ ɔyare mmoawa a ɛba wo moma so anim dompe mu . Eyi ma akisikuru boaboa ano wɔ w’ani ntam, na ɛyɛ akisikuru . Saa tebea yi taa ba sɛ ɔhaw a efi sinusitis mu ba . Sɛ wotaa nya sinus haw a, ɛsɛ sɛ wohwɛ yiye titiriw wɔ eyi ho. Ebetumi aba nso sɛ wobɔ wo ti denneennen, a ɛyɛ ti a woapira .

Obi a ɔwɔ Pott’s Puffy Tumor betumi anya ne moma so ahonhon anaasɛ akisikuru a ɛda adi. Nanso sɛnea madi kan aka no, eyi yɛ "akisikuru" sɛnea edin no kyerɛ no, ɛnyɛ kokoram. Ɛyɛ akisikuru a wɔaboaboa ano a nnompe mu yare bi de ba ankasa. Enya ne din fii afeha a ɛto so 18 Engiresini oprehyɛn ho ɔbenfo Sir Percivall Pott a odii kan kaa tebea no ho asɛm no hɔ.

Ade a ɛho hia sen biara ne sɛ sɛ wɔansa eyi ntɛm a, ebetumi de ɔhaw ahorow a asiane wom a ɛde wo nkwa to asiane mu aba wo ti nhwi mu . Enti, eyi yɛ tebea a ɛnsɛ sɛ wobu no adewa na egye ayaresa ntɛm ara.

Saa tebea yi abu so dɛn?

Nokwarem no, Pott’s Puffy Tumor yɛ tebea a ɛntaa nsi koraa nnansa yi . Nea enti a ɛte saa ne sɛ, wobetumi de nnuru a ekum ɔyare mmoawa adi ɔyare mmoawa dodow no ara so ansa na atrɛw. Ɛwom sɛ tebea yi betumi aba obiara so de, nanso wɔtaa hu wɔ mmofra nkumaa (mmabun) mu .

Wosusuw sɛ eyi fi nsakrae a ɛba diploic veins , ntini bi a ɛka wɔn ti nhwi mu ne akyi bom no mu wɔ wɔn mmerantebere mu. Nea enti a ɛte saa ne sɛ mogya ntini foforo renyin ntɛmntɛm (vascularization), a wosusuw sɛ ɛma ɔyare no trɛw ntɛmntɛm sen mpanyimfo mu.

Dɛn ne (Pott’s Puffy Tumor) ho sɛnkyerɛnne?

Wɔ moma so ahonhon akyi no, Pott’s Puffy Tumor nso betumi de sɛnkyerɛnne ahorow a edidi so yi aba:

• Atiridiinini a wobenya .
• Ti a ɛyɛ yaw bere nyinaa.
• Light sensitivity , a ɛkyerɛ sɛ ɛyɛ den sɛ wobɛhwɛ akanea a ɛhyerɛn.
• Hwene a ɛretu .
• Ɛyaw bere a worepiapia baabi a ahonhon no.
• Aniwa no a ɛpuepue (Proptosis), a ɛma ɛyɛ te sɛ nea aniwa no ayɛ kɛse.
• Ɛyaw bere a wode wo nsa ka anim ntini no fã (wɔ hwene no bridge no atifi ne aniwa no mu) .

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu ampa.

Dɛn ne nneɛma a ɛde Pott’s Puffy Tumor ba?

Sɛnea madi kan aka no, ade titiriw a ɛde Pott’s Puffy Tumor ba ne sinusitis . Sɛ sinusitis taa ba a, ɔyare no betumi atrɛw akɔ ti nhwi no nnompe mu na ɛde tebea yi aba.

Nea ɛto so abien a ɛtaa de ba ne ti a opira, te sɛ ɔhwe a emu yɛ den a wɔbɔ wɔ ne ti so . Fa no sɛ wohwee ase na wobɔɔ wo ti wɔ baabi, nanso saa tebea yi nso betumi aba.

Nea ɛka eyi ho no, nneɛma afoforo pii wɔ hɔ a ɛntaa nsi :

• Nsõ mu nyarewa .
• Nkoekoemmoa a wɔka wɔn .
• Nnubɔne a wɔde hwene te sɛ cocaine .

Dɛn ne nneɛma a ɛde asiane ba?

Ade a ɛde asiane ba ne biribi a ɛma hokwan a wowɔ sɛ wubenya yare no yɛ kɛse. Wɔ Pott’s Puffy Tumor fam no, eyi betumi afi akwahosan ho haw ahorow a ɛka ɔkwan a wo nipadua no mu tumi a ɛko tia nyarewa no yɛ n’ade wɔ ɔyare mmoawa ho no mu aba . Nhwɛso kakraa bi ni:

• Aplastic anemia ( yareɛ a mogya mu nkwammoaa a wɔyɛ no so tew).
• Asikyireyareɛ .
• Asaabo a entumi nyɛ adwuma yiye .

Nnipa a wɔwɔ saa tebea horow yi wɔ asiane kɛse mu sɛ wobenya nneɛma te sɛ Pott’s Puffy Tumor efisɛ wɔn tumi a wɔde ko tia nyarewa no so atew.

Dɛn ne nsɛnnennen a ɛwɔ tebea yi mu?

Sɛ wɔansa Pott’s Puffy Tumor no yare a, ebetumi de nsɛnnennen a emu yɛ den yiye aba . Ɛno nti na ɛyɛ tebea a ɛsɛ sɛ yɛhwɛ yiye kɛse wɔ ho no. Nsɛnnennen a ebetumi aba no bi ne:

• Amemene mu mogya a ɛba .
• Cavernous sinus thrombosis ( mogya a ɛtɔ wɔ mogya ntini kɛse bi mu wɔ amemene no mu).
• Dural venous sinus thrombosis ( mogya a ɛtɔ wɔ amemene no ntini atitiriw mu).
• Ischemia ( ntini a ewu esiane mogya a ɛso tew nti).
• Meningitis ( ɔyare mmoawa a ɛba ntini a ɛkata amemene no so).
• Orbital cellulitis (nyarewa a ɛba ntini a atwa aniwa ho ahyia no mu).
• Sepsis ( ɔyare mmoawa a emu yɛ den a ɛtrɛw kɔ nipadua no mu nyinaa).
• Thrombosis ( mogya a ɛtɔ wɔ mogya ntini mu).

(Pott’s Puffy Tumor) yɛ tebea a ebetumi akum obi . Ɛho hia paa sɛ wobɛhwehwɛ aduruyɛ mu afotu bere a woahu sɛ biribi anyɛ yiye ara pɛ.

Ɔkwan bɛn so na wohu Pott’s Puffy Tumor?

Mpɛn pii no , aso, hwene, ne menewa (ENT) oduruyɛfo na ohu Pott’s Puffy Tumor . Ɔbɛyɛ sɔhwɛ ahorow pii:

• CT scan (computed tomography scan) yɛ sɔhwɛ a etumi nya ti no mu mfonini a emu da hɔ.
• Nasal endoscopy yɛ sɔhwɛ a wɔde afiri a wɔde mfoninitwa afiri ketewaa bi ahyɛ hwene no mu.
• Nipadua mu nhwehwɛmu . Oduruyɛfo no bɛhwɛ wo na wabisa wo yare no ho sɛnkyerɛnne.

Saa nhwehwɛmu ahorow yi bɛboa oduruyɛfo no ma wahu tebea afoforo a ebetumi de sɛnkyerɛnne a ɛte saa ara aba no afi hɔ na wakyerɛ sɛ wɔahu yare no (Pott’s Puffy Tumor).

Tebea afoforo a ɛwɔ sɛnkyerɛnne a ɛte saa ara

Ɛtɔ mmere bi a, yare biako ho sɛnkyerɛnne betumi ayɛ te sɛ nyarewa afoforo pii ho sɛnkyerɛnne. Sɛ ɛba saa a, ɛsɛ sɛ nnuruyɛfo yɛ nhwehwɛmu de hu nea asɛe no ankasa. Wɔfrɛ eyi differential diagnosis , a ɛkyerɛ sɛ wɔbɛpaw nea ɛfata afi nyarewa a ɛwɔ sɛnkyerɛnne a ɛte saa ara mu.

Tebea afoforo a ebetumi de sɛnkyerɛnne ahorow a ɛte sɛ Pott’s Puffy Tumor aba no bi ne:

• Sinusitis a ɛtaa ba a emu yɛ den anaasɛ enni sabea .
• Cephalohematoma (mogya a ɛboaboa ano wɔ ti nhwi no ani, titiriw wɔ nkokoaa a wɔawo wɔn foforo mu).
• Encephalitis ( amemene no mu ɔfe).
• Ɔfe a efi ti a opira mu ba.
• Non-Hodgkin lymphoma (kokoram a ɛwɔ ntini a ɛma mogya tu mu).
• Wora anaa ntini a ɛyɛ mmerɛw a ɛma obi nya ɔyare .
• Akisikuru afoforo ( kokoram anaasɛ ɛnyɛ kokoram).

Ɔkwan bɛn so na wɔsa Pott’s Puffy Tumor?

Mpɛn pii no, Pott’s Puffy Tumor ayaresa no hwehwɛ sɛ wɔyɛ oprehyɛn de yi ɔyare mmoawa no fi hɔ na wɔde nnuru a ekum ɔyare mmoawa a ɛtrɛw a wɔde fa ntini mu (IV) ma adapɛn anan kosi asia. Wɔde nnuru a ekum ɔyare mmoawa yi ma na amma ɔyare mmoawa no ansan amma bio. "Broad- spectrum" kyerɛ sɛ wɔyɛ adwuma tia mmoawa ahorow pii.

Mpɛn pii no, nnuruyɛfo a wɔyɛ oprehyɛn no di kan sɔ oprehyɛn a wɔmfa biribiara nhyɛ mu hwɛ. Afei, sɛ ɛho hia a, wobetumi ayɛ oprehyɛn foforo.

Oprehyɛn ahorow pii wɔ hɔ a wobetumi apaw ama Pott’s Puffy Tumor:

• Functional endoscopic sinus surgery : Eyi hwehwɛ sɛ wɔtrɛw sinus akwan no mu sɛnea ɛbɛyɛ a akisikuru ne nsu afoforo betumi akɔ yiye. Eyi yɛ ayaresa a ɛnyɛ den pii na enhia sɛ wotwitwa mu biara. Oduruyɛfo a ɔyɛ oprehyɛn no de afiri a wɔde hwɛ hwene mu di dwuma de yɛ saa oprehyɛn yi.
• Craniotomy: Wɔ tebea horow bi mu no, ebia ebehia sɛ oduruyɛfo a ɔyɛ oprehyɛn yi ti nhwi no fã ketewaa bi na ama watumi akɔ amemene no mu. Sɛ wɔayi ɔyare mmoawa no afi hɔ a, wɔsan de ti nhwi no asinasin no bata ho.
• Trephination : Wɔ oprehyɛn yi mu no, wɔyɛ tokuru ketewaa bi wɔ ti nhwi no mu na ama nhyɛso a atwa amemene no ho ahyia no afi hɔ.
• Frontal sinus obliteration : Wɔ saa adeyɛ yi mu no, oduruyɛfo a ɔyɛ oprehyɛn no yi anim ntini no fi hɔ na ama asiane a ɛwɔ hɔ sɛ obenya ɔyare mmoawa a enni sabea no so atew.

Dɛn ne sɛnea Pott’s Puffy Tumor no ho tɔ no?

Hokwan a wowɔ sɛ wo ho bɛtɔ wo no gyina sɛnea wufi ase sa yare no ntɛmntɛm so tẽẽ . Dodow a wotwentwɛn ayaresa ase no, dodow no ara na asiane a ɛwɔ hɔ sɛ wubenya ɔhaw ahorow a ɛyɛ hu no yɛ kɛse.

Sɛ wɔsa no ntɛm a, mpɛn pii no, nkɔmhyɛ a ɛfa Pott’s Puffy Tumor ho no ye . Nanso, ɛsɛ sɛ wokɔ ayaresabea bere a woahu sɛnkyerɛnne ahorow no ara pɛ – titiriw no, wo moma so a ɛho ahonhon. Mmofra nkumaa a wɔwɔ Pott’s Puffy Tumor no mu bɛyɛ 12% wuwu , esiane nsɛnnennen te sɛ sepsis, ischemia, thrombosis, ne intracranial pressure a ɛkɔ soro nti. Sɛ obi de ne ho gye mu ntɛm a ebetumi atew asiane yi so .

So wobetumi asiw Pott Puffy Tumor no ano?

Ebia ɛnyɛ bere nyinaa na wobetumi asiw Pott’s Puffy Tumor ano, nanso nneɛma bi wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ no so:

• Hu sinusitis ho sɛnkyerɛnne : Sɛ wotaa nya sinus mu yare, ne tiyɛ, atiridii, nsu a ɛyɛ den a efi wo hwene mu, anaasɛ wo moma so wo honhon ka ho a, hwehwɛ aduruyɛfo afotu ntɛm ara.
• Bɔ wo ho ban fi nkoekoemmoa a wɔbɛka wo ho : Pott’s Puffy Tumor no bi fi nkoekoemmoa a wɔka wɔn, enti fa nnuru a wɔde pam nkoekoemmoa di dwuma bere biara a wobɛkɔ abɔnten.
• Hwɛ nsensan ho oduruyɛfo daa : Anom nyarewa bi nso betumi ama Pott’s Puffy Tumor aba. Nsõ a wɔbɛhohoro ne sẽ mu daa no betumi atew asiane yi so.
• Hohoro wo nsa mpɛn pii : Eyi betumi atew asiane a ɛwɔ hɔ sɛ wubenya ɔyare mmoawa no so wɔ ɔkwan a ɛkɔ akyiri so.
• Hyɛ nneɛma a wode bɔ wo ho ban bere a woredi agumadi ahorow bi a wɔde di nkitaho : Sɛ wohyɛ dade kyɛw a ɛfata yiye a, ebetumi atew asiane a ɛwɔ hɔ sɛ wubepira no so (Pott’s Puffy Tumor).

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ sinus infection a ɛnkɔ anaasɛ ɛkɔ so san ba a, ka kyerɛ wo duruyɛfo. Afei nso, sɛ wo hwene mu yɛ den na ɛretu, wo ti yɛ wo yaw, anaasɛ – nea ɛho hia sen biara no – wo moma so akisikuru anaa akisikuru a ɛyɛ nwonwa , hwehwɛ aduruyɛ ntɛm ara, anaa kɔ baabi a ɛbɛn wo a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ.

Ɛyɛ ade a ɛfata sɛ wobɛte dadwen nka bere a wosɔre anɔpa na wuhu sɛ akisikuru bi wɔ wo moma so (anaa wo ba moma so) no. Sɛ wote nka sɛ biribi anyɛ yiye a, tie wo dwensɔtwaa. Hwehwɛ aduruyɛ mu afotu ntɛm ara .Sɛ wɔtwentwɛn ayaresa ase a, ebetumi de nsɛnnennen a ɛde nkwa to asiane mu aba. Nanso, nnuru a ekum ɔyare mmoawa ne oprehyɛn betumi ayi ɔyare mmoawa no afi hɔ na ama woanya hokwan a eye sen biara sɛ wo ho bɛtɔ wo.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Enti, ebia Pott’s Puffy Tumor no wɔ din a ɛyɛ hu, nanso seesei wunim sɛ ɛnyɛ kokoram, ɛyɛ ɔyare mmoawa. Nea ɛho hia sen biara ne sɛ, sɛ wo moma so ahonhon, atiridiinini, tiyɛ, titiriw sɛ ɛde sinus haw ahorow ka ho a, mmu w’ani ngu so . Fa no sɛ w’adamfo no ba no wɔ sinus ho haw bere nyinaa, na da bi wɔn moma so ahonhon na wɔn atiridii ne wɔn ti yɛ wɔn yaw a, so worenka nkyerɛ wɔn sɛ wɔnkɔ oduruyɛfo nkyɛn ntɛm ara? Saa na ɛte.

Sɛ wohu na wɔsa no ntɛm a, wobetumi asa saa tebea yi koraa. Enti, mmu w’ani ngu sɛnkyerɛnne ahorow no so da. Hwɛ wo nipadua no yiye na sɛ wuhu nsakrae bi a, hwehwɛ aduruyɛfo afotu. Ɛno ne ɔkwan a eye sen biara a wobɛfa so anya apɔwmuden!

` Pott's Puffy Tumor, Moma so a Ɛhonhon, Sinusitis, Ti a Ɛyɛ Nyarewa, Amemene mu Nyarewa, Ti nhwi mu Nyarewa, Oprehyɛn