Ua pehu kou lae a ke nānā aku nei e like me kahi puʻupuʻu ʻē? ʻO Pott's Puffy Tumor paha kēia!

I kekahi manawa, manaʻo paha ʻoe he puʻupuʻu liʻiliʻi kou ma kou lae e like me ka puʻupuʻu. Loaʻa paha iā ʻoe ke poʻo a me ke kuni. He mea maʻamau ke makaʻu iki ke ʻike ʻoe i kahi mea e like me kēia. Akā, ʻaʻole pono ia he maʻi kanesa nui. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi e hōʻike ana i kēia mau hōʻailona, ​​akā pono ʻoe e makaʻala iki. ʻO ia ka Pott's Puffy Tumor . ʻOiai ke ʻōlelo nei ka inoa "puʻupuʻu", ʻaʻole kēia he maʻi kanesa maoli. No laila e nānā kākou i ke ʻano o ia mea.

He aha kēia (Pott's Puffy Tumor)?

I ka ʻōlelo maʻalahi, ʻo ka Pott's Puffy Tumor kahi maʻi e kū mai ana ma ka iwi mua o kou lae . Hoʻoulu kēia i ka pus e hōʻiliʻili i ka hakahaka ma waena o kou mau maka, e hana ana i kahi abscess . Hoʻomaka pinepine kēia ʻano ma ke ʻano he pilikia o ka sinusitis . Inā loaʻa iā ʻoe nā pilikia sinus pinepine, pono ʻoe e makaʻala loa e pili ana i kēia. Hiki nō hoʻi ke hana inā ʻoe e kuʻi ikaika i kou poʻo, ʻo ia hoʻi kahi ʻeha poʻo .

Hiki i ke kanaka me ka Pott's Puffy Tumor ke loaʻa kahi pehu a puʻupuʻu paha ma ko lākou lae. Akā e like me kaʻu i ʻōlelo ai ma mua, he "puʻupuʻu" kēia e like me ka inoa e hōʻike nei, ʻaʻole ka maʻi kanesa. He hōʻiliʻili maoli ia o ka pus i hoʻokumu ʻia e kahi maʻi iwi. Loaʻa kona inoa mai ke kauka lapaʻau Pelekane o ke kenekulia 18 ʻo Sir Percivall Pott, nāna i wehewehe mua i ke ʻano.

ʻO ka mea nui loa, inā ʻaʻole e mālama koke ʻia kēia, hiki iā ia ke alakaʻi i nā pilikia weliweli a hoʻoweliweli i ke ola i loko o kou poʻo . No laila, he kūlana kēia ʻaʻole pono e lawe māmā ʻia a pono e nānā koke ʻia e ke kauka.

Pehea ka maʻamau o kēia ʻano?

ʻO kaʻoiaʻiʻo, he maʻi laha ʻole ka Pott's Puffy Tumor i kēia mau lā . ʻO ke kumu o kēia, hiki ke kāohi ʻia ka hapa nui o nā maʻi me nā antibiotics ma mua o ko lākou laha ʻana. ʻOiai hiki ke ulu kēia maʻi i kekahi, ʻike pinepine ʻia ia i nā keiki ʻōpio (ʻōpio) .

Ua manaʻo ʻia kēia ma muli o nā loli i loko o nā aʻa diploic , kahi ʻano aʻa e hoʻopili ai i loko a i waho o ko lākou iwi poʻo, i ko lākou wā ʻōpiopio. ʻO kēia no ka mea ke ulu wikiwiki nei nā kīʻaha koko hou (vascularization), ka mea i manaʻo ʻia e ʻae i ka maʻi e laha wikiwiki ma mua o ka poʻe pākeke.

He aha nā hōʻailona o ka (Pott's Puffy Tumor)?

Ma waho aʻe o ka pehu ʻana ma ka lae, hiki i ka Pott's Puffy Tumor ke hana i nā hōʻailona penei:

• Ke loaʻa nei ke kuni .
• ʻEha poʻo i nā manawa a pau.
• ʻIke i ka mālamalama , ʻo ia hoʻi ka paʻakikī ke nānā aku i nā kukui ʻōlinolino.
• He ihu wai .
• ʻEha i ke kaomi ʻana ma kahi i pehu ʻia.
• Ka puka ʻana o nā maka (Proptosis), ka mea e hoʻonui ai i nā maka.
• ʻEha i ka wā e hoʻopā ai i ka ʻāpana o nā sinuses frontal (ma luna o ke alahaka o ka ihu a ma loko o nā kuʻemaka) .

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi e ʻimi i ke kōkua lapaʻau.

He aha nā kumu o ka Pott's Puffy Tumor?

E like me kaʻu i ʻōlelo ai ma mua, ʻo ke kumu nui o ka Pott's Puffy Tumor ʻo ia ka sinusitis . Inā loaʻa pinepine ka sinusitis, hiki i ka maʻi ke laha i nā iwi o ke poʻo a hoʻoulu i kēia maʻi.

ʻO ka lua o ke kumu maʻamau ka ʻeha o ke poʻo, e like me ka hahau ikaika ʻana i ke poʻo . E noʻonoʻo ua hāʻule ʻoe a kuʻi i kou poʻo i kekahi wahi, akā hiki nō hoʻi ke hana ʻia kēia ʻano.

Ma waho aʻe o kēia, aia kekahi mau kumu ʻē aʻe i loaʻa pinepine ʻole :

• Nā maʻi niho .
• Nā nahu pepeke .
• Ka hoʻohāinu ʻana i nā lāʻau lapaʻau e like me ka cocaine .

He aha nā kumu pilikia?

ʻO kahi mea pilikia kahi mea e hoʻonui ai i kou manawa kūpono e loaʻa ai kahi maʻi. I ke ʻano o ka Pott's Puffy Tumor, hiki ke hana ʻia kēia e nā pilikia olakino e hoʻopilikia ai i ke ʻano o ka pane ʻana o kāu ʻōnaehana pale i nā maʻi . Eia kekahi mau laʻana:

• ʻAneemia aplastic ( kahi maʻi e emi ai ka hana ʻana o nā sela koko).
• Maʻi diabetes .
• Ka hāʻule ʻana o nā puʻupaʻa .

ʻOi aku ka nui o ka pilikia o ka poʻe me kēia mau kūlana i ka loaʻa ʻana o nā mea e like me Pott's Puffy Tumor no ka mea ua emi ko lākou hiki ke hakakā i nā maʻi.

He aha nā pilikia o kēia maʻi?

Inā ʻaʻole mālama ʻia, hiki i ka Pott's Puffy Tumor ke alakaʻi i nā pilikia koʻikoʻi loa . ʻO ia ke kumu he kūlana ia e makaʻala loa ai. ʻO kekahi o nā pilikia hiki ke loaʻa:

• Ke kahe koko o ka lolo .
• ʻO ka thrombosis sinus cavernous ( kahi ʻaʻa koko i loko o kahi kīʻaha koko nui i loko o ka lolo).
• ʻO ka thrombosis sinus venous dural ( ʻaʻa koko i loko o nā aʻa nui o ka lolo).
• Ischemia ( make ʻana o nā ʻiʻo ma muli o ka emi ʻana o ke kahe koko).
• ʻO ka meningitis ( ka maʻi o nā membrane e pili ana i ka lolo).
• ʻO ka cellulitis orbital (ka maʻi o nā ʻiʻo a puni nā maka).
• Sepsis ( kahi maʻi koʻikoʻi e laha ana ma ke kino holoʻokoʻa).
• ʻO ka Thrombosis ( ʻūpū koko i loko o nā kīʻaha koko).

He maʻi make paha ka (Pott's Puffy Tumor) . He mea nui loa e ʻimi i ke kōkua lapaʻau i ka wā e ʻike ai ʻoe ua hewa kekahi mea.

Pehea e ʻike ʻia ai ka Pott's Puffy Tumor?

ʻO ka maʻamau, ʻike ʻia ka Pott's Puffy Tumor e ke kauka pepeiao, ihu, a me ka puʻu (ENT) . E hana ʻo ia i kekahi mau hoʻokolohua:

• ʻO ka CT scan (computed tomography scan) kahi hoʻāʻo e hiki ai ke hana i nā kiʻi maopopo o loko o ke poʻo.
• ʻO ka endoscopy nasal kahi hoʻokolohua e hoʻokomo ʻia ai kahi ʻōmole me kahi kāmela liʻiliʻi i loko o ka ihu.
• Ka hoʻokolokolo kino . E nānā ke kauka iā ʻoe a nīnau e pili ana i kāu mau hōʻailona.

E kōkua kēia mau hoʻokolohua i ke kauka e kāpae i nā kūlana ʻē aʻe e hiki ke hoʻoulu i nā hōʻailona like a hōʻoia i ka maʻi (Pott's Puffy Tumor).

Nā kūlana ʻē aʻe me nā hōʻailona like

I kekahi manawa, hiki ke like nā hōʻailona o kekahi maʻi me nā hōʻailona o kekahi mau maʻi ʻē aʻe. Ke hana ʻia kēlā, pono nā kauka e hana i nā hoʻokolohua e ʻike pono ai i ka mea hewa. Ua kapa ʻia kēia he differential diagnosis , ʻo ia hoʻi ke koho ʻana i ka mea kūpono mai waena o nā maʻi i loaʻa nā hōʻailona like.

ʻO nā kūlana ʻē aʻe e hiki ke hōʻike me nā hōʻailona like me ka Pott's Puffy Tumor e komo pū ana:

• ʻO ka sinusitis ʻoi a mau paha maʻamau.
• ʻO Cephalohematoma (kahi hōʻiliʻili koko ma luna o ka ʻili o ke poʻo, ʻoi aku hoʻi i nā pēpē hānau hou).
• ʻEncephalitis ( ka mumū o ka lolo).
• Ka mumū i hoʻokumu ʻia e ka ʻeha poʻo.
• ʻO ka lymphoma Non-Hodgkin (kahi maʻi ʻaʻai o ka ʻōnaehana lymphatic).
• Nā maʻi ʻili a palupalu paha .
• Nā puʻupuʻu ʻē aʻe ( kane a ʻaʻole paha).

Pehea e mālama ʻia ai ka Pott's Puffy Tumor?

ʻO ka mālama ʻana no ka Pott's Puffy Tumor maʻamau e pili ana i ke ʻoki ʻana e wehe i ka maʻi a me kahi papa hana ʻehā a ʻeono pule o nā antibiotics ākea i hāʻawi ʻia ma ke ʻano intravenous (IV). Hāʻawi ʻia kēia mau antibiotics e pale i ka hoʻi hou ʻana mai o ka maʻi. ʻO ke ʻano o "Broad- spectrum" hana lākou e kūʻē i nā ʻano bacteria like ʻole.

Hoʻāʻo mua nā kauka lapaʻau i ke ʻoki kino minimally invasive . A laila, inā pono, hiki iā lākou ke hana i nā kaʻina hana hou aku.

Aia kekahi mau koho ʻoki kino no ka Pott's Puffy Tumor:

• ʻO ke ʻoki sinus endoscopic hana : Pili kēia i ka hoʻonui ʻana i nā ala sinus i hiki ai i ka pus a me nā wai ʻē aʻe ke kahe maikaʻi. He lāʻau lapaʻau minimally invasive kēia a ʻaʻole pono kekahi ʻoki. Hoʻohana ke kauka lapaʻau i kahi endoscope nasal e hana i kēia kaʻina hana.
• Craniotomy: I kekahi mau hihia, pono paha i ke kauka lapaʻau e wehe i kahi ʻāpana liʻiliʻi o ka iwi poʻo e komo ai i ka lolo. Ma hope o ka hoʻomaʻemaʻe ʻia ʻana o ka maʻi, e hoʻopili hou ʻia ka ʻāpana o ka iwi poʻo.
• Trephination : Ma kēia ʻoki kino, hana ʻia kahi puka liʻiliʻi i loko o ke poʻo e hoʻomaha ai i ke kaomi a puni ka lolo.
• Ka luku ʻana o ka sinus frontal : Ma kēia kaʻina hana, wehe ke kauka lapaʻau i nā sinuses frontal e hōʻemi i ka pilikia o nā maʻi maʻi mau.

ʻEhia ka wikiwiki o ka ho'ōla ʻana no ka Pott's Puffy Tumor?

ʻO kou kūlana e ho'ōla ai e pili pono ana i ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau . ʻO ka lōʻihi o kou hoʻopaneʻe ʻana i ka lāʻau lapaʻau, ʻo ka nui aʻe o ka pilikia o nā pilikia weliweli.

Inā mālama ʻia i ka wā mua, maikaʻi ka wānana no ka Pott's Puffy Tumor . Eia nō naʻe, pono ʻoe e ʻimi i ke kōkua lapaʻau i ka wā e ʻike ai ʻoe i nā hōʻailona - ʻoiai ka pehu ʻana ma ka lae. Ma kahi o 12% o nā keiki ʻōpio me Pott's Puffy Tumor e make ana , ma muli o nā pilikia e like me ka sepsis, ischemia, thrombosis, a me ka hoʻonui ʻia o ke kaomi intracranial. Hiki i ke komo mua ʻana ke hōʻemi i kēia pilikia .

Hiki ke pale ʻia ka Pott's Puffy Tumor?

ʻAʻole hiki ke pale ʻia ka Pott's Puffy Tumor i nā manawa a pau, akā aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia:

• E makaʻala i nā hōʻailona o ka sinusitis : Inā loaʻa pinepine iā ʻoe nā maʻi sinus, me ke poʻo ʻeha, ke kuni, ka kahe ʻana o ka ihu mānoanoa, a i ʻole ka pehu ʻana ma kou lae, e ʻimi koke i ke kōkua lapaʻau.
• E pale iā ʻoe iho mai nā nahu pepeke : ʻO kekahi mau hihia o ka Pott's Puffy Tumor i hana ʻia e nā nahu pepeke, no laila e hoʻohana i ka mea pale pepeke i kou wā e hele ai i waho.
• E ʻike pinepine i kahi kauka niho : Hiki i kekahi mau maʻi waha ke hana i ka Pott's Puffy Tumor. ʻO ka hoʻomaʻemaʻe mau ʻana i nā niho a me nā nānā ʻana hiki ke hōʻemi i kēia pilikia.
• E holoi pinepine i kou mau lima : Hiki i kēia ke hōʻemi i ka pilikia o ka maʻi ma ke ʻano laulā.
• E komo i nā mea pale i ka wā e pāʻani ana i kekahi mau haʻuki pili : ʻO ke komo ʻana i ka mahiole kūpono e hiki ke hōʻemi i ka pilikia o ka ʻeha (Pott's Puffy Tumor).

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kahi maʻi sinus ʻaʻole e nalowale a hoʻi hou mai paha, e haʻi i kāu kauka. Eia kekahi, inā loaʻa iā ʻoe kahi ihu mānoanoa a wai, kahi ʻeha poʻo, a i ʻole - ʻo ka mea nui loa - kahi puʻupuʻu ʻē a puʻupuʻu paha ma kou lae , e ʻimi koke i ke kōkua lapaʻau, a i ʻole e hele i ka lumi pilikia kokoke loa.

He mea maʻamau ke hopohopo i kou ala ʻana i ke kakahiaka a ʻike i kahi puʻupuʻu ma kou lae (a i ʻole ka lae o kāu keiki). Inā manaʻo ʻoe he hewa kekahi mea, e hoʻolohe i kou ʻōpū. E ʻimi koke i ke kōkua lapaʻau .ʻO ka hoʻopaneʻe ʻana i ka mālama ʻana hiki ke alakaʻi i nā pilikia e hoʻoweliweli i ke ola. Eia nō naʻe, hiki i nā lāʻau antibiotic a me ke ʻoki kino ke hoʻomaʻemaʻe i ka maʻi a hāʻawi iā ʻoe i ka manawa kūpono loa e hoʻōla ai.

Leka Hoʻihoʻi Hope Loa

No laila, he inoa weliweli paha ko Pott's Puffy Tumor, akā i kēia manawa ua ʻike ʻoe ʻaʻole ia he maʻi kanesa, he maʻi ia. ʻO ka mea nui loa, inā he pehu kou lae, kuni, ʻeha poʻo, ʻoiai inā hele pū me nā pilikia sinus, mai hoʻowahāwahā iā ia . E noʻonoʻo inā loaʻa i ke keiki a kāu hoaaloha nā pilikia sinus i nā manawa a pau, a i kekahi lā ua pehu ko lākou lae a loaʻa iā lākou ke kuni a me ke poʻo poʻo, ʻaʻole anei ʻoe e haʻi iā lākou e ʻike koke i ke kauka? Pēlā nō ia.

Inā ʻike ʻia a mālama ʻia i ka wā mua, hiki ke ho'ōla loa ʻia kēia maʻi. No laila, mai hoʻowahāwahā i nā hōʻailona. E makaʻala i kou kino a e ʻimi i ke kōkua lapaʻau inā ʻike ʻoe i kekahi mau loli. ʻO ia ke ala maikaʻi loa e noho olakino ai!

ʻO ka puʻupuʻu pupuhi o Pott, ka pehu ʻana o ka lae, ka sinusitis, nā maʻi poʻo, nā maʻi lolo, nā maʻi poʻo, ke ʻoki kino