Wetin na dis strenj lump we de gro insay yu yes? (Cholesteatoma) Mek wi fain out di ekzakli.

Sɔntɛnde, yu kin gɛt dɔti smel we de kɔmɔt na yu yes? Ɔ bɔku tɛm yu kin fil wan lump ɔ prɛshɔn insay yu yes? Pan ɔl we bɔku pipul dɛn kin tink se dis na jɔs wan simpul yes we de at ɔ infɛkshɔn, sɔntɛnde i kin bi sɔntin we rili siriɔs. Tide wi go tɔk bɔt wan pan dɛn kayn tin ya. Dɛn kɔl am Cholesteatoma. Pan ɔl we di nem kin tan lɛk se i strenj, i impɔtant fɔ no bɔt am.

Fɔ tɔk am simpul wan, wetin na Cholesteatoma?

Cholesteatoma na abnכmal growth we de divεlכp bihayn yu ia dכm (tympanic membrane), na di midul ia. Pan ɔl we i rili na tumbu, i nɔto kansa. So nɔ wɔri bɔt am. Na wan kɔlekɛshɔn we gɛt day skin sɛl dɛn de mek am. I fiba di we aw wi day skin sɛl dɛn kin gɛda ɛn mek wan smɔl smɔl tin insay di yes. As tɛm de go, dis smɔl smɔl sɛl dɛn kin big smɔl smɔl. Sɔntɛnde i kin tan lɛk pal, so sɔm pipul dɛn kin kɔl am "pal tumor."

Dis tin kin apin tu men we dɛn:

• Congenital cholesteatoma: Sɔm pikin dɛn kin gɛt dis growth insay dɛn yes we dɛn bɔn dɛn. Dis na sɔntin we nɔ kin apin so ɔltɛm.
• Acquired cholesteatoma: Dis na di kayn we we dɛn kin gɛt mɔ. I kin apin as tɛm de go bikɔs ɔf ɔda prɔblɛm dɛn na di yes.

Us sayn dɛm kin kam wae dis sik kin kam?

di simptom dεm fכ cholesteatoma kin difrεn sכmtεm dipכnt if i de we dεn bכn am כ i de divεlכp leta. If dɛn bɔn yɔŋ pikin wit am, i nɔ kin gɛt ɛni sayn te di tumbu big. Di pikin in dɔktɔ kin notis am fɔs we dɛn de chɛk am ɔltɛm.

Bɔt, in jɛnɛral, dɛn kin si dɛn sik ya we de kam biɛn dis sik.

Wetin mek dis kɔlesteatoma kin fɔm? Wetin na di men tin dɛn we kin mek pɔsin gɛt dis sik?

di men rizin fכ dis na we dεn de pul di ia dכm insay, we dεn kכl `(Retracted eardrum)`. Naw lɛ wi si aw dat kin apin.

Imajin, wan smɔl tiub de we de kɔnɛkt wi yes ɛn trot. Wi kɔl dis di Yustachian tiub . di men wok we i de du na fכ ikwal εn bεlε di εya prεshכn bitwin di insay pat na di yes (midul ia) εn di כdasay invayroment. we wi yawn כ sכlow, wi kin fil "pop" sawnd na wi yes εn i kin fil lεk se dεn de opin biכs dis tכb de aktibכt.

Naw imajin se yu gɛt kol, alɛji, ɔ sayn prɔblɛm. Wetin kin apin na dat di Yustachian tiub kin swel ɛn i kin blok. Wetin kin apin da tɛm de? Di briz kin stɔp fɔ flɔ insay di midul yes, ɛn di briz we de de kin sok insay di bɔdi. As a rizulyt , di prεshכn insay di midul ia de dכn, we de mek vaykum.

Bikɔs ɔf dis vaykum prɛshɔn, di ia drɔm, we nɔ ebul fɔ bia wit di prɛshɔn we di briz we de kɔmɔt na do, kin pul am insay di say we i wik pas ɔl. Jɔs lɛk aw dɛn kin fos smɔl briz fɔ go insay ɛmti plastic bɔtul we dɛn swɛt am.

Apat frɔm dis men rizin, .

• Bikɔs ɔf di infɛkshɔn we kin apin na di yes bɔku tɛm (Chronic otitis media) .
• Bikɔs ɔf aksidɛnt lɛk we di ia drɔm brok .
• Na smɔl tɛm nɔmɔ, dis sik kin apin we dɛn bɔn am .

Aw yu go fɛn dis, Dɔktɔ?

If yu gɛt di sayn dɛm we wi dɔn tɔk bɔt, yu fɔ go to yu famili dɔktɔ fɔs. I go aks yu bɔt yu sik ɛn if yu dɔn gɛt infɛkshɔn na yu yes bifo.

Dɔn, di dɔktɔ kin yuz wan smɔl tin we dɛn kɔl ɔtoskɔp fɔ chɛk yu yes. I kin luk insay di yes ɛn si if di skin sɛl dɛn we dɔn day dɔn gɛda biɛn di ia drɔm ɔ if bɔl de na di ia drɔm.

If dɛn tink se yu gɛt kɔlesteatoma, yu dɔktɔ go sɛn yu to spɛshal pɔsin we de mɛn yu yes, nos, ɛn trot (ɔtalaringɔlɔjis ɔ ENT spɛshal pɔsin) . Di spɛshal pɔsin kin du ɔda tɛst fɔ no if pɔsin gɛt di sik ɛn fɔ no aw di tin dɔn pwɛl.

• CT scan (Computed Tomography scan): Dis kin si klia wan aw di tumbu big, if di bon dεm we rili dilik we dεn kכl di osikul dεm we de insay di yes dεn dכn pwεl, כ if i dכn spre to di bren.
• Test fɔ yɛri: Dɛn kin du difrɛn tɛst fɔ yɛri fɔ no aw yu yɛri dɔn afɛkt. Tympanometry na spɛshal tɛst wae kin ɛp fɔ no dis sik.

Wetin na di tritmɛnt dɛm fɔ dis?

Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Yu nɔ go ebul fɔ mɛn dis bay we yu tek mɛrɛsin?

Dɛn kin gi mɛrɛsin, mɔ antibayɔtik ɛn yes drɔp, bɔt dɛn kin jɔs gi am fɔ kɔntrol di infekshɔn we di sist kin mek. Dat min se fɔ ridyus di pus ɛn pen we de kɔmɔt na di yes fɔ sɔm tɛm. Bɔt mɛrɛsin nɔ go ɛva mek di sist go.

Tu men gol dɛn de fɔ ɔpreshɔn:

1. fכ pul di kכlesteatכma tכmכro kכmplit wan εn stכp di infεkshכn fכ spre.

2. Fɔ tray fɔ mek di yes we dɔn pwɛl as yu ebul ɛn fɔ mek yu yɛri bak.

di opareshכn dεm we dεn kin du fכ dis dεn kכl dεm ``Mastoidectomy'' εn ``Tympanoplasty.'' Di spεshal savant go disayd us כpεrayshכn we fayn fכ yu pas כl di kכndyushכn we yu gεt.

Wetin go apin afta dɛn dɔn du di ɔpreshɔn? Ɛn wetin wi fɔ tek tɛm wit?

Bɔrku pipul dɛn kin gɛt kɔmplit rizɔlt fɔ di sik dɛn afta dɛn dɔn ɔpreshɔn dɛn. Bɔt, risk de fɔ mek di kɔlesteatoma kam bak. So, i impɔtant fɔ kɔntinyu fɔ fala yu dɔktɔ afta dɛn dɔn du di ɔpreshɔn.

Yu spɛshal pɔsin go tɛl yu fɔ kam bak pan patikyula tɛm dɛn . We dɛn de du dɛn chɛk-ap ya:

• A de chɛk mi yes bak.
• Dɛn de chɛk aw pɔsin de yɛri.
• Sɔntɛnde, dɛn kin du wan debridement (klin) na di yes. Dis min se dɛn fɔ tek tɛm pul ɛni sɛl we dɔn day na di skin ɛn ɔda tin dɛn we go dɔn gɛda.

Yu tink se dɛn kin mek dɛn nɔ gɛt kɔlesteatoma?

No we nɔ de fɔ mek dɛn nɔ gɛt di kayn we we dɛn bɔn am. Bɔt tin dɛn de we wi kin du fɔ ridyus di risk fɔ gɛt di kayn we we kɔmɔn, we kin bigin leta.

• Fɔ trit di ia infɛkshɔn kwik ɛn kɔrɛkt wan:If yu ɔ yu pikin de gɛt infɛkshɔn na yu yes bɔku tɛm, i impɔtant fɔ go to dɔktɔ fɔ no wetin mek i gɛt am ɛn fɔ trit am fayn. I impɔtant bak fɔ trit di tin dɛn we de mek di Yustachian tyub nɔ wok fayn, lɛk kol ɛn alɛji.
• Fɔ Protɛkt di Yes: I impɔtant bak fɔ protɛkt di yes frɔm tin ɛn aksidɛnt we kin brok di ia drɔm.