Kodi pali kutuluka kwa fungo loipa kuchokera m'khutu mwanu? Kapena muli ndi vuto la kumva m'khutu limodzi komanso kumva kulemera kosalekeza m'khutu mwanu? Izi si zizindikiro zongonyalanyaza. Izi zitha kukhala zizindikiro za kukula kosakhala khansa komwe kumafunika kuchiritsidwa. M'mawu azachipatala, timatcha izi kuti cholesteatoma . Dzinalo lingamveke lachilendo, koma musachite mantha. Lero, tikambirana za izi m'njira yosavuta yomwe mungamvetse.
Mwachidule, kodi Cholesteatoma ndi chiyani?
Maselo m'thupi lathu amatha kusonkhana pamodzi kuti apange tinthu tating'onoting'ono. Timatcha tinthu tating'onoting'onoti, kapena ma cysts. Tikhoza kudzazidwa ndi mpweya, madzi, kapena zinthu zina. Cholesteatoma ndi chinthu chofanana. Koma imapangidwa kuchokera ku gulu la maselo a khungu lakufa mkati mwa khutu .
Chotupachi nthawi zambiri chimayambira pafupi ndi khutu, mkati mwa khutu. Kenako chimakula pang'onopang'ono mpaka pakati pa khutu ndi mkati mwa khutu. Ndikubwerezanso, iyi si khansa. Komabe, ngati sichichiritsidwa, chingayambitse mavuto aakulu monga kutayika kwa kumva ndi kuwonongeka kwa khutu.
Vutoli si lofala kwambiri. Ngakhale lingayambe pa msinkhu uliwonse, limapezeka kwambiri mwa amuna kuposa akazi.
Kodi zizindikiro zazikulu za izi ndi ziti?
Cholesteatoma nthawi zambiri imayambitsa zizindikiro m'khutu limodzi lokha. Yang'anani kuti muwone ngati muli ndi zizindikirozi.
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Madzi akutuluka m'khutu | Madzi onunkhira, nthawi zina achikasu kapena obiriwira, amatulukabe m'khutu. |
| Kulephera kumva | Kumva ngati kumva kukuchepa pang'onopang'ono m'khutu limodzi. |
| Kudzaza khutu | Nthawi zonse ndimamva ngati kuti pali chinthu chodzaza ndi cholemera mkati mwa khutu langa. |
| Kupweteka kwa khutu kapena matenda | Matenda a m'khutu kapena ululu wochokera mkati mwa khutu. |
| Chizungulire ndi kulira m'makutu | Anthu ena amamva chizungulire (vertigo) ndipo ena amamva kulira kosalekeza m'makutu mwawo (tinnitus). |
| Kufooka mbali imodzi ya nkhope | Kawirikawiri, ngati chotupacho chikukulirakulira, chingakhudze mitsempha ya nkhope, zomwe zimapangitsa kuti mbali imodzi ya nkhope isamve bwino kapena kufooka. |
Chofunika kwambiri ndichakuti ngati chotupachi sichichiritsidwa kwa nthawi yayitali, chingawononge ziwalo zomwe zimathandiza thupi kukhala bwino mkati mwa khutu, komanso mafupa a khutu. Nthawi zambiri, matendawa amatha kufalikira ku ubongo ndikuyambitsa matenda oopsa monga meningitis. Choncho musanyalanyaze zizindikiro izi.
N’chifukwa chiyani zinthu ngati zimenezi zimachitika? Kodi zifukwa zake ndi ziti?
Pali zifukwa zingapo zazikulu zomwe zimayambitsa cholesteatoma.
- Matenda a m'khutu obwerezabwereza: Ichi ndiye chifukwa chachikulu. Ngati mumadwala matenda a m'khutu pafupipafupi, ngati muli ndi mavuto a m'khutu mukakhala ndi chimfine, kapena ngati mwavulalapo m'khutu, chiopsezochi chimakhala chachikulu. Taganizirani izi, pali chubu chaching'ono chomwe chimalumikiza mphuno ndi khutu lathu. Timachitcha chubu cha Eustachian . Chubuchi chimayang'anira kuthamanga kwa magazi mkati mwa khutu. Chubuchi chikatsekedwa chifukwa cha matenda, chotsukira mpweya chimapangidwa mkati mwa khutu lapakati. Kuthamanga kumeneku kumakoka ntchafu ya khutu mkati. Kenako gawo laling'ono longa thumba limapangidwa. M'thumba limenelo ndi momwe maselo akhungu akufa amasonkhanira ndipo chotupachi chimapangidwa.
- Mavuto ndi kugwira ntchito kwa chubu cha Eustachian: Anthu ena amabadwa ndi chubu ichi chosagwira ntchito bwino. Ngakhale zili choncho, monga tafotokozera pamwambapa, chotupa chingayambe mkati mwa khutu.
- Matenda a Congenital: Nthawi zambiri, makanda ena amatha kukhala ndi chotupa ichi pamene makutu awo akukulabe m'mimba, pomwe maselo ena a khungu amatsekeredwa pakati pa mafupa a khutu. Izi nthawi zambiri zimapezeka ali ana aang'ono.
Kodi mwapeza bwanji izi, Dokotala?
Mukapita kwa dokotala yemwe ali ndi zizindikiro zomwe mwatchula pamwambapa, chinthu choyamba chomwe angachite ndikuwunika mkati mwa khutu lanu ndi otoscope, chipangizo chokhala ndi kuwala ndi lenzi yokulitsa. Kenako, adzayesa kumva kuti aone ngati mukukumva bwino.
Ngati mukukayikira kuti muli ndi chotupa, dokotala wanu adzakutumizani kwa katswiri wa khutu, mphuno, ndi pakhosi (ENT specialist) , yemwe angachite mayeso angapo kuti aone bwino chotupacho.
- Kujambula kwa CT (Computerized Tomography): Izi zili ngati kupanga zithunzi zambiri za X-ray kuti apange chithunzi cha 3D cha mafupa, mitsempha yamagazi, ndi minofu mkati mwa khutu. Izi zimathandiza dokotala kuona kukula kwa chotupacho, ngati chawononga mafupa a khutu, komanso ngati chafalikira ku ziwalo zomwe zimakhudza kumva ndi kukhazikika. Izi nthawi zambiri zimachitika opaleshoni isanachitike.
- Kujambula kwa MRI (Magnetic Resonance Imaging): Ngati CT scan ikusonyeza kuti matendawa afalikira ku ubongo, MRI scan ikhoza kuchitidwa kuti itsimikizire izi.
Kodi imachiritsidwa bwanji?
Izi sizingachiritsidwe ndi mankhwala. Chithandizo chokhacho ndi opaleshoni yochotseratu chotupacho. Mudzagonekedwa ndi mankhwala oletsa ululu (omwe nthawi zambiri amatenga maola awiri kapena atatu). Simudzafunika kukhala m'chipatala.
Pali mitundu iwiri ikuluikulu ya opaleshoni:
1. Kuchotsa Mastoidectomy: Fupa la mastoid ndi fupa lomwe lili kumbuyo kwa khutu lanu. Dokotala wochita opaleshoni amatsegula fupa ili, amadutsamo, ndikuchotsa chotupa chonse.
2. Tympanoplasty: Iyi ndi njira yochitira opaleshoni yokonza dzenje mu tympanic membrane yanu yomwe imayambitsidwa ndi chotupa. Izi zimaphatikizapo kugwiritsa ntchito chidutswa cha cartilage kapena minofu yotengedwa kuchokera ku gawo lina la khutu lanu.
Kumva kwanu kungabwerere mwakale pang'ono mutachita opaleshoni, koma izi sizichitika nthawi zonse.
Cholesteatoma ndi matenda omwe amatha kubwereranso moopsa kwambiri. Ngati sanachotsedwe kwathunthu, akhoza kubwereranso. Chifukwa chake, ndikofunikira kwambiri kukaonana ndi dokotala nthawi zonse ngakhale mutachita opaleshoni.
Uthenga Wopita Nawo Kunyumba
- Cholesteatoma si khansa, koma ndi vuto lomwe liyenera kuchiritsidwa.
- Khalani ndi nkhawa ngati muli ndi zizindikiro monga madzi onunkhira otuluka m'khutu, kusamva bwino m'khutu limodzi, kapena kumva kulemera m'khutu.
- Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo. Ndi bwino kupita kwa katswiri wa makutu, mphuno, ndi pakhosi.
- Chithandizo chokha cha izi ndikuchotsa chotupacho kudzera mu opaleshoni.
- Ngakhale mutachita opaleshoni, ndikofunikira kwambiri kupita kuchipatala nthawi ndi nthawi kuti muwone ngati matendawa abwereranso.
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