Kodi mphumi yanu yatupa ndipo ikuwoneka ngati chotupa chachilendo? Ichi chikhoza kukhala Pott's Puffy Tumor!

Nthawi zina mungamve ngati muli ndi chotupa pamphumi panu chomwe chimawoneka ngati chotupa. Mungakhalenso ndi mutu komanso malungo. Ndizachibadwa kumva mantha pang'ono mukaona chinthu chonga ichi. Koma nthawi zonse sikuyenera kukhala khansa yayikulu. Lero tikambirana za vuto lomwe limasonyeza zizindikiro izi, koma muyenera kusamala pang'ono. Limenelo limatchedwa Pott's Puffy Tumor . Ngakhale dzinalo limati "chotupa", iyi si khansa kwenikweni. Tiyeni tiwone chomwe chili.

Kodi ichi ndi chiyani (Pott's Puffy Tumor)?

Mwachidule, Pott's Puffy Tumor ndi matenda omwe amapezeka pa fupa lakutsogolo la pamphumi panu . Izi zimapangitsa kuti mafinya azisonkhana pakati pa maso anu, zomwe zimapangitsa kuti pakhale thumba . Matendawa nthawi zambiri amapezeka ngati vuto la sinusitis . Ngati muli ndi vuto la sinus pafupipafupi, muyenera kusamala kwambiri ndi izi. Zitha kuchitikanso ngati mutagunda mutu mwamphamvu, komwe ndi kuvulala mutu .

Munthu amene ali ndi Pott's Puffy Tumor akhoza kukhala ndi kutupa kapena chotupa pamphumi pake. Koma monga ndanenera kale, ichi ndi "chotupa" monga momwe dzinalo likusonyezera, osati khansa. Kwenikweni ndi gulu la mafinya omwe amayamba chifukwa cha matenda a mafupa. Dzina lake linachokera kwa dokotala wa opaleshoni wa ku England wa m'zaka za m'ma 1700, Sir Percivall Pott, yemwe anayamba kufotokoza vutoli.

Chofunika kwambiri ndichakuti ngati izi sizikuthandizidwa mwachangu, zitha kubweretsa mavuto oopsa komanso oopsa m'mutu mwanu . Chifukwa chake, iyi ndi vuto lomwe siliyenera kuonedwa mopepuka ndipo limafuna chithandizo chamankhwala mwachangu.

Kodi vutoli ndi lofala bwanji?

Ndipotu, vuto la Pott's Puffy Tumor ndi vuto losowa kwambiri masiku ano . Chifukwa cha izi ndichakuti matenda ambiri amatha kuthetsedwa ndi maantibayotiki asanafalikire. Ngakhale kuti vutoli limatha kufalikira mwa aliyense, nthawi zambiri limapezeka mwa ana aang'ono (achinyamata) .

Izi zikuganiziridwa kuti zimachitika chifukwa cha kusintha kwa mitsempha ya diploic , mtundu wa mitsempha yomwe imalumikiza mkati ndi kunja kwa chigaza chawo, paubwana wawo. Izi zili choncho chifukwa mitsempha yatsopano yamagazi ikukula mofulumira (vascularization), zomwe zikuganiziridwa kuti zimalola matendawa kufalikira mwachangu kuposa akuluakulu.

Kodi zizindikiro za (Pott's Puffy Tumor) ndi ziti?

Kuwonjezera pa kutupa pamphumi, Pott's Puffy Tumor ingayambitsenso zizindikiro zotsatirazi:

• Kudwala malungo .
• Mutu nthawi zonse.
• Kuzindikira kuwala , zomwe zikutanthauza kuti zimakhala zovuta kuyang'ana kuwala kowala.
• Mphuno yotuluka madzi .
• Ululu ukakanikiza malo otupa.
• Kutuluka kwa maso (Proptosis), komwe kumapangitsa maso kuoneka ngati akukulirakulira.
• Ululu ukakhudza malo a sinuses yakutsogolo (pamwamba pa mlatho wa mphuno ndi mkati mwa nsidze) .

Ngati muli ndi chimodzi kapena zingapo mwa zizindikiro izi, ndi bwino kufunsa upangiri wa dokotala.

Kodi ndi zifukwa ziti zomwe zimayambitsa khansa ya Pott's Puffy?

Monga ndanenera kale, chifukwa chachikulu cha Pott's Puffy Tumor ndi sinusitis . Ngati sinusitis imachitika pafupipafupi, matendawa amatha kufalikira mpaka ku mafupa a chigaza ndikuyambitsa vutoli.

Chifukwa chachiwiri chofala kwambiri ndi kuvulala mutu, monga kumenyedwa mutu mwamphamvu . Tangoganizani kuti mwagwa ndikugunda mutu kwinakwake, koma vutoli lingachitikenso.

Kuwonjezera pa izi, palinso zifukwa zina zosazolowereka :

• Matenda a mano .
• Kulumidwa ndi tizilombo .
• Kumwa mankhwala osokoneza bongo monga cocaine .

Kodi zinthu zoopsa ndi ziti?

Chinthu choopsa ndi chinthu chomwe chimawonjezera mwayi wanu wopeza matenda. Pankhani ya Pott's Puffy Tumor, izi zitha kuchitika chifukwa cha mavuto azaumoyo omwe amakhudza momwe chitetezo chanu cha mthupi chimayankhira matenda . Nazi zitsanzo zingapo:

• Kuchepa kwa magazi m'thupi ( matenda omwe kupanga maselo a m'magazi kumachepa).
• Matenda a shuga .
• Kulephera kwa impso .

Anthu omwe ali ndi matendawa ali pachiwopsezo chachikulu chotenga matenda monga Pott's Puffy Tumor chifukwa ali ndi mphamvu zochepa zolimbana ndi matenda.

Kodi mavuto a vutoli ndi otani?

Ngati sichinachiritsidwe, Pott's Puffy Tumor ingayambitse mavuto aakulu kwambiri . Ndicho chifukwa chake ndi vuto lofunika kusamala nalo kwambiri. Zina mwa mavuto omwe angakhalepo ndi awa:

• Kutuluka magazi muubongo .
• Kutsekeka kwa magazi m'mitsempha yayikulu yamagazi muubongo (cavernous sinus thrombosis ).
• Kutsekeka kwa magazi m'mitsempha yayikulu ya ubongo (dural venous sinus thrombosis ).
• Ischemia ( kufa kwa minofu chifukwa cha kuchepa kwa magazi).
• Meningitis ( matenda a nembanemba zomwe zimaphimba ubongo).
• Orbital cellulitis (matenda a minofu yozungulira maso).
• Sepsis ( matenda oopsa omwe amafalikira m'thupi lonse).
• Thrombosis ( kuundana kwa magazi m'mitsempha yamagazi).

(Pott's Puffy Tumor) ndi vuto lomwe lingathe kupha . Ndikofunikira kwambiri kufunafuna upangiri wa dokotala mukangozindikira kuti pali vuto.

Kodi chotupa cha Pott's Puffy chimapezeka bwanji?

Chotupa cha Pott's Puffy nthawi zambiri chimazindikiritsidwa ndi dokotala wa khutu, mphuno, ndi pakhosi (ENT) . Iye adzachita mayeso angapo:

• Kujambula kwa CT (computed tomography scan) ndi njira yoyesera yomwe ingapangitse zithunzi zomveka bwino za mkati mwa mutu.
• Endoscopy ya mphuno ndi njira yoyezera momwe chubu chokhala ndi kamera yaying'ono chimalowetsedwa m'mphuno.
• Kuyezetsa thupi . Dokotala adzakuyezetsani ndikufunsani za zizindikiro zanu.

Mayeso amenewa athandiza dokotala kuchotsa matenda ena omwe angayambitse zizindikiro zofanana ndi kutsimikizira kuti ali ndi matendawa (Pott's Puffy Tumor).

Matenda ena omwe ali ndi zizindikiro zofanana

Nthawi zina zizindikiro za matenda ena zimatha kufanana ndi zizindikiro za matenda ena angapo. Zikatero, madokotala amafunika kuchita mayeso kuti adziwe chomwe chikuvuta. Izi zimatchedwa differential diagnosis , zomwe zikutanthauza kusankha yoyenera pakati pa matenda omwe ali ndi zizindikiro zofanana.

Matenda ena omwe angabwere ndi zizindikiro zofanana ndi Pott's Puffy Tumor ndi awa:

• Sinusitis yofala kwambiri kapena yosatha.
• Cephalohematoma (kusonkhanitsidwa kwa magazi pamwamba pa chigaza, makamaka mwa makanda obadwa kumene).
• Encephalitis ( kutupa kwa ubongo).
• Kutupa komwe kumachitika chifukwa cha kuvulala mutu.
• Non-Hodgkin lymphoma (khansa ya dongosolo la lymphatic).
• Matenda a pakhungu kapena minofu yofewa .
• Zotupa zina ( za khansa kapena zosakhala khansa).

Kodi chotupa cha Pott's Puffy chimachiritsidwa bwanji?

Chithandizo cha Pott's Puffy Tumor nthawi zambiri chimaphatikizapo opaleshoni yochotsa matendawa ndi maantibayotiki a broad-spectrum omwe amaperekedwa kwa milungu inayi mpaka isanu ndi umodzi kudzera m'mitsempha (IV). Maantibayotiki amenewa amaperekedwa kuti apewe kubwereranso kwa matendawa. "Broad- spectrum" amatanthauza kuti amagwira ntchito motsutsana ndi mitundu yosiyanasiyana ya mabakiteriya.

Madokotala ochita opaleshoni nthawi zambiri amayesa kaye opaleshoni yosavulaza kwambiri . Kenako, ngati pakufunika, amatha kuchita njira zina.

Pali njira zingapo zopangira opaleshoni ya Pott's Puffy Tumor:

• Opaleshoni yogwira ntchito ya endoscopic sinus : Izi zimaphatikizapo kukulitsa njira za sinus kuti mafinya ndi madzi ena azituluka bwino. Iyi ndi njira yochepetsera kufalikira kwa matendawa ndipo sikufuna kuduladula kulikonse. Dokotalayo amagwiritsa ntchito endoscope ya m'mphuno kuti achite izi.
• Kuchotsa chigoba cha ubongo: Nthawi zina, dokotala wa opaleshoni angafunike kuchotsa chidutswa chaching'ono cha chigoba kuti alowe muubongo. Matenda akatha, chidutswa cha chigobacho chimalumikizidwanso.
• Kuthamanga : Pa opaleshoni iyi, dzenje laling'ono limapangidwa mu chigaza kuti lichepetse kupanikizika kozungulira ubongo.
• Kuwonongeka kwa sinus yakutsogolo : Mu njirayi, dokotala wa opaleshoni amachotsa sinus yakutsogolo kuti achepetse chiopsezo cha matenda osatha.

Kodi chiŵerengero cha kuchira kwa Pott's Puffy Tumor ndi chotani?

Mwayi wanu wochira umadalira momwe mumayambira chithandizo mwachangu . Mukachedwa kulandira chithandizo, chiopsezo cha zovuta zoopsa chimakulanso.

Ngati mutalandira chithandizo msanga, nthawi zambiri matendawa amakhala abwino . Komabe, muyenera kupita kuchipatala mwamsanga mukangoona zizindikiro - makamaka kutupa pamphumi. Pafupifupi 12% ya ana aang'ono omwe ali ndi Pott's Puffy Tumor amafa , chifukwa cha mavuto monga sepsis, ischemia, thrombosis, ndi kuwonjezeka kwa kuthamanga kwa magazi m'mutu. Kulowererapo msanga kungachepetse chiopsezochi .

Kodi chotupa cha Pott's Puffy chingapewedwe?

Sizingakhale zopewera nthawi zonse kuti Pott's Puffy Tumor ikhale yoopsa, koma pali zinthu zina zomwe mungachite kuti muchepetse chiopsezo chanu:

• Dziwani zizindikiro za sinusitis : Ngati mumadwala matenda a sinus pafupipafupi, kuphatikizapo mutu, malungo, kutuluka magazi m'mphuno, kapena kutupa pamphumi panu, funsani dokotala nthawi yomweyo.
• Dzitetezeni ku kulumidwa ndi tizilombo : Matenda ena a Pott's Puffy Tumor amayamba chifukwa cha kulumidwa ndi tizilombo, choncho gwiritsani ntchito mankhwala ophera tizilombo nthawi iliyonse mukatuluka panja.
• Pitani kwa dokotala wa mano nthawi zonse : Matenda ena a mkamwa angayambitsenso Pott's Puffy Tumor. Kuyeretsa mano nthawi zonse ndi kupita kukayezetsa mano kungachepetse chiopsezochi.
• Sambani m'manja mwanu pafupipafupi : Izi zingathandize kuchepetsa chiopsezo cha matenda ambiri.
• Valani zovala zodzitetezera mukamasewera masewera ena olumikizana : Kuvala chisoti chokwana bwino kungathandize kuchepetsa chiopsezo chovulala (Pott's Puffy Tumor).

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi matenda a sinus omwe satha kapena akubwereranso, uzani dokotala wanu. Komanso, ngati mukumva mphuno yokhuthala, mutu ukupweteka, kapena - chofunika kwambiri - chotupa chachilendo pamphumi panu , funani thandizo lachipatala mwamsanga, kapena pitani ku chipinda chapafupi chadzidzidzi.

Ndizachibadwa kukhala ndi nkhawa mukadzuka m'mawa ndikuwona chotupa pamphumi panu (kapena pamphumi pa mwana wanu). Ngati mukumva ngati pali vuto, mverani m'mimba mwanu. Funsani upangiri wa dokotala nthawi yomweyo .Kuchedwetsa chithandizo kungayambitse mavuto omwe angawononge moyo. Komabe, maantibayotiki ndi opaleshoni zimatha kuchotsa matendawa ndikukupatsani mwayi wabwino wochira.

Uthenga Womaliza Wopita Nawo Kunyumba

Kotero, Pott's Puffy Tumor ikhoza kukhala ndi dzina loopsa, koma tsopano mukudziwa kuti si khansa, ndi matenda. Chofunika kwambiri ndichakuti, ngati muli ndi mphumi yotupa, malungo, mutu, makamaka ngati ikugwirizana ndi mavuto a sinus, musanyalanyaze . Tangoganizirani ngati mwana wa mnzanu anali ndi mavuto a sinus nthawi zonse, ndipo tsiku lina mphumi yawo inali yotupa ndipo anali ndi malungo ndi mutu, kodi simungawauze kuti akaone dokotala nthawi yomweyo? Umu ndi momwe zilili.

Ngati matendawa atapezeka msanga ndi kuchiritsidwa msanga, matendawa amatha kuchiritsidwa kwathunthu. Chifukwa chake, musanyalanyaze zizindikirozo. Samalani thupi lanu ndipo funsani upangiri kwa dokotala ngati muwona kusintha kulikonse. Ndiyo njira yabwino kwambiri yokhalira ndi thanzi labwino!

Chotupa cha Pott 's Puffy, Kutupa kwa Pamphumi, Sinusitis, Matenda a Mutu, Matenda a Ubongo, Matenda a Khungu, Opaleshoni