Ngaba kukho ukukhupha okunuka kakubi okuphuma endlebeni yakho? Okanye ngaba unengxaki yokuva kwenye indlebe kwaye uziva ubunzima rhoqo endlebeni yakho? Ezi asizompawu zokungazinanzi nje. Ezi zinokuba ziimpawu zokukhula okungenamhlaza ekufuneka kunyangwe. Ngokwezonyango, oku sikubiza ngokuba yi-cholesteatoma . Igama lisenokuvakala lingaqhelekanga, kodwa ungoyiki. Namhlanje, siza kuthetha ngalo ngendlela elula kakhulu onokuyiqonda.
Ngamafutshane, yintoni iCholesteatoma?
Iiseli emizimbeni yethu zinokuhlangana zenze amaqhuma amancinci. Sizibiza ngokuba ngamaqhuma, okanye amaqhuma. Anokuzaliswa ngumoya, ulwelo, okanye ezinye izinto. I-Cholesteatoma yinto efana naleyo. Kodwa yenziwe ngeeseli zesikhumba ezifileyo ngaphakathi endlebeni .
Le thumba idla ngokuqala kufutshane ne-eardrum, ngaphakathi endlebeni. Emva koko ikhula kancinci kancinci iye kwindlebe ephakathi nakwindlebe yangaphakathi. Ndiyaphinda, lo asingomhlaza. Nangona kunjalo, ukuba ayinyangwa, inokubangela iingxaki ezinkulu ezifana nokulahlekelwa kukuva kunye nomonakalo wendlebe.
Le meko ayiqhelekanga kangako. Nangona inokuvela nakweyiphi na iminyaka, ixhaphake kancinci kumadoda kunakubafazi.
Ziziphi iimpawu eziphambili zoku?
I-Cholesteatoma idla ngokubangela iimpawu kwindlebe enye kuphela. Jonga ukuze ubone ukuba unazo na ezi mpawu.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukuphuma kolwelo endlebeni | Ulwelo olunuka kakubi, ngamanye amaxesha olumthubi okanye oluluhlaza luyaqhubeka luphuma endlebeni. |
| Ukuphazamiseka kokuva | Ukuziva ngathi ukuva kuyehla kancinci kancinci kwindlebe enye. |
| Ukugcwala kwendlebe | Ndisoloko ndivakalelwa kukuba kukho into egcweleyo nenzima ngaphakathi endlebeni yam. |
| Intlungu yendlebe okanye usulelo | Usulelo oluqhelekileyo lwendlebe okanye iintlungu ezivela ngaphakathi endlebeni. |
| Ukudinwa kunye nokukhala ezindlebeni | Abanye abantu banokuba nemvakalelo yokujikeleza (vertigo). Abanye banokuba nesandi esingapheliyo ezindlebeni zabo (tinnitus). |
| Ubuthathaka kwelinye icala lobuso | Kunqabile kakhulu, ukuba ithumba likhula libe likhulu, linokuchaphazela imithambo-luvo yobuso, libangele ukungaziva okanye ubuthathaka kwelinye icala lobuso. |
Eyona nto ibalulekileyo kukuba ukuba le thumba ayinyangwa ixesha elide, inokonakalisa amalungu anceda umzimba ukuba ulungelelane ngaphakathi kwendlebe, kunye namathambo endlebe. Kunqabile kakhulu, olu sulelo lunokusasazeka luye engqondweni luze lubangele izifo ezinzulu ezifana ne-meningitis. Ngoko ke musa ukuzityeshela ezi mpawu.
Kutheni kusenzeka into efana nale? Zithini izizathu?
Kukho izizathu ezininzi eziphambili zokuba i-cholesteatoma ivele.
- Usulelo lwendlebe oluqhelekileyo: Le yeyona nto iphambili. Ukuba usuleleka rhoqo endlebeni, ukuba unengxaki yendlebe xa unomkhuhlane, okanye ukuba ukhe wenzakala endlebeni, lo mngcipheko uphezulu. Cinga ngayo, kukho ityhubhu encinci edibanisa impumlo nendlebe zethu. Siyibiza ngokuba yityhubhu ye-Eustachian . Le tyhubhu ilawula uxinzelelo ngaphakathi endlebeni. Xa le tyhubhu ivaliwe ngenxa yosulelo, kwenziwa i-vacuum ngaphakathi endlebeni ephakathi. Olu xinzelelo lutsala i-eardrum ngaphakathi. Emva koko kwakheka inxalenye encinci efana nengxowa. Kungaphakathi kwengxowa apho iiseli zolusu ezifileyo ziqokelelana khona kwaye le thumba lenziwa khona.
- Iingxaki ngokusebenza kombhobho we-Eustachian: Abanye abantu bazalwa lo mbhobho ungasebenzi kakuhle. Nangona kunjalo, njengoko kukhankanyiwe ngasentla, ithumba linokukhula ngaphakathi kwi-eardrum.
- Ukuzalwa: Kunqabile kakhulu ukuba ezinye iintsana zibe nale thumba xa iindlebe zazo zisakhula esibelekweni, apho ezinye iiseli zolusu zibambeka phakathi kwamathambo endlebe. Ezi zihlala zifunyanwa kwasebuntwaneni.
Uyifumana njani le nto, Gqirha?
Xa ubona ugqirha oneempawu ozikhankanyileyo apha ngasentla, into yokuqala aza kuyenza kukujonga ingaphakathi lendlebe yakho nge-otoscope, isixhobo esinokukhanya kunye nelensi yokukhulisa. Emva koko, uza kwenza uvavanyo lokuva ukuze abone ukuba uziva kakuhle kangakanani.
Ukuba kurhanelwa ukuba kukho ithumba, ugqirha wakho uza kukuthumela kwingcali yendlebe, impumlo, nomqala (ingcali ye-ENT) , enokwenza iimvavanyo ezininzi ukuze ijonge ngakumbi ithumba.
- I-CT scan (i-Computerized Tomography): Oku kufana nokuqokelela imifanekiso emininzi ye-X-ray ukuze kwenziwe umfanekiso ocacileyo we-3D wamathambo, imithambo yegazi, kunye nezicubu ezingaphakathi kwendlebe. Oku kuvumela ugqirha ukuba abone ukuba ithumba likhulu kangakanani na, nokuba lonakalise amathambo endlebe, nokuba lisasazeke na kwiindawo ezichaphazela ukuva kunye nokulinganisela. Oku kudla ngokwenziwa ngaphambi kotyando.
- I-MRI scan (Magnetic Resonance Imaging): Ukuba i-CT scan ibonisa ukuba usulelo lusasazeke engqondweni, i-MRI scan inokwenziwa ukuqinisekisa oku.
Iphathwa njani?
Oku akunakunyangwa ngamayeza. Unyango olulodwa kuphela kukuhlinzwa ukususa ithumba ngokupheleleyo. Uza kulaliswa ngotyando oluthatha iiyure ezi-2-3. Akuyi kufuneka uhlale esibhedlele.
Kukho iintlobo ezimbini eziphambili zotyando:
1. Ukususwa kwe-Mastoid: Ithambo le-mastoid lithambo elingasemva kwendlebe yakho. Ugqirha uyalivula eli thambo, alidlule kulo, aze alisuse ngokupheleleyo ithumba.
2. I-Tympanoplasty: Le yinkqubo yotyando yokulungisa umngxuma kwi-eardrum yakho (i-tympanic membrane) ebangelwa sisimila. Oku kuquka ukusebenzisa isiqwenga se-cartilage okanye imisipha ethathwe kwenye indawo yendlebe yakho.
Ukuva kwakho kunokubuyela esiqhelweni kwinqanaba elithile emva kotyando, kodwa oku akusoloko kusenzeka.
I-Cholesteatoma yimeko enokuphinda ivele ngendlela embi kakhulu. Ukuba ayisuswanga ngokupheleleyo, inokuphinda ivele. Kungoko ke, kubaluleke kakhulu ukulandela ugqirha wakho rhoqo emva kotyando.
Umyalezo Wokuya Ekhaya
- I-Cholesteatoma ayingomhlaza, kodwa yimeko ekufuneka inyangwe.
- Yiba nexhala ukuba uneempawu ezifana nolwelo olunuka kakubi oluphuma endlebeni, ukuncipha kokuva kwenye indlebe, okanye ukuziva unzima endlebeni.
- Ukuba unayo nayiphi na kwezi mpawu, bonana nogqirha ngokukhawuleza. Kungcono ukubona ingcali yendlebe, impumlo nomqala.
- Unyango olulodwa kuphela loku kukususa ithumba ngotyando.
- Kwanasemva kotyando, kubaluleke kakhulu ukuvavanywa rhoqo ngugqirha ukuze kuhlolwe ukuba isifo siphinde sibuye na.
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