Ingabe kukhona ukuphuma kwephunga elibi okuvela endlebeni yakho? Noma ingabe unenkinga yokuzwa endlebeni eyodwa kanye nomuzwa oqhubekayo wokusinda endlebeni yakho? Lezi akuzona izimpawu zokungazinaki nje. Lezi kungaba izimpawu zokukhula okungenalo umdlavuza okudinga ukwelashwa. Ngokwezokwelapha, lokhu sikubiza ngokuthi i-cholesteatoma . Igama lingase lizwakale lingavamile, kodwa ungesabi. Namuhla, sizokhuluma ngakho ngendlela elula kakhulu ongayiqonda.
Kalula nje, iyini i-Cholesteatoma?
Amaseli emizimbeni yethu angahlangana ndawonye ukuze akhe amaqhubu amancane. Siwabiza ngokuthi amaqhubu, noma ama-cyst. Angagcwaliswa ngomoya, uketshezi, noma ezinye izinto. I-Cholesteatoma iyinto efanayo. Kodwa yakhiwe ngeqoqo lamaseli esikhumba afile ngaphakathi kwendlebe .
Lesi simila sivame ukuqala eduze kwe-eardrum, ngaphakathi kwendlebe. Bese sikhula kancane kancane siye endlebeni ephakathi nangaphakathi kwendlebe. Ngiyaphinda futhi, lokhu akuwona umdlavuza. Kodwa-ke, uma singelashwa, singadala izinkinga ezinkulu njengokulahlekelwa ukuzwa kanye nokulimala kwendlebe.
Lesi simo asivamile kakhulu. Nakuba singakhula kunoma yimuphi ubudala, sivame kakhulu kwabesilisa kunakwabesifazane.
Yiziphi izimpawu eziyinhloko zalokhu?
I-Cholesteatoma ivame ukubangela izimpawu endlebeni eyodwa kuphela. Bheka ukuze ubone ukuthi unazo yini lezi zimpawu.
| Isibonakaliso | Incazelo elula |
|---|---|
| Uketshezi oluphuma endlebeni | Uketshezi olunuka kabi, ngezinye izikhathi oluphuzi noma oluluhlaza luyaqhubeka luphuma endlebeni. |
| Ukukhubazeka kokuzwa | Ukuzwa sengathi ukuzwa kuncipha kancane kancane endlebeni eyodwa. |
| Ukugcwala kwendlebe | Ngihlala ngizizwa sengathi kukhona okugcwele futhi okusindayo ngaphakathi endlebeni yami. |
| Ubuhlungu bendlebe noma ukutheleleka | Ukutheleleka kwendlebe okuvamile noma ubuhlungu obuvela ngaphakathi kwendlebe. |
| Isiyezi nokukhala ezindlebeni | Abanye abantu bangase babe nomuzwa wokujikeleza (isiyezi). Abanye bangase babe nomuzwa wokukhala okuqhubekayo ezindlebeni zabo (i-tinnitus). |
| Ubuthakathaka kolunye uhlangothi lobuso | Akuvamile kakhulu, uma isimila sikhula sibe sikhulu, singathinta imizwa yobuso, okubangela ukungazweli noma ubuthakathaka kolunye uhlangothi lobuso. |
Into ebaluleke kakhulu ukuthi uma lesi simila singalashwa isikhathi eside, singalimaza izitho ezisiza umzimba ukuthi ulinganisele ngaphakathi kwendlebe, kanye namathambo endlebe. Akuvamile kakhulu, lokhu kutheleleka kungasakazekela ebuchosheni futhi kubangele izimo ezibucayi njenge-meningitis. Ngakho-ke ungazinaki lezi zimpawu.
Kungani kwenzeka into efana nale? Yiziphi izizathu?
Kunezizathu eziningana eziyinhloko zokuthi kungani kuvela i-cholesteatoma.
- Ukutheleleka kwendlebe okuvamile: Lena yimbangela eyinhloko. Uma unesifo sendlebe esivamile, uma unezinkinga zendlebe uma unomkhuhlane, noma uma uke waba nokulimala kwendlebe, le ngozi iphakeme. Cabanga ngakho, kukhona ipayipi elincane elixhumanisa ikhala nendlebe yethu. Lokhu sikubiza ngokuthi ipayipi le-Eustachian . Leli payipi lilawula ukucindezeleka ngaphakathi kwendlebe. Uma leli payipi livaliwe ngenxa yokutheleleka, kwakheka i-vacuum ngaphakathi kwendlebe ephakathi. Lokhu kucindezela kudonsa i-eardrum ngaphakathi. Bese kwakheka ingxenye encane efana nesikhwama. Kungaphakathi kwalelo sikhwama lapho amangqamuzana esikhumba afile aqoqana khona bese kwakheka lesi simila.
- Izinkinga ngokusebenza kwe-Eustachian tube: Abanye abantu bazalwa le tube ingasebenzi kahle. Ngisho nalapho, njengoba kushiwo ngenhla, isimila singakhula ngaphakathi kwe-eardrum.
- Ukuzalwa: Akuvamile kakhulu, ezinye izingane zingaba nalesi sifo lapho izindlebe zazo zisakhula esibelethweni, lapho amanye amangqamuzana esikhumba ebhajwa khona phakathi kwamathambo endlebe. Lokhu kuvame ukutholakala ebuntwaneni.
Ukuthola kanjani lokhu, Dokotela?
Uma ubona udokotela onezimpawu ozishilo ngenhla, into yokuqala azokwenza ukuhlola ingaphakathi lendlebe yakho nge-otoscope, idivayisi enokukhanya kanye nelensi yokukhulisa. Ngemuva kwalokho, uzokwenza ukuhlolwa kokuzwa ukuze abone ukuthi uzwa kahle kangakanani.
Uma kusolwa ukuthi kukhona isimila, udokotela wakho uzokudlulisela kuchwepheshe wezindlebe, impumulo, nomphimbo (uchwepheshe we-ENT) , ongenza izivivinyo eziningana ukuze ahlole lesi simila eduze.
- I-CT scan (i-Computerized Tomography): Lokhu kufana nokuhlanganisa izithombe eziningi ze-X-ray ukudala isithombe esinemininingwane se-3D samathambo, imithambo yegazi, nezicubu ezingaphakathi kwendlebe. Lokhu kuvumela udokotela ukubona ukuthi isimila sikhulu kangakanani, ukuthi silimaze amathambo endlebe, nokuthi ngabe sisakazekele yini ezingxenyeni ezithinta ukuzwa nokulinganisela. Lokhu kuvame ukwenziwa ngaphambi kokuhlinzwa.
- Ukuskena kwe-MRI (I-Magnetic Resonance Imaging): Uma ukuskena kwe-CT kuphakamisa ukuthi ukutheleleka sekusakazekele ebuchosheni, kungenziwa ukuskena kwe-MRI ukuqinisekisa lokhu.
Iphathwa kanjani?
Lokhu akukwazi ukwelapheka ngemithi. Ukwelashwa okuwukuphela kokuhlinzwa ukuze kususwe ngokuphelele isimila. Uzolaliswa ngomuthi wokubulala imizwa (uzolaliswa) kulokhu kuhlinzwa, okuvame ukuthatha amahora ama-2-3. Ngeke kudingeke uhlale esibhedlela.
Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa:
1. Ukususwa kwe-Mastoid: Ithambo le-mastoid yithambo elingemuva kwendlebe yakho. Udokotela ohlinzayo uyalivula leli thambo, adlule kulo, bese elisusa ngokuphelele isimila.
2. I-Tympanoplasty: Lena inqubo yokuhlinzwa yokulungisa imbobo endlebeni yakho (ulwelwesi lwe-tympanic) olubangelwa yi-tumor. Lokhu kuhilela ukusebenzisa ucezu lwe-cartilage noma imisipha ethathwe kwenye ingxenye yendlebe yakho.
Ukuzwa kwakho kungase kubuyele esimweni esijwayelekile ngezinga elithile ngemva kokuhlinzwa, kodwa lokhu akwenzeki njalo.
I-Cholesteatoma yisimo esingaphinde sibuye ngendlela embi kakhulu. Uma singasuswanga ngokuphelele, singaphinde sibuye. Ngakho-ke, kubaluleke kakhulu ukulandelelana nodokotela wakho ngezikhathi ezithile ngisho nangemva kokuhlinzwa.
Umlayezo Wokuya Nawe Ekhaya
- I-Cholesteatoma ayiyona umdlavuza, kodwa yisimo okumele selashwe.
- Khuthazeka uma unezimpawu ezifana noketshezi olunuka kabi oluvela endlebeni, ukuncipha kokuzwa endlebeni eyodwa, noma umuzwa wokusinda endlebeni.
- Uma unezinye zalezi zimpawu, bona udokotela ngokushesha. Kungcono ukubona uchwepheshe wezindlebe, impumulo nomphimbo.
- Ukuphela kokwelashwa kwalokhu ukususa isimila ngokuhlinzwa.
- Ngisho nangemva kokuhlinzwa, kubaluleke kakhulu ukuhlolwa njalo ngezikhathi ezithile ukuze kuhlolwe ukuthi isifo siphinde sibuye yini.
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