Ingabe ngezinye izikhathi uphuma uketshezi olunuka kabi endlebeni yakho? Noma uvame ukuzwa iqhubu noma ingcindezi ngaphakathi endlebeni yakho? Nakuba abantu abaningi becabanga ukuthi lokhu kumane kuyibuhlungu bendlebe noma ukutheleleka, ngezinye izikhathi kungaba yinto engathi sína kakhulu. Namuhla sizokhuluma ngesinye isimo esinjalo. Sibizwa ngokuthi i-Cholesteatoma. Nakuba igama lingase lizwakale lingavamile, kubalulekile ukwazi ngalo.
Kalula nje, iyini i-Cholesteatoma?
I-Cholesteatoma ukukhula okungajwayelekile okuvela ngemuva kwe-eardrum yakho (ulwelwesi lwe-tympanic), endlebeni ephakathi. Nakuba empeleni kuyi-tumor, akuyona umdlavuza. Ngakho-ke ungakhathazeki ngayo. Yakhiwa yiqoqo lamaseli esikhumba afile. Kufana nendlela amaseli ethu esikhumba afile aqoqana ngayo futhi akhe i-tumor encane ngaphakathi endlebeni. Ngokuhamba kwesikhathi, lesi sigaxa samaseli sikhula kancane kancane. Ngezinye izikhathi sibukeka njengeparele, ngakho abanye abantu basibiza ngokuthi "isigaxa samaparele."
Lesi simo singenzeka ngezindlela ezimbili eziyinhloko:
- I-cholesteatoma yokuzalwa: Ezinye izingane zingaba nalokhu kukhula ngaphakathi kwendlebe yazo lapho zizalwa. Lokhu kuyinto engavamile.
- I-cholesteatoma etholakale: Lolu uhlobo oluvame kakhulu. Luvela ngokuhamba kwesikhathi ngenxa yezinye izinkinga endlebeni.
Into ebalulekile ukuthi yize lokhu kungeyona umdlavuza, uma kungelashwa, lesi simila singakhula futhi silimaze amathambo athambile, imizwa, ngisho nobuchopho obungaphakathi kwendlebe. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu futhi ufune iseluleko sezokwelapha ngokushesha uma kuvela izimpawu.
Yiziphi izimpawu eziba khona uma lesi simo sivela?
Izimpawu ze-cholesteatoma zingahluka kancane kuye ngokuthi ikhona yini ekuzalweni noma ikhula kamuva. Uma ingane encane izalwa nayo, kungase kungabi nazimpawu kuze kube yilapho isimila sikhulu. Udokotela wengane angase ayibone okokuqala ngesikhathi sokuhlolwa okuvamile.
Kodwa-ke, ngokuvamile, izimpawu ezilandelayo zingabonakala kulesi simo.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukuphuma koketshezi endlebeni | Ukuphuma okuqhubekayo koketshezi olunuka kabi, oluphuzi noma oluluhlaza okotshani olufana nobomvu oluvela endlebeni kuyisibonakaliso esivame kakhulu. |
| Ukucindezela noma ukugcwala kwendlebe | Umuzwa oqhubekayo wokusinda, ukucindezeleka, noma into egcwalisa indlebe. Kufana nokuba namanzi endlebeni yakho. |
| Ukulahlekelwa ukuzwa | Ukulahlekelwa ukuzwa endlebeni ethintekile kuncipha kancane kancane. Lokhu kungase kungabonakali ekuqaleni, kodwa kunganda ngokuhamba kwesikhathi. |
| Isiyezi | Ibhalansi iyathinteka futhi izwakala sengathi isiyezi. |
| Ukutheleleka kwendlebe okuvamile | Ukutheleleka okuqhubekayo endlebeni efanayo. Ubuhlungu bendlebe obungaphenduli ekwelashweni okuvamile. |
| I-tinnitus | Ukuzwa umsindo ozwakalayo noma omunye umsindo ongavamile ezindlebeni. |
Kungani kwakheka le cholesteatoma? Yiziphi izimbangela eziyinhloko?
Isizathu esiyinhloko salokhu ukuthi i-eardrum idonselwa ngaphakathi, okubizwa ngokuthi `(I-eardrum ehoxisiwe)`. Manje ake sibone ukuthi lokho kwenzeka kanjani.
Cabanga nje, kukhona ipayipi elincane elixhumanisa izindlebe nomphimbo wethu. Lokhu sikubiza ngokuthi ipayipi lase-Eustachian . Umsebenzi walo oyinhloko ukulinganisa nokulinganisela umfutho womoya phakathi kwendlebe ephakathi nendawo engaphandle. Uma sizamula noma sigwinya, sizwa umsindo "oqhumayo" ezindlebeni zethu futhi kuzwakala sengathi ziyavuleka ngoba leli payipi liyasebenza.
Manje ake sithi unenkinga yomkhuhlane, i-allergy, noma i-sinus. Okwenzekayo ukuthi i-Eustachian tube iyavuvukala bese ivaleka. Kwenzekani-ke? Umoya uyayeka ukugeleza ungene endlebeni ephakathi, bese umoya olapho ungena emzimbeni. Ngenxa yalokho , ingcindezi engaphakathi endlebeni ephakathi iyancipha, okudala i-vacuum.
Ngenxa yalokhu kucindezela kwe-vacuum, i-eardrum, engakwazi ukumelana nokucindezela komoya wangaphandle, idonswa ngaphakathi endaweni yayo ebuthaka kakhulu. Njengoba nje umoya omncane uphoqelelwa ebhodleleni lepulasitiki elingenalutho uma ucindezelwa.
Uma i-eardrum idonswa ngale ndlela, kwakheka isikhwama esincane lapho. Amangqamuzana esikhumba afile angaphandle kwe-eardrum avame ukuwa bese ephuma ngokwawo. Kodwa uma lesi sikhwama sakheka, lawo maseli afile awakwazi ukuphuma aqale ukunqwabelana ngaphakathi kuso. Ngokuhamba kwesikhathi, la maseli ayaqoqana futhi akhe isimila esibizwa ngokuthi i-cholesteatoma.
Ngaphezu kwalesi sizathu esiyinhloko,
- Ngenxa yokutheleleka njalo kwendlebe (i-chronic otitis media) .
- Ngenxa yengozi efana nokuqhekeka kwendlebe .
- Akuvamile kakhulu ukuthi lesi simo sivele lapho umntwana ezalwa .
Ukuthola kanjani lokhu, Dokotela?
Uma unezimpawu ezishiwo ngenhla, kufanele uqale ubonane nodokotela womndeni wakho. Uzokubuza ngezimpawu zakho nokuthi uke waba nezifo zendlebe yini ngaphambili.
Ngemuva kwalokho, udokotela usebenzisa ithuluzi elincane elibizwa ngokuthi i-otoscope ukuhlola indlebe yakho. Angabheka ngaphakathi kwendlebe abone ukuthi kukhona yini ukunqwabelana kwamangqamuzana esikhumba afile ngemuva kwe-eardrum noma ukuthi kukhona ukuvuvukala kwe-eardrum.
Uma kusolwa ukuthi une-cholesteatoma, udokotela wakho uzokudlulisela kuchwepheshe wezindlebe, impumulo, nomphimbo (otolaryngologist noma uchwepheshe we-ENT) . Uchwepheshe angenza izivivinyo ezengeziwe ukuqinisekisa isimo nokunquma ubukhulu bomonakalo.
- I-CT scan (i-Computed Tomography scan): Lokhu kungabona ngokucacile ukuthi isimila sikhulu kangakanani, ukuthi amathambo athambile kakhulu abizwa ngokuthi ama-ossicles angaphakathi kwendlebe alimele yini, noma ukuthi sisakazekele ebuchosheni.
- Ukuhlolwa kokuzwa: Ukuhlolwa kokuzwa okuhlukahlukene kwenziwa ukuze kulinganiswe ukuthi ukuzwa kwakho kuthinteke kangakanani. I-Tympanometry ukuhlolwa okukhethekile okungasiza ekuxilongeni lesi simo.
Yiziphi izindlela zokwelapha lokhu?
Lona umbuzo abantu abaningi abawubuzayo. Ingabe lokhu akukwazi ukwelashwa ngokuthatha imithi?
Ukwelashwa okuwukuphela kwempumelelo kwe-cholesteatoma ukuyisusa ngokuphelele ngokuhlinzwa.
Imithi, ikakhulukazi ama-antibiotic namaconsi endlebe, inganikezwa, kodwa inikezwa kuphela ukulawula ukutheleleka okubangelwa yi-cyst. Okusho ukuthi, ukunciphisa okwesikhashana ubomvu nobuhlungu obuvela endlebeni. Kodwa imithi ayisoze yasusa i-cyst.
Kunemigomo emibili eyinhloko yokuhlinzwa:
1. Ukususa ngokuphelele isimila se-cholesteatoma nokuvimba ukusabalala kokutheleleka.
2. Ukuzama ukulungisa umonakalo endlebeni ngangokunokwenzeka nokubuyisela ukuzwa.
Ukuhlinzwa okwenziwa ngale njongo kubizwa ngokuthi ``Mastoidectomy'' kanye ``Tympanoplasty.'' Uchwepheshe uzonquma ukuthi yikuphi ukuhlinzwa okufanele kakhulu kuwe ngokusekelwe esimweni sakho.
Kuzokwenzekani ngemva kokuhlinzwa? Futhi yini okufanele uyiqaphele?
Iningi labantu lithola ukuphelela kwezimpawu ngemva kokuhlinzwa. Kodwa-ke, kunengozi yokuphinda kuvele i-cholesteatoma. Ngakho-ke, kubalulekile ukuqhubeka nokulandelela nodokotela wakho ngemva kokuhlinzwa.
Uchwepheshe wakho uzokutshela ukuthi ubuye ngezikhathi ezithile . Phakathi nalokhu kuhlolwa:
- Ngiphinde ngihlole indlebe yami.
- Ukuzwa kuyahlolwa.
- Ngezinye izikhathi, kwenziwa ukuhlanzwa kwendlebe. Lokhu kuhilela ukususa ngokucophelela noma yimaphi amangqamuzana esikhumba afile kanye nezinye izicubu okungenzeka ukuthi ziqongelelene.
| Uma unalezi zimpawu ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha. | |
|---|---|
| 🚨 | Ukuphuma koketshezi oluningi, njengegazi noma ubomvu, endlebeni. |
| 🚨 | Ubuhlungu obukhulu bendlebe. |
| 🚨 | Ukuba nomkhuhlane ongaphezu kwama-degree Celsius angu-38 (100.4 Fahrenheit). |
| 🚨 | Uma izimpawu zangaphambilini (iphunga elibi, ukuphuma kwamanzi) ziphinde zivele. |
Ingabe i-cholesteatoma ingavinjelwa?
Ayikho indlela yokuvimbela uhlobo olukhona ekuzalweni. Kodwa kunezinto esingazenza ukunciphisa ingozi yokuba nohlobo oluvame kakhulu, oluqala kamuva.
- Ukwelapha izifo zendlebe ngokushesha nangendlela efanele:Uma wena noma ingane yakho nibhekana nokutheleleka kwezindlebe njalo, kubalulekile ukufuna usizo lwezokwelapha ukuze kutholakale imbangela futhi kuphathwe ngendlela efanele. Kubalulekile futhi ukwelapha izimo eziphazamisa ukusebenza kwe-Eustachian tube, njengomkhuhlane kanye nokungezwani komzimba.
- Ukuvikela Izindlebe: Kubalulekile futhi ukuvikela izindlebe ezintweni nasezingozini ezingase ziqhumise i-eardrum.
Umlayezo Wokuya Nawe Ekhaya
- I-Cholesteatoma iwukukhula okungenawo umdlavuza okuvela eqoqweni lamangqamuzana esikhumba afile ngemuva kwe-eardrum.
- Izimpawu eziyinhloko ukuphuma koketshezi olunuka kabi endlebeni, ukucindezeleka endlebeni, kanye nokulahlekelwa ukuzwa.
- Isizathu esiyinhloko salokhu ukuthi i-eardrum idonswa ngaphakathi ngenxa yokusebenza kabi kwe-Eustachian tube.
- Okuwukuphela kwendlela yokwelapha lokhu ukukususa ngokuhlinzwa. Akunakwelashwa ngemithi.
- Uma wena noma ingane yakho ninayo noma iyiphi yalezi zimpawu, ningazinaki futhi nibone udokotela wakho ngokushesha okukhulu. Ukwelashwa okusheshayo kungavimbela izinkinga ezinkulu.
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