I-malignant otitis externa

I-Malignant otitis externa ukuphazamiseka okubandakanya ukutheleleka nokulimala kwamathambo omsele wezindlebe nangaphansi kogebhezi.

I-Malignant otitis externa ibangelwa ukusabalala kwegciwane lendlebe elingaphandle (otitis externa), elibizwa nangokuthi indlebe yokubhukuda. Akuvamile.

Izingozi zalesi simo zifaka:

• Ukwelashwa ngamakhemikhali
• Isifo sikashukela
• Amasosha omzimba abuthakathaka

I-otitis yangaphandle ivame ukubangelwa amagciwane okunzima ukuwelapha, njenge-pseudomonas. Ukutheleleka kusakazeka kusuka phansi komsele wendlebe kuya ezicutshini eziseduze kuya emathanjeni phansi kogebhezi. Ukutheleleka nokuvuvukala kungalimaza noma kuqede amathambo. Ukutheleleka kungathinta izinzwa ze-cranial, ubuchopho, noma ezinye izingxenye zomzimba uma kuqhubeka nokusabalala.

Izimpawu zifaka:

• Ukugeleza okuqhubekayo okusuka endlebeni ephuzi noma eluhlaza futhi enephunga elibi.
• Ubuhlungu bendlebe bujulile ngaphakathi kwendlebe. Ubuhlungu bungaba nzima uma uhambisa ikhanda lakho.
• Ukulahlekelwa ukuzwa.
• Ukulunywa kwendlebe noma indlebe.
• Imfiva.
• Inkinga yokugwinya.
• Ubuthakathaka emisipheni yobuso.

Umhlinzeki wakho wokunakekelwa kwezempilo uzobheka endlebeni yakho ukuthola izimpawu zokutheleleka kwendlebe yangaphandle. Inhloko ezungeze nangemuva kwendlebe ingahle ithambe ukuthintwa. Ukuhlolwa kwesistimu yezinzwa (i-neurological) kungakhombisa ukuthi izinzwa ze-cranial ziyathinteka.

Uma kukhona noma yimuphi umsele, umhlinzeki angathumela isampula yawo kulab. Ilebhu izokwenza isiko isampula ukuzama ukuthola imbangela yokutheleleka.

Ukubheka izimpawu zokutheleleka kwamathambo eduze komsele wendlebe, kungenziwa izivivinyo ezilandelayo:

• I-CT scan yekhanda
• Ukuskena kwe-MRI kwekhanda
• Ukuskena kwe-Radionuclide

Umgomo wokwelashwa ukwelapha ukutheleleka. Ukwelashwa kuvame ukuhlala izinyanga ezimbalwa, ngoba kunzima ukwelapha amabhaktheriya futhi kufinyelele ekuthelelekeni kwizicubu zethambo.

Uzodinga ukuthatha imithi elwa namagciwane isikhathi eside. Imithi inganikezwa ngomthambo (ngemithambo), noma ngomlomo. Ama-antibiotic kufanele aqhubeke kuze kube yilapho ukuskena noma okunye ukuhlolwa kukhombisa ukuthi ukuvuvukala kwehlile.

Izicubu ezifile noma ezinegciwane zingadinga ukususwa emgodini wezindlebe. Kwezinye izimo, ukuhlinzeka kungadingeka ukususa izicubu ezifile noma ezilimele kugebhezi.

I-malignant otitis externa ivame ukuphendula ekwelashweni kwesikhathi eside, ikakhulukazi uma welashwa kusenesikhathi. Ingabuya ngokuzayo. Amacala abucayi angabulala.

Izinkinga zingafaka:

• Ukulimala kwezinzwa ze-cranial, ugebhezi, noma ubuchopho
• Ukubuyela kokutheleleka, nangemva kokwelashwa
• Ukusabalala kokutheleleka ebuchosheni noma kwezinye izingxenye zomzimba

Shayela umhlinzeki wakho uma:

• Uba nezimpawu zesifo esibi se-otitis externa.
• Izimpawu ziyaqhubeka naphezu kokwelashwa.
• Uba nezimpawu ezintsha.

Iya egumbini labezimo eziphuthumayo noma ushayele inombolo yendawo ephuthumayo (efana ne-911) uma une:

• Ukudlikizela
• Ukwehla kokuqonda
• Ukudideka okukhulu
• Ubuthakathaka ebusweni, ukulahleka kwezwi, noma ubunzima bokugwinya okuhambisana nobuhlungu bendlebe noma amanzi

Ukuvimbela ukutheleleka kwendlebe kwangaphandle:

• Yomise kahle indlebe ngemuva kokuba isimanzi.
• Gwema ukubhukuda emanzini angcolile.
• Vikela umsele wendlebe ngokotini noma ngoboya bewundlu ngenkathi ufaka izinwele zezinwele noma udayi wezinwele (uma ujwayele ukuthola izifo zendlebe zangaphandle).
• Ngemuva kokubhukuda, beka amathonsi 1 noma amabili enhlanganisela yotshwala obuyi-50% noviniga ongu-50% endlebeni ngayinye ukusiza ukomisa indlebe nokuvikela ukutheleleka.
• Gcina ukulawula okuhle kwe-glucose uma unesifo sikashukela.
  

Phatha ngokuphelele i-otitis externa yangaphandle. Ungayeki ukwelashwa ngokushesha kunokuba umhlinzeki wakho ancoma. Ukulandela uhlelo lomhlinzeki wakho nokuqeda ukwelashwa kuzokwehlisa ubungozi bakho be-malignant otitis externa.

I-osteomyelitis yogebhezi; I-Otitis externa - eyingozi; Ukhakhayi-base osteomyelitis; I-Necrotizing otitis yangaphandle

• I-anatomy yendlebe

I-Araos R, D'Agata E. Pseudomonas aeruginosa nezinye izinhlobo ze-pseudomonas. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 219.

UPfaff JA, Moore GP. I-Otolaryngology. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 62.