Mastoiditis

I-Mastoiditis ukutheleleka kwethambo le-mastoid logebhezi. IMastoid itholakala ngemuva nje kwendlebe.

I-Mastoiditis ivame ukubangelwa ukutheleleka kwendlebe okuphakathi (i-acute otitis media). Ukutheleleka kungasakazeka kusuka endlebeni kuye ethanjeni le-mastoid. Ithambo linesakhiwo esifana nezinyosi esigcwele okokusebenza okuthelelekile futhi lingahle liphuke.

Lesi simo sivame kakhulu ezinganeni. Ngaphambi kwama-antibiotic, i-mastoiditis yayingenye yezimbangela zokufa ezinganeni. Isimo asenzeki kaningi namuhla. Kuyingozi kakhulu.

Izimpawu zifaka:

• Amanzi avela endlebeni
• Ubuhlungu bendlebe noma ukungahambi kahle
• Imfiva, ingaba phezulu noma inyuke ngokungazelelwe
• Ubuhlungu bekhanda
• Ukulahlekelwa ukuzwa
• Ukubomvu kwendlebe noma ngemuva kwendlebe
• Ukuvuvukala ngemuva kwendlebe, kungadala ukuthi indlebe iphume noma izwe sengathi igcwele uketshezi

Ukuhlolwa kwekhanda kungaveza izimpawu ze-mastoiditis. Ukuhlolwa okulandelayo kungakhombisa ukungajwayelekile kwethambo le-mastoid:

• I-CT scan yendlebe
• Iskena sekhanda le-CT

Isiko lokudonsa kusuka endlebeni lingakhombisa amagciwane.

I-Mastoiditis ingaba nzima ukuyelapha ngoba umuthi kungenzeka ungafinyeleli ngokujulile ethanjeni. Isimo kwesinye isikhathi sidinga ukwelashwa okuphindiwe noma kwesikhathi eside. Ukutheleleka kulashwa ngemijovo yama-antibiotic, kulandele ama-antibiotic athathwe ngomlomo.

Ukuhlinzwa ukususa ingxenye yethambo nokukhipha i-mastoid (mastoidectomy) kungadingeka uma ukwelashwa kwama-antibiotic kungasebenzi. Ukuhlinzwa ukukhipha indlebe ephakathi nge-eardrum (i-myringotomy) kungadingeka ukwelapha ukutheleleka kwendlebe okuphakathi.

I-Mastoiditis iyelapheka. Noma kunjalo, kungaba nzima ukuselapha futhi kungabuya.

Izinkinga zingafaka:

• Ukubhujiswa kwethambo le-mastoid
• Isiyezi noma i-vertigo
• Ithumba le-Epidural
• Ukukhubazeka ebusweni
• I-Meningitis
• Ukulahlekelwa okuncane noma okuphelele kokuzwa
• Ukusabalala kokutheleleka ebuchosheni noma kuwo wonke umzimba

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma unezimpawu ze-mastoiditis.

Fonela futhi uma:

• Unesifo sendlebe esingaphenduli ekwelashweni noma esilandelwa yizimpawu ezintsha.
• Izimpawu zakho aziphenduli ekwelashweni.
• Uqaphela noma iyiphi i-asymmetry yobuso.

Ukwelashwa ngokushesha nangokuphelele kokutheleleka ezindlebeni kunciphisa ubungozi be-mastoiditis.

• I-Mastoiditis - umbono ohlangothini lwekhanda
• I-Mastoiditis - ububomvu nokuvuvukala ngemuva kwendlebe
• I-Mastoidectomy - uchungechunge

I-Pelton SI. I-Otitis externa, i-otitis media, ne-mastoiditis. 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 61.

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.