Cholesteatoma

I-Cholesteatoma wuhlobo lwe-cyst yesikhumba etholakala endlebeni ephakathi nethambo le-mastoid kugebhezi.

I-Cholesteatoma ingaba yisici sokuzalwa (sokuzalwa). Ngokuvamile kwenzeka ngenxa yokutheleleka okungapheli kwendlebe.

Ishubhu le-eustachian lisiza ukulinganisa ingcindezi endlebeni ephakathi. Uma ingasebenzi kahle, ingcindezi engemihle ingakha futhi idonse ingxenye yolwelwesi (ulwelwesi lwe-tympanic) ngaphakathi. Lokhu kwakha iphakethe noma i-cyst egcwala amangqamuzana amadala esikhumba nokunye okungcolile.

I-cyst ingahle itheleleke noma ikhule. Lokhu kungadala ukonakala kwamathambo endlebe aphakathi nendawo noma ezinye izakhiwo zendlebe. Lokhu kungathinta ukuzwa, ukulinganisela, futhi mhlawumbe nokusebenza kwemisipha yobuso.

Izimpawu zifaka:

• Isiyezi
• Ukugeleza kwendlebe, okungaba okungapheli
• Ukuzwa ukulahlekelwa endlebeni eyodwa
• Ukuzwa kokugcwala kwendlebe noma ukucindezela

Ukuhlolwa kwendlebe kungakhombisa iphakethe noma ukuvulwa (ukugcotshwa) ku-eardrum, imvamisa ngomsele. Idiphozi yamangqamuzana amadala esikhumba ingabonakala ngemicroscope noma i-otoscope, okuyithuluzi elikhethekile lokubuka indlebe. Kwesinye isikhathi iqembu lemithambo yegazi lingabonakala endlebeni.

Ukuhlolwa okulandelayo kungenziwa ukukhipha ezinye izimbangela zesiyezi:

• Iskena se-CT
• I-Electronystagmography

AmaCholesteatomas kaningi aqhubeka nokukhula uma engasuswa. Ukuhlinzwa kuvame ukuphumelela. Kodwa-ke, ungadinga ukuthi indlebe ihlanzwe ngumhlinzeki wezempilo ngezikhathi ezithile. Okunye ukuhlinzwa kungadingeka uma i-cholesteatoma ibuya.

Izinkinga zingafaka:

• Ithumba lobuchopho (akuvamile)
• Ukuguguleka komgogodla ebusweni (kubangela ukukhubazeka ebusweni)
• I-Meningitis
• Ukusabalala kwe-cyst ebuchosheni
• Ukulahlekelwa ukuzwa

Shayela umhlinzeki wakho uma ubuhlungu bendlebe, amanzi avela endlebeni, noma ezinye izimpawu zenzeka noma ziba zimbi, noma uma ukulahleka kokuzwa kwenzeka.

Ukwelashwa ngokushesha nangokuphelele kokutheleleka okungapheli endlebeni kungasiza ekuvimbeleni i-cholesteatoma.

Ukutheleleka okungapheli kwendlebe - cholesteatoma; I-otitis media engapheli - cholesteatoma

• Ulwelwesi lwe-Tympanic

UKerschner JE, Preciado D. Otitis abezindaba. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 658.

Thompson LDR. Amathumba endlebe. Ku: Fletcher CDM, ed. Ukuxilongwa kwe-Histopathology of Tumors. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2021: isahluko 30.