I-Perichondritis

I-Perichondritis ukutheleleka kwesikhumba nezicubu ezizungeze uqwanga lwendlebe engaphandle.

Uqwanga izicubu eziwugqinsi ezakha ukuma kwekhala nendlebe engaphandle. Yonke i-cartilage inezingqimba ezincane zezicubu ezizungezile okuthiwa i-perichondrium. Lesi simbozo sisiza ukuhlinzeka ngomsoco ku-cartilage.

Uhlobo oluvame kakhulu lwama-bacteria olubangela ukutheleleka kwe-perichondritis UPseudomonas aeruginosa.

I-Perichondritis ivame ukubangelwa ukulimala endlebeni ngenxa ye:

• Ukuhlinzwa endlebeni
• Ukubhoboza indlebe (ikakhulukazi ukubhoboza uqwanga)
• Xhumana nezemidlalo
• Ukuhlukumezeka ohlangothini lwekhanda
  

Ukubhoboza izindlebe kuqwanga cishe kuyimbangela enkulu yengozi namuhla. Ukuhlinzwa, ukusha, nokuhlatshwa ngamatshe nakho kwandisa ingozi yokutheleleka.

I-Perichondritis ingaholela ku-chondritis, okuwukutheleleka koqwanga uqobo. Lokhu kungadala umonakalo omkhulu esakhiweni sendlebe.

Indlebe ebuhlungu, evuvukile nebomvu iyisifo esivame kakhulu. Ekuqaleni, ukutheleleka kuzobukeka njengokutheleleka kwesikhumba, kepha kusheshe kube kubi futhi kuhilele i-perichondrium.

Ububomvu buvame ukuzungeza indawo yokulimala, njengokusika noma ukusika. Kungase futhi kube nemfiva. Ezimweni ezinzima kakhulu, uketshezi luzophuma enxebeni.

Ukuxilongwa kusekelwe emlandweni wezokwelapha nasekuhlolweni kwendlebe. Uma kunomlando wokuhlukumezeka endlebeni futhi indlebe ibomvu futhi ithenda kakhulu, khona-ke i-perichondritis iyatholakala. Kungaba noshintsho esimweni esivamile sendlebe. Indlebe ingabukeka ivuvukile.

Ukwelashwa kuqukethe ama-antibiotic, kungaba ngomlomo noma ngqo egazini ngokusebenzisa umugqa we-intravenous (IV). Ama-antibiotic anganikezwa izinsuku eziyi-10 kuya emavikini ambalwa. Uma kuneqoqo elibanjiwe lobomvu, ungadinga ukuhlinzwa. Ukuhlinzwa kwenzelwa ukukhipha lolu ketshezi futhi kususwe noma yisiphi isikhumba esifile noqwanga.

Ukuthi umuntu wenza kahle kangakanani kuncike ekutheni isifo sitholakale futhi selashwa ngokushesha kangakanani. Uma ama-antibiotic ethathwa kusenesikhathi, kulindeleke ukuthi alulame ngokugcwele. Uma ukutheleleka kuhilela uqwanga lwendlebe, kudingeka ukwelashwa okuhilelekile.

Uma ukutheleleka kusakazeka kuqwanga lwendlebe, ingxenye yendlebe ingafa futhi idinga ukukhishwa ngokuhlinzwa. Uma lokhu kwenzeka, kungadingeka ukuhlinzwa kwepulasitiki ukubuyisela indlebe esimweni sayo esijwayelekile.

Uma unokuhlukumezeka endlebeni yakho (ukuklwebheka, ukushaya, noma ukubhoboza) bese uba nobuhlungu nokubomvu engxenyeni eqinile yendlebe yangaphandle, xhumana nomhlinzeki wakho wezokunakekelwa kwempilo. Ungadinga ukuthatha ama-antibiotic.

Gwema ukubhoboza indlebe yakho ngoqwanga. Ukubhoboza i-lobe yendlebe kuyindlela engcono. Ukuthandwa kokubhoboza uqwanga kuholele ekwandeni okukhulu kwenani lezifo ze-perichondritis kanye ne-chondritis.

UBrant JA, uRuckenstein MJ. Ukutheleleka kwendlebe yangaphandle. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 137.

UHaddad J, Keesecker S. otitis wangaphandle (otitis externa). Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 639.