I-Cholesteatoma: Izimbangela, Izimpawu, Nokuxilongwa

-Delile

• Yini ebangela i-cholesteatoma?
• I-cholesteatoma ezinganeni
• Ziyini izimpawu zecholesteatoma?
• Yiziphi izinkinga ezingaba khona ze-cholesteatoma?
• I-cholesteatoma itholakala kanjani?
• Uphathwa kanjani i-cholesteatoma?
• Amathiphu wokuvimbela ama-cholesteatomas
• Umbono wesikhathi eside wabantu abane-cholesteatoma
• Q:
• A:

Ukubuka konke

I-cholesteatoma ukukhula okungajwayelekile, okungenasifo somdlavuza okungakhula esigabeni esiphakathi sendlebe yakho, ngemuva kwe-eardrum. Kungaba ukukhubazeka kokuzalwa, kepha kuvame ukubangelwa ukutheleleka okuphindaphindiwe kwezindlebe eziphakathi.

I-cholesteatoma ivame ukukhula njenge-cyst, noma i-sac, ekhipha izingqimba zesikhumba esidala. Njengoba la maseli esikhumba afile eqongelela, ukukhula kungakhula ngosayizi futhi kubhubhise amathambo entekenteke endlebe ephakathi. Lokhu kungathinta ukuzwa, ukulinganisela, kanye nokusebenza kwemisipha yobuso.

Yini ebangela i-cholesteatoma?

Ngaphandle kokutheleleka okuphindaphindwayo, i-cholesteatoma nayo ingabangelwa yibhubhu le-eustachian elingasebenzi kahle, okuyishubhu eliholela ukusuka emuva kwekhala liye enkabeni yendlebe.

Ishubhu le-eustachian livumela umoya ukuba ungene ngendlebe futhi ulinganise ukucindezela kwendlebe. Kungenzeka kungasebenzi kahle ngenxa yanoma ikuphi kokulandelayo:

• izifo ezingapheli ezindlebeni
• izifo zesinus
• imikhuhlane
• komzimba

Uma ithubhu yakho ye-eustachian ingasebenzi kahle, i-vacuum engaphelele ingavela endlebeni yakho ephakathi. Lokhu kungadala ukuthi ingxenye ethile ye-eardrum yakho idonselwe endlebeni ephakathi, kwakheke i-cyst engaphenduka i-cholesteatoma. Ukukhula bese kuba kukhulu njengoba kugcwalisa amangqamuzana amadala esikhumba, uketshezi, nezinye izinto zokungcola.

I-cholesteatoma ezinganeni

Ezimweni ezingavamile kakhulu, ingane ingazalwa ine-cholesteatoma. Lokhu kubhekwa njengokukhubazeka kokuzalwa. Ama-cholesteatomas azalwe nawo angakha endlebeni ephakathi noma kwezinye izindawo zendlebe.

Ezimweni lapho izingane zithola ukutheleleka ezindlebeni kaningi zisencane, kungenzeka ukuthi ama-cholesteatomas angakhula kusukela ebuncaneni.

Ziyini izimpawu zecholesteatoma?

Izimpawu ezihambisana ne-cholesteatoma ngokuvamile ziqala ukuba mnene. Ziba nzima kakhulu njengoba i-cyst ikhula ibe nkulu futhi iqala ukudala izinkinga ngaphakathi kwendlebe yakho.

Ekuqaleni, indlebe ethintekile ingakhipha uketshezi olunephunga elibi. Njengoba i-cyst ikhula, izoqala ukudala ukucindezela endlebeni yakho, okungadala ukungaphatheki kahle okuthile. Ungase futhi uzwe ubuhlungu obubuhlungu ngaphakathi noma ngemuva kwendlebe yakho. Ingcindezi ye-cyst ekhulayo ingadala nokulahlekelwa ukuzwa endlebeni ethintekile.

Shayela udokotela wakho ngokushesha uma unezinye zalezi zimpawu. I-Vertigo, ukukhubazeka kwemisipha ebusweni, nokulahlekelwa unomphela kokuzwa kungenzeka uma i-cyst iqhubeka ikhula ingalawulwa.

Yiziphi izinkinga ezingaba khona ze-cholesteatoma?

Uma ishiywe ingalashwa, i-cholesteatoma izokhula ibe nkulu futhi ibangele izinkinga ezisukela komoya omnene ziye kwezinzima kakhulu.

Amangqamuzana esikhumba afile anqwabelana endlebeni ahlinzeka indawo ekahle yokuba amagciwane nefungus achume. Lokhu kusho ukuthi i-cyst ingatheleleka, ibangele ukuvuvukala kanye nokugeleza kwendlebe okuqhubekayo.

Ngokuhamba kwesikhathi, i-cholesteatoma nayo ingabhubhisa ithambo elizungezile. Kungalimaza i-eardrum, amathambo ngaphakathi kwendlebe, amathambo asondele ebuchosheni, nezinzwa zobuso. Ukulahlekelwa unomphela kokuzwa kungenzeka uma amathambo ngaphakathi kwendlebe ephukile.

I-cyst ingahle isabalale nasebusweni uma iqhubeka nokukhula, ibangele ubuthakathaka ebusweni.

Ezinye izinkinga ezingaba khona zifaka:

• ukutheleleka okungapheli kwendlebe
• ukuvuvukala kwendlebe yangaphakathi
• ukukhubazeka kwemisipha yobuso
• i-meningitis, okutheleleka ngengqondo okusongela impilo
• amathumba obuchopho, noma ukuqoqwa kobofu ebuchosheni

I-cholesteatoma itholakala kanjani?

Ukuthola ukuthi une-cholesteatoma, udokotela wakho uzohlola ingaphakathi lendlebe yakho esebenzisa i-otoscope. Le divayisi yezokwelapha ivumela udokotela wakho ukuthi abone ukuthi zikhona yini izimpawu ze-cyst ekhulayo. Ngokuqondile, bazobheka idiphozi ebonakalayo yamaseli esikhumba noma inqwaba yemithambo yegazi endlebeni.

Udokotela wakho angadinga uku-oda ukuskena kwe-CT uma kungekho zimpawu ezisobala ze-cholesteatoma. Ukuskena kwe-CT nakho kunga-odwa uma ukhombisa izimpawu ezithile, ezifana nesiyezi kanye nobuthakathaka bemisipha yobuso. I-CT scan isivivinyo sokuthatha izithombe esingenabuhlungu esithwebula izithombe ezivela engxenyeni yesiphambano yomzimba wakho. Ukuskena kuvumela udokotela wakho ukuthi abone ngaphakathi kwendlebe nogebhezi lwakho. Lokhu kungabasiza ukuba babone kangcono i-cyst noma bakhiphe ezinye izimbangela zezimpawu zakho.

Uphathwa kanjani i-cholesteatoma?

Ngokuvamile, okuwukuphela kwendlela yokwelapha i-cholesteatoma ukuyikhipha ngokuhlinzwa. I-cyst kumele isuswe ukuvikela izinkinga ezingaba khona uma ikhula inkulu. Ama-cholesteatomas awahambi ngokwemvelo. Imvamisa ziyaqhubeka nokukhula futhi zidale ezinye izinkinga.

Lapho nje sekutholakele i-cholesteatoma, uhlobo lwemithi elwa namagciwane, amaconsi endlebe, nokuhlanzwa ngokucophelela kwendlebe cishe kuzonikezwa ukwelapha i-cyst ethelelekile, ukunciphisa ukuvuvukala, nokukhipha indlebe. Uchwepheshe wakho wezokwelapha uzobe esekwazi ukuhlaziya kangcono izici zokukhula kwe-cyst futhi enze uhlelo lokususwa kokuhlinzwa.

Ezimweni eziningi, ukuhlinzwa kuyindlela yokwelashwa ngaphandle. Lokhu kusho ukuthi akudingeki uhlale esibhedlela ngemuva kwenqubo. Ukuhlala esibhedlela kuyadingeka kuphela uma i-cyst inkulu kakhulu noma uma unesifo esibi. Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Ngemuva kokuhlinzwa kokuqala ukukhipha i-cyst, ukuhlinzwa okulandelwayo ukwakha kabusha noma yiziphi izingxenye ezilimele zendlebe yangaphakathi futhi uqiniseke ukuthi i-cyst isuswe ngokuphelele ivame ukudingeka.

Lapho nje i-cholesteatoma isisusiwe, kuzodingeka ukuthi ubekhona lapho kuqokwa khona ukuze kulandelwe imiphumela futhi kuqinisekiswe ukuthi i-cyst ayibuyanga. Uma i-cyst yephule noma yimaphi amathambo endlebeni yakho, uzodinga ukuhlinzwa kwesibili ukuwalungisa.

Ngemuva kokuhlinzwa, abanye abantu baba nesiyezi okwesikhashana noma banambitha okungahambi kahle. Le miphumela emibi ihlala ixazululwa ngaphakathi kwezinsuku ezimbalwa.

Amathiphu wokuvimbela ama-cholesteatomas

Ama-cholesteatomas azalwe nawo awakwazi ukuvinjelwa, kepha abazali kufanele bazi ngesimo ukuze sikwazi ukukhonjwa ngokushesha futhi silashwe lapho sikhona.

Ungavimbela ama-cholesteatomas kamuva empilweni ngokwelapha ukutheleleka kwezindlebe ngokushesha nangokuphelele. Noma kunjalo, ama-cysts asengaqhubeka ukwenzeka. Kubalulekile ukwelapha ama-cholesteatomas ngokushesha ngangokunokwenzeka ukuvimbela izinkinga. Shayela udokotela wakho ngokushesha uma ukholwa ukuthi une-cholesteatoma.

Umbono wesikhathi eside wabantu abane-cholesteatoma

Umbono wesikhathi eside wabantu abane-cholesteatomas ngokuvamile muhle. Izinkinga ngokuvamile azivamile uma i-cyst ibanjwa futhi isuswe kusenesikhathi. Uma isikhwama se-cholesteatoma sesibe sikhulu kakhulu noma siyinkimbinkimbi ngaphambi kokuba sikhonjwe, kungenzeka ukuthi kube khona ukulahleka kokuzwa unomphela. Ukungalingani kanye ne-vertigo nakho kungavela ekudleni okukhulu kwe-cholesteatoma ngokusebenzisa izinzwa ezizwelayo namathambo entekenteke endlebeni.

Noma ngabe iyanda ngosayizi, i-cyst cishe ingahlala isuswe ngempumelelo ngokuhlinzwa.

Q:

Yiziphi ezinye zezinto ezinobungozi be-cholesteatoma?

A:

Izici eziphathelene nobungozi kakhulu ukutheleleka okuphindaphindiwe endlebeni ephakathi. Ukugeleza okungafanele ngokusebenzisa ishubhu le-eustachian nakho kungabangelwa ukungezwani komzimba okukhulu. Izinto ezinobungozi bokutheleleka okuphindaphindiwe endlebeni ephakathi kufaka umlando womndeni wokutheleleka kwezindlebe, izimo ezizokubeka ekuqopheni izifo zesono nezindlebe, nokuvezwa intuthu kagwayi.