Cholesteatoma kwa khutu: Zoyambitsa, zizindikiro, matenda, mankhwala, zotsatira

Chimodzi chifukwa cha kumva imfa ndi mwadzidzidzi cholesteatoma. Izi mapangidwe latsopano, wopangidwa mwa particles wa epithelium yankhanza. Kukula, izo midadada pakati khutu M'mimbamo, kuchititsa zizindikiro zosasangalatsa. Pamene kuzimiririka ndipo wopondereza khutu kupweteka, chizungulire, ndi kumaliseche malodorous pamafunika kukaonana ndi otolaryngologist. Ndani ndi zimene amachitira aliyense akudziwa. M'nkhani lero, Kupenda maonekedwe a anati ndondomeko pathological.

Akamanena za matenda

Cholesteatoma si za gulu la khansa. Choyamba anafotokoza m'zaka za m'ma XIX, koma dzina ano kuperekedwa kwa posachedwapa. Only patapita kuphunzira zambiri za zikuchokera chotupa, imene pali zambiri mafuta m'thupi ofufuza anadzetsa zachipatala mchitidwe yoyenera yaitali. Patapita nthawi, ine anatha kuzindikira chikuchititsa mavuto a matenda, kusankha mankhwala ogwira.

Cholesteatoma khutu - chotupa pawiri ndi woyera, unazunguliridwa mu kapisozi a. Iwo aumbike mwa layering pa zigawo mzake maselo a khungu akufa. Miyeso zosiyanasiyana, kuyambira pa millimeters ochepa cm 7.5. The Gawo ndi mankhwala mapuloteni, keratin, lipids ndi mafuta. Neoplasm TACHIMATA masanjidwewo - m'chimake minofu connective chimene chimatsatira fupa, ndi zina umasanduka izo. Pa ndondomekoyi, zimakhala ozungulira anawonongedwa.

The zimayambitsa matenda ndi pathogenesis ake

Kusiyanitsa mitundu iwiri cholesteatoma khutu:

1. Kobadwa nako kapena woona. Maonekedwe a matenda amayamba ndi mkhutu embryonic chitukuko cha mwana wosabadwayo. Mwina pakuwonekera kwake kumawonjezera ngati mkazi amatenga pa mimba mankhwala ototoxic, anali pansi mobwerezabwereza X-ray. Neoplasm nthawi isanafalikire mu piramidi wa fupa wosakhalitsa, osachepera - m'nthiti a Chigaza, ndipo wina wa ventricles anayi a ubongo.
2. Waphunzira. Matendawa amawapeza mu mukadzakula. Kupititsa zinthu zake chitukuko ndi aakulu matenda yotupa a khutu (otitis evstahiit), zoopsa choipa.

mankhwala amakono zikugwirizana yatsoka anapeza kudwala mawonekedwe ndi imodzi mwa njira ziwiri.

Mbali yoyamba, ndi pathogenesis kumafuna wakuswa patency la chubu Makutu pakati evstahiita. Anzanu akutsikira mu M'mimbamo tympanic, ndi gawo la Kakhungu ndi pang'onopang'ono kukopedwa mu izo. Apa, timibulu ayamba kudziunjikira mafuta m'thupi, exfoliated maselo zaminyewa ndi keratin. Choncho anapanga anapeza cholesteatoma mwa khutu.

Zikatero makina wolephera kapena aakulu otitis patsogolo kwa akugwera wa likalowa m'makutu a. Pakati pa akunja Makutu ngalande ndi bowo pakati khutu aumbike. Kudzera zimachitika kumera wa epithelium squamous kuti patsekeke tympanic. The kapisozi minofu connective kukuchepetsa thunthu yachilendo, n'kupanga cholesteatoma.

chithunzi matenda

Nthawi zambiri cholesteatoma wa khutu pakati sizikutsimikizira zizindikiro zenizeni. Tiyerekezenso wotereyu sikuti zimachitika nthawi zonse. Ena odwala kupita kwa dokotala ndi madandaulo zotsatirazi:

• ululu khutu, yodziwika akuphulikira ndi khalidwe;
• kusapeza mu kachisi kapena pamphumi;
• kumva kuwonongeka;
• pamaso pa secretions kwa khutu ndi zosafunika mafinya malodorous;
• kunyansidwa ndi chizungulire.

Ndi kukula yaing'ono chotupa sangathe zowoneka kuona. A mapangidwe lalikulu zikuwoneka ngati woyera curdy mtanda oumbidwa kudzera kunja Makutu meatus.

Pankhani ya matenda sekondale bakiteriya chithunzi matenda ndi lowonjezera ndi zizindikiro za kuledzera. Odwala amadandaula ndi isanayambike mwadzidzidzi malungo, kutopa, kufooka ndi kukana kudya. Mu zinkakhala m'dera la khutu kungakhale ululu throbbing.

zosokonezeka Nkosatheka

Ngati kunyalanyaza zizindikiro ndi kuchedwa chithandizo, lingachititse mavuto. Mwa iwo amadziwa ngati ambiri ndi:

1. Fistula kukhotakhota pamodzi ndi imfa wathunthu mmakutu.
2. Paresis ya mitsempha nkhope.
3. Sigmoid nkusani thrombosis.
4. meninjaitisi Aseptic.
5. Meningoencephalitis.
6. Chikomokere.
7. Kutupa ubongo.

Mantha a chotupa chija chotupa sikuthandiza. Cholesteatoma maselo khutu si chotupa. Iwo sangakhoze kugawanitsa mosatonthozeka ndi kufalikira thupi lonse ndi hematogenous.

Kuopsa kwa ndondomeko pathological ndi moyandikana ku ubongo wathu ndi misempha. Tochoka ndi katulutsidwe chotupa zimapangitsa dongosolo pachiopsezo. Choncho, kakhosi, edema oziziritsa ndi matenda ena kukhala mofulumira, limodzi ndi zizindikiro kutchulidwa. Popeza khalidwe chithandizo kungasokoneze.

njira matenda

Ngati mukukayikira kuti munthu cholesteatoma akhale posachedwapa adiresi otolaryngologist lapansi. Ndani ndi chimene amachiza dokotala, ngakhale ana aang'ono mukudziwa. Mukapita ku phwando kwa dokotala chigawo, iye anapereka malangizo kwa katswiri chokuchititsani diagnostics mwatsatanetsatane.

Zikuyamba ndi kunja Makutu meatus ndi otoscope bwino. Ndi chipangizo ichi n'zotheka kudziwa kutupa, kudziwa kumene kuli formations pathological ndi kusintha kapangidwe ka likalowa m'makutu a. Ndiye wodwalayo akapatsidwa radiography. zithunzi bwino visualized chotupa, ngati alipo. An dokotala wodziwa akhoza kuwunika kukula kwake ndi malo enieni. Komabe, chithunzi mwatsatanetsatane imapereka kompyuta tomography.

Mwa njira ina yoyendera ndi:

• audiometry kuchepetsa zovuta kumva wodwalayo;
• mosamala kwa phokoso kubalana mwa ikukonzekera foloko;
• vestibulometriya - kusanthula ntchito za zida za vestibular.

ndondomeko izi tsopano unachitikira kapena matenda pakati otolaryngology. Doctor kumatsimikiza kapena wotsutsa matenda kuyambirira, amapereka malangizo kuchotsa matenda zochokera analandira zotsatira zovuta bwino. Lero, mankhwala a zotupa n'zotheka m'njira ziwiri: ndiwofatsa komanso opaleshoni. Pa iwo tikambirana mwatsatanetsatane m'munsimu.

chithandizo ndiwofatsa

Mu magawo oyambirira a matenda angathe kuthetsedwa ndi njira ndiwofatsa. Kawirikawiri amachita kusamba danga nadbarabannogo njira asidi boric kapena michere proteolytic. Mwai ayenera mobwerezabwereza tsiku kwa sabata imodzi.

Ngati ndondomeko muyezo si bwino alili, m'pofunika ntchito yapadera chubu m'mimba ndi unakhota kumapeto. Pa ndondomeko, dokotala amaika icho mu dzenje likalowa m'makutu a. Ndi mankhwala yake ya mafinya kuchokera khutu ndi anaima ndi zimakhala kuonongeka buluzi msanga.

alowererepo opaleshoni

Pamene njira ndiwofatsa amalephera kuthetsa kudwala, Mpofunika kuchotsa opaleshoni ya cholesteatoma lapansi. Mwa zizindikiro zina za opaleshoni mwadzidzidzi monga:

• intracranial zosokonezeka;
• osteomyelitis;
• paresis wa mitsempha nkhope;
• labyrinthitis;
• nthawi kuvutika ndi tizilombo ting'onoting'ono.

Pamwamba okha milandu ambiri kumene kuchotsa opaleshoni ya cholesteatoma kwa khutu chofunika. ntchito nthawi ndi nthawi anatumizidwa pa maziko munthu amaganizira chithunzi matenda ndi wodwala thanzi labwino.

Ndondomeko palokha tichipeza magawo angapo. Choyamba, dokotala amachotsa chotupa mapangidwe. Kuthetseratu kusokonekera kwa ndondomeko matenda, zikupereka ukhondo woyeretsedwa patsekeke. Nthawi zina, zina anatumizidwa pulasitiki likalowa m'makutu kubwezeretsa kukhulupirika kwake.

Kuchira pambuyo kuchotsa cholesteatoma khutu

Zotsatira ntchito monga nseru kapena chizungulire chingabwere limodzi wodwalayo kwa masiku 7-10. Pang'onopang'ono, zizindikiro zimenezi kutha, thandizo zina zachipatala nthawi safunikira. Musanachoke dokotala amafunika kuchotsa stitches bala ndi ntchito bandeji. Ndi bwino kuti uliwonse masiku angapo mpaka kuchira kwathunthu. Kuti imathandizira machiritso a zilonda nthawi zina yoikidwiratu njira physiotherapeutic.

Patatha milungu 4 pambuyo kumaliseche yotsatira tione zofunika pochitika. Koma zimakhala dokotala limafufuza khutu wodwalayo. Ngati mukufuna ntchito chachiwiri, akhoza kuchitika pokhapokha miyezi 6 itatha yoyamba. Apo ayi sangathe kupewa mavuto.

njira kuteteza

Cholesteatoma si wachinsinsi monga matenda a khansa. Koma zimenezi sizikutanthauza kuti zizindikiro koyamba kunyalanyaza izo, safuna chithandizo. chisamaliro Quality nthawi kupewa mavuto. Kodi n'zotheka kupewa kuoneka kudwala izi?

Kupewa nthenda mu malo oyamba akusonyeza chithandizo yake njira yotupa okhudza makutu. Zimenezi n'zofunika kwambiri makamaka kwa amayi apakati ndi ana. Cholesteatoma ya khutu la mwanayo - chodabwitsa zachilendo. Mwatsoka, nthawi zambiri limodzi ndi chitukuko cha encephalitis m'dera ndi hydrocephalus.

Komanso, kupewa matenda kumaphatikizapo kulimbitsa chitetezo cha m'thupi. Chifukwa chaichi, inu nthawi zonse tiyenera zimawononga vitamini maofesi, kudya bwino komanso kukhala ndi moyo wathanzi. Musaiwale za njira kuumitsa kuchita masewera olimbitsa thupi, inatheka.