Kuzindikira Kwambiri Kumayambiriro Ndikofunika Kuthana ndi Kumva Kutayika
Cholesteatoma ndi kukula kosalekeza, kosakanikirana khungu pakati pa khutu la pakati , kumbuyo kwa msana. Pokhapokha ngati atachiritsidwa, zingayambitse kumva kumva pamene ikukula kukula.
Zimayambitsa
Cholesteatoma ikhoza kuchitika mwa njira zingapo:
- Cholesteatomas kawirikawiri zimayambitsidwa ndi matenda opatsirana mobwerezabwereza . Ngati sichikuchiritsidwa, matenda ochokera ku cholesteatoma aatali kwambiri akhoza kufalikira kumutu wamkati ndi ubongo.
- Anthu ena amabadwa ndi otsalira a khungu omwe atsekedwa pakati pa khutu, koma izi sizowoneka.
- Mphuno ya eardrum (mwachitsanzo, kuchokera ku matenda kapena kupwetekedwa mtima) ikhoza kutsegulira khungu la kunja kwa eardrum kuti likule.
- Matenda a makutu osamva, matenda a sinus, matenda, ndi chimfine zingasokoneze chubu la Eustachian (kulumikiza kumbuyo kwa mphuno yanu mpaka kumutu wanu), kulisunga kuti muchite ntchito yake yowononga mpweya kumbali zonse za eardrum. Izi zingachititse kuti pang'onopang'ono pang'onopang'ono mkati mwa khutu lanu lakati lilowetse gawo lanu. Minofu imeneyi imakhala cholesteatoma.
Pamene ikukula, cholesteatoma imadzaza ndi maselo a khungu, madzi, ndi zinyalala zina, kupanga malo abwino kwa matenda. Chiphuphu chomwe chikukula chikuwonjezeranso mavuto m'makutu anu, zomwe zingayambitse kumva kutayika. Ngati ikukula kwambiri, ikhoza kuwononga mafupa oyandikana ndi mafupa, kuwononga dothi lanu, mafupa mkati mwa khutu lanu ndi pafupi ndi ubongo wanu, ndi / kapena mitsempha yanu ya nkhope. Panthawi imeneyi, kutaya kwakumva kwatha kumatha.
Zimene Zikuwoneka
Cholesteatoma ikufanana ndi thumba ndi zigawo za khungu lakale. Mawebusaiti angapo ali ndi zithunzi za cholesteatomas (zina siziri za squeamish). Nazi ziwiri:
- EntUSA.com - Kuphatikizapo zithunzi zosonyeza mapangidwe a cholesteatoma. Malo omwewo ali ndi zithunzi za opaleshoni, kuphatikizapo chithunzi cha cholesteatoma yayikulu yomwe inachotsedwa.
- Otolaryngology Houston ili ndi zithunzi zochitidwa opaleshoni zomwe zimaphatikizapo chitsanzo cha cholesteatoma yomwe yakhala ikuyenda kudutsa khungu.
Zizindikiro
Malinga ndi nthawi yayitali bwanji, zizindikiro za cholesteatoma zingaphatikizepo:
- Kutaya kwakumva, zomwe zingakhale zosakhalitsa (ngati zikuchitiridwa msanga) kapena zamuyaya
- Kupanikizika kwa khutu
- Kumva kupweteka kumbuyo kapena khutu lanu
- Vertigo (kumangokhalira kumangoyang'ana mozungulira ndi kusawonongeka)
- Kusamba kwa mchere wonyansa
- Minofu yakufa ziwalo
Chithandizo
Cholesteatoma imayenera kuchitidwa pofuna kuteteza kapena kuchepetsa kugontha, kupweteka kwa mimba, kuuma kwa nkhope, kupuma kwa mafupa, ndi zina zosafunika. Ziphuphu zoopsa kwambiri zimachotsedwa opaleshoni, nthawi zambiri kudzera mu mastoidectomy. Ochepa amatha kuchiritsidwa ndi kuyeretsa khutu ndi mankhwala oletsa ma antibiotic. Pambuyo pa mankhwalawa, wodwalayo ayenera kuyang'anitsitsa, chifukwa cholesteatoma ikhoza kubwereza.
Zida
Mabuku osindikizidwa okhudza cholesteatoma ndi mankhwala akuphatikizapo:
- Cholesteatoma - Buku Lopereka Zamankhwala, Buku Lopatulika, ndi Buku Lophatikiza Kafukufuku pa Mapulogalamu a pa intaneti
- Chithandizo cha Opaleshoni cha Middle Ear Cholesteatoma
Kafukufuku wina angapezeke mu database ya PubMed ya National Library of Medicine.
Thandizo
Amagulu a Yahoo ali ndi gulu lalikulu lothandizira, "Cholesteatoma."
Phunzirani Kuchokera pa Zochitika Zanu Pamodzi ndi Cholesteatoma
Mlendo wosamva / Wokhumudwa (HOH) analongosola zochitika zake ndi cholesteatoma:
"Ndakhala HOH kuyambira ndili ndi zaka 2. Ndinayamba kuvala zothandizira kumva ndili ndi zaka 9. Ndinkakhala ndi vuto lakumva, komanso chifukwa cha chiberekero cha mimba komanso malawi - zida zanga za Eustachian sizigwira ntchito bwino Ndili ndi zaka 23, ndinapezeka ndi matenda a cholesteatoma m'makutu onse awiri.
Ndili ndi mwayi wokwana 50/50 wokhala wogontha kapena kukonza kumva kwanga. Ndinachoka pa opaleshoni yanga ndikutha kumva makanema, mbalame zikuimba, ndi zina zotero, mpaka kufika povala zovala zazikulu zamutu ngati zimagwiritsa ntchito pamfuti.
Mlanduwu unatenga miyezi itatu ndisanathenso kumbuyo kwanga, ndi zina zowonongeka pakapita nthawi.
Ndapanganso ma opaleshoni asanu ndi anai operekera ziwalo zobwerezabwereza ndikufika tsiku lomwe ndikukonzekera opaleshoni ina posachedwa. Nthawi yotsiriza yomwe ndinauza dokotala ndinali ndi chotupa china, adayang'ana mu khutu langa ndipo adanena kuti panalibe, koma pepala la Silas lomwe adaiyika mmenemo nthawi yotsiriza inali kudutsa pakhomo langa ndipo padali dzenje lina pambali. Ananena opaleshoni kuti amuchotse ndikukonzekeretsa eardrum. Ine ndinati, "Tiyeni tipite, ndi liti pamene ife tingakhoze kuchita izo." Iye sanapite mofulumira, koma ndinadziwa bwino atatha masewera asanu ndi atatu oyambirira.
Ndinapita sabata yotsatira ndipo pamene ndinatuluka, mawu anga okha anali, "Chabwino, kodi pali chotupa?" Madokotala anali ndi manyazi, koma anandiuza kuti, "Iwe unkawopseza gehena kuchokera kwa ife, panali chiwombankhanga ndipo chinawononga mapepala kotero tinayenera kuika ma prostatetic malo ndipo tinaganiza kuyesa mawonekedwe ena a eardrum." Analowetsa m'mphepete mwazitsulo ndi katsabola m'malo mwazitsulo zamkati. Chimene chiyenera kukhala opaleshoni ya ora limodzi ndi 2/2 chinakhala maola asanu.
Tsopano madokotala akumvetsera kwa ine pamene ndikuti pali chotupa, monga momwe ndakhala ndikudziwira bwino zizindikiro za kukula kwawo. Chinthu chimodzi chofunikira: Aliyense yemwe wakhala ndi zotupazi ... musati mudye, mumvetsere thupi lanu. Kufunikanso kukhala ndi CT kapena MRI imafufuza miyezi isanu ndi umodzi ndikukhala nthawi zonse. Madokotala anga sanayambe adalamulapo chifukwa ndine wothandizira wa Medicare / Medicaid. Sindinandiuzepo za kachitidwe kawonedwe ndi kachitidwe kachitidwe kachitidwe kowonongeka kobwerezabwereza. Ndinachita kafufuzidwe kuti ndipeze zomwe ndikudziwa mpaka lero ndipo ndinapempha kuti ndikuwonetsetse ndikuwonetsa zowonongeka zanga, apo ayi ndikananyalanyazidwa ndikusiya zowawa zambiri.
Panopa ndili wokonzeka kuika chinsalu, koma chifukwa cha Medicare / Medicaid sichimvetsetsa kuti kuikidwa ndi chipangizo cha prosthesis ndipo sikumvetsetsa kwenikweni, sindikulandira thandizo loyenera kuti ndikhale wogwira ntchito anthu.
Chitsime:
"Cholesteatoma." HealthLine.Com (2016).
Sindikhoza kuvala zothandizira zowonongeka chifukwa cha zivomezi zowonongeka ndi zovuta zanga zomwe zipangizozi zimapangidwa. Kotero kwa inu omwe muli ndi zizindikiro zomwe zalembedwa m'nkhani yomwe ndikuyankha, musadikire, mufunse CT / MRI kapena dikirani kuti mufe imfa yamtendere kapena yovuta kwambiri ndi matenda a meningitis, etc. Tengani kuchokera kwa yemwe wakhala akudutsa Opaleshoni 10 ndikudikirira No. 11.
Chotupa cha cholesteatoma si matenda, ndikumangirira kwa maselo a khungu amodzi omwe amanyamula mulu. Mukapeza matenda a khutu ndipo mabakiteriya amalowa mu misazi, izi zimawononga kwambiri, chifukwa ndi mabakiteriya omwe amachotsa fupa. Ngati palibe mabakiteriya amene amalowa, ndiye kuti imangokulirakulira mpaka kumakhala mbali zina za khutu ndipo zimapangitsa kuti zichotsedwe. Choncho samalani makutu anu ndipo muwaonetsetse nthawi zonse ngati kumva ndi mphatso yamtengo wapatali yochokera kwa Mulungu.
Ndidzakumbukira nthawi zonse zikumbukiro za njoka za mbalame ndi mbalame zikuimba, masamba a masamba, ndi kulira koyamba kwa moyo wakhanda (ana, makanda, ndi khanda limene linagwa kuchokera pachilumba ndipo akuluakulu sangandilole kuti ndiwathandize) . Pakuti ndikudziwa kuti tsiku lotsatira ndidzataya kumvetsera kwanga.
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Mayi wina anafotokozera zomwe mwana wake anachita:
Mwana wanga ankangodandaula za ululu wa khutu , ndimapita naye kuchipatala choyamba ndipo amandiuza mobwerezabwereza kwa zaka ziwiri kuti alibe matenda. Anandiuza kuti ali ndi zitsulo zochuluka zamakono m'makutu ake. Nthawi ina iye adamupesa namwino kuthirira makutu ake kuti amatsuka khutu lake - sizinatero. Iye anandiuza kuti ndigwiritsire ntchito zofewa zamadzimadzi kuti asungunuke sera. Namwino akuthirira khutu lake panthawi ina akuchezera khutu lake. Pambuyo pake kunali kovuta kwambiri kuti amupatse pansi moyenera komanso mwakachetechete kuti ayang'ane makutu ake. Ndinapempha mobwerezabwereza kutumizidwa kwa ENT koma adatsindika kuti sakusowa ENT.
Paulendo umodzi ndinatenga chitsanzo cha zomwe zinatuluka m'mutu mwake - zinali zosaoneka bwino, osati sera. Komanso, ndinauzidwa kuti ndipitirize kugwiritsa ntchito chochepetsera choponderetsa. Potsiriza pa ulendo wake wotsatira iye adakhala ndi dokotala watsopano. Ndinamufotokozera nkhawa zanga ndipo adawona chithunzi chake. Iye anatipatsa ife kutumizidwa pa ulendo woyamba. Potsiriza ndinaganiza kuti tidzasamalira izi.
Pa tsiku loyamba dokotala adayankhula za cholesteatoma yomwe ingatheke. Kotero ndiye ife tinadutsamo magulu asanu a timachuno mu khutu lake, matoni ndi addenoids achotsedwa. Zaka ziwiri zinadutsa ndipo tinatumizidwa ... Anakonza mayesero omvetsera, ndi kanema ka CT. Pomalizira matenda ndi mankhwala - anali ndi mastoidectomy ndi tympanoplasty.
Iye akumva izo zikubwera ndi kupita mu khutu limenelo. Adzayenera kuchita opaleshoni yachiwiri kuyesa kubwezeretsa kumva. Tsopano tikupita miyezi itatu pakati pa osankhidwa m'malo mwa mwezi uliwonse kapena kuposa. Tsopano ngati ndikanangotenga chigawo cha sukulu kuti adziwe kuti ali ndi chilema, osati kulemala. Mwinamwake iwo apereka ALD yomwe iye akuyenera kuti aziphunzira.