Zovuta za Kuthamanga Kwakutu
Malignant otitis externa (MEO) ndizovuta kumvetsa kwa khutu la osambira (otitis externa). Zimapezeka pamene matenda a makutu akunja amatha kufalikira ku minofu yapafupi ndi fupa. Ngakhale dzina, mawu akuti "owopsa" sakutanthauza kuti muli ndi khansa. Mawu akuti "ovulaza" adagwiritsidwa ntchito ndi dokotala amene adapeza MEO chifukwa cha matendawa ndipo ndikupita patsogolo mofulumira.
Pakubwera kwa maantibayotiki, zotsatira zimakhala bwino kwambiri ndipo dzina limasocheretsa kwambiri za matendawa. Matendawa ndi ena omwe amatchulidwa kuti ndi osakondera (otere) otitis otitis.
Matenda ambiri omwe amabwera ndi otitis kunja ndi pseudomonas aeruginosa .
Zowopsa kwa MEO
Malignant otitis externa imapezeka pamene khutu lakuthamanga likufalikira pamtunda ndi kumayambitsa matenda a magazi, kuphatikizapo fupa la panthawi. Zifukwa zingapo zingachititse kuti izi zichitike kuphatikizapo:
- khutu losasambira losasambira
- mabakiteriya opinga
- chitetezo cha chitetezo cha mthupi kuchokera ku chemotherapy, shuga, kapena zina
Zina mwazikuluzikulu zikuluzikulu zoopsa zowonjezera otitis externa ndizo:
- kumakhala nyengo yozizira
- okalamba
- mwamuna
- shuga
- Nthawi zambiri amayamba ngati vuto linalake (kuvulala) kumtsinje wamakutu
Matendawa akafalikira kunja kwa chithako cha khutu chakunja chimayambitsa matenda a mafupa m'munsi mwa chigaza, makamaka mfupa ya msana.
Kuwonjezeka kwina kungapangitse kuwonongeka kwa mitsempha yowopsa komanso nkhope yaumphawi.
Zizindikiro za MEO
Zizindikiro za matenda otitis otter externa zidzasiyana pakati pa anthu malinga ndi momwe zinthu zikuyendera komanso momwe matendawa akuyendera. Zizindikiro zingakhalepo:
- ululu waukulu wa khutu umene umakhala wovuta usiku
- ululu pamene dera kumbuyo kwa khutu lanu limakhudzidwa
- Mphepo yamakutu yomwe ingakhale ndi mafinya, kukhala achikasu kapena obiriwira, kapena kununkhira
- kumva kutaya
- kumverera kwodzaza mu khutu
- makutu osangalatsa
- malungo (osawoneka)
- zovuta kumeza
- kufooka kwa nkhope
- kutaya mawu
- mutu
Kuzindikira kwa MEO
Malignant otitis externa ndi bwino kuti apeze dokotala yemwe amadziwika bwino ndi vuto la khutu, mphuno ndi khosi wotchedwa otolaryngologist , ngakhale kuti amatha kupezedwa ndi madokotala muzipadera zina. Dokotala wanu angaganizire mbiri yanu yaumoyo kuphatikizapo zovuta zomwe mungakhale nazo komanso zizindikiro zanu. Dokotala wanu ayesa kufufuza khutu lanu ndi otoscope , ngakhale izi zingakhale zopweteka malingana ndi kukula kwake kwa matenda. Adzasanthula mutu wanu mwachikondi. Mayesero ambiri angagwiritsidwe ntchito kutsimikizira kuti matenda oopsa a otitis kunja akugwiritsidwa ntchito, dokotala wanu akhoza kulamula ena mwa mayesero otsatirawa malingana ndi zomwe amakonda komanso mkhalidwe wanu.
- mayeso a magazi kuphatikizapo mlingo wa erythrocyte sedimentation (ESR), chiwerengero choyera ndi chofiira cha maselo a magazi, glucose ndi ma creatine
- chikhalidwe cha makutu a khutu
- Chithunzi chojambula mafilimu chofufuza osteomyelitis bone matenda) pogwiritsa ntchito CT scan
- chithunzithunzi cha minofu mumtsinje wakunja
Kuchiza kwa MEO
Nthawi yaitali (miyezi) ya mankhwala opha tizilombo kawirikawiri ndi ofunika chifukwa matenda opatsirana ndi ovuta kwambiri kuchiza.
Dokotala wanu ayenera kuyembekezera mpaka chikhalidwe cha makutu a makutu chikhoza kutsimikizira mtundu wa mabakiteriya omwe amayambitsa matenda anu. Mitundu idzapatsanso dokotala wanu chidziwitso chomwe ma antibayotiki adzachiza matenda anu.
Muyenera kuyang'aniridwa panthawiyi ndikupitirizabe mankhwala osokoneza bongo mpaka mapulogalamu sakuwonetsanso kutupa. Muyenera kuchitidwa opaleshoni yoopsa kuti muchotse fupa lowonongeka.
Zinthu zina zofunika kuzidziwa:
- Nthawi zina mankhwala othandizira okosijeni amagwiritsidwa ntchito mogwirizana ndi mankhwala opanga maantibayotiki kuti athetse machiritso owonongeka.
- Ngati muli ndi matenda a shuga, muyenera kusunga shuga kwambiri mwa magazi chifukwa cha shuga zapamwamba zedi zomwe zimathandiza kukula kwa mabakiteriya.
Kodi MEO ingadzitetezedwe?
Malangizo otsatirawa angathandize kupewa MEO:
- Ngati muli ndi zizindikiro za khutu la kusambira, mwapatsidwa chithandizo mwamsanga.
- Pewani kukonza makutu anu ndi thonje swabs kapena kumangiriza zinthu zilizonse m'makutu anu zomwe zingawononge.
Zotsatira:
> American Family Physician. Necrotizing (Malignant) Kutuluka Otitis. Idapezeka: January 31, 2017 kuchokera ku http://www.aafp.org/afp/2003/0715/p309.html#sec-1
Medline Plus. Malignant otitis externa. Idapezeka: January 31, 2017 kuchokera ku http://www.nlm.nih.gov/medlineplus/ency/article/000672.htm
Kusaka. Malignant Otitis Externa. Idapezeka: January 29, 2014 kuchokera ku http://emedicine.medscape.com/article/845525-buwonetsero