Prichondritis Wodzikonda
Perichondritis ndi matenda a perichondrium, omwe ndi minofu yomwe imayandikana ndi kumadyetsa kakoti kamene kamapanga mbali ya khutu lanu. Chimodzimodzi ndi chondritis, yomwe ndi matenda a ntchentche ya khutu lanu. Popanda chithandizo choyenera komanso mwamsanga, perichondritis ikhoza kuchititsa khutu lanu kuti lisamve bwino ngati khutu la kolifulawa .
Zomwe zimayambitsa kawirikawiri zimafuna kusokonezeka kwa minofu ndipo zimaphatikizapo:
- kupyola khutu - makamaka pamwamba pa gawo la khutu la khutu
- matenda opweteka
- kuvulaza masewera kapena zoopsa zina
- kulumidwa ndi tizilombo
- zotentha
- kudula kapena kutayika kwa mtundu uliwonse kumutu
- Osatetezedwa otitis externa (khutu la kusambira)
- Matenda okhaokha - granulomatosis ndi polyangiitis & kubwezeretsa polychondritis
Kuzindikira Perichondritis
Matendawa a perichondritis ndi osavuta komanso okhudzidwa ndi mbiri ya chipsinjo ndi khutu komanso maonekedwe a malo omwe ali ndi kachilomboka. Paziyambi zake, perichondritis ikuwoneka mofanana ndi cellulitis . Dokotala wanu adzalandira mbiri yakale kuti adziwe zomwe zili pamtunduwu ndikuyang'ana khutu lanu. Ngakhale kuti zingakhale zopweteka pang'ono, dokotala wanu angakanikize khutu lanu kuti awone ngati pali "kupereka," kapena kusintha, monga momwe izi zingasonyezere abscess (pus) kapena chondritis. Ngati mwakhala ndi mavoti ambiri a perichondritis, dokotala wanu adzakuuzani kwa rheumatologist kuti muwone ngati muli ndi matenda omwe amachititsa kuti mukhale ndi matenda okhaokha.
Zizindikiro zogwirizana ndi Perichondritis
Popeza kudula khungu la khutu lakunja ndilofala, zimawoneka kuti ndilo vuto lalikulu la perichondritis panthawi ino. Perichondritis kawirikawiri imayambitsidwa ndi pseudomonas aeruginosis, koma ikhozanso kuyambitsidwa ndi mabakiteriya ena kuphatikizapo streptococcus aureus ndi streptococcus pyogenes.
Perichondritis ikhoza kuwonetseredwa ndi zizindikiro zotsatirazi:
- zofiira
- kutupa
- ululu
- pus kapena zina zotulutsa madzi (zovuta kwambiri)
- malungo (mu milandu yovuta)
- Kusintha kwa makutu (kumayesero oopsa)
Ngati mukukumana ndi kachilombo ka perichondritis, mukhoza kukhala ndi zizindikiro zina zosawerengeka kuphatikizapo:
- ntchentche khutu
- kumva mwadzidzidzi kumva
- vutolo
- kusowa kwachinyengo
- tinnitus
- makutu a khutu
- matenda a khutu pakati
Kuchiza kwa Perichondritis
Chithandizo cha perichondritis chanu chidzakhazikitsidwa pa kuunika kwanu. Ngati dokotala akudandaula kuti ali ndi kachilomboka, kamwedwe kakang'ono kamene kadzapangidwira kukhetsa pus. Dokotala wanu amatha kunyamula malo omwe anali odzaza ndi tizilombo toyambitsa tizilombo toyambitsa matenda, kapena makina. Ngati phukusi likugwiritsidwa ntchito, dokotala wanu adzakhazikitsa chidziwitso chotsatira kuti apange sutures angapo kuti atseke chilonda. Ngati palibe phukusi, ndiye dokotala wanu adzaika sutures mwamsanga atachotsa pus.
Mosasamala kanthu za kukhalapo kwa pus, dokotala wanu adzakupatsani mankhwala opha tizilombo. Levaquin (levofloxacin) ndi mankhwala ambiri omwe amachititsa kuti tizirombo toyambitsa matenda a fluoroquinolone tizilombo toyambitsa matenda. Komabe mungathenso kuitanitsa mankhwala ena achiwiri monga tobramycin kuti awonongeke komanso chithandizo chamanyazi ngati chiyenera.
Malinga ndi kuopsa kwa matendawa, ma antibayotiki amauzidwa kuti amvekedwe pamlomo kapena kuperekedwa mwachangu.
Majini autoimmune perichondritis amachiritsidwa pogwiritsira ntchito mankhwala a steroid monga prednisone kuti awononge chitetezo cha mthupi ndipo amalepheretsa kupha khungu la khutu (ndi mbali zina za thupi). Pambuyo poyambitsa chithandizo, dokotala wanu adzakuitanitsaninso kwa rheumatologist kuti mupitirize kuwatsatira mogwirizana ndi matenda anu okhaokha.
Ngati perichondritis ndi yaikulu kwambiri kuti mwakhala ndi khutu la kolifulawa, opaleshoni ya pulasitiki ikhoza kukhala mwayi kwa inu. Kuchita opaleshoni yapulasitiki kumachitika tsiku ndi tsiku ku chipatala cha opaleshoni, ndipo nthawi zina sungakwaniritsidwe ndi inshuwalansi yanu.
Ndi bwino kukhala ndi opaleshoni iliyonse ya pulasitiki musanavomereze opaleshoniyo. Pambuyo pochotsa zokhotakhota zowonongeka, dokotala wa opaleshoni ya pulasitiki akhoza kukonzanso gawo lochotsedweratu kuti azibwezeretsa zokometsera mbali za khutu lanu
Kupewa Perichondritis
Nthawi zina perichondritis silingalephereke, monga ngati chovulazidwa mwangozi. Komabe, kupukuta kakoti m'makutu ako, komwe kumapyoza kumapeto kwa khutu lako, kumakuika pa ngozi yaikulu kwambiri yopanga perichondritis. Mungathe kuonjezeranso mwayi wanu wopanga perichondritis mwa kupyola mowirikiza pafupi ndi khutu lanu. Mwa kusungunula khutu lanu m'makutu anu, mukhoza kuchepetsa chiopsezo chanu chokhala ndi mavuto alionse okhudzidwa ndi khutu lanu. Kugonjetsa kwa perichondritis kuli bwino ngati akuchitidwa mwamsanga; kuchira kwathunthu kumayembekezeredwa.
> Zotsatira:
> Brant, JA & Ruckenstein, MJ. (2015). Kuwongolera Otolaryngology: Matenda a Kumutu Kwakunja. 6th ed. 137, 2115-2122.e2
> Kuzindikira ndi kuyendetsa matupi akunja a khutu lakunja. Pezani intaneti. Idasinthidwa pa January 13, 2017. Inapezeka pa July 24, 2017.
> Medline Plus Medical Encyclopedia. Perichondritis. https://medlineplus.gov/ency/article/001253.htm. Inapezeka pa July 24, 2017.
> Perichondritis. Webusaiti ya Merck Manual. http://www.merckmanuals.com/home/ear,-nose,-and-throat-disorders/outer-ear-disorders/perichondritis. Inapezeka pa July 24, 2017.
> Kubwezeretsanso Polychondritis. Webusaiti ya Masewera. http://emedicine.medscape.com/article/331475-kuwonetsanso. Idasinthidwa pa 21 Juni, 2016. Inapezeka pa July 24, 2017.