Kupunduka kwa khutu chifukwa cha zoopsa
Ngati mumatsata masewera monga masewera olimbitsa thupi kapena masewera olimbitsa thupi (MMA), mwinamwake mwawona khutu la kolifulawa pa akatswiri a zamalonda omwe makutu awo amawonekera ngati opunduka ndi opunduka. Matendawa ndi chifukwa cha kuvulala mobwerezabwereza kwa khutu ndipo pamene zimakhala zofala m'maseŵera omenyana zingathe kuchitika nthawi iliyonse imene munthu akuvutika kwambiri ndi khutu.
Zimayambitsa
Zovuta ku khutu lakunja, zomwe zimakhala zofala pamaseŵera olankhulana, zingayambitse kadoti ndi mitsempha ya magazi.
Kuwonongeka kumeneku kungayambitse hematoma (yotchedwa hericoma hematoma, kapena subperichondrial hematoma), yomwe imasonkhanitsa magazi pansi pa khungu. Pazifukwa zosadziwika bwino kuti kukhalapo kwa hematoma kungathandize kuti tizilombo toyambitsa matenda tizitha kukula. Cartilage yatsopanoyo imakhala yowonongeka komanso imaoneka yowumitsa.
Chikhalidwe china, chotchedwa perichondritis , chingayambitsenso kumva kulakwitsa. Perichondritis imapezanso kuvulala kwa khutu ndipo imakhala yotchuka pakati pa othamanga. Kuvulala kumayambitsa matenda a khutu lakunja ndipo nthawi zina kuwonongeka kwa karotila kumatha kuchitika. Perichondritis ikhoza kuyambitsidwa ndi matenda omwe amabwera chifukwa cha kupyola khutu . Ngati matendawa amachititsa perichondritis, khutu lanu lopyoza lingathe kuchititsa khutu la kolifulawa.
Zizindikiro
Zizindikiro zoyamba zimachitika kokha khutu likavulala ndikuphatikizapo:
- zofiira
- kutupa khutu
- kuvulaza
- kumva ululu
- magazi
Ngati derali litenga kachilomboka zizindikiro zotsatirazi zikhoza kuchitika masiku angapo:
- kuwonjezeka kofiira ndi ululu
- malungo
- madzi osokoneza
Ngati sanasamalidwe, pamapeto pake khutu la khutu lidzachitika chifukwa cha makutu a kolifulawa.
Kupewa
Kupewa chovulaza pamalo oyamba ndizoyeso yoyamba kuteteza khutu la caulifulawa. Kuvala mitu yoyenera pamene mukuchita nawo masewera olimbana kapena masewera omwe amachititsa kuvulaza dera limeneli kuchepetsa chiopsezo chanu chokhala ndi khutu la kolifulawa.
Ngakhalenso ngati chovulaza chimakhala chocheperako khutu zingalephereke mwa kufunafuna chithandizo chamankhwala choyenera nthawi yomweyo. Komabe, akatswiri ambiri azamalonda kapena othamanga ena amalephera kutenga mwayi umenewu. Pali lingaliro loti asilikali sapanga chithandizo chokwanira kuteteza khutu la kolifulawa chifukwa amawona kufooka monga batche wotchedwa ulemu. Komabe, othamanga ambiri sangangodziwa kuopsa kwa chovulala kapena sakudziwa kuti kolifulawa ikhoza kutetezedwa ndi mankhwala okwanira.
Ngati mukumva ululu ku mbali yakunja ya khutu lanu, nkofunika kuona dokotala mwamsanga. Akakhala ndi hematoma yomwe imakhalapo, kuyamwa kwa hematoma ndi njira zoyenera kuziletsa kuti zisabwerere zimatha kulepheretsa khutu lakulifula.
Chithandizo
Kuchedwa koyambirira kwa kuvulazidwa koyamba kudzachepetsa mwayi wanu wopanga khutu la kolifulawa. Ngakhale simukuganiza kuti choipacho ndi chachikulu, ayenera kuyesedwa ndi dokotala mwamsanga. Ngati pali dokotala wa hematoma nthawi zambiri amatha kukhetsa hematoma kuti abwezeretse magazi oyenera. Izi ndizokha sizikhakwanira, komabe, chifukwa cha kusintha kwakukulu kwa hematoma.
Pofuna kupewa hematoma kuti abwererenso zida zapadera zingagwiritsidwe ntchito kapena dokotala angasankhe kugwiritsira ntchito bandeji yapadera yotchedwa kukakamiza kuvala. Madokotala ena adzayambitsa maantibayotiki kuteteza perichondritis. Dokotala wanu ayenera kuti aziwunika kuvulaza kwambiri ngati hematoma akubwerera.
Musayesetse kutulutsa hematoma aural nokha chifukwa cha chiopsezo cha matenda komanso mwayi woti hematoma adzabwerera.
Ngati perichondritis imapezeka, nthawi zambiri imachiritsidwa ndi mankhwala oletsa mankhwala. Pa milandu yoopsa, mankhwala opha tizilombo toyambitsa matenda angakhale ofunikira kapena ngakhale opaleshoni kukhetsa ziphuphu zamagazi ndi zilonda zochokera ku chilonda.
Ngati cholifulawa chimamva, nthawi zina zokhota zimatha kukonzedwa kapena kupangidwa ndi opaleshoni yokongoletsa. Ochita maseŵera angapange kuyembekezera mpaka atachoka pa masewera asanayambe kuchita izi, komabe, chifukwa chakuti nthawi zambiri amatha kubwerera, makamaka pakati pa akatswiri a zamalonda. Ngakhale pali njira zosiyanasiyana zochitira opaleshoni yokonzanso khutu la kolifulawa zimakhudza kwambiri kuchotsa gawo la khutu lakumutu ndi kugwiritsa ntchito zida za khungu pofuna kukonza mawonekedwe ndi maonekedwe a khutu. Njira ina imaphatikizapo kuyesa kuchepetsa kukula kwa kuwonongeka, kuyisakaniza ndikutambasula khungu pamutu. Ndondomekoyi ikhoza kukhala yotsika mtengo ndipo sangakhale woyenerera kuyendetsa inshuwalansi chifukwa ndizodzikongoletsera. Kuchita opaleshoni kaŵirikaŵiri kumachitidwa pansi pa kupweteka kwa mankhwala koma kungakhoze kuchitidwa ngati opaleshoni ya kunja (yomwe imatchedwanso opaleshoni yomweyo).
Zotsatira:
Giles, WC, Iverson, KC, King, JD, Hill, FC, Woody, EA, & Bouknight, AL (2007). Kuchotsa ndi Kuwotcha Kutsatiridwa ndi Matayala Kukonzekera kwa Malembo Achimake. Laryngoscope. 117 (12): 2097-9.
Hanif, J, Frosh, A, Marnane, C, Ghufoor, K, Rivron & Sandhu, G. (2001). "Kupukuta Kwakutu Kwambiri" ndi Kuwonjezeka Kwambiri kwa Perichondritis ya Pinna. BMJ. 322 (7291): 906-907.
Kusaka. Kusambira kwa madzi a Hematoma. https://emedicine.medscape.com/article/82793-overview#a01
Zaposachedwa. Kuyezetsa ndi Kusamalira Mphulupulu ya Hematoma Yam'mimba ndi Mphuno ya Kolifulawa. http://www.uptodate.com (zolembetsa zofunika).
Yotsuyanagi, Yamashita, K., Urushidate, S., Yokoi, K., Sawada, Y., & Miyazaki, S. (2002). Kukonza Opaleshoni ya Mutu wa Kolifulawa. B J Kukula Kwambiri. 55 (5): 380-6.