Iingxaki zeNtshukumo yokuThamba
I-Malignant otitis externa (MEO) yinto enqabileyo yenkathazo ye- swimmer (otitis externa). Kuyenzeka xa ukusulelwa kwindlebe yangaphandle kwandwendwela kwiimpawu ezikufuphi kunye namathambo. Naphezu kwegama, igama elithi "elibi" asisho ukuba unomdlavuza. Igama elithi "elibi" lalisetyenziswa ngokugqirha ngugqirha ofumene i-MEO ngenxa yesimo esibi sesifo kwaye kuqhubela phambili ngokukhawuleza.
Ngokuza kwee-antibiotiki, iziphumo zibhetele ngakumbi kwaye igama lilahlekisa ngokubhekiselele kwisifo esiyingozi. Le meko iindawo ezithile ezibhekiselwe kuzo njenge-necrotizing (malignant) ye-otitis yangaphandle.
Inkqubo eqhelekileyo yebhaktheriya ejongene ne-otitis externa eyingozi i- pseudomonas aeruginosa .
Izinto zeengozi ze-MEO
I-malignant otitis externa iyenzeka xa indlebe yomncuba isasazeka ngaphaya komngcipheko weendlebe kwaye ibangela isifo sesifo okanye isifo se-gawula, kuquka nethambo lexeshana. Izinto ezinokubangela ukuba kwenzeke oku kuquka:
- indlebe yokuguqula
- ibhaktheriya enganyangekiyo
- isistim e-immune kwisistim e-chemotherapy, isifo sikashukela okanye ezinye iimeko
Eminye imingcipheko ebalulekileyo yokufumana i-otitis externa embi iquka:
- ehlala kwindawo epholileyo
- badala
- yindoda
- ngesifo sikashukela
- zivame ukuqala njengoluhlobo oluthile lokuxhatshazwa (ukulimala) kumngcingo weendlebe zangaphandle
Xa usuleleko lusasazeka ngaphaya komngcipheko weendlebe zangaphandle, kubangela ukuba usulele ukutshatyalaliswa kwethambo kwisiseko segazi, ngokukodwa ithambo lexeshana.
Inkqubela phambili ingaqhubela umonakalo weentsholongwane ze-cranial kunye nesifo somzimba esiswini.
Iimpawu ze-MEO
Iimpawu ze-hormant otitis externa zizahluka phakathi kwabantu ngokusekelwe kwiimeko kunye nokuqhubela phambili kosulelo. Iimpawu zingabandakanya:
- iintlungu ezibuhlungu ezivuthayo ebusuku
- intlungu xa ummandla osemva kwendlebe yakho uthintekile
- indlebe yeendlebe ezinokuthi ziququze i-pus, zibe ziphuzi okanye ziluhlaza okombala, okanye zivumba
- ukulahlekelwa kwindlebe
- ukuvakalelwa kwindlebe
- iindlebe ezibukhali
- umkhuhlane (ongaqhelekanga)
- ubunzima bokugwinya
- ubuthathaka obusweni
- ukulahleka kwezwi
- intloko
Ukuxilongwa kwe-MEO
I-Malignant otitis externa ifumaneka ngokugqithiseleyo ngugqirha ogxininisekile kwiintlungu zendlebe, impumlo kunye nomphimbo obizwa ngokuba yi- otolaryngologist , nangona ingafunyanwa ngamagqirha kwezinye iindawo ezizodwa. Ugqirha wakho uya kuqwalasela imbali yakho yempilo kubandakanya nayiphi na ingozi enokuba nayo kunye neempawu zakho. Ugqirha uzakuzama ukuvavanya indlebe yakho nge- otoscope , nangona oku kunokuba kubuhlungu ngokuxhomekeka kubukhulu kunye nokuqhubela phambili kosulelo. Baya kuphinda bahlolisise intloko yakho ukunyusa. Uninzi lweemvavanyo lunokusetyenziswa ukuqinisekisa ukuxilongwa kwe-otitis externa, ugqirha wakho unokuyalela ezinye zezi zilandelayo mvavanyo ngokuxhomekeka kwizinto ezikhethiweyo kunye neemeko zakho.
- Iimvavanyo zegazi kuquka i-erythrocyte ye-sedimentation rate (ESR), ubuninzi bamaseli obomvu kunye obomvu, i-glucose kunye namazinga okudala
- inkcubeko yamanzi endlebe
- ukubonakalisa i-radiographic ukujonga ukutheleleka kwe-osteomyelitis bone) usebenzisa i-CT scan
- i-biopsy yeethambo kwi-canal yangaphandle yendlebe
Unyango lwe-MEO
Ixesha elide (iinyanga) ze-antibiotics ngokuqhelekileyo kuyimfuneko kuba ukusuleleka kwethambo kunzima ukuphilisa.
Ugqirha wakho kufuneka alinde de i-culture ear earage ingqinisisa uhlobo lweebhaktheriya ezibangela ukusuleleka kwakho. Iimpawu ziya kunika ulwazi lwakho ugqirha malunga naziphi i antibiotics eziza kukunyanga ngokuthe tye.
Uya kufuneka uhlolwe ngeli xesha kwaye uqhubeke nemithi ye-antibiotics kude kube yinkqubo yokucinga engabonakali ukuvuvukala. Kwiimeko ezinzima ukuhlinzwa kunokufuneka ukuba ususe ithambo elonakalisiweyo.
Ezinye izinto ozaziyo:
- Ngamaxesha athile unyango lwe-oksijeni lusetyenziswe ngokubambisana ne-antibiotic therapy ukuze kuphuculwe izicubu ezinobungozi.
- Ukuba unesifo sikashukela, kuya kufuneka ugcine ukulawula okuqinileyo ishukela lakho legazi ukususela ekuphakameni kwezinga leetyhukela egazini kukunceda ukukhula kweebhaktheriya.
Ngaba i-MEO ingabanjwa?
Ezi ngcebiso zilandelayo zinokukunceda ukukhusela i-MEO:
- Ukuba uneempawu zendlebe yokudoba iye yaphathwa ngokufanelekileyo ngokukhawuleza.
- Gwema ukucoca iindlebe zakho nge-cotton swabs okanye ukubethela nayiphi na into endlebeni yakho engabangela ukulimala.
Imithombo:
> I-American Family Physician. I-Necrotizing (Malignant) I-Otitis yangaphandle. Kufumaneka: NgoJanuwari 31, 2017 ukusuka http://www.aafp.org/afp/2003/0715/p309.html#sec-1
Medline Plus. Malignant otitis externa. Kufumaneka: NgoJanuwari 31, 2017 ukusuka http://www.nlm.nih.gov/medlineplus/ency/article/000672.htm
Medscape. Malignant Otitis Externa. Kufumaneka: NgoJanuwari 29, 2014 ukusuka kwi-http://emedicine.medscape.com/article/845525- ukubukela kwakhona