I-Auricular Perichondritis
I-Perichondritis yintsholongwane ye-perichondrium, eyizicubu ezijikelezayo kwaye zondla i-cartilage eyenza inxalenye engaphandle kwendlebe yakho. Kufana ne-chondritis, enokusuleleka kwe-cartilage yakho indlebe. Ngaphandle kokunyanga okufanelekileyo kunye nokukhawuleza, i-perichondritis inokubangela ukuba utshintsho olusisigxina kwendlebe yakho lube yindlebe yekholifula .
Izizathu eziqhelekileyo zidla ngokubandakanya umonakalo kumzimba kwaye zibandakanya:
- ukubhoboza indlebe - ngokukodwa ukuphakama kwinqanaba le-eartilage yendlebe
- ngxakini
- ukulimala kwezemidlalo okanye ezinye iintlungu eziphazamisayo
- izilwanyana
- kutshisa
- ukutyunjwa okanye ukutyunjwa kwanaluphi na uhlobo entle
- Ukuphathwa kakubi kwe-otitis externa (indlebe yokudoba)
- izifo-granulomatosis kunye ne-polyangiitis & ukuphindaphinda i-polychondritis
Ukuchonga iPerichondritis
Ukuxilongwa kwe-perichondritis akunakunzima kwaye kusekelwe kwingxelo yentlekele kwindlebe kunye nokubonakala kwendawo ekhulelwe. Ekuqaleni kwamanyathelo, i-perichondritis ibonakala ifana ne- cellulitis . Ugqirha wakho uya kuthatha imbali ukuba abone ingozi ebhalwe apha ngasentla kwaye uhlole indlebe yakho. Nangona mhlawumbi kunokulimaza kancinci, ugqirha wakho uya kufakazela indlebe yakho ukuba ukhangele ukuba kukho nayiphi na "ukunika", okanye ukuguquka, njengoko oku kungabonisa i-abscess (pus) okanye i-chondritis. Ukuba uye waba neengxaki ezininzi ze-perichondritis, ugqirha wakho uya kukuthumela kwi-rheumatologist ukufumanisa ukuba unesifo sokuzimela.
Iimpawu ezinxulumene nePerichondritis
Ekubeni ukubhoboza i-cartilage yendlebe yangaphandle yinto eqhelekileyo, kubonakala ngathi yimbangela eqhelekileyo ye-perichondritis ngeli xesha. I-Perichondritis idla ngokubangelwa yi-pseudomonas aeruginosis, kodwa inokubangelwa ngamanye amabhaktheriya kuquka i-streptococcus aureus kunye ne-streptococcus pyogenes.
I-Perichondritis ingabonakaliswa ziimpawu eziqhelekileyo ezilandelayo:
- obomvu
- ukuvuvukala
- intlungu
- ukuqhuma okanye olunye ukukhutshwa kwamanzi (kwiimeko ezinzima)
- umkhuhlane (kwiimeko ezinzima)
- ukuchithwa kwesakhiwo sezindlebe (kwiimeko ezinzima)
Ukuba ufumana i-perichondritis yokubuyiselwa kwakhona, unokufumana ezinye iimpawu eziqhelekileyo eziquka:
- indlebe ye floppy
- ukulahlekelwa kwintetho
- vertigo
- ibhalansi
- tinnitus
- amanzi eendlebe
- izifo zentloko ephakathi
Unyango lwePerichondritis
Unyango lwe-perichondritis yakho iya kusekelwe ekuhloleni kwakho ngokomzimba. Ukuba ugqirha wakho uxolisa i-abscess, i-incision encinci iya kwenziwa ukwenzela ukucima i-pus. Ugqirha wakho uya kwipakisha indawo eyayixutywe nge-antibiotic ejiweyo i-gauze, okanye ibhande. Ukuba ukusetyenziswa kwepakethe, ugqirha wakho uya kuseka ukuqokwa kokulandelelana ukubeka isibini sutures ukuvala isilonda. Ukuba akukho phakati isetyenzisiweyo, ugqirha wakho uza kufaka i-sutures emva kokuphelisa i-pus.
Kungakhathaliseki ukuba ubukho bobugqirha, ugqirha wakho uya kubeka i-antibiotic yakho. I-Levaquin (levofloxacin) yinto ekhoyo ye-anti-fluoquinolone antibiotics yokuphatha i-perichondritis. Nangona kunjalo unako ukumiselwa i-antibiotic yesibini efana ne-tobramycin ukwenzela ukukhutshwa kwangaphezulu kwaye unyango olongezelelekileyo xa lufanelekile.
Ngokuxhomekeka kobunzima besifo, amayeza anqunyelwe ukuba athathwe ngomlomo okanye anikezwe ngaphakathi.
I-autoimmune perichondritis iyaphathwa ngokusebenzisa imithi ye-steroid efana ne-prednisone ukuphelisa impendulo yomzimba kunye nokuyiyeka ekuhlaseleni indlebe yeendlebe (kunye nezinye iinxalenye zomzimba). Emva kokuba uqalise unyango, ugqirha uya kubuye akubhekise kwi-rheumatologist ukuze ulandelwe ngokuqhubekayo ngokumalunga nesifo sakho.
Ukuba i-perichondritis inzulu ngokwaneleyo ukuba uye wakhula indlebe ye-cauliflower, utyando lweplastiki lunokukhetha. Utyando lweplastiki luqhutyelwa ngolo suku lwekliniki yokuhlinzwa, kwaye akunakuhlala lukhutshwe yinshurensi yakho.
Kukulungele ukuba uphando oluphambili lweplastiki ngaphambi kokuba utyando lwenziwa. Emva kokususa iindawo ezonakaliswe indlebe, ugqirha we-plastiki unokuphinda uvuselele inxalenye esususiweyo ukuze uhlaziywe ngokukhawuleza izahlulo zakho ezisusiweyo
Ukukhusela iPerichondritis
Ngamanye amaxesha i-perichondritis ayikwazi ukunqandwa, njengokwenzakalo yengozi. Nangona kunjalo, ukubhoboza i-cartilage endlebeni yakho, okuqhelekileyo ukubhoboza kwinqanaba le-indlebe yakho, kukubeka engozini enkulu kakhulu yokuphuhlisa i-perichondritis. Unokwandisa umngcipheko wokuphuhlisa i-perichondritis ngokuqhutyelwa ngokuphindaphindiweyo kwindlebe yakho ephezulu. Ngokugcina ukubhoboza indlebe yakho endlebeni yakho, unokunciphisa kakhulu umngcipheko wokuba ube neengxaki ezinxulumene nokubhoboza indlebe. Ukugxekwa kwe-perichondritis kulungile xa unyangwa ngokukhawuleza; ukubuyiswa ngokugcwele ngokulindelekileyo.
> Imithombo:
> Brant, JA & Ruckenstein, MJ. (2015). I-Otolaryngology yeCummings: Izifo zeNdlebe yangaphandle. 6th. 137, 2115-2122.e2
> Ukuchonga kunye nokulawulwa kwamanye amazwe angaphandle. Yenza iwebhusayithi. Ukuhlaziywa ngoJanuwari 13, 2017. Kufumaneka ngoJulayi 24, 2017.
> Medline Plus Medical Encyclopedia. Perichondritis. https://medlineplus.gov/ency/article/001253.htm. Ufikelele kuJulayi 24, 2017.
> Perichondritis. I-website yeMarck Manual. http://www.merckmanuals.com/home/ear--nose--and-throat-disorders/outer-ear-disorders/perichondritis. Ufikelele kuJulayi 24, 2017.
> Ukubuyisela i-Polychondritis. Website yeMedscape. http://emedicine.medscape.com/article/331475- ukujonga kwakhona. Ukuhlaziywa ngoJuni 21, 2016. Kufumaneka ngoJulayi 24, 2017.