Cholesteatoma Nzeve: Zvinokonzera, zviratidzo, chirwere, kurapwa, migumisiro

Chimwe chikonzero zvinowanzovapo kunzwa kurasikirwa kwakaerekana cholesteatoma. inotungamirwa itsva iyi, rine tudonhwe yazova epithelium. Achikura, izvozvo kutigumbura pakati nzeve mhango, zvichikonzera hachifadzi zviratidzo. Apo mikukutu uye vanodzvinyirirwa nzeve marwadzo, dzungu, uye malodorous kubuda zvinokosha kuona otolaryngologist. Ndianiko uye chii anobata vose anonyatsoziva. Mazuva ano nyaya, tikanyatsoongorora zvaidiwa akati pathological muitiro.

Musimboti chirwere

Cholesteatoma isiri muchikwata kenza. Wakatanga inorondedzerwa XIX remakore, asi zita ano rakapiwa ichangobva. Chete pashure uchida kudzidza Zvinoumba bundu, umo vakawanda remafuta akawandisa, vatsvakurudzi chakaunzwa okurapa kwakakodzera izwi. Kwapera nguva, ndakakwanisa kuziva chikuru zvinokonzera chirwere, sarudza inoshanda kurapwa.

Cholesteatoma nzeve - bundu remubatanidzwa iri chena, akanyudzwa mukati Kamudzira. It chakaumbwa layering pane mumwe akaturikidzana ganda masero akafa. Sizes siyana kubva millimeters shoma kusvika 7.5 cm. The huru zvinoriumba vari mapuroteni yeimwe, puroteni lipids uye remafuta akawandisa. Neoplasm zvemapuranga chizvaro - mumuhara pamusoro connective zvinyama kuti inoomerera pfupa, uye dzimwe nguva inokura mariri. Panguva iyi, akapoteredza munyama vaparadzwa.

The zvinokonzera chirwere chacho pathogenesis

Kusiyanisa mhando mbiri nzeve cholesteatoma:

1. Vachiberekwa kana zvechokwadi. The pakuonekwa chirwere kunokonzerwa havachanyatsogoni embryo kukura azvarwa. The ndingangokuvara parinowanika kunowedzera kana mukadzi anotora panguva pamuviri ototoxic zvinodhaka, vakanga pasi akadzokorora X-ray. Neoplasm kakawanda vemunyika mune remazera zvenyama pfupa, dzinenge - mu panhivi dehenya, uye mumwe ventricles mana uropi.
2. Yakawanikwa. Hosha iri chirwere vakura. Zvinoita kuti ayo budiriro zvinoongororwa chisingaperi anogumbura zvirwere nzeve (otitis evstahiit), zvinorwadza kukuvara.

mushonga Modern chinobatanidza chiitiko vawana zvokurwara fomu nemumwe zvigadziriswe maviri.

Muchiitiko chokutanga, kuti pathogenesis kunosanganisira pakaputsika patency of auditory chubhu pakati evstahiita. Pressure anodonhedza iri tympanic mhango, uye chikamu Kamudzira iri zvishoma nezvishoma wakavhomorwa mariri. Pano, kuti crystals vanotanga kuunganidza remafuta akawandisa, exfoliated masero epithelial uye puroteni. Saka kuumbwa vawana cholesteatoma Nzeve.

Mukupera nyaya zvokuimba kukundikana kana chirwere otitis kutungamirira kuti zvange zviri eardrum. Between wokunze auditory Canal uye pakati nzeve buri aumbwa. Kubudikidza zvinoitika kumera kuti squamous epithelium kupinda tympanic mhango. The Kamudzira pamusoro connective zvinyama rinokutadzisa vavatorwa fuma, pova cholesteatoma.

zvekuchipatara mufananidzo

Muzviitiko zvizhinji cholesteatoma yapakati nzeve hakuratidzi chaiwo zviratidzo. Muchiitiko kwakadaro hariwanikwi zvachose. Vamwe varwere kuenda chiremba pamwe inotevera zvichemo:

• marwadzo munzeve, inozivikanwa anobuda chimiro;
• kusagadzikana mutemberi kana pahuma;
• kunzwa vanotaura;
• Kuvapo secretions kubva nzeve pamwe nouipi pus malodorous;
• svoto uye nzwa dzungu.

Navaduku kukura bundu havagoni nemaziso kuona. A inotungamirwa guru sokunge chena curdy mukanyiwa bulging kuburikidza kwokunze auditory meatus.

Kana yechipiri zvinokonzerwa noutachiona kunotoda mufananidzo nechimwe zviratidzo kudhaka. Varwere vanotsutsumwa akangoerekana kutanga fivha, kurukutika, utera uye kurasikirwa kudya. Munzvimbo yacho nzeve kungava kurwadziwa throbbing.

fungidzira yematambudziko

Kana ukasateerera zviratidzo uye kunonoka kurapwa kunogona kutungamirira matambudziko. Pakati pavo vanonzi vari Zvinonyanyozivikanwa:

1. Fistula labyrinth, achiperekedzwa munhu atadze kunzwa zvizere.
2. Paresis of chiso etsinga.
3. Sigmoid sinus thrombosis.
4. Aseptic yomumuzongoza.
5. Meningoencephalitis.
6. Pakoma.
7. Kuzvimba uropi.

Kutya malignancy bundu hakuna zviripo. Cholesteatoma nzeve masero havasi bundu. Havagoni kugovera zvisingadzorwi uye kupararira kuburikidza muviri hematogenous.

Zvakaipira munhu pathological kwacho raro napedyo kuuropi uye utano hwake. Secreted ne bundu secretion kunoita mamiriro nyore. Naizvozvo, yomumuzongoza, chepfungwa edema nezvimwe zvirwere nounhu nokukurumidza, achiperekedzwa raidudzwa zviratidzo. Pasina yepamusoro okurapwa kunogona kuparadza.

nzira nechirwere

Kana uchifungidzira munhu cholesteatoma anofanira nekukurumidza kero kuti otolaryngologist. Ndianiko uye chii anoporesa chiremba, kunyange vana vaduku vazive. Kana ukaenda kune vatiitirewo chiremba wedunhu, achakunzwawo nhungamiro nyanzvi kuzosangana hwakadzama Diagnostics.

Unenge chete kwokunze auditory meatus nokuda ongororo otoscope. With mudziyo uyu zvinokwanisika kuona kuzvimba, aiona kuvapo pathological idzodzo uye kuchinja urongwa eardrum. Ipapo murwere basa radiography. Mifananidzo zvakajeka mufanidziro bundu, kana chipo. chiremba ane ruzivo anogona kuongorora ukuru hwaro uye chaiyoiyo nzvimbo. Zvisinei, mumwe mufananidzo zvikuru hwakadzama inopa kombiyuta tomography.

Pakati dzimwe nzira rekushanyirwa vari:

• audiometry kutarisa kwokuomerwa murwere kunzwa;
• kuongorora kuti inzwi kubereka achishandisa Tuning forogo;
• vestibulometriya - kuongorora mashandiro ari vestibular midziyo.

Matanho aya anogona zvino kuitirwa kana kunotoda otolaryngology centre. Doctor inosimbisa kana anoramba rokutanga nechirwere, anopa mazano nokuda kubvisa chirwere inobva vakawana zvakaoma kuongorora zvabuda. Nhasi, ari kurapwa anomera runobvira nenzira mbiri: kuchinja uye zvomusejari. Pavari ichakurukurwa zvizere pazasi.

kuchinja mabatiro

Mukutanga nzendo chirwere chinogona kupera nokusukwa kuchinja nzira. Kazhinji kushandisa Washing nzvimbo nadbarabannogo mhinduro kubva boric asidhi kana proteolytic makemikari. Manipulations rinofanira kudzokororwa zuva nezuva vhiki imwe.

Kana mureza hakurapi kuvandudza murwere ezvinhu, zvakakodzera kushandisa abdominal chubhu chinokosha aine vanobwembura pakupedzisira. Munguva nzira, chiremba inoisa nayo nepakaburi iri eardrum. With nenguva Mabatirwo pus kubva nzeve anomiswa uye ukama munyama panoda nokukurumidza.

kuvhiya kupindira

Kana kuchinja nzira vanotadza vanyatsopedza zvokurwara, tinoratidza kuvhiya nokubviswa cholesteatoma. Zvimwewo zvairatidza kuti kuvhiya zvechimbichimbi dzinosanganisira:

• intracranial yematambudziko;
• osteomyelitis;
• paresis of chiso etsinga;
• labyrinthitis;
• nguva nenguva rirwadze polyps.

The pamusoro ndivo rakajairika zviitiko apo kuvhiya nokubviswa cholesteatoma Nzeve runodiwa chete. The oparesheni anogara basa pamusoro hwaro munhu kufungisisa kunotoda mufananidzo uye pautano murwere.

The nzira pacharo ine mumatanho anoverengeka. Chokutanga, chiremba anobvisa bundu inotungamirwa. Kubvisa redistribution ari chirwere kwacho, hune utsanana Yakanatswa mhango. Mune zvimwe zviitiko, okuwedzera basa epurasitiki eardrum rokudzorera kuvimbika kwayo.

Recovery pashure kubviswa nzeve cholesteatoma

Consequences mashandiro sezvo svoto kana dzungu anogona kuenda murwere kwamazuva 7-10. Zvishoma nezvishoma, zviratidzo izvi zvapfuura, rumwe rubatsiro rwekuchipatara Kazhinji haamanikidzwi. Usati wabva chiremba anofanira kubvisa stitches kubva ronda uye isa bhandeji. Zvinokurudzirwa kuti kuchinjwa mazuva mashoma ose kusvikira kunaya zvakakwana. Kuti mhanyisa dzimwe nguva maronda anogadzwa physiotherapeutic maitirwe ezvinhu.

Pashure 4 mavhiki post-buditsa kutevera-up Kuongorora zvinokosha kupfuura. Kazhinji chiremba achaongorora murwere nzeve. Kana uchida kechipiri oparesheni, rinogona kuitwa chete pashure 6 mwedzi wokutanga. Zvimwe kwete kukwanisa kudzivisa matambudziko.

nzira kudzivirira

Cholesteatoma haina semhosva zvirwere kenza. Asi izvi hazvirevi kuti kwokutanga zviratidzo anogona hanya nayo, regai kutsvaka kurapwa. Quality hanya nguva dzose kudzivisa matambudziko. Zvinoita kudzivirira chimiro zvokurwara ichi?

Kudzivirira chirwere pakutanga rinoreva nenguva dambudziko anogumbura pezvakaitwa kukanganisa nzeve. Izvi zvinonyanya kukosha kuvakadzi pamuviri uye vana. Cholesteatoma Nzeve mwana - kutanga zvikuru zvakafanana. Zvinosuruvarisa kuti kunowanzoguma kukura vomunharaunda encephalitis hydrocephalus.

Uyewo, dziviriro chirwere kunosanganisira achisimbisa zvirwere. Nokuti chinangwa ichi, unofanira kugara upise vhitamini zvivako, mudye zvakanaka uye tiine utano hwakanaka. Usakanganwa pamusoro kuomesa Maitiro uye nyoreka muviri.