Cholesteatoma

Cholesteatoma imhando yeganda cyst iyo iri pakati nepakati nzeve uye mastoid bone mune dehenya.

Cholesteatoma inogona kuve hurema hwekuzvarwa (kuberekwa). Inowanzoitika semhedzisiro yehutachiona hutachiona hutachiona.

Iyo eustachian tube inobatsira kuenzanisa kumanikidza pakati nepakati nzeve. Kana isiri kushanda nemazvo, kumanikidza kwakashata kunogona kuvaka uye kudhonza chikamu cheeardrum (tympanic membrane) mukati. Izvi zvinogadzira homwe kana cyst iyo inozadza neyekare maseru eganda uye nezvimwe marara zvinhu.

Iyo cyst inogona kutapukirwa kana kukura. Izvi zvinogona kukonzera kuparara kwemamwe emapfupa enzeve epakati kana zvimwe zvimiro zve nzeve. Izvi zvinogona kukanganisa kunzwa, kuenzanisa, uye pamwe nekuita kwemhasuru yechiso.

Zviratidzo zvinosanganisira:

• Dzungu
• Drainage kubva munzeve, inogona kuve isingagumi
• Kunzwa kurasikirwa mune imwe nzeve
• Kunzwa kwekuzara kwenzeve kana kumanikidza

Bvunzo yenzeve inogona kuratidza homwe kana kuvhura (perforation) mueardrum, kazhinji iine drainage. Kuchengetwa kwemasero eganda ekare kunogona kuoneka nemicroscope kana otoscope, chinova chinhu chakakosha kuona nzeve. Dzimwe nguva boka reropa rinogona kuonekwa munzeve.

Iyi miedzo inotevera inogona kuitirwa kutonga zvimwe zvikonzero zvehusimbe:

• CT scan
• Electronystagmography

Cholesteatomas kazhinji anoramba achikura kana asina kubviswa. Kuvhiya kunowanzo kubudirira. Nekudaro, iwe ungangoda iyo nzeve kucheneswa nemubatsiri wezvehutano nguva nenguva. Kumwe kuvhiyiwa kunogona kudiwa kana cholesteatoma ikadzoka.

Zvinetso zvinogona kusanganisira:

• Brain abscess (zvisingawanzoitika)
• Kukurwa kwevhu mukati memitsipa yechiso (zvichikonzera kuoma mitezo kumeso)
• Meningitis
• Kupararira kweiyo cyst muuropi
• Kunzwa kurasikirwa

Fonera waunopa kana kurwadziwa nzeve, kubuda kwemvura kubva munzeve, kana zvimwe zviratidzo zvichiitika kana kuwedzera, kana kurasikirwa kwekunzwa kuchiitika.

Kukurumidza uye kwakakwana kurapwa kwehutachiona hutachiona hutachiona kunogona kubatsira kudzivirira cholesteatoma.

Chirwere chisingaperi chenzeve - cholesteatoma; Chisingaperi otitis media - cholesteatoma

• Membrane yeTympanic

Kerschner JE, Preciado D. Otitis midhiya. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 658.

Thompson LDR. Mamota enzeve. Mune: Fletcher CDM, ed. Chirwere Histopathology yeTumors. 5 ed. Philadelphia, PA: Elsevier; 2021: chitsiko 30.