Malignant otitis ka ntle

Malignant otitis externa ke lefu le amanang le ts'oaetso le tšenyo ea masapo a kanale ea tsebe le botlaaseng ba lehata.

Malignant otitis externa e bakoa ke ho ata ha tšoaetso ea tsebe e ka ntle (otitis externa), eo hape e bitsoang tsebe ea ho sesa. Ha e tloaelehe.

Likotsi tsa boemo bona li kenyelletsa:

• Chemotherapy
• Lefu la tsoekere
• Ho fokola ha sesole sa 'mele

Otitis ea kantle hangata e bakoa ke libaktheria tse thata ho li alafa, joalo ka pseudomonas. Tšoaetso e namela ho tloha mokatong oa kanale ea tsebe ho ea ho lisele tse haufi le masapong a lehata. Tšoaetso le ho ruruha ho ka senya kapa ho senya masapo. Tšoaetso e ka ama methapo ea boko, boko kapa likarolo tse ling tsa 'mele haeba e tsoela pele ho ata.

Matšoao a kenyelletsa:

• Metsi a sa khaotseng a tsoang tsebeng e bosehla kapa botala 'me a nkha hampe.
• Bohloko ba tsebe bo kahare ho tsebe. Bohloko bo ka mpefala ha o tsamaisa hlooho.
• Ho lahleheloa ke kutlo.
• Ho hlohlona ha tsebe kapa tsebe ea tsebe.
• Feberu.
• Bothata ba ho kwenya.
• Bofokoli mesifeng ea sefahleho.

Mofani oa hao oa tlhokomelo ea bophelo o tla sheba ka tsebeng ea hau bakeng sa matšoao a tšoaetso ea tsebe e kantle. Hlooho e potileng le kamora tsebe e kanna ea ba bonolo ho thetsa. Teko ea methapo ea methapo (methapo ea kutlo) e ka bonts'a hore methapo ea methapo e amehile.

Haeba ho na le drainae efe kapa efe, mofani oa thepa a ka romella sampole ea eona labong. Lab e tla etsa setso sampole ho leka ho fumana sesosa sa tšoaetso.

Ho sheba matšoao a tšoaetso ea masapo haufi le kotopo ea tsebe, ho ka etsoa liteko tse latelang:

• Tlhatlhobo ea hlooho ea CT
• Ho hlahloba hlooho ea MRI
• Sesebelisoa sa Radionuclide

Morero oa kalafo ke ho folisa tšoaetso. Kalafo hangata e nka likhoeli tse 'maloa, hobane ho thata ho phekola libaktheria le ho fihlela ts'oaetso maseleng a masapo.

U tla hloka ho noa meriana ea lithibela-mafu nako e telele. Meriana e ka fanoa ka mothapo (ka methapo), kapa ka molomo. Lithibela-mafu li lokela ho tsoelapele ho fihlela litlhahlobo kapa liteko tse ling li bontša hore ho ruruha ho theohile.

Lisele tse shoeleng kapa tse nang le tšoaetso li kanna tsa hloka ho tlosoa ka kanaleng ea tsebe. Maemong a mang, ho ka hlokahala opereishene ho tlosa lisele tse shoeleng kapa tse senyehileng ka har'a lehata.

Malignant otitis externa hangata e arabela kalafong ea nako e telele, haholo haeba e phekoloa kapele. E kanna ea khutla nakong e tlang. Maemo a matla a ka ba kotsi.

Mathata a ka kenyelletsa:

• Tšenyo ea methapo ea hlooho, lehata kapa boko
• Ho khutla ha ts'oaetso, le kamora kalafo
• Ho hasana ha tšoaetso bokong kapa likarolong tse ling tsa 'mele

Bitsa mofani oa hau haeba:

• U hlahisa matšoao a lefu le kotsi la otitis ka ntle.
• Matšoao a ntse a tsoela pele ho sa tsotelehe kalafo.
• U hlahisa matšoao a macha.

E-ea kamoreng ea maemo a tšohanyetso kapa letsetsa nomoro ea ts'ohanyetso ea lehae (joalo ka 911) haeba u na le:

• Ho tsitsinyeha
• Ho fokotseha ha tsebo
• Pherekano e matla
• Bofokoli ba sefahleho, tahlehelo ea lentsoe, kapa bothata ba ho koenya bo amanang le bohloko ba tsebe kapa drainage

Ho thibela tšoaetso ea tsebe ea kantle:

• Omisa tsebe hantle kamora hore e kolobe.
• Qoba ho sesa metsing a silafetseng.
• Sireletsa kanale ea tsebe ka boea ba k'hothone kapa konyana ha u ntse u sebelisa setlolo sa moriri kapa dae ea moriri (haeba u tloaetse ho fumana tšoaetso ea tsebe e kantle).
• Kamora ho sesa, beha marotholi a 1 kapa a 2 a motsoako oa joala bo 50% le asene ea 50% tsebeng ka 'ngoe ho thusa ho omisa tsebe le ho thibela tšoaetso.
• Boloka taolo e ntle ea tsoekere haeba u na le lefu la tsoekere.
  

Tšoara ka ntle ka ho feletseng otitis externa. Se ke oa emisa kalafo kapele ho feta kamoo mofani oa hau a khothaletsang. Ho latela moralo oa mofani oa hau le kalafo ea ho phethela ho tla theola menyetla ea hau ea lefu le bohloko la otitis ka ntle.

Osteomyelitis ea lehata; Otitis ka ntle - e kotsi; Lehata-base osteomyelitis; Ho fokotsa otitis e ka ntle

• Anatomy ea tsebe

Araos R, D'Agata E. Pseudomonas aeruginosa le mefuta e meng ea pseudomonas. Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 219.

Pfaff JA, Moore GP. Otolaryngology. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 62.