Mastoiditis

Mastoiditis ke tšoaetso ea lesapo la mastoid la lehata. Mastoid e fumaneha kamora tsebe feela.

Mastoiditis hangata e bakoa ke tšoaetso ea tsebe e bohareng (acute otitis media). Tšoaetso e ka hasana ho tloha tsebeng ho ea masapong a mastoid. Lesapo le na le sebopeho se joaloka khekhe ea linotši se tlatsitseng ka lintho tse tšoaelitsoeng mme se ka senyeha.

Boemo bona bo atile haholo baneng. Pele ho lithibela-mafu, mastoiditis e ne e le se seng sa lisosa tse ka sehloohong tsa lefu ho bana. Boemo ha bo etsahale hangata kajeno. Hape ha e kotsi haholo.

Matšoao a kenyelletsa:

• Metsi a tsoang tsebeng
• Bohloko ba tsebe kapa ho se utloise bohloko
• Feberu, e ka ba holimo kapa ea eketseha ka tšohanyetso
• Ho opeloa ke hlooho
• Ho lahleheloa ke kutlo
• Bokhubedu ba tsebe kapa ka mora tsebe
• Ho ruruha kamora tsebe, ho ka etsa hore tsebe e mamele kapa e utloe eka e tletse mokelikeli

Tlhahlobo ea hlooho e ka senola matšoao a mastoiditis. Liteko tse latelang li ka bonts'a ho sa tloaelehang ha masapo a mastoid:

• Tlhatlhobo ea tsebe ea CT
• Hlooho ea CT scan

Tloaelo ea metsi a tsoang tsebeng e ka bonts'a libaktheria.

Ho ka 'na ha e-ba thata ho phekola mastoiditis hobane moriana o ka' na oa se ke oa kenella masapong. Boemo ka linako tse ling bo hloka kalafo e phetoang kapa ea nako e telele. Tšoaetso e phekoloa ka liente tsa lithibela-mafu, e lateloe ke lithibela-mafu tse nkiloeng ka molomo.

Ho buuoa ho tlosa karolo ea lesapo le ho ntša mastoid (mastoidectomy) ho ka hlokahala haeba kalafo ea lithibela-mafu e sa sebetse. Ho ka etsoa opereishene ea ho ntša tsebe e bohareng ka tsebe ea tsebe (myringotomy) ho phekola tšoaetso ea tsebe e bohareng.

Mastoiditis e ka phekoloa. Leha ho le joalo, ho ka ba thata ho e phekola mme ea khutla.

Mathata a ka kenyelletsa:

• Ho senngoa ha lesapo la mastoid
• Botsoa kapa vertigo
• Epidural abscess
• Ho holofala sefahleho
• Meningitis
• Tahlehelo ea kutlo e sa fellang kapa e felletseng
• Ho hasana ha tšoaetso bokong kapa 'meleng oohle

Letsetsa mofani oa tlhokomelo ea bophelo haeba u na le matšoao a mastoiditis.

Hape letsetsa haeba:

• U na le ts'oaetso ea tsebe e sa arabeleng kalafo kapa e lateloang ke matšoao a macha.
• Matšoao a hau ha a arabele kalafo.
• U hlokomela asymmetry efe kapa efe ea sefahleho.

Kalafo e potlakileng le e phethahetseng ea ts'oaetso ea tsebe e fokotsa kotsi ea mastoiditis.

• Mastoiditis - lehlakoreng la hlooho
• Mastoiditis - bofubelu le ho ruruha kamora tsebe
• Mastoidectomy - letoto la lihlooho tse

Pelton SI. Otitis externa, otitis media, le mastoiditis. 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 61.

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.