Cholesteatoma o ka pepeiao: 'ehaʻeha ka, symptoms,ʻike, lapaʻau, ka hopena

Kekahi, he pono ole ke kumu o ka lohe poho ka manawa e cholesteatoma. Kēia hou ho okumu, oia hoi o (particles) o i lālā epithelium. Ka Uluwehi o, ia ālai 'ka waena pepeiao lua, e kauoha ana kaʻawaʻawa loa symptoms. A hiki i ka hoopaa a me ka hana kaumaha pepeiao eha, pōniuniu, a me malodorous hookuuia mea pono, e kukakuka lakou i ka otolaryngologist. ʻO wai ka mea a ka Hawaii a pau ke ike i kaʻoiaʻiʻo. I kēia lā i ka 'atikala, he kokoke nana i nā hiʻona o ka mea i olelo pathological kaʻina.

Ke ae pā o ka maʻi

Cholesteatoma mai no i ka mahele o ka maʻi 'aʻai. Ua Ua ho'ākāka 'ia ma mua i loko o ka XIX kenekulia, akā, hāʻawiʻia kaʻiʻo nō o kēia inoa i nei. Wale nō ma hope o ka piha study o ka haku mele 'ana o kaʻeho, ma a he mea he hailona o ka naʻokoko, ka noiʻi hoʻolauna i loko o' inikua hana kūpono manawa. Ma hope o kekahi manawa, au e hoʻokele e kuhikuhi i ka papa kuhikuhiE kumu o ka maʻi, koho pono ka nohoʻana.

Cholesteatoma pepeiao - heʻeho hui mea keʻokeʻo, puni iho la ia ma ka mea hōʻikeʻikeʻuʻuku. Ua Ua hanaʻia ma ka layering ma kekahi i kekahi papa o ka poe make ili keena. Nui like 'ole ka ÷ kekahi mau millimeters i 7,5 knm, ka papa kuhikuhiE eiiiiiaiou i kumuʻiʻo i huiʻia, keratin, lipids a me ka naʻokoko. Neoplasm lole komoʻuʻuku nona'ōpū mai - wahi o connective'aʻaʻa e hanohano malaila a hiki i ka iwi, a me kekahi manawa ulu i loko o ia. I loko o kēia kaʻina hana, i ka puni nā'aʻaʻa e luku.

Nā kumu o ka maʻi a me kona pathogenesis

Hoomaopopo mau ano o ka pepeiao cholesteatoma:

1. Congenital a oiaio. Keʻano o ka maʻi ua kena ae la ia e hoʻopōʻino embryonic kūpono 'ana o ke fetus. Ka pahiki o kona hanana maoli ina he wahine i loko o hāpai keiki ototoxic ai ', i na hoopai ana i hai X-kukuna. Neoplasm ua ana IIeEeAIEUIeXAIIUE i loko o ka pyramid o ke kino iwi, ma ka liʻiliʻi loa - i loko o kaʻaoʻao o ka puniu wale no, a me kekahi o na ventricles eha o ka lolo.
2. Loaa ana. I ka maʻi ua diagnosed ma ka adulthood. Ka hoʻopukaʻana i kona ulu kumumea i maʻi hoʻoʻino maʻi o ka pepeiao (otitis evstahiit), traumatic poino.

Hoikehonua, lapaau hoʻohuiʻia hanana lilo pathology ke ano me kekahi o nā maomeka.

Ma ka hihia mua, ka pathogenesis komo aiʻeha o patency o ka auditory Tube amid evstahiita. Puʻe paka ua i loko o ka tympanic lua, a me ka hapa o kaʻili lahilahi ua i nā unuhi i loko o ia. Maanei, na nā pōaka hoʻomaka e loaa naʻokoko, exfoliated epithelial keena a me keratin. Pela i hanaʻia loaa cholesteatoma o ka pepeiao.

Ma ka hope hihia mechanical e hoʻokō 'ole' a maʻi otitis kēpau, e haehae ana i ka eardrum. Ma waena o ka mea ma waho auditory Canal, a me ka waena pepeiao lua ua hana. Ma ia hana germination o squamous epithelium i loko o ka tympanic lua. I ka mea hōʻikeʻikeʻuʻuku o connective'aʻaʻa oʻokeʻa loa ka haole waiwai, ho okumu i ka cholesteatoma.

lapaʻau kiʻi

Ma ka hapanui o na hihia cholesteatoma o ka wati waena pepeiao, aole ia e hooiaio mai kekahi symptoms. Oia kekahi kumu o ka manaʻo 'aʻole i hoʻomaka ai i nā mea a pau. Kekahi hoʻomanawanui iki mai e hele i ke kauka me ka kēia mau hoopii:

• ʻeha i loko o ka pepeiao, wehewehe aku hikiʻana mai me ka ano;
• discomfort i loko o ka luakini a me ka lae;
• lohe hoʻopilikia;
• imua o secretions, mai ka pepeiao me impurities pus malodorous;
• nausea a me kaʻona.

Me ka uuku ka nui o kaʻeho hiki ole visually ike. A nui ho okumu nana e like keʻokeʻo curdy popo bulging ma ka mawaho auditory meatus.

Ma ka hihia o ke kiʻekiʻe mea koʻohune nā mea palahēhē lapaʻau kiʻi ua complemented ma symptoms o intoxication. E hoomanawanui i ohumu ana o kekahi ulia hookahi o ke kuni, luhi, nawaliwali a me ka poho o kona'ōpū. Ma ka hoʻohuli ai i nā wahi o ka pepeiao ke e ka throbbing eha.

paha complications

Inā e kāpae'ōlelo i nā symptoms a me ka lohi lapaʻau, ka mea hiki ke alakai i ka complications. Iwaena o lakou i ike i ka loa, he pono ole i:

1. Fistula Kimi, pu ma ka piha lilo o ka hālāwai hoʻolohe manaʻo.
2. Paresis o ka lehalehu t nā aʻalolo.
3. Sigmoid sinus thrombosis.
4. Aseptic meningitis.
5. Meningoencephalitis.
6. Coma.
7. Haanou ana mai o ka lolo.

Makau o ka malignancyʻeho mea i ke kumukuai o ia. Cholesteatoma pepeiao aeee i oleʻeho. Ka mea hiki ole i māhele uncontrollably, a hohola iho la ma ke kino ma ka hematogenous.

Ka pilikia o ka pathological kaʻina o kona koke i ka lolo a me nā aʻalolo. Pee ma kaʻeho secretion hana ka 'ole kūlana. Nolaila, meningitis, cerebral edema a me nā maʻi hoʻomohala hoʻomaka koke, pu e hai symptoms. I ka wa e kaawale aku ana o ka pono o ka mālama 'hiki e lethal.

ki ina hana like o kaʻike,

Inā e manaʻo ai he cholesteatoma e e like ka hikiwawe e loaa aae? Ana i ka otolaryngologist. ʻO wai ka mea a me ka mea e hoola i ke kauka, e ike i na keiki uuku. Inā 'oe e hele ai i ka loaa ana i ka Apana kahuna lapaau,ʻo ia nō kekahi e olelo ana i ka hoʻomalu e undergo piha lapaʻau' ana.

Ua hoʻomaka me ka mea mawaho auditory meatus ma ka ninaninau otoscope. Me keia mea e mea hiki ke huai ae li nui, huai ae i ke alo o pathological me ka ho okumu a me nā loli i loko o ka 'ole o ka eardrum. A laila, i ka hoʻomanawanui ua ia radiography. Nā kiʻi maopopo visualizedʻeho, ina paha lakou maanei. An inā pilikia ka haumāna Kauka hiki Loiloi i kona nui a me ka kiko'ī wahi. Eia naʻe, he oi piha kiʻi 'oi aku ka kamepiula tomography.

Mawaena o nā ano o ka nana i:

• audiometry e nānā i ka oolea o ke ahonui o ka hālāwai hoʻolohe manaʻo;
• loiloi no ka kani nā'ōlelo ma ka mea o ka (tuning fork);
• vestibulometriya - Ka Ikepili o ka mana o ka vestibular i hoʻomākaukauʻia.

Kēia mau kaʻina hana hiki e ke mālama 'ia i loko o kekahi lapaʻau otolaryngology waena. Kauka keʻae i ole e hoole i ka ka muaʻike, oia ke koi no ke kāpaeʻana i ka maʻi ma muli o ka loaa luna 'ninaninau i nā hualoaʻa. I keia la, i ka iapaau ana o ka hikoko mea hiki i ka mau aoao: makeʻe kulana, aʻoki lāʻau lapaʻau. Ma ia E e kūkākūkā i hou au mamuli lalo nei.

makeʻe kulana lapaʻau

I ka kuʻina kakahiaka nui o ka maʻi hiki ke eliminated e makeʻe kulana ki ina hana like. IeAUPIIe, IAa IO Hawaii i kaʻauʻau makahiki nadbarabannogo pāʻoihana o boricʻakika a proteolytic nā'ūhū. Manipulations E e hai hou no ka hebedoma hoʻokahi kela la i keia.

Inā ka maʻamau kaʻina hana 'aʻole i hoʻoikaika' ana i ke ahonui o ka kanawai, ka mea i pono, e hoʻohana i ka kūikawā abdominal Tube me ka hoʻohei i ka hopena. Iloko o ke kaʻina hana, ke kauka inserts mea ma ka puka i loko o ka eardrum. Me ka 'eleu lapaʻau o ka pus, mai ka pepeiao ua pani a me ka poino nā'aʻaʻa regenerate koke.

ʻoki lāʻau lapaʻau 'uao

I ka makeʻe kulana ki ina hana like ole, e hoʻopau i ka pathology, ua waiho akuʻoki lāʻau lapaʻau ana o ka cholesteatoma. I waena o nā nāʻikepili no ka pilikiaʻoki kino nā:

• intracranial complications;
• osteomyelitis;
• paresis o ka lehalehu t nā aʻalolo;
• labyrinthitis;
• kekahi manawa i wela ai polyps.

I ka luna e wale i ka loa e like me ka hihia kahiʻoki lāʻau lapaʻau ana o ka cholesteatoma o ka pepeiao ua koi 'ia. Ke hana ua mau ia ma luna o kekahi kanaka 'aelike e lawe i ka mooolelo o ka lapaʻau kiʻi, a me ka hoʻomanawanui ka mau ola.

Ke kaʻina hana hoʻi he o kekahi mau kahua o ka hoʻonaʻauao. Mua, i ke kauka e lawe aku oe i kaʻeho ho okumu. E hoʻopau i ka redistribution o ka maʻiʻaʻai kaʻina hana, e paa sanitation maloko lua. Ma kekahi mau hihia, hou ia ea eardrum i kona ano hoopono e hoihoi.

Loaa ma hope o ka wehe 'ana o ka pepeiao cholesteatoma

Hopena hana like nausea a pōniuniu ke hele pu i ke ahonui no 7-10 lā. Ua, mau symptoms nalo, ua hou 'inikua kōkua' ana i koi 'ia. Mua oe i haʻalele i ke kauka e wehe i na stitches mai kaʻeha a me ka pili i ka lole wili. ? Aeiiaiaiaaia ia e hoʻololi kela mau lā a piha ke ola. E hōʻeleu i ka hoola ana o ka eha ua i kekahi manawa i'ōleloʻia ai physiotherapeutic kaulike.

Mahope o 4 pule kia-hookuuia hahai mai-i keia hookolokolo ana mea pono e hele aku. Ua mea i hookuu i ke kauka E kaha makau i ka hoʻomanawanui i ka pepeiao. Inā 'oe e pono ai i ka lua o ka hana, e hiki ke lawe mai wale ma hope o 6 mahina ma hope o ka mua. I ole ia,ʻaʻole e hiki ke pale aku complications.

aoao e pale aku

Cholesteatoma ua i hoʻolaha like maʻi 'aʻai maʻi. Akā, i kēia aʻole i manaʻo 'ia ka loiloi mua symptoms ke kāpae'ōlelo ia, mai imi mālama'. Mea e like ai malama mau i ka pale aku complications. Ua mea hiki ke pale aku i ke ano o keia pathology?

Kāohiʻana o ka maʻi i loko o ka wahi mua hoʻohuʻu ka 'eleu lapaʻau o hoʻoʻino keʻano o ka hanaʻana i ka heluna o ka pepeiao. He mea nui oi loa aku hoi no ka hapai keiki o na wahine a me na kamalii. Cholesteatoma o ka pepeiao o ke keiki - he kŰia loa, he pono ole. Eia naʻe, ka mea, ua pinepine pu ma ka hooulu ana o kūloko encephalitis a me ka hydrocephalus.

No hoi, maʻi Kāohi komo ai i ka'ōnaehana paleʻea kahua e hooikaika ana. No keia mea, e E mau hoopau ia wikamina eiiieaenu, e ai pono a me ka malama i ke ola i ke Aloha Hawaii. Mai poina e pili ana i hoopaakiki kaʻina hana a me manageable hoʻokō.