Zvinetso zveSwimmer's Ear
Malignant otitis externa (MEO) isinganzwisisiki chinetso chekutinha-sora (otitis externa). Izvo zvinoitika kana hutachiona hwekunze huri kupararira kune zvisikwa zvakaswedera uye pfupa. Pasinei nezita racho, izwi rokuti "rakaipa" harirevi kuti une kenza. Izwi rokuti "rakaipa" pakutanga raishandiswa nachiremba uyo akawana MEO nekuda kwehutano hwechirwere uye kukurumidza kufambira mberi.
Nekuuya kwemishonga inorwisa mabhakitiriya, zvigumisiro zviri nani zvikuru uye zita rinenge risiri kunyengedza maererano nekuoma kwechirwere. Iyi mamirirowo ezve mamwe mazita anonzi necrotizing (akaipa) kunze otitis.
Nzira yakanyanya kuwanda yebhakitiriya inokonzerwa nehutachiona otitis externa ipisudomonas aeruginosa .
Njodzi Zviitiko zve MEO
Malignant otitis externa inowanikwa apo nzeve yekushambira inopararira mberi kwenzeve yekunzwa uye inokonzera hutachiona kana hutachiona hwetswe bwedhenya, kusanganisira panguva yemafupa. Zvinhu zvakawanda zvinogona kuita kuti izvi zviitike kusanganisira:
- nzeve yekushambira isingateereri
- mabhakitiriya anoramba
- kukanganisa immune system kubva chemotherapy, chirwere cheshuga, kana mamwe mamiriro
Zvimwe zviitiko zvakakosha zvinokonzerwa nekuwana zvinouraya otitis kunze zvinosanganisira:
- kugara mumhepo inotonhora inonaya
- vakwegura
- mukomana
- chirwere cheshuga
- inowanzotanga seimwe rudzi rwekurwadziwa (kukuvadza) kune kunze kwekunzwa nzeve
Kana kacho utachiona hwapararira mberi kwekunze kwenzeve inonzwa inowanzokonzera mafupa emapfupa ari pasi pedehenya, kunyanya nguva yemafupa.
Kupfuurira mberi kunogona kukonzera kukanganisa kwemakumbo emakumbo uye chiso chinokonzera kuparara.
Zviratidzo zve MEO
Zviratidzo zvehutachiona otitis externa zvichasiyana pakati pevanhu zvichienderana nemamiriro ezvinhu uye kufambira mberi kwehutachiona. Zviratidzo zvinogona kusanganisira:
- kurwadziwa kwakakomba nzeve kunowedzera kuwedzera usiku
- kurwadziwa apo nzvimbo iri shure kwezeve yako inobatwa
- nzeve ye nzeve iyo inogona kunge ine pus, iine tsvuku kana yebhuruu muvara, kana kunhuwa kunhuwa
- kurasikirwa kunzwa
- manzwiro ekuzadzwa munzeve
- nzeve dzakanaka
- fever (zvisiri)
- kuoma kunomedza
- chiso chisina simba
- kurasikirwa kwezwi
- headaches
Kuongororwa kwe MEO
Malignant otitis externa inonyanya kuongororwa nachiremba anonyanya kugadzirisa dambudziko remuseve, mhuno uye nehuro inonzi otolaryngologist , kunyange zvazvo inogona kuongororwa navanachiremba mune zvimwe zviitiko. Chiremba wako achafunga nezvehupenyu hwako hwehutano hunosanganisira chero njodzi dzinogona kuitika iwe uye zviratidzo zvako. Chiremba wako achaedza kuongorora nzeve yako ne otoscope , zvisinei izvi zvingava zvinorwadza zvichienderana nekukura uye kufambira mberi kwehutachiona. Vachaongororawo musoro wako kuitira unyoro. Mune miedzo yakawanda inogona kushandiswa kusimbisa kuongororwa kwehutachiona otitis externa, chiremba wako anogona kuraira zvimwe zvezviedzo zvinotevera zvichienderana nezvinodiwa uye mamiriro ako ega.
- kuongorora ropa kunosanganisira erythrocyte sedimentation rate (ESR)
- tsika yekunzwa mvura
- radiographic imaging kutsvaga osteomyelitis bone infection) uchishandisa CT scan
- biopsy yemaviri ari munzeve yekunzwa kunze
Kurapa kwe MEO
Nzira yakareba (mwedzi) yemishonga inorwisa mabhakitiriya inowanzodiwa sezvo zvirwere zvepafu zvakanyanya kuoma kuporesa.
Chiremba wako anofanira kumiririra kusvikira tsika yekunzwa mvura inogona kugonesa rudzi rwebhakitiriya rinokonzera utachiona. Nzvimbo dzichapawo chiremba wako ruzivo pamusoro pemishonga inorwisa mabhakitiriya inobata zvakanyanya utachiona hwako.
Iwe uchadikanwa kuongororwa panguva ino uye kuramba uchirapa maitiro ezvigadzirwa zvekufungidzira hazvisati zvichiratidza kuvhiringidza. Muzviitiko zvakanyanya kuvhiyiwa zvinogona kudiwa kuti ubvise pfupa rakaora.
Zvimwe zvinhu zvinofanira kuziva:
- Hyperbaric oksijeni therapy dzimwe nguva inoshandiswa pamwe chete nemishonga inorwisa mabhakitiriya kuitira kuti kuporeswa kwezvinhu zvakakanganisika.
- Kana uine chirwere cheshuga, iwe uchada kuchengetedza zvakasimba kutarisa kwehuga rako reropa sezvo huwandu hwakanyanya hwehuga hwehuga hunobatsira kukura kwebhakitiriya.
Ko MEO inogona kudziviswa here?
Mazano anotevera anogona kubatsira kudzivirira MEO:
- Kana iwe uine zviratidzo zvekuteerera kwezeve, wakarapwa zvakakodzera nokukurumidza.
- Dzivisa kuchenesa nzeve dzako nekotoni swabs kana kusunga chero zvinhu munzeve yako zvinogona kukuvadza.
Sources:
> American Family Physician. Necrotizing (Malignant) External Otitis. Yakasvika: January 31, 2017 kubva http://www.aafp.org/afp/2003/0715/p309.html#sec-1
Medline Plus. Malignant otitis externa. Yakasvika: January 31, 2017 kubva pa http://www.nlm.nih.gov/medlineplus/ency/article/000672.htm
Medscape. Malignant Otitis Externa. Yakasvika: January 29, 2014 kubva pa http://emedicine.medscape.com/article/845525-zvezvezve