Auricular Perichondritis
Perichondritis ihutachiona hwe perichondrium, iyo ndiyo mhuka inopoteredza uye inodyisa maronda anokonzera chikamu chekunze kwenzeve yako. Izvo zvakafanana nekondritis, iyo utachiona hwehutakiti we nzeve yako. Pasina kurapa kwakakodzera uye nokukurumidza, perichondritis inogona kukonzera kusingagumi kusingaperi kuchinja kwezeve yako seholiflower nzeve .
Zvikonzero zvinowanzowanzokonzera kushungurudzika kune zvinyorwa uye zvinosanganisira:
- kuboora nzeve -kunyanya kukwirira pane chikamu chetiyoti ye nzeve
- chirwere chokuvhiya
- kushaya mitambo kana zvimwe zvinotyisa
- insect bites
- zvinopisa
- kudonha kana kuchenesa chero ipi zvayo munzeve
- kutorwa zvisina kunaka otitis externa (nzeve yekushambira)
- autoimmune chirwere - granulomatosis ne polyangiitis & relapsing polychondritis
Kuongororwa Perichondritis
Kuongororwa kwe perichondritis hakusi nyore uye kunobva munhoroondo yekushungurudzika kunzeve uye kuonekwa kwenharaunda inotapukirwa. Mune zvikamu zvaro zvekutanga, perichondritis inoratidzika saiyo se cellulitis . Chiremba wako achatora nhoroondo yekare kuti aone njodzi inowanikwa pamusoro apa uye uone nzeve yako. Kunyange zvazvo zvingave zvichikuvadza zvishomanana, chiremba wako angangodonhedzera nzeve yako kuti aone kana pane "cheropa", kana kuti kuchinja, sezvo izvi zvinogona kuratidza abscess (pus) kana chondritis. Kana wakambova nematambudziko akawanda e perichondritis, chiremba wako achakutumira kune rheumatologist kuti uone kana iwe une chirwere chemotokari.
Zviratidzo Zvakafanana nePerichondritis
Sezvo kubvongodza karoti yekunze kwekunze kune tsika yakajairika, inoratidzika seyo inonyanya kukonzera kukonzera perichondritis panguva ino. Perichondritis inowanzokonzerwa nepseudomonas aeruginosis, asi inogona kukonzerwa nemamwe mabhakitiriya anosanganisira streptococcus aureus uye streptococcus pyogenes.
Perichondritis inogona kuratidzwa nezviratidzo zvinotevera:
- kubwinya
- kuzvimba
- kurwadziwa
- pus kana zvimwe kubuda kwemvura (muzviitiko zvakakomba)
- fivhiri (muzviitiko zvakakomba)
- kududzirwa kwehutakiti sarudzo (mumatambudziko makuru)
Kana uri kutarisanazve nekudzoka perichondritis, unogona kuwana zvimwe zviratidzo zvisingawanzoti kusanganisira:
- floppy ear
- kushungurudzika kunzwa kutadza
- vertigo
- isina kukwana
- tinnitus
- nzeve yekunzwa
- pakati pe nzeve zvirwere
Kurapa kwePerichondritis
Mishonga ye perichondritis yako ichave yakabva pakuongorora kwako mumuviri. Kana chiremba wako achishushikana kubheta, tsvina yakawanda ichaitwa kuti ibvise pus. Chiremba wako achazotakura nzvimbo iyo yakasvibiswa nemishonga inorwisa mabhakitiriya akavharwa, kana ribhoni. Kana kuiswa pakashandiswa, chiremba wako achagadzirisa musangano wekutsvaga kuti aise sutures vaviri kuti vvhare ronda. Kana pasina paki inoshandiswa, ipapo chiremba wako achaisa sutures pakarepo mushure mekudhonza pus.
Pasinei nekuvapo kwepus, chiremba wako achakupa maantibayoti iwe. Levaquin (levofloxacin) inowanzoshandiswa nemishonga inorwisa fluoroquinolone kuporesa perichondritis. Zvisinei iwe unogonawo kutarirwa wechipiri maantibhakitiriya akadai se tobramycin kuti awedzere kufambiswa uye kunyanya kurwisa kana zvichibvumirwa.
Zvichienderana nekuoma kwehutachiona, maantibayoti anorayirwa kutorwa nemuromo kana kupiwa mukati.
Autoimmune perichondritis inoshandiswa uchishandiswa steroid mishonga yakadai se prednisone kuti inodzvinyirira mhinduro dzekuzvidzivirira mumuviri uye dzisire iyo kurwisa mutsara we nzeve (nezvimwe zvikamu zvemuviri). Mushure mokutanga kurapwa, chiremba wenyu achakutaurirawo ku rheumatologist kuti uwedzere kutevera maererano nehutachiona chako.
Kana iyo perichondritis yakakomba zvakakwana zvokuti iwe wakagadzira koliflower nzeve, kurapwa kweplastiki kunogona kunge iri sarudzo kwauri. Kuvhiyiwa kwepurasitiki kunowanzoitwa mune rimwe zuva remakiriniki ekuvhiya, uye haigoni kugara yakavharwa neshuwarisi yako.
Zvakanakisisa kuva nechipi nechipi chepurasitiki chichigadziriswa zvisati zvaitwa chirwere ichi. Mushure mokubvisa zvakakonzerwa nenzeve, mupurisa wechiremba wepurasitiki anogona kugadzirisa chikamu chakabviswa kuitira kuti zvigadzire zvikamu zvabviswa zvekunzwa kwako
Kudzivirira Perichondritis
Dzimwe nguva perichondritis haigoni kudziviswa, zvakadai sedambudziko rekukuvara. Zvisinei, kuboora goroti munzeve yako, iyo inowanzobaya mukati memucheto wako, inokuisa pangozi yakakura zvikuru yekukura perichondritis. Iwe unogonawo kuwedzera mukana wako wekuvandudza perichondritis nekuve nokuputika kazhinji mune pedyo nepamusoro yako nzeve. Nokuchengeta nzeve yako inoputika munzeve yako, iwe unogona kuderedza zvikuru njodzi yako yekuve nematambudziko ane chokuita nekuputika nzeve yako. Zviratidzo zve perichondritis zvakanaka kana zvakarapwa nokukurumidza; kugadzirisa zvizere kunowanzotarisirwa.
> Sources:
> Brant, JA & Ruckenstein, MJ. (2015). Cummings Otolaryngology: Zvirwere zveNzeve Yenze. 6th ed. 137, 2115-2122.e2
> Kuongororwa uye kutungamirirwa kwemamwe masimba ekunze kwenzeve. Uptodate website. Yakapedzwa musi waJanuary 13, 2017. Yakasvika munaJuly 24, 2017.
> Medline Plus Medical Encyclopedia. Perichondritis. https://medlineplus.gov/ency/article/001253.htm. Yakasvika musi waJuly 24, 2017.
> Perichondritis. Merck Manual website. http://www.merckmanuals.com/home/ear--nose--and-throat-disorders/outer-ear-disorders/perichondritis. Yakasvika musi waJuly 24, 2017.
> Kudzokorora Polychondritis. Medscape webusaiti yepaiti. http://emedicine.medscape.com/article/331475-overview. Yakavandudzwa Jun 21, 2016. Yakasvika munaJuly 24, 2017.