Cholesteatoma

ʻO Cholesteatoma kahi ʻano o ka cyst ʻili i kū i ka pepeiao waena a me ka iwi mastoid ma ka iwi poʻo.

Hiki i Cholesteatoma kahi kīnā hānau (hānau hānau). Kū pinepine ia ma muli o ka hopena o ka maʻi pepeiao mau.

Kōkua ka paipu eustachian i ka hoʻohālikelike ʻana i ke kaomi ma ka pepeiao waena. Ke holo maikaʻi ʻole ia, hiki i ke kaomi maikaʻi ʻole ke kūkulu a huki i kahi o ka eardrum (membrane tympanic) i loko. Hana kēia i kahi ʻeke a i ʻole cyst e hoʻopiha me nā huna ʻili kahiko a me nā mea ʻōpala ʻē aʻe.

E hele a maʻi a nui paha ka cyst. Hiki i kēia ke kumu o ka haki o kekahi o nā iwi pepeiao waena a i ʻole nā ​​hanana ʻē aʻe o ka pepeiao. Hiki i kēia ke hoʻololi i ka lohe, ke kaulike, a me ka hana paha o nā mākala maka.

ʻO nā hōʻailona me:

• Puʻupuʻu
• Hoʻokahe ka lepo mai ka pepeiao, hiki ke lōʻihi
• Lohe pepeiao i ka pepeiao hoʻokahi
• Ka manaʻo o ka piha o ka pepeiao a i ʻole kaomi

Hiki i kahi hōʻike pepeiao ke hōʻike i kahi ʻeke a wehe paha (perforation) i loko o ka eardrum, pinepine me ka hoʻokahe. Hiki ke ʻike ʻia kahi waiho o nā ʻili ʻili kahiko me kahi microscope a i ʻole he otoscope, kahi mea hana kūikawā e ʻike ai i ka pepeiao. I kekahi manawa ʻike ʻia kahi hui o nā kīʻaha koko i ka pepeiao.

E hana ʻia paha nā hoʻokolohua aʻe e kāpae ai i nā kumu ʻūpē ʻē aʻe.

• CT scan
• Pahu uila

Hoʻomau mau ka ulu ʻana o Cholesteatomas inā ʻaʻole lākou e hemo. Kūleʻa pinepine ke kaha. Eia nō naʻe, pono paha ʻoe e hoʻomaʻemaʻe i ka pepeiao e kahi mea mālama ola mai kēlā me kēia manawa. Pono paha kahi ʻoki hou inā hoʻi mai ka cholesteatoma.

Komo pū nā pilikia:

• Abscess lolo (kaka ʻole)
• Ka holo ʻana i loko o ke aʻalolo helehelena (hiki i ka lōlō o ke alo)
• Meningitis
• Hoʻolahalaha i ka cyst i loko o ka lolo
• Lohe hoʻolohe

Kāhea i kāu mea hāʻawi inā ʻeha ka pepeiao, kahe o ka wai mai ka pepeiao, a i ʻole nā ​​hōʻailona ʻē aʻe e ulu a ʻino paha, a i ʻole inā he nalowale ka lohe.

ʻO ka mālama wikiwiki a me ka mālama pono ʻana i ka maʻi o ka pepeiao mau e kōkua i ka pale ʻana i ka cholesteatoma.

Maʻi maʻi pepeiao maʻi - cholesteatoma; ʻO ka pāpaho otitis media - cholesteatoma

• Membrane Tympanic

ʻO Kerschner JE, ʻo Preciado D. Otitis media. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 658.

ʻO Thompson LDR. Tumors o ka pepeiao. I: Fletcher CDM, hoʻoponopono. Diagnostic Histopathology o nā Tumors. 5th lā. Piladelapia, PA: Elsevier; 2021: chap 30.