Mastoiditis: He aha ka mea? Mastoiditis na hoailona, a me ka lapaʻau symptoms

An infectious maʻi e loli ai i na oihana mua o ke kanaka kino iwi o ka puniu wale no i purulent li nui o ka waenakonu pepeiao o ke kaʻina - he mastoiditis. He aha ka mea, no ka mea kumu, a me he mea ka ka hopena e alakai - a pau na mea hoopaapaa, e e kūkākūkā i loko o kā mākou 'atikala. Eia naʻe, e ike i ke ano o ke kumu o ka maʻi, he mea pono e maopopo i ka wehewehena o ka mastoid kaʻina hana, a me ka anatomical 'ole o ke kanaka iwipoo.

Ka 'ole o ka iwipoo. kino iwi

Kanaka iwi poʻo ua hana ia e kekahi lākou o nā dice i ua conventionally puunaueia i loko o ka papa kuhikuhiE pūʻulu elua - iwi medullary iwi oihana, a me ka lehalehu t māhele 'āina. Ma waho aʻeo ia mau iwi i loko o ka waena pepeiao lua, he ekolu ano o ka hui kaulua iwi - ka hāmare, kua a me kuʻu kēpā. Kino iwi - ka iwi, mai ka pae ana o cerebral kāleka, a 'ano apau loa i ke kumu o ka iwipoo. Ke kino iwi i ka pau huahelu o nā aʻalolo nui ilpko o:

• vestibular-cochlear,
• alo,
• trigeminal knot
• auwana,
• glossopharyngeal nā aʻalolo.

Ke kino iwi ninoieo o ekolu mau mea: squamous, tympanic a me ka pohaku. Unahiʻole, i ka māhele 'ano apau loa ke kīloi paʻewa paia o ka puniu wale no; pahu hapa - ka hehee ai e poai puni i ka pepeiao Canal; kahi pohaku hapa nana e like me ka pyramid, a hanaʻia ka hana o ka ipu no ka waena a me ka pahale pepeiao, ma i hoi kekahi, na moku koko. Pyramid nā ekolu surfaces - mua, e kūkulu a me lalo. Lower māhele 'āina' ano apau loa mastoid.

I ka manaʻo a me ka 'ole o ka mastoid

Mastoid mea he conical hoʻokino wānana manaʻo ma hope o ka pepeiao. Na na 'ole o ka mastoid - he iiiaanoaa o ka iwi cavities piha me ka lewa a me ka pü ana me ka waena pepeiao (tympanic lua me) Via mastoid ana. Cave (antrum) - ka nui halepaahao mastoid. Ma ka mastoid kaʻina e paʻa Muscle, a he ekolu eiiiiiaiou - ka sternum, clavicle a me ka mastoid.

Ka 'ole o ke kaʻina mea kanaka no kēlā me kēia kanaka. Aia i ekolu ke ano o kona 'ole. Pneumatic 'ole - mastoid ninoieo o ka nui aeee piha me ka lewa. Diploeticheskoe 'ole - o ka' ole mea uuku keena hoopihaia me ka iwi a ka lolo. Sclerotic 'ole - o ka halepaahao' ole ua loa poorly ulu.

It E e hoʻomaopopo i ke 'ano o ka' ole mastoid loa kalele iho hoi no mastoiditis. A i loko o ka hapanui o na hihia, mastoiditis e hoʻomōhala ana i loko o kanaka me ka pneumatic 'ole o ka mastoid kaʻina.

Mastoiditis: He aha ka mea?

Mastoiditis - mea he hoʻoʻino kaʻina e ia lŘlŘ i loko o ka naʻau o ke ana (antrum) a ma ka ke kelepona hele 'ole o ke kino iwi. Classify ka pathology ma luna o nā kai. Ana hōʻike 'elua ano o ka maʻi - iniiaiie a me ka haumāna mastoiditis.

I kaulana mua, e hōʻike ana i ka mastoid o ka tympanic lua. Ka hapanui o na hihia o ka mastoiditis ia lŘlŘ no ka maʻiʻaʻai i loko o ka mastoid ma ke kāʻei kua o ka wati waena pepeiao li nui. Ua lapaʻau kiʻi paipai haumāna mastoiditis like me ka complication o ka maʻi otitis Media.

Ka loa e like me ka kumu o ka huʻi mastoiditis i streptococci a me ka staphylococci, ma ka liʻiliʻi loa - Pseudomonas aeruginosa a me nā aerobic a me ka anaerobic koʻohune. Loa pohihihi keia hihia ma i ka maʻi ua kena ae la ia e mycobacteria.

Helu mastoiditis - he pathology i hiki ke hana.

• Ma muli o ka hewa, kena ae la ia e ka gunshot ka eha a me ka fractured iwipoo.
• Ma ka hoʻololi purulent kaʻina hana ma luna o ka mastoid iwi o ka lymph aka wahi.
• Aie i kekahi maʻi - TB a infectious granulomas.

Ke kaʻina hana o ka maʻi penei. A lohe o nā palapū ana mau fractures o lahilahi pā i loko o ka iwi, kūpono ma ka ho okumu i ke koena ai liʻiliʻi, a, pu me ka hookaheia'ku koko o e pili ana i ke 'ano o nā papa hana no ka heheʻe o ka iwi koena ai, a me ka holumua ai? acaeoey o ka li nui.

Ke kahua o ka maʻi

E like me ka rula, o ka hooulu ana o ka mastoiditis undergoes mau kahua o ka hoʻonaʻauao.

• exudative,
• proliferative a me ka 'ano like.

I ka loiloi mua ke kahua o ka hooulu ana o ka mastoiditis - exudative, ua mau 7-10 lā. Iloko o keia manawa, ulu li nui o ka mastoid. Ke mucousʻili lahilahi e pehu ae, ka mastoid aeea 'ole e hoopili, piha me ka pus a me ke kaupaonaʻana i kaawale mai o ka mastoid ana. Ke XRD kumu i loko o kēia kahua o ka maʻi wehewehe i ka maalea i pohā ma waena o aeee.

Kahi-proliferative ke kahua o ka maʻi wehewehe aku ma ka make ana o na i pohā hookaawale ana i ke keena, a me ka nānā aku a kaawale nā pūʻulu o aeee, i merge i loko o ka volumetric lua. Loli no hoi ana i loko o ka iwi lolo a me ka vascular hale.

I kekahi manawa, ka hooulu ana o ka cholesteatoma ma ka waena pepeiao hiki i keʻano o ka pathological keʻano o ka hanaʻana i loko o ke kino, me mastoiditis. He aha ka mea? Cholesteatoma mea he mea hōʻikeʻikeʻuʻuku, iloko olaila ka cornified epithelial keena.

Mastoiditis: Symptoms

Lapaʻau o mastoiditis - ke kaʻina manawa-hoopauia'na. No laila, i mea e holomua ma keia mea, e mea pono, e kuhikuhi i ka maʻi i loko o kona wā kahua o ka hoʻonaʻauao. Ke kaumaha ma muli pehea ka symptoms hoikeia mastoiditis, maopopo typical a me atypical ano o ka maʻi. No ka atypical ole latent ano o ka maʻi wehewehe aku ma ka sluggish pele me ka hai symptoms.

Ma kekahi 'ano o ka typical mastoiditis, nā mea maʻi e ohumu no kaʻoiʻeha i loko o ka pepeiao, a me ka poo, i kŰlń ao a hiki i ka hope o ke poo a me ka lae; pehu mastoid māhele 'āina. Me kaʻoi nani o na nā'aʻaʻa, oi loa ke kahua o ka purulent kaʻina i loko o ia mau mea, pinna bulged aliʻi mea.

Pela ke alo o ka maʻi i hōʻike i ka wehewehe ana oia i mea kiko'î a me ke koko hoao ana hopena i kupu mai hoʻoʻino kaʻina.

No ka mastoiditis hiki e ukali ma ka hooulu ana o Gradenigo ka maʻi pale, ma a he mea lōlō o na abducens. Ke hoomanawanui i Ua kaupalena 'ka hoʻoneʻe o ka'ōnohi a poʻopoʻo, mai ke hoʻomanawanui i ka pepeiao. Photophobia e hoʻomōhala. Mau symptoms pinepine hōʻike i ka i kaupalena 'li nui o na meninges, a symptoms nā luaʻi, pōniuniu, unilateral headaches.

Symptoms i 'ano like me na symptoms mastoiditis furunculosis mawaho pepeiao, a me li nui o ka lymph aka wahi aia ma ke kua o ka auricle. No kēia mau huahelu i aia i loko o ke kikowaena māhele o ka mastoid kaʻina, ka mea, i ka neʻeʻana o ka lymph ma ka pepeiao. Ma ke ola i ke ana, kēlā lymph wahi mea hiki wawe ka detectable. I ka wā o nā maʻi a pau o ka lymph aka wahi i Keʻei. mastoiditis puʻe aka wahi kumu hewa ana ke aloha 'ole ma o ka mastoid iwi ka wā - ke kumu; ka wā adenitis nń.

I e like me ka papa o ka maʻi i loko o nā mākua, mastoiditis i loko o nā keiki ke ke wehewehe aku ma ka nonspecific na hoailona, a i hoike ia ma ka lilo o ka ikaika loa ka makemake, diarrhea, irritability, hoʻokaʻawale, mai ka mea mawaho pepeiao.

Atypical ano o ka mastoiditis

Ma waho aʻeo i ka typical ano o ka maʻi, 'inikua maopopo atypical ano o ka mastoiditis. Ka loa, he pono ole 'ano apau loa nā:

• zigomatitsit,
• apex-'ā'ī mastoiditis me eha subspecies
• Ka Squam,
• petrozit.

Zigomatitsit - he ano mastoiditis, ma i ka hoʻoʻino kaʻina kŰlń ao i ka zygomatic kaʻina, cheekbones nani ia lŘlŘ i loko o ka wahi ma mua o ka pepeiao. Once edema ua hana ka abscess.

Ma na keiki, ma laila i e "wahahee" 'ano apau loa zigomatitsitov - abscess, i aʻole e pili mai ka keena o ke kumu o ka zygomatic kaʻina. No na keiki i pono ka ulu wale ana i ka mea pinepine hoʻomōhala antritis - li nui o ka mucousʻili lahilahi o ka antrum mastoid. Mua, i kēia maʻi alakaʻi i kiʻekiʻe ke keiki a make holo 'awelika.

Squam - he purulent kaʻina hana e loli ai i ka kino iwi.

Inā ka aat i hoʻomaka i loko o ka wahi o ka mea kino iwi pyramid, malaila petrozit. Ma ke ala, petrozity hoʻomōhala lohi.

Kind apex-'ā'ī mastoiditis

By Shane apex mastoiditis nā:

• Betsoldovsky mastoiditis - pathology, ma i pus ua puunaue i ka aina o sternocleidomastoid Muscle, a me ka wahi o ka mastoid apex malaila e haanou ana. Ka ipu ahi pathologies i ole e hiki i ke kīloi paʻewa wānana tomography kino iwi. Symptomatic mastoiditis i ka palapala ma ka loiloi mua ke kahua o ka ka hoʻoneʻe ilihune o ka'ā'ī.
• Mastoiditis Chetelli - pathology ma i pus komo iloko o ka hope ili o ka mastoid kaʻina.
• Mastoiditis Moore - ka maʻi i loko o i pus kŰlń ao ma waena o nāʻiʻo'ā'ī aie i ka li nui o ka cervical lymph wahi abscess ua hana. Ma keia hihia, he mea he nani o ka ai, a laila, hiki hoʻomōhala fistulas.
• Mastoiditis Orleans - pathology, ma i loko o ka'āina o ka luna pauku sternocleidomastoid Muscle hana hoʻokano, no ka palupalu ma ka puʻe. Eia naʻe,ʻaʻole nō he hookuuia o pus, mai ka pepeiao, e like Betsoldovskogo mastoiditis.

lapaʻau '

I hookuu, i kaʻike, o "mastoiditis" 'ia paha, ma muli o ka hoʻomanawanui i ka' inikua mōʻaukala. Kēia mea i loko o ka mooolelo hoopanee aku pepeiao pathology, alakaʻi Inc, i ke alo / wa e kaawale aku o complications; oaeuiinoe nahae o ka mau moku'āina o ke ola. Eia hou, i kaʻike, mea ole ka hope kūlana hoʻokaniʻia e ke ahonui o ka hoopii, nana a me ka palpation o ka pepeiao, i ka hopena o otoscopy, audiometry, keʻena hoʻokolohua hookuuia mai ka pepeiao, maka ophthalmoscopy a me ka biomicroscopy. Me tomography - ka maʻamau hana ana i mastoiditis diagnosed. He aha ka mea? Kēiaʻano o kaʻike, e leie aku oe i ka pono ike a pau o ka puniu wale no, a me nā hale Loiloi i ka loa o ka ulu ana purulent keʻano o ka hanaʻana a me kā lākou mamao mai o ka lolo, a me ka lehalehu t nā aʻalolo. Kēiaʻano hana ua ka nānā 'ana ma luna o kaʻelua ao ka' ole o ka mea - hoohalikeia ke kanawai o X-kukuna i kekahi ma ka'aʻaʻa nuʻa. Nāʻikepili loaa i ke kanaka me ka luna 'kamepiula aaioee.

X-Ray o ka puniu wale no, no ka laʻana, e kokua i ka hōʻike akaka distinguishable aeea pā i ka hopena o ka hoʻoʻino kaʻina, i mea maopopo hōʻike no ka hooulu ana o ka mastoiditis. Eia kekahi, i ka wa a kēia mastoiditis lawe mai lapaʻau Ka Ikepili o ke koko a me ka pus, mai ka pepeiao pā lonoaʻili i ka antibiotics.

I mea e hana i kaʻike, "mastoiditis", oe e pono e kukakuka i otolaryngologist ole wale, akā, i nā hoʻomalu - he neurologist, dentist, ophthalmologist, surgeon.

makeʻe kulana lapaʻau

Nō kāu, ka pathology hiki ke pani ma ka koke ke kahua. Inā ke kanaka koke huli i kōkua i ka hoʻomalu, a kiʻi 'eleu hana (antibiotics), ka mea mahana i ka laha o ka maʻiʻaʻai a me ka mea hiki ke ea i ka hoʻomanawanui i ole complications e ala aʻeʻoe i loko o ka wā e hiki mai, i ke kumu no mastoiditis.

Ua hana ia ka iapaau ana me penei. Mua, pili i ka palahalaha pae antibiotic. Eia, i kulike ai me ka hopena o ke keʻena hoʻokolohua haʻawina o liluwelo mea e ia i ho'ākāka 'antibiotics i i i hōʻike' i ka lahui directional ia ma aerobic a me ka anaerobic koʻohune. Piha hoʻopau o ka maʻiʻaʻai i koi lōʻihi-makahiki antibiotic Inc. O ke kumu ho i ka mea i antibiotics i pilikia penetrating i ka 'ole o ka mastoid kaʻina. No hoi i alii iho la oia mai recurrence o ka maʻi, ka mea i lilo he maʻi mastoiditis.

Ma ka loiloi mua kahua o ka lapaau mastoiditis i loko o ka wa e kaawale aku o complicating kumumea i loko o eiiieaena me ka mākau alu Inc hiki e lawelawe physiotherapy (UHF, hawewe). A maikaʻi pākōlea ia i compresses ma luna o ka wahi ma ke kua o ka pepeiao. Ma ke ala, ka mea hiki e nā lalana ana ia ia a me ka anu.

I ka laha ana o ka antibiotics i loko o ka ulu 'aina a loa hoemi ia i ka mea hiki wale mai o ka mastoiditis, a alakaʻi ai i ka pomaikai o ka makeʻe kulana kanaka maʻoki kino.

ʻoki lāʻau lapaʻau lapaʻau

Pinepine, lāʻau Inc 'aʻole ole i hana hou i loko o hoʻomanawanui ola. Ma na hoopii,ʻoki lāʻau lapaʻau lapaʻau o pathological keʻano o ka hanaʻana i kumu mastoiditis. Ke hana, naʻe, 'aʻole i hōʻole i ka laua makeʻe kulana lapaau.

Mawaena o ka loa, he pono oleʻoki lāʻau lapaʻau 'ana i kūpono i myringotomy - incision eardrum - a me ka tympanostomy şarkı i hoʻolaunaʻia ma, kaulike excretion o ka pus mai ka pepeiao. Ma hope o kekahi kōā o ka manawa - mai elua pule a hiki i kekahi mau mahina - he Tube spontaneously eliminated mai ka eardrum, a me ka incision e hoola i maoli ai.

Antromastoidotomy -ʻoki kino, i ka i wehe antrum a me ka mastoid trepanning. Ke AIM ma keia hihiaʻoki kino o ka piha ana o ka loli ana i nā'aʻaʻa. Aia mau hihia, i ka wa o kaʻoki lāʻau lapaʻau 'uao weheʻia ka holoʻokoʻa kaʻina hana a me kona kōkua. Oia manipulation ua kapaia mastoidectomy. Ua eiiieaena, a e akoakoa ai iā ia i loko o ka hanana o complications paha i loko o ka wa e kaawale aku o ka maikaʻiʻano o ka nohoʻana. Children ma lalo makahiki ekolu o ka hana antrotomiyu - manipulation o ka antrum, e like me ka mea i poorly ulu mastoid.

Complications o mastoiditis. Kāohi

I ka wa e kaawale aku o ka maʻiʻaʻai a maʻi lapaau i loaa mai i ka puni'aʻaʻa, a hiki alakai i ka likeʻole complications, e like me ka lohe poho, labyrinthitis, a me kaʻilihune - ma ka pōniuniu, lohe keia poho. Ka maʻiʻaʻai ke loli ka lehalehu t nā aʻalolo, a i lōlō o ka lehalehu t nāʻiʻo. Mastoiditis He pinepine ka pono subperiosteal abscess kāhea i loko o ka ulu ana zigomatitsita, skvamita, petrozita, otogenny paresis. Inā ka hoʻoʻino kaʻina ka heluna o ka loloʻili lahilahi e hoʻomōhala ana i meningitis. Ke alo aku o kekahi o kēia mau complications ka hoomanawanui - keia mea he PAaIEN noʻoki lāʻau lapaʻau 'uao.

I ka hana a me ke ola kino malama i ka 'oihana a me ka hoomanawanui - e pale aku i ke kūpono' ana o ke mastoiditis. Kāohiʻana o ka maʻi ua pili loa ua hoʻopili i ka Kāohiʻana o ka abscess o ka waena pepeiao - he pathology i kapaia "otitis Media". Mastoiditis - he maʻi i hiki ole ke holo. Kona symptoms a me na kumu pono e e hōʻike 'ia ma ke kakahiaka nui kahua o ka hoʻonaʻauao. Lapaʻau E e palapala hōʻoia a me ka lawa.

'Aʻole kūlana o ka hope ua hoʻokani' aneʻi, a me ka kanaka'ōnaehana paleʻea'ōnaehana a me kona hiki maʻiʻaʻai e pale aku. He nui ke lawe mālama ana i ka nasal lua, a me ka waha, e pale aku hoʻoʻino mai i loko o ka nasopharynx. Ua kōkua ma ka Kāohiʻana o ka mastoiditis kakahiakaʻike, o ka maʻi o ka pepeiao, a me ka akau antibiotic Inc.

Ma ka 'atikala i ka' ike e pili ana i mea e like mea mastoiditis; symptoms, lapaau o ka maʻi a me kona Kāohiʻana. Eia naʻe, ua e hoailona oukou i ka mea i mai ma luna o hoʻokahi wale nō familiarization. No ia mea, ina kekahi kanalua e pili ana i ka maʻi e koke imi 'inikua kōkua mai i ka hoʻomalu.