Ethmoiditis, kapena ethmoid sinusitis, ndikutupa komwe kumachitika m'machimo a ethmoid. Mawonekedwe ake opweteka amachititsa kuti pakhale kutupa pachikope chapamwamba pakona la diso. Izi zimatsagana ndi ululu ndi malungo. Wofala kwambiri mwa ana kuposa achikulire, pachimake ethmoiditis imafunikira chithandizo chamankhwala mwachangu.

Tanthauzo la ethmoiditis

Ethmoiditis ndi mtundu wa sinusitis, womwe ndi kutupa komwe kumachitika m'matumbo ophimba matupiwo. Monga chikumbutso, matupiwo ndi mafupa omwe ali pankhope pake. Pali ma sinus osiyanasiyana kuphatikiza ma ethmoidal sinus. Amapezeka mbali zonse za ethmoid, fupa losamvetseka komanso lapakatikati pakati pa njira ziwiri.

Ethmoiditis, kapena ethmoid sinusitis, ndikutupa kwamachimo a ethmoid. Zitha kudziwonetsera motere:

• chimodzi kapena ziwiri;
• olekanitsidwa kapena olumikizidwa ndi kutengapo mbali kwamachimo ena;
• aakulu kapena ovuta.

Zimayambitsa ethmoiditis

Ethmoiditis imayambitsidwa ndi matenda a tizilombo tating'onoting'ono. Nthawi zambiri izi ndi matenda a bakiteriya. Majeremusi omwe akukhudzidwa ndi awa:

• Streptococcus pneumoniae kapena pneumococcus;
• Staphylococcus aureus kapena Staphylococcus aureus;
• Hemophilus influenzae.

Kuzindikira kwa ethmoiditis

Zimayambira poyesa kuchipatala. Mayeso owonjezera angapo atha kuchitidwa pempho la akatswiri azaumoyo:

• mayeso azachipatala, makamaka pogwiritsa ntchito sikani kapena maginito ojambula zithunzi (MRI);
• zitsanzo bacteriological.

Kuyesaku kowonjezeraku kumapangitsa kuti zitsimikizire kupezeka kwa ethmoiditis, kuzindikira zovuta zomwe zimafunsidwa ndi / kapena kuyang'ana zovuta. Ngati zovuta zadziwika, kuchipatala ndikofunikira.

Acute ethmoiditis ndiofala kwambiri mwa ana. Nthawi zambiri imawonekera zaka 2 mpaka 3 zakubadwa.

Edema wa chikope 

Pachimake ethmoiditis imayambitsa kutupa kwa dera lozungulira. Mwanjira ina, edema yowawa imawonekera pachikope chapamwamba pakona lamkati la diso. Izi edema limodzi ndi malungo. Timalankhula za edematous ethmoiditis.

Kukumana kwa mafinya m'maso

Pambuyo pa mawonekedwe okometsa, mawonekedwe omwe atoleredwa atha kuchitika. Mafinya amasonkhanitsa m'maso. Maso amakhala otupa komanso opweteka. 

Kuopsa kwa zovuta zapakati pa orbital

Pakalibe kasamalidwe koyenera, zovuta zapakati pa orbital zitha kuchitika:

• zikwi zambiri zomwe zimafooka zomwe zimafanana ndi kuchepa kwa anawo ndi ziwalo za mitsempha ya oculomotor;
• corneal anesthesia yomwe imapangitsa kuti khungu lisamveke bwino;
• ophthalmoplegia, ndiye kuti, kufooka pang'ono kapena kwathunthu kwa mayendedwe amaso.

Kuopsa kwa zovuta zamkati

Matenda osokoneza bongo amathanso kuchitika:

• kutentha thupi ndi kuzizira;
• meningeal syndrome yomwe imadziwika kwambiri ndi kupweteka mutu, khosi lolimba komanso kusanza.

Nthawi zambiri pachimake ethmoiditis, mankhwala amapatsidwa mankhwala. Cholinga chake ndikulimbana ndi matenda omwe amayambitsa kutupa. Kuyezetsa magazi nthawi zambiri kumachitika patatha maola 48 kuchokera pomwe mankhwala ayamba.

Pakakhala zovuta, kuchipatala ndikofunikira pakukhazikitsa njira yothetsera ma antibiotic yotakata. Itha kutsatiridwa ndi mankhwala a corticosteroid kuti athetse ululu. Makina opangira opaleshoni amathanso kuchitidwa kuti athetse thumba lomwe linapangidwa.

Ethmoiditis imatha kuyambitsidwa ndi matenda a pneumococcal kapena pneumococcal. Haemophilus influenzae mtundu B. Matendawa atha kupewedwa mwa kutemera khanda.

Kupewa zovuta zomwe zimakhudzana ndi ethmoiditis kumafuna chithandizo choyambirira. Pakangokhala chizindikiro chochepa, kulimbikitsidwa kukaonana mwachipatala.