Tuhinga o mua
Ko te Perichondritis he mate o te perichondrium, ko te kikokiko e karapoti ana, e whakaahuru ana i te tireti e hanga ana i waho o to taringa. He rite ki te chondritis, he mate o te whakairo o to taringa. Ma te kore e tika me te maimoatanga tere, ka taea e te waahi te whakakore i nga huringa o to taringa kia rite ki te taringa karepariki .
Ko te nuinga o nga take e whai paanga ana ki te tinana me te whakauru:
- te taringa - he nui ake te tihi o te taringa o te taringa
- mate pukupuku
- te whara a te taakaro, te atu ranei o te mate kino
- nga pupuhi pepeke
- wera
- te tapahi ranei i te rerenga o tetahi momo i runga i te taringa
- i tukinotia i te otitis externa (taringa o te kaihoe)
- te mate autoimmune - granulomatosis me te polyangiitis & te rerenga o te polychondritis
Te tirotiro i te Perichondritis
Ko te maimoatanga o te waiarndritis he uaua, he mahinga i runga i te hitori o te mamae ki te taringa, me te ahua o te rohe ka pangia. I nga timatanga o te wahanga, he rite tonu te ahua o te kirikarorite ki te cellulitis . Ka tohaina e to taakuta i roto i te hitori ki te tautuhi i tetahi mea raruraru i tuhia ki runga ake ka tirotirohia to taringa. Ahakoa he raruraru pea pea, ka piri tonu to taakuta ki to taringa kia kite mehemea he "homai", he rereke ranei, na te mea ka tohu tenei i te toronga (cho). Mena he maha nga take o te waahi, ka tonoa koe e tō tākuta ki tētahi kaimatairanga ki te whakatau mehemea he mate autoimmune koe.
Nga tohu e pa ana ki te Perichondritis
Mai i te kohi o te koikoi o te taringa o waho ko te ahua noa, he mea tino nui te take o te kiriuinga i tenei wa. Ko te Perichondritis te nuinga o te wa e meinga ai e te pseudomonas aeruginosis, engari ka taea ano hoki e etahi atu huakita tae atu ki te streptococcus aureus me nga pyogenes streptococcus.
Ka taea te whakaatu i te warokira i nga tohu e whai ake nei:
- whero
- pupuhi
- mamae
- te pana i tetahi atu wai rere (i roto i nga take kino)
- te kirika (i roto i nga take kino)
- te ahuatanga o te hanganga taringa (i roto i nga take kino)
Mena kei te kite koe i te rerenga o te kiriuinga, ka kitea pea e koe etahi atu tohu iti noa atu:
- taringa pupuhi
- te ngaro te rongo
- porowhita
- kaore he painga
- tinnitus
- te puna wai
- waenganui o te taringa taringa
Nga maimoatanga mo te Perichondritis
Ko te maimoatanga mo o taiao-a-tinana ka tohua i runga i to whakamatautau tinana. Mena ka whakaarohia e to taakuta he toronga, ka tukuna he waahi iti hei peke i te pana. Ka tohaina e to taakuta te rohe i pupuhihia ki te karaihe kua oti te pekepeke, te rihi ranei. Mena ka whakamahia te peke, ka tautuhia e to taakuta he waahi whai muri hei whakanoho i nga huinga tokorua hei kati i te patunga. Mena kaore he whakamahinga ka whakamahia, ka tohua e te taakuta nga huinga i muri iho i te tarai i te pana.
Noa'tu te vairaa o te pupuhi, e faauehia ta oe taote e te mau taioti no oe. Ko te Levaquin (levofloxacin) ko te antibiotic rongoa noa ki te hamani i te waahi. Heoi ano pea ka tuhia e koe he pitiropiro tuarua rite ki te tobramycin mo te whakawhitinga roa me te maimoatanga kaha atu i te mea e tika ana.
I runga i te kaha o te mate, ka whakaritea nga antibiotic kia orahia te waha korero, kaore ranei i hoatu.
Kei te whakatinanahia te waahi ki te whakamahi i te rongoā tawhito pērā i te prednisone ki te whakakore i te urupare arai-a-tinana me te whakamutu i te whakaeke i te whakairo o te taringa (me era atu waahanga o te tinana). I muri i te tīmata i te maimoatanga, ka tohaina koe e to tākuta ki te kaimatologist mo te whai ake i muri i runga i to mate mate.
Mena he tino nui te waahi ki te whakawhanake i te taringa karepariki, ko te waahanga kirihou hei whiriwhiri mo koe. Ko te mahi piriti kirihou kei te mahi i te whare raupatu raanei raanei, a kaore pea e tiakina e te raihana.
He pai rawa kia whakaaetia i tetahi waahi kirihou i mua i te mahi i te mahi. I muri i te tango i nga wahanga o te taringa, ka taea e te kaitoro kirihou te hanganga i te waahanga i tangohia kia taea ai te whakaora i nga waahanga o to taringa
Te Aukati i te Perichondritis
I etahi wa kaore e taea te peerandritis te aukati, penei i te take o te whara kino. Engari, te wero i te whakairo i roto i to taringa, he mea tino pakaru i te pito o runga o to taringa, ka tino nui ake te raruraru ki te whakawhanake i te kiri. Ka taea hoki e koe te whakanui ake i to tupono ki te whakawhanake i te kirikaiao i te mea he maha nga pupuhi e tata ana ki to taringa. Ma te pupuri i to taringa taringa i roto i to taringa taringa, ka taea e koe te whakaiti i to tupono ki te whai i nga raruraru e pa ana ki o to taringa taringa. He pai te whakatikatika i te kirikaiao i te mea e wawe ana te tukatuka; Ko te tino whakaora ka tino hiahiatia.
> Mahinga:
> Brant, JA & Ruckenstein, MJ. (2015). Ko te Otolaryngology Cummings: Nga mate o te Mata waho. 6th ed. 137, 2115-2122.e2
> Te whakamātautau me te whakahaere i nga tinana o waho o te taringa. Paetukutuku Uptodate. Kua whakahoutia te Hanuere 13, 2017. Kua tae atu ki te Hune 24, 2017.
> Medline Plus Medical Encyclopedia. Perichondritis. https://medlineplus.gov/ency/article/001253.htm. I tae atu ki te 24 o Hune, 2017.
> Perichondritis. Paetukutuku Merck Manual. http://www.merckmanuals.com/home/ear,-nose,-and-throat-disorders/outer-ear-disorders/perichondritis. I tae atu ki te 24 o Hune, 2017.
> Te Relapsing Polychondritis. Medscape paetukutuku. http://emedicine.medscape.com/article/331475-overview. Whakahoutanga Hou 21, 2016. Kua tae atu ki te Hūrae 24, 2017.