Ndi njira mastoid mafupa zosatha zomwe. Nthawi zina, anachita trepanation wa mastoid ndi

Mastoiditis - matenda anakumana ndi anthu ambiri. Koma si aliyense amadziwa kuti ndi mastoid, ndi komwe iwo ali. ndi kapangidwe ka gawo ili la fupa zosatha chiyani? Koopsa ndi kutukusira kwa nyumba izi, ndipo kodi chifukwa cha matenda? Awa ndi mafunso anthu ambiri ali ndi chidwi.

Kodi njira mastoid?

Mastoid ndi mmunsi mwa fupa mwakanthawi. Ngati ife kulankhula za malo ake, ndi pansi ndi kumbuyo kwa mbali yaikulu ya Chibade cha.

Njira yokha ali mawonekedwe a chulucho, ndi patsinde umene uli m'malire ndi dera ozungulira pakati cranial fossa. Pamwamba pa lokwera moyang'ana pansi - pali anakakonza china minofu, mu minofu makamaka sternocleidomastoid. m'munsi ali m'mphepete mwa olimba chipolopolo phirilo ubongo (nchifukwa chake opatsirana kutupa gawo yoopsa kwambiri, chifukwa tizilombo toyambitsa matenda amatha kulowa mwachindunji mu minofu mantha).

Minofu subcutaneous, lomwe lili gawo la fupa wosakhalitsa, ndi lymph mfundo ndi mitsempha, mtsempha wamagazi ndi BTE Vienna. Pano pali nthambi za misempha yaing'ono ndi yaikulu khutu.

Dziwani kuti mastoid mwina ndi mawonekedwe osiyana. Anthu ena yaitali yopapatiza warping, ena - Mwachidule, koma ndi maziko waukulu. Izi Mbali anatomical kumadalira majini.

Kapangidwe ka mastoid ndi

Monga tanenera kale, gawo ili la fupa zosatha kumaoneka ngati phirilo a. Mu thunthu ano anaganiza kuonetsetsa otchedwa makona Shipo, limene lili mu gawo zapambuyo kwa ndondomekoyi. Kumbuyo makona njanjira mastoid sikalopu, ndi malire ake kutsogolo chimafika pa gawo la kumbuyo la ngalande kunja Makutu.

Kapangidwe mkati mwa ndondomeko kungafanane chinkhupule porous, popeza pali kuchuluka kwa maselo dzenje lomwe ndi wina kuposa pneumatic zokhudzana tympanum. chiwerengero ndi kukula kwa maselo amenewa akhoza kukhala osiyana ndi zimadalira maonekedwe a kukula ndi chitukuko cha chamoyo (mwachitsanzo, matenda khutu ku ubwana masamba kufufuza ake pa kapangidwe ka mastoid a).

Mu Shipo m'dera la makona ndi selo waukulu wotchedwa antrum kapena phanga. nyumba imeneyi aumbike chifukwa kutseka mogwirizana ndi M'mimbamo tympanic pali pa munthu aliyense (zotsutsana ndi maselo ang'onoang'ono, omwe kuchuluka zingasiyane).

mitundu mastoid

Monga tanenera kale, ndi wosakhalitsa fupa mastoid akhoza kukhala osiyana dongosolo mkati. M'chaka choyamba cha moyo mwana ndi mapangidwe antrum lapansi. Zaka zitatu pali ndondomeko yogwira pneumatization ziwalo, amene anatsagana ndi maonekedwe a maselo dzenje. Mwa njira, ndondomeko kumatenga moyo wa munthu. Malinga chiwerengero ndi kukula kwa cavities ndi mwambo kusiyanitsa mitundu yambiri ya dongosolo:

• Pneumatic njira mastoid yodziwika ndi mapangidwe maselo lalikulu mudzaze dziko lonse lamkati mbali ya kapangidwe fupa.
• Pamene inu kutayipa mkati ndondomeko sclerotic pafupifupi palibe maselo.
• Mu diploeticheskom mastoid ndi maselo ang'onoang'ono okhala pang'ono mafupa.

Dziwani kuti madokotala ambiri amaona kuda mapangidwe losakanizika wa cavities mu gawo ili la fupa mwakanthawi. Kachiwiri, izo zonse zimadalira maonekedwe majini a chamoyo, ndi mayendedwe a chitukuko, komanso pamaso pa kuvulala ndi matenda yotupa mu ubwana ndi unyamata.

Kutupa kwa ndondomeko mastoid ndi zimayambitsa

A matenda amene kutupa kwa zimakhala za ndondomeko mastoid, wotchedwa mastoiditis anati. Chifukwa ambiri ndi matenda ndi tizilombo toyambitsa matenda akhoza kulowa m'dera limeneli la chigaza m'njira zosiyanasiyana.

Nthawi zambiri, matenda amenewa akufotokozera pa maziko a otitis. Infection angamachite ndi mastoid ndondomeko ya fupa zosatha wa M'mimbamo tympanic kapena Makutu meatus. Nthawi zina, kutupa akufotokozera mu ululu atangochimwa chigaza mu kachisi ndi makutu. Gwero la matenda mwina kutupa lymph mfundo, m'dera la. Zambiri zokayikitsa matenda ndi matenda zokhudza zonse za magazi.

Zizindikiro zazikulu kutupa

mbali Kiyi Wa mastoiditis kwakukulukulu zimadalira mwamphamvu ndi gawo la matenda. Mwachitsanzo, kusiyanitsa kutupa ndondomeko mastoid atolankhani wamba otitis zovuta mu magawo koyamba.

Odwala amadandaula lakuthwa, kuwombera ululu khutu. Pali thupi, kutopa ndi zopweteka thupi, mutu. Pali kumaliseche kwa ngalande khutu.

Popeza mankhwala kapena chithandizo osakwanira (mwachitsanzo, kwambiri mofulumira kuchotsa kulandira mankhwala) matenda chithunzi kusintha. Mastoid khutu pang'onopang'ono wodzazidwa ndi mafinya ndi pressurized anawononga partitions fupa pakati pa maselo. Khungu ndi subcutaneous minofu ya khutu kufufuma ndi redden, aumitse otentha kukhudza. Khutu ululu umakhala wolimba, ndi mwa ngalande khutu kuima wandiweyani purulent misa.

Kutupa kwa cavities mastoid ingafalire pansi pa periosteum - mafinya zitachitika kale mu subcutaneous wosanjikiza minofu. Nthawi zambiri, ndi utaphulika abscess paokha, ndi chifukwa kuti khungu ndipamene fistula.

Koopsa akhoza kukhala matenda? The mavuto ambiri

Monga tanenera kale, ndi mastoid fupa kumbuyo khutu ndipo m'mphepete mwa ziwalo zina zofunika kwambiri. Choncho, kusowa chithandizo yake ndi zinadzala ndi zotsatira zowawa. Ngati cholinga chitatha kuti patsekeke wa khutu pakati komanso mkati akufotokozera labyrinthitis. Kutupa khutu mumtima limodzi ndi tinnitus, kumva imfa ndi bwino limba chotupa kuti kumabweretsa kusokonezeka kwa mugwirizano galimoto.

Mastoid kumalire ndi nembanemba ubongo olimba. The matenda ingafalire kwa minofu mantha, imbaenda chitukuko cha matenda oumitsa khosi, encephalitis, ndipo nthawizina abscesses.

Malowedwe ndi matenda oopsa m'zotengera kuti ali ndi udindo makope oziziritsa - si zinadzala ndi kutupa makoma mtima komanso mapangidwe thrombus, kutsekeka kwa mitsempha ndipo ngakhale chakupha.

Zovuta zingaphatikizepo mastoiditis ndi nkhope mitsempha kuwonongeka. Pambuyo fupa mastoid kumbuyo kwa khutu ndi pafupi kwambiri ndi ulusi mitsempha.

Kodi kuchitira mastoiditis?

Monga mmene taonera, mastoiditis - matenda oopsa kwambiri, kotero chokwanira mankhwala n'kofunika kwambiri. zoyesayesa aliyense kuchedwa okha mwina zikuphatikizapo mavuto misa oopsa.

Kawirikawiri, mankhwala ikuchitika mu chipatala kumene dokotala ndi mosalekeza kuwunika alili. Odwala zotchulidwa mu mtsempha mankhwala kuthandiza kulimbana ndi tizilombo toyambitsa matenda. Komanso ndikofunikira kuti akonze zinthu kwaulere achire a purulent misa ya meatus Makutu.

Likafunika trepanation za ndondomeko mastoid?

Mwatsoka, chithandizo ndiwofatsa amagwira ntchito pokhapokha mu magawo koyamba mastoiditis. Ngati mafinya anayamba kudziunjikira mu cavities a mmunsi mwa fupa wosakhalitsa, opaleshoni m'pofunika. Trepanation mastoid fupa akuyamba ndi ndondomeko yoyamba ya khoma. Kenako dokotalayo ntchito zida aisadza nsalu ya mafinya limazipukusa antiseptic ndi antibacterial njira. Anapereka njira yapadera ngalande, amene amathandiza yosavuta komanso mofulumira kuchotsa precipitates ndi makonzedwe apakhungu a mankhwala.