I-Ethmoiditis, noma i-ethmoid sinusitis, ukuvuvukala okwenzeka ezonweni ze-ethmoid. Isimo saso esibi siphumela ekubonakaleni kokuvuvukala kwijwabu leso eliphezulu ekhoneni leso. Lokhu kuhambisana nobuhlungu nomkhuhlane. Ngokuvamile ezinganeni kunabantu abadala, i-ethmoiditis enamandla idinga ukwelashwa okusheshayo.

Incazelo ye-ethmoiditis

I-Ethmoiditis wuhlobo lwe-sinusitis, okuwukuvuvukala okwenzeka kulwelwesi lwamafinyila okumboza ama-sinus. Njengesikhumbuzo, ama-sinus angamathambo atholakala ebusweni. Kunezono ezahlukahlukene ezibandakanya nezono ze-ethmoidal. Zitholakala ngapha nangapha kwe-ethmoid, ithambo elingalingani neliphakathi nendawo eliphakathi kwalezi zindlela ezimbili.

I-Ethmoiditis, noma i-ethmoid sinusitis, ukuvuvukala kwezono ze-ethmoid. Ingazibonakalisa ngezindlela ezilandelayo:

• okuhlangene noma okubili;
• ukuhlukaniswa noma ukuhlanganiswa nokubandakanyeka kwezinye izono;
• okungamahlalakhona noma okunzima.

Izimbangela ze-ethmoiditis

I-Ethmoiditis ibangelwa ukutheleleka ngegciwane. Ngokuvamile lezi izifo ezibangelwa amagciwane. Amagciwane ahilelekile ikakhulukazi:

• I-Streptococcus pneumoniae noma i-pneumococcus;
• IStaphylococcus aureus noma iStaphylococcus aureus;
• I-Hemophilus influenzae.

Ukuxilongwa kwe-ethmoiditis

Ekuqaleni kusekelwe ekuhlolweni kwemitholampilo. Ukuhlolwa okwengeziwe okwengeziwe kungenziwa lapho kucelwa uchwepheshe wezempilo:

• ukuhlolwa kwe-imaging yezokwelapha, ikakhulukazi nge-scanner noma nge-magnetic resonance imaging (MRI);
• amasampula wamagciwane.

Lezi zivivinyo ezengeziwe zenza kube nokwenzeka ukuqinisekisa ukutholakala kwe-ethmoiditis, ukukhomba uhlobo lwe-pathogenic okukhulunywa ngalo kanye / noma ukubheka izinkinga. Uma kuphawulwa izinkinga, ukwelashwa kuyadingeka.

I-ethmoiditis enamandla ivame kakhulu ezinganeni. Imvamisa ivela cishe eminyakeni emibili kuya kwemi-2 ubudala.

Edema ijwabu leso 

I-ethmoiditis enamandla ibangela ukuvuvukala kokuvuvukala kwesifunda se-orbital. Ngamanye amagama, i-edema ebuhlungu ivela esigqokweni esiphezulu ekhoneni elingaphakathi leso. Le edema ihambisana nomkhuhlane omkhulu. Sikhuluma nge-edmoatitis edematous.

Ukuqoqwa kobomvu esweni

Ngemuva kwefomu elididayo, ifomu eliqoqiwe kungenzeka. I-Pus iqoqa esokeni leso. Amehlo athambekele ekubeni aqhakazile futhi abe buhlungu. 

Ubungozi bezinkinga ze-intra-orbital

Uma kungekho ukuphathwa okwanele, izinkinga zangaphakathi kwe-orbital zingenzeka:

• inqwaba yokukhubazeka ehambelana nokwanda kwabafundi ngokukhubazeka kwe-oculomotor nerve;
• i-corneal anesthesia elahlekelwa ukuzwela kwe-cornea;
• i-ophthalmoplegia, okungukuthi, ukukhubazeka okuyingxenye noma okuphelele kokunyakaza kwamehlo.

Ubungozi bezinkinga zokungasebenzi

Izinkinga ze-intracranial nazo zingenzeka:

• ukushisa kwemfiva ngokugodola;
• i-meningeal syndrome ebonakala kakhulu ngekhanda elibi, intamo elukhuni nokuhlanza.

Ezimweni eziningi ze-acute ethmoiditis, ukwelashwa kwama-antibiotic kunqunyiwe. Ihlose ukulwa nokutheleleka okubangela ukusabela kokuvuvukala. Ukuhlolwa komtholampilo kwenziwa amahora angama-48 ngemuva kokuqala kokwelashwa.

Uma kwenzeka kuba nezinkinga, ukwelashwa esibhedlela kuyadingeka ukuze kusungulwe ukwelashwa ngemithi elwa namagciwane ebelethile ebanzi. Ingahambisana nokwelashwa kwe-corticosteroid ukuqeda izinhlungu. Amanzi okuhlinza angenziwa futhi ukususa ithumba elenziwe.

I-Ethmoiditis ingabangelwa ukutheleleka kwe-pneumococcal noma i-pneumococcal. I-Haemophilus influenzae uhlobo B. Lezi zifo zingagwenywa ngokugoma usana.

Ukuvinjelwa kwezinkinga ezixhunyaniswe ne-ethmoiditis kudinga ukwelashwa kusenesikhathi. Ngophawu oluncane nje, kunconywa ukubonisana okuphuthumayo kwezokwelapha.