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  Boulička v okolí ucha

19.03.2009

O co jde, jak jí odstranit?

Nejeden tunelář se může pochlubit zkušeností, která ho několik dní během roztahování či po něm trápila. Boulička na uchu nebo v jeho okolí. Co je zač a co se s ní dá dělat?

Bulka může bejt dvojího charakteru, v prvním případě souvisí s infekcí (roztahování totiž představuje fázi, ve který je zvýšený riziko přenosu choroboplodnejch zárodků z vnějšího prostředí do těla), v druhém případě s nahromaděním odumřelejch tukovejch buněk.


BULKA I - zvětšená uzlina
S infekcí bojuje imunitní systém, tvořenej lymfatickejma orgánama, lymfocytama a lymfatickou tkání. Koho zajímají detaily, co si pod jednotlivejma názvama představit, nechť si zopákne učivo základní školy, nebo se na nás obrátí, rádi mu to připomeneme.
My zaměříme naši pozornost na lymfatický uzliny (jeden z lymfatickejch orgánů), kterejma je lidský tělo doslova protkaný - máme jich v sobě cca 500 kusů. Jsou fazolovitýho tvaru, přičemž některý z nich celkem snadno nahmatáš - velikostně se pohybujou v rozmezí 1 - 25 mm. Jejich hlavní funkcí je vychytávat choroboplodný zárodky (který se do těla můžou dostat právě během roztahování).


V blízkosti uší jich taky pár najdeš - zadní ušní, příušní, apod. Pokud uzlina aktuálně s nějakým choroboplodným zárodkem bojuje a bakterii nebo vir se jí nedaří zničit, s největší pravděpodobností zduří -  za změnu velikosti můžou bílý krvinky, který se do uzliny nahrnou, aby cizorodý látky porazily a tělu poskytly komplet ochranu.


Zvětšená uzlina se ve většině případů sama od sebe během pár dní zatáhne a boulička zcela zmizí. Můžeš jí pomoct lehkou masáží.


BULKA II - tuková bulka
Dalším druhem může být tzv. atherom, kterej vzniká ucpáním kožní mazový žlázky. Charakterově se tedy nejedná o zduřelou uzlinu, ale o tukovej váček opouzdřenej vazivem. Pokud je neinfekčního charakteru, tak nepředstavuje prakticky žádný nebezpečí. Jakmile se ale zanítí, může způsobit vážnější koplikace, doprovázený bolestma. Těm je lepší předcházet - a tukovou bulku nechat chirurgicky odstranit.


Atherom se odstraňuje při lokálním umrtvení (injekčně, nebo gelem) a operace trvá přibližně půl hodiny až hodinu. Rána se zašije několika málo stehy, který ti doktor po tejdnu vyndá. Velikost následný jizvičky se liší v závislosti na velikosti původní bulky, šikovnosti doktora a pooperační péči, nicméně bejvá spíš nepatrná.


19.3.2009
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