Izizathu zamatayipi endlebe ezinganeni ezinezifo zendlebe
Ingabe ingane yakho idinga indlebe yamatayipi wezifo zendlebe? Isikhathi esilungile nini, yiziphi ezinye izimo odokotela abacabanga ngazo ekwenzeni lesi sinqumo esibalulekile, futhi yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Izifo zendlebe ezivamile
Ngenhlanhla, iningi lezingane lithola izifo ezimbalwa zendlebe (i-otitis media) ngonyaka. Kodwa kungase kuphazamise lapho beqhubeka bezwa indlebe ngezifo kaningi.
Ingabe izifo zendlebe zizolimaza ukuzwa kwengane yakho noma ziphuza ukukhuluma kwazo?
Zingaki izifo zezindlebe eziningi kakhulu?
Ngabe udinga nini ukuthola amashubhu endlebe?
Izinkomba zeziThubhu zendlebe
I-tube yendlebe noma ukuhlinzwa kwe-tubmpanostomy tube ukubeka ukuhlinzwa kuyinto ejwayelekile kunazo yokuhlinzwa ezinganeni e-United States futhi yenzelwe izifo zendlebe eziphindaphindiwe, noma ukutheleleka indlebe okungacacisi ngemuva kwesikhathi esithile nama-antibiotic afanele.
Ngokuqondene nenani eliphelele lokutheleleka kwezindlebe, ochwepheshe abaningi babezocubungula izibhubhu zomntwana oye waba nokutheleleka kwezindlebe ezintathu ezinyangeni eziyisithupha noma ezine izifo zendlebe ezinyangeni ezingu-12. Olunye ochwepheshe basebenzisa izinkombandlela eziningi kakhulu futhi babeka amathole uma izifo zivama futhi zivalekile ndawonye.
Ukuba ne- fluid ezindlebeni zabo (i-otitis nge-effusion) izinyanga ezingaphezu kwezintathu nokulahleka kokuzwa kungenye isizathu izingane zithola amashubhu. Ngamanye amazwi, akusikiswanga ukuthi amashubhu abekwe izingane ezinesiqephu esisodwa se-otitis media ne-effusion esingaphansi kwezinyanga ezintathu.
Uma ukutheleleka kuthatha isikhathi esingaphezu kwezinyanga ezintathu, ukuzwa kufanele kuhlolwe. Uma ukuzwa kunciphile, abazali kufanele banikeze ukhetho lokubekwa kwe-tube. Uma izilimo eziyizigaxa zingafakwa, ingane kufanele ihlolwe kabusha okungenani njalo ezinyangeni ezintathu kuze kube yilapho i-effusion (uketshezi) isula, noma kukhona ubufakazi bokulahleka kokuzwa noma ukungahleleki kwesakhiwo se-eardrum.
Ezinye Izizathu Zokucabangela Izigaxa Zendlebe
Ngaphandle kwenani lezifo ezitholakala endlebeni ingane ikhona noma ukuthi ibe yilezi zindlebe kangakanani ezindlebeni zazo, ezinye izinto ezimbalwa zingakuthonya ukuba ingane yakho ithole amashubhu ekuqaleni. Lokhu kufaka phakathi ukuthi kunezinto ezibeka engozini ezenza ukuthi ingane yakho iqhubeke nokuthola izifo eziningi zezindlebe esikhathini esizayo, kufaka phakathi nokuba ngumfana oneminyaka engaphansi kweminyaka emibili ubudala futhi ohlala kwinsuku (daycare syndrome), ikakhulukazi uma uthola okuningi indlebe izifo zisebenza emndenini (izici zofuzo).
'Uhlobo' lwezindlebe ezithathelwana indlebe ingane yakho lungase lithonye nesinqumo sakho sokuthola izilimo eziyizigaxa. Uma izifo zendlebe yengane yakho zibuhlungu kakhulu, thatha isikhathi esingaphezu kwezinsuku ezimbalwa ukuze udlule, noma zithatha imijikelezo eminingi yama-antibiotic ukuze ususe, khona-ke ungase uthande ukuthola ama-tubes ngaphambili kunokuba ngabe izifo zendlebe yengane yakho azizange zibuhlungu noma zisuswe ngokushesha .
Isikhathi sonyaka singathinta nesinqumo sakho mayelana nezilimo eziyizigaxa. Ngisho noma ngabe ingane yakho isanda kutholakala izifo eziningi zendlebe, uma ngo-Ephreli noma ngoMeyi, ngeke ulindele ukuthi aqhubeke egula kakhulu kulo lonke entwasahlobo nasehlobo. Kulesi simo, ungase ulinde isikhathi esincane kunokuba kungenzeka uma ingane yakho isitholile izifo eziningi zezintambo ezisebusika lapho kungenzeka ukuthi uqhubeke egula sonke isikhathi phakathi nenkathi ebanda nokushisa.
Khumbula ukuthi isinqumo sesikhathi sokuthola amashubhu akuyona into ebaluleke kakhulu njengoba abazali abaningi bakholelwa. Eqinisweni, isifundo esisodwa wabonisa ukuthi 'ezinganeni ezincane ezingaphansi kweminyaka emi-3 abaphikisana ne-otitis media, ukufakwa okusheshayo kwamatayipi e-tympanostomy akukwenzi ngokuphumelelayo imiphumela yokuthuthukiswa eminyakeni engu-3.'
Ngakho isikhathi sokuthola ama-tubes endlebe akusiyo ngaso sonke isikhathi ukusika okucacile njengoba ungase ucabange.
Izinzuzo Zemibala Yendlebe
Ngokubaluleka okubaluleke kakhulu kwamatayipi endlebe kukhona okuye kwafundwa ezifundweni eziningi: amashubhu endlebe athuthukisa izinga lempilo yezingane eziningi. Uma kwenziwa kahle, amathebhu wezindlebe angathuthukisa ukuzwa, okungaholela ekuthuthukiseni ukufunda nokuziphatha.
Izingozi Zamazwi Endlebe
Izinkinga zingenzeka nanoma iyiphi inqubo eyenziwa emithi. Eziningi zezinkinga ezilandelayo azikho futhi zigcine engqondweni ukuthi izingane eziningi azizinayo zonke lezi zinkinga. Izinkinga ezingase zibe khona zokuhlinzwa kwe-tube indlebe zihlanganisa:
- Ukulahlekelwa kwezibhubhu - Ngezinye izikhathi amashubhu aphuma ekuqaleni lapho esadingeka
- Ukuvinjwa kwama-tubes kuyinkimbinkimbi evame kakhulu, okwenzeka cishe ku-10% wezingane
- Ukucwiliswa okuvela emathinini (i- otorrhea ) - Nakuba ecasulayo, ukukhipha amanzi kusuka ezindlebeni zezintambo kungaphathwa ngamaconsi aphezulu futhi ngokuvamile akudingi ama-antibiotics omlomo
- I-Granulomas - Scar tishu ukwakheka eardrum
- Cholesteatomas
- Ikhanda le-Tympanic perforation
Ukuvimbela Izifo Zendlebe
Imithi yokwelashwa engcono kakhulu ivame ukuvimbela ngaso sonke isikhathi, futhi uma unganciphisa inani lezifo ezitholakala endlebeni yengane yakho, ungase unciphise amathuba okudinga indlebe. Ngokuqinisekile, lokhu akunakwenzeka ngaso sonke isikhathi, futhi ngisho nabazali abanake kakhulu nabanakekelayo baningi izingane ezigcina izidakamizwa zendlebe ezidinga. Ezinye izinyathelo ezingase zenze umehluko zithi:
- Ukubeletha
- Ukunciphisa noma ukuqeda ukuchayeka komusi wesimanga
- Ukunciphisa ukusetshenziswa kwe-pacifier
- Ukugcina ingane yakho ingaphuzi ebhodleleni ngenkathi ilele phansi
- Ukunciphisa ukuvezwa kwabanye abagulayo
Okudingeka Ukwazi
- Uma ucabanga ukuthi ingane yakho inezinkinga eziningi zezindlebe, cela udokotela wezingane ukuthi udluliselwe kumchwepheshe we-ENT wezingane ukuze uxoxe uma ngabe izibhamu zendlebe zifanelekile.
- Ngakolunye uhlangothi, uma udokotela wakho wezingane ephakamisa izilimo eziyizigaxa kodwa unqikaza ukuhlinzwa, khona-ke ubuze ukuthi bekufanele yini ukulinda isikhathi eside.
- Uma ingane yakho ithola ukuthi unegciwane lesindlebe, igqoke ama-antibiotic futhi isaqhubeka nokuzwa ubuhlungu nomkhuhlane ngemva kwesonto, lokho okwamanje kubalwa njengokutheleleka kwezindlebe ezifanayo. Futhi khumbula ukuthi bangakwazi ukugeleza ezindlebeni zabo ezinyangeni ezimbili kuya kwezingu-3, ngokuvamile okungaqondakali kahle njengegciwane lesindlebe. Uma ubuyela emuva ukuze uhlaziye futhi ingane yakho ingenayo izimpawu nhlobo, kodwa utshelwe ukuthi une-infection yezindlebe, ungase uthole umbono wesibili kusuka kuchwepheshe we-ENT wezingane ukuze ubone ukuthi kuwukuphela kwamanzi.
- Nakuba ezinye izingane zinezinkinga ngemuva kokuthola amabhubhu, izifundo eziningi zibonise izinga eliphezulu lemiphumela yokuphila kwezingane ngemuva kokuthola amabhubhu.
- Thatha izinyathelo zokulawula izinto ezibeka izingane engozini yokutheleleka ezindlebeni.
Imithombo:
Conrad, D., Levi., Theroux, Z., Inverso, Y., no-U. Shah. Izingozi ezihlobene ne-postoperative ye-typanostomy tube obstruction. I-JAMA Otolarygology Head and Neck Surgery . 2014. 140 (8): 727-30.
Grindler, D., Blank, S., Schulz, K., Witsell, D., kanye J. Indawo. Impact ka-Otitis Media Severity kwiQiniso lokuPhila kwezingane. I-Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi . 2014. 151 (2): 333-340.
Rettig, E., futhi. I-Tunkel. Imiqondo yesikhathi esibucayi ekuphathweni kwe-otitis media emantwaneni. Imitholampilo ye-Otolaryngology yaseNyakatho Melika . 2014. 47 (5): 651-72.
Rosenfeld, R., Schwartz, S., Pynnonen, M. et al. Isiqondiso somtholampilo: I-Tympanostomy tubes ezinganeni. I-Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi . 2013. 149 (1 Suppl): S1-S35.
Rosenfelt, R., Shin, J., Schwartz, S. et al. Umhlahlandlela Wokusebenza Ngokwelashwa: Otitis Media nge Effusion (Update). I-Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi . 2016. 154 (I-Suppl 1): S1-S41.