Ngenkathi izingane zisengozini enkulu yokutheleleka kwezindlebe eziphakathi (ama- otitis media ), abantu abadala nabo bangabathola. Ukuvinjelwa kwe- tube eustachian kuyimbangela evamile, okuholela ekutheleleni kwegciwane noma igciwane lesindlebe phakathi. Lokhu kungenxa yezici ze-anatomic futhi kubangelwa ukushisa, ukugula, nezinye izifo zokuphefumula.
Izimbangela ezivamile
Isizathu esivame kakhulu se-otitis media yi- eustachian tube blocking .
Ithebhu ye-eustachian iyindlela ephuma ngemuva kwempumlo yakho nasemphinjeni ukuya endlebeni yakho ephakathi, okuyingxenye yendlebe yakho engemva kwe-eardrum. I-tube yakho ye-eustachian ilawula ukucindezela komoya ngaphakathi kwezindlebe bese ivala imicibisholo kuyo. Uma i-eustachian tube ivinjiwe, uketshezi noma amabhaktheriya abanjwe ngaphakathi kwendlebe bese kubangela ukutheleleka.
Ukukhubazeka kwe-tube ye-Eustachian kuvame kakhulu ezinganeni ngoba le ndima incane futhi ayinayo isitshalo esikwenzayo kubantu abadala, ngakho-ke ayikwazi ukukhipha. Kwabanye, umsebenzi ompofu we-tubal ungaphikelela ekubeni umuntu omdala futhi uyimbangela eyinhloko yokutheleleka indlebe phakathi kwabantu abadala.
I-Adenoids, engemuva kwempumu eduze kokuvulwa kwamatayipi e-eustachian, ingavimbela amashubhu uma evuvukala noma evuvukala. Lokhu kuyinkinga enkulu ezinganeni ngoba i-adenoids yabo ikhulu kakhulu.
Zombili amabhaktheriya kanye nama-virus angenza ukutheleleka indlebe uma eboshwe endlebeni ephakathi.
Amabhaktheriya avame kakhulu ahilelekile yiStrptococcus pneumoniae neHaemophilus influenzae, enezifo ezingavamile ezidingekayo ku- Streptococcus pyogenes naseStaphylococcus aureus . Ama-viruses afaka ama-virusi abandayo (i- rhinoviruses ), igciwane lesifo sokuphefumula (RSV), igciwane lesandulela ngculaza , kanye nama- enteroviruses .
Ukugoma okujwayelekile okubuntwaneni kuvikela amanye alawa ma-agent futhi kusize ukuvimbela izifo zendlebe.
Izingozi Ezivamile Zengozi
Izingozi zokuvimbela amashubhu e-eustachian avaliwe kanye nezifo zendlebe esiphakathi zihlanganisa:
- Ubudala: Izinsana nezinsana eziphakathi kweminyaka engama-6 neminyaka emibili zingengozi enkulu yokutheleleka kwezindlebe. Lokhu kungenxa yokuthi isisindo se-eustachian sisetshenziswa futhi ukuthi amasosha omzimba asathuthuka.
- Izifo ezithinta ukuphefumula eziphezulu : Izingane zisengozini yokubamba imkhuhlane ngoba amasosha omzimba awo ayenamazinga amancane ama-virus (ngakho-ke, awakhulanga ukuzivikela ngokumelene nawo). Lokho kusho, lokhu kuyisici esiyingozi kubantu abadala.
- I-rhinitis ye-allergen : I-hay fever yonyaka, ukugulisa izifo ezithile, noma izifo ezithathelwanayo ezingapheli zingaholela ekutheni izifo ezitholakala ezindlini zombili nabantwana abadala. Amagciwane adala ukuvimba okuningi, futhi izidakamizwa ezivuthayo zikhishwe futhi zithukuthelisa futhi zilimaze uhlangothi lwezindlebe. Ukulawula izifo zenyama kungasiza ukunciphisa ingozi. Kodwa-ke, ama-antihistamine nama-decongestants azange atholakale enenzuzo ekuvimbeleni i-otitis media kubantwana.
- Ukuhlukunyezwa kwe-tube eustachian noma izifo ezibuhlungu (ikhanda / ubuso) obangela ubuthakathaka obunamahloni obufana ne- cleft palate
- Isifo se- Mucosal ezindlebeni, ekhaleni, noma emqaleni, njenge-sinusitis
- Izakhiwo ezikhulisiwe ezindlebeni zakho, ekhaleni, noma emqaleni njengama- adenoids , ama- turbinates , noma ama-polyp nasal
- Amasosha omzimba abuthakathaka
- Umlando womndeni wokuthola izifo zendlebe
Izindlela Zengozi Yokuphila
Kunezinye izici eziyingozi ongaziguqula, futhi lezi ziphakamiso zingakusiza ukwenza lokho nje.
Ukugwema ukushisa nezinye izifo ezingaphezulu zokuphefumula kuyisihluthulelo sokunciphisa ingozi yokutheleleka indlebe phakathi. Geza izandla zakho njalo futhi ufundise izingane zakho ukuba zimboze ukukhwehlela futhi zihlabelele ukugwema ukusabalalisa amagciwane. Kuzingane ezinezifo ezithinta indlebe njalo, ungase uthande ukucabangela ukunciphisa isikhathi esichithayo ekuhlelweni kwezingane, uma kungenzeka.
Cabanga ngalezi zinyathelo ezengeziwe zokubhekana nezimo ezingozini zokutheleleka kwezindlebe eziphakathi kwakho:
Izingane Nezingane
- Uma ukhetha ukuncelisa, cabanga ukwenza kanjalo okungenani izinyanga eziyisithupha ngakho ingane yakho inenzuzo kusuka kuma-antibodies ebisi lakho lwebele.
- Gcina ingane yakho endaweni eqondile lapho ukondla ibhodlela. Ungafaki ibhodlela ngenkathi ingane yakho ilele phansi.
- Nciphisa ukusetshenziswa kwe-pacifier uma ingane yakho ineminyaka engu-6 ubudala, njengoba ezinye izifundo zithole ukuthi lokhu kwandisa ingozi yezifo zendlebe.
- Gwema ukuveza izingane nezingane emotweni kagwayi; kuphazamisa ukusebenza kwamatayipi e-eustachian futhi kwandisa ingozi yokutheleleka indlebe phakathi.
- Thola umuthi wokugoma owawuPrendnar 13, ovikela izifo zezindlebe ngama-subtypes angu-13 ama-bacterial Streptococcus , nomshini wonyaka wesifo.
- Shiya noma yikuphi ukususwa kwe-earwax kudokotela wezingane. Ama-swabs we-Cotton nezinye izinto zingavimba futhi zicasule izindlebe zomlomo, okuholela ekutheleleni.
Abantu abadala
- Yeka ukubhema futhi ugweme ukubhema ugwayi wesitimela.
- Thatha i- decongestant uma unomkhuhlane noma ngaphambi kokuba ufike endizeni ukuze amashubhu akho e-eustachian angeke akhululeke futhi uzokwazi ukukhulula ushintsho emoyeni wengcindezi ngesikhathi sokukhuphuka nokukhuphuka.
- Gwema ukuzama ukuhlanza i- earwax yakho usebenzisa ukotini swabs noma ezinye izinto.
Njengezifo eziningi, ukungatholi ukwelashwa kokutheleleka indlebe ephakathi kungabangela izinkinga, kuhlanganise ukulahlekelwa kokuzwa kunoma yiliphi iqembu lobudala nokulibaziseka ekukhulumeni nasekuthuthukiseni ulimi lwezingane. Kukhona futhi ingozi yokutheleleka ekusakazeni amathambo aseMastoid nezinye izicubu. Ukunakekela udokotela wakho kanye nokulandela izincomo zokwelashwa kungasiza ekugwemeni lezi zinkinga.
> Imithombo:
> Bonney A, i-Goldman R. Antihistamines yezingane ne-Otitis Media. I-Canadian Family Physician . 2014; 60 (1): 43-46.
> Lieberthal A, uCarroll A, uConthitree T, et al. Ukuxilongwa Nokuphathwa Kwe-Acute Otitis Media. I-Pediatrics 2013; 131 (3): e964-99.
> Limb CJ, uLustig LR, iKlein JO. I-Acute Otitis Media e-Adult. Kusesikhathini. https://www.uptodate.com/contents/acute-otitis-media-in-adults.
> MacArthur CJ, Wilmot B, Wang L, Schuller M, Lighthall J, Trune D. Ukuhlukunyezwa Kwezakhi Zama-Otitis Media Ne-Effusion Ezingapheli: I-Candidate Gene SNPs. I-Laryngoscope . 2014; 124 (5): 1229-1235. i-doi: 10.1002 / lary.24349.
> Salah M, Abdel-Aziz M, Al-Farok A, iJebini A. Okuvamile okuthinta i-Otitis Media ezinsaneni: Ukuhlaziywa Kwezinto Eziyingozi. I-International Journal of Pediatric Otorhinolaryngology . 2013; 77 (10): 1665-1669. i-doi: 10.1016 / j.ijublwari.2013.07.022.