Uma unezinkinga zendlebe noma ummangalelwa ukuthi ingane yakho yenza, ungase ubhekane nokutheleleka indlebe. Izifo zendlebe ephakathi zibizwa nge-otitis media kanti ziyizinhlobo ezijwayelekile kakhulu zokutheleleka indlebe abantu ababhekene nazo. Ukungahambi kahle, ukugeleza indlebe , nokuzwa okungenayo yizo zonke izibonakaliso ezivamile, kodwa ezincane (ukucasula, ukunciphisa ukudla, nabanye) nakho kungenzeka.
Lezi zifo ngokuvamile zilula ukubona ezinganeni ezikwazi ukuveza indlela abazizwa ngayo kodwa kungaba nzima ngabazali ukuthi babone ezinganeni nasezincane.
Izimpawu Ezivamile
Izimpawu ezivamile zokutheleleka indlebe phakathi kwabantu abadala kanye nezingane zihlanganisa:
- Ubuhlungu bendlebe (otalgia), ikakhulukazi nje endlebeni eyodwa noma lapho ulele phansi
- Ukuzwa ukulahleka: Imisindo ingahle ifakwe njengokungathi ugqoke i-earplug endlebeni ethintekile.
- Umzwelo wokugcwala endlebeni
- Ukuzwa sengathi ugule ngokujwayelekile
- Ukukhipha indlebe (i-otorrhea)
- I-fluid ngemuva kwe-eardrum itholakele ngokuqapha kwendlebe kagesi
Izingane zivame ukutheleleka ngezindlebe eziphakathi phakathi komkhuhlane noma ngokushesha emva komkhuhlane; ungalindela ukuthi bazoba nezimpawu ezibandayo ezifana nokukhwehlela kanye nephunga eligijima ngaphambi nje kokutheleleka kwezindlebe. Izingane nezingane ezisencane azikwazi ukukutshela ukuthi zizwa ubuhlungu bezindlebe, ngakho-ke uzodinga ukwazi izimpawu abavame ukuzenza .
Ngaphezu kwalabo abalwe ngenhla, bheka:
- Ukugxila noma ukugcina izindlebe (lokhu kubonisa ubuhlungu, nakuba kungenjalo ngaso sonke isikhathi kungenxa yokutheleleka indlebe)
- Ukubonisa izimpawu zokuzwa okungenayo noma ukulahlekelwa ukuzwa ngokungaphenduli emisindweni
- Ukushisa kwama-degree angu-100 noma ngaphezulu
- I-nausea, ukuhlanza, nokuhuda
- Ukukhathazeka, ukucasula, ukukhala ngokweqile, ukungakwazi ukuthungulwa
- Ukukhathazeka ukulala, noma ukulala noma ukulala
- Ukunciphisa ukudla
- I-Lethargy; ukungabi namandla noma intshisekelo ekudlaleni
Izimpawu ezijwayelekile
Ukwakhiwa kwengcindezi endlebeni yangaphakathi kungabangela i-eardrum ephukile, ngokugeleza okuphuthumayo kwemifino ephuzi, eluhlaza noma egazini esuka endlebeni. Ubuhlungu bezindlebe buya phansi ngokushesha. Ungase uke ukhale endlebeni nokuzwa kwe-vertigo.
I-Otitis Media Ne-Effusion
I-Otitis media ne-effusion, ebizwa nangokuthi i-secretory otitis media, i-accumulation of fluid endlebeni yangaphakathi. Kungalandela ukutheleleka indlebe phakathi. Kwezinye izimo, ukukhishwa kwamanzi kungase kuthuthukiswe ngenxa yesikhumba esivinjelwe i-eustachian ngaphandle kokutheleleka, kodwa umthamo ugibe amabhaktheriya angaba yisifo sokuthelelwa indlebe.
I-Otitis media ne-effusion ngokuvamile ayinayo izimpawu, kodwa ingahambisana nalokhu:
- Umzwelo wokugcwala endlebeni
- Ukulahleka kokuzwa okuncane (ungase uvule ivolumu kuthelevishini noma ividiyo)
- Ukuchofoza noma ukuphuma umsindo ngokugwinya
I-Otitis Media engapheliyo
I-otitis media media (izifo eziphindaphindiwe noma izifo eziqhubekayo) zingaholela eminye izimpawu kanye nezimpawu, kanye nezinkomba ukuthi izinkinga zingase zithuthuke. Wena noma ingane yakho kungenzeka ukuthi ubuyekeze izimpawu zokutheleleka indlebe emva kokuba nomkhuhlane noma ukutholela amanzi endlebeni ephakathi (ngenxa yardard perforated).
Lokhu kungafaka:
- Ukuzwa ukulahlekelwa
- Ukugeleza kwamanzi endle
- Ukugeleza nokuvuvukala ngemuva kwendlebe
- Izinkinga zokulinganisela
- Ubuthakathaka obusweni
- Ubuhlungu obukhulu bezindlebe
- Izinwele
- Ukudideka
- Ukukhathala
Izinkinga
I-eardrum ingahle ihlukane ngenxa yomshoshaphansi we-fluid eqoqwe futhi iqhubekele endlebeni. Imbobo noma izinyembezi ezincane ziqala eardrum (isibhande se-tympanic). Ngokuvamile, lokhu kuzozipholisa ngokwamaviki ambalwa ngaphandle kwesidingo sokwelashwa. Inzwa yokuhlunga ongayithola nge-eardrum ephukile ingakhipha isicanucanu noma ukuhlanza. Kufanele ubone udokotela ukuze uthole ukwelashwa okufanele. Uma i-eardrum ihluleka ukuphulukisa, kungadinga ukulungiswa kokuhlinzwa.
Izifo zendlebe zomphakathi zingabangela ukulahlekelwa ukuzwa okulalelayo, ukuvimbela ukudluliswa komsindo kusuka endlebeni yangaphandle kuya endlebeni yangaphakathi. Ezinganeni, izifo eziphindaphindiwe zezindlebe zokulahlekelwa kwezindlebe zingaphazamisa ukukhulumisana nokukhulunywa kolwimi futhi zingabangela izingane ukuba zingakwazi ukuthola ukuthi umsindo uvelaphi. Izingane zingase zibe nobunzima obuningi ukuhlukanisa nokuqonda amagama uma zihlala ezindaweni ezinomsindo ezifana negumbi lokufundela.
Ukutheleleka okunjalo kungasiza ekwenzeni izinkinga zokucubungula ngokucophelela . Ukulahlekelwa ukuzwa okungapheli akuvamile, kepha kungakhula ngezifo eziqhubekayo futhi eziphindaphindiwe.
Ukwelashwa kwe-otitis okungapheli kungaholela ku- labyrinthitis nokulimaza izakhiwo ezibucayi endlebeni ezisiza ngokuzwa nokugcina ibhalansi. I-Cysts (i- cholesteatoma ) ingabuye ikhule ngaphakathi endlebeni ephakathi.
Nakuba kungavamile, imithombo ye-bacterium otitis isakazeka emathambo ( mastoiditis ) noma endlebeni yangaphakathi. Ezimweni ezingavamile kakhulu, ukutheleleka kungasakazeka ebuchosheni futhi kubangele i-meningitis noma i-abscess.
Nini Ukubona Udokotela
I-American Academy of Pediatrics ikhuthaza izindlela zokwelapha ubuhlungu nokulinda izinsuku ezimbili kuya kwezintathu ukubona ukuthi lihamba yini, njengoba livame. Kumele uhlole nodokotela wakho ukuthi kufanele ingane ibonwe nini. Ubuhlungu bezintunu obubuhlungu noma abuphuculanga, umkhuhlane, kanye nomsele ngegazi noma emgqonyeni-ikakhulukazi enganeni engaphansi kwezinyanga eziyisithupha-kudinga ukuhlolwa kwezokwelapha.
Abantu abadala kufanele babize udokotela wabo lapho bezwa ubuhlungu bezindlebe noma ezinye izimpawu ukuze bafunde ukuthi kufanele balinde noma bangene ukuhlolwa.
Udokotela uzokwazi ukuqinisekisa ukuxilongwa ngokubona izibonakaliso zokuvuvukala (ubomvu, bulging) we-eardrum ekuhloleni ngokomzimba.
Uma wena noma ingane yakho uphathwa nge-infection endlebe, qaphela uma udokotela wakho ethi kufanele uthuthuke. Uma indlebe ingaphenduli ekwelapheni, noma uma kuphawulwe izimpawu ezintsha, shayela udokotela noma udokotela wezingane. Ngokufanayo, uma kukhona izimpawu ezintsha ngemuva kokunakekelwa kwe-otitis media nge-effusion, bhekisela kudokotela wakho.
Imithombo:
> Ukwelashwa Kwendlebe (Indlebe Ephakathi). I-Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/ear-infections/symptoms-causes/syc-20351616?p=1.
> Izifo zendlebe. I-MedlinePlus. https://medlineplus.gov/earinfections.html.
> Kliegman RM, Stanton BMD, St Geme J, Schor NF. UNelson Bookbook of Pediatrics, 2 Amahhotela. München: Amabhuku e-Elsevier; 2015.
> Liberman MC, Liberman LD, Maison SF. Ukulahlekelwa Ukulalela Okungahleliwe Okungapheli Kuholela Ekuqalisweni KwamaCorlear. PLoS ONE 2015: 10 (11): e0142341. i-doi: 10.1371 / iphephandaba.pone.0142341.
> Lieberthal AS, i-Carroll AE, i-Chonmaitree T, et al. Ukuxilongwa Nokuphathwa Kwe-Acute Otitis Media. Izingane zokwelapha . 2013; 131 (3). i-doi: 10.1542 / i-peds.2012-3488.