Izimbangela Zobuhlungu, Ukuzwa Ukulahlekelwa, nokuthi "Ukushaya" ku-Ears
Wake wazizwa ukuthi izindlebe zakho zivinjiwe ukuze ungabe uzwa? Uke wavula noma uqhafaza ezindlebeni zakho noma unenkinga yokugcina ibhalansi yakho?
Lezi ezinye zezimbonakaliso ezihambisana ne-tubeory disy function (eyaziwa nangokuthi i-eustachian tube disys function). Kungabangelwa yinoma yiliphi inani lemibandela kodwa lihlotshaniswa kakhulu nokuqoqwa kwe-mucus noma ukungalingani komfutho womoya ngaphakathi endlebeni ephakathi.
Anatomy
Ithebhu yokuhlola , ngezinye izikhathi ebizwa ngokuthi i-eustachian tube, isiteshi esincane esivela endlebeni ephakathi kuya emhlane we-throat (nasopharynx). Ithebhu yokuhlola iqukethe imisebenzi eminingana ebalulekile:
- Ivula futhi ivaliwe ekuphenduleni izinguquko ekucindezelekeni komoya emoyeni ukuze kulinganiselwe ukucindezela phakathi nendlebe ephakathi.
- Kungavalwa ngokuphendula umsindo omkhulu wokuvikela izakhiwo zezintambo ezincane.
- Ihlanza i-mucus kusukela endlebeni ephakathi, ivumele ukuba igxume emhlane.
Ithebula lokuhlola ezinganeni ligijima engxenyeni engaphezulu kakhulu kunabantu abadala. Njengoba uneminyaka yobudala, ithubhu ikhula futhi kancane kancane iba yinto ecacile ukuze kusetshenziswe amanzi angcono. Lokhu kuchaza ukuthi kungani izingane zijwayele ukubhekana nezinkinga zethubhu yokuhlola.
Ngenkathi i-tube auditory ivaliwe ivaliwe, ivuleka ngezikhathi ezithile njengalapho sigwinya, i-yawn, noma sneeze. Lokhu kuchaza ukuthi kungani kudingeka sivame ukugwinya ukuze "siqhube" izindlebe zethu lapho sishayela intaba noma sihamba endizeni.
Uma ugwinya, ithubhu lakho lokuhlola livula futhi lilinganisa ukucindezela ngokuzenzakalelayo.
Izimbangela Nezimpawu
Ngokuvamile, ukukhubazeka kwebhubhu yokuhlola kwenzeka lapho i-eustachian tube ingaphumeleli ukulinganisa ukucindezela komoya noma ayikwazi ukususa i-mucus kusukela endlebeni ephakathi.
Uma ingcindezi yomoya ishintsha ngokushesha, ingabangela ukungahambi kahle, ubuhlungu, ngisho ne- eardrum ephukile .
Uma i-mucus ingahlanjululwanga kahle, ingaholela ekutheni i-ear ear infections (i- otitis media ), i-fluid in the ear ( serous otitis media ), noma ukulahleka kokuzwa okubangelwa izinguquko endaweni ye-eardrum (i- ear atelectasis ephakathi ). Lezi zimo zingabangela ubuhlungu, ukulahlekelwa ukuzwa, isizungu, ngisho nokulimala indlebe.
Izimbangela zivela ekuguleni nasekuziphatheni komzimba kuya ekushintsheni kwengcindezi yomoya, kuhlanganise:
- ithubhu yokucwaninga elincane (ikakhulukazi izingane)
- ukuhlukunyezwa okubangelwa izinguquko eziphuthumayo kwingcindezi yomoya emoyeni (i- barotrauma)
- ithubhu yokucwaninga evinjelwe izicubu ezikhulisiwe (njenge- adenoids )
- ukuxubana kwamanzi okubangelwa izifo noma izifo
- ukutheleleka endlebeni uqobo
- ukukhula okunamandla noma izicubu ezivimba ithubhu lokuhlola
Ukuxilongwa
Kunezindlela eziningana zokuxilonga izimbangela zokungasebenzi kwamatayipi okuhlola. Udokotela we-ENT, owaziwa ngokuthi i- otolaryngologist , ungumchwepheshe oqeqeshiwe ukuxilonga lezi zinhlobo zezimo.
Ngemuva kokubuyekezwa komlando wakho wezokwelapha noma izimpawu, udokotela uzoqala ukuhlola inkinga ngokusetshenziswa kwezinsimbi eziningi ezahlukene:
- Ithuluzi elibukwayo elibizwa nge- otoscope lizosetshenziselwa ukubuka i-eardrum yakho (i- tympanic membrane ). Izinguquko ekubukeni noma ukuhamba zingase zibonise uketshezi endlebeni. Umgubhu wezindlebe ophukile ungabuye ube yi-diagnostic.
- I-endoscope ye-fiber optic ingase isetshenziswe, isitsha sayo esifakwe emakhaleni ukuze sibone ukuthi ngabe yiziphi izicubu ezikhulisiwe ezivimba ithubhu lokuhlola.
- I- tympanometry ingenye insimbi ekhethekile engakwazi ukukala ukucindezela emoyeni endlebeni ephakathi, ngokufunda okucindezelayo okubonisa ukubhebhetheka kwamathuluzi okuhlola.
Ukuvivinywa kuhle kakhulu futhi kungabangela ukungahambi kahle kunokuba ukushisa kwakho kuthathwe endlebeni.
Uma kukhona ukukhathazeka okujulile, ukuhlolwa kwezithombe ezifana ne-computer (tom scans) noma i-magnesium resonance Image (MRI) ingahle ilandelwe ukuba ifune izicubu noma izixuku ezingavimba ithubhu.
Uma udokotela wakho ekholelwa ukuthi ukukhubazeka kubangelwa ukungezwani komzimba, i-allergenist noma kungafunwa ukuphenywa okuqhubekayo.
Ukwelapha
Ukwelashwa kwe-tubythriction ye-tube yokuhlukumeza kuyashintsha futhi kusekelwe ikakhulukazi imbangela yenkinga.
Endabeni yoketshezi emlonyeni, abantu abaningi bayakwazi ukusula umchamo ngokwabo ngokuhamba kwesikhathi. Uma uketshezi kusasele ngemva kwezinyanga ezintathu ukuya kweziyisithupha, udokotela angakhetha ukukhipha uketshezi okwedlulele usebenzisa amashubhu we-ventilation .
Uma izicubu ezikhulisiwe (njenge- adenoid , i- polyp , i- turbinate , noma i-tumor) kubonakala sengathi iyimbangela, zingasuswa ngokusebenzisa inqubo okuthiwa i- endoscopic sinus operation .
Kubalulekile ukuphatha noma yiziphi izimo ezingaphansi, okubandakanya ukugula, izifo, noma ukukhula, okungase kubangele noma kubambe iqhaza kule nkinga.
Ukuvimbela
Ukuvimbela njalo kungcono kunokwelashwa, futhi, uma kwenzeka ukubhebhetheka kwamatayipi, amathuluzi okuvimbela ayengeke abe lula.
Ukuvimbela ubuhlungu noma ukulimala okubangelwa izinguquko eziphuthumayo ezingcindezini zomoya, ukugwinya noma i-yawn njalo uma usuka endizeni noma ushayela phezulu entabeni. Uma uphahlaza phansi, wehla kancane ukuze uvumele ingcindezi yokulinganisa kancane kancane.
Kwezinye izimo, kungasiza ukuthatha i-decongestant, njenge-pseudoephedrin, ngaphambi nje kokushayela noma ukudilika. Kumele futhi ube nezinkinga zemithi noma izinkinga ezithintekayo ukuvimbela i-barotrauma.
Uma uhlangabezana nokuhlukunyezwa kwezindlebe ezithinta umoya, unike isikhathi sokuphulukisa. Indlebe ephundukile indlebe ngokuvamile iyoba ngcono ngokwayo ezinsukwini ezimbalwa. Ezimweni ezimbi kakhulu, ukuhlinzwa kungase kudingeke, kodwa lokhu kuyinto ehlukile kunomthetho.
> Umthombo
- > Schilder, A .; I-Bhutta, M .; I-Butler, iC .; et al. "Ukungasebenzi komuthi we-Eustachian: isitatimende sokuvumelanisa ngezincazelo, izinhlobo, isethulo semitholampilo nokuxilongwa." Otolaryngology yezokwelapha. Okthoba 2015; 40 (5): 407-411.