Ukuhlolisisa ngokufanele ukutheleleka kwezindlebe, eyaziwa nangokuthi i-otitis media enzima (i-AOM), iyanciphise isikhathi sokungahambi kahle, kubalulekile ukugwema ukusetshenziswa ngokweqile kwama-antibiotics, futhi kusiza ukuvimbela ukukhubaza ukukhulelwa. Ngaphandle komlando wezempilo ophelele, udokotela wakho uzodinga kuphela ukusebenzisa i-otoscope ye-pneumatic ukuze ahlolisise ukutheleleka indlebe.
Ngenxa yokuthi izingane ezincane azikwazi ukukutshela njalo ukuthi yini engalungile, ukuthola ukuthi ingane yakho inesifo sokutheleleka indlebe noma cha ingaba nzima kakhulu njengomzali.
Ngenhlanhla, udokotela oqeqeshiwe angakwazi ukubona ukutheleleka kwezindlebe ngaphandle kokuthola ubunzima obukhulu. Futhi phawula ukuthi ngisho noma ungenalo ukutheleleka indlebe ngiseyingane, usengathola umuntu omdala.
Ukuhlola nokuzihlola kwekhaya
Awudingi ukuba udokotela ukuze uthenge izimpahla ezidingekayo ukuze wenze ukuhlolwa kwezindlebe eziphumelelayo. Noma kunjalo, akukhuthazwa ngaphandle kokuthi wazi ukuthi wenzani, njengoba kunamaphutha ekuhloleni isilonda se-tympanic (njengoba kuchazwe ngezansi).
Izingane nazo ziyaziwa ngokungahlanganyeli ngesikhathi sokuhlolwa kwezindlebe. Ngaphandle kwemishini efanele kanye nekhono, kukhona ingozi yokulimaza i-eardrum ngengozi uma ufaka noma yini enkulu kakhulu endlebeni.
Noma kunjalo, kunezinkampani ezenza kube lula ngesheke esisheshayo ukuthi ungathola usizo ngaphambi kokuvakashela udokotela wakho. Kunezinamathiselo ezithile ze-smartphone ezizokuvumela ukuthi uzibone ngeso lengqondo indlebeni yezindlebe nekhanda le-tympanic.
Kubuye kube nokunye amadivaysi athuthukile azozama ukuhlinzeka ngesilinganiso sezinga lomkhuhlane ngemuva kwe-tympanic eardrum; nakuba ukunemba kubonakala kungababaza ngokusekelwe ekubuyekezweni kwe-intanethi.
Ukuhlolwa Okubukwayo
Ngesikhathi uvakashele nodokotela wakho, kuyoba kubalulekile ukuba bahlole indlebe yakho.
I-Otoscopy ukuhlolwa okwenziwe nge-otoscope okuzovumela ukuboniswa komsele wakho wangaphandle wezindlebe kanye ne-eardrum yakho (isibhande se-tympanic).
Ngenkathi ungenza ukuhlola okuyisisekelo nge-otoscope ejwayelekile, kungcono uma udokotela wakho ene-attachment ye-otoscope. Okunamathiselwe kwe-pneumatic kumane nje i-bulb ibhulogi evumela udokotela wakho ukuba asebenzise ukucindezela okukhanya kumlenze wakho we-tympanic. Nakhu okuzokwenziwa udokotela wakho eardard evamile:
- Isikhundla - i-membrane ye-tympanic izobe isendaweni esicacile noma engathathi hlangothi
- I-Translucency - i-membrane ye-tympanic ngokuvamile iyashintshashintsha
- Ukunyakaza - i-membrane ye-tympanic iyohamba ngokusetshenziswa kwengcindezi ye-pneumatic (kokubili ukucindezela okuhle noma okunamandla) kusuka kubhabhu ku-otoscope
- Umbala - i-membrane ye-typanic izovela i-gray grey noma i-pink
Okutholakele okusikisela kokungajwayelekile emlonyeni wakho wangaphakathi kuhlanganisa:
- Isikhundla - isibhande se-tympanic singase siphume noma siphenduke
- I-Translucency - i-membrane ye-tympanic i-opaque noma iguquguqukile
- Ukunyakaza - i-membrane ye-tympanic ayiphenduli kahle ngokucindezela kwe-pneumatic lapho usebenzisa i-bulb ku-otoscope
- Umbala - obomvu, obuluhlaza, obomvu, obomhlophe, noma ophuzi ophuzi yiwo wonke imibala engavamile ehlotshaniswa nekhanda le-tympanic.
Udokotela wakho uzovamise ukuhlolisisa nge-infection yezindlebe uma bebona isibhamu se-tympanic esineqhwa
Ukucabanga
Ngeke udinga noma yikuphi ukucabanga ngomsebenzi ojwayelekile wokutheleleka indlebe. Kodwa-ke, uma ukutheleleka kuqhubeka futhi udokotela wakho ukhathazekile ngezinye izinkinga, angase ahlele i-CT scan noma i-MRI.
I-CT scan ingaba usizo ekuboneni izakhiwo, ama-abscesses, noma ezinye izinto ezingavamile ezungeze indlebe yakho. Ngakolunye uhlangothi, i-MRI iyasiza uma udokotela wakho ekhathazekile nganoma yiziphi izinkinga ezihlobene nobuchopho bakho. Ukusetshenziswa kwe-CT noma i-MRI kuyobe kungavamile futhi ngeke kube yingxenye yokuhlola okujwayelekile.
Ukuhlonza okuhlukile
Uma uhlola ukuthi unesifo sokungenwa indlebe noma cha, udokotela wakho uzama ukuhlukanisa uma une-acute acute media (ukutheleleka indlebe) noma i- otitis media ne-effusion (i-OME, ukungenwa igciwane emlonyeni). Bobabili bangabonakala kakhulu.
Umbala, ukunyakaza, nokuguquka kwemvelo kungahlukahluka phakathi kokubili kwe-AOM ne-OME. Kodwa-ke, isikhundla sekhanda le-tympanic ngokuvamile liyisignali. E-AOM, i-membrane ye-tympanic ivame ukuqhuma, kuyilapho ivame ukuhoxiswa nge-OME.
Ukubomvu
Ukubomvu kwendwangu yakho ye-tympanic ngaphandle kokubonakalisa uketshezi ngemuva kwe-eardrum akubangelwa ukutheleleka indlebe. Udokotela wakho angabheka lezi zimbangela ezivamile zokubomvu ezungeze isibhande se-tympanic:
- ukutheleleka okuphezulu okuphefumula okubangelwa ukuvuvukala komzila wokuphefumula
- ukukhala
- umkhuhlane ophakeme
- ukulimala indlebe
- Ukususwa kwamuva kwe- wax indlebe
Ukunyakaza Okunciphile
Ukuvivinya ukuhamba kwendwangu ye-tympanic kubalulekile ekukhonjisweni kwe-ear-ear effusion (MEE - uketshezi ngaphakathi endlebeni yakho). Nokho, ukwehla ukuhamba akusho ukuthi umthamo ophakathi kwendlebe ophakathi usulelekile. Ezinye izimbangela zokuhamba kwekhanda lakho le-tympanic zihlanganisa:
- ukuvinjelwa kwe- tube eustachian
- i-tympanosclerosis
Ubuhlungu Bendlebe
Ukuba nobuhlungu bezindlebe kuyisifo esivamile sokutheleleka indlebe. Kodwa-ke, kunezinye izizathu eziningi zokuzwa ubuhlungu bezindlebe ezifaka:
- i-otitis externa (indlebe yokudoba)
- ukulimala indlebe
- ukuvinjelwa komthamo wezindlebe ngento yangaphandle
- syndrome ehambisanayo ye-temporomandibular
- i-herpes zoster (ama-shingles)
Ngenxa yezifo eziningi ezihlukahlukene ezingase zenzeke ngezimpawu zokutheleleka indlebe, kubalulekile ukuthi ulandele udokotela ukuze uthole ukuxilongwa okufanele.
> Imithombo:
> I-otitis yemidiya enhle kubantu abadala. Iwebhusayithi ye-UpToDate. http://www.uptodate.com (ukubhalisa okudingekayo). Kubuyekezwe ngo-Ephreli 19, 2017.
> I-otitis media enhle kubantwana: Ukuxilongwa. Iwebhusayithi ye-UpToDate. http://www.uptodate.com (ukubhalisa okudingekayo). Kubuyekezwe ngo-Okthoba 13, 2017.
> Lieberthal, AS, iCarroll, i-AE, i-Chonmaitree, i-T, i-Ganiats, i-TG, i-Hoberman, i-Tunkel, i-DE. (2013). Ukuxilongwa Nokuphathwa Kwe-Acute Otitis Media. Izifo zesifuba 131 (3), e964-e999.
> Ponka, uD & Baddar, F. (2013). I-otoscopy ye-pneumatic. Ingabe Udokotela Wezinkinga. 59 (9): 962.