Izizathu Eziyisihlanu Ongase Uzibonele Ukuthukuthela Uvula
Ungabhekana nokuvula okuvuvukalayo, okubizwa nangokuthi i-uvulitis, njengomphumela womphendvulo womzimba wakho wokuvuvukala. Ukuvula kwakho kuyisilenge esenziwe ngebell esilenga esithombeni sakho esithambile, noma ngemuva kophahla lomlomo. Umsebenzi we-uvula awuqondakali kahle, nakuba abanye abacwaningi bakholelwa ukuthi umaka wokuziphendukela kwabantu. Abanye bakholelwa ukuthi Kukuvikela ngenkathi uphuza ngekhanda lakho phansi nomzimba wakho endaweni eboshiwe.
Abanye bakholelwa ukuthi kwakuyisindlela esivumelanayo sokukuvikela ezinambuzaneni ezazizohamba emlonyeni wabantu basendulo ngenkathi zihamba zasendle.
Kungakhathaliseki ukuthi ukuvulwa kwe-uvula, kudlala indima ekukhulumeni futhi kukwazi ukhiqiza amathe, okwakhiwa ngezinhlobo eziningana zezicubu, kufaka phakathi kokubili imisipha nokugcoba. I-uvula iphinde ibe negalelo emisindweni eyenziwe uma umuntu ehala.
Izimpawu
Ukuvula ukuvuvukala, okuyisifo esingavamile, kungabangela izimpawu ezihlukahlukene ezisekelwe ekuvuvukeni nasezindaweni ezizungeze ukuvula. Ukuvuvukala kwe-uvula ngaphandle kokuvuvukala kwamanye ama-tissue nezakhiwo ezungeze uvula akuvamile. Izimpawu ezihlobene nokuvula okuvuvukalayo zingabandakanya:
- umkhuhlane
- ubunzima bokugwinya
- ubunzima bokuphefumula
- snoring
- kunzima ukukhuluma
- ubuhlungu
- ukugubha
- ukwehla
Ukuvula ukuvuvukala kungadlala indima ekuphefumuleni okuphazamisayo kokulala . Abanye abantu ababhekene ne-apnea yokulala baye bahlinzwa ngokuphazamiseka ukuze kukhishwe uvula, okuthiwa i- uvulopalatopharyngoplasty (UPPP) noma i- uvulectomy .
Kodwa-ke, lolu hlelo lokusebenza luvame ukuphumelela ngempumelelo kuphela, okuphakamisa ukuthi indima yangempela uvula edlala ekuthuthukiseni i-apnea yokulala ingase ibe mncane kunalokho okucatshangwa ekuqaleni.
Izimbangela
Ukuvula ukuvuvukala kungase kubangelwe nemibandela elandelayo.
1. Izifo
Izifo zomphimbo zingabangela ezinye izicubu, futhi emva kwalokho uvula, ukuvuvukala.
Lezi zifo zingaba amagciwane noma amagciwane, futhi zingabandakanya:
- Umfutho we-throp - ngokuvamile umlandu uma une-pharyngitis
- izifo ezibangelwa yi- tonsillitis efana ne- mononucleosis
- Umkhuhlane - ngokuvamile icala uma kuphela uvula yakho ivimba
- i-epiglottitis - engavamile, kodwa yisimo esiphuthumayo sezokwelapha
I-Epiglottitis yisimo esingavamile nesingozi esivame ukuvela ezinganeni. Kubangelwa ukutheleleka okuholela ekuvupheni kwe-epiglottitis (i-flap encane yezicubu ezixhunywe ekupheleni kolimi) nezakhiwo ezizungezile, futhi kungaholela ngokushesha ezinkingeni zokuphefumula . Uma udokotela wakho esolisa i-epiglottitis, khona-ke angeke aphume umphimbo wakho, kodwa akuthumele emnyangweni ophuthumayo ukuqinisekisa ukuthi angakwazi ukuvikela indlela yakho yokuhamba emoyeni futhi abeke ithubhu lokuphefumula uma kudingeka. Uma ukwazi ukubekezelela i-CT scan, bangenza lokhu ukuze basize ukuxilonga i-epiglottitis.
Ukuze unqume ukuthi ungaphatha kanjani ukuvuvukala kwakho, udokotela wakho uzosusa uvula bese uthumela isampula yenkambiso. Uma imbangela ibhaktheriya, udokotela wakho angakuphatha ngama-antibiotic. Ngokuya ngobukhulu bezimpawu zakho kanye nesimo sokugoma (izingane), udokotela wakho angase ahlinzeke ngama-antibiotiki omlomo noma i-IV antibiotics. Uma isiko singalungile, khona-ke imbangela kungenzeka ukuthi i-viral and antibiotics ngeke isize.
2. Ukuphendula kwe-allergenic
Ukusabela okwe-allergen kungabangela ukuvuvukala (i-edema) yomlomo nomphimbo, kufaka phakathi ukuvuvukala kwe-uvula. Lokhu kungaba uphawu lwempendulo ye-anaphylactic, okuyisimo esiphuthumayo. Abantu abathola ukuvuvukala okusheshayo emlonyeni nasemphinjeni kufanele baye ekamelweni eliphuthumayo eliseduzane ukuze bathole isibhamu se-epinephrine. Abanye abantu abaye babhekana naloluhlobo lwe-reactional alergic bangase baphathe i-epinephrine nabo. Ungaphinde uphathwe nge-inhaled version ye-epinephrine okuthiwa i- racemic epinephrine .
3. I-Hereditary Angioneurotic Edema
I-hédeed angioneurotic edema (HANE) iyisifo esingavamile sezakhi zofuzo esibangelwa ukushintshashintsha kwezakhi zofuzo.
Lesi simo sibangela ukuhlaselwa lapho ukuvuvukala ezindaweni ezihlukahlukene zomzimba, kufaka phakathi uvula, kungenzeka. Ukuvuvukala kuzokuhlukanisa nezinye izimbangela eziningi zokuvuvukala ngenxa yokuthi ukuvula kwakho ngeke kube yinkimbinkimbi (obomvu), kodwa kuyoba mhlophe futhi igubungele njengevini. Abantu abaningi abanalesi sifo bahlangabezana nokuhlasela kwabo kokuqala ngesikhathi sebuntwana.
4. I-trauma
Ukulimala ekuvuleni kungabangela ukuba kuvuke, nakuba kungenzeka ucabanga ukuthi, ukuhlukumezeka ku-uvula akuvamile kakhulu. Kungenzeka ukuthi ushise ukuvula kwakho ngokudla okushisayo, futhi ukuvula kungaphazamiseka njengomphumela wendlela ethile yokwelapha, njengokufaka ithubhu yokuphefumula (intubation). Izinkinga ezivela ku-intubation azivamile. Ngokuvamile ezimweni zokuhlukunyezwa, ukuncibilika kwi-chips chips, noma ukusebenzisa ama-anesthetics wendawo kuzokwenza ukuphatha izimpawu zakho.
5. Izimo zofuzo
Izimo ezithile zofuzo zingabangela ukungavamile kokuvula. I-Cleft lip / palate yisimiso esithinta uphahla lomlomo (palate), okwenza ukuba uvula ungabi khona noma ube nezinye izinto ezingavamile. Kungenzeka futhi ukuba uzuze i-uvula evuliwe; i-uvula ekhulisiwe noma evuliwe ezuzwe njengefa ayifani neze ne-uvula evulekile, nakuba ingabangela izimpawu ezifanayo. Uma izimpawu zinkinga, i-uvula ingase ihlinzekwe ngokuhlinzwa.
Izinketho zokwelapha
Ukwelashwa kwe-uvula okuvuvukala kuyohlukahluka ngokususelwa kwizimbangela ezixoxwa ngazo.
- izimbangela ezithathelwanayo - ukwelashwa ngama-antibiotics uma ama-bacterium
- izimbangela ezingenasifo - ukwelashwa kwezimpawu zesisu somzimba ngokusebenzisa i-throat lozenges, ukuncelisa noma ukuhlaziya e-ice chips, noma ukusebenzisa i-anesthetics yama-topical efana ne-lidocaine.
- ukuphefumula - i-epinephrine yadutshulwa noma igxilwe i-epinephrine, i-IV steroids, ne-IV antihistamines
Uma ukwelashwa ngendlela efanele, uyovame ukuphumula ekuvukeni okuvuvukalayo ngaphandle kwemiphumela ehlala njalo. Ukuvuvukala okuncane kwe-uvula kungase kube yedwa ngaphandle kokwelashwa.
Izwi elivela
Uma ubhekene necala elingenakunzima lokuvuvukala ukuphuza, ukuphuza amanzi okushisa okubandayo, noma ukuswa / ukudla ama-ice chips kungasiza ekunciphiseni ubuhlungu bakho futhi kusize ukuvuvukala kwehla. Kodwa uma i-uvula ikhula ngokwanele ukuze ungakwazi ukugwinya, ukukhuluma, noma ukuphefumula ubunzima, kufanele uhambe ekamelweni eliphuthumayo eliseduzane. Ukuvuvukala kungaphathwa ngemithi eyobe isekelwe imbangela nokuqina kwesibindi sakho sokuvuvukala.
> Imithombo:
> Finkelstein, Y, Meshorer, A, Talmi, YP, Zohar, Y, Brenner, J, & Gal, R. (1992). I-Riddle of the Uvula. Otolaryngol Head Neck Surg. 107 (3): 444-50.
> Izinkuni, CR. Izici zomtholampilo kanye nokwelashwa kwe-Uvulitis. http://www.uptodate.com (Okubhaliselwe Kudingeka). Kubuyekezwe i-Disemba 29, 2015.