Ngaba umntwana wakho omncinci uhlala eneentlungu zendlebe okanye usulelo lwendlebe? Ngaba kuya kuba bhetele emva kokuthatha amayeza, kodwa emva kweentsuku ezimbalwa kuphinde kuvele? Le yingxaki abazali abaninzi abajongene nayo. Ngamanye amaxesha ugqirha usenokuba ukuxelele ukuba kufuneka ufake ityhubhu yendlebe. Abazali abaninzi bayoyika kancinci xa besiva igama elithi 'ityhubhu'. Ke namhlanje, masithethe ngokuba zeziphi ezi tyhubhu zendlebe, kutheni zifakwa, kwaye ingaba kukho into omele uyoyike.
Zithini ezi tyhubhu zeendlebe?
Ngamafutshane, ityhubhu yendlebe yityhubhu encinci kakhulu, engenanto ibekwa ngugqirha phezu kwe-eardrum. Ifana nengca encinci yokusela. Ezi zihlala zenziwe ngeplastiki okanye ngesinyithi. Oogqirha babiza ngokuba yi-"Tympanostomy tubes" okanye "ventilation tubes".
Umsebenzi wayo ophambili kukuthintela ulwelo okanye ubomvu ekuqokeleleni kwindlebe ephakathi (ngaphakathi kwe-eardrum). Le tube ivumela umoya ukuba ungene endlebeni, kwaye ikwadala indlela yokuba naluphi na ulwelo oluqokelelana ngaphakathi luphume. Ngale ndlela, xa ingaphakathi lendlebe lomile kwaye linomoya ococekileyo, ukukhula kweebhaktheriya kunye nosulelo kuncitshiswa kakhulu.
Kutheni kufuneka sibeke iityhubhu zeendlebe kwiintsana zethu?
Phantse wonke umntwana uya kuba nosulelo lwendlebe olunye ubuncinane xa eneminyaka emi-5 ubudala. Oku kuqhelekile. Nangona kunjalo, abanye abantwana bayaqhubeka nokuba nolusulelo. Okanye, indlebe izaliswe lulwelo, nto leyo ebangela ukulahlekelwa kukuva. Kulapho ugqirha anokucebisa khona iityhubhu zendlebe.
Ngokubanzi, ungathanda ukuqwalasela iityhubhu zendlebe ukuba umntwana wakho unenye yezi meko zilandelayo:
- Ukuba ufumana usulelo lwendlebe oluthathu okanye ngaphezulu kwisithuba seenyanga ezi-6 .
- Ukuba ufumana usulelo lwendlebe izihlandlo ezine okanye ngaphezulu ngonyaka .
- Ukuba kukho ukuqokelelana kolwelo endlebeni (i-Otitis media ene-effusion) nangona kungekho ntsholongwane yendlebe, oku kunokubangela ubunzima bokuva emntwaneni.
- Ukuba unentsholongwane engapheliyo endlebeni yakho, loo nto ayiphucuki nokuba usebenzisa amayeza okubulala iintsholongwane.
Kutheni kunzima kangaka ukuba abantwana abancinci beve?
Usenokuba uzibuza ukuba kutheni oku kwenzeka kubantwana ngaphezu kwabantu abadala. Kukho ityhubhu encinci ebizwa ngokuba yi-"Eustachian tube" edibanisa iindlebe nomqala. Yiyo le nto ilinganisa uxinzelelo ngaphakathi kwendlebe kwaye isuse ulwelo olungafunekiyo. Kubantu abadala, le tyhubhu ithambeke kancinci, ngoko ke ulwelo luphuma lula.
Kodwa kubantwana abancinci, le tube ifumaneka phantse ngakwicala lomhlaba. Ngoko ke, njengamanzi amancinci anamathelayo esityeni, ulwelo lunokubanjwa lula ngaphakathi endlebeni. Xa umntwana enomkhuhlane, le tube iyadumba ize ivaleke ngakumbi. Oku kudala indawo efanelekileyo yokukhula kweebhaktheriya.
Ukuba umntwana unentsholongwane yendlebe, unokubonisa iimpawu ezifana nezi:
- Bahlala bebamba kwaye betsala iindlebe zabo.
- Ukulila ngaphezu kwesiqhelo, ukungazinzi (ingakumbi xa ulele phantsi kuba intlungu iyanda).
- Ukuvuka ebusuku.
- Kubonakala ngathi ndiyaphulukana nokulinganisela xa ndihamba.
- Ulwelo okanye ubomvu buphuma endlebeni.
Ukuba ezi mpawu ziyaqhubeka, kungcono ukuthetha nogqirha wakho, njengoko izifo ezingapheliyo zendlebe zinokulibazisa intetho yomntwana wakho, ukufunda kunye nokuva .
Olu tyando lwenziwa njani?
Kuyaqondakala ukuba abazali abaninzi bayoyika xa kuthethwa ngegama elithi utyando. Kodwa eneneni yinkqubo elula kakhulu, encinci ethatha malunga nemizuzu eli-15 .
Ukulungiselela ngaphambi kotyando
Olu tyando ludla ngokwenziwa kubantwana abaphantsi kwe-anesthesia, oko kuthetha ukuba balele ngokupheleleyo. Oku kwenziwa ukuze umntwana angashukumi ngexesha lotyando. Ke ngoko, ugqirha uya kukucebisa ukuba uzile ukutya (ungatyi okanye usele) iiyure ezimbalwa ngaphambi kotyando. Kubaluleke kakhulu ukulandela le miyalelo ngokuchanekileyo.
Xa uthetha nomntwana wakho ngale nto, kungcono ukuyichaza ngendlela elula, engoyikisiyo, njengokuthi "UDosti Malume uza kususa izinto ezingaphilileyo endlebeni yakho aze enze ifestile encinci yokujikeleza komoya," endaweni yokusebenzisa amagama anjengelithi "ukusika" okanye "ukubhoboza."
Kwenzeka ntoni ngexesha lotyando?
Emva kokuba umntwana elele, ingcali yendlebe, impumlo, nomqala (ENT Surgeon) isebenzisa isixhobo esithambileyo kakhulu:
1. Kwenziwa umngxuma omncinci kakhulu (incision) kwi-eardrum.
2. Ulwelo okanye ubovu obuqokelelene ngaphakathi endlebeni bususwa ngononophelo (ukufunxwa).
3. Beka ityhubhu yendlebe phezu komngxuma omncinci owenziwe ngaphambili.
Yiyo loo nto! Yonke le nto ithatha imizuzu eli-10-15 kuphela.
Emva kotyando
Emva kotyando, umntwana uza kugcinwa ejongiwe okwethutyana aze athunyelwe ekhaya emva kweeyure ezimbalwa. Kunokubakho isicaphucaphu esincinci kunye nokuhlanza malunga nosuku ngenxa ye-anesthesia. Nangona kunjalo, umntwana uza kubuyela esiqhelweni kusuku olunye. Uninzi lwabantwana aluziva ntlungu emva kotyando.
| Iimeko ezinokwenzeka emva kotyando | Okufanele ukwenze noko ukwaziyo |
|---|---|
| Ukuphuma kolwelo endlebeni | Kuqhelekile ukuba nokukhupha igazi elincinci kangangeentsuku ezimbalwa (malunga neveki) emva kotyando. Le yindlela oluphuma ngayo ulwelo oluqokelelene ngaphambili. |
| Ukusetyenziswa kwamathontsi endlebe | Ugqirha uhlala enika amathontsi endlebe ukuthintela usulelo. Kubalulekile ukuwasebenzisa ixesha elimiselweyo kunye nomthamo omiselweyo. |
| Ukulandelisa | Ugqirha uza kucwangcisa idinga lokulandelela umntwana wakho kwiiveki ezi-2-4. Kubaluleke kakhulu ukuya kweli dinga. |
| Ukuhlamba, ukuqubha | Akuyongxaki ukuhlamba umntwana wakho njengesiqhelo. Nxibelelana nogqirha wakho malunga nokuqubha. Ungacelwa ukuba unxibe ii-earplugs ukuba uqubha emanzini angcolileyo (amachibi, imilambo). |
Ngaba kukho naziphi na iingozi? Ndingathetha nini nogqirha wam?
Ukufakwa kwetyhubhu yendlebe yinkqubo ekhuselekileyo neqhelekileyo . Iingxaki azixhaphakanga. Nangona kunjalo, kulungile ukuqaphela. Ngamanye amaxesha, izinto ezinje zinokwenzeka:
- Ukuvaleka kwendlebe.
- Umbhobho uvaleka ngegazi okanye olunye ulwelo.
- Ityhubhu iphuma ngaphambi kwexesha.
- Umngxuma okwi-eardrum oye wenziwa emva kokuba ityhubhu isusiwe awuzivali ngokwawo (kukho unyango olulula lwale nto).
Ukuba kukho into efana nale eyenzekayo, ngokuqinisekileyo tsalela umnxeba ugqirha wakho:
- Ukuba ulwelo olumthubi, olumdaka, okanye olunegazi luyaqhubeka nokuphuma endlebeni iveki emva kotyando.
- Ukuba umntwana unomkhuhlane ophezulu (ngaphezulu kwe-102°F/38.9°C).
- Ukuba uxelela umntwana wakho ngentlungu yendlebe .
- Ukuba ubona ingxaki ngokuva komntwana wakho okanye ukulinganisela kwakhe .
Zithini iingenelo zokufakwa kweetyhubhu zeendlebe?
Kukho iingenelo ezininzi kumntwana kolu tyando luncinci.
- Usulelo oluqhelekileyo lwendlebe luncitshiswa kakhulu okanye lupheliswe ngokupheleleyo.
- Ukuba indlebe yayizaliswe lulwelo, ukuva komntwana kuya kubuyela kwimeko yesiqhelo xa sele kususiwe.
- Xa abantwana beva kakuhle, izakhono zabo zokuthetha nokufunda zikhula ngokukhawuleza.
- Ngenxa yokuba iintlungu zendlebe ziphelile, ukungazinzi nokukhala komntwana kuyaphela, aze aqale ukulala ngcono .
- Ukunika umntwana amayeza okubulala iintsholongwane rhoqo kunokusindisa umntwana.
Logama nje ityhubhu isendlebeni, iya kuzikhupha ize iwele xa i-eardrum iphola. Ngenxa yokuba zincinci kakhulu, ngamanye amaxesha zinokuwa ngaphandle kokuba wena wazi. Leyo yinkqubo eqhelekileyo.
Umyalezo Wokuya Ekhaya
- Iityhubhu zeendlebe ziluncedo kakhulu kwaye zikhuselekileyo kwiingxaki ezinje ngokuhlala zikho izifo zendlebe kunye nokuqokelelwa kolwelo endlebeni.
- Olu lutyando olufutshane kakhulu nolulula oluthatha malunga nemizuzu eli-15. Ngoko ke musa ukoyika oku ngokungeyomfuneko.
- Oku kuphucula ukuva komntwana, intetho yakhe, kunye nempilo-ntle yakhe iyonke.
- Emva kokuba ityhubhu ifakiwe, landela imiyalelo kagqirha (usebenzisa amathontsi endlebe, ukuphinda uhlolwe) ngokuchanekileyo.
- Ityhubhu idla ngokuzikhupha yodwa kwiinyanga ezi-6 ukuya kwiminyaka emi-2.
- Ukuba uneengxaki okanye amathandabuzo, thetha nogqirha wakho ngazo ngokukhululekileyo.
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