Ngaba umntwana wakho uvuka ebusuku aze akhale rhoqo? Ngaba uhlala echukumisa aze atsale indlebe yakhe? Ngaba ngamanye amaxesha uyakhala kuba engakwazi ukutya okanye ukusela ubisi? Kufuneka ukuba uxhalabile kwaye uyoyika ezi zinto. Uninzi lwexesha, ezi mpawu kumntwana omncinci onje zibangelwa lusulelo lwendlebe. Kulungile ukuyifumana kube kanye okanye kabini, kodwa ukuba oku kuyaqhubeka, ke oogqirha bacebisa iityhubhu zendlebe njengesisombululo. Makhe sithethe ngale nto namhlanje.
Zithini ezi tyhubhu zeendlebe?
Ngamafutshane, ii-Ear Tubes zincinci kakhulu, njengeqhekeza elincinci le-tubing. Ngokuchanekileyo, i-tube encinci kakhulu ebekwe phezu kwe-eardrum. Kwisayensi yezonyango, ezi zibizwa ngamagama aliqela anje `(Tympanostomy tubes)`, `(Ventilation tubes)`. Ezi zihlala zenziwe ngeplastiki okanye ngesinyithi.
Ugqirha wenza umngxuma omncinci kakhulu kwi-eardrum yomntwana aze afake le tube ngayo. Umsebenzi ophambili woku kukukhupha ulwelo/ububomvu obuqokelelana kwindlebe ephakathi nokuvumela umoya ukuba ungene kwindlebe ephakathi. Oku kunciphisa uxinzelelo endlebeni kwaye kulawula kakhulu ukukhula kwezifo.
Kutheni umntwana edinga iityhubhu zeendlebe?
Abazali abaninzi bayazibuza, "Kutheni umntwana wam ehlala eneengxaki zendlebe?" Enyanisweni, uninzi lwabantwana abangaphantsi kweminyaka emi-5 baya kuba nosulelo lwendlebe olunye ubuncinane. Oku kungenxa yokuba ityhubhu ye-Eustachian, edibanisa indlebe nomqala kubantwana abancinci, imfutshane kwaye ithe tyaba ngakumbi kunakwabantu abadala. Kufana nomsele endlwini yethu. Ukuba le tyhubhu ayisebenzi kakuhle, ulwelo lunokuqokelelwa kwindlebe ephakathi.
Khawucinge nje, xa umntwana enesifo somkhuhlane, le "Eustachian tube" iyadumba ize izalise i-mucus. Emva koko ulwelo alukwazi ukuphuma luze lunamathele endlebeni. Iindawo ezinje ngale yeyona ndawo ilungileyo yokukhula kweentsholongwane ezifana neebhaktheriya kunye neentsholongwane. Esi sesona sizathu sokuba izifo zendlebe zihlale zisenzeka.
Ukuba ugqirha wakho ucebisa ukuba usebenzise iityhubhu zeendlebe, kunokubakho izizathu zoku:
| Isizathu | Inkcazo |
|---|---|
| Usulelo oluqhelekileyo | Ukuba ufumana usulelo lwendlebe izihlandlo ezithathu okanye ngaphezulu kwiinyanga ezi-6, okanye izihlandlo ezine okanye ngaphezulu kunyaka. |
| Ukuqokelelana kolwelo endlebeni (i-Otitis Media ene-Effusion) | Nokuba akukho ntsholongwane, ukuba indlebe ephakathi izaliswe lulwelo ixesha elide, oku kunokubangela ukuba umntwana angakwazi ukuva. |
| Izifo Ezingapheliyo | Ukuba unezifo ezingapheliyo zebhaktheriya ezinganyangekiyo ngokupheleleyo nokuba usebenzisa amayeza okubulala iintsholongwane. |
| Ukuphazamiseka kokuva | Ukuba umntwana akava kakuhle ngenxa yolwelo olusendlebeni, oko kuyayichaphazela indlela yakhe yokuthetha nokufunda. |
Musa ukuyithatha njengento eqhelekileyo into yokuba iintlungu zendlebe zihlala zibuhlungu. Zinokuba nefuthe elide ekuveni komntwana, ekuthetheni nasekufundeni.
Iimpawu zosulelo lwendlebe kumntwana
- Ukulila ngaphezu kwesiqhelo, rhoqo (ingakumbi xa ulele phantsi ebusuku).
- Ukutsala iindlebe, ukubamba iindlebe.
- Ulwelo olumthubi okanye olumdaka okanye ubovu obuphuma endlebeni.
- Uziva ngathi ulahlekelwa yibhalansi yakho, usiwa rhoqo.
- Ifiva.
- Ukungaphenduli kakuhle kwizandi (ngenxa yokungeva kakuhle).
- Ubunzima bokulala.
Olu tyando lwenziwa njani?
Olu lutyando olulula kakhulu noluncinci oluthatha malunga nemizuzu eli-15 . Lubizwa ngokuba yi-"Myringotomy" okanye "Tympanostomy".
Ixesha elininzi, oku kwenziwa kubantwana abancinci phantsi kwe -anesthesia eqhelekileyo. Isizathu soku kukuthintela umntwana ukuba anganyakazi ngexesha lotyando. Ekubeni umntwana elele, akaziva ntlungu. Kwabantu abadala, oku ngamanye amaxesha kunokwenziwa ngokufaka indlebe ebuhlungu kuphela.
Ngexesha lotyando, ugqirha wendlebe, impumlo, nomqala (ENT) uza kwenza oku kulandelayo:
1. Kwenziwa umngxuma omncinci kakhulu nothambileyo kwi-eardrum kusetyenziswa i-laser okanye isixhobo esincinci.
2. Lonke ulwelo oluqokelelene kwindlebe ephakathi luyasuswa ngononophelo (ngokufunxa).
3. Emva koko ityhubhu yendlebe ifakwa kumngxuma omncinci owenziweyo.
Umntwana angathathwa aye ekhaya kwiiyure ezimbalwa emva kotyando. Ukuba umntwana ebenengxaki yokuva, iya kunyamalala kwangoko emva kokuba ityhubhu ifakiwe aze aqale ukuva kakuhle.
Umlungiselela njani umntwana wakho ngaphambi kotyando?
Xa umntwana wakho exelelwa ukuba uza kwenziwa utyando, usenokuziva esoyika njengawe. Kubaluleke kakhulu ukumlungiselela ngengqondo.
- Musa ukusebenzisa amagama othusayo anje ngokuthi “usike indlebe yakho” okanye “ukuyihlaba.” Endaweni yoko, thetha into elula nengasongeliyo, njengokuthi “Ugqirha uza kwenza ifestile encinci endlebeni yakho, kwaye oko kuya kuyiphilisa intlungu yendlebe yakho.”
- Endaweni yokuthi "Ndikulalisa," yithi, "Amayeza akunika wona ugqirha aya kukunceda ulale kakuhle. Xa uvuka, yonke into iya kuba iphelile, kwaye uMama uya kuba ecaleni kwakho."
- Mvumele athathe ithoyizi okanye ingubo yakhe ayithandayo aye nayo esibhedlele.
- Mqinisekise ukuba uya kuhlala ukho ukuze umncede.
Kwenzeka ntoni emva kotyando? Kwaye ngaba kukho naziphi na iingozi?
Ngosuku olulandelayo emva kotyando, umntwana wakho usenokuziva ediniwe kancinci kwaye mhlawumbi enesicaphucaphu. Oku kungenxa ye-anesthesia. Oku kufanele kuphele ngokupheleleyo kungekapheli usuku okanye ezimbini. Ukuba umkhuhlane ungaphezulu kwe-102°F (38.9°C), tsalela umnxeba ugqirha wakho ngoko nangoko.
Kwiveki yokuqala emva kotyando, unokufumana ulwelo olunegazi oluphuma endlebeni yakho. Oku kuqhelekile. Nangona kunjalo , ukuba ulwelo olumthubi okanye olumdaka olufana nobovu luqhubeka luphuma ixesha elingaphezu kweveki, ukuba uneentlungu zendlebe, okanye ukuba kukho naluphi na utshintsho kwindlela ova ngayo, qiniseka ukuba wazise ugqirha wakho.
Nangona olu lutyando lukhuselekileyo, kukho iingozi ezithile ezinokwenzeka ngokungaqhelekanga:
- Ukuvaleka kwendlebe.
- Umbhobho uvaliwe.
- Umngxuma kwi-eardrum owakheka emva kokuba ityhubhu isusiwe awuzivali ngokwawo (oku kunokulungiswa nangonyango oluncinci).
- Usulelo.
Ezi azixhaphakanga kakhulu, kodwa kubalulekile ukuba uzazi. Thetha nogqirha wakho ukuba uneengxaki.
Iingenelo zeetyhubhu zeendlebe
Zininzi iingenelo zolu tyando luncinci kumntwana.
- Usulelo lweendlebe aluxhaphakanga kangako. Nokuba luphinda luvele, luyaphola ngokukhawuleza.
- Ukuva kuyaphola kakuhle kakhulu.
- Njengoko ukuva kuphucuka, ubuchule bomntwana bokuthetha nokufunda buyaphucuka.
- Njengoko intlungu engapheliyo iphela, ukuziphatha komntwana kuyaphucuka kwaye ixhala liyancipha.
- Ukuba ubunengxaki yokulala ngenxa yentlungu yendlebe, ubuthongo buya kuba ngcono.
- Akukho mfuneko yokusebenzisa amayeza okubulala iintsholongwane rhoqo.
Iityhubhu zendlebe zihlala zishiywa endlebeni kangangeenyanga ezi-6 ukuya kwiminyaka emi-2. Njengoko i-eardrum iphola, ityhubhu iya kuziphumela yodwa. Incinci kangangokuba ngamanye amaxesha wena okanye umntwana wakho aniyi kuqaphela nokuba iphumile.
Umyalezo Wokuya Ekhaya
- Ukuba umntwana wakho unesifo sendlebe rhoqo okanye ulahlekelwa kukuva ngenxa yokwakheka kolwelo endlebeni, ii-Ear Tubes zisisombululo esisebenzayo nesikhuselekileyo.
- Olu lutyando olulula kakhulu olunokwenziwa ngemizuzu eli-15 nje kuphela.
- Emva kotyando, izinto ezininzi ziyaphucuka, njengokuva komntwana, ukuthetha, ukuziphatha kwakhe kunye nokulala.
- Ukuba ubona into engaqhelekanga emva kotyando (ukopha okuqhubekayo, iintlungu ezigqithisileyo), yazisa ugqirha wakho ngoko nangoko.
- Thetha ngokukhululekileyo nogqirha wakho malunga nemibuzo okanye iinkxalabo onokuba nazo malunga noku. Bahlala bekulungele ukukunceda wena nomntwana wakho.
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