Ngaba wakha waziva ngolu hlobo? Khawuthelekelele uqhuba intaba okanye ubhabha ngenqwelomoya. Ngequbuliso, iindlebe zakho ziziva zivalekile, zinzima, kwaye isandi esivela ngaphandle siyancitshiswa. Ngelo xesha, sivula nje imilomo yethu size sizamle okanye siginye amathe amancinci. Emva koko, ngesandi esithi "pop", iindlebe zakho zibuyela kwisiqhelo, akunjalo? Phantse wonke umntu ukhe wahlangabezana nale mava ubuncinane kanye ebomini bakhe. Ngoko ke, ngaba wakha wazibuza ukuba kutheni oku kusenzeka, yeyiphi inkqubo emangalisayo eyenzeka kule ndlebe? Namhlanje siza kuthetha ngaloo nxalenye incinci kodwa ibaluleke kakhulu yomzimba wethu. Leyo yi-Eustachian Tube.
Yintoni i-Eustachian Tube?
Ngamafutshane, ityhubhu ye-Eustachian yityhubhu encinci edibanisa indlebe yethu ephakathi nomva womqala wethu (apho impumlo idibana khona nendlebe). Yenziwe ngamathambo kunye ne-cartilage. Unemibhobho emibini kumacala omabini obuso bakho, kwindlebe nganye. Ayinkulu kangako, idla ngokuba malunga neemilimitha ezingama-36 ubude (ngaphezulu kancinci kwe-intshi enye) kunye nobubanzi obuziimilimitha ezi-2-3.
Ithiywe ngegama likagqirha ogama linguBartolomeo Eustachi. Wayengowokuqala ukufumanisa unxibelelwano phakathi kwendlebe ephakathi, impumlo, nomqala. Ngamanye amaxesha oogqirha bayibiza ngokuba yityhubhu yokuva. Nokuba yeyiphi na indlela, yenza into efanayo.
Cinga ngendlebe yakho ephakathi njengegumbi elincinci elingenazifestile okanye iingcango. Eyona ndlela kuphela eli gumbi elinokunxibelelana ngayo nehlabathi langaphandle kukusebenzisa le tube yase-Eustachian. Ngoko ke ukuba le tube incinci ayisebenzi kakuhle, iingxaki ezininzi zinokwenzeka ngaphakathi kwelo gumbi.
Le tube incinci inika yiphi inkonzo emzimbeni wethu?
Nangona oku kuncinci, umsebenzi ewenzayo mkhulu kakhulu. Ngokuyintloko, imisebenzi emithathu yenziwa yile channel. Masibone ukuba yeyiphi.
| Umsebenzi ophambili | Icacisiwe ngokulula |
|---|---|
| 1. Ukususa ulwelo kwindlebe ephakathi | Indlebe yethu ephakathi isoloko ivelisa ulwelo oluncinci. Ukuba olu lwelo luyaqokelelana, luba yindawo efanelekileyo yokuzalela iintsholongwane ezifana neebhaktheriya. Kulapho ke kuvela khona usulelo lwendlebe. Umbhobho we-Eustachian usebenza njengomjelo wokukhupha amanzi, ukhupha olu lwelo lungafunekiyo emqaleni. |
| 2. Ukulinganisela uxinzelelo lomoya | Le yeyona nto ibalulekileyo. Uxinzelelo lomoya kumacala omabini e-eardrum yethu, oko kukuthi, ngaphakathi kwendlebe ephakathi nangaphandle kwendlebe, kufuneka lulingane. Kuphela kulapho i-eardrum inokungcangcazela ngokufanelekileyo size sive ngokucacileyo. Xa uvula umlomo wakho okanye uginya, le tube ivuleka kancinci, ivumela umoya ukuba ungene endlebeni ephakathi. Emva koko uxinzelelo luyalingana. Xa unyuka intaba, i-eardrum iyawa kuba uxinzelelo lwangaphandle luyehla kwaye olu lungelelwano luyalahleka. |
| 3. Ukukhusela indlebe ephakathi | Ngokwesiqhelo, xa ungaginyi okanye ungakhohlisi, le tube ivaliwe. Oku kuthintela iintsholongwane ezifana neentsholongwane kunye neebhaktheriya ukuba zingangeni endlebeni ephakathi ukusuka emqaleni nasempumlweni. Isebenza njengesango elikhuselayo. |
Kwenzeka njani ukuba i-Eustachian Tube Dysfunction ingasebenzi?
Ngamanye amaxesha le tube ye-Eustachian inokudumba ingavuleki okanye ivaleke kakuhle. Oogqirha bayibiza le meko ngokuthi yi-Eustachian Tube Dysfunction (ETD) . Ngamafutshane, kukuvaleka kwale tube. Kukho izizathu ezahlukeneyo zoku.
- Umkhuhlane: Xa unesifo somkhuhlane, izicubu ezingaphakathi kwempumlo yakho ziyadumba, kwaye izicubu ezijikeleze le tube nazo zinokudumba. Oku kunokubangela ukuba ityhubhu ivaleke.
- Ii-Allergy: Abantu abane-allergy kwizinto ezifana nothuli kunye ne-pollen banokufumana ukudumba kunye nokuvaleka kombhobho ngale ndlela.
- I-Sinusitis: Ukudumba okwenzeka xa imingxunya ye-sinus isulelekile kukwachaphazela nombhobho we-Eustachian.
- I-Barotrauma: Le meko inokwenzeka xa uxinzelelo lomoya wangaphandle lutshintsha ngequbuliso, njengaxa ubhabha, untywila, okanye unyuka iintaba, kwaye iindlela zomoya azikwazi ukuziqhelanisa.
- I-GERD (Isifo se-Gastroesophageal Reflux): Le yimeko apho i-asidi yesisu ingena emqaleni. Le asidi inokubangela ukudumba kwezicubu ezijikeleze umqala kunye nombhobho we-Eustachian.
- Ii-Tumors zendlebe: Oku kunqabile kakhulu, kodwa ezinye iintlobo zee-tumors zinokuwuvala lo mbhobho.
Kutheni le ngxaki ixhaphake kakhulu kubantwana abancinci?
Usenokuba uqaphele ukuba abantwana abancinci badla ngokuba neentlungu zendlebe. Esinye sezizathu eziphambili zoku yi-Eustachian tube. I-tube yomntwana imfutshane kancinci, ibanzi, kwaye ijonge ngokuthe tye kuneyomntu omdala. I-tube yomntu omdala ithambeke kancinci. Le ndawo yenza kube nzima kubantwana ukususa i-mucus kwindlebe ephakathi, kwaye ivumela iintsholongwane emqaleni ukuba zingene lula kwindlebe ephakathi. Yiyo loo nto abantwana behlala befumana usulelo lwendlebe.
Ngaba nawe unazo ezi mpawu?
Xa umbhobho we-Eustachian uvaliwe, iimpawu ezahlukeneyo zinokuvela. Jonga ukuba unayo na enye okanye ezingaphezulu kwezi.
| Uphawu | Indlela evakalelwa ngayo |
|---|---|
| Ukuziva ugcwele/ubunzima ezindlebeni | Ivakala ngathi inzima, ngokungathi umqhaphu unamathele endlebeni, okanye ngathi izaliswe ngamanzi. |
| Ukuva kuyaphazamiseka/kungavakali kakuhle | Izandi ezijikelezileyo zifana nokumamela ngaphakathi equleni. Awunakukuva oko kuthethwa ngokucacileyo. |
| Ukuva izandi ngaphakathi ezindlebeni | Isandi esithi "click" okanye "tock" sivakala, ingakumbi xa kuginywa amathe. |
| Intlungu yendlebe | Intlungu inokwenzeka kwindlebe enye okanye zombini, njengakwimeko yosulelo lwendlebe. |
| I-tinnitus | Ukuva isandi "esiqhubekayo..." ngaphakathi ezindlebeni zakho. |
| Iingxaki zokulinganisela umzimba | Kungavakala ngathi ulahlekelwa yibhalansi yakho xa uhamba. Indlebe ibaluleke kakhulu ekulinganiseni kwethu. |
| Isiyezi/I-Vertigo | Usenokuziva ngathi intloko yakho iyajikeleza okanye izinto ziyajikeleza. |
Uninzi lwexesha, ezi mpawu ziyaphela ngokwazo kwiintsuku ezimbalwa, xa unobangela oyintloko, njengomkhuhlane, uphelile.
Izinto ezilula onokuzizama ekhaya
Le ngxaki ayisoloko ifuna unyango olukhulu. Zimbalwa izinto ezilula onokuzizama ekhaya.
- Ukuhlafuna itshungama, ukuginya amathe, nokuvula umlomo: Ukwenza ezi zinto kuvuselela izihlunu zomqala wakho kwaye kunceda ukuvula umbhobho we-Eustachian.
- Ukucoca impumlo: Ukusebenzisa into efana ne-saline spray ukuhlamba nokucoca impumlo kakuhle kuya kunceda ekunciphiseni ukudumba empumlweni nokuvula iimpumlo.
- Ii-Decongestants okanye ii-Antihistamines: Buza ugqirha wakho malunga nokuthatha ii-decongestants okanye ii-antihistamines. Ezi zinokunceda ekunciphiseni ukudumba. Kodwa khumbula, kufuneka uhlale uqhagamshelana nogqirha wakho ngaphambi kokuba uthathe naluphi na unyango.
Masenze iValsalva Maneuver ngokuchanekileyo.
Le yindlela eyaziwayo eyaziwa ngabantu abaninzi. Inceda ekuvuleni indlebe evalekileyo. Kodwa akulunganga ukwenza oku ngokuvakalayo kakhulu. Ukwenza njalo kungonakalisa i-eardrum. Nantsi indlela yokukwenza ngokufanelekileyo.
1. Vala umlomo wakho ngokuqinileyo.
2. Vala impumlo zombini ngokuqinileyo ngeminwe emibini.
3. Ngoku, khupha umoya kancinci , ngokungathi uphefumlela umoya ngempumlo yakho. Ekubeni umlomo nempumlo yakho zivaliwe, akukho ndawo umoya oya kuyo, kwaye olo xinzelelo luya kuya kwityhubhu ye-Eustachian kwaye luncede ukuyivula.
4. Ukuba uva isandi esithi "tock", oko kuthetha ukuba ityhubhu ivuliwe.
Ukuphululwa kwetyhubhu ye-Eustachian
Le yenye indlela elula onokuyizama ekhaya.
1. Fumana ukubonakala kwamathambo emva kwendlebe ngomnwe wakho.
2. Ukusuka apho, hambisa umnwe wakho ezantsi. Uza kuziva kukho isithuba esincinci phakathi kwendlebe kunye nendlebe.
3. Ngoku, ucinezela kancinci, hambisa umnwe wakho entanyeni ngaloo mgca, uye kuthi ga kwi-collarbone.
4. Yenza oku kathathu ngecala, malunga namaxesha amathathu ngemini.
Ngaba udinga ukubona ugqirha?
Nangona le ngxaki idla ngokuzisombulula ngokwayo, kwezinye iimeko kubalulekile ukubona ugqirha.
Ngaphezulu kweeveki ezimbini zokwenza izinto ekhayaUkuba iimpawu zakho aziphucuki, okanye ukuba intlungu yendlebe, isiyezi, okanye ukulahleka kokuva kuya kuba nzima ngakumbi, qiniseka ukuba ubona ugqirha wakho.
Xa ubona ugqirha, baza kuhlola iindlebe zakho, impumlo, nomqala ngononophelo. Bangasebenzisa isixhobo esibizwa ngokuba yi-otoscope ukuhlola i-eardrum yakho ukuze babone ukuba akukho manzi aqokeleleneyo okanye usulelo. Ukuba kuyimfuneko, banokukuthumela kwizinto ezifana novavanyo lokuva.
Ziziphi iindlela zonyango ezikhoyo?
Ukuba unyango lwasekhaya aluncedi, ugqirha wakho unokukuthumela kwingcali yendlebe, impumlo, nomqala (ENT Surgeon). Apho, unyango luya kugqitywa ngokusekwe kubukhali bemeko.
- I-Tympanostomy (iityhubhu zendlebe): Oku kubandakanya inkqubo encinci yotyando apho kufakwa khona ityhubhu encinci kwi-eardrum. Oku kunceda ekukhupheni ulwelo oluvela kwindlebe ephakathi nokugcina uxinzelelo lomoya. Ityhubhu iya kuzikhupha yodwa emva kwexesha elithile.
- I-Eustachian Tuboplasty: Eyaziwa ngokuba yi-Balloon Dilation, le nkqubo ibandakanya ukufaka isixhobo esincinci esimile njengebhaluni ngempumlo singene kwi-Eustachian tube kunye nokukhupha ibhaluni ukuze ivule i-tube evalekileyo.
Olu nyango alufuneki rhoqo. Uninzi lwabantu aludingi ukuya kuthi ga apha.
Umyalezo Wokuya Ekhaya
- Ityhubhu ye-Eustachian yityhubhu encinci edibanisa indlebe yakho ephakathi nomqala, inceda ukulinganisa uxinzelelo lomoya kunye nokugcina iindlebe zakho ziphilile.
- Oku kuvinjwa kwetyhubhu (ETD) kunokuba ngunobangela wezinto ezifana nokugcwala kwendlebe, ukulahlekelwa kukuva, kunye nokukhala kweendlebe.
- Uninzi lwexesha, le meko ibangelwa zizizathu zexeshana, ezinje ngomkhuhlane okanye i-allergies, kwaye iba ngcono ngokwayo kwiintsuku ezimbalwa.
- Izinto ezilula ezifana nokuhlafuna itshungama, ukuginya, kunye nokwenza iValsalva maneuver zinokunceda.
- Ukuba iimpawu ziyaqhubeka kangangeeveki ezingaphezu kwezimbini okanye ziba nzima (ingakumbi iintlungu eziqatha, isiyezi), qiniseka ukuba ufuna ingcebiso kagqirha.
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