Ingaba indlebe yomntwana wakho inamathela njengentsini? Le yi-'Glue Ear'!

Ngaba ngamanye amaxesha uvakalelwa kukuba umntwana wakho akakuvi xa uthetha naye? Okanye uvula iTV kakhulu? Kusenokuba kungenxa yokuba indlebe yomntwana wakho izaliswe lulwelo oluqinileyo nolunamathelayo. Njengoogqirha, esi sifo sibizwa ngokuba yi-'Glue Ear'. Ngokwezonyango, sikwabizwa ngokuba yi-'(Otitis Media with Effusion - OME)' okanye '(Secretory Otitis Media)'. Oku kunokwenzeka kwindlebe enye okanye zombini zomntwana. Kudla ngokubonakala emva kokosuleleka endlebeni, kodwa kunokubangelwa zezinye izizathu. Ungakhathazeki, le meko idla ngokuba ngcono emva kwexesha elithile. Nangona kunjalo, ukuba iyaqhubeka, inokuchaphazela ukuva komntwana wakho.

Yintoni kanye kanye 'iGlue Ear'? Ikhula njani?

Ngamafutshane, 'indlebe yeglue' lulwelo oluqinileyo nolunamathelayo oluqokelelana ngaphakathi kwendlebe ephakathi yomntwana wakho (indawo engenanto emva kwegum lendlebe). Ibizwa ngokuba 'yindlebe yeglue' kuba ifana netshungama.

Khawuthelekelele, ukuze sive kakuhle, indlebe yethu ephakathi kufuneka icace kwaye izaliswe ngumoya. Lo moya ungena kwindlebe ephakathi ngeetyhubhu ezimbini ezibizwa ngokuba ziityhubhu ze-Eustachian . Ezi tyhubhu zimbini zidibanisa indlebe yethu ephakathi nomqala. Ngokuchanekileyo, ezi tyhubhu ziqala ngasemva kwempumlo ziye emqaleni ziye kwindlebe ephakathi. Omnye wemisebenzi ephambili yale tyhubhu ze-Eustachian kukukhupha ulwelo olungafunekiyo oluqokelelana kwindlebe ephakathi. Siginya ulwelo oluphumayo singaqondanga.

Ezi tyhubhu ze-Eustachian ebantwaneni abancinci zibanzi kunezabantu abadala, kwaye zikwabekwe ngokuthe tye. Ngenxa yoko, azisebenzi kakuhle njengakwibantu abadala. Ngoko ke, ukuba iityhubhu ze-Eustachian zomntwana zivalekile ngesizathu esithile, umoya awungeni endlebeni ephakathi. Emva koko iiseli ezikwimaleko engaphakathi yendlebe ephakathi ziqala ukuvelisa ulwelo oluqinileyo nolunamathelayo. Yiloo nto ibizwa ngokuba yi-'glue ear'.

Xa indlebe ephakathi izele lulwelo, i-eardrum ayikwazi ukungcangcazela kakuhle. Emva koko amaza esandi awahambi kakuhle aye endlebeni engaphakathi. Yiyo loo nto abantwana bengeva kakuhle.

Ngubani onokuthi abe nale meko 'ye-glue ear'? Ixhaphake kangakanani?

'Indlebe enamathelayo' yimeko edla ngokuchaphazela abantwana abancinci , ingakumbi iintsana kunye nabantwana abangaphantsi kweminyaka emi-6 ubudala. Nangona kunjalo, ngamanye amaxesha inokuchaphazela nabantu abadala.

Oku kuqhelekile kangangokuba ukuba uthatha abantwana abahlanu abasaqalayo isikolo, omnye wabo uya kuba 'nendlebe yeglue' nangaliphi na ixesha. Kwakhona, malunga nesibhozo kwabantwana abalishumi baya kuba nale meko ngaphambi kokuba bafikelele kwiminyaka eli-10. Ngoko ke oku akunto intsha.

Ndingazi njani ukuba umntwana wam omncinci 'unendlebe yeglue'? Zithini iimpawu?

Uphawu oluphambili 'lwe-glue ear' ebantwaneni nakubantu abadala kukulahlekelwa kukuva . Oku kungenzeka kwindlebe enye okanye zombini ngaxeshanye. Kungavakala ngathi uneziqwenga zendlebe ezimbini endlebeni yakho, nto leyo enciphisa isandi esikujikelezileyo kwaye ikwenze uzive udidekile. Ukuba umntwana omncinci uyaqhubeka nokuba nengxaki yokuva, oku kunokuchaphazela ubuchule bakhe bokuthetha nokuphuhlisa ulwimi . Umzekelo, banokungakwazi ukuchaza amagama ngokucacileyo.

Ukongeza, umntwana wakho unokufumana ezi mpawu zilandelayo:

• Intlungu yendlebe.
• I-Tinnitus sisandi esivakala okanye esivakalayo ezindlebeni.
• Ukuziva uxinezelekile, ugcwele, okanye isandi 'sokugquma' endlebeni xa uginya.

Iintsana aziqondi xa uzixelela ukuba aziva. Ngoko ke nguwe omele ujonge ezi mpawu. Ukuba umntwana wakho okanye umntwana wakho omncinci 'unendlebe yeglue', unokubona izinto ezifana nezi:

• Utshintsho kwindlela yokuziphatha: Ukuziva ulele ngalo lonke ixesha, ukucaphuka ngokukhawuleza kunangaphambili.
• Ukungakhathalelwa: Kubonakala ngathi akukho ngqalelo kuyo yonke into.
• Ukukhetha ukudlala wedwa.
• Akuphenduli xa ufowuna.
• Ukucela umntu ukuba aphinde into oyithethileyo.
• Ndicela ukunyusa ivolumu yeTV kakhulu.
• Ukuthetha kakhulu kunangaphambili.

Ukuba umntwana wakho ubonakalisa enye okanye ngaphezulu kwezi mpawu, kungcono ukubona ugqirha ukuze akunike ingcebiso.

Yintoni ebangela 'indlebe yeglue'?

Indlebe eneglue idla ngokuvela emva kokuba usulelo lwendlebe luphelile . Ibangelwa lulwelo olusele endlebeni emva kokuba usulelo luphelile. Nangona kunjalo, indlebe eneglue ayisoloko ibangelwa lusulelo lwendlebe. Eyona nto ixhaphakileyo kukuvaleka kwetyhubhu ye-Eustachian yomntwana. Oku kuvaleka kunokubangelwa zizizathu ezahlukeneyo:

• Umkhuhlane kunye nomkhuhlane.
• Iintlobo ngeentlobo ze-allergies.
• Ii-adenoid ezivuvukileyo: Ezi zifumaneka kufutshane nomqala kunye nempumlo, kufutshane neendlebe.
• Ukuchanabeka kwizinto ezikucaphukisayo njengomsi wecuba (Ukutshaya ngaphandle kokutshaya). Oku kubaluleke kakhulu.
• Ezinye iimeko zemfuza ezifana ``(Down syndrome)``.
• Impumlo eqhekekileyo.
• I-GERD (isifo se-gastroesophageal reflux) okanye i-chronic acid reflux.
• Ukuncancisa umntwana xa elele: Oku kunokwenzeka ukuba ubeka umntwana wakho emqolo ngelixa umncancisa ngebhotile.
• Utshintsho olukhawulezileyo kuxinzelelo lomoya: njengaxa ubhabha ngenqwelo moya okanye untywila.

Kubalulekile: Indlebe eneglu ayiphumi ngenxa yokuqokelelwa kwe-earwax. Ayiphumi namanzi angena endlebeni xa uhlamba okanye udada.

Oogqirha bayixilonga njani 'indlebe yeglue'?

Ugqirha womntwana wakho uza kuqala ahlole iindlebe zomntwana wakho. Baza kusebenzisa isixhobo esincinci (i-otoscope) ukukhangela ulwelo ngaphakathi endlebeni.

Ngamanye amaxesha ugqirha uthi, "Masilinde ithutyana sibone ukuba oku kuza kuphela ngokwako na." Kuba oko kuhlala kunjalo. Kodwa ukuba iimpawu ziyaqhubeka emva kweenyanga ezimbalwa, baya kukuthumela ukuze ufumane uvavanyo nonyango olongezelelekileyo.

Luhlobo luni lovavanyo oluqhutywayo?

Ukuba ugqirha wakho ugqiba kwelokuba kufuneka uvavanyo olongezelelweyo, uza kukuthumela kwingcali ye-audiologist okanye kwingcali yendlebe, impumlo, nomqala (ENT).

Ingcali iza kwenza uvavanyo olubizwa ngokuba luvavanyo lwe-tympanometry ukujonga iindlebe zomntwana wakho. Olu vavanyo lulinganisa ukuba i-eardrum yomntwana inokuhamba kakuhle kangakanani. Baza kufaka isixhobo esikhethekileyo esinemakrofoni kunye nomthombo wesandi kumjelo wendlebe yomntwana. Esi sixhobo siza kulinganisa indlela uxinzelelo olungaphakathi komjelo wendlebe olutshintsha ngayo, kwaye amaza esandi aza kuphuma kwi-eardrum. Ukuba kukho ulwelo kwindlebe ephakathi yomntwana, i-eardrum ayizukuhamba kakuhle. Baza kusebenzisa igrafu ebizwa ngokuba yi-tympanogram ukujonga ezi ziphumo.

Ukongeza, ingcali ingenza uvavanyo lokuva . Oku kuya kujonga ukuba lungakanani na ulwelo oluphakathi kwendlebe oluchaphazele ukuva komntwana. Uvavanyo lokuva lunokunceda ekuqinisekiseni ukuba ukulahleka kokuva kukhulu kangakanani kwaye yintoni unobangela.

Ziziphi iindlela zonyango 'zendlebe yeglue'?

Uninzi lwexesha, i-glue ear iya kuba ngcono ngokwayo ngaphandle konyango . Ugqirha womntwana wakho uhlala elinda iinyanga ezimbalwa ukuze abone ukuba ulwelo luyaphela na ngokwalo. Ukuba iimpawu zomntwana wakho aziphucuki ngokwazo, kukho unyango olunokunceda:

• Ii-antibiotics: Ukuba umntwana wakho unentlungu kunye nokuqokelelana kolwelo endlebeni yakhe, isenokuba yintsholongwane yendlebe. Kwimeko ezinjalo, ugqirha uya kumyalela ii-antibiotics ukuze amnyange.
• I-Myringotomy: Ngamanye amaxesha ingcali ingacebisa utyando oluncinci olubizwa ngokuba yi-"Myringotomy." Oku kuquka ukwenza utyando oluncinci kwi-eardrum yomntwana kunye nokukhupha ulwelo kwindlebe ephakathi. Ngamanye amaxesha ingcali iza kufaka ityhubhu encinci, engenanto (ityhubhu yendlebe / iGrommet) nge-incision. Le tube inceda ukulinganisa uxinzelelo phakathi kwe-eardrum kunye nendlebe ephakathi. Ikwanceda ukukhupha ulwelo oluvela kwindlebe ephakathi ukuya kwindlebe yangaphandle. Le tube idla ngokuzikhupha yodwa kungekapheli nonyaka.
• Utyando lwe-Adenoid: Ukuba 'indlebe yeglue' yomntwana wakho ibangelwa yi-adenoids evuvukileyo, ugqirha wakho angenza 'i-Adenoidectomy'. Olu tyando ludla ngokwenziwa kunye ne-'Myringotomy', equka ukususwa kwe-adenoids evuvukileyo.
• Izixhobo zokuncedisa ukuva: Izixhobo zokuncedisa ukuva zizixhobo ezikhulisa isandi. Ugqirha unokucebisa izixhobo zokuncedisa ukuva ukunceda abantwana abanengxaki yokuva okwethutyana. Abantwana bayazisebenzisa ezi ngelixa 'indlebe yeglue' iphola, okanye xa utyando lwe-'myringotomy' lungenakwenzeka.

Ngaba kukho naziphi na iingxaki emva kotyando?

Kusenokwenzeka ukuba umntwana wakho akayi kuba nangxaki emva kokuhlinzwa nge-myringotomy. Umntwana wakho usenokuba nolwelo oluphuma endlebeni yakhe kangangeentsuku ezimbalwa emva kotyando. Ukuba ulwelo luqhubeka luphuma kangangeentsuku ezingaphezu kwezimbalwa, thetha nogqirha wakho.

Ngaba zikho iindlela zokukhulula 'indlebe yeglue' ekhaya?

Ewe, ngamanye amaxesha kukho imithambo embalwa elula onokuyenza ekhaya enokunceda ukucoca indlebe ephakathi yomntwana wakho okwethutyana:

• Indlela yokusebenzisa iValsalva: Le yindlela yokuphefumla. Xelela umntwana ukuba avale impumlo yakhe, avale umlomo wakhe, aze azame ukuvuthela umoya empumlweni yakhe. Umntwana uya kuziva iindlebe zakhe "zivuleka".
• Ibhaluni yempumlo ye-Otovent®: Esi sixhobo, esibizwa ngokuba yi-``(Otovent®)``, sinceda ekukhupheni ulwelo endlebeni yomntwana wakho. Impumlo enamathele kwibhaluni ifakwa empumlweni enye kwaye enye impumlo ivalwe ngomnwe. Emva koko umntwana uzama ukufutha ibhaluni ngempumlo yakhe. Oku kunyanzela umoya osuka ngasemva komqala uye endlebeni ephakathi, kunceda ukuvula ityhubhu ye-Eustachian.

Kodwa kubaluleke kakhulu ukubonisana nogqirha wakho ngaphambi kokuba uzame ezi ndlela.

Ngaba indlebe yeglue ingathintelwa?

Ukunciphisa umngcipheko wokosuleleka endlebeni komntwana wakho kunokunceda ekunciphiseni umngcipheko 'wendlebe enamathelayo'. Nazi ezinye izinto onokuzenza ukunciphisa umngcipheko wokosuleleka endlebeni komntwana wakho:

• Ukuncancisa: Izondlo ezikubisi lwebele zinceda iintsana zilwe nosulelo. Uphando lubonise ukuba iintsana ezincanciswayo azinawo amathuba amaninzi okukhula 'indlebe enamathelayo'.
• Bamba umntwana wakho ume nkqo ngelixa uncancisa: Nokuba uncancisa okanye uncancisa ibhotile, mbambe umntwana wakho ehleli endaweni yokulala phantsi. Oku kunokunceda ukuthintela ulwelo ukuba lungangeni kwiityhubhu ze-Eustachian ngelixa uncancisa.
• Kuphephe ukutshaya umsi osetyenziswa ngabanye abantu: Abantwana abachatshazelwa ngumsi osetyenziswa ngabanye abantu basengozini enkulu yokuba ne-'glue ear'. Kuphephe ukutshaya ngaphakathi nasezimotweni kangangoko kunokwenzeka.
• Uvavanyo lwe-allergy: Izinto ezibangela i-allergy ezifana ne-pollen, i-dust mites, kunye ne-dander yezilwanyana zinokubangela ukuba iityhubhu ze-Eustachian zidumbe. Ukuba ucinga ukuba le yimbangela ye-'glue ear' yomntwana wakho, buza ugqirha wakho malunga novavanyo lwe-allergy.
• Ucoceko kunye nokubulala iintsholongwane: Fundisa umntwana wakho indlela yokuhlamba izandla zakhe ngokufanelekileyo. Hlamba izandla zakhe ngesepha namanzi ubuncinane imizuzwana engama-20. Kwakhona, gcina iindawo zasekhaya kunye nezinto zokudlala zicocekile ngokuzisula rhoqo.

Yintoni endimele ndiyilindele ukuba umntwana wam une-'glue ear'?

'Indlebe enamathelayo' yimeko eqhelekileyo edla ngokuba ngcono ngokwayo. Nangona kunjalo, ukuba iimpawu ziyaqhubeka kangangeenyanga eziliqela, zinokuchaphazela ukuva komntwana. Zinokuchaphazela amandla akhe okuthetha nokuphuhlisa ulwimi. Ezi ngxaki zinokubangela ubunzima bokufunda, kunye neengxaki zokunxibelelana nokunxulumana nabanye abantu.

Kodwa eyona nto ilungileyo kukuba, nokuba ulwelo luhlala endlebeni kangangeenyanga, uninzi lwabantwana alubi neengxaki zokuva okanye zokuthetha ixesha elide ngenxa yesi simo.

Ingaba 'unyaka weglue' ungahlala ixesha elingakanani?

Uninzi lwexesha, i-glue ear iya kuba ngcono ngokwayo kwiiveki ezimbini ukuya kwezintathu. Ngamanye amaxesha, imeko inokuhlala iinyanga ezininzi. Ukuba ayibi ngcono ngokwayo kwiinyanga ezintathu, thetha nogqirha womntwana wakho malunga nonyango olufanelekileyo.

Ngaba umntwana one-'glue ear' angahlamba okanye aqubhe?

Ukuba umntwana wakho uneetyhubhu zendlebe, ugqirha uya kumxelela ukuba angamanzisi iindlebe zakhe kangangeeveki ezimbini ukuya kwezine emva kotyando. Oku kuthetha ukuba akufuneki babhukude okanye bahlambe. Banokuhlamba umzimba wabo ngaphandle kokuba bamanzise iindlebe zabo. Emva kwelo xesha, ngokuqhelekileyo akukho miqathango yokuhlamba okanye ukudada emachibini.

Kodwa abanye abantwana abasengozini enkulu yokufumana usulelo banokufuna ukuthatha amanyathelo okhuseleko angakumbi. Ukuba kunjalo, ugqirha womntwana wakho unokucebisa izinto ezifana nezi:

• Kuphephe ukutsiba emanzini okanye ukuntywila.
• Sebenzisa ii-earplugs kunye ne-swim cap xa udada.
• Musa ukuya kwiindawo ezifana namachibi kunye namachibi okubhukuda angenachlorine.
• Xa uhlamba iinwele zomntwana wakho, lumka ungangeni manzi ezindlebeni zakhe.

Ingaba yingxaki na ukuba umntwana one-'glue ear' ehamba ngenqwelomoya?

Uninzi lwabantwana abaneendlebe ezinamathelayo abayi kuba nangxaki yokubhabha kwinqwelo-moya. Nangona kunjalo, licebo elihle ukubuza ugqirha womntwana wakho ngemeko ethile yomntwana wakho. Ulwelo olukwindlebe ephakathi lunokwanda ngexesha lokusuka nokufika, nto leyo enokubangela ukungakhululeki. Oku kubizwa ngokuba yi-"airplane ear." Ukutya okanye ukusela into ethile ngexesha lokusuka nokufika kunokunceda ukuvula ityhubhu ye-Eustachian yomntwana wakho kwaye kunciphise ukungakhululeki.

Yeyiphi imibuzo endifanele ndiyibuze ugqirha womntwana wam?

Ukuba umntwana wakho une-'glue ear', usenokuba nemibuzo emininzi malunga nale meko. Ugqirha womntwana wakho angaphendula nayiphi na imibuzo onokuba nayo. Nazi ezinye zemibuzo onokumbuza ugqirha:

• Kutheni umntwana wam enolwelo endlebeni yakhe?
• Ngaba umntwana wam udinga unyango?
• Luhlobo luni lonyango umntwana wam aludingayo?
• Singayithintela njani le meko ukuba ingenzeki kwixesha elizayo?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Indlebe yeglue (Otitis Media with Effusion) yimeko eqhelekileyo ebantwaneni abancinci. Uninzi lwexesha, iba ngcono ngokwayo.Nangona kunjalo, ukwakheka kolwelo endlebeni kunokuphazamisa ukuva komntwana, nto leyo enokuchaphazela intetho kunye nophuhliso lolwimi.

Ngoko ke, ukuba ubona naziphi na iimpawu zale meko, bonana nogqirha womntwana wakho ngoko nangoko. Ugqirha angamhlola umntwana wakho aze amnike unyango olufanelekileyo ukuba kuyimfuneko. Iindaba ezimnandi zezokuba uninzi lwabantwana alubi neengxaki zokuva okanye zokuthetha ixesha elide ngenxa yale meko. Ngoko ke musa ukoyika ngokungeyomfuneko, kodwa kubalulekile ukuba uqaphele.

Indlebe yeglue , indlebe yeglue, i-otitis media ene-effusion, i-ear fluid, izifo zeendlebe ebantwaneni, ukukhubazeka kokuva, i-eustachian tube, i-myringotomy