Ngaba wakha waphawula ukuba umntwana wakho uneentlungu zendlebe, waza ngequbuliso, xa wayesiba ngcono, umva wendlebe wavuvukala, wabomvu, waza waba buhlungu xa echukunyiswa? Okanye wakha wazibona ezi zinto ngokwakho? Musa ukuyithatha njengento nje ebuhlungu yendlebe. Le isenokuba yimeko enzima enokubangelwa lusulelo lwendlebe ephakathi olunganyangwanga. Namhlanje, sithetha ngemeko ebizwa ngokuba yi-'Mastoidite', ekufuneka uyicingele ngexesha elinje.
Yintoni le Mastoidite?
Ngamafutshane, i-mastoiditis lusulelo lwebhaktiriya kwithambo le-mastoid, eliyinxalenye yekhakayi emva kweendlebe zethu. Eli thambo alilothambo liqinileyo nje kuphela. Ngaphakathi kulo, njengemingxuma emincinci kwi-honeycomb, kukho amagumbi amaninzi amancinci azaliswe ngumoya (iiseli zomoya). Umsebenzi ophambili wezi zinto kukukhusela izakhiwo ezibuthathaka ngaphakathi kwendlebe, ukulawula uxinzelelo endlebeni, kunye nokunciphisa umonakalo kwikhakayi xa kwenzeka ingozi.
Okuqhele ukwenzeka kukuba ukuba usulelo lwendlebe ephakathi (i-Otitis Media) alunyangwa kakuhle, iintsholongwane ezibangele usulelo zisasazeka ukusuka endlebeni ephakathi ukuya kwiindawo zomoya kwithambo le-mastoid. Kulapho kuvela khona i-mastoiditis. Le meko ixhaphake kakhulu kubantwana abancinci, kodwa inokwenzeka nakubantu abadala.
Ngenxa yokuba imithambo-luvo nemithambo yegazi ebaluleke kakhulu emzimbeni wethu idlula kweli thambo le-mastoid, ukuba kukho usulelo apha, lunokusasazeka ngaphandle kwethambo luze lubangele iingxaki ezinkulu zempilo.
Abanye abantu banokuba nesifo esihlala ixesha elide esibizwa ngokuba yi-'Chronic Mastoiditis', esibangela ukukhupha okufana nobovu endlebeni.
Kutheni le meko isenzeka?
Njengoko benditshilo ngaphambili, eyona nto iphambili neyona ixhaphakileyo yile nto kusulelo lwendlebe ephakathi olunganyangwanga okanye olunganyangwanga ngokupheleleyo (Otitis Media). Iintsholongwane ezikwindlebe ephakathi ziyahamba kancinci ziye kwithambo le-mastoid.
Ukongeza, unobangela ongaqhelekanga yimeko ebizwa ngokuba yi-'cholesteatoma'. Oku kukuqokelelana okungaqhelekanga kweeseli zesikhumba ngaphakathi endlebeni, okwenza iqhuma. Eli qhuma linokuthintela ukuphuma kolwelo lwendlebe, okubangela usulelo kwaye kukhokelele kwi-mastoiditis.
Zithini iimpawu zoku?
Ufanele ukhathazeke kakhulu ngezi mpawu, ingakumbi ukuba umntwana wakho usandul’ ukuba nosulelo lwendlebe.
| Uphawu | Icacisiwe ngokulula |
|---|---|
| Ubomvu kunye nokudumba emva kwendlebe | Olu luphawu oluphambili. Ithambo elingasemva kwendlebe liba bomvu bumnyama kwaye lidumbe kakhulu. Libuhlungu kakhulu xa lichukunyiswa. |
| Indlebe ityhalelwe phambili | Ukudumba okungasemva kwendlebe kungabonakala ngathi kutyhalelwa phambili nasezantsi. |
| Ukukhupha amanzi endlebeni | Ulwelo olufana nobovu olunuka kakubi, olumthubi okanye oluhlaza lusenokuqhubeka luphuma ngaphakathi endlebeni. |
| Umkhuhlane, ukungonwabi kakuhle | Usulelo emzimbeni lunokubangela umkhuhlane ophezulu, iintlungu zomzimba, kunye nokudinwa kakhulu ukuba ungenza nantoni na. Abantwana abancinci badla ngokuvaleka amehlo. |
Zeziphi iimeko eziyingozi ezinokubakho ukuba azinyangwa?
Yile nto sonke esifanele siyoyike kakhulu. Ukuba sicinga ukuba yintlungu yendlebe nje, usulelo lunokusasazeka kwaye lubangele iingxaki ezinkulu kakhulu, ezisongela ubomi.
| Ingxaki | Icacisiwe ngokulula |
|---|---|
| Ukulahlekelwa Kukuva | Olu sulelo lungonakalisa iindawo ezibuthathaka zendlebe kwaye lubangele ukulahlekelwa kukuva okungapheliyo. |
| Ukukhubazeka kobuso | Ngenxa yokuba umthambo olawula izihlunu zobuso udlula kweli thambo, usulelo lunokusasazeka luze lubangele ukuba elinye icala lobuso liwe. |
| I-Meningitis okanye ithumba lobuchopho | Usulelo lunokusasazeka luye entloko, lubangele i-meningitis okanye ithumba lobuchopho. Oku kusongela ubomi. |
| I-Vertigo | Ukuba usulelo lusasazeka kwiindawo zendlebe ezinxulumene nokulinganisela komzimba (iLabyrinthitis), isiyezi esikhulu kunye nokuhlanza kunokwenzeka. |
| Amahlwili egazi | Kunqabile kakhulu ukuba kubekho amahlwili egazi kwimithambo yegazi yengqondo, nto leyo ebangela iimpawu ezifana nokutshintsha kombono kunye neentloko ezibuhlungu kakhulu. |
Uyifumana njani le nto, Gqirha?
Ukuba wena okanye umntwana wakho uneentlungu zendlebe ezihamba nomkhuhlane, iintlungu, ukubomvu, okanye ukudumba emva kwendlebe, bonana nogqirha ngokukhawuleza. Ugqirha uza kuqala ahlole ingaphakathi lendlebe ngesixhobo esibizwa ngokuba yi-otoscope. I-Mastoiditis ayiqhelekanga ngaphandle kosulelo lwendlebe ephakathi.
Emva koko, isampuli yolwelo lwendlebe ingathathwa ize ithunyelwe kuvavanyo lwelebhu (ukukhuliswa) ukuze kufunyaniswe ukuba zeziphi iibhaktheriya ezibangela usulelo.
Ukuba kukho ukurhanelwa ukuba le meko inzima, okanye ukuba kukho iingxaki ezirhanelwayo, uza kuthunyelwa kwi -CT scan . Oku kuya kuyibona ngokucacileyo imeko yethambo le-mastoid kunye nendawo ejikelezileyo. Ukuba kukho into efana ne-cyst kwenye indawo, kufuneka isuswe kwaye inyangwe.
Zithini iindlela zonyango zoku?
Unyango oluphambili lwale nto zii -antibiotics .
Ngokwesiqhelo, ukuba ufunyaniswe une-mastoiditis, wena okanye umntwana wakho kuya kufuneka ulaliswe esibhedlele ukuze ufumane unyango. Apho, uya kubonwa yingcali yendlebe, impumlo, nomqala (ingcali ye-ENT). Amayeza okubulala iintsholongwane aya kunikwa ngesirinji (IV - Intravenous) ukuze kulawulwe ngokukhawuleza usulelo.
Ukongeza, utyando oluncinci olubizwa ngokuba yi-myringotomy lunokwenziwa ukuze kususwe ubovu kwindlebe ephakathi. Oku kuquka ukwenza umngxuma omncinci kakhulu kwi-eardrum kunye nokukhupha ubovu kuyo. Ngamanye amaxesha, ityhubhu encinci ifakwa ngaphakathi komngxuma ukuze ihlale ivulekile. Le tyhubhu iya kuzikhupha yodwa kwiinyanga ezi-6-12.
Ukuba ii-antibiotics ze-IV aziniki nyango lukhawulezileyo, okanye ukuba kukho iingxaki ezifana nokuphuma kwethumba okanye ukulahleka kwethambo, i-mastoidectomy inokufuneka. Oku kubandakanya ukususwa ngotyando inxalenye enesifo yethambo le-mastoid.
Ungalibali, ukuba isifo sifunyenwe kwangethuba size sinyangwe ngamayeza okubulala iintsholongwane afanelekileyo, kwaye ukuba kuyimfuneko, utyando, zonke ezi ngxaki zinzima zinokuthintelwa kwaye umntu aphile ngokupheleleyo.
Umyalezo Wokuya Ekhaya
- I-Mastoiditis sisifo esibi kakhulu esichaphazela ithambo elingasemva kwendlebe. Isizathu esiphambili sale nto sisifo sendlebe ephakathi esingapholanga kakuhle.
- Iimpawu eziphambili kukudumba emva kwendlebe, ukuba bomvu, iintlungu eziqatha, umkhuhlane, kunye nokuphuma kolwelo endlebeni.
- Ungaze uzityeshele ezi mpawu, ingakumbi kubantwana abancinci.
- Eyona nto ingcono onokuyenza xa ubona uphawu olufana nolu kukubona ugqirha wakho ngoko nangoko.
- Xa unyango luqala ngokukhawuleza, kokukhona amathuba okuba kubekho iingxaki ezinobungozi ezifana nokulahlekelwa kukuva kunye ne-meningitis ancipha.
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