Ngamanye amaxesha, ukubetheka okunzima endlebeni, usulelo lwendlebe, okanye impazamo xa ucoca indlebe yakho inokubangela ukuba i-eardrum yakho iphuke. Uninzi lwexesha, oku kuya kuphola ngokwako, kodwa kwabanye abantu, akuphili. Kulapho oogqirha bathetha khona ngolu tyando lubizwa ngokuba yi-'myringoplasty.' Makhe sijonge ukuba yintoni, ngubani oludingayo, kwaye lwenziwa njani.
Yintoni kanye kanye i-myringoplasty?
Ngamafutshane, i-myringoplasty lutyando lokulungisa i-eardrum ephukileyo .
I-eardrum yethu, okanye ngokwezonyango, i-tympanic membrane, yi-membrane encinci kakhulu, ephakathi kwendlebe yethu yangaphandle nephakathi. Ifana nolusu lwedrama. Xa amaza esandi avela ngaphandle ebetha le membrane, iyangcangcazela. Oko kungcangcazela kuko okusinceda sive isandi.
Ngoko ke xa le ndlebe igqobhokile, iba njengedrama egqobhokileyo, kwaye izandi azivakali kakuhle. Ayipheleli apho, kodwa amanzi kunye neentsholongwane ezivela ngaphandle zinokungena lula endlebeni ephakathi zize zibangele usulelo. Olu tyando lubandakanya ukufaka 'ipatshi' encinci, okanye i-graft, emngxunyeni kunye nokubuyisela indlebe kwindawo yayo eqhelekileyo. Oku akupheleli nje ekuphuculeni ukuva, kodwa kunokunciphisa nomngcipheko weengxaki ezinzulu ezifana nosulelo lwendlebe oluqhelekileyo, iimeko ezifana ne-vertigo, kunye nosulelo lwethambo elingasemva kwendlebe (mastoiditis).
Olu lutyando oluqhelekileyo olwenziwa ziingcali zendlebe, impumlo, kunye nomphimbo (iingcali ze-otolaryngologists). Kukho amaxesha apho olu tyando lufuneka kubantu abadala kunye nabantwana.
Ngubani ngokwenene odinga olu tyando?
Uninzi lwexesha, umngxuma omncinci uyaphola ngokwawo kwiiveki ezimbalwa. Nangona kunjalo, kulapho ugqirha egqiba khona ukwenza olu tyando.
| Amathuba | Ingcaciso elula |
|---|---|
| Inxeba alizipholi ngokwalo. | Ukuba i-eardrum ayizivalanga yodwa nangona sele kudlule iinyanga ezintathu igqobhokile. |
| Usulelo lwendlebe oluqhelekileyo | Ukuba indlebe yakho ihlala inomsindo kwaye inentsholongwane, oku kungenxa yokuba umngxuma uvumela iintsholongwane ukuba zingene lula. |
| Ukulahlekelwa kukuva | Ukuba ukuva kwakho kuye kwehla kakhulu ngenxa yomngxuma kwi-eardrum yakho. |
| Ingozi | Ukuba i-eardrum yonakele kakhulu ngenxa yengozi okanye ukubetheka endlebeni. |
Zeziphi izinto ezisetyenziswayo ukulungisa i-eardrum? (Ii-Grafts)
Oogqirha basebenzisa izixhobo ezahlukeneyo ukwenza i-patch okanye i-graft evala umngxuma kwi-eardrum yakho. Uninzi lwazo zithathwa emzimbeni wakho. Ngoko ke umzimba wakho awuyi kuzilahla.
- I-Temporalis fascia: Le yindlela esetyenziswa kakhulu. Le sisicwili esomeleleyo esibekwe ngaphezulu kwendlebe yakho, sijikeleze umsipha oshukumisa i-eardrum. Ngexesha lotyando, kuthathwa iqhekeza elincinci laso ukuze kuvalwe umngxuma kwi-eardrum.
- I-Perichondrium: Le graft ingenziwa nangokuthatha iqhekeza elincinci le-membrane ejikeleze i-cartilage kwi-earlobe yethu.
- Amafutha: Kwezinye iimeko, iqhekeza elincinci lezicubu zamafutha ezithathwe kwi-earlobe lisetyenziselwa ukuvala umngxuma. Oku kukwabizwa ngokuba yi-fat graft myringoplasty.
- I-Cartilage: Kukho iimeko apho olu tyando lwenziwa ngokuthatha iqhekeza elincinci le-cartilage endlebeni ngokwayo.
- Izinto ezenziweyo: Ngamanye amaxesha izinto ezenziweyo, ezifana nephepha lotyando elikhethekileyo, nazo zingasetyenziselwa le njongo.
Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe ngokwemeko yakho.
Uzilungiselela njani ngaphambi kotyando?
Nangona olu tyando lungelulo olukhulu, kufuneka amalungiselelo amancinci.
- Qiniseka ukuba uxelela ugqirha wakho malunga namayeza, iivithamini, okanye izongezo ozithathayo ngaphambi kotyando.
- Ngomhla wotyando, thetha nomhlobo okanye ilungu losapho eliza kukusa esibhedlele lize libuyele ekhaya.
- Cwangcisa ukuphumla iintsuku ezimbalwa emva kotyando, uphephe umsebenzi okanye isikolo .
Ingcinga encinci malunga nendlela olu tyando olwenziwa ngayo
Ixesha elininzi, olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo. Oku kuthetha ukuba awuyi kuva nto, uza kube ulele. Kwezinye iimeko ezilula, lunokwenziwa phantsi kwe-anesthesia yendawo, ethintela indlebe kuphela.
Ngexesha lotyando, ugqirha uza kulandela la manyathelo:
1. Ukufikelela kwi-eardrum: Kusikwa kancinci nge-ear canal okanye ngasemva kwendlebe ukuze kufikelelwe kwi-eardrum.
2. Ukulungisa umngxuma: Ithishu ejikeleze umngxuma iyacocwa ngokuyikrwela kancinci, ilungiselela ukuba i-graft entsha inamathele kakuhle.
3. Ukufumana i-graft: Izicubu ezifana ne-"Temporalis fascia" ekuthethwe ngayo ngaphambili zifunyanwa emzimbeni wakho.
4. Ukubekwa kwe-graft: Iqhekeza lethishu elivuniweyo libekwa ukuze livale umngxuma lize lilungiswe.
5. Ukuzalisa nokubopha indlebe: Ukuze i-eardrum ingashukumi, kufakwa uhlobo oluthile lomqhaphu ngaphakathi endlebeni kwaye kufakwe i-bandage ngaphandle.
Le nkqubo yonke idla ngokuthatha imizuzu engama-30 ukuya kwengama-90 .
Ungazinyamekela njani ekhaya emva kotyando?
Ngokwesiqhelo ungaya ekhaya ngosuku olunye emva kotyando. Nazi ezinye izinto ekufuneka uzinyamekele ukuze uphile ngokukhawuleza ekhaya.
Eyona nto ibalulekileyo kukugcina indlebe yomile. Ukugcina amanzi engangeni endlebeni kubaluleke kakhulu kwinkqubo yokuphiliswa.
| Izinto ekufanele zenziwe | Musa ukwenza |
|---|---|
| Thatha amayeza achazwe ngugqirha ngexesha elifanelekileyo (ingakumbi amathontsi endlebeni e-antibiotic). | Musa ukuhlamba ude ugqirha wakho akuxelele ukuba uhlambe. (Kulungile ukuhlamba ubuso bakho, kodwa gcina iqhekeza lekotoni endlebeni yakho ukuze amanzi angangeni endlebeni yakho). |
| Phumla kangangoko unako. | Musa ukukha impumlo yakho rhoqo . Oku kunokubangela uxinzelelo ezindlebeni zakho. |
| Ukuba uthimla, vula umlomo wakho uze unuke . Oku kuya kunciphisa uxinzelelo ezindlebeni zakho. | Musa ukudada okanye ukuntywila kangangeeveki ezimbalwa. |
| Yiya kuhlolo olulandelayo ngomhla ugqirha wakho akuxelele ngawo. | Musa ukuzama ukususa ibhandishi okanye uboya bekotoni endlebeni. |
Ngokwesiqhelo ungaphila kwiveki enye okanye ezimbini. Ukuba ungumntu omdala, kungcono ukuba ungaphangeli ubuncinane iveki enye. Ukuba ungumntwana, mgcine engekho esikolweni iveki yonke.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengalo naluphi na utyando, olu luneengenelo kunye neengozi ezincinci kakhulu.
Iingenelo
- Olu tyando luphumelele kakhulu . Izinga lempumelelo lingaphezulu kwe-90%.
- Kwabaninzi , ukuva kuyaphucuka emva kotyando.
- Ngenxa yokuba abantwana abancinci beva kakuhle, oko kunceda kakhulu ekuphuhliseni intetho yabo nolwimi lwabo .
- Usulelo oluqhelekileyo lwendlebe lunokuthintelwa .
Iingozi
Ezi zizinto ezinqabileyo kakhulu.
- Usulelo.
- Ukuva izandi ezahlukeneyo ezindlebeni (Tinnitus).
- Isiyezi.
- Ukulahlekelwa kukuva okwethutyana okanye okusisigxina.
- Ukusilela kwe-graft. Oku kuthetha ukuba izicubu ezityaliweyo azinamatheli.
- Ukuphinda komngxuma kwi-eardrum.
Xa kufuneka ubone ugqirha ngokukhawuleza!
Ukuba ufumana naziphi na ezi mpawu ngelixa usekhaya emva kotyando, fowunela ugqirha wakho ngokukhawuleza.
- Ukuba umkhuhlane wakho ungaphezulu kwama-39.4 Celsius (103 Fahrenheit) .
- Ukuba uneentlungu zendlebe ezibuhlungu ezingapheliyo nokuba sele usele amayeza.
- Ukuba uziva unesicaphucaphu esinzima.
- Ukuba uziva ubuthathaka kwizihlunu zobuso bakho (njengokufinga iintshiya).
- Ukuba unengxaki yokuphefumla.
- Ukuba ufumana isiyezi okanye isandi esibuhlungu ezindlebeni (i-tinnitus) loo nto ayipheli.
- Ukuba indlebe ivuza igazi kakhulu .
Nangona ezi zinto zisenzeka rhoqo, kubaluleke kakhulu ukuba uzazi.
Umyalezo Wokuya Ekhaya
- I-Myringoplasty lutyando oluphumelele kakhulu noluqhelekileyo lokulungisa i-eardrum eneembobo engazipholiyo ngokwayo.
- Oku kungayiphucula indlela ova ngayo kwaye kuthintele ukosuleleka rhoqo endlebeni.
- Ukuze uphile ngokukhawuleza emva kotyando, kubalulekile ukulandela imiyalelo kagqirha ngokuchanekileyo, ingakumbi izinto ezifana nokugcina amanzi engangeni ezindlebeni zakho.
- Ukuba ufumana naziphi na iimpawu ezinzulu emva kotyando, musa ukoyika kwaye wazise ugqirha wakho ngoko nangoko.
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