Ngaba nawe unengxaki yokuphefumla ngempumlo yakho? Oku kusenokuba kungenxa yokuwa kwevalvu yempumlo!

Ngaba uhlala uziva ngathi unengxaki yokuphefumla ngempumlo yakho? Ngaba uziva ngathi impumlo yakho ivalekile, ingakumbi xa uzilolonga okanye ulele? Emva koko usenokuba nesifo esibizwa ngokuba yi-Nasal Valve Collapse . Ungakhathazeki, le yingxaki abantu abaninzi abanayo. Makhe sithethe ngayo ngokweenkcukacha.

Yintoni i-Nasal Valve Collapse?

Ngamafutshane, i-Nasal Valve Collapse yimeko apho i-nasal valve, indlela yomoya engaphakathi empumlweni yakho ekuncedayo ukuphefumla, incipha. Cinga ngale ndlela, i-nasal valve ifana nesango elihluza kwaye licoce umoya xa siphefumla. Iqala embindini wempumlo iye ezantsi.

Ngoko ke, xa le valve iwa, oko kukuthi, xa iba mxinwa, umoya awukwazi ukudlula empumlweni ngokufanelekileyo. Kulapho ke sifumana ubunzima bokuphefumla. Ngamanye amaxesha, impumlo inokubonakala incinci okanye itshonile kuba ivalve empumlweni inciphile. Kodwa oku akusoloko kubonakala ngaphandle.

Ngaba kukho iintlobo zokuwa kwevalvu yempumlo?

Ewe, kukho iintlobo ezimbini eziphambili. Ivalvu yethu yempumlo inamacandelo amabini: ivalvu yempumlo yangaphakathi kunye nevalvu yempumlo yangaphandle. Ezi zimbini zikho kwaye izakhiwo ezizixhasayo zahlukile.

• Ukuwa kweValve yeNkumba yangaphakathi: Olu lolona hlobo luqhelekileyo. Le valve yempumlo yangaphakathi ikwindawo ephakathi kwempumlo, kwindlela yomoya.
• Ukuwa kweValve yeNkumba yangaphandle: Oku kufumaneka ezantsi kwempumlo, kufutshane neempumlo. Olu hlobo aluxhaphakanga kangako, kodwa lubonakala lula. Oku kungenxa yokuba xa uphefumla ngempumlo yakho, kunokubonakala ngathi iimpumlo enye okanye zombini ziyawa.

Ixhaphake kangakanani le meko?

Enyanisweni, ukuqhekeka kwevalvu yempumlo yeyona nto iphambili ekuvalekeni kwempumlo. Ukuvaleka kwempumlo yimeko edla ngokunyangwa ziingcali zendlebe, impumlo nomqala (iingcali ze-Otolaryngologists - iingcali ze-ENT). Ukuvaleka kwempumlo kwenzeka xa kukho ukuvaleka komngxuma wempumlo othintela ukuhamba komoya.

Zithini iimpawu zokuwa kwevalvu yempumlo?

Xa ivalvu yempumlo idilika, kuba nzima ukuphefumla ngempumlo enye okanye zombini. Iimpawu eziphambili zezi:

• Ubunzima bokuphefumla: Oku kunokuba kubi kakhulu xa usebenza okanye ulele phantsi. Umzekelo, ukuba ubaleka okanye unyuka izinyuko kwaye kufuneka uphefumle ngomlomo wakho endaweni yempumlo yakho, oku kungaba luphawu.
• Ukuphefumla ngomlomo emini kunye nokurhona ebusuku: Ekubeni ungakwazi ukuphefumla kakuhle ngempumlo yakho, ungaqondanga unokuqhela ukuphefumla ngomlomo wakho. Ukurhona ebusuku nako kunxulumene noku.
• Ukuxinana kweempumlo:Kukuba ndisoloko ndiziva ngathi ndibambekile.

Ukuba unevalvu yangaphandle yempumlo ewileyo, impumlo yakho isenokubonakala yahlukile kancinci. Oko kukuthi, isenokubonakala incinci kwezinye iindawo, okanye isenokungabonakali ilingana macala omabini.

Yintoni ebangela oku?

Ukuwa kweValve yeNqamza kubangelwa kubuthathaka kwezicubu, ingakumbi i-cartilage, exhasa ivalve yempumlo yakho. Oku kubangela ukuba indlela yomoya inciphe. Kukho izinto ezininzi ezinokubangela oku:

• Umahluko kwi-anatomiki: Abanye abantu banokuzalwa beneeyantlukwano ezithile kwindawo yempumlo yabo.
• Utyando: Isenokuba ngenxa yotyando lwempumlo lwangaphambili (i-rhinoplasty okanye umsebenzi wempumlo).
• Ukwenzakala: Kungabangelwa nayingozi enkulu empumlweni.

Zithini izinto ezibangela umngcipheko?

Kukho izinto ezininzi ezonyusa umngcipheko wokuwa kwevalvu yempumlo:

• I-Septum Ephambukile: Rhoqo, abantu abane-septum ephambukile baba ne-septum ephambukile (ibhanti elincinci le-cartilage kunye nethambo) embindini wempumlo yabo. Xa le septum iphambukile, i-septum yahlulwe yangamacandelo amabini angalinganiyo. Olu lwakhiwo lungalinganiyo lunokubangela ukuba icala elinye okanye omabini aqhekeke.
• Ulwakhiwo lwempumlo yokuzalwa: Usenokuzalwa uneempawu ezinyusa umngcipheko wokuwa kwevalvu yempumlo. Umzekelo, ukuba ne-septum ephambukile, iimpumlo ezimxinwa, indawo ebanzi phakathi kwempumlo (i-columella), okanye impumlo ephuma kakhulu kunokunyusa umngcipheko wakho.
• I-Rhinoplasty: Njengoko bekutshiwo ngaphambili, le meko inokwenzeka emva kwe-rhinoplasty. Nangona kunjalo, amaxesha amaninzi, iyancipha kancinci kunokuba ibe kukuwohloka okukhulu.

Kubalulekile: Ukuba ufumana ubunzima bokuphefumla emva kotyando lwempumlo, kubaluleke kakhulu ukwazisa ugqirha wakho ngaloo nto.

Ezinye izinto ezinobungozi:

• Ukwaluphala: Njengoko ukhula, izicubu ezixhasa ivalvu yempumlo zisenokuphelelwa ngamandla.
• Ukulimala: Ukulimala kwamathambo kunye nezicubu ngaphakathi kwempumlo kunokubangela ukuba amandla azo okuxhasa anciphe.

Ifunyanwa njani le meko (i-Nasal Valve Collapse)?

Xa ubona ugqirha, baya kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Banokukubuza nemibuzo efana nephepha lemibuzo le-Nosal Obstruction Symptom Evaluation (NOSE) . Iphepha lemibuzo le-NOSE lilinganisa iimpawu zakho ukusuka kwezincinci ukuya kwezinzima. Imibuzo imisela ukuba ukuphefumla kwakho, ukuxinana kweempumlo, kunye neengxaki zokulala zichaphazela kangakanani umgangatho wobomi bakho.

Ugqirha uza kuhlola impumlo yakho nomqala wakho ngononophelo. Oku kungabandakanya iimvavanyo ezininzi.

Uvavanyo lokufumanisa ukuwohloka kwevalvu yempumlo

• (I-Endoscopy): I-Endoscopy yempumlo yinkqubo esebenzisa i-endoscope (ityhubhu eguquguqukayo enekhamera kunye nokukhanya) ukujonga ngaphakathi kwempumlo. Oku kuvumela umbono ocacileyo wengaphakathi lempumlo.
• Uhlengahlengiso lweCottle: Kolu vavanyo, ugqirha uza kutsala isidlele sakho asibeke ecaleni aze azame ukwandisa indlela yokungena empumlweni. Okanye, ugqirha angasebenzisa isixhobo esincinci okanye i-cotton swab ukwandisa impumlo echaphazelekayo. Oku kuya kunceda ugqirha ukuba aqaphele apho kuvaliwe khona.

Iphathwa njani le nto?

Utyando ludla ngokufuneka ukuze kunyangwe ivalvu yempumlo ewileyo. Nangona kunjalo, ukuba iimpawu zakho azikho mbi kakhulu, ugqirha wakho unokucebisa iindlela ezingezizo zotyando zokulawula iimpawu zakho kuqala.

Utyando lokudilika kwevalvu yempumlo

Ugqirha wakho uza kucebisa indlela engcono yotyando yokulungisa ukubola kwevalvu yakho yempumlo. Uninzi lotyando lwenziwa ngaphandle kwesibhedlele, oko kuthetha ukuba ungagoduka ngosuku olunye notyando lwakho.

Iindlela ezininzi zonyango:

• Ukufakelwa: Oku kuquka ukuthatha i-cartilage okanye ithambo kwenye indawo yomzimba wakho, njengendlebe okanye ubambo lwakho, uze ulifake empumlweni yakho. Le tissue eyongezelelweyo isetyenziselwa ukwandisa i-nasal septum. Kukho iintlobo ezahlukeneyo zokufakelwa, ezona zixhaphakileyo yi-Alar Batten graft.
• Izinto ezifakelwayo: Isixhobo sifakwa empumlweni ukuxhasa i-cartilage ewileyo. Oku kungabandakanya isixhobo esimile okwebhabhathane le-titanium kunye nesixhobo esifakelwayo esibizwa ngokuba yiLatera®.
• Ukumiswa kweSuture: Oku kuquka ukusebenzisa i-sutures ukuncamathisela izicubu ze-nasal septum kwizicubu ezingaphantsi kweliso. Le nkqubo itsala i-nasal septum phezulu nangaphandle, yandisa indawo.

Usenokufuna utyando ukuze kulungiswe ezinye iingxaki zesakhiwo ezinokuba negalelo ekuweni kwe-nasal septum. Umzekelo:

• I-Septoplasty: Utyando lokulungisa i-septum ephambukile.
• Ukunciphisa iiTurbinate: Utyando lokunciphisa ubukhulu beeturbinate, eziyimilo yamathambo ngaphakathi kwempumlo.

Unyango lokuwa kwevalvu yempumlo ngaphandle kotyando

• Imicu Yokuphefumla: Le yimicu ebekwe ngaphandle kwempumlo. Iphakamisa ulusu kwaye ivule iimpumlo. Inokukunceda uphefumle lula ebusuku kwaye ulale ngcono.
• Ii-Internal Nasal Dilators: Ezi zizixhobo ezifakwa empumlweni. Zityhala i-cartilage ngaphandle kwaye zandise iimpumlo. Njengeetyhubhu zokuphefumla, zinokukunceda ulale ngcono ebusuku.

(Ukuwa kweValve yeNqamza) Ngaba imeko iza kuba mandundu?

Akusoloko kusenzeka, kodwa kunokwenzeka. Ukuwa kwevalvu yempumlo kubangelwa kukungabi namandla kwezakhiwo ezixhasa indlela yomoya yempumlo. Ngoko ke, ukuba iindawo ezibuthathaka azinyangwa ukuze ziqine, ezi zakhiwo zinokuwa ngakumbi.

Zithini iziphumo zokunyanga le meko?

Abantu abaninzi bathi emva kotyando lokulungisa ivalvu yempumlo ewileyo, iimpawu zabo ziye zaphucuka kakhulu. Nje ukuba ukuqhekeka kulungiswe, uya kukwazi ukuphefumla lula kwaye ulale ngcono.

Ndingayibuza yiphi imibuzo ugqirha?

Ungabuza ugqirha imibuzo efana nale:

• Imbi kangakanani ingozi?
• Ngaba ndiza kufuna utyando ukuze ndilungise oku?
• Zeziphi iintlobo zotyando ozicebisayo?
• Ziziphi iingozi ezinokubakho zotyando?
• Ingakanani izinga lempumelelo yotyando olucetyiswayo?
• Kuza kuthatha ixesha elingakanani ukuphiliswa?

Khumbula: Ukuba impumlo yakho ivalekile, ayibi ngcono, okanye yenza kube nzima ukuphefumla, bona ugqirha. Ezi mpawu zinokunxulunyaniswa nesiphene sokwakheka, njengevalvu yempumlo ewileyo. Ukuba ukuwa kwayo akukubi kakhulu, ugqirha wakho unokucebisa unyango lokulawula ukungonwabi. Kwezinye iimeko, utyando lolona khetho lufanelekileyo ukuqinisekisa ukuba ufumana umoya owaneleyo ngempumlo yakho. Ugqirha wakho uya kukuxelela ukuba zeziphi iindlela ezikulungeleyo.

Okokugqibela, umyalezo oya ekhaya:

Ubunzima bokuphefumla ngempumlo yakho asinto ithathwa lula. Inokuba nefuthe elikhulu kumgangatho wobomi bakho. Usenokungazi nokuba kunjalo, kodwa usenokuba neengxaki zokulala ebusuku kwaye uzive udiniwe emini. Konke oku kusenokubangelwa yingxaki yempumlo yakho.

Ngoko ke, ukuba uneempawu ezikhankanyiweyo kweli nqaku, ungathandabuzi ukufuna ingcebiso kagqirha. Ngoku kukho unyango olusebenzayo lwesifo esibizwa ngokuba yi-(Nasal Valve Collapse). Ukuba sifunyenwe kwaye sanyangwa kwangethuba, siya kukwazi ukuphefumla lula kwakhona!

Ukuwa kweValve yeNqamza , Ukuxinana kweNqamza, Ubunzima bokuphefumla, Ukurhona, Utyando lweMpumlo, iSeptum ephambukileyo, i-ENT