Ngaba kukho ulwelo oluphuma endlebeni yakho? (I-Otorrhea) – Masiqaphele oku!

Ngaba wakha waphawula ulwelo olumanzi, olumthubi, okanye ngamanye amaxesha into efana ne-mucus ephuma endlebeni yakho? Abanye abantu bayibiza le nto ngokuthi "ukukhupha indlebe" okanye "amanzi endlebeni." Abantwana abancinci banokuhlangabezana nale meko rhoqo. Asinto ibalulekileyo ukuyixhalabela, kodwa kubalulekile ukuyiqonda. Namhlanje, siza kuthetha ngale meko, okanye njengoko oogqirha beyibiza , i-otorrhea .

Yintoni i-Otorrhea? Ngamafutshane...

Ngamafutshane, i-otorrhea kukuphuma kolwelo oluvela endlebeni yakho. Oku kwenzeka rhoqo xa usulelo lwendlebe lubangela ukuqhekeka kwe-eardrum. Oku kuvumela ulwelo oluvela endlebeni ephakathi ukuba luphume ngomjelo wendlebe. Nangona kunjalo, kukho ezinye izizathu. Umzekelo, indlebe yomqubhi, imeko eyenzeka kubantu abaqubha rhoqo, okanye into yangaphandle ebambeke endlebeni, okanye ukwenzakala entloko ngenxa yengozi.

Ingaba i-otorrhea isoloko ilusulelo?

Hayi, oko akuyonyani. Kuyinyani ukuba imbangela ephambili ye -otorrhea lusulelo. Uninzi lwexesha, lusulelo lwendlebe ephakathi, olubizwa ngokuba yi-otitis media , okanye usulelo lwendlebe yangaphandle okanye ukudumba kwe-eardrum kunye nomjelo wendlebe, olubizwa ngokuba yi-otitis externa . Nangona kunjalo, njengoko bekutshiwo ngaphambili, ukuba kukho into ebambekayo endlebeni okanye ukuba wenzakele kakhulu entloko, kunokubangela ukuba kuphume ulwelo endlebeni. Ngoko ke, ukuba ubona ulwelo luphuma endlebeni yakho, ungacingi ukuba lusulelo, kodwa kungcono ukubona ugqirha ukuze ufumane unobangela ochanekileyo.

Ngubani ochaphazeleka kakhulu yile meko (i-Otorrhea)?

Le meko ixhaphake kakhulu kubantwana abancinci. Isizathu soku kukuba badla ngokufumana usulelo lwendlebe. Abantu abadala nabo banokuba nalo, kodwa ludla ngokubangelwa yinto efana nokwenzakala ngengozi endlebeni.

Enye into kukuba abanye abantwana abancinci badla ngokufumana usulelo lwendlebe, ngoko oogqirha bafaka ityhubhu encinci endlebeni zabo ("ityhubhu yendlebe"). Malunga ne-17% yabantwana abanale tyhubhu, okanye ishumi elinesixhenxe kwikhulu, ekugqibeleni baya kuba nolwelo ezindlebeni zabo. Ukuba umntwana wakho unenye yezi "tyhubhu zendlebe", ugqirha uya kukuxelela ukuba usebenzise amathontsi e-antibiotic ukunqanda ulwelo. Ukuba amathontsi awaluyekisi ulwelo, ugqirha uya kuphinda ajonge umntwana aze enze uvavanyo olongezelelekileyo.

Ukuba kukho abantwana okanye abantu abadala abanolwelo oluphuma ezindlebeni zabo ngenxa yesifo esikhankanyiweyo (i-otitis externa) okanye i-'ear's ear's, banokusebenzisa ii-'ear plugs' ezikhethekileyo ezifakwa ezindlebeni zabo xa behlamba okanye bedada. Okanye, ungayifaka i-petroleum jelly encinci kwiqhekeza elincinci le-cotton wool uze uyifake kwi-ear canal. Oku kunokunciphisa inani lamanzi angena endlebeni ukuya kuthi ga kwinqanaba elithile.

Zeziphi iintlobo zolwelo oluphuma endlebeni?

Kukho iintlobo ezintlanu eziphambili zolwelo oluphuma endlebeni:

• Ubovu: Kulapho kuvela khona ubovu. Buhlala bumthubi ngombala kwaye bunokuba bukhulu.
• I-Serous: Oku kubhekisa kulwelo olutyebileyo kwiproteni (i-serum) egazini lethu. Lusenokuba namanzi kancinci, kwaye lunokuba nombala otyheli okhanyayo.
• Igazi: Ngamanye amaxesha igazi linokuxutywa. Linokuba bomvu obumnyama okanye libomvu kancinci.
• I-Mucoid: Olu lulwelo olujiyileyo, olufana ne-mucus.
• Icacile: Ulwelo olucacileyo , olungenambala, olufana namanzi.

Ngale ndlela, ngokusekelwe kuhlobo lolwelo, ugqirha unokufumana umbono wokuba yintoni unobangela.

Ixhaphake kangakanani i-Otorrhea?

I-Otorrhea yimeko eqhelekileyo kakhulu. Ngamanye amaxesha inokubangelwa yimeko elula, engeyongozi kangako, kodwa ngamanye amaxesha ingaba luphawu lwemeko enzima. Eyona nto ixhaphakileyo lusulelo lwendlebe.

Zithini iimpawu zoku?

Uphawu oluphambili kukuphuma kwento ephuma endlebeni . Oku kukhupha into ephuma endlebeni kusenokuba kungenavumba okanye kube nevumba elibi. Kusenokuba kuncinci, kube namanzi, okanye kube ngqindilili. Umbala nawo uyafana; unokuba nemibala eyahlukeneyo, efana nombala ocacileyo, otyheli, okanye oluhlaza.

Ukongeza kolu phawu luphambili, kunokubakho nezinye iimpawu ezininzi eziqhelekileyo:

• Intlungu yendlebe
• Indlebe erhawuzelelayo
• Ukuva izandi ezahlukeneyo ezindlebeni (oogqirha babiza oku ngokuthi 'i-tinnitus')

Nangona kunjalo, abanye abantu banokufumana iimpawu ezinzulu ngakumbi. Kwiimeko ezinjalo, kubalulekile ukubona ugqirha ngokukhawuleza. Ezo mpawu ziquka:

• Ifiva
• Ububomvu besikhumba esijikeleze indlebe (oku kubizwa ngokuba yi-`erythema`)
• Ukulahlekelwa kukuva
• Iingxaki zemithambo-luvo ekhakhayini , umzekelo, ubunzima bokuthetha, ukuginya, okanye ukubona.
• Ukuziva unesizungu (vertigo)

Abantu abanezi mpawu basenokuba basandula ukwenzakala entloko (ukwenzakala entloko).

Abantu abanesifo seswekile okanye inkqubo yomzimba yokuzikhusela ebuthathaka kufuneka balumke kakhulu ngezi mpawu, kuba basengozini enkulu yokufumana iingxaki. Ukuba unezinye zeempawu ezinzulu ezikhankanyiweyo apha ngasentla, bona ugqirha ngokukhawuleza .

Kutheni oku (i-Otorrhea) kwenzeka? Zithini izizathu?

Njengoko bekutshiwo ngaphambili, kukho izizathu ezininzi zokurhorhozela.

Izizathu eziqhelekileyo:

• I-eardrum eqhekekileyo
• Usulelo lwendlebe ephakathi(Ezi zinokuba zexesha elifutshane `ezibukhali` okanye `ezingapheliyo` zexesha elide)
• Usulelo lwendlebe yangaphandle , olufana nendlebe yokubhukuda, okanye usulelo lwemvubelo yefungus yomjelo wendlebe
• Into yangaphandle inamathele endlebeni

Izizathu ezingaqhelekanga kodwa ezinokuba zinkulu ziquka:

• Ukukhula okungaqhelekanga kolusu emva kwe-eardrum (oku kubizwa ngokuba yi-cholesteatoma . Le yimeko enzima ngakumbi)
• Ukwaphuka ezantsi kwentloko yakho
• Umhlaza womsele wakho wendlebe
• Usulelo olukhulu lwangaphandle lwendlebe (oku kubizwa ngokuba yi-'Malignant (necrotizing) external otitis'. Olu sulelo lunzima oluchaphazela umjelo wangaphandle wendlebe kunye namathambo entloko)

Ingaba (i-Otorrhea) iyasulela?

I-Otorrhea ngokwayo ayisuleli. Ngokufanayo, usulelo lwendlebe aluqhelekanga ukuba losulele ukusuka komnye umntu ukuya komnye. Nangona kunjalo, ukuba unesulelo lwendlebe kunye nomkhuhlane, ungasasaza loo mkhuhlane kwabanye xa ukhohlela okanye uthimla.

Ugqirha uyixilonga njani le nto (i-Otorrhea)?

Xa usiya kugqirha, uza kuqala akuhlole. Olu vavanyo ludla ngokuquka:

• Baza kujonga ubushushu bakho kunye nezinye iimpawu ezibalulekileyo.
• Umjelo wakho wendlebe uza kuhlolwa ngononophelo ukuze kubonwe ukuba akukho manzi, usulelo, okanye umngxuma kwi-eardrum.
• Ziya kuvakala zijikeleze iindlebe zakho, isilevu sakho, nentamo yakho ukuze zibone ukuba akukho na ukudumba okanye nantoni na engaqhelekanga.
• Ulusu olujikeleze indlebe lujongwa ukuba alunabo ubomvu okanye ukudumba (ukudumba).

Zeziphi ezinye iimvavanyo ozenzayo?

Uninzi lwexesha, ugqirha wakho unokuxilonga i-otorrhea ngovavanyo lomzimba olukhankanyiweyo apha ngasentla. Nangona kunjalo, ngamanye amaxesha, kunokwenziwa uvavanyo olongezelelweyo ukuqinisekisa ukuxilongwa okanye ukufumana unobangela.

• Uvavanyo lokuva (`Audiometry`): Olu vavanyo luvavanya ukuba unokuva kakuhle kangakanani kwaye lungakanani na uluhlu lokuva kwakho.
• I-CT scan: Olu luvavanyo lokujonga imifanekiso. Lunokujonga ukuba usulelo lusasazeke ngaphaya kwendlebe ephakathi.
• I-MRI scan: Ukuba wenzakele entloko, le MRI inokubhaqa naluphi na uvuza kulwelo lwe-cerebrospinal (CSF) olujikeleze ingqondo yakho.
• Uvavanyo lwemithambo-luvo yentloko: Ukuba ukhe wenzakala entloko kutshanje okanye unengxaki yokubona, ukuginya, okanye ukuthetha, ugqirha wakho uza kujonga ukuba imithambo-luvo yakho yentloko isebenza kakuhle na.
• Inkcubeko: Isampulu encinci yolwelo oluvela endlebeni iyathathwa ize ivavanywe kwilebhu ukuze kubonwe ukuba kukho na intsholongwane okanye ifungi ekhula kuyo.

Iphathwa njani le nto?

Unyango lwe-otorrhea luxhomekeke kwisizathu sokuphuma kolwelo endlebeni yakho . Umzekelo, ukuba indlebe yakho ephakathi inentsholongwane, ugqirha wakho uza kukunika amayeza okubulala iintsholongwane ngomlomo. Kwizifo zendlebe engaphandle, badla ngokukunika amathontsi endlebeni anokubulala iintsholongwane.

Ukuba une-eardrum ephukileyo, mhlawumbi iya kuphola ngokwayo kwiiveki ezimbalwa. Nangona kunjalo, abanye abantu badinga utyando ukuze bavale umngxuma. Oku kubizwa ngokuba yi-tympanoplasty .

Ukuba unobangela awufumaneki kwangoko, ugqirha wakho uza kukuthumela kwingcali. Abantu abaneengxaki zendlebe rhoqo baza kuthunyelwa kwingcali yendlebe, impumlo nomqala (otolaryngologist - ENT surgeon) . Ukuba kukho ukurhaneleka ukuba le meko ibangelwa kukwenzakala entloko, ugqirha wakho uza kukuthumela kwi-neurosurgeon ukuze afumane uvavanyo olongezelelweyo kunye nonyango.

Ngaba i-otorrhea ingathintelwa?

Ixesha elininzi, kunzima kuthi ukulawula izizathu ze-(Otorrhea). Ngenxa yoko, akunakwenzeka ukuyithintela ngokupheleleyo. Nangona kunjalo, kwabo bahlala befumana imeko ebizwa ngokuba yi-'swimmer's ear', umngcipheko wokuphuma kolwelo endlebeni unokunciphisa ngokusebenzisa ii-'ear plugs' ezikhethekileyo xa uhlamba kwaye udada.

Kuza kwenzeka ntoni ukuba ndine-Otorrhea? Ngaba kufuneka ndikhathazeke?

Ixesha elininzi, ukunyanga i-otorrhea akunzima kangako. Ukuba kukho usulelo, ugqirha wakho uya kukunika amayeza okubulala iintsholongwane okanye amaconsi endlebeni okubulala iintsholongwane ukuze ayinyange.

Ukuba wena okanye umntwana wakho ninezifo zendlebe ezihlala zikho (iintsholongwane zendlebe ezingapheliyo), ugqirha wakho unokukuthumela kugqirha we-ENT ukuze avavanywe ngakumbi.

Nangona kunjalo, ukuba ulwelo luphuma endlebeni yakho ngenxa yokwenzakala entloko okusandul’ ukwenzeka, ugqirha wakho uza kukuthumela kugqirha wezinzwa ukuze afumanise ukuba uza kwenza ntoni emva koko. Le yimeko engxamisekileyo, ngoko ke ifuna ingqalelo ekhawulezileyo.

Ingaba le meko inokuhlala ixesha elingakanani?

I-Otorrhea inokuba yeyokwexeshana elifutshane (`acute`) okanye yexesha elide (`chronic`). Ukuba ihlala ixesha elingakanani ixhomekeke kwisizathu.

Ndifanele ndimbone nini ugqirha?

Ukuba uphuma indlebe yakho kangangeentsuku ezingaphezu kwezintathu , ngokuqinisekileyo kuya kufuneka ubone ugqirha. Kwakhona, ukuba unentlungu yendlebe, umkhuhlane, ukubomvu okujikeleze indlebe, okanye ukudumba entanyeni , bona ugqirha ngoko nangoko. I-Otorrhea luphawu olunokubangelwa zizizathu ezahlukeneyo. Nangona ezinye izizathu zingengobungozi, ezinye zinokuba yingozi. Ke ngoko, kubaluleke kakhulu ukufumana ukuxilongwa ngokukhawuleza.

Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba ulwelo luphuma endlebeni yakho emva kokwenzakala entloko kutshanje okanye ukwenzakala,Fowunela u-911 ngoko nangoko okanye uye kwigumbi likaxakeka elikufutshane. Kwakhona, ukuba unengxaki yokuginya, ukuthetha, okanye ukubona , kufuneka ufune uncedo lwezonyango ngoko nangoko.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, kungcono ukubuza le mibuzo:

• Kutheni olu lwelo luphuma endlebeni yam? Yintoni unobangela?
• Ingaba ndinesifo sendlebe? Ukuba kunjalo, loluphi uhlobo lwesifo?
• Luhlobo luni lweyeza endifanele ndilithathe?
• Ngaba kufuneka ndidibane nengcali?
• Ngaba kuya kufuneka ndenze iimvavanyo ezingaphezulu?
• Ngaba ndifuna unyango olungxamisekileyo?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Otorrhea kukuphuma kolwelo endlebeni. Inokuba nezizathu ezahlukeneyo. Idla ngokubangelwa lusulelo lwendlebe okanye i-eardrum eneembobo. Xa unyango luphela emva kweentsuku ezimbalwa. Nangona kunjalo, ngamanye amaxesha i-Otorrhea ingaba luphawu lokuba unenye ingxaki enkulu yempilo.

Ngoko ke, eyona nto ingcono onokuyenza kukubona ugqirha kwangoko xa ubona naziphi na iimpawu ezifana nokukhupha ulwelo endlebeni yakho, ngaphandle kokulithatha kancinci. Emva koko ungafumana unyango olufanelekileyo kwaye uphile ngokukhawuleza. Musa ukoyika, kodwa ungalibazisi!

urhudo , ukuphuma kwendlebe, usulelo lwendlebe, i-eardrum eqhekekileyo, indlebe yombhukudi