Ngaba iindlebe zomntwana wakho zihlala zibuhlungu? Makhe sithethe ngezifo zendlebe ephakathi (Otitis Media)!

Ngaba umntwana wakho omncinci uhlala ekhalaza ngeentlungu zendlebe? Okanye uyakhala aze abambe indlebe yakhe? Iintlungu zendlebe zixhaphakile kubantwana abancinci. Isizathu esiphambili soku kusulelo olukwindlebe ephakathi. Ngamafutshane, indlebe ephakathi yindawo encinci ngaphakathi kwendlebe yethu, emva kwegum lendlebe. Ukuba iintsholongwane, ezinje ngeentsholongwane okanye iibhaktheriya, zingena apha, ziyasuleleka zize zizaliswe bububovu. Olu bubovu lubangela uxinzelelo kwigum lendlebe, yiyo loo nto umntwana eva iintlungu zendlebe.

Zithini iimpawu zosulelo lwendlebe? Ulubona njani?

Xa umntwana omncinci enesifo sendlebe (i-otitis media), uphawu oluphambili ziintlungu eziqatha zendlebe . Nangona kunjalo, unokubona ezi mpawu:

• Usenokuba nomkhuhlane.
• Kunokuba nzima ukutya nokusela. Ngamanye amaxesha awukwazi nokulala. Uyazi ukuba kutheni? Xa uhlafuna ukutya, ufunxa ubisi, okanye ulala phantsi, uxinzelelo oluphakathi kwendlebe luyatshintsha kwaye intlungu iyakhula. Khawuthelekelele usana oluncinci lukhala kwangoko xa luqala ukufunxa ibhotile yobisi, okanye luvuka ebusuku lukhala.
• Umntwana omdala kancinci usenokuthi, "Mama, indlebe yam ibuhlungu." Kodwa usana oluncinci olungakwaziyo ukuthetha lusenokusoloko luchukumisa okanye lutsala indlebe yalo, okanye lusenokukhala ngaphezu kwesiqhelo, ngendlela ephazamisekileyo nenomsindo.

Ngamanye amaxesha, ukuba uxinzelelo olubangelwa bubomvu obuzalisa indlebe ephakathi luba phezulu kakhulu, i-eardrum ingaqhuma . Ukuba oko kuyenzeka, i-pus iqala ukuphuma endlebeni. Le yeyona sizathu sokuba i-eardrum iqhume ebantwaneni abancinci. Umntwana one-eardrum eqhumileyo unokuziva enesizungu okanye enesicaphucaphu. Basenokuva nesandi esithi "whooshing..." ezindlebeni zabo, okanye banokuziva ngathi kukho into ekhalayo ezindlebeni zabo.

Ziphuhla njani ezi zifo zendlebe?

Usulelo lwendlebe ephakathi (i-Otitis Media) ludla ngokuvela xa enye okanye zombini iityhubhu ze-Eustachian, ezidibanisa indlebe yethu ephakathi nomva womqala wethu, zivuvukala. Ezi tyhubhu zezona zikhupha i-mucus kunye nezinye izinto eziqokelelana kwindlebe ephakathi ziye emqaleni. Zenza umsebenzi obaluleke kakhulu, akunjalo?

Khawuthelekelele ukuba unesifo somkhuhlane, usulelo lomphimbo, okanye imeko efana ne-gastritis, apho kuvela khona i-asidi yesisu (i-acid reflux) , okanye uhlobo oluthile lwe -allergy . Ezi zinto zinokubangela ukuba iityhubhu ze-Eustachian zidumbe. Kwenzeka ntoni ke ngoko? Indlela yokuphuma kwe-mucus iyavalwa. Emva koko, iintsholongwane okanye iibhaktheriya zinokukhula ngokulula ngaphakathi kwe-mucus ebambekileyo kwaye zenze i-pus. Le pus izalisa indlebe ephakathi kwaye ibangele loo ntlungu.

Xa ugqirha esithi "usulelo lwendlebe," badla ngokubhekisa kusulelo lwendlebe ephakathi (Otitis Media). Oku kwahlukile kwimeko ebizwa ngokuba yi "Swimmer's Ear" okanye "Otitis Externa," eyenzeka xa amanzi engena endlebeni ngelixa udada.

Kukho enye into, leyo yi (Otitis Media with Effusion)Kulapho indlebe ephakathi igcwala khona lulwelo, olufana namanzi, ngaphandle kosulelo, oko kuthetha ukuba akukho bomvu. Ngamanye amaxesha oku kusenokungabangeli zimpawu zibalulekileyo. Nangona kunjalo, abanye abantwana banokuziva ngathi kukho into ezalisa indlebe yabo, okanye ngathi indlebe yabo "iyavuleka".

Kutheni abantwana abancinci bekhula oku ngaphezu kwabanye?

Usenokuba uzibuza, "Kutheni umntwana wam omncinci ehlala enezi ngxaki zendlebe?" Enyanisweni, abantwana abancinci, ingakumbi abo baphakathi kweminyaka emibini nemine ubudala , banamathuba amaninzi okufumana usulelo lwendlebe kunabantu abadala. Kukho izizathu ezahlukeneyo zoku:

• Esinye kukuba iityhubhu ze-Eustachian ebesithethe ngazo ngaphambili kubantwana abancinci zimfutshane kancinci kwaye zithe tyaba ngakumbi . Ngoko ke iintsholongwane kunye neentsholongwane zinokungena lula endlebeni ephakathi. Esinye kukuba ezi tyhubhu zincinci kancinci. Ngoko ke zinokwenzeka ukuba zivaleke. Uyayazi?
• Enye ingxaki zii-adenoids ebantwaneni. Ezi zizakhiwo ezifana neendlala ezikwimpumlo. Ukuba zinkulu, zinokuvala ukuvulwa kweetyhubhu ze-Eustachian. Nangona kunjalo, kuba nzima ukuba i-mucus iphume.

Ukongeza koku, kukho nezinye izinto ezonyusa umngcipheko wokuba umntwana omncinci abe nosulelo lwendlebe. Umzekelo:

• Ukutshaya umntwana wakho kumsi womntu otshayayo kuyingozi kakhulu.
• Ukuncancisa ngebhotile , ingakumbi xa uncancisa umntwana elele phantsi.
• Ukuchitha ixesha nabanye abantwana kwiindawo ezifana nezikolo zabantwana abancinci , kuba ke ngoko kukho ithuba elikhulu lokufumana izinto ezifana nomkhuhlane omnye komnye.

Kukwafunyaniswe ukuba, ngokubanzi, abantwana abangamakhwenkwe bakhula rhoqo kwiindlebe kunabantwana abangamabhinqa.

Kodwa khumbula, usulelo lwendlebe alusasazeki ngqo ukusuka komnye umntu ukuya komnye . Nangona kunjalo, usulelo lwendlela yokuphefumla ephezulu , njengomkhuhlane kunye nomkhuhlane, lunokusasazeka ngokulula. Ingakumbi xa imozulu ibanda, abantu abaninzi bafumana ezi zifo. Ngoko ke umntwana onosulelo lwendlebe unokuba neempawu zomkhuhlane, njengempumlo egobhozayo, impumlo evalekileyo, kunye nokukhwehlela.

Kuza kuthatha ixesha elingakanani ukuba le ntlungu yendlebe iphole?

Uninzi lwexesha, izifo zendlebe ephakathi (i-Otitis Media) ziyaphola ngokwazo kwiintsuku ezimbini ukuya kwezintathu ngaphandle konyango olukhethekileyo . Oko kuyanceda kancinci, akunjalo?

Nangona kunjalo, ngamanye amaxesha ulwelo lunokuhlala endlebeni ephakathi okwethutyana nangona usulelo luphelile. Ukuba ulwelo luhlala endlebeni ephakathi kangangeenyanga ezingaphezu kwezintathu , kunokufuneka unyango olongezelelweyo. Yingakho kubalulekile ukuhlala unxibelelana nogqirha.

Ugqirha ufumanisa njani ngokuchanekileyo oku njengesifo?

Xa usisa umntwana wakho kugqirha, uza kuqala ahlole umntwana wakho ngokubanzi. Emva koko baza kuhlola indlebe. Ugqirha uza kusebenzisa isixhobo esincinci esibizwa ngokuba yi-otoscope . Sifana nethotshi encinci. Sikuvumela ukuba ubone kakuhle i-eardrum. Sinokujonga ukuba akukho bomvu, ukudumba, okanye ubomvu emva kwe-eardrum.

Ngoko ke zeziphi iindlela zonyango zezi zifo zendlebe?

Xa benyanga isifo sendlebe, oogqirha baqwalasela izinto ezininzi. Abakuniki nje amayeza baze bahambe. Baqwalasela ezi zinto:

• Indlela yokwazi uhlobo losulelo lwendlebe kunye nobunzima balo .
• Umntwana ufumana kangaphi usulelo lwendlebe?
• Ingaba usulelo lukhona ixesha elingakanani ngeli xesha?
• Ubudala bomntwana kunye nokuba kukho ezinye izinto ezinokubangela umngcipheko (umzekelo, ukuba umntwana umncinci kakhulu, okanye ukuba kukho ezinye izifo).
• Ingaba olu sulelo luchaphazele ukuva komntwana .

Kukho umahluko phakathi konyango lwe-Otitis Media, esixoxe ngayo ngaphambili, kunye nonyango lwe-Otitis Media ene-Effusion. Ayizizo zonke iintlobo zosulelo lwendlebe ezifuna amayeza okubulala iintsholongwane . Le yinto ekufuneka abazali abaninzi bayiqonde.

Ngenxa yokuba uninzi lwezifo zendlebe ziyaphela ngokwazo, oogqirha badla ngokuthatha indlela "yokulinda ubone" . Oko kukuthi, banika umntwana amayeza eentlungu baze bashiye amayeza okubulala iintsholongwane iintsuku ezimbalwa ukuze babone ukuba isifo siyaphucuka na.

Amayeza okubulala iintsholongwane akakhuthazwa rhoqo ngenxa yezi zizathu zilandelayo:

• Ukuba usulelo lubangelwa yintsholongwane, amayeza okubulala iintsholongwane awayi kunceda (amayeza okubulala iintsholongwane asebenza kuphela kwiintsholongwane).
• Ii-antibiotics azincedi ekususeni ulwelo oluvela endlebeni ephakathi.
• Ii-antibiotics zinokubangela ezinye iziphumo ebezingalindelekanga (umz., isifo sorhudo).
• Ngokwesiqhelo ayinampembelelo ingako ekunciphiseni iintlungu kwiiyure ezingama-24 zokuqala , kwaye nangona kunjalo inempembelelo encinci.

Eyona nto ibalulekileyo kukuba xa amayeza okubulala iintsholongwane esetyenziswa rhoqo kunokuba kuyimfuneko, iintsholongwane ezinganyangekiyo ngama-antibiotic zinokuvela. Ukuba oko kuyenzeka, kunokuba nzima kakhulu ukunyanga usulelo lwebhaktiriya kamva.

Nangona kunjalo, ukuba ugqirha ugqiba ekubeni anike amayeza okubulala iintsholongwane, ngesiqhelo uya kunika ikhosi yeentsuku ezili-10. Umntwana oneminyaka engaphezu kwemi-6 ubudala ongenalo usulelo lunzima unokunikwa ikhosi emfutshane yeentsuku ezi-5-7. Ukuba kukho ubomvu obuphumayo endlebeni enesifo, amathontsi endlebeni anokusetyenziswa.

Kwabanye abantwana, umzekelo,Abantwana abaneengxaki zendlebe rhoqo, abalahlekelwa kukuva rhoqo, okanye abalibazisekayo ekuthetheni nabo banokufuna utyando lwetyhubhu yendlebe . Oku kubandakanya inkqubo encinci yotyando eyenziwa ngugqirha wendlebe, impumlo, nomqala (ENT) ukuze kufakwe iityhubhu ezincinci ezibizwa ngokuba ziityhubhu zetympanostomy kwi-eardrum. Oku kudala indlela yokukhupha ulwelo kwindlebe ephakathi. Oku kunceda ekunciphiseni uxinzelelo endlebeni.

Ngoko ke, ngaba uhlala "ujonge"? Akukho maxesha apho amayeza okubulala iintsholongwane afuneka ngokukhawuleza?

Ewe, kukho amaxesha apho kunjalo. Amayeza okubulala iintsholongwane angafaneleka kubantwana abanezifo ezindlebeni rhoqo . Kwakhona, abantwana abancinci (abangaphantsi kweenyanga ezi-6) okanye abantwana abagula kakhulu banokufuna ukunikwa amayeza okubulala iintsholongwane kwasekuqaleni.

Indlela ethi "linda ubone" isenokungalungelanga wonke umntwana. Isenokungalungelanga abantwana abanezinye iingxaki zempilo, ezinje:

• Abantwana abaye bafakelwa i-cochlear implants .
• Abantwana abaneengxaki ezifana ne -cleft lip kunye/okanye i-cleft palate .
• Abantwana abaneengxaki zemfuza ezifana neDown syndrome .
• Abantwana abaneengxaki zomzimba .

Kwiimeko ezikhethekileyo ezinje, ugqirha unokugqiba ekubeni aqalise unyango kwangethuba.

Ngoko ke, zeziphi izinto ezibalulekileyo ekufuneka sizikhumbule malunga nezi zifo zendlebe?

Kulungile, ngoko ke umyalezo esiwuthathayo ekhaya koko sithethe ngako kukuba kukho amanqaku ambalwa abalulekileyo ekufuneka uwakhumbule:

• Usulelo lwendlebe ephakathi (i-otitis media) luxhaphake kakhulu kubantwana abancinci, ngoko ke musa ukoyika.
• Ukuba umntwana wakho ukhalaza ngentlungu yendlebe, uchukumisa indlebe yakhe, unomkhuhlane, okanye uphazamiseka kakhulu kunesiqhelo, qiniseka ukuba ubona ugqirha .
• Ayizizo zonke izifo zendlebe ezifuna amayeza okubulala iintsholongwane . Landela imiyalelo kagqirha wakho ngokuchanekileyo.
• Ukuba ugqirha unike amayeza okubulala iintsholongwane, mnike idosi echanekileyo kunye nenani elichanekileyo leentsuku . Musa ukuyeka phakathi.
• Kukho izinto onokuzenza ukuthintela ukosuleleka endlebeni. Khusela umntwana wakho kumsi wecuba kwaye umgcine kude nabantu abanomkhuhlane.
• Ukuba umntwana wakho unesifo sendlebe esihlala sikhona okanye ubonakala enengxaki yokuva, thetha nogqirha wakho ngaloo nto. Kusenokufuneka uthunyelwe kwingcali ye-ENT .

Khumbula, ukuba unamathandabuzo amancinci ngempilo yomntwana wakho, kungcono ukuthetha nogqirha uze uyisombulule loo ngxaki.

Iintsholongwane zendlebe , indlebe ephakathi, i-otitis media, iintlungu zendlebe ebantwaneni, ityhubhu ye-eustachian, i-earwax, ii-antibiotics