Ngaba umntwana wakho usoloko efumana umkhuhlane? Ngaba uqaphele ukuba emva kweentsuku ezimbalwa, umntwana wakho uhlala ebambe indlebe yakhe aze angakhululeki? Ngaba ngamanye amaxesha uziva ngathi akamameli kakuhle xa uthetha naye? Kuqhelekile ukuba wena njengomama uzive usoyika kakhulu xa izinto ezinje zisenzeka. Kodwa ungakhathazeki, le yimeko elula enokunyangeka kubantwana abancinci kakhulu. Namhlanje sithetha ngesinye sezifo ezinjalo, i-Otitis Media with Effusion (OME).
Yintoni i-Otitis Media ene-Effusion (OME)?
Ngamafutshane, i-Otitis Media ene-Effusion (OME) kuxa indlebe yakho ephakathi izaliswe lulwelo olumanzi. Oku ngamanye amaxesha kubizwa ngokuba yi-'Serous Otitis Media'. Into ebalulekileyo kukuba, oku akuyo-pus . Oku kuthetha ukuba oku akuyo-pus ebangela ukuba i-pus izalise indlebe ephakathi. Olu luqokelelo nje lolwelo.
Cinga ngendlebe yethu ephakathi njengegumbi elincinci. Kukho ityhubhu encinci edibanisa eli gumbi nomqala wethu. Siyibiza ngokuba yi-`(ityhubhu ye-Eustachian)`. Umsebenzi ophambili wale tyhubhu kukukhupha ulwelo olugqithisileyo kwindlebe ephakathi ukuya emqaleni kunye nokulinganisela uxinzelelo lomoya ngaphakathi kwendlebe. Kwimeko ye-OME, le tyhubhu ivalekile ngesizathu esithile, kwaye ulwelo oluqokelelana kwindlebe ephakathi alunakukwazi ukuphuma kwaye lubambeke ngaphakathi. Ngenxa yesi sizathu, ungaziva ubunzima okanye uzive ngathi kukho into ebambeke ngaphakathi kwendlebe.
Le meko ixhaphake kakhulu kubantwana abancinci abaphakathi kweenyanga ezi-6 neminyaka emi-3 ubudala. Ngokwezifundo, ngaphezu kwama-80% abantwana baya kuba ne-OME ubuncinane kanye ebomini babo ngaphambi kokuba bafikelele kwiminyaka yokufunda.
Kutheni oku kusenzeka kubantwana abancinci? Zithini izizathu?
Eyona nto ibangela ukuba indlebe yomntwana izaliswe lulwelo olunje kukuba ityhubhu ye-Eustachian esithethe ngayo ngaphambili ayisebenzi kakuhle. Ngokungafaniyo nabantu abadala, le tyhubhu ifumaneka ngokwahlukileyo kancinci kubantwana abancinci. Kwakhona, le tyhubhu inokuvaleka ngenxa yezinto ezifana nomkhuhlane oqhelekileyo kunye ne-allergies.
Makhe sijonge izizathu eziphambili zoku kwitheyibhile engezantsi.
| Isizathu | Ingcaciso elula |
|---|---|
| Ityhubhu ayikaphuhliswa ngokupheleleyo. | Ityhubhu ye-Eustachian ebantwaneni abancinci imfutshane kwaye ithe tye, nto leyo eyenza kube nzima ukuba ulwelo luphume. |
| Usulelo oluqhelekileyo lomkhuhlane kunye nomphimbo | Ngexesha lomkhuhlane kunye nomphimbo obuhlungu, impumlo, umphimbo, kunye nombhobho we-Eustachian ziyadumba. Oku kudumba kuyayithintela umbhobho kwaye kubangele ukuba ulwelo luqokeleleke. |
| I-Adenoids evuthayo | Ii-adenoids zii-lymph glands ezikwi-lymph glands ezikwi-empso nakumqala. Xa zidumbile, zinokuvala ukuvulwa kwe-Eustachian tube kwaye zibangele ukuba ulwelo luqokeleleke. |
| Ii-aleji | Ukunganyamezelani nezinto ezinje ngothuli kunye ne-pollen nako kunokubangela ukuba imibhobho idumbe ize ivaleke. |
Zithini iimpawu zale meko?
Kwi-OME, iintlungu zendlebe azibi nkulu kangako. Ngamanye amaxesha, imeko inokubakho ngaphandle kweempawu. Nangona kunjalo, ukuba ubona ezi zinto kumntwana wakho, xhalaba.
- Ukulahlekelwa kukuva: Olu lolona phawu luqhelekileyo noluqhelekileyo. Lunokubonakaliswa zizinto ezifana nokuba umntwana akaphenduli xa uthetha okanye uvula iTV kakhulu.
- Ukubamba okanye ukutsala indlebe: Umntwana usenokubamba okanye ukutsala indlebe yakhe rhoqo kuba evakalelwa yinto engathandekiyo okanye enzima endlebeni yakhe.
- Iingxaki zokulinganisela: Indlebe yethu ephakathi ikwanceda ngokulinganisela emzimbeni. Ngoko ke xa izele lulwelo, umntwana usenokuziva eshukuma kancinci aze azive engalungelelananga xa ehamba.
- Ukukhula kancinci kokuthetha: Xa umntwana engeva kakuhle, unokulibaziseka ekufundeni ukuchola amagama nokuthetha kakuhle. Le ngxaki inokuvela ukuba le meko iqhubeka ixesha elide.
Kodwa khumbula, ezi mpawu azisoloko zibangelwa yi-OME. Zinokubangelwa nazezinye iingxaki zempilo. Ngoko ke eyona nto ingcono onokuyenza kukubona ugqirha wosapho lwakho uze uhlole umntwana wakho.
Zithini iindlela zonyango zoku?
Xa ubonisa umntwana wakho kugqirha, nguye oza kugqiba ngonyango oluxhomekeke kwimeko yomntwana.
Ndilinde nje ukuba izinto zibe ngcono (Ukubeka esweni)
Amaxesha amaninzi, oko kukuthi, kwiimeko ezininzi, olu lwelo lwendlebe luya kuzikhupha lodwa kwiiveki ezi-4 ukuya kwezi-6 ngaphandle konyango. Ngoko ke into yokuqala ugqirha aza kuyenza kukujonga umntwana aze athi, "Masilinde sibone." Oku kukwabizwa ngokuba "kukulinda ngononophelo".
Amayeza
Ekubeni i-OME ingeyonto ibangela isifo, oogqirha abadli ngokunika umntwana amayeza okubulala iintsholongwane. Nangona kunjalo, ukuba umntwana unesinye isifo, njengosulelo lwebhaktiriya emqaleni, kunye ne-OME, amayeza okubulala iintsholongwane anokunikwa njengonyango. Amayeza okubulala iintsholongwane kunye namayeza okuphelisa ukuxinana nawo awafane anikwe kuba awanayo impembelelo ingako kwi-OME.
Ukubekwa kwetyhubhu yendlebe (iMyringotomy)
Ngamanye amaxesha, ulwelo olusendlebeni alunciphisi nokuba emva kweenyanga ezimbini okanye ezintathu. Oku kunokubangela ukuba umntwana angava kakuhle, nto leyo echaphazela ukufunda kwakhe kunye nophuhliso lwakhe lokuthetha. Kwiimeko ezinjalo, ugqirha unokucebisa ukuba kwenziwe utyando oluncinci. Oku kubizwa ngokuba yi-"Myringotomy".
Kule meko, ugqirha wenza umngxuma omncinci kakhulu kwi-eardrum aze akhuphe lonke ulwelo olukwindlebe ephakathi ngalo. Emva koko, ukuze ulwelo lungaphinde luqokeleleke, kufakwa ityhubhu encinci kakhulu (ityhubhu yeMyringotomy) kuloo mngxuma mncinci. Emva kokuba ifakiwe, ukuva komntwana kubuyela kwimeko yesiqhelo. Ungakhathazeki, le tyhubhu iza kuzikhupha yodwa emva kweenyanga ezi-6 ukuya kwezi-12.
Izinto ezonyusa umngcipheko wokufumana i-OME
Nangona nawuphi na umntwana enokuba ne-OME, kukho izinto ezithile ezinokunyusa lo mngcipheko.
| Izinto Ezinobungozi | |
|---|---|
| Umkhuhlane oqhelekileyo. | Ukuchitha ixesha nomntwana kwiziko lokunyamekela abantwana emini. |
| Ukuchanabeka kumsi ophuma komnye umntu. | Ayikuncancisi. |
| Ukondla umntwana ngebhotile ngelixa elele okanye elele phantsi. | Ukuba bendisoloko ndinesifo sendlebe ngaphambili. |
| Ukuba nobunzima bobuso obufana nomlomo oqhekekileyo (i-cleft palate) obakho xa umntwana ezalwa. | |
Ufika nini kugqirha
Usulelo lweendlebe ngamanye amaxesha lunokuba luphawu lwenye ingxaki yempilo efihlakeleyo. Ngoko ke, ukuba unenkxalabo ngomntwana wakho, ungathandabuzi ukufuna ingcebiso kagqirha. Ingakumbi kwiimeko ezinje, kubalulekile ukubona ugqirha.
- Ukuba iimpawu aziphucuki emva kweeyure ezingama-24 .
- Ukuba umntwana wakho ungaphantsi kweenyanga ezi-6 ubudala, funa unyango ngokukhawuleza.
- Ukuba umntwana uthi uneendlebe ezibuhlungu ezinganyamezelekiyo .
- Ukuba ubona naluphi na uhlobo lolwelo okanye ubomvu buphuma endlebeni yomntwana wakho .
- Ukuba umntwana wakho unengxaki yokulala ngenxa yomkhuhlane okanye usulelo lokuphefumla.
Kwimeko enjalo, mse umntwana wakho kugqirha wakho ngokukhawuleza. Kwimeko yongxamiseko, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Umyalezo Wokuya Ekhaya
- I-Otitis Media with Effusion (OME) yimeko apho indlebe izaliswe lulwelo, kungekhona ubomvu. Ixhaphake kakhulu kubantwana abancinci.
- Eyona nto ibangela le meko kukuvaleka kombhobho we-Eustachian ngenxa yezinto ezifana nomkhuhlane.
- Le meko idla ngokuziphelela ngokwayo kwiiveki ezimbalwa ngaphandle konyango.
- Amayeza okubulala iintsholongwane akaqhelekanga ukumiselwa oku.
- Ukuba kukho impembelelo yexesha elide ekukhuleni kokuva okanye ukuthetha komntwana, ugqirha unokucebisa ezinye iindlela zonyango, ezinjengotyando.
- Ukuba unenkxalabo okanye amathandabuzo ngeendlebe zomntwana wakho, qiniseka ukuba ubonana nogqirha.
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