Ngaba umntwana wakho omncinci uhlala eneentlungu zendlebe? Okanye udla ngokuba nomkhuhlane aze avale impumlo aze aphefumle ngomlomo wakhe? Ngamanye amaxesha ugqirha wakho wosapho uthumela umntwana wakho kugqirha ogxile 'kwindlebe, impumlo, nomqala', akunjalo? Yiyo loo nto siza kuthetha ngoogqirha be-ENT, abagxile ebantwaneni. Sibabiza aba bantu ngokuba 'ziingcali ze-otolaryngologists zabantwana'.
Ngubani le ngcali ye-ENT yabantwana?
Ngamafutshane, aba ngoogqirha abaqeqeshwe ngokukodwa ukubonelela ngonyango lwezonyango notyando lweengxaki zendlebe, impumlo, nomqala kubantwana ukususela ekuzalweni ukuya kwiminyaka emalunga ne-17 ubudala . Nangona sisithi i-ENT ngamafutshane, imele i-Ear, Nose, kunye ne-throat.
Ukuba umntwana wakho unesifo esinzima ngakumbi, okanye udinga utyando olubandakanya indlebe, impumlo, okanye umqala, ugqirha wakho uya kuthumela umntwana wakho kwingcali efana nale.
Luhlobo luni loqeqesho olukhethekileyo abanalo aba gqirha?
Olu ayilulo uhambo olulula. Ingcali ye-ENT yabantwana ngumntu ogqibe isidanga seminyaka emine kwisikolo sezonyango waza wagqiba inkqubo yoqeqesho ende. Khawuthelekelele ukuba olo hambo lude kangakanani.
- Okokuqala, gqibezela isidanga sezonyango ngokubanzi.
- Emva koko, kufuneka ugqibe ubuncinane unyaka woqeqesho lotyando.
- Okulandelayo, uza kuqeqeshwa kwi-General Surgery malunga nonyaka omnye.
- Emva koko, uqeqesho olukhethekileyo lokwenyani luqala. Ufumana iminyaka emithathu ukuya kwemine yoqeqesho olunzulu kwi-Otolaryngology kunye notyando lwentloko nentamo.
- Amaxesha amaninzi, emva kolu qeqesho, bafumana uqeqesho olukhethekileyo olongezelelweyo (iFellowship) phantsi kweengcali ezinamava kwizibhedlele ezinkulu zabantwana.
Kuphela emva koqeqesho olunjalo olude apho baya kufaneleka khona ukunyanga ezi ngxaki zinzima ebantwaneni.
Ziziphi iimeko zonyango eziqhelekileyo ezinyangwa ngugqirha we-ENT wabantwana?
Kulungile, ngoku makhe sibone ukuba zeziphi izifo ezinyangwa ngaba gqirha. Uluhlu lude kancinci, kodwa lunokuba yinto umntwana wakho anayo. Banyanga nayiphi na ingxaki echaphazela indlela yomoya, ilizwi, ukuva, intetho kunye neempumlo zomntwana.
Ukulahlekelwa kukuva
Kukho iindlela ezintathu eziphambili abantwana abanokufumana ngazo ukulahleka kokuva.
| Uhlobo lokukhubazeka kokuva | Ingcaciso elula |
|---|---|
| I-sensorineural | Oku kubangelwa bubuthathaka kwindlebe yangaphakathi okanye kwimithambo-luvo esuka endlebeni iye engqondweni. |
| Uhlobo lokuqhuba (oluqhubayo) | Apha, kukho ukuphazamiseka okuthile kwindlela amaza esandi adlula ngayo endlebeni engaphandle adlule endlebeni ephakathi aye endlebeni engaphakathi. |
| Uhlobo oluxutyiweyo | Imeko apho iimpawu zazo zombini ezi ntlobo zingasentla zidibana khona. |
Usulelo lwendlebe ephakathi (i-Otitis media)
Le yimeko eqhelekileyo ebantwaneni, ebizwa ngokuba yi-" pus in the ear." Ukuba umntwana wakho unezifo zendlebe ezixhaphakileyo okanye uneengxaki ezindlebeni zakhe, unokufuna ukubona ingcali ye-ENT yabantwana.
Utyando lokufakelwa kwe-cochlear
Abantwana abanengxaki yokuva kakhulu banokuzuza lukhulu kolu tyando. I-cochlear implant sisixhobo esincinci se-elektroniki esifakwa endlebeni. Sivuselela umthambo wokuva kwaye sithumele imiqondiso engqondweni. Oku kunceda nabo bangevayo ngokupheleleyo ukuba baqonde izandi kunye nentetho.
Ukuvaleka kwempumlo
Kulapho ke imibhobho yempumlo ivaleka khona kwaye kuba nzima ukuphefumla ngempumlo. Zininzi izizathu zoku.
| Izinto ezinokubangela ukuxinana kweempumlo |
|---|
| - Umkhuhlane oqhelekileyo kunye nomkhuhlane |
| - Usulelo lweesinuses okanye ii-adenoid glands |
| - I-rhinitis ye-allergy |
| - Iipolyps zempumlo |
| - I-adenoids ekhulisiweyo |
| - Iintsholongwane zempumlo okanye iithumba |
| - I-septum yempumlo ephambukile |
Usulelo lweeTonsil (iTonsillitis)
Ukuba umntwana wakho unesifo se-tonsillitis okanye umphimbo obuhlungu ongapheliyo, ungathunyelwa kugqirha we-ENT wabantwana ukuze ufumane unyango olufana ne-tonsillectomy.
Ukuphelelwa ngamandla kokulala
Le yimeko enxulumene nokulala. Kule meko, ukuphefumla kuyayeka okomzuzwana ngelixa umntwana elele. Oku kubangelwa kukuxinana kwendlela yomoya ephezulu. Abantwana abaninzi abanale meko barhona kakhulu . Eyona nto ibangela le meko ebantwaneni ziitoni ezandileyo okanye ii-adenoids.
Ezinye izifo zentloko nentamo
Ezi ngcali zonyango lwezinye izifo ezininzi ezinxulumene nentloko nentamo.
- Iithumba ze-thyroid okanye amaqhuma
- Amaqhuma entloko nasentanyeni
- Ukukhubazeka kobuso
- Iithumba ze-salivary gland
- IiHemangioma, ezingamaqhuma enziwe yimithambo yegazi, ngamanye amaxesha zibukeka njengeempawu zokuzalwa
- Izifo ezinxulumene ne-lymph node
Kutheni umntwana wam efuna ingcali ye-ENT yabantwana?
Lo ngumbuzo obaluleke kakhulu. Usenokuba uzibuza, "Kutheni umntwana ethunyelwa kwi-ENT yabantwana endaweni yogqirha we-ENT oqhelekileyo?"
Khumbula, abantwana abangobantu abadala abancinci. Imizimba yabo, iimvakalelo zabo, kunye nendlela abalibona ngayo ihlabathi zahlukile.
Abantwana badla ngokungakwazi ukuchaza iintlungu zabo ngokuchanekileyo . Abakwazi ukuthetha nto ngaphandle kokuba "kubuhlungu apha," kwaye abakwazi ukusho ngqo ukuba yintoni, ukuba ixesha elide kangakanani apho, okanye ukuba kubi kangakanani. Iingcali ze-ENT zabantwana ziyazi oku. Zinobuchule bokuxilonga abantwana ngendlela engabasoyikisiyo, ibenze bakhululeke.
Kwakhona, ekubeni benyanga abantwana kuphela, iiofisi zabo kwanezixhobo zabo zokuhlola zenzelwe ukuba zilungele abantwana. Iindonga zeofisi zihonjiswe ngemizobo emihle, amathoyizi, neencwadi. Oku kunciphisa kakhulu uloyiko noxhalabo lomntwana. Khawucinge nje ukuba umntwana omncinci angaziva njani esoyika xa ehlaliswa kwisitulo esikhulu nakwitafile enkulu yokuhlolwa eyenzelwe abantu abadala?
Akunjalo nje kuphela, kodwa aba gqirha banamava amaninzi kwindlela yokuthetha nabantwana. Ukuba umntwana akavumi ukuxilongwa okanye ukukhala, oko akunto intsha kubo. Bayazi kakuhle indlela yokuphatha umntwana kwaye bafumana inkxaso yabo ngamaxesha anjalo.
Nokuba umntwana kufuneka eve into enzima, njengotyando, kulula ukuba umntwana ajongane naloo mava kwindawo enobuhlobo nabantwana nefanelekileyo.
Umyalezo Wokuya Ekhaya
- Ingcali ye-ENT yabantwana (iPediatric Otolaryngologist) ngugqirha oqeqeshwe ngokukodwa ukunyanga izifo ezinxulumene nendlebe, impumlo, nomqala wabantwana.
- Zinyanga iimeko ezininzi, kuquka ukosuleleka kwendlebe okuphindaphindiweyo, iingxaki zeetoni, ukuxinana kweempumlo, ukurhona, kunye nokuphazamiseka kokuva.
- Ngenxa yokuba abantwana abangobantu abadala abancinci, ezi ngcali ziqeqeshwe ukuba zibonelele ngonyango olufanelekileyo kwimizimba nengqondo yabo.
- Ukuba ugqirha wakho wosapho uthumela umntwana wakho kwingcali ye-ENT yabantwana, qonda ukuba oku kukubonelela ngonyango olungcono nolufanelekileyo kumntwana wakho.
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