Ngaba umntwana wakho ebenomkhuhlane nomqala obuhlungu kangangeentsuku ezimbalwa? Ngaba uyakhala athi, "Kubuhlungu" nokuba uzama ukutya okanye ukusela? Ngaba ujike intamo yakhe yaya ecaleni, kwaye ngaba ukhe waphawula amathe ephuma emlonyeni wakhe? Ukuba ucinga ukuba oku kuyingozi ngaphezu komqala obuhlungu nje, musa ukukuthatha lula. Oku kungaba lusulelo oluyingozi ngasemva komqala, olunokuba lithumba elizaliswe bubovu. Makhe sithethe ngale nto namhlanje.
Ngamafutshane, yintoni ithumba elingaphantsi komhlaba?
Eli ligama lezonyango, kodwa kulula kakhulu ukuliqonda. Ithumba eliphuma emqolo liqhuma elivela eludongeni olungasemva lomqala wethu, eli candelo libonakala xa sivula imilomo yethu. Enyanisweni, eli lixakeka lezonyango elinokuba yingozi nakubomi bethu.
Cinga ngemizimba yethu njengenqaba. Xa iintsholongwane (iibhaktheriya) zingena, amajoni enkqubo yethu yokuzikhusela, ebizwa ngokuba ziiseli zegazi ezimhlophe , ayalwa nazo. Kulo mlo, iintsholongwane ezifileyo, iiseli zegazi ezimhlophe, kunye nezicubu ezonakeleyo ziyadibana ukuze zenze "ububomvu." Xa obu bubomvu buqokelelana kwindawo enye buze bube liqhuma, sibubiza ngokuba "liqhuma." Xa oku kusenzeka kwindawo enzulu ngasemva komqala (indawo ye-retropharyngeal), sibubiza ngokuba yi-Retropharyngeal Abscess.
Ngubani ofumana oku rhoqo?
Le meko ayiqhelekanga kakhulu. Nangona kunjalo, ixhaphake kakhulu kubantwana abancinci abaphakathi kweminyaka eli-1 neli-8 ubudala. Ayiqhelekanga kakhulu kubantu abadala.
"Kutheni abo bantwana bancinci kuphela befumana ezi lymph nodes?" usenokuba uzibuza. Isizathu kukuba sinee-lymph nodes ngasemva kwemiqala yethu, ezibizwa ngokuba "zii-gillows" emilonyeni yethu. Ezi zinceda ukulawula usulelo kwiindawo ezifana nempumlo, iindlebe, kunye nomqala. Kodwa xa sineminyaka emi-5 ubudala, ezi lymph nodes ziyancipha kwaye zinyamalale ngokwemvelo. Ngoko ke, kuba zikhona xa sisebancinci, xa sifumana usulelo emqaleni okanye endlebeni yethu, kunokwenzeka ukuba lusasazeke kwezi lymph nodes, kwaye kuya kubakho ithumba apho.
Yintoni ebangela le meko?
Kukho izizathu ezininzi eziphambili zokuba iqhuma elinje likhule ngasemva emqaleni.
| Isizathu | Ingcaciso elula |
|---|---|
| Usulelo lwendlela yokuphefumla ephezulu | Oku kuquka izinto ezifana nomkhuhlane, umphimbo obuhlungu, kunye nosulelo lwe-sinus. Xa usulelo olufana nolu lusiba mandundu, iintsholongwane zinokuhamba ziye ngasemva komphimbo zenze ithumba. Le yimbangela yesiqingatha sazo zonke iimeko zethumba le-retropharyngeal. |
| Usulelo lwendlebe | Usulelo lwendlebe luqhelekile ebantwaneni abancinci. Ngenxa yokuba indlebe isondelelene kakhulu nomqala, usulelo lwendlebe lunokusasazeka lula ngasemva komqala. |
| Usulelo lomphimbo | Le meko inokubangelwa nazizifo ezibangelwa ziintsholongwane okanye ziintsholongwane, ezifana ne-tonsillitis. |
| Ukwenzakala emqaleni | Khawucinge ngomntwana edlala ngento efana nepeni okanye ipensele emlonyeni wakhe aze awe. Ukuba oko kuyenzeka, inxeba elincinci linokuvela ngasemva komqala, livumele iintsholongwane ukuba zingene zibangele usulelo. Oku kunokwenzeka nokuba into efana nethambo lentlanzi ibambekile. |
Zeziphi iimpawu ekufuneka uziqaphele?
Le yimeko engxamisekileyo, ngoko ke kubalulekile ukuzazi iimpawu. Iimpawu zinokwahluka kancinci phakathi kwabantwana abancinci nabantu abadala.
Iimpawu ezinokubonwa kubantwana abancinci
Ekubeni abantwana abancinci bengenakukwazi ukuthi “benzakele,” kufuneka siqwalasele olu tshintsho ngokukodwa.
Khawucinge nje, ukuba umntwana wakho unomkhuhlane, akafuni ukutya, akafuni nokujika intamo yakhe iye ecaleni, aze avuza amathe, ngokuqinisekileyo yimeko efuna ingqalelo.
| Uphawu | Inkcazo |
|---|---|
| Ukwala ukutya/ukusela | Umntwana akavumi ukutya okanye ukusela ngenxa yentlungu enzima xa eginya. |
| Ukuvuza amathe | I-saliva iphuma emlonyeni kuba ibuhlungu kakhulu kangangokuba akunakwenzeka ukuyiginya nokuba incinci. Olu luphawu olubaluleke kakhulu. |
| Intamo eqinileyo | Izihlunu zentamo ziyadumba kwaye umntwana akathandi ukushukumisa intamo yakhe ngenxa yentlungu. |
| Ubunzima bokuphefumla kunye neengxolo ezingaqhelekanga | Njengoko i-cyst ikhula, inokuvala indlela yomoya kwaye yenze isandi sokurhona xa uphefumla. |
| Utshintsho lwelizwi | Ilizwi elirhabaxa nelinzima elibizwa ngokuba yi-"hot potato voice" lisenokwenzeka, ngokungathi kukho into ebambeke emqaleni. |
| Indlela yokuma engaqhelekanga | Ungazama ukugcina intamo yomntwana igobile ngasemva kwaye isilevu sakhe siphakanyisiwe ukuze kube lula ukuphefumla. |
Kwabantu abadala, iimpawu ezinje ngobunzima bokuginya, umkhuhlane, iintlungu zentamo, kunye nokudumba zezona mpawu ziphambili.
Uyifumana njani le nto, Gqirha?
Xa usisa umntwana wakho esibhedlele enezi mpawu, into yokuqala ugqirha aza kuyenza kukumhlola umntwana ngononophelo. Emva koko baza kwenza iimvavanyo ezininzi ukuqinisekisa isifo.
- I-X-reyi yentamo esecaleni: Olu lolona vavanyo luqhelekileyo. Le X-reyi, ethathwe ecaleni kwentamo, ivumela ugqirha ukuba abone ukuba izicubu ezingasemva komqala zidumbile okanye zibukeka njengeqhubu.
- I-CT scan: Ngamanye amaxesha, ukuba i-X-ray ayicacanga, i-CT scan ingenziwa ukuze kufunyaniswe ubungakanani obuchanekileyo kunye nendawo elikuyo ithumba.
- Uvavanyo lwegazi:Uvavanyo lwegazi lwenziwa ukuze kubonwe ukuba kukho usulelo emzimbeni. Kodwa ukuba umntwana akakhululekanga kakhulu, mhlawumbi oku kungarhoxiswa kancinci.
Inyangwa njani? Ingaba oku kuyingozi?
Ewe, le yimeko engxamisekileyo efuna unyango olukhawulezileyo. Ngoko ke, ukuba ezi mpawu zikhona, umntwana kufuneka asiwe kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko, ngaphandle kokulinda ekhaya.
Kukho iindlela ezahlukeneyo zonyango emva kokungeniswa esibhedlele.
1. Ii-Antibiotics Ezifakwa Emthanjeni: Wakuba ungeniswe esibhedlele, uza kuqala ukufumana ii-antibiotics ezinamandla ngemithambo ukuze ulawule usulelo.
2. Ukukhupha amanzi ngotyando: Ukuba ithumba likhulu, lenza kube nzima ukuphefumla, okanye alipheli ngee-antibiotics zodwa, ugqirha uya kwenza i-anesthesia aze enze utyando oluncinci ngomlomo ukuze akhuphe ubovu.
3. Ukukhusela indlela yomoya: Ngamanye amaxesha, ukuba indlela yomoya ivalwe kakhulu lithumba, kunokufuneka ityhubhu yexeshana (intubation) ukunceda umntwana aphefumle.
Emva kotyando, umntwana ugcinwa kwigumbi lokhathalelo olunzulu (ICU) kwaye ujongwe ngononophelo. Nje ukuba kuqinisekiswe ukuba akukho ngxaki yokuphefumla, udluliselwa kwigumbi eliqhelekileyo. Kwanasemva kokuba ebuyele ekhaya evela esibhedlele, amayeza okubulala iintsholongwane kufuneka anikwe kanye njengoko ugqirha emyalele ngalo lonke ixesha.
Into ebalulekileyo kukuba, nangona le yimeko engaqhelekanga, umngcipheko wokufa uphezulu xa unganyangwa. Yiyo loo nto kubalulekile ukufuna unyango ngokukhawuleza xa kuvela iimpawu. Ngonyango olukhawulezileyo, lunokunyangeka ngokupheleleyo.
Umyalezo Wokuya Ekhaya
- Ithumba eliphuma emqolo liqoqo lobovu olungaphakathi emqaleni. Yingxamiseko yezonyango.
- Oku kubonakala kakhulu kubantwana abancinci abaphakathi kweminyaka eli-1 neli-8 ubudala .
- Ukuba umntwana wakho uneempawu ezifana nomkhuhlane, ubunzima obukhulu bokuginya, ukuvuza amathe, ukuqina kwentamo, kunye nobunzima bokuphefumla , funa ingqwalaselo ngokukhawuleza.
- Ukuba ubona ezi mpawu, mthathe umntwana wakho umse kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane ngaphandle kokumnyanga ekhaya.
- Le meko inokunyangeka ngokupheleleyo ngokulaliswa esibhedlele kwangethuba kunye nonyango, kodwa ukulibaziseka kunokukhokelela kwiingxaki ezinkulu. Mthembe ugqirha wakho kwaye ulandele imiyalelo yakhe.
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