Ingabe ingane yakho encane ivame ukuphefumula ngomlomo wayo? Kungaba yi-adenoids evuvukele (i-Adenoiditis)!

Wake waphawula ukuthi ingane yakho encane ivame ukuba nekhala eligobhozayo, ikhala eligobhozayo, futhi iphefumula ngomlomo wayo? Ngezinye izikhathi uma ilele ebusuku, ihogela njengendoda endala, akunjalo? Abanye omama bathi, "O, dokotela, ingane yami ihlala inekhala eligobhozayo nekhala eligobhozayo." Nakuba sicabanga ukuthi lezi zinto ziwumkhuhlane nje ovamile, ngezinye izikhathi lokhu kungaba ngenxa yokuvuvukala kwezindlala ezibizwa ngokuthi i-adenoids, okubizwa ngokuthi i-adenoiditis . Ingabe singaxoxa ngalokhu ngokuningiliziwe?

Yini ngempela i-adenoids?

Kalula nje, lawa ma-adenoid ayizindlala ezimbili ezincane ezifana nezicubu ze-lymphoid ezitholakala ngemuva kwamakhala ezingane zethu, phezulu komphimbo, noma ngokunembile, ngemuva komgodi wekhala. Cabanga ngawo njengabalindi ababamba amagciwane angena emizimbeni yethu. Okusho ukuthi, ayingxenye ebalulekile yesimiso somzimba sokuzivikela sezingane zethu. Lawa ma-adenoid akhona ukuze abambe amagciwane angafuneki, amabhaktheriya, namagciwane angena emizimbeni yethu evela endaweni lapho siphefumula futhi sidla, silwa nawo, futhi siwavikela ekuguleni.

Ngakho-ke, iyini i-adenoiditis? Kungani kwenzeka?

Manje usuyaqonda ukuthi yini i-adenoids nokuthi ibaluleke kangakanani. Ngakho-ke, lezi zindlala ezilwa namagciwane ngezinye izikhathi zingatheleleka ngamagciwane, noma zingavuvukala. Yilokho esikubiza ngokuthi i-adenoiditis ngokwezokwelapha. Uma sikhuluma iqiniso, lokhu ukuvuvukala kwama-adenoids.

Kwenzekani uma lokho kwenzeka? Lezi zindlala ziyavuvukala futhi zibe zinkulu. Bese kuthi indlela yokuphefumula evumela ukuphefumula ngekhala iqale ukuvaleka. Kuba nzima ngengane ukuphefumula ngekhala layo, bese iqala ukuphefumula ngomlomo wayo . Ngezinye izikhathi, ungabona ngisho nomehluko uma ukhuluma nekhala lakho livalekile.

Izimbangela eziyinhloko ze-adenoids evuvukile

Kungaba nezizathu eziningana zokuthi kungani la ma-adenoid evuvukala. Ngokuvamile, kuqala kanje:

1. Ukutheleleka ngegciwane kanye namagciwane: Okokuqala, ingane ingaba nokutheleleka ngegciwane , njengomkhuhlane, okwenza buthaka indlela yokuphefumula engaphezulu. Ngemuva kwalokho, ukutheleleka ngegciwane kungathatha leyo ndawo ebuthaka. Uma ukutheleleka okunjalo kwenzeka kabili kulandelana, ama-adenoid avame ukuvuvukala.

• Amagciwane abangela umkhuhlane ovamile kanye nomkhuhlane.
• Amagciwane abangela izifo ezifana ne -bronchitis , izifo zendlebe, i-pneumonia , kanye nezifo zomphimbo (njenge- strep throat ).

2. Ukungezwani komzimba: Ezinye izingane zingase zibe nokungezwani komzimba nezinto ezifana nothuli, impova, kanye nokudla okuthile. Lokhu kungezwani komzimba kungabangela nokuthi ama-adenoid avuvuke.

3. Ukubuyela kwe-asidi:Ngezinye izikhathi, ama-adenoid angavuvukala lapho i-asidi yesisu ibuyela emphinjeni futhi ilimaze izicubu lapho. Lesi yisimo esibizwa ngokuthi i-LPR (Laryngopharyngeal Reflux) .

Ubani okungenzeka kakhulu ukuthi athole i-adenoiditis?

Lesi simo esibizwa ngokuthi i-adenoiditis sivame kakhulu ezinganeni ezineminyaka ephakathi kwemi-3 nengu-7. Abazali bayazi ukuthi izingane ezikule minyaka zinamathuba amaningi okuthola umkhuhlane kanye nemfiva. Lokhu kungenxa yokuthi sezizoqala ukuya esikoleni futhi zidlale nezinye izingane. Futhi, ama-adenoid akhulu kakhulu kule minyaka. Ngakho-ke, ngisho nokuvuvukala okuncane ngaleso sikhathi kungabangela ukuvaleka okukhulu kwemigudu yamakhala.

Lokhu akuvamile kakhulu kubantu abadala. Lokhu kungenxa yokuthi ama-adenoid avame ukuncipha abe mancane ngemva kweminyaka engu-7. Ezimweni eziningi, ayanyamalala ngokuphelele ngesikhathi efika ebudaleni. Kodwa-ke, kuye ngokuthi kusele izicubu ezingakanani, ama-adenoid kubantu abadala nawo angavuvukala ngenxa yezizathu ezishiwo ngenhla. Akuvamile ukuthi ukukhula okungavamile njengomdlavuza nakho kungabangela ukuthi ama-adenoid kubantu abadala avuvuke. Lokhu kuvame kakhulu kubantu abadala.

Okubalulekile: Nakuba kuvamile ukuthi ama-adenoid akhule ezinganeni ezincane, kubaluleke kakhulu ukukhathazeka uma ama-adenoid omuntu omdala ekhula.

Yiziphi izimpawu ezizoboniswa yingane uma ithola lesi sifo?

Uma ingane yakho ine-adenoiditis, ungase ubone eyodwa noma ngaphezulu yalezi zimpawu:

• Umkhuhlane uyaqala.
• Ukuphefumula ngomlomo (ikakhulukazi ebusuku, ngenkathi ulele).
• Impumulo yami izizwa igcwele futhi nginekhala eligobhozayo ngaso sonke isikhathi.
• Ngezinye izikhathi indlela yokungena komoya ingavalwa ngokuphelele (ukuvaleka kwekhala) .
• Ukuzwa sengathi uketshezi luyaphuma emphinjeni, luhlala luklwebha umphimbo (i-Postnasal drip) .
• Ukuhona ebusuku . Ngezinye izikhathi kungazwakala sengathi uyacinana.
• Umphimbo obuhlungu .
• Izingane ezinceliswayo zingase zibe nenkinga yokuncelisa ngoba ikhala lazo livalekile.
• Ukutheleleka kwendlebe kungenzeka njalo.
• Uma ukhuluma, ungase uzwakale sengathi ukhuluma ngekhala lakho (izwi lempumulo).

Yiziphi izinkinga ezingaba khona uma inkinga ye-adenoids iqhubeka?

Lokhu kuyinto okufanele uyiqaphele. Uma ama-adenoid evuvukele futhi imigudu yomoya ivalekile njalo, inkinga eyodwa ingaholela ezinkingeni eziningi ezengeziwe.

Cabanga nje, lapho kuba nzima ukuphefumula ngekhala, ingane iyaqhubeka nokuphefumula ngomlomo. Uma iphefumula ngomlomo isikhathi eside kangaka , kunethuba elikhulu lokuthi kube nezimbobo emazinyweni kanye nokuluma okungaqondile. Ngoba uma umlomo uvulekile, amathe emlonyeni ayoma, okuyinto engalungile emazinyweni. Akukhona lokho kuphela, kodwa futhi kuthinta nokukhula kwamathambo obuso.Lokhu kungathinta futhi kushintshe ngisho nesimo sobuso kancane.

Ubunzima bokuphefumula bungenza kube nzima ukulala ebusuku. Ngezinye izikhathi ukuphefumula kuyama isikhashana bese kuqala futhi. Lokhu sikubiza ngokuthi 'i-Obstructive Sleep Apnea' . Ngemuva kwalokho ingane iba nobunzima bokunaka emini, iba nobunzima bokugxila emsebenzini wesikole, futhi lokhu kungathinta nekhono lokufunda. Ingane ingase izizwe ikhathele ngaso sonke isikhathi.

Enye into ukuthi lawa ma-adenoid avuvukele angavimba amapayipi e-Eustachian, axhumanisa indlebe ephakathi yengane nengemuva kwekhala. Lawa mapayipi anesibopho sokulinganisa ingcindezi ngaphakathi kwendlebe. Uma lawa mapayipi evalekile, angabangela ukufuthwa kwendlebe njalo, izifo zendlebe , futhi ngezinye izikhathi ukulahlekelwa ukuzwa .

Udokotela uhlonza kanjani i-adenoiditis ngokunembile?

Uma uyisa ingane yakho kudokotela, bazoqala bakubuze ngezimpawu. Bazokubuza imibuzo eminingi, njengokuthi izimpawu sezinesikhathi esingakanani zikhona, ukuthi zizizwa kanjani ebusuku, nokuthi zidla futhi ziphuza kanjani. Ngemuva kwalokho, bangenza izivivinyo ezimbalwa ukuthola ukuthi une-adenoiditis nokuthi iyini imbangela:

• Ukuhlolwa komzimba: Ngezinye izikhathi udokotela uzofaka isibuko esincane (njengaleso esisetshenziswa odokotela bamazinyo) emphinjeni ukuze ahlole ama-adenoid avuvukele. Kodwa-ke, lokhu kungaba nzima ukukubona ngokunembile, ikakhulukazi ezinganeni ezincane.
• I-Endoscopy: Lena ngokuvamile yindlela engcono kakhulu yokubona ama-adenoid. Lokhu kuhilela ukufaka ngokucophelela ithubhu elincane neliguquguqukayo elinekhamera kanye nokukhanya ekugcineni (okubizwa nangokuthi i-nasal endoscopy ) ngekhala lakho bese ubheka eduze ama-adenoid. Lokhu kukuvumela ukuthi ubone kahle ukuthi avuvukele kangakanani, ukuthi makhulu kangakanani, nokuthi imigudu yekhala ivinjiwe kangakanani. Lokhu kungaba yinto engakhululekile, kodwa akubuhlungu kakhulu.
• Ukuhlola isampula yobomvu/uketshezi: I-throat swab (ebizwa ngokuthi i-throat culture ) ingathathwa ukuze kubonakale ukuthi akhona yini amabhaktheriya kuyo, ikakhulukazi amabhaktheriya abangela i-strep throat .
• Ukuhlolwa kokungezwani komzimba: Uma udokotela ecabanga ukuthi imbangela yokuvuvukala iwukungezwani komzimba, angase futhi enze ukuhlolwa okuhlobene nalokho.

Ngezinye izikhathi i-X-ray ingathathwa ukuze kubonwe ubukhulu be-adenoids.

Yiziphi izindlela zokwelapha lokhu? Ingabe kuyinto okufanele uyesabe?

Ukwelashwa kwe-adenoiditis kuncike embangela.

Esikhathini esiningi, lapho ama-adenoid evuvukala ngenxa yegciwane, amasosha omzimba wengane ayalwa nalo futhi aphulukise ezinsukwini ezimbalwa noma ngesonto. Akudingi ukwelashwa okukhethekile. Okudingeka ukwenze nje ukuthatha umuthi womkhuhlane kanye nobuhlungu bomzimba, uphumule ngokwanele, futhi uphuze uketshezi oluningi.

Kodwa-ke, uma kungenxa yesinye isizathu, ukuvuvukala kuzoncipha uma leso sizathu seselashwa. Isibonelo:

• Uma udokotela eqinisekisa ukuthi kuyigciwane elibangelwa amagciwane, uzokunikeza ama-antibiotic . I-Amoxicillin ne -Penicillin yiwona ma-antibiotic athandwa kakhulu avame ukunikezwa. Le mithi kufanele ithathwe njengoba nje ishiwo, inani eliqondile lezinsuku. Akuyona into enhle ukuyeka ukuyithatha phakathi nendawo.
• Uma kungenxa yokungezwani komzimba, udokotela wakho angase akunikeze ama-antihistamine noma i-nasal steroid spray, njenge- Flonase® .
• Ukunisela impumulo nge-saline nasal wash kusiza ekususeni izinto ezibangela ukungezwani komzimba noma amagciwane futhi kusiza nasekunciphiseni ukuminyana kwamakhala.
• Uma une-acid reflux, udokotela wakho angase akunike imithi, njenge- proton pump inhibitors (PPIs) noma i-H2 blockers .

Kuthiwani uma imithi ingasebenzi? Ingabe ngidinga ukuhlinzwa (i-Adenoidectomy)?

Ngezinye izikhathi, naphezu kwemithi, ukuvuvukala kwama-adenoid kungase kuqhubeke. Noma, uma une-adenoiditis evame ukwenzeka, okubangela ukufuthwa kwezindlebe njalo, noma ubunzima bokuphefumula ebusuku (i-Obstructive Sleep Apnea), udokotela wakho angase akuncome ukuhlinzwa , okubizwa ngokuthi i-adenoidectomy . Lokhu kuhilela ukususa ngokuhlinzwa ama-adenoid avuvukile. Lokhu kwenziwa uchwepheshe wezindlebe, ikhala, nomphimbo (i-Otolaryngologist - udokotela we-ENT) .

Manje ungase ucabange, 'O, ingabe ukususa ingxenye yesimiso sokuzivikela komzimba kuzokwenza ingane yami igule kakhulu?' Ungakhathazeki . Lokho ngeke kwenzeke. Eqinisweni, ama-adenoid ayingxenye encane nje yesimiso sokuzivikela komzimba. Ukuwasusa ngeke kwenze ingane yakho igule kakhulu. Okunye kwesimiso sokuzivikela komzimba (njenge-tonsils nama-lymph node) kuzosebenza kangcono futhi kuvikele ingane yakho emagciwaneni. Eqinisweni, ukususa ama-adenoid avuvukele, avame ukugula kungenza ingane yakho igule kancane.

Kwenzekani ngemva kokuhlinzwa kwe-adenoid? Ingabe ingane iphilile?

I-Adenoiditis izolulama ngokushesha uma imbangela yelashwa. Uma kuyigciwane, lizolulama cishe ngesonto. Ingane izoqala ukuzizwa ingcono zingakapheli izinsuku ezimbalwa iqalile ukusebenzisa ama-antibiotic. Kodwa-ke, yonke imithi enqunywe udokotela kufanele inikezwe ngesikhathi esifanele futhi ngqo. Ungayeki phakathi nendawo ngoba nje uzizwa ungcono kancane.

Uma uhlinzwa ukuze kususwe ama-adenoid (i-Adenoidectomy), kuvame ukwenziwa ngosuku olufanayo futhi ungaya ekhaya (ukuhlinzwa kosuku). Ezinsukwini ezimbalwa ngemva kokuhlinzwa, umphimbo wakho ungase ube buhlungu kancane, futhi ungase uzizwe ungakhululekile lapho udla. Udokotela uzokunika imithi yobuhlungu ngalokhu. Ngokuvamile udinga ukuphumula ekhaya okungenani isonto. Ngemva kwalokho, ingane ingaya esikoleni futhi idlale ngendlela evamile. Izingane eziningi zizwa impumuzo enkulu ngemva kwalokhu kuhlinzwa, futhi izinto ezifana nokuphefumula ngamakhala nokulala zingcono kakhulu.

Ungayinakekela kanjani ingane yakho ekhaya? Kufanele ubonane nini nodokotela?

Uma unakekela ingane ene-adenoiditis, udinga ukuba nothando olukhulu nokunaka . Ukuze uyisize izizwe ingcono, yinike uketshezi oluningi (njengamanzi, isobho, ijusi yezithelo) futhi uthole ukuphumula okwanele. Uma ibuhlungu emphinjeni, kunezindlela eziningana zokwelapha ekhaya ongazizama, njengokuyinika uju oluncane nokuyixuba ngamanzi anosawoti (uma ingane yakho ikwazi ukuyibekezelela).

Into ebaluleke kakhulu ukuhlola njalo ukuthi ingane yakho izizwa kanjani. Buza njalo ukuthi, 'Unjani ndodana/ndodakazi?' Lokho kuzosiza ukuthi izizwe ingcono. Ungatshela nodokotela ukuthi yini ngempela okudingeka uyitshele yona.

Kulezi zimo, kufanele nakanjani ubone udokotela:

• Uma izimpawu zingathuthuki noma umkhuhlane unganciphi ngemva kwezinsuku ezimbili zokuqala ama-antibiotic.
• Uma ingane iba nezimpawu ezintsha, noma uma izimpawu ezikhona ziba zimbi kakhulu (isib., izinga lokuphefumula elikhuphukile, izindebe eziluhlaza okwesibhakabhaka).
• Uma umkhuhlane uqhubeka naphezu kokunikezwa umuthi wokunciphisa umkhuhlane.
• Uma ingane inenkinga enkulu yokuphefumula.
• Uma benqaba ukudla noma ukuphuza, noma uma behlanza.

Ngakho-ke, ake sikhumbule izinto ezibaluleke kakhulu, akunjalo?

Izingane eziningi zithola ama-adenoid avuvukele uma zigula. Kodwa umkhuhlane omningi kanye ne-flu kuyaphola ngokuhamba kwesikhathi. Ezinye izimbangela - ukutheleleka ngamagciwane, izinkinga ze-asidi yesisu, ukungezwani komzimba - zingelashwa ngemithi. Kodwa uma ingane yakho idinga ukuhlinzwa, khumbula ukuthi inqubo evamile kakhulu futhi ephumelelayo. Ingane ingaba nempilo enhle ngaphandle kwama-adenoid.

Abazali abaningi abacabangi ngegama lezokwelapha elithi 'adenoiditis' uma bebona izimpawu zengane yabo. Kunalokho, ama-adenoid avuvukile angabukeka njengomkhuhlane noma umkhuhlane. Ngokuhamba kwesikhathi, angabukeka njengokutheleleka kwezindlebe okuphindaphindiwe. Kodwa okubaluleke kakhulu kunokwazi igama lezokwelapha ukwazi ukuthi uzobona nini udokotela. Iningi lezingane liyalulama ngokuhamba kwesikhathi. Kodwa uma izimpawu zihlala isikhathi esingaphezu kwesonto, noma zinzima, shayela udokotela. Bangasiza ingane yakho ilulame ngokushesha. Ngifisela ingane yakho ukuthi ilulame ngokushesha!

Ama - Adenoid, i-adenoiditis, impilo yabantwana, umphimbo obuhlungu, ikhala elivalekile, ukuphefumula komlomo, ukuhlinzwa kwe-adenoid