Ingabe ingane yakho encane ihona kakhulu ebusuku lapho ilele? Noma ingabe ivame ukuphefumula umlomo wayo uvulekile ngisho nalapho idlala emini? Ingabe ikhala layo lizizwa livalekile njalo? Lezi yizinkinga ezivamile abazali abaningi abanazo. Ngezinye izikhathi sicabanga ukuthi kuyinto evamile, noma umkhuhlane nje omncane. Kodwa kwabanye abantwana, imbangela yalokhu yingxenye yomzimba okungekho noyedwa kithi okhuluma kakhulu ngayo, kodwa ibaluleke kakhulu. Leyo yi -adenoids . Namuhla sizokhuluma ngayo yonke into ngendlela elula ongayiqonda.
Yini ngempela i-adenoids?
Kalula nje, ama-adenoid ayizindlala ezincane ezitholakala phezulu komphimbo wethu, ngemuva kwekhala lethu. Empeleni, ayingxenye yesimiso sokuzivikela somzimba wethu, isimiso sokuzivikela komzimba. Cabanga ngomzimba wethu njengenqaba. Ikhala nomlomo kungamasango amabili ayinhloko aleyo nqaba. Kumelwe kube nabaqaphi ukuze babambe amagciwane, njengebhaktheriya namagciwane, angena ngala masango. Ngendlela efanayo, ama-adenoid angabaqaphi abancane abamba amagciwane angena ngekhala nangomlomo wethu futhi balwe nawo.
Lokhu kubaluleke kakhulu empilweni yezingane ezincane nezinsana . Ngoba kuleyo minyaka, ezinye izindlela zomzimba zokulwa nokugula azikakhuli ngokugcwele. Ngakho-ke ama-adenoid asiza ukugcwalisa leso sikhala futhi avikele ingane ekuguleni.
Kodwa kukhona okumangalisayo lapha.
- Ama-adenoid engane afinyelela usayizi wawo ophezulu phakathi kweminyaka emi-3 nengu-5.
- Bese kuthi lapho sebeneminyaka engu-7 noma engu-8, kancane kancane baqale ukuncipha.
- Njengoba sikhula, lezi ziyancipha cishe ngokuphelele futhi zinyamalale.
Lokho kusho ukuthi, ama-adenoid anjengomvikeli wesikhashana womzimba, oqondene nobuntwana kuphela.
Zikuphi i-adenoids? Singazibona?
Lena inkinga abantu abaningi abanayo. Ngokungafani nama-tonsils abonakala kuzo zombili izinhlangothi zomphimbo uma uvula umlomo wakho futhi ubheka phambi kwesibuko, ama-adenoids awabonakali kithi. Atholakala phezulu komphimbo, ngemuva lapho umgodi wempumulo uphela khona. Uma sikhuluma iqiniso, ophahleni lomlomo, ngaphezu komlomo othambile. Ngisho nodokotela akakwazi ukuwabona ngokuhlolwa okuvamile; kufanele asebenzise idivayisi ekhethekile efakwe ikhamera (i-endoscopy yempumulo).
Zibukeka njengenqwaba yezicubu ezipinki, ezithambile. Abanye abantu baze bazichaze ngokuthi "zifana neklabishi." I-adenoid evamile nephilile ingamamitha ayi-6 ngobukhulu. Kodwa uma zivuvukala futhi zanda ngenxa yokutheleleka noma ukungezwani komzimba, zingakhula zibe amamilimitha ayi-11-12 noma zibe nkulu nakakhulu. Yilapho izinkinga ziqala khona.
Kungani ama-adenoid eba makhulu uma engavuvukile?
Noma nini lapho umzimba wengane ulwa nokutheleleka, lawa ma-adenoid angavuvukala futhi avuvuke. Lokhu kuyinto evamile. Kodwa-ke, kwezinye izingane, avuvukala njalo futhi makhulu kakhulu. Kunezizathu eziningana eziyinhloko zalokhu.
- Izifo zokuphefumula ezivame ukwenzeka: Izingane ezithola izifo zomkhuhlane, umkhuhlane kanye nomphimbo njalo kufanele zisebenze ngokungayeki, okubangela ukuba ama-adenoid azo avuvuke futhi akhule.
- Ukutheleleka kwendlebe okuvamile: Izindlebe, impumulo, nomphimbo kuxhumene, ngakho-ke ukutheleleka kwendlebe nakho kungabangela ukuvuvukala kwe-adenoids.
- Ukungezwani komzimba: Izingane ezine-allergies ezintweni ezifana nothuli kanye nempova zingase zibe ne-adenoids yazo evuselelwa njalo futhi evuvukele.
- Ukopha kwamakhala okuvamile: Ngezinye izikhathi lesi simo singase sihlotshaniswe ne-adenoids evuvukele.
Yiziphi izimpawu umntwana azizwayo lapho ama-adenoid ekhula?
Uma ama-adenoid ekhula, avimba indlela yokungena komoya ngemuva kwekhala. Leyo yimbangela yezinkinga eziningi. Akuzona zonke ama-adenoid akhula abangela izimpawu. Kodwa uma ekhula, angafaka lezi zimpawu ezilandelayo. Hlola ukuthi ingane yakho inayo yini yalezi.
| Isibonakaliso | Kuchazwe kalula |
|---|---|
| Ukuphefumula komlomo | Lolu uphawu oluyinhloko noluvame kakhulu. Umlomo wengane uhlala uvulekile ngoba kunzima ukuphefumula ngekhala. Lokhu kungabonakala kokubili ebusuku nasemini. |
| Ukuhona | Ngenxa yokuthi indlela yokuphefumula ngemuva kwekhala ivaliwe, izicubu ezikuleyo ndawo ziyavevezela uma uphefumula, zenze umsindo. Ezinye izingane zihogela kakhulu, njengabantu abadala. |
| Ukuphefumula Kokulala Okungavinjelwe | Lesi yisimo esibucayi ngandlela thize. Ngesikhathi ehona, ukuphefumula kwengane kuyama imizuzwana embalwa bese kuqala ngokuzumayo futhi ngokuzumayo. Lokhu kuphazamisa ukulala kwengane. |
| Ukuminyana kwamakhala njalo kanye nekhala eligelezayo | Ngisho noma ungenawo umkhuhlane, ikhala lakho lingase lizwakale livalekile njalo. Ungase ube nezwi "lekhala" uma ukhuluma, njengokungathi ukhuluma ngekhala lakho. |
| Ukutheleleka njalo kwendlebe kanye nokulahlekelwa ukuzwa | Ama-adenoid avuleka futhi angene epayipini le-Eustachian, elixhumanisa indlebe nekhala. Uma ama-adenoid eba makhulu, ipayipi lingavaleka, okubangela uketshezi olunqwabelana endlebeni, okuholela ekuthelelekeni, kanye nokulahlekelwa ukuzwa. |
| Umphimbo obuhlungu kanye nokomisa | Ukuphefumula njalo ngomlomo wakho kungabangela ukuthi umphimbo wakho wome futhi ube buhlungu uma uvuka ekuseni. |
Okubaluleke kakhulu, uma lezi zimpawu ziphazamisa ukulala kwengane, ingane ingase idinwe emini, ingabi nandaba, futhi ingabi nandaba nomsebenzi wesikole.
Ukuthola kanjani lokhu, Dokotela?
Uma uyisa ingane yakho kudokotela, izoqala ikubuze ngezimpawu zengane yakho. Ingabe iyahona ebusuku, iphefumula ngomlomo wayo, noma igula njalo? Ngemuva kwalokho, udokotela uzoyihlola ingane yakho. Njengoba ama-adenoid engabonakali ngqo, bangase batuse ukuhlolwa okuningana ukuqinisekisa isimo.
- I-Endoscopy Yamakhala: Lena indlela engcono kakhulu. Ipayipi elincane, eliguquguqukayo elinekhamera encane kanye nokukhanya ekugcineni kufakwa ekhaleni lengane bese udokotela ebheka ngokucophelela ama-adenoid ukuze abone ukuthi makhulu kangakanani, avuvukile, noma abomvu kangakanani.
- I-X-ray: Ngezinye izikhathi i-X-ray yohlangothi lwentamo ingasetshenziswa ukubona ukuthi indlela yokuphefumula ivinjwe kangakanani yi-adenoids.
- Ucwaningo Lokulala: Uma kukhona okusolakala ukuthi ingane ine-obstructive sleep apnea, lolu vivinyo lungenziwa.
- Ukukhuliswa komphimbo: Lokhu kuhlolwa kusiza ekunqumeni ukuthi ama-adenoid avuvukele yini ngenxa yokutheleleka ngamagciwane.
Wenzani njengokwelashwa?
Ingxenye engcono kakhulu ukuthi, akuzona zonke izingane ezine-adenoids ekhulisiwe ezidinga ukuhlinzwa. Udokotela wakho uzoqala azame ukwelapha lesi simo ngaphandle kokuhlinzwa. Ukwelashwa kuzoncika embangela ye-adenoids ekhulisiwe kanye nobukhali bezimpawu.
1. Ukwelapha imbangela eyisisekelo
Udokotela uzoqala azame ukuthola ukuthi yini ebangela i-adenoids evuvukele bese eyayelapha.
- Uma kuyigciwane elibangelwa amagciwane: Ingane izonikezwa ama-antibiotic isikhathi esithile esinqunyiwe.
- Uma kuyi-allergy: Unganikwa ama-antihistamine noma i-nasal corticosteroid spray. Lesi spray singasiza ekunciphiseni ukuvuvukala kuma-adenoid.
2. Ukuhlinzwa kwe-Adenoid
Uma izimpawu zingenakulawuleka ngemithi, noma uma ziqhubeka nokuphazamisa ukulala kwengane yakho, ukuzwa, noma impilo yansuku zonke, udokotela wakho angase akuncome ukuhlinzwa. Lokhu kuhlinzwa kubizwa ngokuthi i-adenoidectomy.
Abazali abaningi bayesaba lapho bezwa ngalokhu kuhlinzwa, kodwa empeleni kuyindlela yokuhlinzwa ephephile kakhulu nelula eyenziwa kabanzi emhlabeni.
Kule nqubo, ingane ifakwa ngaphansi kwe-anesthesia ejwayelekile, bese udokotela ohlinzayo esusa izicubu ze-adenoid ezikhulisiwe esebenzisa amathuluzi akhethekile angaphakathi emlonyeni. Akukho ukusikwa okwenziwe ngaphandle. Ingane ngokuvamile ingathunyelwa ekhaya kusihlwa esifanayo noma ngosuku olulandelayo. Ingane izolulama ngokuphelele ezinsukwini ezimbili kuya kwezintathu.
Omunye umbuzo abazali abaningi abanawo uthi, "Ingabe ukususa ama-adenoid kuzonciphisa ikhono lengane lokulwa nokugula?" Cha. Ucwaningo lukhombisile ukuthi ukususa ama-adenoid akumenzi umntwana abe sengozini enkulu yokuba nomkhuhlane noma athole izifo. Lokhu kungenxa yokuthi kunezinye izingxenye eziningi zesimiso somzimba sokuzivikela (njenge-tonsils nama-lymph node) ezilwa namagciwane.
Umlayezo Wokuya Nawe Ekhaya
- Ama-Adenoid ayingxenye ebalulekile yomzimba evikela ingane kumagciwane ngesikhathi isengumntwana.
- Uma ingane yakho iphefumula njalo ngomlomo wayo, ihogela kakhulu ebusuku, noma ithola izifo zendlebe njalo, yiqaphele bese ukhuluma nodokotela wakho .
- Akuzona zonke izingane ezine-adenoids ezikhuphukile ezidinga ukuhlinzwa. Ezimweni eziningi, izimpawu zingalawulwa ngemithi.
- Uma udinga ukuhlinzwa (i-adenoidectomy), ungesabi. Kuyindlela yokuhlinzwa ephumelele kakhulu futhi ephephile.
- Uma unokungabaza ngempilo yengane yakho, kuwukuhlakanipha ukufuna iseluleko kudokotela ofanelekayo kunokuqagela.
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