Wake waba sendizeni, usuka noma ufika, wazizwa sengathi izindlebe zakho zivalekile noma zigcwele ngokuzumayo? Noma mhlawumbe usanda kuzwa ubuhlungu obuncane endlebeni yakho wazizwa ungakhululekile ngendlela exakile? Abantu abaningi bake baba nalokhu okuhlangenwe nakho. Lokhu yilokho esikubiza ngokuthi "Indlebe Yendiza." Kodwa akugcini nje ezindizeni. Kungenzeka futhi uma use-elevator esheshayo, ukhuphuka izintaba, noma ucwila emanzini. Ngokwezokwelapha, lesi simo sibizwa ngokuthi i-Ear Barotrauma. Ngakho-ke namuhla, ake sixoxe ngakho ngamagama alula.
Kalula nje, iyini i-barotrauma yendlebe?
I-barotrauma yendlebe iwukulimala ezindlebeni zethu uma kukhona umehluko phakathi kwengcindezi engaphakathi kwezindlebe zethu kanye nengcindezi yomoya esiyizwayo ngaphandle. Cabanga ngakho, kukhona ingxenye ephakathi yezindlebe zethu. Kukhona ipayipi elincane kakhulu elixhumanisa le ndlebe ephakathi nengemuva komphimbo wethu. Lokhu kubizwa ngokuthi ipayipi le-Eustachian . Umsebenzi walo oyinhloko ukugcina ingcindezi yomoya kuzo zombili izinhlangothi ze-eardrum isezingeni elifanayo.
Cabanga nje, uma sikhuphuka ngendiza, umfutho womoya osizungezile wehla ngokushesha. Kodwa umfutho ongaphakathi kwendlebe awunciphi ngesivinini esifanayo. Bese kuba nokungalingani komfutho kuzo zombili izinhlangothi ze-eardrum. Kufana nebhaluni elivuvukile. Umfutho womoya ongaphakathi uphakeme, kanti ongaphandle uphansi. Yilapho ithubhu i-Eustachian ivuleka, ivumela umoya owengeziwe ongaphakathi kwendlebe uphume futhi ilinganise umfutho. Lapho indiza ifika, kwenzeka okuphambene nalokho. Umfutho wangaphandle uyanda, futhi umfutho ongaphakathi kwendlebe uyancipha. Bese leli thubhu livuleka, lithatha umoya ongaphandle futhi lilinganise umfutho.
Kodwa ngezinye izikhathi ijubane lapho lokhu kushintsha kwengcindezi kwenzeka khona lishesha kakhulu. Khona-ke lelo payipi elincane lase-Eustachian alikwazi ukuzivumelanisa nalelo jubane. Yilapho-ke sizwa khona ingcindezi, ubuhlungu, kanye nomuzwa wokuvaleka ezindlebeni zethu. Yilokhu esikubiza ngokuthi i-barotrauma yendlebe.
Ziyini izimpawu zalesi simo?
Esikhathini esiningi, lezi zimpawu azizimbi kangako, kodwa ngezinye izikhathi zingaba zimbi kakhulu. Ake sibheke izimpawu eziyinhloko.
| Isibonakaliso | Indlela okuzwakala ngayo |
|---|---|
| Ubuhlungu bendlebe/ukuvaleka | Uphawu oluvame kakhulu umuzwa wokuminyana noma umuzwa wokuvaleka kwendlebe. |
| Ukukhubazeka kokuzwa | Ukuzizwa sengathi awukwazi ukuzwa imisindo ekuzungezile kahle, uzizwa unesiyezi. |
| Ubuhlungu bendlebe | Ubuhlungu obubukhali ngaphakathi kwendlebe ngenxa yokucindezeleka. Ngezinye izikhathi lokhu kungaba nzima kakhulu. |
| Isiyezi | Uma ibhalansi endlebeni ithinteka, ungase uzizwe unesiyezi. |
| Uketshezi oluphuma endlebeni | Lokhu akuvamile kakhulu, kodwa uma kwenzeka, kungaba uphawu lokuqhekeka kwendlebe. |
Kungani lokhu kwenzeka? Yiziphi izizathu eziyinhloko?
Njengoba sixoxile ngaphambili, imbangela enkulu ukungalingani phakathi komfutho womoya wangaphandle kanye nomfutho endlebeni ephakathi. Lokhu kungenxa kakhulu yokungasebenzi kahle kwepayipi le-Eustachian.
Ake sithi unomkhuhlane . Noma ikhala lakho livalekile futhi ligcwele umucu ngenxa yesimo sokungezwani komzimba . Ngezikhathi ezinjengalezi, ithubhu le-Eustachian lingavuvukala futhi livaleke umucu. Khona-ke lelo thubhu alikwazi ukuvula noma ukuvala kahle. Ngakho-ke uma undiza ngesikhathi esinjengalesi, ingcindezi engaphakathi kwendlebe yakho ayikwazi ukulingana njengoba ingcindezi ishintsha. Khona-ke ingozi ye-ear barotrauma iphezulu kakhulu.
Ingabe lokhu kungaba yinto engathi sína? Yiziphi izinkinga?
Esikhathini esiningi, lesi akusona isimo esibucayi. Ngokuvamile siphela sodwa zingakapheli izinsuku ezimbalwa noma usuku noma ezimbili ngemva kohambo lwendiza. Kodwa-ke, akuvamile kakhulu, uma umehluko wokucindezela umkhulu, ungabangela ukuqhekeka kwendlebe . Lokhu kuvame ukuxazululeka ngokwako zingakapheli amasonto ambalwa. Kodwa-ke, uma unezinye zezimpawu ezilandelayo, kufanele ubonane nodokotela ngokushesha :
| Isikhathi sokuthola iseluleko sezokwelapha ngokushesha | |
|---|---|
| Ukulahlekelwa ukuzwa | Uma ukuzwa kwakho kwehla kakhulu ngokuzumayo. |
| Ukuzwa ukukhala ezindlebeni (i-Tinnitus) | Uma uqhubeka nokuzwa umsindo "okhalayo" ngaphakathi endlebeni yakho ngaphandle kwesizathu. |
| Uketshezi noma ukuphuma kwegazi endlebeni | Uma kukhona ukuphuma kwamanzi okuncane, i-phlegmy, noma igazi eliphuma endlebeni. |
| Isiyezi esinzima (i-Vertigo) | I-vertigo enzima, ecasulayo ezwakala sengathi umhlaba uyajikeleza nxazonke zakho. |
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela onalezi zimpawu, uzoqala ngokukubuza imibuzo embalwa.
- Waqala kanjani ukuba nalezi zimpawu?
- Uke waba sendizeni muva nje? Noma uke wabhukuda emanzini?
- Sekuyisikhathi esingakanani lokhu kungakhululeki kuqhubeka?
Ngemuva kwalokho, udokotela uzosebenzisa ithuluzi elincane elibizwa ngokuthi i-otoscope ukuze abheke ngaphakathi kwendlebe yakho. Lokhu kungasiza ekuhloleni umonakalo ku-eardrum noma ukutheleleka ngaphakathi kwendlebe. Uma kunenkinga yokuzwa, ungathunyelwa kudokotela wezindlebe ukuze akuhlolele ukuzwa.
Yiziphi izindlela zokwelapha lokhu?
Esikhathini esiningi, lokhu akudingi ukwelashwa okukhethekile. Kodwa-ke, uma izimpawu zinzima noma zingathuthuki ngokushesha, udokotela wakho angase akunikeze ukwelashwa okufana nalokhu:
- Izinto zokuqeda ukuminyana kwamakhala: Uma ikhala lakho ligcwele futhi linomuncu, lokhu kungasiza ekunciphiseni ukuminyana kwamakhala nokuvula ipayipi le-Eustachian.
- Ama-Corticosteroids: Lawa asiza ekunciphiseni ukuvuvukala epayipini le-Eustachian.
- Ukuhlinzwa: I-Tympanoplasty, uma kukhona imbobo endlebeni futhi ingazipholi ngokwayoUkuhlinzwa okuncane kungenziwa ukuze kuvalwe imbobo. Kodwa lokhu akwenziwa njalo.
Ngingakuvimbela kanjani lokhu ngaphambi kokuba ngindize?
Lena yingxenye ebaluleke kakhulu. Kulula kakhulu ukuvimbela ukugula kunokukwelapha. Uma uzohamba ngendiza, zama lezi zinto nakanjani.
| Indlela | Okufanele ngikwenze |
|---|---|
| Ukugwinya nokugwinya | Qhubeka ugwinya futhi uhlanza umphimbo wakho njengoba indiza isuka futhi ihlala phansi. Lezi zenzo zivula ipayipi le-Eustachian. Ukuhlafuna itshungama nakho kuyindlela enhle yokwenza lokhu. |
| Kwabantwana abancane | Uma uhamba nomntwana omncane, nika ingane yakho ibhodlela lobisi, amanzi, noma i-pacifier ngenkathi ugibela futhi wehla endizeni. Inqubo yokugwinya isiza ekunciphiseni ukucindezeleka ezindlebeni. |
| I-Valsalva Maneuver | Lokhu kulula kakhulu. Vala umlomo wakho ngokuqinile, cindezela ikhala lakho ngeminwe yakho, bese uzama ukufutha umoya ngekhala lakho. Uzozwa umsindo othi "pop" uvela ezindlebeni zakho futhi izindlebe zakho zizovuleka. Udinga ukwenza lokhu kancane kancane. |
| Umuthi womkhuhlane | Uma unesifo somkhuhlane noma i-allergies, sebenzisa i-decongestant nasal spray cishe ihora ngaphambi kohambo lwakho. Cela iseluleko kudokotela wakho ngalokhu. |
| Ama-Earplugs | Kukhona ama-earplug akhethekile (ama-earplug ahlungiwe) aklanyelwe ngqo ukuhamba emoyeni alawula ingcindezi. Ukusebenzisa lokhu kungasiza ekunciphiseni ukungakhululeki ngokunciphisa ijubane lokushintsha kwengcindezi. |
Kunini lapho udinga ukubonana nodokotela?
Lesi simo ngokuvamile singesesikhashana. Kodwa-ke,
- Uma ubuhlungu bendlebe yakho kanye nesiyezi kungapheli ngisho nangemva kosuku noma ezimbili ngemva kohambo lwakho lwendiza,
- Uma ubuhlungu bendlebe buqhubeka,
Ngokuqinisekile bonana nodokotela wakho.
Isimo Esiphuthumayo: Uma kukhona uketshezi noma igazi eliphuma endlebeni, kungaba uphawu lokuqhekeka kwendlebe. Esimweni esinjalo, hamba uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-barotrauma yendlebe yisimo lapho indlebe yonakaliswa khona yizinguquko zomfutho womoya. Lokhu kuvamile ngesikhathi sokuhamba ngendiza kanye nokuntywila.
- Esikhathini esiningi, lokhu akukubi kangako futhi kuzophola ngokwako.
- Lokhu kungavinjelwa kakhulu ngokugwema ukugwinya, ukuhlafuna itshungama, nezinye izinto ngesikhathi sokusuka nokufika.
- Uma unesifo somkhuhlane noma isimo sokungezwani komzimba, unganciphisa ingozi yakho ngokuthatha imithi efanele ngaphansi kweseluleko sikadokotela ngaphambi kokuba undize.
- Uma izimpawu ziqhubeka izinsuku eziningana, noma uma uzwa izimpawu ezifana nokuphuma koketshezi endlebeni, ubuhlungu obukhulu, noma isiyezi esinzima, bona udokotela ngokushesha.
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