Wake wazizwa kanje? Uma ukhuluma nomndeni wakho, uzizwa sengathi awukwazi ukuzwa ukuthi bathini ngokucacile. Kufanele uphakamise i-TV kakhulu. Noma uzizwa sengathi ikhanda lakho liyazungeza uma usukuma, noma uzizwa sengathi izinto ziyazungeza nxazonke zakho. Ukuphila nalezi zinhlobo zezinkinga kuyacasula kakhulu. Kodwa abantu abaningi bacabanga ukuthi lezi yizinto ezivamile bese bezikhohlwa. Empeleni kukhona uchwepheshe ongasiza ngalezi zinhlobo zezinkinga. Yilokho esikhuluma ngakho namuhla.
Ubani lo dokotela wezindlebe?
Kalula nje, isazi sokuzwa singuchwepheshe wezempilo ogxile ezindabeni eziphathelene nokuzwa kwethu kanye nokulinganisela. Bafana nodokotela, kodwa ubuchwepheshe babo buwukufunda ngokujulile izinhlelo zokuzwa kanye nokulinganisela ngaphakathi kwendlebe.
Bazohlola ukulahlekelwa kwakho ukuzwa, ukukhala ezindlebeni zakho, kanye nesiyezi esivamile, bathole imbangela, futhi bakusize ukuthi ulawule lokhu. Bazokunikeza namathiphu okuthi ungazivimbela kanjani lezi zimo ukuthi zingabi khona.
Cabanga ngakho, ukuzwa nokubona kwethu yikona okusixhumanisa nomhlaba wethu. Sidinga izindlebe zethu ukuze sikwazi ukukhuluma nothile, ukulalela ingoma, noma ukujabula lapho sizwa inyoni. Ngokufanayo, umzimba wethu udinga ukulinganisela okuphelele ukuze uhambe futhi wenze imisebenzi ngaphandle kwezinkinga. Udokotela wezindlebe uyakusiza ukuthi ugcine womabili la makhono.
Baphatha abantu babo bonke ubudala. Lokho kusho ukuthi noma ubani kusukela kusana olusanda kuzalwa, kuya enganeni efunda esikoleni, umuntu osemusha, kuya kugogo osekhulile noma umkhulu angathola izinsizakalo zabo.
Ngokuvamile ungathola udokotela wezindlebe ezindaweni ezinjengalezi:
- Ezibhedlela nasemitholampilo
- Ezikoleni nasemanyuvesi
- Ezikhungweni zokuvuselela
- Emakhaya asebekhulile nasezikhungweni zokunakekelwa
Yini ngempela engasiza ngayo udokotela wezindlebe?
Udokotela wezindlebe unguchwepheshe wezindlebe, ngakho-ke baphatha kakhulu izimo ezihlobene nezinqubo ezenzeka ngaphakathi kwendlebe. Ake sibheke ukuthi ziyini lezo.
| Isimo | Incazelo elula |
|---|---|
| Ukulahlekelwa Yizindlebe | Lokhu kungaba ngenxa yezizathu ezahlukahlukene. Isibonelo, baphatha noma yiluphi uhlobo lokulahlekelwa ukuzwa, njengokulahlekelwa ukuzwa kwemvelo ngokuguga (presbycusis) , ukulahlekelwa ukuzwa okubangelwa ukulimala kwemizwa endlebeni ngenxa yokuchayeka emsindweni omkhulu (ukulahlekelwa ukuzwa kwe-sensorineural) , noma ukulahlekelwa ukuzwa njengomphumela ongemuhle wemithi ethile (i-ototoxicity) . |
| Ukukhala ezindlebeni (i-Tinnitus) | Ingabe uhlala uzwa umsindo "wokukhala" noma wokushaya ikhwela ngaphakathi endlebeni yakho, ngisho noma kungekho msindo ozungezile? Udokotela wezindlebe angakusiza ulawule lesi simo. |
| Izinkinga Zokucubungula Ukuzwa (i-APD) | Lesi yisimo esiyinkimbinkimbi kancane. Okwenzekayo lapha ukuthi izindlebe zakho zizwa imisindo kahle, okusho ukuthi akukho nkinga ngokuzwa kwakho. Kodwa ubuchopho bakho bunobunzima bokuqonda, ukuhlukanisa, nokubona imisindo oyizwayo. Isibonelo, lapho iqembu labantu likhuluma, awukwazi ukuzwa ukuthi othile uthini. |
| Izinkinga zesiyezi kanye nokulinganisela (Izinkinga ze-Vestibular) | Ibhalansi yomzimba wethu ilawulwa uhlelo olubucayi kakhulu ngaphakathi kwendlebe (uhlelo lwe-vestibular) . Uma kukhona okungahambi kahle ngalokhu, sizizwa sididekile noma sinekhanda elibuthakathaka. Udokotela we-audiologist angelapha izimo ezivamile njenge- Benign Paroxysmal Positional Vertigo (BPPV), ebangela umuzwa wokujikeleza lapho uphendula ikhanda lakho ngenkathi umi. |
Uyini umehluko phakathi kukadokotela we-ENT nodokotela we-Audiologist?
Lokhu kuyinto edida abantu abaningi. Udokotela we-ENT ungumuntu onakekela izindlebe, ngakho-ke uyini umehluko phakathi kodokotela wezindlebe nodokotela we-ENT?
Mane nje wenze lokhu:
Udokotela we-ENT (Otolaryngologist) ungudokotela ogxile ekwelapheni izifo zendlebe, impumulo, nomphimbo . Bangakwazi ukuthola imbangela yesimo sakho, bakunike imithi , futhi benze ukuhlinzwa.
Udokotela wezindlebe unguchwepheshe wokuzwa nokulinganisela.Umuntu ogxile kuleyo ngxenye kuphela. Abahlinzi noma banikeze imithi. Abakwenzi ukwenza izivivinyo ezithile, bathole ukuthi iyini ngempela inkinga yakho yokuzwa noma yokulinganisela, futhi bakusize ukuyilawula. Lokho kusho ukufaka izinsiza zokuzwa nokukufundisa izivivinyo ezithile.
Lokhu kokubili kusebenzisana ukusizana. Udokotela we-ENT angakudlulisela kudokotela we-audiologist ukuze athole ukuxilongwa okunembile kokulahlekelwa kwakho ukuzwa. Futhi, uma udokotela we-audiologist ethola ukuthi inkinga yakho idinga imithi noma ukuhlinzwa, uzokudlulisela kudokotela we-ENT.
Kufanele ubonane nini nodokotela wezindlebe?
Uma unesinye noma ngaphezulu kwalezi zimpawu ezingezansi, kungumqondo omuhle ukubona udokotela wezindlebe ukuze akunike iseluleko.
- Ingabe ukuthola kunzima ukuqonda ukuthi abanye bathini? Ikakhulukazi endaweni enabantu abaningi, ingabe uvame ukucela othile ukuthi "aphinde akhulume" ngaphandle kokuzwa kahle ukuthi uthini?
- Ingabe kufanele ukhuphule ivolumu ku-TV noma kumsakazo kakhulu? Ucabanga ukuthi ivolumu ayiphezulu ngokwanele ukuthi abanye abantu endlini bayizwe?
- Ingabe uhlala uzwa umsindo wokukhala ezindlebeni zakho? Ingabe uvame ukuzwa okuthile okufana nomsindo "wokukhala" noma umsindo ofana nomoya ovunguzayo?
- Uvame ukuzizwa unesizungu noma uphenduphenduka? Uzizwa sengathi uyaphenduphenduka uma usukuma noma uphenduka embhedeni?
Uma unezinye zalezi zimpawu, ungazinaki. Into engcono kakhulu ongayenza ukubonana nomhlinzeki wakho wokunakekelwa okuyinhloko kuqala. Angakuhlola futhi anqume ukuthi udinga ngempela yini izinsizakalo zikadokotela wezindlebe noma omunye uchwepheshe, bese ekuthumelela i-imeyili.
Kwenzekani uma uya kudokotela wezindlebe?
Uma uqala ukubona udokotela wezindlebe, ungase uzizwe ukhathazekile kancane. Kodwa inqubo ilula kakhulu. Ngokuvamile, kunezinto ezimbalwa ezenzekayo:
1. Khuluma ngomlando wakho wezokwelapha: Uzobuza ngezifo zakho zangaphambilini, imithi oyiphuzayo, nokuthi ngabe kukhona yini emndenini wakho onezinkinga zokuzwa.
2. Ubuza ngezimpawu zakho: Uzolalela ngokucophelela ukuze athole ukuthi yiziphi izinkinga onazo, ukuthi zaqala nini, nokuthi zihlala zikhona noma ziyafika zidlule.
3. Uzohlolwa: Bazosebenzisa ithuluzi elikhethekile (i-otoscope) ukubheka ngaphakathi kwendlebe yakho. Bazohlola ukuthi akukho yini ulwelwesi lwendlebe noma olunye ukutheleleka.
4. Ukuhlolwa okukhethekile: Kuye ngezimpawu zakho, ukuhlolwa kokuzwa noma ukuhlolwa kwe-vestibular kungenziwa. Lokhu ukuhlolwa okulula, okungenabuhlungu.
5. Uchaza imibiko yokuhlolwa: Uzovele akuchazele ukuthi isimo sakho sinjani ngokusekelwe emiphumeleni yokuhlolwa.
6. Ikutshela ukuthi yini okufanele uyenze ngokulandelayo: Kuye ngesimo sakho, uzokwaziswa ukuthi udinga ukusebenzisa insiza yokuzwa , ukwenza izivivinyo ezikhethekile, noma ukubona omunye uchwepheshe.
Imibuzo ebalulekile okufanele uyibuze udokotela wezindlebe
Njengoba nje uma ubona udokotela wakho, uma ubona udokotela wezindlebe, ungesabi ukubuza imibuzo onayo. Ungabuza imibuzo efana nale:
- Iyini ngempela inkinga yami yezokwelapha?
- Yini ebangela ukulahlekelwa kwami kwezindlebe/isiyezi?
- Isimo sami sibi kangakanani?
- Yiziphi ezinye izivivinyo okudingeka ngizenze?
- Yikuphi ukwelashwa okungcono kakhulu kimi?
- Yini engingayenza ekhaya ukuze ngilawule lezi zimpawu?
Umlayezo Wokuya Nawe Ekhaya
- Udokotela wezindlebe unguchwepheshe osiza ngezinkinga zokuzwa nokulinganisela.
- Uma uzizwa sengathi unenkinga yokuzwa, ukukhala njalo ezindlebeni zakho, noma isiyezi esivamile, qala ubonane nodokotela womndeni wakho.
- Udokotela wezindlebe angenza izivivinyo ezikhethekile ukuze ahlole inkinga yakho futhi ancome ukwelashwa okufana nezinsiza zokuzwa, izimila ze-cochlear, noma izivivinyo zokulinganisela.
- Ungazinaki izinkinga zokuzwa noma zokulinganisela njengengxenye yokuphila. Usizo luyatholakala. Ngokwelashwa okufanele, izinga lakho lempilo lingathuthukiswa kakhulu.
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