Ingabe ingane yakho encane ivame ukuba nobuhlungu bendlebe noma izifo zendlebe? Ingabe iba ngcono ngemva kokuthatha imithi, kodwa bese iphinda ivele ngemva kwezinsuku ezimbalwa? Lena inkinga abazali abaningi ababhekene nayo. Ngezinye izikhathi udokotela kungenzeka ukuthi ukutshelile ukuthi udinga ukufakwa ithubhu yendlebe. Abazali abaningi bayesaba kancane lapho bezwa igama elithi 'ithubhu'. Ngakho-ke namuhla, ake sixoxe ngokuthi ayini la mathubhu endlebe, ukuthi kungani efakwa, nokuthi kukhona yini okufanele ukwesabe.
Ziyini lezi ziThubhu Zendlebe?
Kalula nje, ithubhu yendlebe iyithubhu elincane kakhulu, elingenalutho elibekwa udokotela phezu kwe-eardrum. Lifana notshani oluncane lokuphuza. Lawa ngokuvamile enziwe ngepulasitiki noma ngensimbi. Odokotela bawabiza nangokuthi "ama-Tympanostomy tubes" noma "ama-ventilation tubes".
Umsebenzi wayo oyinhloko ukuvimbela uketshezi noma ubomvu ukuthi bungaqongelelani endlebeni ephakathi (ngaphakathi kwe-eardrum). Le tube ivumela umoya ukuthi ugeleze ungene endlebeni, futhi idala indlela yokuthi noma yiluphi uketshezi oluqoqeka ngaphakathi luphume. Ngale ndlela, lapho ingaphakathi lendlebe lomile futhi linomoya omuhle, ukukhula kwamagciwane kanye nokutheleleka kunciphisa kakhulu.
Kungani sidinga ukufaka amapayipi ezindlebe ezinganeni zethu?
Cishe yonke ingane izoba nokutheleleka kwendlebe okungenani okukodwa lapho ineminyaka emi-5. Lokhu kuvamile. Kodwa-ke, ezinye izingane ziyaqhubeka nokuba nalezi zifo. Noma, indlebe igcwala uketshezi, okubangela ukulahlekelwa ukuzwa. Yilapho udokotela engase atuse khona amapayipi endlebe.
Ngokuvamile, ungase uthande ukucabangela amapayipi endlebe uma ingane yakho inezinye zezimo ezilandelayo:
- Uma uthola izifo zendlebe ezintathu noma ngaphezulu zingakapheli izinyanga eziyisithupha .
- Uma uthola izifo zendlebe izikhathi ezine noma ngaphezulu ngonyaka .
- Uma kukhona ukunqwabelana okuqhubekayo koketshezi endlebeni (i-Otitis media ene-effusion) ngisho noma kungekho ukutheleleka kwendlebe, lokhu kungabangela ubunzima bokuzwa enganeni.
- Uma unesifo sendlebe esingamahlalakhona esingathuthuki ngisho noma usebenzisa ama-antibiotic.
Kungani kunzima kangaka ngezingane ezincane ukuzwa?
Ungase uzibuze ukuthi kungani lokhu kwenzeka ezinganeni ngaphezu kwabantu abadala. Kukhona ipayipi elincane elibizwa ngokuthi ``i-Eustachian tube`` elixhumanisa izindlebe nomphimbo wethu. Yilokhu okulinganisa ingcindezi engaphakathi kwendlebe futhi kususe uketshezi olungadingekile. Kubantu abadala, leli payipi lithambeke kancane, ngakho uketshezi luphuma kalula.
Kodwa ezinganeni ezincane, leli payipi litholakala cishe lilingana nomhlabathi. Ngakho-ke, njengamanzi amancane abhajwa esitsheni, uketshezi lungabhajwa kalula ngaphakathi kwendlebe. Uma ingane inomkhuhlane, leli payipi liyavuvukala futhi livaleke nakakhulu. Lokhu kudala indawo efanele ukukhula kwamagciwane.
Uma ingane inegciwane lendlebe, ingabonisa izimpawu ezifana nalezi:
- Bahlala bebamba futhi bedonsa izindlebe zabo.
- Ukukhala kakhulu kunokujwayelekile, ukungaphumuli (ikakhulukazi uma ulele phansi ngoba ubuhlungu buya bukhula).
- Ukuvuka ebusuku.
- Kubonakala sengathi ngilahlekelwa yibhalansi yami uma ngihamba.
- Uketshezi noma ubomvu kuyaphuma endlebeni.
Uma lezi zimpawu ziqhubeka, kungcono ukukhuluma nodokotela wakho, njengoba izifo zendlebe ezingapheli zingabambezela ukukhuluma kwengane yakho, ukufunda nokuzwa .
Lokhu kuhlinzwa kwenziwa kanjani?
Kuyaqondakala ukuthi abazali abaningi bayesaba lapho kuvela igama elithi ukuhlinzwa. Kodwa empeleni inqubo elula kakhulu, encane ethatha cishe imizuzu eyi-15 .
Ukulungiselela ngaphambi kokuhlinzwa
Lokhu kuhlinzwa kuvame ukwenziwa ezinganeni ezingaphansi kwe-anesthesia, okusho ukuthi zilele ngokuphelele. Lokhu kwenziwa ukuze ingane inganyakazi ngesikhathi sokuhlinzwa. Ngakho-ke, udokotela uzokweluleka ukuthi uzile ukudla (ungadli noma uphuze) amahora ambalwa ngaphambi kokuhlinzwa. Kubaluleke kakhulu ukulandela le miyalelo ngqo.
Uma ukhuluma nengane yakho ngalokhu, kungcono ukukuchaza ngendlela elula, engasongeli, njengokuthi "UDosti Malume uzosusa izinto ezingaphilile endlebeni yakho futhi enze ifasitela elincane lokujikeleza komoya okuhle," kunokuthi usebenzise amagama anjengokuthi "ukusika" noma "ukubhoboza."
Kwenzekani ngesikhathi sokuhlinzwa?
Ngemva kokuba ingane ilele, udokotela wezindlebe, ikhala, nomphimbo (ENT Surgeon) usebenzisa ithuluzi elibucayi kakhulu:
1. Kwenziwa imbobo encane kakhulu (ukusikwa) endukwini yendlebe.
2. Uketshezi noma ubomvu obuqongeleleke ngaphakathi kwendlebe kususwa ngokucophelela (ukumunca).
3. Beka ithubhu lendlebe phezu kwembobo encane eyenziwe ngaphambilini.
Yilokho kuphela! Konke kuthatha imizuzu eyi-10-15 kuphela.
Ngemva kokuhlinzwa
Ngemva kokuhlinzwa, ingane izogcinwa iqashwe isikhashana futhi ingathunyelwa ekhaya emahoreni ambalwa. Kungase kube nesicanucanu esincane kanye nokuhlanza cishe usuku lonke ngenxa yokuhlinzwa. Kodwa-ke, ingane izobuyela esimweni sayo esijwayelekile phakathi nosuku. Iningi lezingane alizizwa ubuhlungu ngemva kokuhlinzwa.
| Izimo ezingase zenzeke ngemva kokuhlinzwa | Okufanele ukwenze nokuthi yini okufanele ukwazi |
|---|---|
| Uketshezi oluphuma endlebeni | Kuvamile ukuba nokukhishwa kwegazi okuncane izinsuku ezimbalwa (cishe isonto) ngemva kokuhlinzwa. Lena yindlela uketshezi olwaluqongelelwe ngaphambili oluphuma ngayo. |
| Ukusetshenziswa kwamaconsi ezindlebeni | Udokotela uvame ukukubhalela amaconsi endlebe ukuze avimbele ukutheleleka. Kubalulekile ukuwasebenzisa isikhathi esinqunyiwe kanye nomthamo onqunyiwe. |
| Landelela | Udokotela uzohlela i-aphoyintimenti yokulandelela yengane yakho cishe emavikini amabili kuya kwamane. Kubaluleke kakhulu ukuya kule aphoyintimenti. |
| Ukugeza, ukubhukuda | Akuyona inkinga ukugeza ingane yakho njengenjwayelo. Xhumana nodokotela wakho mayelana nokubhukuda. Ungase ucelwe ukuthi ufake ama-ear plug uma ubhukuda emanzini angcolile (emachibini, emifuleni). |
Ingabe zikhona izingozi? Kufanele ngikhulume nini nodokotela wami?
Ukufakwa kwe-ear tube kuyindlela ephephile kakhulu nejwayelekile . Izinkinga azivamile. Kodwa-ke, kuhle ukuqaphela. Ngezinye izikhathi, izinto ezinjengalezi zingenzeka:
- Ukusha kwe-eardrum.
- Ipayipi livaleka ngegazi noma olunye uketshezi.
- Ithubhu liphuma ngaphambi kwesikhathi.
- Imbobo endlebeni eye yakhiwe ngemva kokususwa kwepayipi ayizivali yodwa (kukhona nokwelashwa okulula kwalokhu).
Uma kwenzeka into efana nale, shayela udokotela wakho ucingo:
- Uma uketshezi oluphuzi, olunsundu, noma olunegazi luqhubeka nokuphuma endlebeni isonto elilodwa ngemva kokuhlinzwa.
- Uma ingane inomkhuhlane ophezulu (ngaphezu kuka-102°F/38.9°C).
- Uma utshela ingane yakho ngobuhlungu bendlebe .
- Uma ubona inkinga ngokuzwa noma ukulinganisela kwengane yakho .
Yiziphi izinzuzo zokufakwa kwamapayipi ezindlebe?
Kunezinzuzo eziningi enganeni ngenxa yalokhu kuhlinzwa okuncane.
- Ukutheleleka kwendlebe okuvamile kuncishiswa kakhulu noma kuqedwe ngokuphelele.
- Uma indlebe yayigcwele uketshezi, ukuzwa kwengane kuzobuyela esimweni sayo esijwayelekile uma isisusiwe.
- Uma izingane zizwa kahle, amakhono azo okukhuluma nokufunda akhula ngokushesha.
- Ngenxa yokuthi ubuhlungu bendlebe abusekho, ukungahlaliseki nokukhala kwengane kuyancipha, bese iqala ukulala kangcono .
- Ukunikeza ingane imithi elwa namagciwane njalo kungasindisa umntwana.
Uma nje ithubhu lisendlebeni, lizozikhipha liphume njengoba i-eardrum iphola. Ngenxa yokuthi zincane kakhulu, ngezinye izikhathi zingaphuma ngaphandle kokuthi wena wazi. Leyo inqubo evamile.
Umlayezo Wokuya Nawe Ekhaya
- Ama-Ear Tubes ayindlela yokwelapha ephumelela kakhulu futhi ephephile yezimo ezinjengokutheleleka kwendlebe okuphindaphindiwe kanye nokuqongelela koketshezi endlebeni.
- Lokhu ukuhlinzwa okufushane kakhulu, okulula okuthatha cishe imizuzu eyi-15. Ngakho-ke ungesabi lokhu ngokungadingekile.
- Lokhu kuthuthukisa ukuzwa kwengane, ukukhuluma kwayo, kanye nenhlalakahle yayo iyonke.
- Ngemva kokufakwa kwepayipi, landela imiyalelo kadokotela (usebenzisa amaconsi endlebe, ukuhlolwa kabusha) ngqo.
- Ipayipi livame ukuzikhukhula lodwa phakathi kwezinyanga ezi-6 kuya eminyakeni emi-2.
- Uma unezinkinga noma ukungabaza, khuluma nodokotela wakho ngazo ngokukhululekile.
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