Ingabe uvame ukuzwa sengathi uhlangothi olulodwa lwekhala lakho luvalekile? Ingabe uhlangothi olulodwa luzwakala luqinile kunolunye uma uphefumula? Noma ingabe ugcina umndeni wakho uphapheme ebusuku ngenxa yomsindo wokuhogela? Isizathu salezi zinto singase sibe lula kunalokho ocabanga. Namuhla sikhuluma ngesimo abantu abaningi ezweni lethu abanaso, kodwa esingaxoxwa ngaso njalo, esibizwa ngokuthi ' i-Deviated Septum '.
Kalula nje, iyini i-septum ephambukile?
Ake sithi kunamakamelo amabili ngaphakathi kwekhala lakho. Okungukuthi, amakhala amabili. Kukhona udonga oluhlukanisa la makamelo amabili. Lolu donga lwenziwe nge-cartilage nethambo. Kwezokwelapha, lolu donga silubiza ngokuthi i-nasal septum .
Ngokuvamile, lolu donga kufanele lube phakathi nendawo. Khona-ke umoya ungangena emakhaleni womabili ngokulinganayo. Kodwa kwabanye abantu, lolu donga, noma i-septum, ludonswa ohlangothini olulodwa noma lugobe. Yilokho esikubiza ngokuthi i-septum ephambukile .
Ngokumangalisayo, cishe abantu abangu-80% emhlabeni banohlobo oluthile lokuminyana kwamakhala. Kodwa akubona bonke abanenkinga yokuphefumula . Yilabo kuphela abazwa ubuhlungu obukhulu ngenxa yalokhu kuminyana abadinga ukwelashwa.
Yiziphi izimbangela eziyinhloko zekhala eligobhozayo?
Kungase kube nezizathu ezimbili eziyinhloko zalokhu.
- Ukuzalwa: Abanye abantu bangase babe ne-nasal septum ephuma kancane lapho bezalwa. Lokhu kungabangelwa ukucindezeleka okuvela kumntwana okhula esibelethweni sikanina noma ngesikhathi sokubeletha.
- Ukulimala ekhaleni: Okulandelayo ukulimala ekhaleni. Lesi simo singabangelwa ukuwa ngenkathi udlala useyingane, ingozi ngenkathi udlala imidlalo (isibonelo, emidlalweni efana ne-rugby noma ikhilikithi), ukushaywa kanzima ekhaleni ngesikhathi sokulwa, noma ingozi yemoto.
Ingabe nawe unalezi zimpawu?
Uphawu oluyinhloko abantu abaningi abanekhala eligobhozayo abalubonayo ukuminyana kwamakhala, ikakhulukazi uma kuzwakala sengathi uhlangothi olulodwa luvalekile kakhulu. Ake sibheke ezinye izimpawu ezivamile.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukuminyana kwekhala | Umuzwa wokuminyana ekhaleni elilodwa, noma ngezinye izikhathi kokubili. Lokhu kuminyana kungaba khona ngisho noma ungenawo umkhuhlane. |
| Ukutheleleka okuvamile kwe-sinus | Ukutheleleka kwama-sinus kungenzeka njalo ngenxa yokuminyana kwamakhala, okuvimbela ukuphuma kwamanzi kahle. |
| Ukuhona nokuphefumula kakhulu ebuthongweni | Ngenxa yokuthi kunzima ukuphefumula ngekhala lakho, uyalingeka ukuphefumula ngomlomo wakho ungaqapheli. Lokhu kuyimbangela enkulu yokukhonkotha. |
| Ukopha igazi njalo | Ukoma kwengaphakathi lekhala kungabangela ukuqhuma kwemithambo yegazi emincane nokopha. |
| Ubuhlungu bobuso kanye nekhanda elibuhlungu | Ukucindezeleka ngaphakathi kwekhala kungabangela ubuhlungu bobuso noma ikhanda elibuhlungu. |
| Ukuthanda ukulala ngohlangothi olulodwa | Ngenxa yokuthi kulula ukuphefumula ohlangothini olungavalekile, ngizizwa sengathi ngiphenduke ngilale ngalolo hlangothi. |
Ukuminyana kwamakhala kanye nokuphefumula kokulala
Leli iphuzu elibaluleke kakhulu. Ukuba ne-nasal polyp kungaholela ku -Sleep Apnea , isimo esibangela ukuminyana ngesikhathi sokulala. Uma ukuphefumula kwamakhala kuvinjelwe, kuthinta ngqo ikhwalithi yokulala. Ucwaningo olulodwa luthole nokuthi abantu abane-nasal polyp banamathuba aphindwe ka-4.5 okuthola i-Sleep Apnea.
Udokotela usithola kanjani lesi simo ngokunembile?
Uma unalezi zimpawu, kungcono ukubonana nochwepheshe wezindlebe, impumulo, nomphimbo ( uchwepheshe we-ENT) . Uzokubuza ngezimpawu zakho bese ehlola impumulo yakho.
- Ukuhlolwa: Udokotela uzosebenzisa isibani esikhethekile kanye nethuluzi (i-nasal speculum) ukuze abheke ngaphakathi kwamakhala akho. Ngezinye izikhathi, ipayipi elinekhamera encane (i-endoscope) efakwe ekhaleni lingasetshenziswa ukuhlola ingaphakathi lekhala lakho ngokucacile.
Isivivinyo esincane ongasenza ekhaya.
Lokhu akuthathi indawo yokuhlolwa kwezokwelapha, kodwa kungakusiza ukuthi unqume ukuthi udinga ukubona udokotela yini.
1. Vala ikhala elilodwa ngomunwe wakho.
2. Phefumula ngokujulile ngenye ikhala. Qaphela ukuthi kulula noma kunzima kangakanani ukuphefumula.
3. Manje yenza okufanayo ngakolunye uhlangothi.
Uma kunzima kakhulu ukuphefumula ohlangothini olulodwa lapho wenza lokhu, ungase ube nokuvaleka kwekhala.
Yiziphi izindlela zokwelapha?
Izindaba ezinhle ukuthi kunezindlela zokwelapha lokhu. Izindlela zokwelapha zingahlukaniswa ngezigaba ezimbili eziyinhloko: ukulawula izimpawu ngemithi kanye nokulungisa unomphela isimo ngokuhlinzwa.
1. Ukulawula izimpawu ngemithi
Le mithi ngeke iqondise ibhuloho lamakhala. Kodwa-ke, ingalawula ukungakhululeki okubangelwa yibhuloho, njengokuminyana kwamakhala kanye nekhala eligobhozayo.
- Ama-decongestant: Lawa eza ngesimo sokufutha kwamakhala noma amaphilisi. Asiza ekunciphiseni ukuvuvukala ngaphakathi kwekhala futhi enze kube lula ukuphefumula. Kodwa-ke, kufanele asetshenziswe isikhathi esifushane kuphela.
- Izifutho ze-steroid zamakhala: Lezi zinciphisa ukuvuvukala ekhaleni futhi zithuthukisa ukuphuma kwamanzi. Lezi kufanele zisetshenziswe njengoba kuqondiswe udokotela wakho .
- Ama-Antihistamine: Uma ikhala lakho livalekile ngenxa yokungezwani komzimba, le mithi ingakunikeza impumuzo. Kodwa-ke, ezinye izinhlobo zingabangela ukozela.
2. Ukulungisa umbhede ngokuhlinzwa
Uma imithi ingasizi futhi izimpawu zakho ziphazamisa impilo yakho yansuku zonke, udokotela wakho angase akuncome ukuhlinzwa. Lokhu kuhlinzwa kuvame ukwenziwa ngemva kokuba ikhala seliyeke ukukhula, cishe uneminyaka engu-15 .
- I-Septoplasty: Lena yindlela yokuhlinzwa evame kakhulu. Kule nqubo, udokotela ohlinzayo wenza i-incision encane ngaphakathi kwekhala, asuse i-cartilage noma ithambo elingaphezulu ku-septum ephambukile, bese eqondisa i-septum. Lena inqubo engenabuhlungu evame ukuthatha amahora angu-1 kuya kwangu-1.5.
- I-Septorhinoplasty: Ngezinye izikhathi, ngenkathi kwakhiwa kabusha ibhuloho lekhala, kungadingeka futhi ukushintsha ukubukeka kwangaphandle, noma ukuma, kwekhala. Lokhu sikubiza ngokuthi "umsebenzi wekhala." Uma lokhu kuhlinzwa okubili kwenziwa ndawonye, sikubiza ngokuthi i-Septorhinoplasty.
Kuvamile ukuzizwa wesaba kancane uma ucabanga ngokuhlinzwa. Kodwa lokhu ukuhlinzwa okuvamile kakhulu manje, futhi kunemiphumela ephumelelayo kakhulu. Impumuzo oyitholayo ekuphefumuleni ngemva kokuhlinzwa inkulu. Ngaphambi kwanoma yini enye, khuluma nodokotela wakho ngezinzuzo kanye nokungalungi kokuhlinzwa.
Umlayezo Wokuya Nawe Ekhaya
- I-septum ephambukile ukuphambuka kodonga oluphakathi lwekhala (i-septum) luye kolunye uhlangothi. Lesi yisimo esivame kakhulu.
- Izimpawu eziyinhloko ukuminyana njalo ohlangothini olulodwa, ukuhona ngesikhathi ulele, ukutheleleka njalo kwe-sinus, kanye nekhanda elibuhlungu.
- Uma unalezi zimpawu, into engcono kakhulu ongayenza ukubonana nochwepheshe wezindlebe, impumulo, nomphimbo (uchwepheshe we-ENT).
- Kunemithi yokulawula izimpawu njengokwelashwa. Njengesixazululo esihlala njalo, ukuhlinzwa (i-Septoplasty) kungenziwa ukuze kulungiswe i-nasal septum.
- Uma ingelashwa, lesi simo singathinta ubuthongo bakho kanye nekhwalithi yempilo, ngakho-ke kubaluleke kakhulu ukufuna iseluleko sezokwelapha esifanele .
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