Ingabe ingane yakho encane ivame ukuba nezinkinga zendlebe, uyiyise kudokotela bese ithola imithi, bese inkinga efanayo ibuye ngemva kwezinsuku ezimbalwa? Noma ingabe indlebe igcwala amanzi bese ingane yakho izizwa sengathi ilahlekelwe ukuzwa? Kumelwe ukuthi ukhathazeke kakhulu ngezinto ezinjengalezi. Njengesixazululo sezinkinga ezinjalo, odokotela ngezinye izikhathi bathi kudingeka "bafake ipayipi endlebeni." Yilokho esikhuluma ngakho namuhla.
Kalula nje, iyini i-tympanostomy?
Ukufakwa kwepayipi lendlebe, noma ngokwezokwelapha, i-tympanostomy, inqubo encane yokuhlinzwa eyenziwa uchwepheshe wendlebe, impumulo, nomphimbo (ENT). Kuhilela ukufaka ipayipi elincane kakhulu, elingenalutho elifana nesilinda elenziwe ngepulasitiki noma ngensimbi ku-eardrum yakho (noma yengane yakho) (ulwelwesi lwe-tympanic noma i-eardrum).
Lokhu ukuhlinzwa okuvamile kakhulu okwenziwa ezinganeni, kodwa kunezimo lapho la mapayipi angafakwa khona nakubantu abadala uma kudingeka.
Kungani sidinga ukufaka ipayipi elinje ezindlebeni zethu?
Cabanga nje, sinendlebe ephakathi. Ngokuvamile, le ndlebe ephakathi kufanele ibe nomoya. Kodwa ngezinye izikhathi igcwala uketshezi olufana namanzi. Noma itheleleke. Yilapho-ke kudingeka kufakwe amapayipi.
Ezinye zezizathu eziyinhloko yilezi:
- Ukutheleleka njalo kwendlebe ephakathi (i-acute otitis media): Ezinye izingane zithola ukutheleleka kwendlebe njalo ezinyangeni ezimbalwa. Lokhu kudinga ama-antibiotic avamile. Ukufakwa kwepayipi kungasiza ekulawuleni lesi simo.
- Ukuphuma kwendlebe ephakathi: Uma kukhona uketshezi oluqongelelekayo endlebeni ephakathi isikhathi esingaphezu kwezinyanga ezintathu ngaphandle kobuhlungu noma umkhuhlane, kungathinta ukuzwa kwengane yakho. Kungase kufakwe ipayipi ukuze kukhishwe uketshezi.
- I-Barotrauma: Lokhu kuvamile kubantu abadala. Isibonelo, lapho ingcindezi ishintsha ngesikhathi sokundiza noma ukukhuphuka izintaba, ubuhlungu obukhulu endlebeni bungadinga ukufakwa kwamapayipi ukulawula ubuhlungu.
Leli payipi linemisebenzi emibili eyinhloko. Omunye ukudala indlela yokuthi uketshezi oluvaleleke endlebeni ephakathi luphume ngayo. Omunye ukuvumela umoya ovela ngaphandle ungene endlebeni ephakathi, ukuvimbela ukuthi ingagcwali futhi.
Uma lezi zimo zingalashwa, izingane zingase zibhekane nokubambezeleka ekukhulumeni kwazo noma ngisho nokulahlekelwa ukuzwa unomphela.
Lokhu kuhlinzwa kwenziwa kanjani?
Lo msebenzi awumkhulu njengoba ungase ucabange, futhi uvame ukuqedwa ngesikhathi esifushane kakhulu, cishe imizuzu eyi-15.
- I-Anesthesia: Ezinganeni, ngokuvamileKunikezwa i-anesthesia ejwayelekile. Lokhu kusho ukuthi ingane ayizwa lutho ngesikhathi senqubo, ilele. Kwabantu abadala, lokhu kungenziwa ngezinye izikhathi ngokumane nje kufakwe indlebe (i-anesthesia yendawo) .
- Inqubo:
1. Okokuqala, udokotela wenza ukusika okuncane kakhulu endukwini yendlebe. Lokhu kubizwa nangokuthi i-myringotomy .
2. Okulandelayo, lonke uketshezi olubambeke endlebeni ephakathi lukhishwa ngethuluzi elincane.
3. Ekugcineni, ithubhu elincane lifakwa kulowo msibo omncane.
Lokhu kwenziwa egumbini lokuhlinza esibhedlela, futhi ungaya ekhaya emahoreni ambalwa ngemva kokuhlinzwa. Asikho isidingo sokuhlala esibhedlela.
Uma ezinye izingane zinale nkinga njalo, udokotela angase atuse ukuhlinzwa ukuze kususwe ama-adenoid (i-adenoidectomy) ngesikhathi esifanayo nalokhu kuhlinzwa. Ama-adenoid ayingcezu yezicubu ezitholakala ngemuva kwekhala lethu, ngaphezu kolwanga olungaphezulu. Ukususa lokhu kunganciphisa isidingo samapayipi endlebe esikhathini esizayo.
Yini okufanele ngiyiqaphele ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, kuzodingeka uhlale ekamelweni lokululama isikhashana. Ukuhlinzwa kwe-anesthesia kungakwenza uzizwe ulele kancane futhi uzizwe unesicanucanu . Lokhu kuvamile.
Udokotela wakho uzokuxilonga. Bangase bakunike amaconsi ezindlebeni alwa namagciwane ukusiza ekuvimbeleni ukutheleleka. Bangase batuse nama-earplugs ukuze kuvinjwe amanzi ezindlebeni zakho lapho ugeza noma ubhukuda.
Ngemva kwalokho, udinga ukubona udokotela njalo ezinyangeni ezimbalwa ukuze uhlole ukuthi ithubhu lisebenza kahle yini.
Ishubhu elisendlebeni lide kangakanani?
Ithubhu ivame ukuziphumela yodwa zingakapheli izinyanga ezingu-9 kuya kwezingu-18. I-eardrum iyaphola izungeze ithubhu bese isunduza ithubhu liphume. Uma ithubhu lingaphumi ngemva kweminyaka emibili, udokotela wakho angalisusa ngenqubo encane.
| Izinzuzo kanye nokungalungi kokubekwa kwepayipi | |
|---|---|
| Izinzuzo | Izingozi ezingaba khona (Izingozi/Imiphumela Engemihle) |
| Ukunciphisa isidingo sokusetshenziswa njalo kwama-antibiotic omlomo ngenxa yokutheleleka kwendlebe. | Imbobo endlebeni eye yakhiwe ngemva kokususwa kwepayipi ayivaleki (lokhu kungadinga ukuhlinzwa okwengeziwe). |
| Ngisho noma unesifo sendlebe, ubuhlungu nomkhuhlane kuzoncipha. | Ukusha kwe-eardrum. |
| Ukubuyiselwa kokuzwa okulahlekile noma okunciphile. | Ukutheleleka kwendlebe kuyaphinda kuvele ngisho nangemva kokufakwa kwamapayipi. |
| Ukuthuthukisa intuthuko yokukhuluma kwengane. | Ithubhu lingaphuma ngokushesha noma lingaphumi nhlobo. |
| Ukunciphisa izinkinga zokulala ezibangelwa izinkinga zendlebe. | Isimo esibizwa ngokuthi ukuphuma koketshezi okuqhubekayo endlebeni (i-otorrhea). |
Kufanele umshayele nini udokotela ucingo?
Uma uya ekhaya ngemva kokuhlinzwa, kunezinto ezimbalwa okufanele uziqaphele. Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, shayela udokotela wakho ngokushesha.
- Ubuhlungu bendlebe obungapheli naphezu kokuthatha imithi.
- Umkhuhlane noma ukubanda.
- Ukopha okuvela endlebeni.
- Ngemva kwezinsuku ezimbalwa zokuqala, kungase kube noketshezi oluningi oluphuma endlebeni.
Uma wena noma ingane yakho ninezinkinga zendlebe eziqhubekayo (izifo, ubuhlungu, izinkinga zokuzwa) ezinjengalezi, ukuhlinzwa kokufakwa kwamapayipi kungaba yisisombululo esihle. Indlela engcono kakhulu yokuthola ukuthi lokhu kulungile yini kuwe noma enganeni yakho ukukhuluma nochwepheshe wakho wendlebe, impumulo, nomphimbo (ENT).
Umlayezo Wokuya Nawe Ekhaya
- I-Tympanostomy inqubo yokuhlinzwa evamile kakhulu nephephile eyenziwa ukwelapha izinkinga ezifana nokutheleleka kwendlebe okuvamile kanye nokuqongelela koketshezi endlebeni.
- Lokhu kususa uketshezi oluvaleleke endlebeni, kuhlinzeke ngomoya, futhi kunciphisa ingozi yokutheleleka esikhathini esizayo.
- Lokhu ukuhlinzwa okufushane kakhulu, futhi ungaya ekhaya usuka esibhedlela ngalolo suku.
- Ipayipi livame ukuziphumela lodwa phakathi kwezinyanga ezingu-9-18.
- Qiniseka ukuthi uthintana nochwepheshe wezindlebe, impumulo nomphimbo ukuze anqume ukuthi lokhu kwelashwa kulungele ingane yakho noma wena.
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