Wake wazizwa kanje? Cabanga ushayela ukhuphuka intaba noma undiza ngendiza. Kungazelelwe, izindlebe zakho zizizwa zivinjiwe, zinzima, futhi umsindo ovela ngaphandle uyancipha. Ngaleso sikhathi, sivula imilomo yethu bese siyakhamuluka noma sigwinye amathe amancane. Bese kuthi, ngomsindo "we-pop", izindlebe zakho zibuyele esimweni esijwayelekile, akunjalo? Cishe wonke umuntu uke wabhekana nalokhu okungenani kanye empilweni yakhe. Ngakho-ke, wake wazibuza ukuthi kungani lokhu kwenzeka, iyiphi inqubo emangalisayo eyenzeka kule ndlebe? Namuhla sizokhuluma ngaleyo ngxenye encane kodwa ebaluleke kakhulu yomzimba wethu. Leyo yi-Eustachian Tube.
Iyini i-Eustachian Tube?
Kalula nje, ithubhu i-Eustachian iyithubhu elincane elixhumanisa indlebe yethu ephakathi nengemuva lomphimbo wethu (lapho impumulo ihlangana khona nendlebe). Lakhiwe ngamathambo kanye ne-cartilage. Unamathubhu amabili alawa ohlangothini ngalunye lobuso bakho, endlebeni ngayinye. Awamakhulu kangako, ngokuvamile angaba ngamamilimitha angu-36 ubude (ngaphezudlwana kwe-intshi) kanye namamilimitha angu-2-3 ububanzi.
Iqanjwe ngodokotela ogama lakhe linguBartolomeo Eustachi. Wayengowokuqala ukuthola ukuxhumana phakathi kwendlebe ephakathi, ikhala, nomphimbo. Ngezinye izikhathi odokotela bayibiza nangokuthi ipayipi lokuzwa. Noma ngabe yikuphi, yenza into efanayo.
Cabanga ngendlebe yakho ephakathi njengegumbi elincane elingenamafasitela noma iminyango. Okuwukuphela kwendlela leli gumbi elingaxhumana ngayo nomhlaba wangaphandle iwukusebenzisa leli payipi lase-Eustachian. Ngakho-ke uma leli payipi elincane lingasebenzi kahle, kungavela izinkinga eziningi ngaphakathi kulelo gumbi.
Iyiphi insizakalo enikezwa yileli payipi elincane emizimbeni yethu?
Lokhu kungase kube kuncane, kodwa umsebenzi ewenzayo mkhulu kakhulu. Ngokuyinhloko, imisebenzi emithathu yenziwa yilesi siteshi. Ake sibone ukuthi iyini.
| Umsebenzi oyinhloko | Kuchazwe kalula |
|---|---|
| 1. Ukususa uketshezi endlebeni ephakathi | Indlebe yethu ephakathi ikhiqiza njalo inani elincane loketshezi. Uma lolu ketshezi luqoqana, luba yindawo enhle yokuzalela amagciwane afana namagciwane. Yilapho kuvela khona izifo zendlebe. Ipayipi le-Eustachian lisebenza njengomsele wokukhipha amanzi, likhipha lolu ketshezi olungafuneki emphinjeni. |
| 2. Ukulinganisela umfutho womoya | Lokhu kuyinto ebaluleke kakhulu. Umfutho womoya kuzo zombili izinhlangothi ze-eardrum yethu, okungukuthi, ngaphakathi kwendlebe ephakathi nangaphandle kwendlebe, kumele ulingane. Kulapho kuphela lapho i-eardrum ingadlidliza kahle futhi sizwe kahle. Uma uvula umlomo wakho noma ugwinya, leli payipi livuleka kancane, livumela umoya othile ukuthi ungene endlebeni ephakathi. Khona-ke umfutho uyalingana. Uma ukhuphuka intaba, i-eardrum iyawa ngoba umfutho wangaphandle uyancipha futhi lokhu kulinganisela kuyalahleka. |
| 3. Ukuvikela indlebe ephakathi | Ngokuvamile, uma ungagwinyi noma ungakhwehleli, leli payipi liyavalwa. Lokhu kuvimbela amagciwane anjengamagciwane namabhaktheriya ukuthi angangeni endlebeni ephakathi esuka emphinjeni nasekhaleni. Lisebenza njengesango elivikelayo. |
Kwenzeka kanjani ukungasebenzi kahle kwe-Eustachian Tube?
Ngezinye izikhathi leli payipi le-Eustachian lingavuvukala lingavuleki noma livaleke kahle. Odokotela babiza lesi simo ngokuthi i-Eustachian Tube Dysfunction (ETD) . Kalula nje, ukuvaleka kwaleli payipi. Kunezizathu eziningana zalokhu.
- Umkhuhlane: Uma uthola umkhuhlane, izicubu ezingaphakathi kwekhala lakho ziyavuvukala, kanti nezicubu ezizungeze leli payipi nazo zingavuvukala. Lokhu kungabangela ukuthi ipayipi livaleke.
- Ukungezwani komzimba: Abantu abangezwani nezinto ezifana nothuli kanye nempova nabo bangabhekana nokuvuvukala nokuvaleka komsele ngale ndlela.
- I-Sinusitis: Ukuvuvukala okwenzeka lapho imigodi ye-sinus itheleleka nakho kuthinta ithubhu le-Eustachian.
- I-Barotrauma: Lesi simo singase senzeke lapho umfutho womoya wangaphandle ushintsha ngokuzumayo, njengalapho undiza, ushona phansi, noma ukhuphuka izintaba, futhi izindlela zomoya zingakwazi ukuzivumelanisa nezimo.
- I-GERD (Isifo Sokuphindezela Kwesisu): Lesi yisimo lapho i-asidi yesisu igeleza iye emphinjeni. Le-asidi ingabangela ukuvuvukala kwezicubu ezizungeze umphimbo kanye ne-Eustachian tube.
- Izimila Zendlebe: Lokhu akuvamile kakhulu, kodwa ezinye izinhlobo zezimila zingavimba nale payipi.
Kungani le nkinga ivame kakhulu ezinganeni ezincane?
Kungenzeka ukuthi uke waphawula ukuthi izingane ezincane zivame ukuba nobuhlungu bendlebe. Esinye sezizathu eziyinhloko zalokhu yi-Eustachian tube. I-tube yengane imfushane kancane, ibanzi, futhi iqonde ngokuvundlile kuneyomuntu omdala. I-tube yomuntu omdala ithambeke kancane. Lokhu kuyenza kube nzima ngezingane ukususa ama-mucus endlebeni ephakathi, futhi kuvumela namagciwane emphinjeni ukuthi angene kalula endlebeni ephakathi. Yingakho izingane zivame ukuthola izifo zendlebe.
Ingabe nawe unazo lezi zimpawu?
Uma ithubhu le-Eustachian livaliwe, kungavela izimpawu ezahlukahlukene. Bheka ukuthi unayo yini eyodwa noma ngaphezulu kwalezi.
| Isibonakaliso | Indlela okuzwakala ngayo |
|---|---|
| Umuzwa wokugcwala/ukusinda ezindlebeni | Kuzwakala kusinda, njengokungathi ukotini unamathele endlebeni, noma njengokungathi kugcwele amanzi. |
| Ukuzwa kuyaphazamiseka/kuyathuthumela | Imisindo ezungezile ifana nokulalela ngaphakathi emthonjeni. Awukwazi ukuzwa okushiwoyo ngokucacile. |
| Ukuzwa imisindo ngaphakathi ezindlebeni | Kuzwakala umsindo othi “click” noma “tock”, ikakhulukazi uma kugwinywa amathe. |
| Ubuhlungu bendlebe | Ubuhlungu bungenzeka endlebeni eyodwa noma zombili, njengasendabeni yokutheleleka kwendlebe. |
| I-tinnitus | Ukuzwa umsindo "wokukhala" oqhubekayo ngaphakathi ezindlebeni zakho. |
| Izinkinga zokulinganisela umzimba | Kungase kuzwakale sengathi ulahlekelwa yibhalansi yakho uma uhamba. Indlebe ibaluleke kakhulu ekulinganiseni kwethu. |
| Isiyezi / I-Vertigo | Ungase uzizwe sengathi ikhanda lakho liyazungeza noma izinto ziyazungeza nxazonke zakho. |
Esikhathini esiningi, lezi zimpawu zizophela zodwa zingakapheli izinsuku ezimbalwa, uma imbangela eyinhloko, njengomkhuhlane, isiphelile.
Izinto ezilula ongazizama ekhaya
Le nkinga ngokuvamile ayidingi ukwelashwa okukhulu. Kunezinto ezimbalwa ezilula ongazizama ekhaya.
- Ukuhlafuna itshungama, ukugwinya amathe, kanye nokwelula: Ukwenza lezi zinto kuvuselela imisipha emphinjeni futhi kusiza ukuvula ithubhu le-Eustachian.
- Ukuhlanza impumulo: Ukusebenzisa into efana ne-saline spray ukuhlanza nokuhlanza impumulo kahle kuzosiza ekunciphiseni ukuvuvukala ekhaleni nokuvula imigudu yamakhala.
- Ama-Decongestant noma ama-Antihistamine: Buza udokotela wakho mayelana nokuthatha ama-decongestant noma ama-antihistamine. Lokhu kungasiza ekunciphiseni ukuvuvukala. Kodwa khumbula, kufanele uhlale uthintana nodokotela wakho ngaphambi kokuthatha noma yimuphi umuthi.
Masenze i-Valsalva Maneuver ngendlela efanele.
Lena indlela eyaziwayo abantu abaningi abayaziyo. Iyasiza ekuvuleni indlebe evalekile. Kodwa akukuhle ukwenza lokhu ngokuzwakalayo kakhulu. Ukwenza kanjalo kungalimaza i-eardrum. Nansi indlela yokukwenza kahle.
1. Vala umlomo wakho uqine.
2. Vala ikhala zombili ngokuqinile ngeminwe emibili.
3. Manje, khipha umoya kancane , njengokungathi uphefumula umoya ngekhala lakho. Njengoba umlomo wakho nekhala lakho kuvaliwe, akukho ndawo lapho umoya ungaya khona, futhi lokho kucindezela kuzoya epayipini le-Eustachian futhi kusize ekulivuleni.
4. Uma uzwa umsindo othi "tock", kusho ukuthi ithubhu livulekile.
Ukubhucungwa Kwepayipi Lase-Eustachian
Lena enye indlela elula ongayizama ekhaya.
1. Sebenzisa umunwe wakho ukuthola ukugqama kwamathambo ngemuva kwendlebe.
2. Ukusuka lapho, hambisa umunwe wakho phansi. Uzozwa isikhala esincane phakathi kwe-earlobe ne-earlobe.
3. Manje, ucindezela kancane ngokuqinile, hambisa umunwe wakho phansi entanyeni ngaleyo ndlela, kuze kufike entanyeni.
4. Yenza lokhu kathathu ohlangothini ngalunye, cishe kathathu ngosuku.
Ingabe udinga ukubona udokotela?
Nakuba le nkinga ivame ukuzixazulula yodwa, kwezinye izimo kubalulekile ukubona udokotela.
Ngaphezu kwamasonto amabili okwenza izinto ekhayaUma izimpawu zakho zingathuthuki, noma uma ubuhlungu bendlebe, isiyezi, noma ukulahlekelwa ukuzwa kuba kubi kakhulu, qiniseka ukuthi ubona udokotela wakho.
Uma ubona udokotela, bazokuhlola ngokucophelela izindlebe zakho, ikhala, nomphimbo. Bangase basebenzise ithuluzi elibizwa ngokuthi i-otoscope ukuhlola i-eardrum yakho ukuze babone ukuthi kukhona yini ukwakheka koketshezi noma ukutheleleka. Uma kudingeka, bangakuthumela nezinto ezifana nokuhlolwa kokuzwa.
Yiziphi izindlela zokwelapha ezitholakalayo?
Uma ukwelashwa ekhaya kungasizi, udokotela wakho angakudlulisela kudokotela wezindlebe, impumulo, nomphimbo (ENT Surgeon). Lapho, ukwelashwa kuzonqunywa ngokusekelwe ebunzimeni besimo.
- I-Tympanostomy (Amapayipi Endlebe): Lokhu kuhilela inqubo encane yokuhlinzwa lapho kufakwa khona ipayipi elincane endlebeni. Lokhu kusiza ukukhipha uketshezi oluvela endlebeni ephakathi nokugcina umfutho womoya. Ipayipi lizophuma lodwa ngemva kwesikhashana.
- I-Eustachian Tuboplasty: Eyaziwa nangokuthi i-Balloon Dilation, le nqubo ihilela ukufaka idivayisi encane efana nebhaluni ngekhala iye kwi-Eustachian tube bese ifutha ibhaluni ukuze ivule i-tube evalekile.
Lokhu kwelashwa akudingi kakhulu. Abantu abaningi akudingeki bahambe ibanga elide kangaka.
Umlayezo Wokuya Nawe Ekhaya
- I-Eustachian tube iyipayipi elincane elixhumanisa indlebe yakho ephakathi nomphimbo, elisiza ukulinganisa umfutho womoya nokugcina izindlebe zakho ziphilile.
- Lokhu kuvinjelwa kwamapayipi (ETD) kungaba yimbangela yezinto ezifana nokugcwala kwezindlebe, ukulahlekelwa ukuzwa, kanye nokukhala kwezindlebe.
- Esikhathini esiningi, lesi simo sibangelwa yizimbangela zesikhashana, njengomkhuhlane noma ukungezwani komzimba, futhi siba ngcono ngokwaso ezinsukwini ezimbalwa.
- Izinto ezilula njengokuhlafuna itshungama, ukugwinya, kanye nokwenza i-Valsalva maneuver zinganikeza impumuzo.
- Uma izimpawu ziqhubeka isikhathi esingaphezu kwamasonto amabili noma ziba zimbi kakhulu (ikakhulukazi ubuhlungu obukhulu, isiyezi), qiniseka ukuthi ufuna iseluleko sikadokotela.
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