Ingabe indlebe yengane yakho inamathela njengensini? Lena 'indlebe enamathelayo'!

Ingabe ngezinye izikhathi uzizwa sengathi ingane yakho encane ayikuzwa uma ukhuluma nayo? Noma ingabe uvula i-TV kakhulu? Kungenzeka ukuthi indlebe yengane yakho igcwele uketshezi olujiyile nolunamathelayo. Njengodokotela, lesi simo sibizwa ngokuthi 'i-Glue Ear'. Ngokwezokwelapha, sibizwa nangokuthi '(Otitis Media with Effusion - OME)' noma '(Secretory Otitis Media)'. Lokhu kungenzeka endlebeni eyodwa noma zombili zengane. Kuvame ukubonakala ngemva kokutheleleka kwendlebe, kodwa kungabangelwa ezinye izizathu. Ungakhathazeki, lesi simo sivame ukuba ngcono ngemva kwesikhashana. Kodwa-ke, uma siqhubeka, singathinta ukuzwa kwengane yakho.

Iyini ngempela 'i-Glue Ear'? Ikhula kanjani?

Kalula nje, 'indlebe enamathelayo' iwuketshezi olujiyile nolunamathelayo oluqongelela ngaphakathi kwendlebe ephakathi yengane yakho (isikhala esingenalutho ngemuva kwe-eardrum). Ibizwa ngokuthi 'indlebe enamathelayo' ngoba ifana nensini.

Cabanga nje, ukuze sizwe kahle, indlebe yethu ephakathi idinga ukucaca futhi igcwale umoya. Lo moya ungena endlebeni ephakathi ngamapayipi amabili abizwa ngokuthi amapayipi e-Eustachian . Lawa mapayipi amabili axhumanisa indlebe yethu ephakathi nomphimbo. Uma sikhuluma iqiniso, lawa mapayipi aqala ngemuva kwekhala aye emphinjeni aye endlebeni ephakathi. Omunye wemisebenzi eyinhloko yala mapayipi e-Eustachian ukukhipha uketshezi olungafuneki oluqongelela endlebeni ephakathi. Sigwinya uketshezi oluphumayo singaqapheli.

Lawa mapayipi e-Eustachian ezinganeni ezincane abanzi kunakwabantu abadala, futhi atholakala ngokuvundlile. Ngakho-ke, awasebenzi kahle njengakwabantu abadala. Ngakho-ke, uma amapayipi e-Eustachian engane evalekile ngesizathu esithile, umoya awungeni endlebeni ephakathi. Khona-ke amaseli angaphakathi kwendlebe ephakathi aqala ukukhiqiza uketshezi olujiyile nolunamathelayo. Yilokho okubizwa ngokuthi 'indlebe yeglue'.

Uma indlebe ephakathi igcwele uketshezi, i-eardrum ayikwazi ukudlidliza kahle. Khona-ke amaza omsindo awahambi kahle aye endlebeni engaphakathi. Yingakho izingane zingezwa kahle.

Ubani okungenzeka kakhulu ukuthi abe nalesi simo 'sendlebe enamathelayo'? Sivame kangakanani?

'Indlebe enamathelayo' yisimo esivame ukuthinta izingane ezincane , ikakhulukazi izinsana nezingane ezingaphansi kweminyaka engu-6. Kodwa-ke, ngezinye izikhathi singathinta nabantu abadala.

Lokhu kuvame kakhulu kangangokuthi uma uthatha izingane ezinhlanu zasenkulisa, enye yazo izoba 'nendlebe yeglue' nganoma yisiphi isikhathi. Futhi, cishe izingane eziyisishiyagalombili kweziyishumi zizoba nalesi simo ngaphambi kokuba zibe neminyaka eyi-10. Ngakho lokhu akuyona into entsha.

Ngingazi kanjani ukuthi ingane yami encane 'inendlebe yeglue'? Ziyini izimpawu?

Uphawu oluyinhloko 'lwendlebe enamathelayo' ezinganeni nakubantu abadala ukulahlekelwa ukuzwa . Lokhu kungenzeka endlebeni eyodwa noma zombili izindlebe ngesikhathi esisodwa. Kungazwakala sengathi unezimbobo ezimbili zezindlebe endlebeni yakho, kunciphisa inani lomsindo okuzungezile futhi kukwenze uzizwe udidekile. Uma ingane encane iqhubeka nokulahlekelwa ukuzwa, kungathinta ikhono layo lokukhuluma nokuthuthukisa ulimi . Isibonelo, ingase ingakwazi ukuchaza amagama ngokucacile.

Ngaphezu kwalokho, ingane yakho ingase ibhekane nalokhu okulandelayo:

• Ubuhlungu bendlebe.
• I-Tinnitus umsindo ozwakalayo noma ozwakalayo ezindlebeni.
• Umuzwa wokucindezela, ukugcwala, noma umsindo 'wokuqhuma' endlebeni lapho ugwinya.

Izingane aziqondi uma uzitshela ukuthi azikuzwa. Ngakho-ke nguwe okudingeka uqaphele lezi zimpawu. Uma ingane yakho noma ingane encane 'inendlebe yeglue', ungase uqaphele izinto ezinjengalezi:

• Izinguquko zokuziphatha: Ukuzizwa ulele njalo, ukuthukuthela ngokushesha kunangaphambili.
• Ukuntuleka kokunaka: Kubonakala sengathi akukho ukunaka kukho konke.
• Ukuthanda ukudlala wedwa.
• Akuphenduli uma ushaya ucingo.
• Ukucela othile ukuthi aphinde lokho okushilo.
• Ngicela ukuphakamisa ivolumu ye-TV kakhulu.
• Ekhuluma kakhulu kunangaphambili.

Uma ingane yakho ikhombisa eyodwa noma ngaphezulu yalezi zimpawu, kungcono ukubona udokotela ukuze akunike iseluleko.

Yini ebangela 'indlebe yeglue'?

Indlebe enamathelayo ivame ukwenzeka ngemva kokutheleleka kwendlebe . Ibangelwa uketshezi olusele endlebeni ngemva kokuba ukutheleleka sekuphelile. Kodwa-ke, indlebe enamathelayo ayibangelwa njalo ukutheleleka kwendlebe. Imbangela evame kakhulu ukuvaleka kwepayipi le-Eustachian lengane. Lokhu kuvaleka kungabangelwa izizathu ezahlukahlukene:

• Umkhuhlane kanye nomkhuhlane.
• Ukungezwani komzimba okuhlukahlukene.
• Ama-adenoid avuvukele: Lawa atholakala eduze komphimbo kanye nezindawo zokungena ekhaleni, eduze kwezindlebe.
• Ukuchayeka ezintweni ezicasulayo njengomusi kagwayi (Ukubhema ugwayi). Lokhu kubaluleke kakhulu.
• Ezinye izimo zofuzo ezifana nokuthi ``(Down syndrome)``.
• Ulwanga oluqhekekile.
• I-GERD (isifo se-gastroesophageal reflux) noma i-chronic acid reflux.
• Ukuncelisa ngenkathi ulele phansi: Lokhu kungenzeka uma ubeka ingane yakho ngomhlane wayo ngenkathi uyincelisa ngebhodlela.
• Izinguquko ezisheshayo ekucindezelweni komoya: njengalapho undiza endizeni noma ushona phansi.

Okubalulekile: Indlebe eneglu ayiveli ekuqongeleleni kwe-earwax. Futhi ayiveli emanzini angena endlebeni ngesikhathi ugeza noma ubhukuda.

Odokotela bakuthola kanjani 'indlebe yeglue'?

Ukuze ahlole indlebe yengane yakho eneglue, udokotela wengane yakho uzoqala ahlole izindlebe zengane yakho. Bazosebenzisa ithuluzi elincane (i-otoscope) ukuze babheke uketshezi ngaphakathi kwendlebe.

Ngezinye izikhathi udokotela uzothi, "Ake silinde isikhashana sibone ukuthi lokhu kuzophela ngokwako." Ngoba lokho kuvame ukuba njalo. Kodwa uma izimpawu ziqhubeka ngemva kwezinyanga ezimbalwa, bazokudlulisela ukuze uthole ukuhlolwa okwengeziwe nokwelashwa.

Hlobo luni lokuhlolwa okwenziwayo?

Uma udokotela wakho enquma ukuthi kudingeka ukuhlolwa okwengeziwe, uzokudlulisela kudokotela wezindlebe noma kuchwepheshe wezindlebe, impumulo, nomphimbo (ENT).

Uchwepheshe uzokwenza isivivinyo esibizwa ngokuthi ukuhlolwa kwe-tympanometry ukuhlola izindlebe zengane yakho. Lokhu kuhlolwa kulinganisa ukuthi i-eardrum yengane inganyakaza kahle kangakanani. Bazofaka idivayisi ekhethekile enemakrofoni nomthombo womsindo emgudwini wendlebe yengane. Le divayisi izolinganisa ukuthi ingcindezi engaphakathi komgudwini wendlebe ishintsha kanjani, futhi amaza omsindo azogxuma emgudwini wendlebe. Uma kukhona uketshezi endlebeni ephakathi yengane, i-eardrum ngeke inyakaze kahle. Bazosebenzisa igrafu ebizwa ngokuthi i-tympanogram ukubheka le miphumela.

Ngaphezu kwalokho, uchwepheshe angenza nokuhlolwa kokuzwa . Lokhu kuzohlola ukuthi kungakanani uketshezi olusendlebeni ephakathi oluthinte ukuzwa kwengane. Ukuhlolwa kokuzwa kungasiza ekunqumeni ukuthi ukulahlekelwa ukuzwa kukhulu kangakanani nokuthi yini imbangela.

Yiziphi izindlela zokwelapha 'indlebe yeglue'?

Esikhathini esiningi, indlebe yeglue izolulama ngokwayo ngaphandle kokwelashwa . Udokotela wengane yakho uvame ukulinda izinyanga ezimbalwa ukuze abone ukuthi uketshezi luyaphela yini ngokwalo. Uma izimpawu zengane yakho zingalulami ngokwazo, kunezindlela zokwelapha ezingasiza:

• Ama-antibiotic: Uma ingane yakho inobuhlungu kanye nokuqongelela koketshezi endlebeni yayo, kungaba ukutheleleka kwendlebe. Ezimweni ezinjalo, udokotela uzoyinika ama-antibiotic ukuze ayelaphe.
• I-Myringotomy: Ngezinye izikhathi uchwepheshe angase asikisele ukuhlinzwa okuncane okubizwa ngokuthi "i-Myringotomy." Lokhu kuhilela ukwenza ukusika okuncane endukwini yendlebe yengane bese kukhishwa uketshezi endlebeni ephakathi. Ngezinye izikhathi uchwepheshe uzofaka ithubhu elincane, elingenalutho (ithubhu yendlebe / i-Grommet) ngokusebenzisa ukusika. Leli thubhu lisiza ukulinganisa ingcindezi phakathi kwethubhu yendlebe nendlebe ephakathi. Liphinde lisize uketshezi luphume lusuka endlebeni ephakathi luye endlebeni yangaphandle. Leli thubhu livame ukuziphumela lodwa kungakapheli nonyaka.
• Ukuhlinzwa kwe-Adenoid: Uma 'indlebe ye-glue' yengane yakho ibangelwa yi-adenoids evuvukele, udokotela wakho angenza 'i-Adenoidectomy'. Lokhu kuhlinzwa kuvame ukwenziwa kanye ne-'Myringotomy', ehilela ukususa i-adenoids evuvukele.
• Izinsiza zokuzwa: Izinsiza zokuzwa zingamadivayisi akhulisa umsindo. Udokotela angase ancome izinsiza zokuzwa ukusiza izingane ezilahlekelwe ukuzwa okwesikhashana. Izingane ziyazisebenzisa ngenkathi 'indlebe yeglue' iphola, noma lapho ukuhlinzwa 'kwe-myringotomy' kungenzeki.

Ingabe zikhona izinkinga ngemva kokuhlinzwa?

Cishe, ingane yakho ngeke ibe nezinkinga ngemva kokuhlinzwa kwe-myringotomy. Ingane yakho ingase ibe noketshezi oluphuma endlebeni yayo izinsuku ezimbalwa ngemva kokuhlinzwa. Uma uketshezi luqhubeka nokuphuma izinsuku ezingaphezu kwezimbalwa, khuluma nodokotela wakho.

Zikhona yini izindlela zokuqeda 'indlebe enamathelayo' ekhaya?

Yebo, ngezinye izikhathi kunezindlela ezimbalwa ezilula ongazenza ekhaya ezingasiza ekuhlanzeni indlebe ephakathi yengane yakho okwesikhashana:

• Indlela yokuphefumula yeValsalva: Lena indlela yokuphefumula. Tshela ingane ukuthi ivale ikhala layo, ivale umlomo wayo, bese izame ukufutha umoya ophuma ekhaleni layo. Ingane izozwa izindlebe zayo "zivuleka".
• Ibhaluni lempumulo le-Otovent®: Le divayisi, ebizwa ngokuthi ``(Otovent®),'' isiza ukukhipha uketshezi endlebeni yengane. Impumulo enamathiselwe ebhaluni ifakwa ekhaleni elilodwa bese elinye ikhala livalwa ngomunwe. Ingane ibe isizama ukufutha ibhaluni ngekhala layo. Lokhu kuphoqa umoya osuka ngemuva komphimbo uye endlebeni ephakathi, okusiza ukuvula ipayipi le-Eustachian.

Kodwa kubaluleke kakhulu ukubonisana nodokotela wakho ngaphambi kokuzama lezi zindlela.

Ingabe indlebe enamathelayo ingavinjelwa?

Ukunciphisa ingozi yengane yakho yokuthola izifo zendlebe kungasiza ekunciphiseni ingozi 'yendlebe enamathelayo'. Nazi ezinye izinto ongazenza ukuze unciphise ingozi yengane yakho yokuthola izifo zendlebe:

• Ukuncelisa: Izakhamzimba ezisobisini lwebele zisiza izingane ukulwa nezifo. Ucwaningo lukhombisile ukuthi izingane ezinceliswayo azinamathuba amaningi okuthuthukisa 'indlebe enamathelayo'.
• Bamba ingane yakho ime iqonde ngenkathi uyincelisa: Kungakhathaliseki ukuthi uncelisa noma uyincelisa ibhodlela, bamba ingane yakho ihlale esikhundleni sokulala phansi. Lokhu kungasiza ekuvimbeleni uketshezi ukuthi lungangeni emapayipini e-Eustachian ngenkathi uyincelisa.
• Gwema intuthu ebhemayo: Izingane ezibhemayo zisengozini enkulu yokuthola 'indlebe enamathelayo'. Gwema ukubhema ngaphakathi nasezimotweni ngangokunokwenzeka.
• Ukuhlolwa kokungezwani komzimba: Izinto ezivame ukungezwani komzimba ezifana nempova, izibungu zothuli, kanye ne-dander yezilwane zingabangela ukuthi amashubhu e-Eustachian avuvuke. Uma ucabanga ukuthi lokhu kuyimbangela 'yendlebe yeglue' yengane yakho, buza udokotela wakho mayelana nokuhlolwa kokungezwani komzimba.
• Ukuhlanzeka kanye nokubulala amagciwane: Fundisa ingane yakho ukuthi ingazigeza kanjani izandla zayo ngendlela efanele. Geza izandla zayo ngensipho namanzi okungenani imizuzwana engama-20. Futhi, gcina izindawo zasekhaya namathoyizi kuhlanzekile ngokuzisula njalo.

Yini okufanele ngiyilindele uma ingane yami ine-'glue ear'?

'Indlebe enamathelayo' yisimo esivame kakhulu esivame ukuba ngcono ngokwaso. Kodwa-ke, uma izimpawu ziqhubeka izinyanga eziningana, zingathinta ukuzwa kwengane. Kungathinta ikhono layo lokukhuluma nokuthuthukisa ulimi. Lezi zinkinga zingaholela ezinkingeni zokufunda, kanye nezinkinga zokuxhumana nokuxhumana nabanye.

Kodwa into engcono kakhulu ukuthi, noma ngabe uketshezi luhlala endlebeni izinyanga eziningi, izingane eziningi azibi nezinkinga zokuzwa noma zokukhuluma isikhathi eside ngenxa yalesi simo.

'Unyaka weglue' ungahlala isikhathi esingakanani?

Esikhathini esiningi, indlebe yeglue izolulama ngokwayo phakathi kwamasonto amabili kuya kwamathathu. Ngezinye izikhathi, lesi simo singaqhubeka izinyanga eziningana. Uma singalulami ngokwayo phakathi kwezinyanga ezintathu, khuluma nodokotela wengane yakho mayelana nokwelashwa okufanele.

Ingabe ingane enendlebe enamathelayo ingageza noma ibhukude?

Uma ingane yakho inezimbobo zendlebe, udokotela uzoyitshela ukuthi ingamanzisi izindlebe zayo amasonto amabili kuya kwamane ngemuva kokuhlinzwa. Lokhu kusho ukuthi akufanele ibhukude noma igeze. Ingageza umzimba wayo ngaphandle kokumanzisa izindlebe zayo. Ngemva kwaleso sikhathi, ngokuvamile akukho mingcele yokugeza noma ukubhukuda emachibini.

Kodwa ezinye izingane ezisengozini enkulu yokuthola izifo kungadingeka zithathe izinyathelo zokuphepha ezengeziwe. Uma kunjalo, udokotela wengane yakho angancoma izinto ezifana nalezi:

• Gwema ukugxumela emanzini noma ukuntywila emanzini.
• Sebenzisa izimbobo zokuvala izindlebe kanye nesivalo sokubhukuda uma ubhukuda.
• Gwema izindawo ezifana namachibi namachibi okubhukuda angena-chlorine.
• Uma ugeza izinwele zengane yakho, qaphela ukuthi ungafaki amanzi ezindlebeni zayo.

Ingabe kuyinkinga uma ingane ene-'glue ear' ihamba ngendiza?

Iningi lezingane ezine-glue ear ngeke zibe nezinkinga zokundiza endizeni. Kodwa-ke, kungumqondo omuhle ukubuza udokotela wengane yakho ngesimo esithile sengane yakho. Uketshezi oluphakathi kwendlebe lungakhula ngesikhathi sokusuka nokufika, okungabangela ukungakhululeki. Lokhu kubizwa ngokuthi "indlebe yendiza." Ukudla noma ukuphuza okuthile ngesikhathi sokusuka nokufika kungasiza ukuvula ipayipi le-Eustachian lengane yakho futhi kunciphise ukungakhululeki.

Yimiphi imibuzo okufanele ngiyibuze udokotela wengane yami?

Uma ingane yakho 'inendlebe yeglue', ungase ube nemibuzo eminingi ngalesi simo. Udokotela wengane yakho angaphendula noma yimiphi imibuzo ongase ube nayo. Nansi eminye imibuzo ongayibuza udokotela:

• Kungani ingane yami inoketshezi endlebeni yayo?
• Ingabe ingane yami idinga ukwelashwa?
• Hlobo luni lokwelashwa ingane yami eludingayo?
• Singakuvimbela kanjani lesi simo ukuthi singenzeki esikhathini esizayo?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Indlebe yeglue (Otitis Media with Effusion) iyisimo esivame kakhulu ezinganeni ezincane. Esikhathini esiningi, iba ngcono ngokwayo.Kodwa-ke, ukwakheka koketshezi endlebeni kungaphazamisa ukuzwa kwengane, okungathinta inkulumo kanye nokuthuthukiswa kolimi.

Ngakho-ke, uma ubona noma yiziphi izimpawu zalesi simo, bona udokotela wengane yakho ngokushesha. Udokotela angase ahlole ingane yakho futhi anikeze ukwelashwa okufanele uma kudingeka. Izindaba ezinhle ukuthi izingane eziningi azibi nezinkinga zokungezwa noma zokukhuluma isikhathi eside ngenxa yalesi simo. Ngakho-ke ungesabi ngokungadingekile, kodwa kubalulekile ukuba uqaphe.

Indlebe Enamathelayo, Indlebe Enamathelayo, I-Otitis Media Ene-Effusion, Uketshezi Lwendlebe, Izifo Zendlebe Ezinganeni, Ukukhubazeka Kokuzwa, I-Eustachian Tube, I-Myringotomy