Wake waphawula ukuthi ingane yakho inobuhlungu bendlebe bese kuthi ngokuzumayo, njengoba nje yayisiba ngcono, ingemuva lendlebe lavuvukala, laba bomvu, futhi laba buhlungu lapho lithinta? Noma wake wabhekana nalokhu wena? Ungakunaki lokhu njengobuhlungu bendlebe obulula. Lokhu kungaba yisimo esibi esingabangelwa ukutheleleka kwendlebe ephakathi okungelashwanga. Namuhla, sikhuluma ngesimo esibizwa ngokuthi 'i-Mastoidite', okufanele usisole ngesikhathi esinjengalesi.
Iyini le Mastoidite?
Kalula nje, i-mastoiditis iwukutheleleka kwamagciwane kwethambo le-mastoid, eliyingxenye yogebhezi ngemuva kwezindlebe zethu. Leli thambo alilona nje ithambo eliqinile. Ngaphakathi kwalo, njengezimbobo ezincane ebhodweni lezinyosi, kunezindawo eziningi ezincane ezigcwele umoya (amaseli omoya). Umsebenzi oyinhloko walokhu ukuvikela izakhiwo ezibucayi ngaphakathi kwendlebe, ukulawula ingcindezi endlebeni, nokunciphisa umonakalo ogebhezini uma kwenzeka ingozi.
Okuvame ukwenzeka ukuthi uma ukutheleleka kwendlebe ephakathi (i-Otitis Media) kungelashwa kahle, amagciwane abangele ukutheleleka asakazeka esuka endlebeni ephakathi aye ezindaweni zomoya ethanjeni le-mastoid. Yilapho kuvela khona i-mastoiditis. Lesi simo sivame kakhulu ezinganeni ezincane, kodwa singavela nakubantu abadala.
Ngenxa yokuthi izinzwa nemithambo yegazi ebaluleke kakhulu emzimbeni wethu idlula kuleli thambo le-mastoid, uma kwenzeka ukutheleleka lapha, kungasakazeka ngaphandle kwethambo futhi kubangele izinkinga ezinkulu zempilo.
Abanye abantu bangase babe nesifo sesikhathi eside esibizwa ngokuthi 'i-Chronic Mastoiditis', esibangela ukuphuma koketshezi oluhlala luphuma endlebeni.
Kungani lesi simo senzeka?
Njengoba ngishilo ngaphambili, imbangela eyinhloko nevame kakhulu yalokhu ukutheleleka kwendlebe ephakathi okungelashwanga noma okungalashwanga ngokuphelele (i-Otitis Media). Amabhaktheriya asendlebeni ephakathi kancane kancane aya ethanjeni le-mastoid.
Ngaphezu kwalokho, imbangela engavamile kakhulu yisimo esibizwa ngokuthi 'i-cholesteatoma'. Lokhu kuwukuqongelela okungavamile kwamangqamuzana esikhumba ngaphakathi kwendlebe, okwakha iqhubu. Leli qhubu lingavimba ukuphuma koketshezi lwendlebe, okubangela ukutheleleka futhi kuholele ku-mastoiditis.
Ziyini izimpawu zalokhu?
Kufanele ukhathazeke kakhulu ngalezi zimpawu, ikakhulukazi uma ingane yakho isanda kuba nesifo sendlebe.
| Isibonakaliso | Kuchazwe kalula |
|---|---|
| Ubomvu nokuvuvukala ngemuva kwendlebe | Lolu uphawu oluyinhloko. Ithambo elingemuva kwendlebe liba bomvu ngokumnyama futhi livuvuke kakhulu. Libuhlungu kakhulu uma lithintekile. |
| Ukusunduza indlebe phambili | Ukuvuvukala ngemuva kwe-earlobe kungase kubonakale sengathi kusunduzelwa phambili naphansi. |
| Ukuphuma koketshezi endlebeni | Uketshezi olufana nobomvu olunuka kabi, oluphuzi noma oluhlaza okwesibhakabhaka lungaqhubeka luphuma ngaphakathi endlebeni. |
| Umkhuhlane, ukucasuka | Ukutheleleka emzimbeni kungabangela umkhuhlane omkhulu, izinhlungu zomzimba, nokuzizwa ukhathele kakhulu ukuba ungenza noma yini. Izingane ezincane zivame ukuvaleka amehlo. |
Yiziphi izimo eziyingozi ezingaba khona uma zingelashwa?
Yilokhu okufanele sonke sikwesabe kakhulu. Uma sicabanga ukuthi kubuhlungu bendlebe nje, ukutheleleka kungasakazeka futhi kubangele izinkinga ezinkulu kakhulu, ngisho nezisongela ukuphila.
| Inkinga | Kuchazwe kalula |
|---|---|
| Ukulahlekelwa Yizindlebe | Ukutheleleka kungalimaza izingxenye ezibucayi zendlebe futhi kubangele ukulahlekelwa ukuzwa unomphela. |
| Ukukhubazeka kobuso | Ngenxa yokuthi inzwa elawula imisipha yobuso idlula kuleli thambo, ukutheleleka kungasakazeka futhi kubangele ukuthi uhlangothi olulodwa lobuso luwe. |
| I-Meningitis noma ithumba lobuchopho | Ukutheleleka kungasakazekela ekhanda, kubangele i-meningitis noma ithumba lobuchopho. Lokhu kusongela ukuphila. |
| I-Vertigo | Uma ukutheleleka kusakazekela ezingxenyeni zendlebe ezihlobene nokulinganisela komzimba (i-Labyrinthitis), kungase kube nesiyezi esikhulu nokuhlanza. |
| Amahlule egazi | Akuvamile kakhulu ukuthi amahlule egazi akheke emithanjeni yegazi yobuchopho, okubangela izimpawu ezifana nokushintsha kombono kanye nekhanda elibuhlungu kakhulu. |
Ukuthola kanjani lokhu, Dokotela?
Uma wena noma ingane yakho ninobuhlungu bendlebe obuhambisana nomkhuhlane, ubuhlungu, ukubomvu, noma ukuvuvukala ngemuva kwendlebe, bonana nodokotela ngokushesha. Udokotela uzoqala ahlole ingaphakathi lendlebe ngethuluzi elibizwa ngokuthi i-otoscope. I-Mastoiditis ayivamile ngaphandle kokutheleleka kwendlebe ephakathi.
Ngemuva kwalokho, kungathathwa isampula yoketshezi lwendlebe bese kuthunyelwa ukuhlolwa kwelebhu (ukukhuliswa) ukuze kutholakale ukuthi yimaphi amabhaktheriya abangela ukutheleleka.
Uma kukhona okusolakala ukuthi lesi simo sibi kakhulu, noma uma kusolwa ukuthi kunezinkinga, uzothunyelwa ku- CT scan . Lokhu kungasibona kahle isimo sethambo le-mastoid nendawo ezungezile. Uma kukhona into efana ne-cyst ndawana thize, kumele isuswe futhi yelashwe.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa okuyinhloko kwalokhu ama-antibiotic .
Ngokuvamile, uma kutholakala ukuthi une-mastoiditis, wena noma ingane yakho kuzodingeka nilaliswe esibhedlela ukuze nithole ukwelashwa. Lapho, uzobonwa udokotela wezindlebe, ikhala, nomphimbo (uchwepheshe we-ENT). Ama-antibiotic azonikezwa ngesirinji (IV - Intravenous) ukuze kulawulwe ngokushesha ukutheleleka.
Ngaphezu kwalokho, ukuhlinzwa okuncane okubizwa ngokuthi i-myringotomy kungenziwa ukuze kususwe ubomvu endlebeni ephakathi. Lokhu kuhilela ukwenza imbobo encane kakhulu endukwini yendlebe bese kukhishwa ubomvu obuthile kuyo. Ngezinye izikhathi, kufakwa ipayipi elincane ngaphakathi kwembobo ukuze lihlale livulekile. Leli payipi lizophuma lodwa zingakapheli izinyanga ezingu-6-12.
Uma ama-antibiotic e-IV enganikeli ukwelashwa okusheshayo, noma uma kunezinkinga ezifana nokulahlekelwa yithumba noma ithambo, kungadingeka i-mastoidectomy . Lokhu kuhilela ukususa ngokuhlinzwa ingxenye ethelelekile yethambo le-mastoid.
Ungakhohlwa, uma lesi sifo sitholakala kusenesikhathi futhi selashwa ngama-antibiotic afanele, futhi uma kudingeka, ukuhlinzwa, zonke lezi zinkinga ezinkulu zingavinjelwa futhi kungatholakala ukululama okuphelele.
Umlayezo Wokuya Nawe Ekhaya
- I-Mastoiditis iwukutheleleka okukhulu kwethambo ngemuva kwendlebe. Imbangela eyinhloko yalokhu ukutheleleka kwendlebe ephakathi okungapholi kahle.
- Izimpawu eziyinhloko ukuvuvukala ngemuva kwendlebe, ukubomvu, ubuhlungu obukhulu, umkhuhlane, kanye nokuphuma koketshezi endlebeni.
- Ungalokothi uzishaye indiva lezi zimpawu, ikakhulukazi ezinganeni ezincane.
- Into engcono kakhulu ongayenza uma ubona uphawu olufana nalolu ukubona udokotela wakho ngokushesha.
- Uma ukwelashwa kuqala ngokushesha, mancane amathuba okuba nezinkinga eziyingozi njengokulahlekelwa ukuzwa kanye ne-meningitis.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho