Ngezinye izikhathi, ukushaywa kanzima endlebeni, ukutheleleka kwendlebe, noma iphutha ngenkathi uhlanza indlebe yakho kungabangela ukuba i-eardrum yakho iqhume. Esikhathini esiningi, lokhu kuzophola ngokwako, kodwa kwabanye abantu, akwehli. Yilapho odokotela bekhuluma khona ngalokhu kuhlinzwa okubizwa ngokuthi 'i-myringoplasty.' Ake sibheke ukuthi kuyini, ukuthi ubani okudingayo, nokuthi kwenziwa kanjani.
Iyini ngempela i-myringoplasty?
Kalula nje, i-myringoplasty iwukuhlinzwa kokulungisa i-eardrum ephukile .
I-eardrum yethu, noma ngokwezokwelapha, i-tympanic membrane, iyi-membrane encane kakhulu, ephakathi kwendlebe yethu yangaphandle nephakathi. Kufana nesikhumba sesigubhu. Lapho amaza omsindo avela ngaphandle eshaya le membrane, iyavevezela. Lokho kuvevezela yikho okusisiza sizwe umsindo.
Ngakho-ke uma le ndlebe ibhobokile, iba njengesigubhu esinezimbobo, futhi imisindo ayizwakali kahle. Akukhona lokho kuphela, kodwa amanzi namagciwane avela ngaphandle angangena kalula endlebeni ephakathi futhi abangele izifo. Lokhu kuhlinzwa kuhilela ukufaka 'i-patch' encane, noma i-graft, emgodini bese kubuyiselwa indlebe endaweni yayo evamile. Lokhu akugcini nje ngokuthuthukisa ukuzwa, kodwa futhi kunganciphisa ingozi yezinkinga ezinkulu kakhulu njengokutheleleka kwendlebe okuvamile, izimo ezifana ne-vertigo, kanye nokutheleleka kwethambo ngemuva kwendlebe (i-mastoiditis).
Lokhu ukuhlinzwa okuvamile kakhulu okwenziwa ochwepheshe bezindlebe, impumulo, nomphimbo (odokotela bamehlo). Kunezikhathi lapho lokhu kuhlinzwa kudingeka khona kubantu abadala kanye nezingane.
Ubani ngempela odinga lokhu kuhlinzwa?
Esikhathini esiningi, imbobo encane izophola ngokwayo phakathi namasonto ambalwa. Kodwa-ke, yilapho udokotela enquma ukwenza lokhu kuhlinzwa.
| Ithuba | Incazelo elula |
|---|---|
| Inxeba alipholi ngokwalo. | Uma i-eardrum ingazivali yodwa ngisho nangemva kwezinyanga ezintathu ibhoboziwe. |
| Ukutheleleka kwendlebe okuvamile | Uma indlebe yakho ihlale ithukuthele futhi inegciwane, lokhu kungenxa yokuthi imbobo ivumela amagciwane ukuthi angene kalula. |
| Ukulahlekelwa ukuzwa | Uma ukuzwa kwakho kuye kwehla kakhulu ngenxa yembobo endlebeni yakho. |
| Ingozi | Uma i-eardrum yonakele kakhulu ngenxa yengozi noma ukushaywa endlebeni. |
Yiziphi izinto ezisetshenziswayo ukulungisa i-eardrum? (Izihlanganisi)
Odokotela basebenzisa izinto ezahlukahlukene ukudala i-patch noma i-graft evala imbobo endlebeni yakho. Iningi lalezi zithathwe emzimbeni wakho. Ngakho umzimba wakho ngeke uzenqabe.
- I-Temporalis fascia: Lena yindlela evame ukusetshenziswa kakhulu. Lena izicubu eziqinile kakhulu ezitholakala ngaphezu kwendlebe yakho, zizungeze imisipha eshukumisa i-eardrum. Ngesikhathi sokuhlinzwa, kuthathwa ingxenye encane yayo ukuze kuvalwe imbobo ku-eardrum.
- I-Perichondrium: Lokhu kuhlanganiswa kungenziwa nangokuthatha ingxenye encane yolwelwesi oluzungeze i-cartilage endlebeni yethu.
- Amafutha: Kwezinye izimo, ingxenye encane yezicubu zamafutha ezithathwe endlebeni isetshenziselwa ukuvala imbobo. Lokhu kubizwa nangokuthi i-fat graft myringoplasty.
- Ukuqina kwe-cartilage: Kunezimo lapho lokhu kuhlinzwa kwenziwa ngokuthatha ingxenye encane ye-cartilage endlebeni uqobo.
- Izinto zokwenziwa: Ngezinye izikhathi izinto zokwenziwa, njengephepha lokuhlinza elikhethekile, zingasetshenziswa futhi ngale njongo.
Udokotela wakho uzonquma ukuthi iyiphi indlela efaneleka kakhulu kuwe ngokusekelwe esimweni sakho.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Nakuba lokhu kungesiwo ukuhlinzwa okukhulu, kudingeka ukulungiselela okuncane.
- Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi imithi, amavithamini, noma izithasiselo ozithathayo ngaphambi kokuhlinzwa.
- Ngosuku lokuhlinzwa, khuluma nomngane noma ilungu lomndeni elizokuhambisa esibhedlela bese libuyela ekhaya.
- Hlela ukuphumula izinsuku ezimbalwa ngemva kokuhlinzwa, ugweme umsebenzi noma isikole .
Umbono omncane mayelana nendlela ukuhlinzwa okwenziwa ngayo
Esikhathini esiningi, lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ngeke uzwe lutho, uzobe ulele. Kwezinye izimo ezilula, kungenziwa ngaphansi kwe-anesthesia yendawo, eqeda indlebe kuphela.
Ngesikhathi sokuhlinzwa, udokotela uzolandela lezi zinyathelo:
1. Ukufinyelela i-eardrum: Kwenziwa ukusikwa okuncane ngokusebenzisa umsele wendlebe noma ngemuva kwendlebe ukuze kufinyelelwe i-eardrum.
2. Ukulungisa imbobo: Izicubu ezizungeze imbobo ziyahlanzwa ngokuziklwebha kancane, zilungiselele ukuthi i-graft entsha inamathele kahle.
3. Ukuthola i-graft: Izicubu ezifana ne-"Temporalis fascia" okuxoxwe ngayo ngaphambilini zitholakala emzimbeni wakho.
4. Ukubekwa kwe-graft: Ingcezu yezicubu ezivuniwe ibekwa ukuze ivale imbobo bese ilungiswa.
5. Ukugcwalisa nokubopha indlebe: Ukuze i-eardrum ingashukumi, kufakwa uhlobo olukhethekile lwekotini ngaphakathi kwendlebe bese kufakwa ibhandeji ngaphandle.
Le nqubo yonke ivame ukuthatha imizuzu engama-30 kuya kwengama-90 .
Ungazinakekela kanjani ekhaya ngemva kokuhlinzwa?
Ngokuvamile ungaya ekhaya ngosuku olufanayo ngemva kokuhlinzwa. Nazi ezinye izinto okufanele uzinakekele ukuze zikusize ululame ngokushesha ekhaya.
Into ebaluleke kakhulu ukugcina indlebe yomile. Ukugcina amanzi engangeni endlebeni kubaluleke kakhulu enkambisweni yokuphulukiswa.
| Okufanele ukwenze | Okungafanele ukwenze |
|---|---|
| Thatha umuthi onikezwe udokotela ngesikhathi esifanele (ikakhulukazi amaconsi ezindlebeni alwa namagciwane). | Ungagezi kuze kube yilapho udokotela wakho ekuyala. (Kulungile ukugeza ubuso bakho, kodwa gcina ucezu lukakotini endlebeni yakho ukuze uvimbele amanzi ukuthi angangeni endlebeni yakho). |
| Phumula ngangokunokwenzeka. | Ungakhethi impumulo yakho kaningi . Lokhu kungabangela ukucindezeleka ezindlebeni zakho. |
| Uma uthimula, vula umlomo wakho bese uhogela . Lokhu kuzonciphisa ukucindezeleka ezindlebeni zakho. | Ungabhukudi noma udive amasonto ambalwa. |
| Hamba uyohlolwa kabusha ngosuku udokotela wakho akutshele ngalo. | Ungazami ukususa ibhandishi noma uboya bekotini endlebeni. |
Ngokuvamile ungalulama phakathi nesonto noma amabili. Uma ungumuntu omdala, kungcono ukuhlala ungasebenzi okungenani isonto. Uma ungumntwana, mgcine engekho esikoleni isonto lonke.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezincane kakhulu.
Izinzuzo
- Lokhu kuhlinzwa kuphumelele kakhulu . Izinga lempumelelo lingaphezu kuka-90%.
- Kwabaningi , ukuzwa kuyathuthuka ngemva kokuhlinzwa.
- Ngenxa yokuthi izingane ezincane zikwazi ukuzwa kahle, lokhu kusiza kakhulu ekukhuleni kwenkulumo yazo kanye nolimi lwazo .
- Ukutheleleka kwendlebe okuvamile kungavinjelwa .
Izingozi
Lezi yizinto ezingavamile kakhulu.
- Ukutheleleka.
- Ukuzwa imisindo ehlukene ezindlebeni (i-Tinnitus).
- Isiyezi.
- Ukulahlekelwa ukuzwa okwesikhashana noma unomphela.
- Ukwehluleka kwe-graft. Lokhu kusho ukuthi izicubu ezitshaliwe azinamatheli.
- Ukuphinda kwembobo endlebeni.
Uma udinga ukubona udokotela ngokushesha!
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngesikhathi usekhaya ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha.
- Uma unomkhuhlane ongaphezu kuka-39.4 Celsius (103 Fahrenheit) .
- Uma unesifo sendlebe esibuhlungu kakhulu esingapheli ngisho nangemva kokuthatha umuthi.
- Uma uzizwa unesicanucanu esinzima.
- Uma uzizwa ubuthakathaka emisipheni yobuso bakho (njengokuhwaqabala).
- Uma unenkinga yokuphefumula.
- Uma uzwa isiyezi noma ukukhala ezindlebeni (i-tinnitus) lokho akupheli.
- Uma indlebe iphuma igazi kakhulu .
Nakuba lezi zinto zingavamile ukwenzeka, kubaluleke kakhulu ukuzazi.
Umlayezo Wokuya Nawe Ekhaya
- I-Myringoplasty iyindlela yokuhlinzwa ephumelela kakhulu futhi evamile yokulungisa i-eardrum enezimbobo engazipholi ngokwayo.
- Lokhu kungathuthukisa ukuzwa kwakho futhi kuvimbele izifo zendlebe ezivame ukwenzeka.
- Ukuze ululame ngokushesha ngemva kokuhlinzwa, kubalulekile ukulandela imiyalelo kadokotela ngqo, ikakhulukazi izinto ezifana nokugcina amanzi engangeni ezindlebeni zakho.
- Uma uhlangabezana nanoma yiziphi izimpawu ezinkulu ngemva kokuhlinzwa, ungesabi futhi wazise udokotela wakho ngokushesha.
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