Ingabe nawe unenkinga yokuphefumula ngekhala lakho? Lokhu kungenzeka ukuthi kungenxa ye-Nasal Valve Collapse!

Uvame ukuzizwa sengathi unenkinga yokuphefumula ngekhala lakho? Ingabe kuzwakala sengathi ikhala lakho livalekile, ikakhulukazi uma uzivocavoca noma ulele? Khona-ke ungase ube nesifo esibizwa ngokuthi i-Nasal Valve Collapse . Ungakhathazeki, lena yinkinga abantu abaningi abanayo. Ake sixoxe ngayo ngokuningiliziwe.

Kuyini Ukuwa Kwevalvu Yekhala?

Kalula nje, i-Nasal Valve Collapse yisimo lapho i-nasal valve, indlela yokuphefumula engaphakathi kwekhala lakho ekusiza ukuthi uphefumule, iba mfushane. Cabanga ngale ndlela, i-nasal valve ifana nesango elihlunga futhi lihlanze umoya lapho siphefumula. Iqala phakathi kwekhala kuze kube sezingeni.

Ngakho-ke, uma leli valvu liwa, okungukuthi, uma liba lincane, umoya awukwazi ukudlula ekhaleni kahle. Yilapho-ke siba nobunzima bokuphefumula. Ngezinye izikhathi, impumulo ingabonakala incane noma ishone ngoba ivalvu ekhaleni inciphile. Kodwa lokhu akubonakali ngaso sonke isikhathi ngaphandle.

Ingabe kunezinhlobo zokuwa kwevalvu yekhala?

Yebo, kunezinhlobo ezimbili eziyinhloko. Ivalvu yethu yamakhala inezingxenye ezimbili: ivalvu yangaphakathi yamakhala kanye nevalvu yangaphandle yamakhala. Zombili zitholakala futhi izakhiwo ezizisekelayo zihlukile.

• Ukuwa kwevalvu yangaphakathi yekhala: Lolu uhlobo oluvame kakhulu. Le valve yangaphakathi yekhala itholakala phakathi nekhala, endleleni yokuphefumula.
• Ukuwa kweValve Yekhala Yangaphandle: Lokhu kutholakala phansi kwekhala, eduze kwamakhala. Lolu hlobo aluvamile, kodwa lubonakala kakhulu. Lokhu kungenxa yokuthi uma uphefumula ngekhala lakho, kungabonakala sengathi ikhala elilodwa noma womabili ayawa.

Sivame kangakanani lesi simo?

Eqinisweni, ukuwohloka kwevalvu yekhala kuyimbangela ehamba phambili yokuvaleka kwekhala. Ukuvaleka kwekhala yisimo esivame ukwelashwa ochwepheshe bezindlebe, impumulo, nomphimbo (Otolaryngologists - ENT specialists). Ukuvaleka kwekhala kwenzeka uma kukhona ukuvaleka kwekhala okuvimbela ukuhamba komoya.

Yiziphi izimpawu zokuwa kwevalvu yekhala?

Uma ivalvu yekhala iwa, kuba nzima ukuphefumula ngekhala elilodwa noma womabili. Izimpawu eziyinhloko yilezi:

• Ubunzima bokuphefumula: Lokhu kungaba kubi kakhulu ngesikhathi sokusebenza ngokomzimba noma lapho ulele phansi. Isibonelo, uma ugijima noma ukhuphuka izitebhisi futhi kufanele uphefumule ngomlomo wakho esikhundleni sekhala lakho, lokhu kungaba uphawu.
• Ukuphefumula ngomlomo emini kanye nokuhona ebusuku: Njengoba ungakwazi ukuphefumula kahle ngekhala lakho, ungase ujwayele ukuphefumula ngomlomo wakho ngokungazi. Ukuhona ebusuku nakho kuhlobene nalokhu.
• Ukuminyana Kwamakhala:Kumane nje ngizizwa sengathi ngibhajwe endleleni.

Uma unevalvu yangaphandle yekhala ewile, ikhala lakho lingase libukeke lihlukile kancane. Okusho ukuthi, lingase libukeke lincane kwezinye izindawo, noma lingase lingabonakali lilingana nhlangothi zombili.

Yini ebangela lokhu?

Ukuwa kwe-Nasal Valve kubangelwa ubuthakathaka bezicubu, ikakhulukazi i-cartilage, esekela i-valve yakho yekhala. Lokhu kubangela ukuthi indlela yokuphefumula ibe mncane. Kunezici eziningana ezingaba nomthelela kulokhu:

• Umehluko wokwakheka: Abanye abantu bangazalwa benomehluko othile endaweni yekhala labo.
• Ukuhlinzwa: Kungase kube ngenxa yokuhlinzwa kwekhala kwangaphambilini (i-rhinoplasty noma umsebenzi wekhala).
• Ukulimala: Kungabangelwa futhi yingozi enkulu ekhaleni.

Yiziphi izinto ezibangela ingozi?

Kunezici eziningana ezandisa ingozi yokuwa kwevalvu yekhala:

• I-Septum Ephambukile: Ngokuvamile, abantu abane-septum ephambukile bazoba ne-septum ephambukile (ibhande elincane le-cartilage nethambo) phakathi nekhala labo. Uma le septum iphambukile, i-septum ihlukaniswa izingxenye ezimbili ezingalingani. Lesi sakhiwo esingalingani singabangela ukuthi uhlangothi olulodwa noma zombili zibhidlike.
• Isakhiwo sempumulo yokuzalwa: Ungase uzalwe unezici ezandisa ingozi yokuwa kwevalvu yempumulo. Isibonelo, ukuba ne-septum ephambukile, ikhala elincane, indawo ebanzi phakathi kwekhala (i-columella), noma ikhala eliphuma kakhulu kungandisa ingozi yakho.
• I-Rhinoplasty: Njengoba kushiwo ngaphambili, lesi simo singase senzeke ngemva kwe-rhinoplasty. Kodwa-ke, ngokuvamile, kuba ukuncipha okuncane kunokuba kube ukuwohloka okukhulu.

Okubalulekile: Uma ubhekene nobunzima bokuphefumula ngemva kokuhlinzwa kwekhala, kubaluleke kakhulu ukwazisa udokotela wakho ngakho.

Ezinye izinto eziyingozi:

• Ukuguga: Njengoba ukhula, izicubu ezisekela ivalvu yekhala zingase ziphelelwe amandla.
• Ukulimala: Ukulimala kwamathambo nezicubu ngaphakathi kwekhala kungenza buthaka amandla azo okusekela.

Lesi simo (i-Nasal Valve Collapse) sitholakala kanjani?

Uma ubona udokotela, bazobuza ngezimpawu zakho kanye nomlando wezokwelapha. Bangase bakubuze nemibuzo evela kokuthile okufana nohlu lwemibuzo lwe-Nasal Obstruction Symptom Evaluation (NOSE) . Uhlu lwemibuzo lwe-NOSE lulinganisa izimpawu zakho kusukela kokuncane kuya kokukhulu. Imibuzo inquma ukuthi ukuphefumula kwakho, ukuminyana kwamakhala, kanye nezinkinga zokulala zithinta kangakanani izinga lakho lokuphila.

Udokotela uzobe esehlola ikhala lakho nomphimbo wakho ngokucophelela. Lokhu kungafaka phakathi ukuhlolwa okuningana.

Ukuhlolwa kokuxilonga ukuwa kwevalvu yekhala

• (I-Endoscopy): I-endoscopy yempumulo inqubo esebenzisa i-endoscope (ithubhu eliguquguqukayo elinekhamera nokukhanya) ukuze ibheke ngaphakathi kwempumulo. Lokhu kuvumela umbono ocacile wengaphakathi lempumulo.
• I-Cottle Maneuver: Kulolu vivinyo, udokotela uzodonsela isihlathi sakho eceleni bese ezama ukwandisa indlela yokungena ekhaleni. Ngaphandle kwalokho, udokotela angasebenzisa ithuluzi elincane noma i-cotton swab ukuze andise ikhala elithintekile. Lokhu kuzosiza udokotela ukuthi abone ukuthi ukuvaleka kukuphi.

Kuphathwa kanjani lokhu?

Ukuhlinzwa kuvame ukudingeka ukuze kwelashwe ivalvu yekhala ewile. Kodwa-ke, uma izimpawu zakho zingezimbi kakhulu, udokotela wakho angase ancome izindlela ezingezona ezokuhlinzwa zokuphatha izimpawu zakho kuqala.

Ukuhlinzwa kokuwa kwevalvu yekhala

Udokotela wakho uzoncoma inqubo engcono kakhulu yokuhlinzwa ukuze kulungiswe ukuwohloka kwevalvu yakho yekhala. Ukuhlinzwa okuningi kwenziwa ngaphandle kwesibhedlela, okusho ukuthi ungaya ekhaya ngosuku olufanayo nokuhlinzwa kwakho.

Izinketho eziningana zokwelapha:

• Ukuxhunyelelwa: Lokhu kuhilela ukuthatha i-cartilage noma ithambo kwenye ingxenye yomzimba wakho, njengendlebe noma ubambo lwakho, bese ulifaka ekhaleni lakho. Lesi zicubu ezengeziwe zisetshenziselwa ukwandisa i-nasal septum. Kunezinhlobo eziningana zokuxhunyelelwa, ezivame kakhulu kuzo yi-Alar Batten graft.
• Izimila: Idivayisi ifakwa ekhaleni ukuze isekele i-cartilage ewile. Lokhu kungafaka idivayisi emise okwe-titanium butterfly kanye ne-implant ejovwayo ebizwa ngokuthi i-Latera®.
• Ukumiswa Kwe-Suture: Lokhu kuhilela ukusebenzisa i-sutures ukunamathisela izicubu ze-nasal septum ezicutshini ezingaphansi kweso. Le nqubo idonsa i-nasal septum phezulu nangaphandle, yandisa isikhala.

Ungase udinge nokuhlinzwa ukuze kulungiswe ezinye izinkinga zesakhiwo ezingase zibe nomthelela ekuwohlokeni kwe-nasal septum. Isibonelo:

• I-Septoplasty: Ukuhlinzwa kokulungisa i-septum ephambukile.
• Ukunciphisa i-Turbinate: Ukuhlinzwa kokunciphisa usayizi wama-turbinate, okuyizakhiwo ezinamathambo ngaphakathi kwempumulo.

Ukwelashwa Kokuwa Kwevalvu Yekhala Ngaphandle Kokuhlinzwa

• Imicu Yokuphefumula: Lezi imicu ebekwa ngaphandle kwekhala. Iphakamisa isikhumba futhi ivule ikhala. Ingakusiza ukuthi uphefumule kalula ebusuku futhi ulale kangcono.
• Ama-Internal Nasal Dilators: Lawa amadivayisi afakwa emakhaleni. Asunduza i-cartilage ngaphandle futhi anwebe imigudu yamakhala. Njengemibhobho yokuphefumula, angakusiza ulale kangcono ebusuku.

(Ukuwa kweValve Yekhala) Ingabe isimo sizoba sibi kakhulu?

Akuhlali kwenzeka, kodwa kungenzeka. Ukuwa kwevalvu yekhala kubangelwa ubuthakathaka bezakhiwo ezisekela imigudu yomoya yamakhala. Ngakho-ke, uma izindawo ezibuthakathaka zingelashwa ukuze ziqine, lezi zakhiwo zingaqhubeka nokuwa.

Iyini imiphumela yokwelapha lesi simo?

Abantu abaningi bathi ngemva kokuhlinzwa ukuze kulungiswe ivalvu yekhala ewile, izimpawu zabo sezithuthuke kakhulu. Uma ukuwohloka sekulungisiwe, uzokwazi ukuphefumula kalula futhi ulale kangcono.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Ungabuza udokotela imibuzo efana nale:

• Ingozi imbi kangakanani?
• Ingabe ngizodinga ukuhlinzwa ukuze ngilungise lokhu?
• Yiziphi izinhlobo zokuhlinzwa ozincomayo?
• Yiziphi izingozi ezingaba khona zokuhlinzwa?
• Lingakanani izinga lempumelelo lokuhlinzwa okunconywayo?
• Kuzothatha isikhathi esingakanani ukuphulukiswa?

Khumbula: Uma unekhala elicijile elihlala likhona, lingapholi, noma lenza kube nzima ukuphefumula, bona udokotela. Lezi zimpawu zingase zihlobane nokukhubazeka kwesakhiwo, njengevalvu yekhala ewile. Uma ukubhidlika kungekubi kakhulu, udokotela wakho angase ancome ukwelashwa ukulawula ukungakhululeki. Kwezinye izimo, ukuhlinzwa kuyindlela engcono kakhulu yokuqinisekisa ukuthi uthola umoya owanele ngomgodi wakho wekhala. Udokotela wakho uzokutshela ukuthi yiziphi izinketho ezikufanele.

Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:

Ubunzima bokuphefumula ngekhala lakho akuyona into okufanele ithathwe kalula. Kungaba nomthelela omkhulu ezingeni lempilo yakho. Ungase ungaqapheli ngisho nokuqaphela, kodwa ungase ube nenkinga yokulala ebusuku nokuzizwa ukhathele emini. Konke lokhu kungase kubangelwe inkinga ngekhala lakho.

Ngakho-ke, uma unezimpawu ezishiwo kulesi sihloko, ungangabazi ukufuna iseluleko sezokwelapha. Manje kunezindlela zokwelapha ezisebenzayo zesimo esibizwa ngokuthi (i-Nasal Valve Collapse). Uma sitholakale futhi selashwa kusenesikhathi, uzokwazi ukuphefumula kalula futhi!

Ukuwa kweValvu Yekhala , Ukuminyana Kwekhala, Ubunzima Bokuphefumula, Ukuhona, Ukuhlinzwa Kwekhala, I-Septum Ephambukile, I-ENT