Ingabe kukhona uketshezi oluphuma endlebeni yakho? (I-Otorrhea) – Masiqaphele lokhu!

Wake waphawula uketshezi oluphuzi olunamanzi, noma ngezinye izikhathi into efana ne-mucus ephuma endlebeni yakho? Abanye abantu bakubiza lokhu ngokuthi "ukuphuma kwendlebe" noma "amanzi endlebeni." Izingane ezincane zingabhekana nalesi simo kaningi. Akuyona into okufanele ikhathazeke ngayo, kodwa kubalulekile ukuqaphela. Namuhla, sizokhuluma ngalesi simo, noma njengoba odokotela besibiza kanjalo , i-otorrhea .

Kuyini i-Otorrhea? Kalula nje...

Kalula nje, i-otorrhea ukukhishwa koketshezi oluvela endlebeni yakho. Lokhu kuvame ukwenzeka lapho ukutheleleka kwendlebe kubangela ukuqhekeka kwe-eardrum. Lokhu kuvumela uketshezi oluvela endlebeni ephakathi ukuba luphume ngomsele wendlebe. Kodwa-ke, kunezinye izimbangela. Isibonelo, indlebe yokubhukuda, isimo esenzeka kubantu ababhukuda njalo, noma into yangaphandle ebhajwe endlebeni, noma ukulimala ekhanda ngenxa yengozi.

Ingabe i-otorrhea iwukutheleleka njalo?

Cha, lokho akulona iqiniso. Kuyiqiniso ukuthi imbangela eyinhloko ye- otorrhea ukutheleleka. Isikhathi esiningi, kuba ukutheleleka kwendlebe ephakathi, okubizwa ngokuthi i-otitis media , noma ukutheleleka kwendlebe yangaphandle noma ukuvuvukala kwe-eardrum kanye nomsele wendlebe, okubizwa ngokuthi i-otitis externa . Kodwa-ke, njengoba kushiwo ngaphambili, uma kukhona okubhajwe endlebeni noma uma unenxeba elibi ekhanda, kungabangela nokuvuza koketshezi endlebeni. Ngakho-ke, uma ubona uketshezi luphuma endlebeni yakho, ungacabangi ukuthi ukutheleleka, kodwa kungcono ukubona udokotela ukuze uthole imbangela eqondile.

Ubani othinteka kakhulu yilesi simo (i-Otorrhea)?

Lesi simo empeleni sivame kakhulu ezinganeni ezincane. Isizathu salokhu ukuthi zivame ukuthola izifo zendlebe. Abantu abadala nabo bangaba naso, kodwa sivame ukubangelwa yinto efana nokulimala ngengozi endlebeni.

Okunye ukuthi ezinye izingane ezincane zivame ukuthola izifo zendlebe, ngakho odokotela bafaka ithubhu elincane endlebeni yazo ("ithubhu yendlebe"`). Cishe u-17% wezingane ezinala mathubhu, noma ishumi nesikhombisa kweyikhulu, ekugcineni zizokhula uketshezi ezindlebeni zazo. Uma ingane yakho inenye yalawa "mathubhu endlebe", udokotela uzokutshela ukuthi usebenzise amaconsi athile e-antibiotic ukuze umise uketshezi. Uma amaconsi engalumisi uketshezi, udokotela uzophinde abheke ingane futhi enze ezinye izivivinyo.

Uma kukhona izingane noma abantu abadala abanoketshezi oluphuma ezindlebeni zabo ngenxa yalesi simo esishiwo ngenhla (i-otitis externa) noma i-'ear's ear's, bangasebenzisa ama-'ear plug' akhethekile afakwa ezindlebeni zabo ngenkathi begeza noma bebhukuda. Ngaphandle kwalokho, ungafaka i-petroleum jelly encane ecezwini elincane likakotini bese ulifaka emgodini wendlebe. Lokhu kunganciphisa inani lamanzi angena endlebeni ngezinga elithile.

Yiziphi izinhlobo zoketshezi eziphuma endlebeni?

Kunezinhlobo ezinhlanu eziyinhloko zoketshezi oluphuma endlebeni:

• Ubovu: Yilapho ubovu buphuma khona. Ngokuvamile buphuzi ngombala futhi bungaba bukhulu.
• I-Serous: Lokhu kubhekisela oketshezini olucebile ngamaprotheni (i-serum) egazini lethu. Lungase lube namanzi kancane, futhi lungaba nombala ophuzi okhanyayo.
• Okunegazi: Ngezinye izikhathi igazi lingaxubana. Lingaba bomvu obumnyama noma libomvu kancane.
• I-Mucoid: Lokhu kuwuketshezi olujiyile, olufana ne-mucus.
• Okucacile: Uketshezi olucacile , olungenambala, njengamanzi.

Ngale ndlela, ngokusekelwe ohlotsheni loketshezi, udokotela angathola umbono wokuthi iyini imbangela.

Ivame kangakanani i-Otorrhea?

I-Otorrhea empeleni iyisimo esivame kakhulu. Ngezinye izikhathi ingabangelwa yisimo esilula, esingesibi kakhulu, kodwa ngezinye izikhathi ingaba uphawu lwesimo esibi kakhulu. Imbangela evame kakhulu ukutheleleka kwendlebe.

Ziyini izimpawu zalokhu?

Uphawu oluyinhloko ukuphuma kwegazi endlebeni . Lokhu kukhishwa kwegazi kungase kungabi nephunga noma kube nephunga elibi. Kungase kube mncane, kube namanzi, noma kube mkhulu. Umbala nawo uyafana; kungafika ngemibala ehlukene, njengokucacile, okuphuzi, noma okuluhlaza.

Ngaphezu kwalesi sibonakaliso esiyinhloko, kungase kube nezinye izimpawu eziningana ezivamile:

• Ubuhlungu bendlebe
• Indlebe elumayo
• Ukuzwa imisindo ehlukene ezindlebeni (odokotela bakubiza lokhu ngokuthi 'i-tinnitus')

Kodwa-ke, abanye abantu bangase babe nezimpawu ezingathi sína kakhulu. Ezimweni ezinjalo, kubalulekile ukubona udokotela ngokushesha. Izimpawu ezinjalo zifaka:

• Imfiva
• Ukubomvu kwesikhumba esizungeze indlebe (lokhu kubizwa ngokuthi i-`erythema`)
• Ukulahlekelwa ukuzwa
• Izinkinga ngemizwa esekhanda , isibonelo, ubunzima bokukhuluma, ukugwinya, noma ukubona.
• Ukuzizwa unesizungu (vertigo)

Abantu abanalezi zimpawu kungenzeka ukuthi basanda kulimala ekhanda (ukuhlukumezeka ekhanda).

Abantu abanesifo sikashukela noma amasosha omzimba abuthakathaka kufanele baqaphele kakhulu ngalezi zimpawu, njengoba besengozini enkulu yokuthola izinkinga. Uma unezinye zezimpawu ezinkulu ezishiwo ngenhla, bona udokotela ngokushesha .

Kungani lokhu (i-Otorrhea) kwenzeka? Yiziphi izimbangela?

Njengoba kushiwo ngaphambili, kunezimbangela eziningana ze-otorrhea.

Izimbangela ezivamile:

• I-eardrum ephukile
• Ukutheleleka kwendlebe ephakathi(Lokhu kungaba `okuphuthumayo` kwesikhathi esifushane noma `okungapheli` kwesikhathi eside)
• Ukutheleleka kwendlebe yangaphandle , njengendlebe yokubhukuda, noma ukutheleleka kwemvubelo yesikhunta emgudwini wendlebe
• Into yangaphandle inamathele endlebeni

Izimbangela ezingavamile kodwa ezingaba zimbi kakhulu zifaka:

• Ukukhula okungavamile kwesikhumba ngemuva kwe-eardrum (lokhu kubizwa ngokuthi i-cholesteatoma . Lesi yisimo esiyinkimbinkimbi kancane)
• Ukuphuka phansi kwekhanda lakho
• Umdlavuza womsele wakho wendlebe
• Ukutheleleka okukhulu kwendlebe yangaphandle (lokhu kubizwa ngokuthi i-'Malignant (necrotizing) external otitis'. Lokhu ukutheleleka okukhulu okuthinta umsele wendlebe wangaphandle kanye namathambo ekhanda)

Ingabe (i-Otorrhea) iyathelelana?

I-Otorrhea ngokwayo ayithelelani. Ngokufanayo, izifo zendlebe azivame ukuthelelana kusuka kumuntu kuya komunye. Kodwa-ke, uma unesifo sendlebe nomkhuhlane, ungawusabalalisa kwabanye lowo mkhuhlane uma ukhwehlela noma uthimula.

Udokotela ukuxilonga kanjani lokhu (i-Otorrhea)?

Uma uya kudokotela, uzokuhlola kuqala. Lokhu kuhlolwa kuvame ukufaka:

• Bazohlola izinga lokushisa lakho kanye nezinye izimpawu ezibalulekile.
• Umsele wakho wendlebe uzohlolwa ngokucophelela ukuze kubonakale ukuthi kukhona yini uketshezi, ukutheleleka, noma imbobo endlebeni.
• Zizothinta izindlebe zakho, isilevu kanye nentamo ukuze zibone ukuthi kukhona yini ukuvuvukala noma yini enye engavamile.
• Isikhumba esizungeze indlebe siphinde sihlolwe ukuthi asinabo ubomvu noma ukuvuvukala (ukuvuvukala).

Yiziphi ezinye izivivinyo ozenzayo?

Esikhathini esiningi, udokotela wakho angaxilonga i-otorrhea ngokuhlolwa ngokomzimba okukhulunywe ngakho ngenhla. Kodwa-ke, ngezinye izikhathi, kungase kwenziwe izivivinyo ezengeziwe ukuqinisekisa ukuxilongwa noma ukuthola imbangela.

• Ukuhlolwa kokuzwa (`Audiometry`): Lokhu kuhlola ukuthi ungakwazi ukuzwa kahle kangakanani nokuthi ububanzi bokuzwa kwakho bungakanani.
• I-CT scan: Lokhu ukuhlolwa kwesithombe. Kungahlola ukuthi ukutheleleka kusakazeke ngale kwendlebe ephakathi.
• I-MRI scan: Uma ulimele ekhanda, le MRI ingathola noma yikuphi ukuvuza ku-cerebrospinal fluid (CSF) ezungeze ubuchopho bakho.
• Ukuhlolwa kwemizwa yobuchopho: Uma uke waba nokulimala ekhanda muva nje noma unenkinga yokubona, yokugwinya, noma yokukhuluma, udokotela wakho uzohlola ukuthi imizwa yakho yobuchopho isebenza kahle yini.
• Isiko: Isampula encane yoketshezi oluvela endlebeni iyathathwa bese ihlolwa elabhorethri ukuze kubonakale ukuthi kukhona yini amagciwane noma isikhunta esikhula kuyo.

Kuphathwa kanjani lokhu?

Ukwelashwa kwe-otorrhea kuncike embangeni yokukhipha uketshezi endlebeni yakho . Isibonelo, uma indlebe yakho ephakathi inegciwane, udokotela wakho uzokunika ama-antibiotic omlomo. Uma ukutheleleka kwendlebe yangaphandle, bavame ukukunikeza amaconsi endlebeni alwa namagciwane.

Uma une-eardrum ephukile, cishe izophola ngokwayo emavikini ambalwa. Kodwa-ke, abanye abantu badinga ukuhlinzwa ukuze bavale imbobo. Lokhu kubizwa ngokuthi i-tympanoplasty .

Uma imbangela ingatholakali ngokushesha, udokotela wakho uzokudlulisela kuchwepheshe. Abantu abavame ukutheleleka ezindlebeni bazothunyelwa kuchwepheshe wezindlebe, impumulo kanye nomphimbo (otolaryngologist - udokotela ohlinzayo we-ENT) . Uma kukhona okusolakala ukuthi ukulimala ekhanda kuyimbangela, udokotela wakho uzokudlulisela kudokotela ohlinzayo wezinzwa ukuze ahlolwe futhi athole ukwelashwa okwengeziwe.

Ingabe i-otorrhea ingavinjelwa?

Esikhathini esiningi, kunzima ngathi ukulawula izimbangela (i-Otorrhea). Ngakho-ke, akunakwenzeka ukuyivimbela ngokuphelele. Kodwa-ke, kulabo abavame ukuba nesimo esibizwa ngokuthi 'indlebe yokubhukuda', ingozi yokuvuza koketshezi endlebeni ingancishiswa ngokusebenzisa 'izimbobo zezindlebe' ezikhethekile lapho ugeza futhi ubhukuda.

Kwenzekani uma nginayo (i-Otorrhea)? Ingabe kufanele ngikhathazeke?

Esikhathini esiningi, ukwelapha i-otorrhea akunzima kangako. Uma kukhona ukutheleleka, udokotela wakho uzokunikeza ama-antibiotic omlomo noma amaconsi ezindlebeni alwa namagciwane ukuze akwelaphe.

Uma wena noma ingane yakho ninezifo zendlebe ezivamile (ukutheleleka kwendlebe okungapheli), udokotela wakho angakudlulisela kudokotela we-ENT ukuze ahlolwe okwengeziwe.

Kodwa-ke, uma uketshezi luphuma endlebeni yakho njengomphumela ongemuhle wokulimala ekhanda muva nje, udokotela wakho uzokudlulisela kudokotela wezinzwa ukuze anqume ukuthi yini okufanele uyenze ngokulandelayo. Lesi yisimo esiphuthumayo, ngakho-ke sidinga ukunakekelwa okusheshayo.

Lesi simo singahlala isikhathi esingakanani?

I-otorrhea ingaba yesikhashana (ebukhali) noma ende (engapheli). Ukuthi ihlala isikhathi esingakanani kuncike embangela.

Kufanele ngimbone nini udokotela?

Uma ukuphuma kwendlebe yakho kuqhubeka izinsuku ezingaphezu kwezintathu , kufanele nakanjani ubone udokotela. Futhi, uma unezinhlungu zendlebe, umkhuhlane, ukubomvu okuzungeze indlebe, noma ukuvuvukala entanyeni , bona udokotela ngokushesha. I-Otorrhea iyisibonakaliso esingabangelwa yizizathu ezahlukahlukene. Nakuba ezinye izimbangela zingembi kakhulu, ezinye zingaba zimbi kakhulu. Ngakho-ke, kubaluleke kakhulu ukuthola ukuxilongwa ngokushesha okukhulu.

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Uma uketshezi luphuma endlebeni yakho ngemuva kokulimala ekhanda noma ukulimala kwamuva,Shayela u-911 ngokushesha noma uye egumbini lezimo eziphuthumayo eliseduze. Futhi, uma unenkinga yokugwinya, ukukhuluma, noma ukubona , kufanele ufune usizo lwezokwelapha ngokushesha.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukubuza le mibuzo:

• Kungani lolu ketshezi luphuma endlebeni yami? Iyini imbangela?
• Ingabe nginesifo sendlebe? Uma kunjalo, hlobo luni lokutheleleka?
• Uhlobo luni lomuthi okufanele ngiluthathe?
• Ingabe ngidinga ukubona uchwepheshe?
• Ingabe kuzodingeka ngenze izivivinyo ezengeziwe?
• Ingabe ngidinga ukwelashwa okuphuthumayo?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Otorrhea iwukuphuma koketshezi endlebeni. Ingaba nezimbangela ezahlukahlukene. Ngokuvamile, ibangelwa ukutheleleka kwendlebe noma i-eardrum ebhobokile. Ngokwelashwa, ivame ukuphela ezinsukwini ezimbalwa. Kodwa-ke, ngezinye izikhathi i-Otorrhea ingaba uphawu lokuthi unenkinga enkulu yezempilo.

Ngakho-ke, into engcono kakhulu ongayenza ukubonana nodokotela ngokushesha nje lapho ubona noma yiziphi izimpawu ezifana noketshezi oluphuma endlebeni yakho, ngaphandle kokukuthatha kalula. Khona-ke ungathola ukwelashwa okufanele futhi ululame ngokushesha. Ungesabi, kodwa ungalibali futhi!

uhudo , ukuphuma kwendlebe, ukutheleleka kwendlebe, i-eardrum ephukile, indlebe yokubhukuda