Ingabe izindlebe zomntwana wakho zihlala zibuhlungu? Ake sixoxe ngezifo zendlebe ephakathi (Otitis Media)!

Ingabe ingane yakho encane ivame ukukhononda ngobuhlungu bendlebe? Noma iyakhala futhi ibambe indlebe yayo? Ubuhlungu bendlebe buyinto evamile ezinganeni ezincane. Imbangela enkulu yalokhu ukutheleleka endlebeni ephakathi. Kalula nje, indlebe ephakathi yindawo encane ngaphakathi kwendlebe yethu, ngemuva kwe-eardrum. Uma amagciwane, njengegciwane noma amabhaktheriya, engena lapha, ayatheleleka futhi agcwale ubomvu. Lobo bomvu bubangela ukucindezeleka kwe-eardrum, yingakho ingane izwa ubuhlungu bendlebe.

Ziyini izimpawu zokutheleleka kwendlebe? Ukubona kanjani?

Uma ingane encane ine-infection yendlebe (i-otitis media), uphawu oluyinhloko ubuhlungu obukhulu bendlebe . Kodwa-ke, ungase uqaphele nalezi zimpawu:

• Ungase ube nomkhuhlane.
• Kungaba nzima ukudla nokuphuza. Ngezinye izikhathi awukwazi ngisho nokulala. Uyazi ukuthi kungani? Uma uhlafuna ukudla, uncela ubisi, noma ulala phansi, ingcindezi endlebeni ephakathi iyashintsha futhi ubuhlungu buyakhula. Cabanga ngengane encane ikhala ngokushesha nje lapho iqala ukuncela ibhodlela lobisi, noma ivuka ebusuku ikhala.
• Ingane endala kancane ingase ithi, "Mama, indlebe yami ibuhlungu." Kodwa ingane encane engakwazi ukukhuluma ingase ihlale ithinta noma idonsa indlebe yayo, noma ingase ikhale kakhulu kunokuvamile, ngendlela ethukuthele kakhulu necasukile.

Ngezinye izikhathi, uma ingcindezi ebangelwa ubomvu obugcwalisa indlebe ephakathi iba phezulu kakhulu, i-eardrum ingaqhuma . Uma lokho kwenzeka, ubomvu buqala ukuphuma endlebeni. Lesi yisona sizathu esiyinhloko esenza ukuthi izingane ezincane ziqhume ama-eardrum. Ingane ene-eardrum eqhumile ingase izizwe inesiyezi noma inesicanucanu. Ingase futhi izwe umsindo othi "whooshing..." ezindlebeni zayo, noma ingase izwe sengathi kukhona okushayayo ezindlebeni zayo.

Lezi zifo zendlebe zikhula kanjani?

Ukutheleleka kwendlebe ephakathi (i-Otitis Media) kuvame ukwenzeka lapho elinye noma womabili amapayipi e-Eustachian, axhumanisa indlebe yethu ephakathi nengemuva lomphimbo wethu, evuvukala. Lawa mapayipi yiwo akhipha ulwelwesi nezinye izinto ezinqwabelana endlebeni ephakathi ziye emphinjeni. Kwenza umsebenzi obaluleke kakhulu, akunjalo?

Ake sithi unesifo somkhuhlane, ukutheleleka komphimbo, noma isimo esifana ne-gastritis, lapho kuvela khona i-asidi yesisu (i-acid reflux) , noma uhlobo oluthile lokungezwani komzimba . Lezi zinto zingabangela ukuthi amapayipi e-Eustachian avuvuke. Kwenzekani-ke? Indlela yokuphuma kwe-mucus iyavalwa. Ngemuva kwalokho, amagciwane noma amabhaktheriya angakhula kalula ngaphakathi kwalowo mucus ovalelekile futhi akhe ubomvu. Lobo bomvu bugcwalisa indlebe ephakathi futhi bubangele lobo buhlungu.

Uma udokotela ethi “ukutheleleka kwendlebe,” bavame ukubhekisela ekuthelelekeni kwendlebe ephakathi (i-Otitis Media). Lokhu kuhlukile esimweni esibizwa ngokuthi “i-Swimmer's Ear” noma “i-Otitis Externa,” esenzeka lapho amanzi engena endlebeni ngenkathi ubhukuda.

Kukhona enye into, okungukuthi (i-Otitis Media ene-Effusion)Lokhu kwenzeka lapho indlebe ephakathi igcwala uketshezi, njengamanzi, ngaphandle kokutheleleka, okusho ukuthi akukho ubomvu. Ngezinye izikhathi lokhu kungase kungabangela izimpawu ezinkulu. Kodwa-ke, ezinye izingane zingase zizwe sengathi kukhona okugcwalisa indlebe yazo, noma sengathi indlebe yazo "iyavuleka".

Kungani izingane ezincane zikhula lokhu ngaphezu kwabanye?

Ungase uzibuze, "Kungani ingane yami encane ihlala inalezi zinkinga zendlebe?" Eqinisweni, izingane ezincane, ikakhulukazi lezo eziphakathi kweminyaka emibili nemine , zinamathuba amaningi okuthola izifo zendlebe kunabantu abadala. Kunezizathu eziningana zalokhu:

• Esinye ukuthi amashubhu e-Eustachian esikhulume ngawo ngaphambilini ezinganeni ezincane mafushane futhi avundlile . Ngakho-ke amabhaktheriya namagciwane angangena kalula endlebeni ephakathi. Esinye ukuthi la mashubhu mancane kancane. Ngakho-ke maningi amathuba okuthi avinjwe. Unayo?
• Enye inkinga ama-adenoid ezinganeni. Lezi yizakhiwo ezifana nezindlala ezitholakala ngemuva kwekhala. Uma zikhulu, zingavimba ukuvuleka kwamapayipi e-Eustachian. Ngisho nalapho, kuba nzima ukuthi i-mucus iphume.

Ngaphezu kwalokhu, kunezinye izinto ezandisa ingozi yokuba ingane encane ibe nokutheleleka kwezindlebe. Isibonelo:

• Ukuveza ingane yakho ekubhemeni intuthu kagwayi kuyingozi kakhulu.
• Ukuncelisa ngebhodlela , ikakhulukazi lapho uncelisa ingane ngenkathi ilele phansi.
• Ukuchitha isikhathi nezinye izingane ezindaweni ezifana nezikole zasenkulisa , ngoba kunethuba elikhulu lokuthelelana ngezinto ezifana nomkhuhlane.

Kutholakale nokuthi, ngokuvamile, izingane zesilisa zithola izifo zendlebe kaningi kancane kunezingane zesifazane.

Kodwa khumbula, izifo zendlebe azisakazeki ngqo kusuka kumuntu kuya komunye . Kodwa-ke, izifo zomgudu wokuphefumula ophezulu , njengomkhuhlane kanye nomkhuhlane, zingasakazeka kalula. Ikakhulukazi uma isimo sezulu sibanda, abantu abaningi bathola lezi zifo. Ngakho-ke ingane enesifo sendlebe ingaba nezimpawu zomkhuhlane, njengekhala eligobhozayo, ikhala elicijile, kanye nokukhwehlela.

Kuzothatha isikhathi esingakanani ukuthi ubuhlungu bendlebe buphole?

Esikhathini esiningi, izifo zendlebe ephakathi (i-Otitis Media) ziba ngcono ngokwazo zingakapheli izinsuku ezimbili kuya kwezintathu ngaphandle kokwelashwa okukhethekile . Lokho kuyasiza kancane, akunjalo?

Kodwa-ke, ngezinye izikhathi uketshezi lungahlala endlebeni ephakathi isikhashana ngisho nangemva kokuba ukutheleleka sekuphelile. Uma uketshezi luhlala endlebeni ephakathi isikhathi esingaphezu kwezinyanga ezintathu , kungadingeka ukwelashwa okwengeziwe. Yingakho kubalulekile ukuxhumana nodokotela.

Udokotela ukuhlonza kanjani ngokunembile lokhu njengesifo?

Uma uyisa ingane yakho kudokotela, izoqala ngokuyihlola. Bese bezoyihlola indlebe. Udokotela uzosebenzisa ithuluzi elincane elibizwa ngokuthi i-otoscope . Lifana nethoshi elincane. Likuvumela ukuthi ubone kahle i-eardrum. Lingahlola ukubomvu, ukuvuvukala, noma ubomvu ngemuva kwe-eardrum.

Ngakho-ke yiziphi izindlela zokwelapha lezi zifo zendlebe?

Lapho belapha ukutheleleka kwendlebe, odokotela bacabangela izici eziningi. Abagcini nje ngokukunikeza umuthi bese behamba. Bacabangela lezi zinto:

• Indlela yokubona uhlobo lokutheleleka endlebeni kanye nobunzima balo .
• Ingane ithola kangaki izifo zendlebe?
• Sekuyisikhathi esingakanani lesi sifo sikhona kulokhu?
• Ubudala bengane nokuthi ngabe kukhona yini ezinye izinto eziyingozi (isibonelo, uma ingane isencane kakhulu, noma uma kunezinye izifo).
• Ukuthi lokhu kutheleleka kuthinte yini ukuzwa kwengane .

Kukhona umehluko phakathi kokwelashwa kwe-Otitis Media, esixoxe ngakho ngaphambili, kanye nokwelashwa kwe-Otitis Media nge-Effusion. Akuzona zonke izinhlobo zokutheleleka kwezindlebe ezidinga ama-antibiotic . Lokhu kuyinto abazali abaningi okudingeka bayiqonde.

Ngenxa yokuthi izifo eziningi zendlebe ziyaphela zodwa, odokotela bavame ukuthatha indlela "yokulinda bese ubona" . Okusho ukuthi, banikeza ingane imithi yobuhlungu bese beshiya ama-antibiotic izinsuku ezimbalwa ukuze babone ukuthi ukutheleleka kuyathuthuka yini.

Ama-antibiotic awanconywa njalo ngenxa yalezi zizathu:

• Uma ukutheleleka kubangelwa igciwane, ama-antibiotic ngeke asize (ama-antibiotic asebenza kuphela kumagciwane).
• Ama-antibiotic awasizi ukususa uketshezi oluvela endlebeni ephakathi.
• Ama-antibiotic angabangela eminye imiphumela emibi (isb., isifo sohudo).
• Ngokuvamile ayinawo umthelela omkhulu ekunciphiseni ubuhlungu emahoreni okuqala angu-24 , futhi ngisho nalapho inomphumela omncane kakhulu.

Into ebaluleke kakhulu ukuthi uma ama-antibiotic esetshenziswa kaningi kunokudingekile, ama-bacteria amelana nama-antibiotic angavela. Uma lokho kwenzeka, kungaba nzima kakhulu ukwelapha ukutheleleka ngamagciwane kamuva.

Kodwa-ke, uma udokotela enquma ukunikeza ama-antibiotic, ngokuvamile uzonikeza inkambo yezinsuku eziyi-10. Ingane engaphezu kweminyaka eyi-6 ubudala engenalo ukutheleleka okukhulu inganikezwa inkambo emfushane yezinsuku ezi-5-7. Uma kukhona ubomvu obuphuma endlebeni ethelelekile, amaconsi endlebeni angasetshenziswa futhi.

Kwabanye abantwana, isibonelo,Izingane ezinezifo zendlebe ezivame ukutheleleka, ukulahlekelwa ukuzwa okuqhubekayo, noma ukubambezeleka kokukhuluma nazo zingadinga ukuhlinzwa kwe-ear tube . Lokhu kuhilela inqubo encane yokuhlinzwa ngudokotela wendlebe, impumulo, nomphimbo (ENT) ukuze kufakwe ama-tubes amancane abizwa ngokuthi ama-tympanostomy tubes e-eardrum. Lokhu kudala indlela yokukhipha uketshezi endlebeni ephakathi. Lokhu kusiza ekunciphiseni ingcindezi endlebeni.

Ngakho-ke, ingabe uhlala "uqaphile"? Azikho yini izikhathi lapho ama-antibiotic edingeka khona ngokushesha?

Yebo, kunezikhathi lapho kunjalo. Ama-antibiotic angafaneleka ezinganeni ezinezifo zendlebe ezivame ukwenzeka . Futhi, izingane ezincane (ezingaphansi kwezinyanga eziyisithupha) noma izingane ezigula kakhulu kungadingeka zinikezwe ama-antibiotic kusukela ekuqaleni.

Indlela "yokulinda ubone" ingase ingabi efanele yonke ingane. Ingase ingafaneleki ezinganeni ezinezinye izinkinga zempilo, njenge:

• Izingane ezike zaba nokufakelwa kwe-cochlear .
• Izingane ezinezinkinga ezifana nomlomo oqhekekile kanye/noma ulwelwesi oluqhekekile .
• Izingane ezinezimo zofuzo ezifana ne -Down syndrome .
• Izingane ezinezinkinga zesimiso somzimba sokuzivikela ezifweni .

Ezimweni ezikhethekile ezinjengalezi, udokotela angase anqume ukuqala ukwelashwa ngokushesha.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okudingeka sizikhumbule ngalezi zifo zendlebe?

Kulungile, ngakho-ke umyalezo okufanele siwuthathe sibuyele ekhaya kulokho esikhulume ngakho ukuthi kunamaphuzu ambalwa abalulekile okufanele uwakhumbule:

• Ukutheleleka kwendlebe ephakathi (i-otitis media) kuvame kakhulu ezinganeni ezincane, ngakho-ke ungesabi.
• Uma ingane yakho ikhala ngobuhlungu bendlebe, ithinta indlebe yayo, inomkhuhlane, noma iphazamiseka kakhulu kunokujwayelekile, qiniseka ukuthi ubona udokotela .
• Akuzona zonke izifo zendlebe ezidinga ama-antibiotic . Landela imiyalelo kadokotela wakho ngqo.
• Uma udokotela ekunika ama-antibiotic, mnike umthamo oqondile kanye nenani eliqondile lezinsuku . Ungayeki phakathi.
• Kunezinto ezithile ongazenza ukuvimbela izifo zendlebe. Vikela ingane yakho entuthwini kagwayi futhi uyigcine kude nabantu abanomkhuhlane.
• Uma ingane yakho inezifo zendlebe ezivame ukwenzeka noma ibonakala inenkinga yokuzwa, khuluma nodokotela wakho ngalokho futhi. Kungadingeka ukuthi uthunyelwe kuchwepheshe we-ENT .

Khumbula, uma unokungabaza okuncane kakhulu ngempilo yengane yakho, kungcono ukukhuluma nodokotela bese uyixazulula.

Ukutheleleka Kwendlebe , Indlebe Ephakathi, I-Otitis Media, Ubuhlungu Bendlebe Ezinganeni, I-Eustachian Tube, I-Earwax, Ama-Antibiotics