Ingabe i-eardrum yakho ihoxisiwe? Ake sifunde nge-Retracted Eardrum!

Ingabe ngezinye izikhathi uzizwa ukuqina noma ukugcwala okungajwayelekile endlebeni yakho? Noma ingabe unezinhlungu zendlebe noma ukulahlekelwa ukuzwa? Ngezinye izikhathi ungabona ngisho nokukhipha okuphuma ngaphakathi endlebeni. Ngisho noma ucabanga ukuthi lokhu kuyimiphumela emibi yomkhuhlane, ungase ube nesimo lapho i-eardrum idonselwa ngaphakathi. Namuhla, ake sixoxe ngale 'eardrum idonselwa ngaphakathi' noma njengoba ibizwa ngokwezokwelapha ngokuthi `(Retracted Eardrum)`. Akukho okufanele ukhathazeke ngakho, uma ukwazi lokhu, ungathola izixazululo ngokushesha.

Kusho ukuthini uma i-eardrum idonswa ngaphakathi? (I-Eardrum ehoxisiwe)

Kalula nje, i-eardrum evuvukele isho ukuthi i-eardrum yakho (ebizwa nangokuthi i-tympanic membrane) idonselwa ngaphakathi ngasendlebeni ephakathi. Cabanga ngakho, ngokuvamile ama-eardrum ethu anomumo wekhoni, kanti ingxenye ephakathi ingaphakathi kancane. Ifana nesikhumba sesigubhu, kodwa ithambile kakhulu. Ngakho-ke, i-eardrum evuvukele isho ukuthi i-eardrum idonselwa ngaphakathi ngasendlebeni ephakathi kakhulu kunokujwayelekile.

Isizathu esiyinhloko salokhu ukungalingani phakathi kwengcindezi yomoya ngaphakathi kwendlebe kanye nengcindezi yomoya engaphandle kwendlebe . Uma lezi zingcindezi ezimbili zingalingani, i-eardrum idonswa ngaphakathi, njengokungathi nge-vacuum. Isimo esibizwa ngokuthi "ukungasebenzi kahle kwe-Eustachian tube" (ukungasebenzi kahle kwe-Eustachian tube), okungukuthi, ukungasebenzi kahle kwe-Eustachian tube, singaba yisizathu esiyinhloko salokhu. Sizoxoxa kabanzi ngalokho kamuva.

Udokotela angakuxilonga lokhu ngokubheka ngaphakathi kwendlebe yakho. Basebenzisa ithuluzi elincane elibizwa ngokuthi i-otoscope. Linokukhanya kanye nelensi yokukhulisa. Ngakho ungayibona kahle i-eardrum.

Uma kukhulunywa ngokuthi lesi simo sibi kangakanani, singahluka kusukela kwesincane kuya kwesibi kakhulu . Ezinye ziba ngcono zodwa, kanti ezinye zidinga ukwelashwa. Ngakho-ke uma usola ukuthi unalesi simo, kungcono ukubona udokotela. Ngezinye izikhathi kungaholela ekuthelelekeni kwezindlebe, ukulahlekelwa ukuzwa okwesikhashana noma unomphela, nokuningi.

Kuzwakala kanjani uma ungena ngaphakathi kwe-eardrum?

Ngezinye izikhathi, i-eardrum evuvukele ingase ingabingeli zimpawu . Kodwa-ke, uma i-eardrum evuvukele icindezela ngaphakathi ngokwanele ukuze icindezele amathambo amancane (ama-ossicles) endlebeni ephakathi, ungase ube nezimpawu ezifana nalezi:

• Ubuhlungu bendlebe: Kuzwakala sengathi kukhona okubhoboza ngaphakathi endlebeni.
• Umuzwa wokugcwala noma ukuqina endlebeni: Umuzwa njengokungathi kukhona okunamathele ngaphakathi endlebeni.
• I-Otorrhea: Ungase uqaphele ukuphuma okufana noketshezi endlebeni yakho.
• Ukulahlekelwa ukuzwa okwesikhashana: Umsindo uba nzima ukuwuzwa.
• Ukulahlekelwa ukuzwa unomphela: Lokhu akuvamile, kodwa kungenzeka.

Uma unesinye noma ngaphezulu salezi zimpawu, kungcono ungazinaki, akunjalo?

Kungani ingena ngaphakathi kwe-eardrum kanje? Yiziphi izizathu?

Njengoba sishilo ngaphambili, isizathu esiyinhloko ukuthi umfutho womoya ngaphakathi nangaphandle kwendlebe awufani.. Cabanga nje, uma ngokuzumayo uya endaweni ephakeme, noma uma undiza ngendiza, kuzwakala sengathi izindlebe zakho ziyavaleka, akunjalo? Kulungile, yilapho kuba noshintsho ekucindezelweni komoya. Ngokuvamile, sinento ethile ezindlebeni zethu ebizwa ngokuthi i-Eustachian tube. Lokhu kufana nepayipi elincane elixhumanisa indlebe ephakathi nendawo kanye nengxenye engenhla yomphimbo. Umsebenzi walo oyinhloko ukulinganisa ukucindezela komoya.

Ngakho-ke, `(Ukungasebenzi kahle kwe-Eustachian tube)` kusho ukuthi i-Eustachian tube ayisebenzi kahle . Lena yimbangela evame kakhulu yokuguqulwa kwe-eardrum. Uma le tube ivaliwe, umoya osendlebeni ephakathi udonswa kancane kancane emzimbeni, okube sekunciphisa ingcindezi lapho bese udonsa i-eardrum ngaphakathi.

Kunezinye izimo ezingathinta ukusebenza kwe-Eustachian tube futhi zibangele ukuthi i-eardrum ihoxe:

• Ukutheleleka endlebeni: Ukuphuma njalo endlebeni.
• Ukutheleleka kwemigudu yokuphefumula ephezulu: Uma uba nezinto ezifana nomkhuhlane kanye ne-flu.
• Ukutheleleka kwe-Sinus (`(Sinusitis)`): Lokhu kungenzeka nakubantu abanezinkinga ze-sinus.
• Ukungezwani komzimba okungapheli: Kulabo abavame ukungezwani komzimba nezinto ezifana nothuli kanye nempova.
• Ama-tonsils noma ama-adenoid avuvukele: Lokhu kuthinta kakhulu izingane ezincane.
• I-eardrum eqhumayo: Uma i-eardrum ike yaqhuma ngaphambilini.

Yiziphi izinkinga ezingabangelwa yilokhu?

Ngezinye izikhathi, i-eardrum izophola yodwa. Kodwa-ke, kwezinye izimo, lesi simo singaholela esimweni esibizwa ngokuthi "i-Cholesteatoma" . Lokhu ukukhula okufana nomdlavuza, okungenalo umdlavuza okwakheka ngemuva kwe-eardrum. Kodwa-ke, kungakhula futhi kulimaze izingxenye ezibucayi zendlebe.

Ngokukhethekile, kunamathambo amathathu amancane endlebeni yethu ephakathi (`(Ossicles)` - abizwa ngokuthi i-malleus, i-incus, kanye ne-stapes) . Lawa mathambo amathathu yiwo adlulisela amaza omsindo endlebeni engaphakathi, okuyilapho sizwa khona. Uma la mathambo onakele yi-`(Cholesteatoma)`, ukuzwa kungalahleka unomphela. Yingakho kubalulekile ukukhathazeka ngalesi simo.

Odokotela bakuthola kanjani lokhu?

Uma unenkinga yendlebe, kufanele ubonane nochwepheshe wezindlebe, ikhala, nomphimbo (udokotela we-otolaryngologist, noma udokotela ohlinzayo we-ENT). Uzohlola izindlebe zakho ngokucophelela. Uzophinde akubuze ngezimpawu zakho nokuthi ngabe wake waba nezinkinga zezindlebe esikhathini esidlule (njengokutheleleka okuvamile).

Odokotela bahlukanise ubucayi balokhu kuhoxiswa kwe-eardrum ngezigaba ezine (`Izigaba zokuhoxiswa kwe-eardrum`):

• Isigaba 1: I-eardrum idonswa ngaphakathi, kodwa ayithinti amathambo amancane (`(Ossicles)`) endlebeni ephakathi. Lesi yisigaba esingenakwenzeka kakhulu.
• Isigaba sesi-2: I-eardrum idonswa ngaphakathi bese ihlikihla lawo mathambo.
• Isigaba 3: Umgodi wendlebe ophakathi uqala ukuncipha kancane kancane njengoba i-eardrum ibuyela ngaphakathi.
• Isigaba 4:I-eardrum, edonselwe ngaphakathi ngenxa yokuvuvukala isikhathi eside, inamathela endlebeni ephakathi. Lesi yisimo esiyinkimbinkimbi kancane.

Udokotela unquma ukwelashwa ngokusekelwe kulesi sigaba.

Iyini indlela yokwelapha lokhu?

Izindaba ezinhle ukuthi akuzona zonke izimbobo zezindlebe ezivuvukele ezidinga ukwelashwa . Ngezinye izikhathi udokotela wakho uzokutshela ukuthi, "Sizolinda isikhashana." Lokho kusho ukuthi bazoqapha isimo sakho bese belinda ukuthi ingcindezi engaphakathi kwendlebe yakho ibuyele esimweni sayo esijwayelekile. Lokhu kungathatha izinyanga eziningana. Phakathi nalesi sikhathi, udokotela wakho uzonaka kakhulu izimpawu zakho.

Udokotela wakho angase akucele nokuthi wenze ukuzivocavoca okubizwa ngokuthi i-Valsalva maneuver . Lokhu kuyinto ongayenza ekhaya. Kalula nje, uvala ikhala lakho nomlomo bese uphefumula umoya ngekhala lakho. Lokhu kuvula ithubhu le-Eustachian futhi kusiza ukulinganisa ingcindezi.

Okubalulekile: Ngaphambi kokwenza lo mkhuba we-Valsalva, kufanele nakanjani uthintane nodokotela futhi ufunde ukuthi ungakwenza kanjani ngendlela efanele. Uma kwenziwa ngendlela engalungile, ungalimaza indlebe yakho.

Kodwa-ke, uma i-eardrum yakho ivuvukala kakhulu, noma uma icindezela amathambo futhi ithinta ukuzwa kwakho, ungase udinge ukwelashwa. Umgomo oyinhloko wokwelapha i-eardrum evuvukala ukuqinisa umfutho womoya ngaphakathi kwendlebe . Kunezindlela eziningana zokwenza lokhu:

• Izinhlobo zemithi:
• Imithi yokuvula ikhala: Uma ikhala lakho lixinene futhi kukhona ulwelwesi, linciphise.
• Ama-Steroids: Nciphisa ukuvuvukala. Lokhu kungaba ama-spray ekhala noma amaphilisi omlomo.
• Ama-antibiotic: Yelapha ukutheleleka kwendlebe uma unakho.

• Ukuhlinzwa (`Ukuhlinzwa kwe-eardrum ehoxisiwe`):
• I-Tympanostomy (i-Tympanostomy): Lokhu kwenziwa ngenqubo ebizwa ngokuthi i-myringoplasty. Udokotela uvula imbobo encane endlebeni bese efaka ithubhu elincane ngayo. Lokhu kusiza ukulinganisa ingcindezi endlebeni ephakathi nengcindezi yangaphandle. Kodwa-ke, imbangela eyinhloko ethinta ukusebenza kwethubhu ye-Eustachian nayo idinga ukwelashwa. Isibonelo, uma amathonsi evuvukele, udokotela angase atuse i-tonsillectomy, okuyinqubo yokuhlinzwa yokususa amathonsi.
• I-Tympanoplasty: Uma i-eardrum idonsele ngaphakathi futhi ibangela ukubhoboka (ukuqhuma), udokotela angayilungisa imbobo ngokuhlinzwa okubizwa ngokuthi i-Tympanoplasty.

Yini esingayilindela ngalesi simo? Sizohlala isikhathi esingakanani?

Icala elincane le-otitis media lingase lingadingi ukwelashwa. Ezimweni ezinjalo, udokotela uzothatha indlela ethi "masilinde sibone". Kodwa-ke, uma i-otitis media inzima, noma ingathuthuki phakathi nezinyanga ezimbalwa, ungadinga ukuhlinzwa.

Ukuthi lokhu kuthatha isikhathi esingakanani kuyahlukahluka kuye ngomuntu nomuntu.Abanye abantu bazizwa umehluko omkhulu ngesonto noma amabili. Abanye bangase babe nezimpawu izinyanga eziningana.

Ngokuvamile, uma izimpawu zingathuthuki ngokwazo ngemva kwezinyanga eziyisithupha, udokotela uzoncoma ukwelashwa . Ngokwelashwa ngesikhathi esifanele, lesi simo singalapheka ngokuphelele.

Awukwazi yini ukuyivimba ukuthi ingangeni ngaphakathi kwe-eardrum?

Esikhathini esiningi, okungena ngaphakathi kwe-eardrum akuyona into esingayilawula . Okusho ukuthi, ukwenzeka kwalesi simo ngokuvamile akukho ezandleni zethu.

Kodwa-ke, kunezinto ezithile ongazenza ukuze unciphise ingozi yokuthi i-eardrum yakho idonseleke ngaphakathi ngenxa yokushintsha okungazelelwe komfutho womoya (`(Barotrauma)`). Isibonelo, ukusebenzisa ama-earplug ngaphambi kokuhamba ngendiza, noma ukuthatha umuthi wokukhulula ukuminyana ngemva kokubonisana nodokotela wakho.

Kufanele ngimbone nini udokotela?

Uma unalezi zimpawu isikhathi esingaphezu kwesonto futhi zingabonakali zingcono , qiniseka ukuthi ubona udokotela:

• Ubuhlungu bendlebe.
• Umuzwa wokugcwala.
• Into efana noketshezi iphuma endlebeni.
• Ngizizwa sengathi ngilahlekelwa ukuzwa, futhi imisindo ivame ukuzwakala ingacacile.

Ungazinaki lezi. Kuwukuhlakanipha ukubona udokotela ngokushesha bese ucela iseluleko.

Ingabe kuzolunga ngokuzenzakalelayo uma kungena ngaphakathi kwe-eardrum?

Kungenzeka . Uma unecala elincane le-otitis externa, lingase libe ngcono ngokwalo ngokuhamba kwesikhathi. Kodwa-ke, ungazindeli ukuya kudokotela ngoba nje lokho kuyenzeka. Udokotela wakho uzoqapha isimo sakho abone ukuthi siya siba sibi yini.

Uma i-eardrum ilimele kakhulu, ngokuvamile idinga ukwelashwa. Lokhu kungafaka phakathi imithi (njenge-steroids noma imithi yokukhulula ukuminyana) noma ukuhlinzwa.

Ngingakwazi yini ukundiza nginodaka lwendlebe oluqhumile?

Kukhona ingozi enkulu yokulimala endlebeni ephakathi nengaphakathi ngokundiza lapho i-eardrum ihoxisiwe, noma lapho i-eardrum iqhuma, noma lapho kunenkinga nge-Eustachian tube. Ngakho-ke, uma ufuna ukundiza, qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuba undize. Uzokutshela ukuthi ungaya yini noma yiziphi izinyathelo zokuphepha okudingeka uzithathe.

Ekugcineni, khumbula lokhu.

I-eardrum ehoxisiwe ingahluka kusukela kwencane kuya kwenzima kakhulu. Abanye abantu bangase bangabi nazimpawu nhlobo, kanti abanye bangase babe nobuhlungu endlebeni, ukuphuma koketshezi endlebeni, noma ukulahlekelwa ukuzwa.

Into ebaluleke kakhulu ukutshela udokotela uma uzwa into engavamile endlebeni yakho, kunokumane ucabange ukuthi, "Lokhu kujwayelekile."

Ungase ungadingi ukwelashwa. Kodwa-ke, udokotela angakwazi ukuxilonga isimo sakho ngokunembile, asiqaphe, futhi akunikeze isiqondiso esidingekayo uze ululame. Ngakho-ke uma unokungabaza okuncane kakhulu ngendlebe yakho, ungesabi ukubona udokotela. Impilo yakho ibaluleke kakhulu kuwe!

I- Eardrum Ehoxisiwe, Ubuhlungu Bendlebe, Ukugcwala Kwendlebe, Ukulahlekelwa Yindlebe, I-Eustachian Tube, Ukwelashwa Kwe-Eardrum