Ingabe ingane yakho encane ithola izifo zendlebe njalo? Noma mhlawumbe i-eardrum yakho yonakele ngesikhathi ihlanza indlebe noma engozini ethile, manje usuzizwa sengathi unenkinga yokuzwa? Uma ngaleso sikhathi udokotela ekutshela ukuthi, "Kunembobo e-eardrum, futhi udinga ukuhlinzwa," ungesabi nhlobo. Namuhla sizokhuluma ngokwelashwa kwayo, okuwukuhlinzwa okubizwa ngokuthi i-Tympanoplasty.
Kalula nje, iyini i-Tympanoplasty?
I-Tympanoplasty inqubo yokuhlinzwa yokulungisa imbobo endukwini yakho yendlebe. Cabanga ngale ndlela: indukwini yakho yendlebe ifana nesikhumba sesigubhu. Uma amaza omsindo eyishaya, iyavevezela, okusenza sikwazi ukuzwa umsindo. Ngakho-ke, kwenzekani uma kukhona imbobo kule ndukwini yendlebe? Ayivevezeli kahle. Umphumela uba ukulahlekelwa ukuzwa .
Kunezizathu eziningi zokuthi kungani umgodi onjengalona ungakheka. Kungaba ngenxa yokutheleleka kwendlebe osekunesikhathi eside, noma kungaba ngenxa yokulimala noma ingozi.
Kodwa khumbula, akuzona zonke izimbobo zendlebe ezidinga ukuhlinzwa. Ezinye izimbobo ezincane kakhulu zizophola zodwa ngokuhamba kwesikhathi ngemithi (amaconsi endlebe, ama-antibiotic) enqunywe udokotela wakho.
Kodwa-ke, uma imbobo ingapholi ngemva kwezinyanga ezimbili kuya kwezintathu, udokotela angase ancome ukuhlinzwa ukuze kuvinjelwe izinkinga zesikhathi esizayo. Yiziphi lezo zinkinga? Izinto ezifana nokulahlekelwa ukuzwa okuqhubekayo, ukuphuma kwamanzi ezindlebeni njalo, kanye nokutheleleka kwezindlebe okuphindaphindiwe.
Lokhu kuhlinzwa kwenziwa nguchwepheshe wezindlebe, ikhala, nomphimbo, obizwa ngokuthi i-ENT (Otolaryngologist) . Uzofaka i-patch phezu kwembobo e-eardrum bese eyivala. Nakuba lokhu kuwukuhlinzwa okukhulu, ungaya ekhaya ngalolo suku.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Ngemva kokuhlela ukuhlinzwa kwakho, udokotela wakho uzokuxilonga ngokucophelela. Ake sibheke ezinye zezinto ezizokwenzeka phakathi nalokhu kulungiselela.
| Ukuhlolwa/Imiyalelo | Kuchazwe kalula |
|---|---|
| Uphenyo lomlando wezokwelapha | Udokotela uzokubuza nganoma yiziphi ezinye izifo onazo, imithi oyiphuzayo, izinto ezibangela ukungezwani komzimba, njll. Kubaluleke kakhulu ukukhuluma iqiniso ngaphandle kokufihla lutho. |
| Ukuhlolwa kwendlebe (i-Otoscope) | Udokotela uzosebenzisa ithuluzi elikhethekile (i-otoscope) ukuze abheke ngaphakathi kwendlebe yakho. Lokhu kuzomvumela ukuthi abone ukuthi imbobo esesigungwini sendlebe inkulu kangakanani, ukuthi ikuphi, nokuthi ngabe kukhona yini ukutheleleka. |
| Ukuhlolwa okukhethekile | Ungaba nokuhlolwa kokuzwa kanye nokuhlolwa kokulinganisa ukusebenza kwe-eardrum yakho ukuze kutholakale izinga lokuzwa kwakho. |
| Incazelo yokuhlinzwa | Udokotela uzokuchazela ngokucacile ukuthi ukuhlinzwa kuzokwenziwa kanjani, ukuthi kuzothatha isikhathi esingakanani, nokuthi yiziphi izinkinga ezingase ziphakame ngemva kwalokho. Buza noma yimiphi imibuzo ongase ube nayo ngalesi sikhathi. |
| Imiyalelo ebalulekile | Bazokutshela ngqo ukuthi mangaki amahora ngaphambi kokuhlinzwa okudingeka uyeke ukudla nokuphuza (ukuzila ukudla), ukuthi yimiphi imithi oyiphuzayo njengamanje okufanele uyeke ukuyiphuza, nokuthi yini okufanele uqhubeke uyiphuza. Bazokukhumbuza nokuthi ube nomuntu ozokuthatha akuyise ekhaya ngemva kokuhlinzwa. |
Kwenziwa kanjani ukuhlinzwa?
Kuvamile ukuzizwa wesaba ukuhlinzwa, kodwa ukwesaba kwakho kuzoncipha uma usufundile ukuthi inqubo isebenza kanjani.
Okokuqala, uzolaliswa ukuze ungezwa ubuhlungu. Lokhu kubizwa ngokuthi i-general anesthesia . Ngakho ngeke uzwe lutho ngesikhathi sokuhlinzwa. Unganikwa futhi ama-antibiotic ukuvimbela ukutheleleka.
Ngemva kokulala, udokotela uzosebenzisa i-eardrum yakho. Kunezindlela eziningana ezisetshenziswayo kulokhu.
- I-Transcanal: Lena yindlela evame ukusetshenziswa kakhulu. Ukuhlinzwa kwenziwa ngokufaka amathuluzi athambile ngomsele wendlebe, ngaphandle kokwenza noma yikuphi ukusikwa.
- Ngemuva kwendlebe (Postauricular): Kwenziwa ukusika okuncane eduze kwesikhumba esingemuva kwendlebe, kufinyelele endlebeni.
- Ngaphezulu kwendlebe (Endaural): Kwenziwa i-incision ngaphezu kwe-earlobe kancane. Lokhu akusetshenziswa njalo.
Isinyathelo esilandelayo ukuvala imbobo. Kulokhu, udokotela usebenzisa i-graft , okuyingcezu encane yethishu.
1. Ukuthola i-graft: Lesi siqephu sezicubu sivame ukuthathwa emzimbeni wakho. Ngokuvamile sithathwa esicutshini sezicubu ezixhumene eduze kwendlebe, eduze komsipha ohlangothini lwekhanda, noma esicutshini se-cartilage esingaphambili kwendlebe. Ngezinye izikhathi izicubu zokwenziwa nazo ziyasetshenziswa.
2. Ukubeka i-graft: Le ngxenye yethishu ibe isibekwa ngaphezulu noma ngaphansi kwembobo e-eardrum bese inamathiselwa.
3. Ukuqina: Ukuze kugcinwe i-graft endaweni yayo, isekelwa yizinto ezifana ne-foam ezinhlangothini zombili. Le foam ivikela i-graft kuze kube yilapho kwakheka izicubu ezintsha futhi i-eardrum iphola. Ngokuhamba kwesikhathi, le foam izoncibilika yodwa.
4. Ukuthunga imbobo: Uma imbobo yenziwe ngaphandle, iyathungwa futhi imbozwe ngebhandeji elihlanzekile.
Kuthatha isikhathi esingakanani ukuhlinzwa?
Isikhathi esithathwayo kulokhu kuhlinzwa siyahlukahluka. Kungathatha imizuzu engama-30 noma isikhathi eside njengamahora amaningana . Kuya ngobukhulu bokubhoboza indlebe, indawo ekuyo, nokuthi ngabe kukhona omunye umonakalo ngaphakathi kwendlebe. Isibonelo, uma amathambo amancane ngemuva kwe-eardrum onakele, nawo angadinga ukulungiswa. Ngezinye izikhathi, ukubhoboza i-eardrum kungabangela ukukhula okungavamile (i-cholesteatomas) ngaphakathi kwendlebe. Lokhu kungathatha isikhathi esengeziwe ukususa.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Noma yikuphi ukuhlinzwa kunezinzuzo zako kanye nezingozi ezithile, futhi kubalulekile ukuzazi.
Izinzuzo eziyinhloko:
- Ukuzwa kubuyela esimweni esijwayelekile: Njengoba imbobo ivaleka, i-eardrum iqala ukudlidliza kahle futhi, ngakho ukuzwa kuyacaca.
- Ukuvimbela ukutheleleka: Ukuvala imbobo kuvimbela amagciwane ukuthi angangeni endlebeni ephakathi evela ngaphandle. Lokhu kuvimbela ukutheleleka njalo kwendlebe kanye nokuphuma koketshezi endlebeni.
Izingozi ezingaba khona (ezingavamile kakhulu):
Izinkinga ezivela kulokhu kuhlinzwa azivamile . Inkinga evame kakhulu ukwehluleka kwe-graft. Lokhu kusho ukuthi i-graft ayivali ngokuphelele imbobo. Uma lokhu kwenzeka, imbobo ingaphinde yakheke. Akuvamile kakhulu, ukuzwa kungaba kubi kancane.
Kodwa ungakhathazeki! Ucwaningo lukhombisile ukuthi i-tympanoplasty iphumelela ngaphezu kuka-90% . Leli zinga lempumelelo lingahluka kancane kuye ngobukhulu nendawo yomgodi.
Ngemva kokuhlinzwa kanye nesikhathi sokululama
Iningi labantu lingaya ekhaya ngosuku olufanayo nokuhlinzwa kwabo. Udokotela angase anqume ukukugcina esibhedlela ubusuku bonke.
Lokhu okulandelayo kujwayelekile ezinsukwini ezimbalwa zokuqala ngemva kokuhlinzwa:
- Inani elincane lokukhipha igazi endlebeni.
- Ukuzwa ubuhlungu obuncane noma ingcindezi endlebeni.
- Ukuzwa imisindo emincane efana nethi "chit chit" ngaphakathi endlebeni.
- Ukuzwa kungase kufiphale kancane (lokhu kungase kuhlale cishe amasonto ayisithupha, ungakhathazeki).
Ama-painkiller atholakala ngaphandle kwemithi angasetshenziswa ezinsukwini zokuqala zobuhlungu. Kodwa-ke, uma ubuhlungu bungabekezeleleki, yazisa udokotela wakho .
Kuthatha cishe izinsuku eziyi-10 kuya kweziyi-14 ukululama ngokugcwele. Lokho kusho ukuthi bonke ubuhlungu nokungakhululeki kufanele kuphele. Kodwa-ke, kungathatha cishe izinyanga ezintathu ukuthi ukuzwa kubuyele esimweni esijwayelekile ngokugcwele .
Uma ingane yakho ike yahlinzwa, qapha isimo sayo. Ngokuvamile, ingane yakho ingabuyela esikoleni cishe ezinsukwini ezintathu kuya kwezinhlanu. Cela iseluleko kudokotela wakho.
Ungahlala kanjani uphephile ekhaya? Izinto okufanele uzenze nokungafanele uzenze
Indlela ozinakekela ngayo ekhaya ibaluleke kakhulu ukuze ukuhlinzwa kuphumelele. Landela imiyalelo enikezwe udokotela wakho ngqo. Nazi ezinye izinto ezijwayelekile okufanele uzilandele.
| Izinto okufanele uzenze (Okufanele uzenze) 👍 | Izinto okungafanele uzenze (Okungafanele uzenze) 👎 |
|---|---|
| Phuza imithi yakho njengoba uyalelwe: Sebenzisa amaphilisi e-antibiotic noma amaconsi endlebe anikezwe udokotela wakho kuze kube yilapho isikhathi esibekiwe siphela. | Gwema ukukha impumulo yakho: Gwema ukukha impumulo yakho okungenani amasonto amathathu ngemva kokuhlinzwa. Uma kudingeka uthimule, vula umlomo wakho. |
| Gcina indlebe yomile: Udokotela uzokutshela ukuthi ungagezi izinwele zakho noma ugeze ezinsukwini ezimbalwa zokuqala. Uma uvunyelwe ukugeza, faka i-Vaseline® ebholeni likakotini bese uyibeka endlebeni yakho ngenkathi ugeza. Lokhu kuzovimbela amanzi ukuthi angene endlebeni yakho. | Gwema ukuphakamisa izinsimbi ezisindayo:Ungaphakamisi ngaphezu kwamakhilogremu angu-5-10 kuze kube yilapho udokotela wakho ekuyala ukuba uphakamise. Izingane kufanele zigcinwe zingayi esikoleni isikhathi esingamaviki amabili. |
| Phumula ngokwanele: Phumula kakhulu ngangokunokwenzeka. Gwema ukwenza imisebenzi eminingi ngokweqile. | Gwema izinto ezandisa ukucindezeleka endlebeni: Gwema izinto ezifana nokundiza noma ukubhukuda emachibini okubhukuda cishe inyanga ngemuva kokuhlinzwa. |
| Beka amabhola kakotini ukulawula ukuphuma kwegazi: Uma kukhona ukuphuma kwegazi okuvela endlebeni, beka ibhola likakotini elihlanzekile ngaphandle kwendlebe ukuze limunce. Uma ukuphuma kwegazi kungaphezu kokulindelekile, shayela udokotela wakho. | Ungafaki lutho endlebeni: Ungafaki ama-cotton bud noma yini enye endlebeni ukuze uyiklwebhe noma uyihlanze. |
Kufanele ngiphinde ngimbone nini udokotela?
Uzocelwa ukuthi ubuye ehhovisi likadokotela cishe amasonto amabili kuya kwamathathu ngemva kokuhlinzwa. Bazohlola ukuthi i-eardrum yakho iphola kanjani. Ungase unikezwe olunye usuku lokuhlola ukuzwa kwakho cishe ezinyangeni ezimbili kuya kwezintathu.
Okwamanje, uma uhlangabezana nezimpawu ezilandelayo, shayela udokotela wakho ngokushesha.
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| Shayela udokotela wakho uma unalezi zimpawu: | |
| - Ubomvu noma ukuphuma kwegazi okusha (okubomvu okumnyama) okuvela endlebeni noma ekusikweni | - Uma ubuhlungu bendlebe yakho noma ukulahlekelwa ukuzwa kuba kubi kakhulu |
| - Izimpawu zokutheleleka (umkhuhlane, ukubomvu noma ukufudumala okuzungeze indawo yokusikwa) | - Ukukhala ezindlebeni |
| - Ukushintsha kokunambitha noma ukungazweli kobuso | |
| Kulesi simo, iya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha: | |
| - Ubunzima bokuphefumula | - Isiyezi esikhulu noma ukungakwazi ukulawula ibhalansi yomzimba |
| - Ukushaya kwenhliziyo okusheshayo kakhulu | |
Noma ubani angathola i-eardrum enezimbobo. Kungabangelwa ukusikeka okujulile ngesikhathi sokuhlanza indlebe noma ukutheleleka kwendlebe ephakathi. Esikhathini esiningi, lezi zimbobo ziyaphola zodwa. Kodwa uma zingakwenzi lokho, i-tympanoplasty ingakusiza ukuthi uzwe kangcono futhi uhlale uxhumene nomhlaba. Udokotela wakho uzonquma ukuthi lokhu kuhlinzwa kuyindlela engcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Tympanoplasty iyindlela yokuhlinzwa ephumelela kakhulu yokulungisa imbobo endlebeni. Ungesabi lokhu ngokungadingekile.
- Landela imiyalelo kadokotela wakho ngokucophelela ngemva kokuhlinzwa, ikakhulukazi ukugcina izindlebe zakho zomile futhi ugweme ukuklwebha impumulo yakho.
- Kungathatha izinyanga eziningana ukuthi ukuzwa kwakho kuphinde kulunge ngokuphelele ngemva kokuhlinzwa. Bekezela.
- Uma uhlangabezana nezimpawu ezingavamile njengokuphuma kwegazi ngokweqile noma ubomvu endlebeni, umkhuhlane, noma ubuhlungu obungabekezeleleki, yazisa udokotela wakho ngokushesha.
- Uma unemibuzo noma ukwesaba ngokuhlinzwa, xoxa ngakho ngokukhululekile nodokotela wakho.
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