Ingabe ukhala njalo endlebeni yakho? Noma uzizwa sengathi ulahlekelwe ukuzwa okuncane? Ngezinye izikhathi, kukhona okubhajwa endlebeni yakho, noma uthola ukutheleleka kwendlebe, futhi i-eardrum yakho ingaba nezimbobo. Ungakhathazeki, lokhu kwenzeka kubantu abaningi. Enye indlela yokwelapha lokhu ukuhlinzwa esizokhuluma ngakho namuhla, okubizwa ngokuthi i-Tympanoplasty.
Kalula nje, iyini i-Tympanoplasty?
Kulungile, ake sikubeke kanje. Indlebe yakho ine-membrane encane ebizwa ngokuthi i-eardrum . Ifana nebhande lesikhumba elishaya isigubhu. Uma amaza omsindo avela ngaphandle eshaya le-eardrum, iyavevezela. Lokho kuvevezela yikho okusenza sizwe imisindo. Manje cabanga, kwenzekani uma kukhona imbobo kule-eardrum? Njengoba nje i-eardrum enezimbobo ingavumeli umsindo uzwakale kahle, uma kukhona imbobo kule-eardrum, ayivevezeli kahle. Lokho kungabangela ukulahlekelwa ukuzwa .
I-Tympanoplasty inqubo yokuhlinzwa yokulungisa i-eardrum enezimbobo. Ukuze kube sobala, ihilela ukubeka 'i-patch' encane phezu kwembobo e-eardrum bese uyivala.
Ubani okufanele ahlinzwe?
Ukubhoboka okuncane kuvame ukuphola ngokwako zingakapheli izinyanga ezimbili kuya kwezintathu ngamaconsi endlebe noma ama-antibiotic. Kodwa-ke, uma kungenjalo, udokotela wakho angase akuncomele ukuhlinzwa kwakho noma kwengane yakho. Uma ukubhoboka kuqhubeka, kungaholela ekulahlekelweni kokuzwa okwengeziwe, izifo zendlebe ezivame ukwenzeka, kanye nokuphuma kwamanzi emzimbeni.
Lokhu kuhlinzwa kwenziwa uchwepheshe wezindlebe, ikhala, nomphimbo. Sibiza laba odokotela ngokuthi i-Otolaryngologist (ENT) . Nakuba lokhu kuwukuhlinzwa okukhulu, isikhathi esiningi ungaya ekhaya kusihlwa esifanayo.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Uma ubona udokotela wakho ngaphambi kokuhlinzwa, uzobuyekeza umlando wakho wezokwelapha ophelele bese ehlola indlebe yakho kahle.
- Ukuhlolwa nge-otoscope: Leli ithuluzi elincane elifana nethoshi elivumela udokotela ukuthi abone ngokucacile ukuthi imbobo endlebeni inkulu kangakanani, ukuthi ikuphi, ukuthi ithelelekile yini, noma ukuthi kukhona uketshezi oluvuzayo.
- Ukuhlolwa okukhethekile: Ungase futhi ube nokuhlolwa kokuzwa ukuze uhlole izinga lakho lokuzwa kanye nokuhlolwa ukuze uhlole ukuthi i-eardrum yakho isebenza kanjani.
Ngaphezu kwalokho, udokotela uzokuchazela ukuthi ukuhlinzwa kuzokwenzeka kanjani nokuthi kufanele uzilungiselele kanjani. Isibonelo:
- Sekuyisikhathi sokuyeka ukudla nokuphuza.
- Imithi okufanele uyithathe futhi uyiyeke ngaphambi kokuhlinzwa.
- Indlela ongadinga ngayo umuntu ozokusiza ngemva kokuhlinzwa (ikakhulukazi umuntu ozokuyisa ekhaya ngemoto).
Kwenzekani ngesikhathi sokuhlinzwa?
Okokuqala, uzonikezwa i-anesthesia ejwayelekile, ukuze ungezwa lutho futhi uzobe ulele ngokuphelele. Ungase futhi unikezwe ama-antibiotic ukuze unciphise ingozi yokutheleleka.
Ngemva kokulahlekelwa ingqondo, udokotela we-ENT uzoqala inqubo yokulungisa i-eardrum. Kunezindlela eziningana zokwenza lokhu.
| Indlela yokuhlinzwa | Kalula nje... |
|---|---|
| I-Transcanal | Lena yindlela evame ukusetshenziswa kakhulu. Ukuhlinzwa kwenziwa ngokufaka izinto ezincane emgudwini wendlebe. Akukho ukusikwa okwenziwa ngaphandle. |
| I-Postauricular | Ukuhlinzwa kwenziwa ngokusikwa okuncane ngemuva kwendlebe, lapho i-earlobe inamathela khona. |
| I-Endaural | Indlela ehilela ukwenza ukusika okuncane ngaphezu kwe-earlobe. Lokhu akusasetshenziswa kakhulu. |
Okulandelayo kuza into ebaluleke kakhulu. Lokho ukuvala imbobo endlebeni. Kulokhu , kusetshenziswa i-graft , okuyingcezu yezicubu. Lezi zicubu zivame ukuthathwa emzimbeni wakho.
- Lapho kuthathwa khona izicubu: Lezi zicubu zingathathwa kulwelwesi lwemisipha (izicubu ezixhumene) eduze kwendlebe yakho noma engxenyeni encane ye-cartilage ephambi kwendlebe yakho.
- Ukubeka izicubu: Ingcezu yezicubu ibe isibekwa ngaphansi kwembobo e-eardrum bese ivalwa kahle.
- Ukuzinza: Ukuze kuvinjwe lesi sikhumba esisha ukuthi singahambi, kubekwa igwebu elincane phezulu nangaphansi kwalo ukuze lihlale endaweni yalo. Ungakhathazeki, leli gwebu lizoncibilika ngokuhamba kwesikhathi.
Ekugcineni, uma kunqunywe, kuyathungwa bese kufakwa ibhandishi elihle ukuze kuqedwe umsebenzi. Ngezinye izikhathi amathambo amancane angemuva kwe-eardrum angase alimale. Uma lokho kwenzeka, udokotela uzolungisa nalokho. Futhi, ngezinye izikhathi imbobo e-eardrum ingabangela ukukhula okungafuneki okubizwa ngokuthi i-cholesteatoma ngaphakathi. Uma kukhona into enjalo, nayo izosuswa, ngakho ukuhlinzwa kungathatha isikhathi eside.
Kwenzekani ngemva kokuhlinzwa? Kuthatha isikhathi esingakanani ukululama?
Nakuba abantu abaningi beya ekhaya ngalolo suku, ungase ucelwe ukuba uhlale esibhedlela usuku olulodwa noma ngaphezulu. Lokhu okulandelayo kuvamile ezinsukwini ezimbalwa zokuqala ngemva kokuhlinzwa:
- Kuphuma uketshezi olufana negazi endlebeni.
- Ubuhlungu obuncane noma umuzwa wokusinda endlebeni.
- Ukuzwa umsindo othi 'chit chit' ngaphakathi endlebeni.
- Ukulahlekelwa okuncane kokuzwa (lokhu kungase kuhlale cishe amasonto ayisithupha).
Kungase kube nobuhlungu ezinsukwini ezimbili noma ezintathu zokuqala. Ungasebenzisa imithi yokubulala izinhlungu evamile ngalokho. Kodwa uma ubuhlungu bungabekezeleleki, khuluma nodokotela wakho nakanjani.
Kungathatha cishe izinsuku eziyi-10 kuya emavikini amabili ukuthi ukungakhululeki kuphele ngokuphelele. Kodwa-ke, kungathatha izinyanga ezintathu noma ngaphezulu ukuthi ukuzwa okuphelele kubuye . Uma ingane yakho ihlinzwe, futhi ingazizwa ingakhululekile, ingathunyelwa esikoleni cishe ezinsukwini ezintathu kuya kwezinhlanu. Cela iseluleko kudokotela wakho ngalokhu.
Kufanele uqaphele kanjani ekhaya?
Lokhu kubaluleke kakhulu. Landela imiyalelo kadokotela ngqo. Nazi ezinye izinto ezijwayelekile okufanele uzikhumbule.
| Izinto okufanele zenziwe (Okufanele Uzenze) | Izinto okungafanele uzenze (Okungafanele uzenze) |
|---|---|
| Phuza imithi yakho ngendlela efanele: Sebenzisa amaphilisi noma amaconsi endlebe anqunywe udokotela wakho njengoba nje kuqondiswe. | Ungalikhiphi impumulo yakho kakhulu: Ungalikhiphi impumulo yakho kakhulu okungenani amasonto amathathu. Uma kufanele uthimule, vula umlomo wakho. |
| Gcina indlebe yomile: Uma ugeza, faka ibhola likakotini elicwiliswe ku-Vaseline® endlebeni. Ungase futhi welulekwe ukuthi ungagezi ikhanda lakho ezinsukwini ezimbalwa zokuqala. | Ungaphakamisi izinsimbi: Ungaphakamisi izinsimbi ezingaphezu kuka-5 kg kuze kube yilapho udokotela wakho ekuyala. Izingane kufanele zigweme i-PE cishe amasonto amabili. |
| Phumula ngokwanele: Phumula kakhulu ngangokunokwenzeka. Ungagijimi kakhulu futhi ungazikhandleli ngokweqile. | Gwema imisebenzi ebeka ingcindezi ezindlebeni zakho: Gwema izinto ezifana nokundiza ezindizeni nokubhukuda cishe inyanga yonke. |
Uma udinga ukubona udokotela ngokushesha
Uzophinde ubonane nodokotela futhi emavikini amabili kuya kwamathathu ngemva kokuhlinzwa. Uzohlola ukuthi indlebe yakho iphola kanjani. Uzohlela futhi olunye ukuhlolwa kokuzwa ezinyangeni ezimbili kuya kwezintathu.
Kodwa-ke, uma uhlangabezana nanoma yiziphi zalezi zimpawu ngaphambi kwalokho, shayela udokotela wakho ngokushesha:
- Ushintsho endleleni ulimi oluzizwa ngayo noma umuzwa wokucasuka ebusweni .
- Ubomvu noma igazi elisha (elibomvu ngokumnyama) eliphuma endlebeni noma esikiwe.
- Ukukhala ezindlebeni .
- Izimpawu zokutheleleka zifaka phakathi umkhuhlane , ukubomvu, kanye nokushisa endaweni yokusikwa.
- Ubuhlungu bendlebe noma ukuzwa okubi kakhulu .
Uma uhlangabezana nalezi zimpawu, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha:
* Ukushaya kwenhliziyo okusheshayo
* Ubunzima bokuphefumula
* Isiyezi noma ukulahlekelwa yibhalansi lapho uhamba
Ekugcineni, imiphumela yalokhu kuhlinzwa iphumelela kakhulu. Abantu abayisishiyagalolunye kwabayi-10 baphumelele ekulungisweni kwe-eardrum. Ngakho-ke, ungavumeli i-eardrum ebhobozekile ikuvimbele ukuba uphile impilo yakho. Khuluma nodokotela wakho bese unquma ukuthi lena inketho engcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Tympanoplasty inqubo yokuhlinzwa yokulungisa izimbobo endlebeni. Lokhu kungabuyisela ukuzwa futhi kuvimbele ukutheleleka kwendlebe.
- Lokhu kuhlinzwa kuphumelele kakhulu, kodwa kungathatha izinyanga eziningana ukuze kuphulukiswe ngokuphelele.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngemva kokuhlinzwa, ikakhulukazi ukugcina indlebe yomile, ukugwema ukuphakamisa okunzima, nokungakhali kakhulu impumulo yakho.
- Uma uba nezimpawu ezifana nokuphuma koketshezi ezindlebeni, umkhuhlane, ubuhlungu obukhulu, noma isiyezi, yazisa udokotela wakho noma isibhedlela ngokushesha.
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