Ingabe ingane yakho encane ivame ukuba nomkhuhlane? Uke waphawula ukuthi ngemva kwezinsuku ezimbalwa, ingane yakho ilokhu ibambe indlebe yayo futhi ingakhululeki? Ingabe ngezinye izikhathi kuba sengathi ayilaleli kahle uma ukhuluma nayo? Kuvamile ngawe njengomama ukuzizwa wesaba kakhulu lapho izinto ezinjengalezi zenzeka. Kodwa ungakhathazeki, lesi yisimo esilula esingelashwa ezinganeni ezincane kakhulu. Namuhla sikhuluma ngesinye sezifo ezinjalo, i-Otitis Media with Effusion (OME).
Kuyini i-Otitis Media ene-Effusion (OME)?
Kalula nje, i-Otitis Media ene-Effusion (OME) yilapho indlebe yakho ephakathi igcwala uketshezi olunamanzi. Lokhu ngezinye izikhathi kubizwa ngokuthi 'i-Serous Otitis Media'. Into ebalulekile ukuthi, lokhu akusikho ubomvu . Lokhu kusho ukuthi lokhu akusikho ukutheleleka kwendlebe okubangela ubomvu ukuba bugcwalise indlebe ephakathi. Lokhu kumane nje kuyiqoqo loketshezi.
Cabanga ngendlebe yethu ephakathi njengegumbi elincane. Kukhona ipayipi elincane elixhumanisa leli gumbi nomphimbo wethu. Lokhu sikubiza ngokuthi `(ipayipi le-Eustachian)`. Umsebenzi oyinhloko waleli payipi ukukhipha uketshezi oluningi endlebeni ephakathi kuya emphinjeni nokulinganisela umfutho womoya ngaphakathi kwendlebe. Endabeni ye-OME, leli payipi liyavaleka ngesizathu esithile, futhi uketshezi oluqongelelekayo endlebeni ephakathi alukwazi ukuphuma futhi lubhajwe ngaphakathi. Ngenxa yalokhu, ungase uzizwe usinda noma umuzwa wokuthi kukhona okubhajwe ngaphakathi kwendlebe.
Lesi simo sivame kakhulu ezinganeni ezincane eziphakathi kwezinyanga eziyisithupha neminyaka emi-3. Ngokusho kocwaningo, izingane ezingaphezu kuka-80% zizobhekana ne-OME okungenani kanye empilweni yazo ngaphambi kokuba zifinyelele eminyakeni yesikole.
Kungani lokhu kwenzeka ezinganeni ezincane? Yiziphi izizathu?
Isizathu esiyinhloko esenza indlebe yengane igcwale uketshezi olunjena ukuthi ithubhu i-Eustachian esikhulume ngayo ngaphambilini ayisebenzi kahle. Ngokungafani nabantu abadala, leli thubhu litholakala ngendlela ehlukile kancane ezinganeni ezincane. Futhi, leli thubhu lingavaleka ngenxa yezinto ezifana nomkhuhlane ovamile kanye nokungezwani komzimba.
Ake sibheke izizathu eziyinhloko zalokhu kuthebula elingezansi.
| Isizathu | Incazelo elula |
|---|---|
| Ipayipi ayikakhiwa ngokugcwele. | Ithubhu le-Eustachian ezinganeni ezincane lifushane futhi liqondile, okwenza kube nzima ukuthi uketshezi luphume. |
| Ukutheleleka njalo komkhuhlane kanye nomphimbo | Ngesikhathi somkhuhlane kanye nomphimbo obuhlungu, ikhala, umphimbo, kanye ne-Eustachian tube kuyavuvukala. Lokhu kuvuvukala kuvimbela i-tube futhi kubangele ukuthi uketshezi luqongelelane. |
| Ama-Adenoid Avuvukele | Ama-Adenoid ayizindlala ze-lymph ezitholakala ngemuva kwekhala kanye naphezulu komphimbo. Uma evuvukala, angavimba ukuvuleka kwe-Eustachian tube futhi abangele ukuthi uketshezi luqongelelane. |
| Ukungezwani komzimba | Ukungezwani nezinto ezifana nothuli kanye nempova nakho kungabangela ukuthi imigudu ivuvuke futhi ivaleke. |
Ziyini izimpawu zalesi simo?
Ku-OME, ubuhlungu bendlebe abububi kangako. Ngezinye izikhathi, lesi simo singaba khona ngaphandle kwezimpawu. Kodwa-ke, uma ubona lezi zinto enganeni yakho, khathazeka.
- Ukulahlekelwa ukuzwa: Lolu uphawu oluvame kakhulu noluvame kakhulu. Lungabonakaliswa ngezinto ezifana nokuthi ingane ayiphenduli uma ukhuluma noma ivula i-TV kakhulu.
- Ukubamba noma ukudonsa indlebe: Ingane ingase ibambe noma idonse indlebe yayo njalo ngoba izwa okuthile okungakhululekile noma okusindayo endlebeni yayo.
- Izinkinga zokulinganisela: Indlebe yethu ephakathi nayo iyasiza ngokulinganisela emzimbeni. Ngakho-ke uma igcwele uketshezi, ingane ingase izizwe intengantenga kancane futhi ingase izizwe ingalingani kahle lapho ihamba.
- Ukukhula kancane kwenkulumo: Uma ingane ingezwa kahle, ingase ibambezeleke ekufundeni ukuqopha amagama nokukhuluma kahle. Le nkinga ingavela uma lesi simo siqhubeka isikhathi eside.
Kodwa khumbula, lezi zimpawu azibangelwa yi-OME njalo. Zingabangelwa nezinye izinkinga zempilo. Ngakho into engcono kakhulu ongayenza ukubona udokotela womndeni wakho bese uhlola ingane yakho.
Yiziphi izindlela zokwelapha lokhu?
Uma ubonisa ingane yakho kudokotela, uzonquma ukwelashwa ngokusekelwe esimweni sengane.
Ukulinda nje ukuthi kube ngcono (Ukuqapha)
Esikhathini esiningi, okungukuthi, ezimweni eziningi, lolu ketshezi lwendlebe luzophuma lodwa phakathi kwamasonto amane kuya kwayisithupha ngaphandle kokwelashwa. Ngakho into yokuqala udokotela azoyenza ukubheka ingane bese ethi, "Ake silinde sibone." Lokhu kubizwa nangokuthi "ukulinda okuqaphile".
Imithi
Njengoba i-OME ingeyona isifo, odokotela abavamisile ukumnika ama-antibiotic. Kodwa-ke, uma ingane inesinye isifo, njengokutheleleka kwebhaktheriya emphinjeni, kanye ne-OME, ama-antibiotic anganikezwa njengokwelashwa. Ama-antihistamine kanye nama-decongestant nawo awavamile ukunikezwa ngoba awanayo ithonya elikhulu ku-OME.
Ukubekwa kwepayipi lendlebe (i-Myringotomy)
Ngezinye izikhathi, uketshezi olusendlebeni alunciphi ngisho nangemva kwezinyanga ezimbili noma ezintathu. Lokhu kungabangela ukuthi ukuzwa kwengane kuphazamiseke, okuthinta ukufunda kwayo kanye nokukhula kwayo kwenkulumo. Ezimweni ezinjalo, udokotela angase asikisele ukuhlinzwa okuncane. Lokhu kubizwa ngokuthi "i-Myringotomy".
Kulokhu, udokotela ohlinzayo wenza imbobo encane kakhulu endukwini yendlebe bese ekhipha lonke uketshezi olusendlebeni ephakathi ngalo. Bese, ukuze uketshezi lungaphinde luqongelelane, kufakwa ithubhu elincane kakhulu (ithubhu le-Myringotomy) kuleyo mbobo encane. Ngemva kokufakwa lokhu, ukuzwa kwengane kubuyela esimweni sayo esijwayelekile. Ungakhathazeki, leli thubhu lizophuma lodwa ngemva kwezinyanga ezingaba ngu-6 kuya ku-12.
Izinto ezandisa ingozi yokuthola i-OME
Nakuba noma yimuphi umntwana angaba ne-OME, izici ezithile zingandisa le ngozi.
| Izinto Eziyingozi | |
|---|---|
| Umkhuhlane ovamile. | Ukuchitha isikhathi nomntwana esikhungweni sokunakekela izingane. |
| Ukuchayeka entuthwini ebhemayo. | Akuncelisi ukuncelisa. |
| Ukuncelisa umntwana ngebhodlela ngesikhathi elele phansi noma elele phansi. | Njengoba ngangivame ukutheleleka ezindlebeni esikhathini esidlule. |
| Ukuba nokukhubazeka kobuso okufana nomlomo oqhekekile (i-cleft palate) okukhona lapho kuzalwa. | |
Uzobona nini udokotela
Ukutheleleka kwendlebe ngezinye izikhathi kungaba uphawu lwenye inkinga yezempilo eyisisekelo. Ngakho-ke, uma unenkinga ethile ngengane yakho, ungangabazi ukufuna iseluleko sezokwelapha. Ikakhulukazi ezimweni ezinjengalezi, kubalulekile ukubona udokotela.
- Uma izimpawu zingathuthuki ngemva kwamahora angu-24 .
- Uma ingane yakho ingaphansi kwezinyanga eziyisithupha ubudala, funa ukwelashwa ngokushesha.
- Uma ingane ithi inenkinga yendlebe engabekezeleleki .
- Uma ubona noma yiluphi uhlobo loketshezi noma ubomvu luphuma endlebeni yengane yakho .
- Uma ingane yakho inenkinga yokulala ngenxa yomkhuhlane noma ukutheleleka kokuphefumula.
Esimweni esinjalo, yisa ingane yakho kudokotela wakho ngokushesha okukhulu. Uma kwenzeka isimo esiphuthumayo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- I-Otitis Media with Effusion (OME) yisimo lapho indlebe igcwele khona uketshezi, hhayi ubomvu. Ivame ukubonakala ezinganeni ezincane.
- Imbangela eyinhloko yalesi simo ukuvaleka kwepayipi le-Eustachian ngenxa yezinto ezifana nomkhuhlane.
- Lesi simo sivame ukuxazululeka sodwa phakathi namasonto ambalwa ngaphandle kokwelashwa.
- Ama-antibiotic awavamile ukunqunyelwa lokhu.
- Uma kunomthelela wesikhathi eside ekukhuleni kokuzwa noma kokukhuluma kwengane, udokotela angase asikisele ezinye izindlela zokwelapha, njengokuhlinzwa.
- Uma unemibuzo noma ukungabaza ngezindlebe zengane yakho, qiniseka ukuthi uthintana nodokotela.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho