Ingabe ingane yakho ibinomkhuhlane kanye nomphimbo obuhlungu izinsuku ezimbalwa? Ingabe iyakhala ithi, "Kubuhlungu" ngisho noma izama ukudla noma ukuphuza? Ingabe iphendule intamo yayo eceleni, futhi ingabe ike yabona amathe ephuma emlonyeni wayo? Uma ucabanga ukuthi lokhu kuyingozi kakhulu kunomphimbo obuhlungu nje, ungakuthathi kalula. Lokhu kungaba ukutheleleka okuyingozi okujulile ngemuva komphimbo, okungaba yithumba eligcwele ubomvu. Ake sixoxe ngalokhu namuhla.
Kalula nje, iyini ithumba le-retropharyngeal?
Leli igama lezokwelapha kancane, kodwa kulula kakhulu ukuliqonda. Ithumba le-retropharyngeal liyisigaxa esakheka odongeni lwangemuva lomphimbo wethu, okuyingxenye ebonakalayo lapho sivula imilomo yethu. Empeleni, lesi yisimo esiphuthumayo sezokwelapha esingaba yingozi ngisho nokuphila.
Cabanga ngomzimba wethu njengenqaba. Lapho kungena amagciwane (amagciwane), amasosha esistimu yethu yokuzivikela, abizwa ngokuthi amangqamuzana amhlophe egazi , ayawalwa. Kulokhu kulwa, amagciwane afile, amangqamuzana amhlophe egazi, kanye nezicubu ezonakele ziyahlangana ukuze zakhe "ubomvu." Lapho lobu bomvu buqoqana endaweni eyodwa futhi bakhe iqhubu, sibubiza ngokuthi "ithumba." Uma lokhu kwakheka endaweni ejulile ngemuva komphimbo (isikhala se-retropharyngeal), sibubiza ngokuthi ithumba le-Retropharyngeal.
Ubani othola lokhu kaningi?
Lesi simo empeleni asivamile kakhulu. Kodwa-ke, sivame kakhulu ezinganeni ezincane eziphakathi kweminyaka engu-1 no-8. Singavamile kakhulu kubantu abadala.
"Kungani labo bantwana abancane kuphela abathola okwengeziwe?" ungase uzibuze. Isizathu ukuthi sinezinhlayiya ze-lymph ngemuva kwemiphimbo yethu, okuyizinto esizibiza ngokuthi "ukugwinya" emilonyeni yethu. Lezi zisiza ukulawula ukutheleleka ezindaweni ezifana nekhala lethu, izindlebe, nomphimbo. Kodwa lapho sineminyaka emi-5, lezi zinhlayiya ze-lymph ziyancipha ngokwemvelo futhi zinyamalale. Ngakho-ke, ngoba zikhona lapho sisebancane, lapho sithola ukutheleleka emphinjeni noma endlebeni yethu, kungenzeka kakhulu ukuthi kusakazeke kulezi zinhlayiya ze-lymph, futhi kuzovela ithumba lapho.
Yini ebangela lesi simo?
Kunezizathu eziningana eziyinhloko zokuthi kungani iqhubu elinjengaleli lingavela ngemuva komphimbo.
| Isizathu | Incazelo elula |
|---|---|
| Ukutheleleka kwepheshana lokuphefumula eliphezulu | Lokhu kufaka phakathi izinto ezifana nomkhuhlane, umphimbo obuhlungu, kanye nokutheleleka kwama-sinus. Uma ukutheleleka okufana nalokhu kuba kubi kakhulu, amagciwane angahamba aye ngemuva komphimbo akhe ithumba. Lokhu kuyimbangela cishe ingxenye yazo zonke izimo zethumba le-retropharyngeal. |
| Ukutheleleka kwendlebe | Ukutheleleka kwendlebe kuvame kakhulu ezinganeni ezincane. Ngenxa yokuthi indlebe ixhumene kakhulu nomphimbo, ukutheleleka kwendlebe kungasakazeka kalula emuva komphimbo. |
| Ukutheleleka komphimbo | Lesi simo singabangelwa futhi ukutheleleka ngamagciwane noma amagciwane, njenge-tonsillitis. |
| Ukulimala emphinjeni | Cabanga ngengane idlala ngento efana nepeni noma ipensela emlonyeni wayo bese iwa. Uma lokho kwenzeka, inxeba elincane lingakheka ngemuva komphimbo, livumele amagciwane ukuthi angene futhi abangele ukutheleleka. Lokhu kungenzeka futhi uma into efana nethambo lenhlanzi inamathela. |
Yiziphi izimpawu okufanele uziqaphele?
Lesi yisimo esiphuthumayo, ngakho-ke kubalulekile ukuqaphela izimpawu. Izimpawu zingase zihluke kancane phakathi kwezingane ezincane kanye nabantu abadala.
Izimpawu ezingabonakala ezinganeni ezincane
Njengoba izingane ezincane zingenakusho ngokuqondile ukuthi “zilimele,” kudingeka siqaphele kakhulu lezi zinguquko.
Cabanga nje, uma ingane yakho inomkhuhlane, yenqaba ukudla, ingaphenduli ngisho nentamo yayo eceleni, futhi ivuza amathe, ngokuqinisekile kuyisimo esidinga ukunakwa.
| Isibonakaliso | Incazelo |
|---|---|
| Ukwenqaba ukudla/ukuphuza | Ingane iyenqaba ngokuphelele ukudla noma ukuphuza ngenxa yobuhlungu obukhulu lapho igwinya. |
| Ukuvuza amathe | Amathe aphuma emlonyeni ngoba abuhlungu kakhulu kangangokuthi akunakwenzeka ngisho nokugwinya okuncane. Lesi uphawu olubaluleke kakhulu. |
| Intamo eqinile | Imisipha yentamo ivuvukele futhi ingane ayithandi ukushukumisa intamo yayo ngenxa yobuhlungu. |
| Ubunzima bokuphefumula kanye nomsindo ongajwayelekile | Njengoba i-cyst ikhula, ingavimba indlela yokuphefumula futhi yenze umsindo wokuhona lapho iphefumula. |
| Ukushintsha izwi | Izwi elizwakala liphezulu nelinzima elibizwa ngokuthi "izwi le-hot potato" lingase livele, njengokungathi kukhona okunamathele emphinjeni. |
| Ukuma okungavamile | Ungazama ukugcina intamo yengane igobile emuva kanye nesilevu siphakanyisiwe ukuze kube lula ukuphefumula. |
Kwabantu abadala, izimpawu ezinjengobunzima bokugwinya, umkhuhlane, ubuhlungu bentamo, nokuvuvukala yizona zimpawu eziyinhloko.
Ukuthola kanjani lokhu, Dokotela?
Uma uyisa ingane yakho esibhedlela enalezi zimpawu, into yokuqala udokotela azokwenza ukuhlola ingane ngokucophelela. Ngemuva kwalokho bazokwenza izivivinyo eziningana ukuqinisekisa isifo.
- I-X-ray yentamo eseceleni: Lena ukuhlolwa okuvame kakhulu. Le X-ray, ethathwe ohlangothini lwentamo, ivumela udokotela ukuthi abone ukuthi izicubu ezingemuva komphimbo zivuvukele noma zibukeka njengeqhubu.
- I-CT scan: Ngezinye izikhathi, uma i-X-ray ingacacile, i-CT scan ingenziwa ukuze kutholakale usayizi oqondile nendawo yethumba.
- Ukuhlolwa kwegazi:Ukuhlolwa kwegazi kwenziwa ukuze kubonakale ukuthi kukhona yini ukutheleleka emzimbeni. Kodwa uma ingane ingakhululekile, mhlawumbe lokhu kungahlehliswa kancane.
Iphathwa kanjani? Ingabe lokhu kuyingozi?
Yebo, lesi yisimo esiphuthumayo esidinga ukwelashwa ngokushesha. Ngakho-ke, uma lezi zimpawu zikhona, ingane kufanele iyiswe e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha, ngaphandle kokulinda ekhaya.
Kunezindlela eziningana zokwelapha ngemva kokungeniswa esibhedlela.
1. Ama-Antibiotic Afakwa Emthanjeni: Lapho nje ungeniswa esibhedlela, uzoqala ukuthola ama-antibiotic anamandla ngemithambo ukuze ulawule ukutheleleka.
2. Ukukhipha Amanzi Ngokuhlinzwa: Uma ithumba likhulu, lenza kube nzima ukuphefumula, noma linganciphi ngama-antibiotic kuphela, udokotela uzokwenza i-anesthesia futhi enze ukuhlinzwa okuncane ngomlomo ukuze akhiphe ubomvu.
3. Ukuvikela indlela yokuphefumula: Ngezinye izikhathi, uma indlela yokuphefumula ivinjwe kakhulu yithumba, kungadingeka ipayipi lesikhashana (intubation) ukusiza ingane ukuthi iphefumule.
Ngemva kokuhlinzwa, ingane igcinwa egunjini lokunakekelwa okujulile (ICU) futhi iqashwe ngokucophelela. Uma sekuqinisekisiwe ukuthi azikho izinkinga zokuphefumula, idluliselwa egunjini elijwayelekile. Ngisho nangemva kokubuyela ekhaya isuka esibhedlela, ama-antibiotic omlomo kumele anikezwe njengoba nje udokotela emyalile sonke isikhathi.
Into ebalulekile ukuthi, nakuba lesi kuyisimo esingavamile, ingozi yokufa iphezulu uma ingelashwa. Yingakho kubalulekile ukufuna usizo lwezokwelapha ngokushesha lapho kuvela izimpawu. Ngokwelashwa okusheshayo, kungelapheka ngokuphelele.
Umlayezo Wokuya Nawe Ekhaya
- Ithumba le-retropharyngeal liqoqo lobomvu obujulile ngemuva komphimbo. Kuyisimo esiphuthumayo sezokwelapha.
- Lokhu kuvame ukubonakala ezinganeni ezincane eziphakathi kweminyaka eyi-1 neyi-8 .
- Uma ingane yakho inezimpawu ezifana nomkhuhlane, ubunzima obukhulu bokugwinya, ukuvuza amathe, ukuqina kwentamo, kanye nobunzima bokuphefumula , funa ukunakekelwa okusheshayo.
- Uma ubona lezi zimpawu, thatha ingane yakho uyiyise e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze ngokushesha ngaphandle kokuyelapha ekhaya.
- Lesi simo singelapheka ngokuphelele ngokulaliswa esibhedlela kanye nokwelashwa kusenesikhathi, kodwa ukubambezeleka kungaholela ezinkingeni ezinkulu. Themba udokotela wakho bese ulandela imiyalelo yakhe.
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