ITech Audit Tube
I-tube ye-eustachian, okanye ityhubhu yokuhlola, idibanisa indlebe ephakathi ukuya kwi-nasopharynx eyona nxalenye ephezulu yomqala emva kwempumlo. I-tube itholakala ngaphaya komgangatho weendlebe ezisezantsi kwaye ine-triangular yovulo olufakwe emanzini. I-Bone, i-cartilage, kunye nezicubu ezinobumba zenza i-eustachian tube. Ngaphakathi kwiphubhu ngokwayo, kukho iindawo ezahlukileyo, inxalenye ephezulu yebhubhile ihamba kakuhle, ngelixa inxalenye engaphantsi kwiphubhu iqukethe i-cilia, okanye izakhiwo ezinjengezinwele.
Ukwahlukana kweThubhu yase-Eustachian kuBantwana kunye nabantu abadala
Ubungakanani beT Tube kwiintsana zi malunga ne-17,5 mm, leyo iyaqhubeka ikhula ukuya kubude malunga no-37.5 mm xa ifika kubantu abadala.
I-Angle ye-tube kwiintsana nabantwana i-degrees ezili-10 kuphela ukusuka kwindlebe ye-eye (Frankfort). Oku kwahluke kumntu omdala, apho i-angle ikwi-45 degrees. Umehluko wama-degrees angama-30 uthathwa njengenye yezinto eziphakamisa umngcipheko wabantwana abaphuhlisa iindlebe eziphakathi.
Ukusebenza kakuhle kwemisipha kuyahluke nabantwana nakubantu abadala. Kukho izihlunu ezine ezibangela ukuvulwa nokuvalwa kwe-tube eustachian: i-veens palli, i-levator veli palatine, i-salpingopharyngeus, kunye ne-tympani. Kwi-chidlren, ezi zihlunu zininzi, ngelixa zikhulile, zibandakanyeka. Loo mahluko ucinga ukuba unengcinezelo kwandisa ingozi kubantwana abaphuhlisa indlebe yokusiva.
I-Tube Eustachian Function
I-tube ye-eustachian iyaziwa ngokuba yendima yayo ekuxhaseni uxinzelelo phakathi kwendlebe ephakathi. Le nendima ebalulekileyo indima, nangona ityhubhu ye-eustachian isebenza kule mi sebenzi emithathu:
- Ukucinezela ukulingana kwendlebe ephakathi
- Ukukhenkcela indawo ephakathi kwendlebe
- Ukukhusela indlebe ephakathi kwiibhaktheriya okanye ii-virus
Ngokomlinganiselo ibhubhu ye-eustachian ivulela ama-1 ukuya kwezi-2 ngeyure nganye. Xa ivuliwe, ngokuqhelekileyo ihlala ivulekile malunga ne-0.3 ukuya kwi-0.5 imizuzwana. Kodwa ityhubhu ye-eustachian ivuleka ngokuphindaphindiweyo kwaye ixesha elide xa likhwela.
Uxinzelelo olulinganayo
Uxinzelelo lwengqondo lushintsha njengoko uguqula ukuphakama kwaye njengoko isimo sezulu sitshintsha. Xa ingcinezelo yemoya ishintsha, intonga yeendlebe iguqula umongo ngenxa yokunyanzeliswa ngokungalinganiyo kwindlebe ephakathi. Ngaphandle kokulinganisa uxinzelelo, indlebe yeendlebe ayikwazi ukuphendula kwisandi ngendlela efanayo kwaye ukuva kwakho kuyachaphazeleka. Ukuba uxinzelelo phakathi kwendlebe ephakathi aluxhaswanga kwaye uxinzelelo olukhulu luyasetyenziswa, unokuba neentlungu kunye nakwiimeko ezigqithiseleyo indlebe ephukileyo ingaba khona. Xa indlebe ithetha ngokulinganayo ungase ufumane "ukuphuma" kwintlungu.
UkuCima kweMbindi Ephakathi
Ukuze ugcine ukusebenza kakuhle kwendlebe ephakathi, isikhala sidinga ukuba sikhululeke ngamanzi kunye nenye ingcola. Izakhiwo ezincinci ezinjengezinwele, ezibizwa ngokuba yi-cilia, zihambisa izinto ezibonakalayo ekuvuleleni kwiphubhu ye-eustachian. Le nkqubo ayixhomekeke kwindalo kwaye iyakwenzeka ngokuqhelekileyo ngaphandle kokuba kukho ingxaki kunye nenkqubo; kufana ne-primary ciliary dyskinesia.
Ngaphandle kwendlebe ephakathi, i-bottom of the tube ine-mucus kunye ne-cilia ebetha (okanye ihambela phambili nasemva kwintshukumo enjenge-motion); ukuhambisa izinto eziphantsi kwiphubhu ye-eustachian ukuya emqaleni komqala.
Izinto ezininzi zinokuchaphazela umsebenzi oqhelekileyo wale nkqubo ngokutshintsha i-viscosity, okanye ubunzima be-mucus kwi-tube eustachian. Imizekelo yeziphazamiso ezingatshintsha ubukhulu be-mucus ziquka: i-cystic fibrosis, i- otitis media , ne- sinusitis . Izifo ezibangelwa yi-bacteria kunye neentsholongwane zingasichaphazela umsebenzi oqhelekileyo wale nkqubo kwaye inokuthatha inyanga eli-1 emva kokubuyisela umsebenzi oqhelekileyo we-cilia ukubuyela.
Ezinye izithintelo zingaphinde zenzele okanye zithintele inxalenye ye-tube eustachian evula emva emqaleni. I-adenoids ekhulisiweyo kunye ne-adenoids kubantwana abancinci inokuba yintoni ebangela ukukhutshwa.
Ukuba kuyimfuneko ukuba i- adenoidectomy ingenziwa ukwenzela ukukhulula isikhala nge-tube eustachian.
Khuselo
Kwiimeko eziqhelekileyo, ukuvula kwiphubhu ye-eustachian emva emqaleni kuyavalwa. Oku kusebenza imisebenzi emithathu yokukhusela:
- Isithintelo kwiibhaktheriya kunye neentsholongwane zokunyuka kwi-tube eustachian
- Ukuvimbela isandi ukusuka kwi-vocal space
- Nceda unqande uxinzelelo olunezandi phakathi kwendlebe ngenxa yomsindo ovakalayo
Olu khuselo luphazanyiswa zizifo ezibangelwa i-eustachian tube evula emva emqaleni ukuba ihlale ivulekile. I-tube enkulu ye-eustachian ngumzekelo wale nto kwaye iyaqatshelwa ngokubanzi ngumqondiso wokutshilwa kwe-autophony, okanye ukuva ngokungaqhelekanga kwezwi lakho okanye ukuphefumla.
Izindlela Zokuvula I-Tube yase-Eustachian
Xa uguqula ukuphakama, kuqhelekile ukuba ube neendlebe ezixubileyo . Nangona ekuqaleni le ntsizi yinto ecasulayo, ngaphandle kokulingana ngokufanelekileyo, intlungu ingaqhubeka njengoko uqhubeka uguqula ukuphakama. Ukuze ukhulule ukuvakalelwa okanye intlungu, kufuneka ufune ukuvula i-eustachian tube. Nazi ezinye iindlela zokuzama:
- ukukhwela
- ukukrazula
- igum yokuhlafuna
- I-Toynbee isebenze - iginya ngelixa ucaza impumlo yakho
Imithombo:
O'Reilly, RC & Levi, J. (2015). ICummings iOtolaryngology. 6th. I-Anatomy ne-Physiology ye-Tube yase-Eustachian. Kufumaneka ngomhla wesi-2/21/2016 kwi-http: //www.clinicalkey.com (Ubhaliso olufunekayo)
U-Siebert, uJW & Danner, uCJ (2006). Umsebenzi weThubhu ye-Eustachian kunye ne-Middle Ear. Iikliniki ze-Otolaryngologic zaseNyakatho Melika. 39 (6), 1221-1235.