Izizathu zee-tubes zendlebe kubantwana abanezifo zentloko
Ingaba umntwana wakho ufuna iimvalo ze-ear ear for infections? Lilixesha elifanelekileyo, ziziphi ezinye iimeko apho oogqirha bacinga malunga nokwenza esi sigqibo esibalulekileyo, kwaye ziziphi iingenelo kunye nobungozi balo msebenzi?
Usulelo lweNtlu
Ngenhlanhla, ininzi abantwana bafumana izifo ezithintekayo zendlebe (i-otitis media) ngonyaka. Kodwa kunokukhungatheka xa beqhubeka befumana izifo zendlebe ngokuphindaphindiweyo.
Ingaba izifo zendlebe zonakalise ukuva komntwana okanye zilibazise ukuthetha?
Zingaphi izifo zentloko zininzi?
Ufuna nini ukufumana iipipi zendlebe?
Iimpawu zeeNtlu zeNtloko
I-tube yamathambo okanye utyando lwe-tympanostomy ukutyunjwa kwebhubhu yindlela ekhethekileyo yokuhlinzwa okwenziwa ngabantwana e-United States kwaye yenzelwe ukusuleleka kwindlebe, okanye ukusuleleka kwindlebe engacacisi emva kwexesha elifanelekileyo kunye ne-antibiotic efanelekileyo.
Ukufikelela kwinani elipheleleyo leentsholongwane zendlebe, ezininzi iingcali ziza kuthatha iibhulo zomntwana onentsholongwane emithathu kwindleko ezintandathu ezintandathu okanye ezine ezine-infections kwiindleko ezili-12. Ezinye iingcali zisebenzisa izikhokelo eziqhelekileyo kwaye ziza kufaka izibatho xa izifo zihlala zihlala zisondele kunye.
Ukuba neengxaki ezindlebeni zabo (i-otitis nge-effusion) ngaphezu kweenyanga ezintathu kunye nokulahlekelwa kwindlebe yinye isizathu sokuba abantwana bafumane iibhubhu. Ngamanye amagama, akukhuthazwa ukuba iibhubhu zibekwa kubantwana abanesinye isiganeko se-otitis media kunye ne-effusion engapheli kweenyanga ezi-3.
Ukuba usulelo luhlala ixesha elingaphezu kweenyanga ezintathu, ukuvalelwa kufuneka kuhlolwe. Ukuba ukuva kuncitshiswe, abazali kufuneka banikezwe ithuba lokubeka i-tube. Ukuba ama-tubes awafakiwe, umntwana kufuneka ahlolwe kwakhona ubuncinane kwiinyanga ezintathu ukuya kutshatyalaliswa (umbane), okanye kukho ubungqina bokulahlekelwa kwindlebe okanye ukungahambi kakuhle kwe-eardrum.
Ezinye izizathu zokuqwalasela iingcambu zendlebe
Ukongezelela kwinani leentsholongwane zendlebe umntwana ayenayo okanye ixesha elide elamanzi ezindlebeni zabo, ezinye izinto ezinokuthi zinokukuchaphazela ukuba umntwana wakho athole iibhubhu ekuqaleni. Ezi zibandakanya ukuba neengxaki zobungozi ezenza ukuba umntwana wakho aqhubeke nokufumana ezininzi iintsholongwane zendlebe kwixesha elizayo, kubandakanywa nokuba yinkwenkwe engaphantsi kweminyaka emi-2 ubudala kwaye oya kwintsholongwane yosuku (i-daycare syndrome), ingakumbi xa ufumana ezininzi izifo zentloko zisebenza kwiintsapho (iinjongo zofuzo).
'Udidi' lwezifo ezithethwa ngumntwana wakho ziyakuthi zichaphazele isigqibo sakho sokufumana izibatho. Ukuba ukugula kwendlebe yengane yakho ibuhlungu kakhulu, kuthatha ixesha elingaphezu kweentsuku ezimbalwa ukugqithisa, okanye kuthatha iindidi ezininzi ze-antibiotics ukucima, ngoko unokuba ufuna ukufumana iibhubhu ngaphambilana nokuba ukutheleleka kwendlebe yengane yakho kwakungekho buhlungu okanye ikhuphe .
Ixesha lonyaka lingasichaphazela nesigqibo sakho malunga namathambo. Nangona umntwana wakho usandul 'ukuvaleleka kwimilebe emininzi, ukuba ngaba ngo-Apreli okanye ngoMeyi, awulindelanga ukuba aqhubeke egule kakhulu kulo lonke ixesha entwasahlobo nasehlobo. Kule meko, unokulinda ixesha elincinci kunokuba unako ukuba umntwana wakho sele sele efumene izifo ezininzi zeendlebe ezithe zafika ebusika xa mhlawumbi uza kugula lonke ixesha ngexesha lokubanda kunye nexesha lomkhuhlane.
Gcina ukhumbule ukuba isigqibo malunga nokuba nini ukufumana iibhubhu akubalulekanga njengoko abazali abaninzi bakholelwa. Enyanisweni, olunye uphando wabonisa ukuba 'kubantwana abangaphantsi kweminyaka engama-3 abaqhubekayo beendaba eziphathekayo, ukufakwa ngokukhawuleza kwamathambo e-tympanostomy akulinganisi ukuphucula iziphumo zophuhliso kwiminyaka emithathu.'
Ngoko ixesha lokufumana iibhubhu zendlebe akusoloko lichanekile njengoko unokucinga.
Iinzuzo zeThubhu zeNtloko
Kule ndlela inzuzo ebaluleke kakhulu yamathubhu endlebe yinto efunyenwe kwizifundo ezininzi: iibhubhu zendlebe ziphucula umgangatho wobomi kubantwana abaninzi. Xa kwenziwe ngokufanelekileyo, iipipi zendlebe ziyakwazi ukuphucula ukuva, okunokuthi, kuphuculwe ukufunda nokuziphatha.
Izingozi zeeNtloko zeTlebe
Iingxaki ezinokuthi zenzeke nayiphi na inkqubo eyenziwa kunyango. Uninzi lweengxaki ezilandelayo azibonakali kwaye zigcine engqondweni ukuba abaninzi abantwana abanalo zonke ezi ngxaki. Iingxaki ezinokwenzeka zokuhlinzwa ngethambo lwezinto ziquka:
- Ukulahlekelwa kwezibhobho - ngamanye amaxesha iibhubhu ziphuma kusasa xa zisadingeka
- Ukuvalwa kweethubhu yinkxalabo eqhelekileyo, eyenzeka kwi-10% yabantwana
- Umsele ovela kwiibhubhu (i- otorrhea ) - Nangona ixakeka, ukucinywa kwamanzi okuphuma kwiindlebe ze-ear tubes kungaphathwa ngamaconsi aphezulu kwaye ayidingi i-antibiotic yomlomo
- I-Granulomas - Yenza i-tissue form in theardard
- Cholesteatomas
- Isibilini seTympanic
Ukuthintelwa kweNtsholongwane yeNtlu
Uncedo olulungileyo luhlala lusoloko lukhusela, kwaye ukuba unokunciphisa inani lezonyango zomntwana kumntwana wakho, unganciphisa amathuba okuba afune iimvayi ze-ear. Ngokuqinisekileyo, oku akunakwenzeka njalo, kwaye nabazali abanononophelo kunye nabanyamekelayo banabantwana abanokuphelisa ama-tubes endlebe. Ezinye iindlela ezinokuthi zenze umehluko zibandakanya:
- Ukuncelisa
- Ukunciphisa okanye ukuphelisa ukutshatyalaliswa komsi wesithandwa
- Ukunciphisa ukusetyenziswa kwe-pacifier
- Ukugcina umntwana wakho ekuphuzeni ebhotile xa elele
- Ukunciphisa ukutyhila kwabanye abagulayo
Oko Kufuneka Ukwazi
- Ukuba ucinga ukuba umntwana wakho unentsholongwane emininzi kakhulu, buza udokotela wakho wezilwanyana ukuba uhanjiswe kwingcali ye-ENT yezilwanyana ukuba uxoxe ukuba i-ear tubes iyakufaneleka.
- Ngakolunye uhlangothi, ukuba udokotela wakho wezilwanyana uncomela iibhubhu kodwa unganqikazi ukuba utyunjwe, ke ubuze ukuba kuyafaneleka ukuba ulinde ixesha elide.
- Ukuba umntwana wakho ufumene ukuba unesifo sokutheleleka kwendlebe, ubeka kwii-antibiotics kwaye usenokuba nosizi kunye nomkhuhlane emva kweveki kamva, okwakubaluleke ukuba isakhono sokutheleleka kwindlebe efanayo. Futhi gcinani engqondweni ukuba banokuthi babe ne-fluid ezindlebeni zabo kwiinyanga ezi-2 ukuya kwezi-3, ezidla ngokungaqhelekanga njenge-infection ear. Ukuba ubuya ukubuyela kwakhona kwaye umntwana wakho akanalo iimpawu kuzo zonke, kodwa wakho uxelwa ukuba unentsholongwane yindlebe, unokufumana umbono wesibini kwi-ENT yengcali yezingane ukuba ubone nje kuphela.
- Nangona abanye abantwana baneengxaki emva kokufumana izibhabhane, uphando oluninzi luye lwabonisa umgangatho ophuculweyo lweziphumo zobomi kubantwana emva kokufumana iibhubhu.
- Thatha amanyathelo okulawula izinto ezibeka abantwana abasengozini yokuthelela izifo.
Imithombo:
Conrad, D., Levi., Theroux, Z., Inverso, Y., no-U. Shah. Imiba yengozi echaphazelekayo kunye ne-postanostative tyanostomy tube obstruction. I-JAMA Otolarygology Intloko kunye nokuPhepha kweNeck . 2014. 140 (8): 727-30.
Grindler, D., Blank, S., Schulz, K., Witsell, D., kunye J. Indawo. Impembelelo ye-Otitis Media Inzima kwiBomi boBomi boBomi. I-Otolaryngology - iNtloko kunye nokuChengwa kweNeck . 2014. 151 (2): 333-340.
Rettig, E., kunye. Tunkel. Iingcamango zexesha elifanelekileyo ekulawuleni i-otitis media kubantwana. Iikliniki ze-Otolaryngology zaseNyakatho Melika . 2014. 47 (5): 651-72.
Rosenfeld, R., Schwartz, S., Pynnonen, M. et al. Isikhokelo sokwenziwa kwezonyango: Iipypanostomy tubes kubantwana. I-Otolaryngology - iNtloko kunye nokuChengwa kweNeck . 2013. 149 (1 Suppl): S1-S35.
Rosenfelt, R., Shin, J., Schwartz, S. et al. Isikhokelo soLwazi lwezonyango: Otitis Media nge Effusion (Update). I-Otolaryngology - iNtloko kunye nokuChengwa kweNeck . 2016. 154 (I-Suppl 1): S1-S41.