I-Fluid endlebeni, ebizwa ngokuba yi- serous otitis media (SOM) okanye i-otitis media kunye ne-effusion (OME), i-accumulation of fluid emva kwengxubeni yeendlebe enokuthi yenzeke phantsi kwayo nayiphi na imeko apho i -tube auditory engaphumeleli .
Itheyibhile yokuhlola ivumela ukuba amanzi aphephe entendeni aze afike emqaleni. Ukuba ityhubhu yokuphicotha ikhutshwe, i-fluid iya kubanjwa kwindawo ephakathi kwendlebe.
Olu lukhuni lubizwa ngokuba yi- effusion ngababoneleli bakho bezempilo.
Ukongeza kwintsholongwane yeendlebe, ukushisa okuqhelekileyo kunye nokunyamezela kungadlulela kumanzi kwiindlebe ukuba ukuvuvukala okanye ukuguqulwa kwamathambo kukuthintela ityhubhu yokuphicotha. Funda indlela yokuthintela oku kungenzeki, nendlela yokuxilonga nokuphatha le nto ukuba yenzayo.
Izizathu
Nabani na onokufumana umthamo ezindlebeni zabo, kodwa kunokwenzeka kakhulu ukuba bavele kubantwana ngenxa ye-anatomy ye-tube yabo yokucwaninga, encinci ububanzi kunye nokugqithiseleyo kunokuba ityhubhu yokuhlola yomntu omdala. Kukho amacala angama-2.2 yezigidi eMelika ngamnye ngonyaka, kwaye abantwana abangaba ngu-90 kwabantwana abayi-100 baya kufumana iindlebe ezindlebeni zabo ngaphambi kokuba bafikelele kwiminyaka emi-5 okanye-6 ubudala.
Zonke iziganeko zamanzi ezikwindlebe zibangelwa uhlobo oluthile lweetayibrari yokuphicothwa okubangela ukuba i-tube yakho ye-eustachian ikwazi ukucoca ngokwaneleyo. Izizathu eziqhelekileyo zokuphuhlisa umkhuhlane ezindlebeni kubabini abadala kunye nabantwana ziquka:
- Utywala
- Naluphina uhlobo lokudibanisa , ukusuka kwintsholongwane ebandayo, ukusuleleka, okanye ukukhulelwa
- Izicubu ze-sinus ezikhulisiweyo, iipolps zamanzi , i- tonsils kunye ne-adenoids , okanye ezinye ukukhula ezivimba ithubhu yokucwaninga (ngokuqhelekileyo ibangelwa yi- sinusitis engapheliyo )
- Ukubonakaliswa kweemichiza ezinomtsalane, ingakumbi umsi we-cigarette
- Ukulimala kwiphuthi yokuphicotha kwimizila emisebeni yomhlaza nomsi weentamo okanye ukuhlinzwa kwangaphambili okungathi kunokwenza itekiti yokucwaninga (inqabileyo)
- I-Barotrauma ezindlebeni (utshintsho olukhawulezileyo kwingcinezelo yomoya efana nanjengoko yenzeka xa ihamba ngeenqwelo zendiza okanye i-scuba diving)
- Ukungavumelekanga komlomo okungabandakanywa ne-Down syndrome okanye i- palate palate
Iimpawu
Iimpawu zokusetyenziswa kwamanzi kwiindlebe zinokungabikho ubunzima ngabanye. Kubantwana abancinci iimeko zihlala zibizwa ngokuba zingabonakali, nangona kubonakala ukuba abantwana beli xesha abanakukwazi ukuveza naluphi na ukungaxhatshazi kwaye ekungabikho kwintlungu ebonakalayo emininzi impawu zingabonakali ngabanakekeli babo.
Kuba abaninzi abantu abadala abanamazi aphakathi kwempawu yeendlebe basenokungabonakali, kodwa abanye abantu abadala bayabalisa intlungu kunye neempawu eziphazamisayo. Abanye abantu abadala kunye nabantwana abakhulileyo abaye bafumana iingxaki eziqhubekayo kunye nezifo ezihlala zihamba ngeendlebe zabo ngezinye izihlandlo ngamanye amaxesha bangachaza xa umbane uqokelele kwakhona kwaye bafuna unyango. Ngokubanzi, iimpawu zamanzi kwiindlebe zingabandakanya:
- Intlungu
- Uvakalelwa njengeendlebe "zixhunyiwe"
- Ukunyuka kwentlungu kwindlebe xa ushintsha ukuphakama, kwaye unako uku "phala" iindlebe
- I-Tinnitus (ukukhala ngeendlebe)
- Ukulahleka kokuva okanye ukuvakala okuvakalayo kungeniswe
- Uvakalelo lokuzaliseka ezindlebeni
- Ukulahlekelwa kwesilinganiselo okanye i- vertigo (engaqhelekanga)
- Iingxaki zokuziphatha
- Ukusebenza kakubi kwesikolo ehambelana nokulahlekelwa kwindlebe
Kukho imimiselo emininzi eyenza iimpawu ezifanayo kumlambo kwindlebe okanye ukuba nokuba khona ngexesha elifanayo njengomkhuhlane ezindlebeni kuquka:
Ukuxilongwa
Ngenxa yokuba umthamo entle indlebe ihlala ingabonakaliyo, ingakumbi kubantwana, ngokuqhelekileyo ayifumaneki. Ukuba umntwana wakho unempawu zokungcola kwindlebe kukulungele ukuwathatha kwinqanaba labantwana okanye i- otolaryngologist (indlebe, impumlo, ingcali yomlomo okanye i-ENT). Ingcali ingenakho ukufikelela kwizixhobo zokusebenza zokuxilonga, kodwa kubaluleke nakakhulu ukuba amava abo ayimfuneko ukuba aqaphele izikhombisi ezintle ezinokuthetha ukuba unomkhuhlane ezindlebeni zakho.
Ukusebenzisa i-Otoscope
Indlela efanelekileyo yokufumanisa ukusetyenziswa kwamanzi kwindlebe ukuhlolwa kwendlebe usebenzisa i-otoscope okanye i-otomicroscope. Ugqirha wakho uya kusebenzisa i-otoscope njengoko ezi zinto zixhaphake ngenxa yeendleko, nangona i-otomicroscope inokuvumela ukuba ufumane ingxaki echanekileyo.
Ukuvavanya indlebe nge-otoscope kulula kakhulu kwaye kubandakanye ukutshintsha i-ear ear and insert the tip of the otoscope endlebeni. Oku kuvumela ugqirha ukuba acingisise isigubhu seendlebe ( umlenze we-tympanic ). Amagqirha anamava angakwazi ukubona i-level level fluid emva kwegubhu leendlebe, i-bubble okanye i-drum indlebe. Ngelishwa, akusoloko kucacile kwaye into kuphela ebonisa ukusetyenziswa kwamanzi kwindlebe ingase ibuyise kancane i-drum indlebe okanye umbala ogqithiseleyo. Ngenxa yesi sizathu kuthatha ugqirha onobuchule ukuxilonga uketshezi kwindlebe.
Uvavanyo lweTympanometry
I-flu in indlebe ingaqinisekiswa ngenye imvavanyo ebizwa ngokuba yi- tympanometry . Olu vavanyo lunokufana nokuhlolwa ngokusebenzisa i-otoscope kwinto indlebe iya kukhishwa kwaye isalathisi sesixhobo, esibizwa ngokuba yi-speculum, siya kufakwa kwingxenyana yangaphandle yomngcingo weendlebe. Umntwana wakho (okanye wena, ukuba uyigulane) kufuneka uzame ukubambelela kakhulu ngexesha lo vavanyo kwaye ugweme ukuthetha okanye ukugwinya ukuba kunokwenzeka.
Isixhobo siya kulinganisa ingcinezelo ngaphakathi kwendlebe, ize ivelise ithoni. I-membrane ye-tympanic iya kubonisa inani elithile le-sound back back to the tympanometer, ekhishwe kwigrafu ebizwa ngokuba yi-tympanogram. Ukuba kukho i-fluid endlebeni, i-membrane ye-tympanic iya kumisa kwaye isixa esingaqhelekanga sesandi siya kubonakala.
Izinyango Zonyango
Ngokuqhelekileyo, unyango aluyimfuneko kumanzi kwiindlebe. I-fluid iya kudlalwa yodwa kwiiveki ezimbalwa. Nangona kunjalo, ukuba akunjalo, unyango luya kuxhomekeka kwiimeko ezininzi.
- Ukuba umbane ukhona kwiiveki ezingama-6, unyango lunokubandakanya uvavanyo lokuvavanya , uluhlu lwee-antibiotiki okanye uluvo olungaphezulu.
- Ukuba umbane ukhona emva kweiveki ezili-12, kufuneka uvavanyo lokuvavanya. Ukuba kukho ukulahlekelwa kwindlebe , umboneleli wezempilo unokuqwalasela i-antibiotics okanye ubeke amathubhu ezindlebeni.
- Ukuba i-fluid isaphila emva kweenyanga ezi-4 ukuya kwezi-6, ukufakwa kwezigulane zendlebe ngokukhawuleza kuyimfuneko nokuba ungekho ukulahlekelwa kwindlebe.
- I-Adenoids ingadinga ukuba isuswe ukuba inkulu kwaye ibangela ukukhutshwa okukhulu kwiphubhu ye-eustachian.
I-Fluid ezindlebeni ingaba nayo okanye ngaphandle kokusuleleka. I-antibiotics ayinakusetyenziswa ngaphandle kokuba kukho ukusuleleka kwendlebe kwaye ayiyi kusetyenziswa. Ngelixa i-antihistamines iluncedo ekuncedeni i-sinusitis engapheliyo enokuthi ifuthe kumanzi we-tube auditory, i-antihistamine ayinyanzeliswa unyango lwe-fluid endlebeni.
Abantwana abasengozini enkulu, kubandakanywa nezobuhlungu bokuphuculwa kweentuthuko, bangadinga unyango ngaphambili. Kubantwana abangenakufuna unyango, ukulawula iimpawu kunye nokulinda umkhuhlane ukucoca kwedwa kungayona nto ingcono ukuyenza. Ngaphandle kwabantwana abafuna ukungenelela ngophengululo, ukufumana ngokuphinda ngokupheleleyo kufikeleleke.
Thintelo
- Gwema umsi wecuba
- Gwema izilwanyana eziyaziwayo
- Ukuba umntwana wakho usemnyangweni, khawucinge ukumthabatha okanye ukutshintshela kwinqanaba elincinci lokunakekelwa kwelanga xa efumana iindlebe ezindlebeni zakhe rhoqo
- Geza izandla zakho kunye neengane zomntwana wakho rhoqo
- Gwema ukusebenzisa i-antibiotics
- Khuthaza ukuncelisa xa kunokwenzeka, kwimizuzu embalwa nje. Iintsana ezibelethwe zibele zihlala zigula ngokuthe rhoqo kwaye zincinci ukufumana izifo zendlebe kwaneeminyaka kamva.
- Hlala usesikhathini ngamagciwane . I-vaccine ye-pneumococcal (Prevnar) inceda ukunqanda uhlobo oluqhelekileyo lwezifo zentloko kunye nokugonya umkhuhlane kungasiza .
Ngokuchasene nenkolelo eninzi, ukufumana amanzi kumntwana okanye iindlebe zomntwana omncinci, akuyi kubangela i-serous otitis media. Abantwana abadada rhoqo kwaye bangayomisi iindlebe zabo ngokwaneleyo banokufumana indlebe yokuguqula , kodwa le yimeko ehluke ngokupheleleyo.
ILizwi
Intlupheko yakho indlebe yingxaki eqhelekileyo, ingakumbi kubantwana kwiminyaka yabo yokuqala. Ingaba ungumntu omdala okanye umntwana, umkhuhlane entlebeni yakho unokusombulula ngaphandle kokonyango.
Ukuba iimpawu zakho ziye zaqhubeka ngaphezu kweeveki ezintandathu okanye zibangele iimpawu ezibalulekileyo, kunjalo, kufuneka ubone ugqirha wakho. Ixesha elide, elingaphendulwanga kwindlebe lunokuchaphazela umgangatho wobomi kunye nokusebenza esikolweni okanye emsebenzini.
> Imithombo:
> I-American Academy ye-Otolaryngology-Intloko kunye nokuPhepha kweNeck. UkuPhatha nokuLawula iMfudu yeNdlebe. http://www.entnet.org/sites/default/files/uploads/PracticeManagement/Resources/_files/ome-reating-managing_cobranded.pdf .
> I-Otitis media kunye nefuthe. IweMedialine Plus. https://medlineplus.gov/ency/article/007010.htm. Uhlaziywe ngo-Agasti 31, 2016.
> Rosenfeld, RM, Shin, JJ, Schwartz, SR, Coggins, R, Gagnon, L, Hacker, JM ... Corrigan, MD. (2016) .Isikhokelo sendlela yokuSebenza: i-Otitis Media kunye ne-Effusion (Update). I-Otolaryngology- iNtloko kunye nokuPhepha kweNeck. 154 (1S) S1-S4.