Ukuhlolisisa ngokufanelekileyo ukusuleleka kwindlebe, eyaziwa ngokuba yi-otitis media (AOM), iyanciphisa ixesha lokungahambi kakuhle, kubalulekile ukuphepha ukusetyenziswa kakubi kwee-antibiotiki, kwaye kunceda ukukhusela ukukhushulwa kwesifo. Ngaphandle kwimbali yezempilo epheleleyo, ugqirha wakho uya kufuneka ukuba asebenzise i-otoscope ye-pneumatic ukuze ahlolisise ukusuleleka kwindlebe.
Ngenxa yokuba abantwana abancinci abakwazi ukukuxelela njalo into engalunganga, ukufumana ukuba umntwana wakho unokutheleleka kwindlebe kunokunyamezela njengomzali.
Ngethamsanqa, ugqirha oqeqeshiwe unokukwazi ukufumana intsholongwane yeendlebe ngaphandle kokubunzima. Kwakhona qaphela ukuba nangona ungenayo intsholongwane yendlebe njengomntwana, usenokufumana omnye njengomdala.
I-Self-Checks kunye noVavanyo lweNdlu
Awudingi ukuba ugqirha ukuze uthenge iimpahla ezifunekayo ukwenza ukuhlolwa kweendlebe eziphumelelayo. Nangona kunjalo, akakhuthazwa ngaphandle kokuba uyazi into oyenzayo, njengoko kukho ubuqhetseba bokuvavanya umlenze we-tympanic (njengoko uchazwe ngezantsi).
Abantwana nabo baziwa ngokuba bengabambisani ngexesha lokuvavanya indlebe. Ngaphandle kwezixhobo ezifanelekileyo kunye nobuchule, kukho umngcipheko wengozi ukuphazamisa i-eardrum ukuba ufaka nayiphi na into ekude kakhulu endlebeni.
Nangona kunjalo, kukho iinkampani ezenza kube lula kwisheke esheshayo ukuba unokufumana uncedo ngaphambi kokutyelela ugqirha wakho. Kukhona ezinye izikhonkwane ze-smartphone eziza kukuvumela ukuba uzibone ngeso lengxolo yomlomo kunye nomlenze we-tympanic.
Kukho kwakhona izixhobo eziphuhlisiwe eziza kuzama ukubonelela umlinganiselo wenqanaba lomkhuhlane emva kweeardrum yakho; nangona ukuchaneka kubonakala kungathandabuzeki ngokusekelwe kwiingxelo ze-intanethi.
UkuVavanya
Ngexesha lokutyelela ugqirha wakho, kuya kubaluleka ukuba bahlolisise indlebe yakho.
I-Otoscopy ngumvavanyo owenziwe nge-otoscope eza kuvumela ukubonakala kwindlela yokutya yomlomo wangaphandle kunye ne-eardrum yakho (i-membrane ye-tympanic).
Ngoxa unako ukwenza uvavanyo oluyisiseko kunye ne-otoscope ephezulu, kulunge ukuba ugqirha wakho unesinamathiselo se-phosumatic ye-otoscope. Isifakelo se-pneumatic nje yibhulabhu yerabha evumela ugqirha wakho ukuba afake uxinzelelo olusisiseko kumlenze wakho we-tympanic. Nantsi into oza kugqirha ugqirha wakho kwi-eardrum evamile:
- Isikhundla - i-membrane ye tympanic iya kuba kwindawo esicacileyo okanye engathathi hlangothi
- I-Translucency - i-membrane ye-tympanic ibonakala iguquguqukayo
- Umtsalane - i-membrane ye tympanic iya kuhamba kunye nokusetyenziswa kwengcinezelo ye-pneumatic (zombini uxinzelelo olubi okanye olubi) kwi-bulb kwi-otoscope
- Umbala - umlenze wohlobo luya kubonakala ngegrey okanye ipinki
Iziphumo ezibonisa ukungaqhelekanga kwindlebe yakho yangaphakathi ziquka:
- Isikhundla - i-membrane ye-tympanic ibhaxa okanye ihoxiswe
- I-Translucency - i-membrane ye-tympanic i-opaque okanye iguqukile
- Ukuhambelana - umlenze we-tympanic awuphenduli ngokufanelekileyo ngokunyanzeleka kwe-pneumatic xa usebenzisa i-bulb kwi-otoscope
- Umbala-obomvu, ohlaza okwesibhakabhaka, obomvu, omhlophe, okanye obomvu, yonke imibala engavamile ehambelana nomlenze we tympanic.
Ugqirha wakho uya kuthi uhlolisise ukuba usulelekile xa uthe wabona i-membrane ekhuphayo
Ukucinga
Awudingi naluphi na ukucinga ngomsebenzi oqhelekileyo wokusuleleka kwindlebe. Nangona kunjalo, ukuba usulelo luhlala lude kwaye ugqirha wakho ukhathazekile ngezinye iingxaki, banokuyalela i-CT scan okanye i-MRI.
I-scan ye-CT ingaba luncedo ekuboneni izakhiwo, ama-abscesses, okanye ezinye izinto ezingekho phantsi kweendlebe. Ngakolunye uhlangothi, luncedo ukuba ugqirha wakho uxhalabele malunga naziphi na iingxaki ezinxulumene nengqondo yakho. Ukusetyenziswa kwe-CT okanye i-MRI kuya kuba yinto enqabile kwaye ayiyi kuba yingxenye yovavanyo oluqhelekileyo.
Ukuxilongwa okuhlukeneyo
Xa uvavanya ukuba ungenayo intsholongwane, ingaba ugqirha uzakuzama ukwahlula ukuba unesifo esibi se-otitis media (ukusuleleka kwindlebe) okanye i- otitis media kunye ne-effusion (OME, ukungenayo igciwane emlonyeni). Zombini zinokubonakala zifana kakhulu.
Umbala, ukunyakaza, kunye nokuguquguquka kwezinto kunokuhlukahluka phakathi kwe-AOM kunye ne-OME. Nangona kunjalo, isikhundla se-tympanic membrane ngokuqhelekileyo sisisigxina sokubhaliweyo. Kwi-AOM, umlenze we-tympanic udla ngokugqithiseleyo, ngelixa kudla ngokuphindwa kwi-OME.
Ubomvu
Ukubomvu komlenze wakho we-tympanic ngaphandle kweempawu zelungelelaniso emva kwe-eardrum akubangelwa yintsholongwane yindlebe. Ugqirha wakho unokujonga kwakhona ezi zizathu eziqhelekileyo zobomvu ecaleni kwimbumba ye tympanic:
- ukusuleleka kwentsholongwane yokuphefumula ebangela ukuvuvukala kwendlela yokuphefumula
- bekhala
- umkhuhlane ophezulu
- intlungu
- Ukususwa kwangoko kwendlebe
Ukunyuka kweMiqathango
Ukuvavanya ukuhamba kwesibindi se-tympanic kubalulekile ukuchongwa kwe-ear-out effusion (MEE-fluid entlebeni yakho). Nangona kunjalo, ukuhamba kwehla akuthethi ukuba umbane ophakathi kwindlebe unesifo. Ezinye izizathu zokunciphisa ukuhamba kwebhubanic yakho zibandakanya:
- ukuphazamiseka kwiphubhu ye- eustachian
- tympanosclerosis
Intlungu
Ukuba nentlungu yendlebe yimiqondiso eqhelekileyo yentsholongwane yindlebe. Nangona kunjalo, kukho ezinye ezininzi izizathu zokufumana intlungu intloko kuquka:
- i-otitis externa (indlebe yokudada)
- intlungu
- ukukhutshwa komngcipheko weendlebe ngento yangaphandle
- syorrome ehlangeneyo
- i-herpes zoster (i-shingles)
Ngenxa yezifo ezahlukeneyo ezinokuthi zenzeke ngeempawu zentsholongwane yendlebe, kubalulekile ukuba ulandelele ugqirha ngokuxilongwa ngokufanelekileyo.
> Imithombo:
> I-otitis media inabantu abadala. KwiWebhu yeToDate. http://www.uptodate.com (ubhaliso olufunekayo). Ukuhlaziywa ngo-Apreli 19, 2017.
> I-otitis media inabantwana: Ukuxilonga. KwiWebhu yeToDate. http://www.uptodate.com (ubhaliso olufunekayo). Ukuhlaziywa kwe-Oktobha 13, 2017.
> Lieberthal, AS, Carroll, AE, Chonmaitree, T, Ganiats, TG, Hoberman, A ... Tunkel, DE. (2013). Ukuxilongwa noLawulo lwe-Acute Otitis Media. Iingcali 131 (3), e964-e999.
> Ponka, D & Baddar, F. (2013). I-otoscopy yomoya. Ngaba Unogqirha weNtsapho. 59 (9): 962.