Usulelo lwendlebe - olungapheliyo

Usuleleko lwendlebe olungapheliyo lulwelo, ukudumba, okanye usulelo emva kwendlebe engahambiyo okanye eqhubeka ibuya. Ibangela ukonakala ixesha elide okanye okusisigxina kwindlebe. Ihlala ibandakanya umngxunya kwindlebe ongapholiyo.

Umbhobho we-eustachian ubaleka usuka embindini wendlebe nganye uye emva emqaleni. Lo mbhobho ukhupha ulwelo olwenziwe kwindlebe esembindini. Ukuba ityhubhu ye-eustachian iyavalwa, ulwelo lunokwakha. Xa oku kusenzeka, usulelo lunokwenzeka. Usulelo lwendlebe olungapheliyo luyenzeka xa ulwelo okanye usulelo emva kwendlebe lungapheli.

Usulelo lwendlebe olungapheliyo kunokubangelwa:

• Usulelo lwendlebe olunamandla olungapheliyo ngokupheleleyo
• Ukuphindaphindeka kosulelo lwendlebe

"Suppurative chronic otitis" ligama elisetyenziselwa ukuchaza i-eardrum egcina ukugqabhuka, ukukhupha, okanye ukudumba kwindlebe esembindini okanye kwindawo ye-mastoid kwaye ayipheli.

Usulelo lwendlebe luxhaphake ebantwaneni kuba iityhubhu zabo ze-eustachian zifutshane, zincinci, kwaye zithe tyaba ngakumbi kunabantu abadala. Usulelo lwendlebe olungapheliyo aluxhaphakanga kunosulelo lwendlebe olunamandla.

Iimpawu zosulelo lwendlebe olungapheliyo kunokuba nzima kakhulu kuneempawu zosulelo olubi. Ingxaki inokungaqatshelwa kwaye inganyangwa ixesha elide.

Iimpawu zingabandakanya:

• Intlungu yeendlebe okanye ukungonwabi kuhlala kuthambile kwaye uziva ngathi luxinzelelo endlebeni
• Umkhuhlane, uhlala uphantsi
• Ukuxhalaba kwiintsana
• I-Pus-like drainage evela endlebeni
• Ukuphulukana nokuva

Iimpawu zingaqhubeka okanye zize zihambe. Zingavela kwindlebe enye okanye zombini.

Umboneleli wakho wezempilo uya kujonga ezindlebeni esebenzisa i-otoscope. Uviwo lunokutyhila:

• Ukuba buthuntu, ukuba bomvu kwindlebe ephakathi
• Amaqamza omoya kwindlebe esembindini
• Ulwelo olungqindilili kwindlebe esembindini
• I-Eardrum ebambelela emathanjeni endlebeni esembindini
• Ukuhambisa ulwelo kwindlebe
• Umngxunya (ukugqobhoza) kwindlebe
• I-eardrum ekhupha okanye ibuyisele ngaphakathi ngaphakathi (iyawa)

Uvavanyo lunokubandakanya:

• Iinkcubeko zolwelo ezinokubonisa ukosuleleka yintsholongwane.
• Ukuskena i-CT entloko okanye kwimastoid kunokubonisa ukuba usulelo lusasazekile ngaphaya kwendlebe ephakathi.
• Uvavanyo lokuva lunokufuneka.

Umboneleli unokumisela amayeza okubulala iintsholongwane ukuba usulelo lubangelwa ziintsholongwane. La mayeza anokufuna ukusela ixesha elide. Banokunikwa ngomlomo okanye emthanjeni (ngaphakathi).

Ukuba kukho umngxunya kwi-eardrum, kusetyenziswa i-antibiotic indlebe yehla. Umboneleli unokucebisa ukuba kusetyenziswe isisombululo esine-asidi (enje ngeviniga kunye namanzi) kwindlebe esokolayo ekunzima ukuyinyanga enemingxunya (ukugqobhoza). Ugqirha wotyando kusenokufuneka acoce (debride) izicwili eziqokelelene ngaphakathi kwendlebe.

Olunye utyando olunokufuneka lubandakanya:

• Utyando lokucoca usulelo ngaphandle kwethambo le-mastoid (mastoidectomy)
• Ugqirha ukulungisa okanye ukubuyisela amathambo amancinci kwindlebe esembindini
• Ukulungiswa kwendlebe
• Utyando lwetyhubhu yendlebe

Usulelo lwendlebe olungapheliyo luhlala luphendula kunyango. Nangona kunjalo, umntwana wakho unokufuna ukuqhubeka nokusela amayeza iinyanga ezininzi.

Usulelo lwendlebe olungapheliyo alusongeli ubomi. Nangona kunjalo, banokungonwabi kwaye kunokubangela ukulahleka kwendlebe kunye nezinye iingxaki ezinzulu.

Usulelo olungapheliyo lwendlebe kunokubangela utshintsho olusisigxina kwindlebe kunye namathambo akufuphi, kubandakanya:

• Usulelo lwe-bone mastoid emva kwendlebe (mastoiditis)
• Umjelo oqhubekayo ophuma emngxunyeni kwindlebe ongapholiyo, okanye emva kokuba kufakwe imibhobho yendlebe
• I-cyst kwindlebe esembindini (cholesteatoma)
• Ukuqina kwethishu endlebeni ephakathi (tympanosclerosis)
• Ukonakaliswa okanye ukunxitywa kwamathambo endlebe ephakathi, encedisa ekuveni
• Ukukhubazeka kobuso
• Ukudumba okujikeleze ingqondo (i-epidural abscess) okanye kwingqondo
• Umonakalo kwinxalenye yendlebe enceda ngokulinganisela

Ukuva ilahleko ekonakaleni kwendlebe ephakathi kunokunciphisa ulwimi kunye nokukhula kwentetho. Oku kunokwenzeka ngakumbi ukuba zombini iindlebe ziyachaphazeleka.

Ukuphulukana nokuva ngokusisigxina kunqabile, kodwa umngcipheko uyanda ngenani kunye nobude bosulelo.

Fowunela umnikezeli wakho ukuba:

• Wena okanye umntwana wakho unemiqondiso yosulelo lwendlebe olungapheliyo
• Usulelo lwendlebe aluphenduli kunyango
• Iimpawu ezintsha zikhula ngexesha okanye emva konyango

Ukufumana unyango ngokukhawuleza kwintsholongwane yendlebe kunokunciphisa umngcipheko wokuphuhliswa kwintsholongwane engapheliyo. Yenza uvavanyo olulandelayo kunye nomboneleli wakho emva kokuba usulelo lwendlebe lunyangwe ukuqinisekisa ukuba lunyangeke ngokupheleleyo.

Usulelo lwendlebe oluphakathi - olungapheliyo; I-otitis media - engapheliyo; I-otitis media engapheliyo; Usulelo lwendlebe olungapheliyo

• I-anatomy yendlebe
• Usulelo lwendlebe oluphakathi (otitis media)
• Usulelo lwendlebe oluphakathi
• Ityhubhu ye-Eustachian
• Ukufakwa kwetyhubhu yendlebe-uthotho

IChole RA. Imithombo yeendaba ye-otitis engapheliyo, imastoiditis, kunye ne-petrositis. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 139.

Ironside JW, Smith C. Iinkqubo zangaphakathi zemithambo-luvo. Ku: Umnqamlezo we-SS, ed. I-Underwood's Pathology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 26. 21st ed. IPhiladelphia, PA: Elsevier; 2020: isahl 658.

I-Kerschner JE, i-Preciado D. Otitis yeendaba. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson, KM. ii-eds. Incwadi kaNelson yeNcwadi yePediatrics.

URosenfeld RM, uSchwartz SR, uPynnonen MA, okqhubekayo. Isikhokelo sokuziqhelanisa neklinikhi: Iityhubhu zeTympanostomy ebantwaneni. Intloko ye-Otolaryngol Surg. Ngo-2013; 149 (1 iSuppl): S1-S35. IINKCUKACHA: 23818543 pubmed.ncbi.nlm.nih.gov/23818543/.

URosenfeld RM, uShin JJ, uSchwartz SR, okqhubekayo. Isikhokelo sokuziqhelanisa neklinikhi: i-otitis media nge-effusion (uhlaziyo). Intloko ye-Otolaryngol Surg. Ngo-2016; 154 (1 iSuppl): S1-S41. IINKCUKACHA: 26832942 pubmed.ncbi.nlm.nih.gov/26832942/.

Steele DW, Adam GP, Di M, Halladay CH, Balk EM, Trikalinos TA. Ukusebenza kweetyhubhu ze-tympanostomy kwimithombo yeendaba ze-otitis: uhlalutyo lweemeta. IPediatrics. Ngo-2017; 139 (6): e20170125. ikhonkco: 10.1542 / peds.2017-0125. IINKCUKACHA: 28562283 pubmed.ncbi.nlm.nih.gov/28562283/.