I-barotrauma yendlebe

I-barotrauma yendlebe ayonwabanga kwindlebe ngenxa yoxinzelelo phakathi koxinzelelo lwangaphakathi nangaphandle kwendlebe. Ingabandakanya umonakalo kwindlebe.

Uxinzelelo lomoya kwindlebe esembindini ihlala ifana noxinzelelo lomoya ngaphandle komzimba. Umbhobho we-eustachian unxibelelwano phakathi kwendlebe ephakathi kunye nomva wempumlo kunye nomqala ongaphezulu.

Ukuginya okanye ukuzamla kuvula ityhubhu ye-eustachi kwaye kuvumela umoya ukuba ungene ungene okanye uphume kwindlebe esembindini. Oku kunceda ukulinganisa uxinzelelo macala omabini endlebe. Ukuba ityhubhu ye-eustachian ivaliwe, uxinzelelo lomoya kwindlebe esembindini yahlukile kunexinzelelo lwangaphandle kwindlebe. Oku kunokubangela i-barotrauma.

Abantu abaninzi bane-barotrauma ngexesha elithile. Ingxaki ihlala ivela kutshintsho oluphezulu, njengokubhabha, ukuntywila, okanye ukuqhuba ezintabeni. Ukuba unempumlo edibeneyo evela kwi-allergies, kubanda, okanye kwintsholongwane ephezulu yokuphefumula, unako ukuhlakulela i-barotrauma.

Ukuvalwa kwetyhubhu ye-eustachian kunokubakho ngaphambi kokuzalwa (kokuzalwa). Inokubangelwa kukudumba emqaleni.

Iimpawu eziqhelekileyo zibandakanya:

• Ukuba nesiyezi
• Ukuphazamiseka kwindlebe okanye iintlungu kwindlebe enye okanye zombini
• Ukuphulukana nokuva (kancinci)
• Imvakalelo yokugcwala okanye ukugcwala ezindlebeni

Ezinye iimpawu zinokuphuhla ukuba imeko imbi kakhulu okanye iqhubeka ixesha elide, njenge:

• Intlungu yendlebe
• Ukuziva uxinzelelo ezindlebeni (ngokungathi uphantsi kwamanzi)
• Ukumodareyitha ukuya kuphulukene nendlebe
• Umphunga

Ngexesha lokuvavanywa kwendlebe, umboneleli wokhathalelo lwempilo unokubona ukubonakala kwangaphandle okuncinci okanye ukutsala kwangaphakathi kwendlebe. Ukuba imeko inzima, kunokubakho igazi okanye ukugruzuka emva kwendlebe.

I-barotrauma enamandla inokubonakala ifana nokusuleleka kwindlebe.

Ukunciphisa iintlungu zeendlebe okanye ukungonwabi, ungathatha amanyathelo okuvula ityhubhu ye-eustachian kunye nokunciphisa uxinzelelo, olunje:

• Uhlafune itshungama
• Tsala umoya, emva koko uphume kakuhle xa ubambe iimpumlo zivaliwe kwaye umlomo uvaliwe
• Suck kwiilekese
• Kwasa

Xa ubhabha, SUKULALA njengoko inqwelomoya ilungiselela ukuhla emhlabeni. Phinda amanyathelo adwelisiweyo ukuvula ityhubhu ye-eustachian. Kubantwana nabantwana abancinci, ukonga okanye ukuthatha iidrinki zesiselo kunokunceda.

Iintlobo ngeentlobo ze-Scuba kufuneka ziye ezantsi kwaye zize kancinci. Ukuntywila ngelixa une aleji okanye usulelo lokuphefumla kuyingozi. IBarotrauma inokuba nzima kwezi meko.

Ukuba amanyathelo okuzinyamekela akanciphisi ukungathandeki kwiiyure ezimbalwa okanye ingxaki inzima, unokufuna ukubona umboneleli.

Ungadinga iyeza lokukhulula ukuxinana kwempumlo kwaye uvumele ityhubhu ye-eustachian ukuba ivule. Oku kubandakanya:

• Ukuyekisa ukuthathwa ngomlomo, okanye ngesitshizi sempumlo
• I-Steroids ethathwe ngomlomo, okanye ngesitshizi sempumlo

Unokufuna i-antibiotics ukukhusela okanye ukunyanga usulelo lwendlebe ukuba i-barotrauma inzima.

Rhoqo, kunokufuneka kwenziwe utyando ukuba olunye unyango alusebenzi ukuvula ityhubhu. Kule nkqubo, ukusikwa kotyando kwenziwa kwi-eardrum ukuvumela uxinzelelo ukuba lilingane kunye nolwelo ukukhupha (myringotomy).

Ukuba kufuneka utshintshe ukuphakama rhoqo okanye uthambekele kwi-barotrauma, kuya kufuneka wenze utyando ukuze ubeke iityhubhu kwigubu lendlebe. Olu ayilulo ukhetho lokuntywila emanzini.

I-Barotrauma ihlala ingenawo umhlaza (ibenign) kwaye iphendula ekuzinyamekeleni. Ukuphulukana nokuva phantse kuhlala kungokwexeshana.

Iingxaki zinokubandakanya:

• Usuleleko Acute indlebe
• Ukuphulukana nokuva
• I-eardrum eqhekekileyo okanye egqobileyo
• Vertigo

Zama amanyathelo okhathalelo lwasekhaya kuqala. Fowunela umnikezeli wakho ukuba ukungaphatheki kakuhle akwenzi lula emva kweeyure ezimbalwa.

Biza umnikezeli wakho ukuba une-barotrauma kunye neempawu ezintsha ezikhulayo, ngakumbi:

• Ukucoca okanye ukopha endlebeni
• Ifiva
• Intlungu ebuhlungu yendlebe

Ungasebenzisa i-nasal decongestants (yokutshiza okanye yefom yefom) ngaphambi kotshintsho lobude. Zama ukuthintela utshintsho kubude obuphezulu ngelixa unentsholongwane ephezulu yokuphefumla okanye uhlaselo lokuhlaselwa.

Thetha nomboneleli wakho malunga nokusebenzisa ii-decongestants ukuba ucwangcisa ukuntywila.

Imithombo yeendaba yeBarotitis; IBarotrauma; Ukuphuma kwendlebe - i-barotrauma; Intlungu enxulumene noxinzelelo lwendlebe; Ukungasebenzi kakuhle kwetyhubhu ye-Eustachian - barotrauma; IBarotitis; Cinezela indlebe

• I-anatomy yendlebe

Ngu-Byyny RL, ngu-Shockley LW. Ukuntywila emanzini kunye nedysbarism. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 135.

UVan Hoesen KB, uLang MA. Iyeza lokuntywila. Ku: IAuerbach PS, Cushing TA, Harris NS, ii-eds. Amayeza ase-Auerbach Wilderness. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 71.