Ukulungiswa kweendlebe

Ukulungiswa kwe-Eardrum kubhekisa kwinkqubo enye okanye nangaphezulu yotyando eyenziweyo ukulungisa iinyembezi okanye omnye umonakalo kwi-eardrum (inwebu yetympanic).

I-Ossiculoplasty kukulungiswa kwamathambo amancinci kwindlebe esembindini.

Uninzi lwabantu abadala (kunye nabo bonke abantwana) bafumana i-anesthesia ngokubanzi. Oku kuthetha ukuba uya kulala kwaye ungakwazi ukuva iintlungu. Ngamanye amaxesha, i-anesthesia yendawo isetyenziswa kunye neyeza elikwenza wozele.

Ugqirha uya kusika emva kwendlebe okanye ngaphakathi kwendlebe yendlebe.

Kuxhomekeka kwingxaki, ugqirha wotyando uya:

• Coca naluphi na usulelo okanye inyama efileyo kwindlebe okanye kwindlebe esembindini.
• Bamba indlebe ngesiqwengana sesicwili somguli esithathwe emthanjeni okanye esingxotyeni semisipha (ebizwa ngokuba yitympanoplasty). Le nkqubo ihlala ithatha iiyure ezi-2 ukuya kwezi-3.
• Susa, buyisela, okanye ulungise i-1 okanye nangaphezulu kwamathambo ama-3 amancinci kwindlebe esembindini (ebizwa ngokuba yi-ossiculoplasty).
• Lungisa imingxunya encinci kwindlebe ngokubeka ijeli okanye iphepha elikhethekileyo kwindlebe (ebizwa ngokuba yi-myringoplasty). Le nkqubo ihlala ithatha imizuzu eli-10 ukuya kwengama-30.

Ugqirha uya kusebenzisa imicroscope yokusebenza ukujonga nokulungisa i-eardrum okanye amathambo amancinci.

Indlebe iphakathi kwendlebe engaphandle naleyo iphakathi. Iyashukuma xa isandi siyibetha. Xa i-eardrum yonakele okanye inomngxunya kuyo, ukuva kungancitshiswa kwaye usulelo lweendlebe lunokubakho.

Oonobangela bemingxunya okanye ukuvuleka kwindlebe kubandakanya:

• Usulelo olubi lwendlebe
• Ukungasebenzi kwetyhubhu ye-eustachian
• Ukuncamathisela okuthile ngaphakathi kwendlebe
• Ugqirha ukubeka iityhubhu zeendlebe
• Umonzakalo

Ukuba i-eardrum inomngxunya omncinci, i-myringoplasty inokusebenza ukuyivala. Uninzi lwexesha, ugqirha wakho uya kulinda okungenani iiveki ezi-6 emva kokuba umngxunya uphuhlisiwe ngaphambi kokucebisa utyando.

I-Tympanoplasty inokwenziwa ukuba:

• I-eardrum inomngxunya omkhulu okanye ukuvulwa
• Kukho usulelo olungapheliyo endlebeni, kwaye ii-antibiotics azincedi
• Kukho ukwakhiwa kwethishu eyongezelelweyo ejikeleze okanye ngasemva kwendlebe

Ezi ngxaki ezifanayo zinokwenzakalisa amathambo amancinci (ossicles) angasemva kwe-eardrum. Ukuba oku kuyenzeka, ugqirha wakho wotyando unokwenza i-ossiculoplasty.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi, usulelo

Iingozi zale nkqubo zibandakanya:

• Ukonakala kwimbilini yobuso okanye imithambo-luvo elawula uvakalelo lwencasa
• Ukonakala kumathambo amancinci kwindlebe esembindini, kubangela ukulahleka kwendlebe
• Isiyezi okanye i-vertigo
• Ukuphilisa okungagqitywanga komngxunya kwindlebe
• Ukuphakama kwendlebe, okanye, kwiimeko ezinqabileyo, ukulahleka okupheleleyo kokuva

Xelela umboneleli wezempilo:

• Yintoni i-allergies wena okanye umntwana wakho onokuba nayo kuwo nawaphi na amayeza, i-latex, iteyiphu, okanye isicoci solusu
• Ngawaphi amayeza owathathayo wena okanye umntwana wakho, kubandakanya amayeza kunye neevithamini owathengileyo ngaphandle kommiselo

Ngomhla wotyando lwabantwana:

• Landela imiyalelo malunga nokungatyi okanye ukusela. Kwiintsana, oku kubandakanya ukuncancisa.
• Thatha nawaphi na amayeza afunekayo kunye nokusela okuncinci kwamanzi.
• Ukuba wena okanye umntwana wakho uyagula ngentsasa yotyando, tsalela umnxeba ugqirha ngokukhawuleza. Inkqubo iya kufuna ukuba icwangciswe ngokutsha.
• Fika esibhedlele ngexesha.

Wena okanye umntwana wakho ninokuphuma esibhedlele kwangolo suku lunye lotyando, kodwa kusenokufuneka ukuba nilale ubusuku xa kukho naziphi na iingxaki.

Ukukhusela indlebe emva kotyando:

• Ukupakisha kuya kufakwa endlebeni kwiintsuku ezi-5 ukuya kwezi-7 zokuqala.
• Ngamanye amaxesha ukunxiba kugubungela indlebe uqobo.

Kude umboneleli wakho athi kulungile:

• Musa ukuvumela amanzi ukuba angene endlebeni. Xa uhlamba okanye uhlamba iinwele zakho, beka umqhaphu kwindlebe engaphandle uze uyogqume ngepetroleum jelly. Okanye, unxibe ikepusi yokuhlamba.
• Suku "pop" iindlebe zakho okanye uvuthele impumlo. Ukuba ufuna ukuthimla, yenze ngomlomo wakho. Zoba nayiphi na incindi empumlweni yakho ibuyele emqaleni wakho.
• Kulumkele ukuhamba komoya kunye nokudada.

Sula ngobunono nawuphi na umsele wendlebe ngaphandle kwendlebe. Unokufumana ii-eardrops kwiveki yokuqala. Musa ukubeka enye into endlebeni.

Ukuba unemithungo emva kwendlebe kwaye iba manzi, yome ngobumnene indawo. Musa ukurabha.

Wena okanye umntwana wakho niziva ngathi nitsala, okanye niva ukuphuma, ukunqakraza, okanye ezinye izandi endlebeni. Indlebe inokuziva igcwele okanye ngokungathi igcwele ulwelo. Kunokubakho iintlungu ezibukhali, zokudubula kwaye kungekudala emva kotyando.

Ukuthintela ukubamba ingqele, hlala kude kwiindawo ezixineneyo nakubantu abaneempawu ezibandayo.

Kwiimeko ezininzi, iintlungu kunye neempawu zikhululeke ngokupheleleyo. Ukuphulukana nokuva kuyinto encinci.

Isiphumo asinakulunga ukuba amathambo akwindlebe esembindini kufuneka ahlaziywe, kunye ne-eardrum.

Isirinji; Tympanoplasty; Ossiculoplasty; Ulwakhiwo ngokutsha; ITympanosclerosis - utyando; Ukuyekiswa kweOssicular - utyando; Ukulungiswa kweOssicular - utyando

• Ukulungiswa kweendlebe - uthotho

Adams ME, uEl-Kashlan HK. I-Tympanoplasty kunye ne-ossiculoplasty. Ku: IFlint PW, uFrancis HW, uHaughey BH, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 142.

UChiffer R, u-Chen D. I-Myringoplasty kunye ne-tympanoplasty. Ku: U-Eugene M, uSnyderman CH, ii-eds. Umsebenzi weNtloko yeOtolaryngology kunye nokuhlinzwa kotyando. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2018: isahluko 131.

UFayad JN, uSheehy JL. I-Tympanoplasty: ubuchule bokumilisela ngaphezulu komhlaba. Ku: Brackmann DE, Shelton C, Arriaga MA, ii-eds. Utyando lweOtologic. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2016: isahl 8.