Ukufakwa kwetyhubhu yendlebe

Ukufakwa kwetyhubhu yendlebe kubandakanya ukubeka iityhubhu eardrums. I-eardrum bubumdaka obucekeceke bethambo obahlula indlebe engaphandle naphakathi.

Qaphela: Eli nqaku ligxile ekufakweni kwetyhubhu yendlebe ebantwaneni. Nangona kunjalo, uninzi lolwazi lunokusebenza nakubantu abadala abaneempawu ezifanayo okanye iingxaki.

Ngelixa umntwana elele kwaye engenazintlungu (i-anesthesia ngokubanzi), ukusikwa okuncinci kwenziwa kwi-eardrum. Nawuphi na ulwelo oluqokeleleke ngasemva kwe-eardrum luyasuswa ngokutsalwa ngale ndlela isikiweyo.

Emva koko, ityhubhu encinci ibekwa ngokusikwa kwindlebe. Umbhobho uvumela ukuba kungene umoya ukuze uxinzelelo lufane kumacala omabini endlebe. Kwakhona, ulwelo olubanjiweyo lunokuhamba luphume kwindlebe esembindini. Oku kuthintela ukulahleka kwendlebe kwaye kunciphise umngcipheko wosulelo lwendlebe.

Ukwakhiwa kolwelo emva kwendlebe yomntwana wakho kunokubangela ukulahleka kwendlebe. Kodwa uninzi lwabantwana alunamonakalo wexesha elide kwindlebe okanye kwintetho, nokuba ulwelo lukhona kangangeenyanga ezininzi.

Ukufakwa kwetyhubhu yendlebe kunokwenziwa xa ulwelo lusakha emva kwendlebe yomntwana wakho kwaye:

• Awupheli emva kweenyanga ezi-3 kwaye zombini iindlebe ziyachaphazeleka
• Ayipheli emva kweenyanga ezi-6 kwaye ulwelo lusendlebeni enye kuphela

Usulelo lwendlebe olungahambiyo nonyango okanye oluhlala lubuya zizizathu zokubeka ityhubhu yendlebe. Ukuba usulelo alupheli ngonyango, okanye ukuba umntwana uneintsholongwane ezininzi kwindlebe ngexesha elifutshane, ugqirha unokucebisa imibhobho yendlebe.

Iityhubhu zeendlebe ngamanye amaxesha zisetyenziselwa abantu nabuphi na ubudala:

• Usulelo olukhulu lwendlebe olusasazeka emathanjeni akufutshane (mastoiditis) okanye kwingqondo, okanye olonakalisa imithambo-luvo ekufutshane
• Ukonzakala endlebeni emva kotshintsho ngequbuliso kuxinzelelo lokubhabha okanye ukuntywila elwandle

Iingozi zokufakwa kwetyhubhu yendlebe zibandakanya:

• Umjelo wendlebe.
• Umngxunya kwindlebe ongapholiyo emva kokuwa kwetyhubhu.

Uninzi lwexesha, ezi ngxaki azihlali thuba lide. Kananjalo azisoloko zibangela iingxaki ebantwaneni. Umboneleli wakho wezempilo unokuchaza ezi ngxaki ngakumbi.

Umngcipheko wayo nayiphi na i-anesthesia yile:

• Iingxaki zokuphefumla
• Impendulo kumayeza

Umngcipheko walo naluphi na utyando zezi:

• Ukopha
• Usulelo

Ugqirha wakho wendlebe womntwana unokucela imbali yezonyango kunye novavanyo lomzimba womntwana wakho ngaphambi kokuba kwenziwe inkqubo. Uvavanyo lokuva luyacetyiswa ngaphambi kokuba kwenziwe inkqubo.

Soloko uxelela umboneleli womntwana wakho:

• Zeziphi iziyobisi ezithathwa ngumntwana wakho, kubandakanya iziyobisi, amayeza kunye neevithamini ozithengileyo ngaphandle kommiselo.
• Ngaba umntwana wakho unaliphi i-aleji anokufumana kuwo nawaphi na amayeza, i-latex, iteyiphu okanye isicoci solusu.

Ngomhla wotyando:

• Umntwana wakho unokucelwa ukuba angaseli okanye atye nantoni na emva kobusuku bobusuku ngaphambi kokuhlinzwa.
• Nika umntwana wakho intwana yamanzi kunye naziphi na iziyobisi oxelelwe ukuba uzinike umntwana wakho.
• Umboneleli womntwana wakho uya kukuxelela ukuba ufike nini esibhedlele.
• Umboneleli uya kuqinisekisa ukuba umntwana wakho uphilile ngokwaneleyo ukuba angahlinzwa. Oku kuthetha ukuba umntwana wakho akanazimpawu zokugula okanye usulelo. Ukuba umntwana wakho uyagula, utyando lunokulibaziseka.

Abantwana bahlala rhoqo kwigumbi lokuchacha ixesha elifutshane kwaye baphuma esibhedlele kwangolo suku kufakwe ngalo imibhobho yendlebe. Umntwana wakho unokuba ne-groggy kunye nefussy kangangeyure okanye xa uvuka kwi-anesthesia. Umboneleli womntwana wakho unokumisela amathontsi endlebe okanye i-antibiotics kwiintsuku ezimbalwa emva kotyando. Ugqirha womntwana wakho unokucela ukuba ugcine iindlebe zomile ixesha elithile.

Emva kwale nkqubo, uninzi lwabazali baxela ukuba abantwana babo:

• Unesifo esincinci sendlebe
• Ukuchacha ngokukhawuleza kusulelo
• Yiva ngcono

Ukuba iityhubhu aziweli zodwa kwiminyaka embalwa, ingcali yeendlebe kungafuneka isuse. Ukuba usulelo lwendlebe luyabuya emva kokuphuma kwemibhobho, kunokufakwa enye imibhobho yendlebe.

IMringotomy; Tympanostomy; Utyando lwetyhubhu yendlebe; Uxinzelelo kwimibhobho yokulinganisa; Imibhobho umoya; IOtitis - iityhubhu; Usulelo lwendlebe - iityhubhu; Imithombo yeendaba ye-Otitis - iityhubhu

• Utyando lwetyhubhu yendlebe-yintoni oza kuyibuza ugqirha wakho

• Ukufakwa kwetyhubhu yendlebe-uthotho

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IPelton SI. I-Otitis externa, i-otitis media, kunye ne-mastoiditis. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 61.

Prasad S, Azadarmaki R. Otitis media, myringotomy, tympanostomy tube, kunye neebhaluni. Ku: Myers EN, Snyderman CH, ii-eds. Umsebenzi weNtloko yeOtolaryngology kunye nokuhlinzwa kotyando. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2018: isahluko 129

URosenfeld RM, uSchwartz SR, uPynnonen MA, okqhubekayo. Isikhokelo sokuziqhelanisa neklinikhi: iityhubhu zetympanostomy ebantwaneni. Intloko ye-Otolaryngol Surg. Ngo-2013; 149 (1 iSuppl): S1-35. IINKCUKACHA: 23818543 pubmed.ncbi.nlm.nih.gov/23818543/.