Imithombo yeendaba eyi-Otitis Media: oonobangela, iimpawu, kunye noxilongo

Umxholo

• Ushwankathelo
• Ziintoni iimpawu ze-acute otitis media?
• Yintoni ebangela i-acute otitis media?
• Ngubani osemngciphekweni we-otitis media?
• Ichaphazeleka njani i-otitis media?
• IOtoscope
• KwiTympanometry
• I-Reflectometry
• Uvavanyo lokuva
• I-otitis media iphathwa njani?
• Unonophelo lwasekhaya
• Amayeza
• Ugqirha
• Ukususwa kweAdenoid
• Iityhubhu zeendlebe
• Ithini imbonakalo yexesha elide?
• Ungayithintela njani imithombo yeendaba ebukhali

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ushwankathelo

I-acute otitis media (AOM) luhlobo olubuhlungu losulelo lwendlebe. Kwenzeka xa indawo esemva kwendlebe ebizwa ngokuba yindlebe esembindini iyavuvukala kwaye yosuleleke.

Ezi ndlela zokuziphatha zilandelayo ebantwaneni zihlala zithetha ukuba bane-AOM:

• ukuxhamla kunye nokukhala okukhulu (kwiintsana)
• ukubamba indlebe ngelixa uphumelela kwintlungu (kubantwana abancinci)
• ukukhalaza ngentlungu yendlebe (kubantwana abadala)

Ziintoni iimpawu ze-acute otitis media?

Iintsana nabantwana banokuba nolu lunye okanye nangaphezulu kwezi mpawu zilandelayo:

• ndilila
• ukucaphuka
• ukungalali
• ukutsala ezindlebeni
• ubuhlungu bendlebe
• intloko ebuhlungu
• intlungu yentamo
• imvakalelo yokugcwala endlebeni
• umjelo wamanzi kwindlebe
• umkhuhlane
• ukugabha
• urhudo
• ukucaphuka
• ukungabikho kokulinganisela
• ukungeva kakuhle

Yintoni ebangela i-acute otitis media?

Umbhobho we-eustachian yityhubhu ebaleka ukusuka embindini wendlebe ukuya emva komqala. I-AOM yenzeka xa ityhubhu yomntwana wakho eustachian idumbile okanye ivinjiwe kwaye ibambise ulwelo kwindlebe ephakathi. Ulwelo oluvalelekileyo lunokosulelwa. Kubantwana abancinci, ityhubhu ye-eustachian imfutshane kwaye ithe tyaba ngakumbi kunakubantwana abadala nakubantu abadala. Oku kwenza ukuba kube lula ukosuleleka.

Ityhubhu ye-eustachian inokudumba okanye ivalwe ngezizathu ezininzi:

• Ukungabikho komzimba
• ebandayo
• umkhuhlane
• usulelo lwesono
• ii-adenoids ezosulelekileyo okanye ezandisiweyo
• umsi wecuba
• ukusela ngelixa ulele (kwiintsana)

Ngubani osemngciphekweni we-otitis media?

Imiba yomngcipheko we-AOM ibandakanya:

• phakathi kweenyanga ezi-6 nezingama-36 ubudala
• usebenzisa i-pacifier
• ukuya kwindawo yokugcina abantwana
• ukondliwa ngebhotile endaweni yokuncanciswa (kwiintsana)
• ukusela ngelixa ulele (kwiintsana)
• ukuvezwa ngumsi wecuba
• ukubhentsiswa kumanqanaba aphezulu ongcoliseko lomoya
• ufumana utshintsho kubude
• ukufumana utshintsho kwimozulu
• ukuba kwimozulu ebandayo
• ukubanda, umkhuhlane, isusu okanye usulelo lwendlebe

Imfuza ikwadlala indima ekwandiseni umngcipheko womntwana wakho kwi-AOM.

Ichaphazeleka njani i-otitis media?

Ugqirha womntwana wakho unokusebenzisa enye okanye ezingaphezulu kwezi ndlela zilandelayo ukuxilonga i-AOM:

IOtoscope

Ugqirha womntwana wakho usebenzisa isixhobo esibizwa ngokuba yi-otoscope ukujonga kwindlebe yomntwana wakho kwaye abone:

• bomvu
• ukudumba
• igazi
• ubofu
• amaqamza omoya
• ulwelo endlebeni esembindini
• Ukugqobhoza indlebe

KwiTympanometry

Ngexesha lovavanyo lwe-tympanometry, ugqirha womntwana wakho usebenzisa isixhobo esincinci ukulinganisa uxinzelelo lomoya kwindlebe yomntwana wakho kwaye anqume ukuba indlebe iyaphuka na.

I-Reflectometry

Ngexesha lovavanyo lwe-reflectometry, ugqirha womntwana wakho usebenzisa isixhobo esincinci esenza isandi kufutshane nendlebe yomntwana wakho. Ugqirha womntwana wakho unokumisela ukuba kukho ulwelo endlebeni ngokumamela isandi esibonakaliswe ngasemva kwindlebe.

Uvavanyo lokuva

Ugqirha wakho angenza uvavanyo lokuva ukufumanisa ukuba ngaba umntwana wakho unengxaki yokuva.

I-otitis media iphathwa njani?

Uninzi losulelo lwe-AOM lusombulula ngaphandle konyango lwe -antibiotic. Unyango lwasekhaya kunye neyeza zonyango zihlala zicetyiswa ngaphambi kokuba i-antibiotics izame ukunqanda ukusetyenziswa gwenxa kwee-antibiotics kunye nokunciphisa umngcipheko wokuphendula okungalunganga kwii-antibiotics. Unyango lwe-AOM lubandakanya:

Unonophelo lwasekhaya

Ugqirha wakho unokucebisa ngezi ndlela zonyango zilandelayo ukukhupha iintlungu zomntwana wakho ngelixa elinde usulelo lwe-AOM ukuba luhambe:

• ukufaka ilaphu elifudumeleyo nelifumileyo kwindlebe eyosulelekileyo
• ukusebenzisa i-over-the-counter (OTC) yehla ngendlebe ukunciphisa iintlungu
• ukuthatha i-OTC yokunciphisa iintlungu ezinje nge-ibuprofen (Advil, Motrin) kunye ne-acetaminophen (Tylenol)

Amayeza

Ugqirha wakho unokumisela i-eardrops yokuphucula iintlungu kunye nezinye iintlungu. Ugqirha wakho unokumisela amayeza okubulala iintsholongwane ukuba iimpawu zakho azipheli emva kweentsuku ezimbalwa zonyango lwasekhaya.

Ugqirha

Ugqirha wakho unokucebisa utyando ukuba usulelo lomntwana wakho aluphenduli kunyango okanye ukuba umntwana wakho unesifo esiphindaphindayo sendlebe. Ukhetho lotyando lwe-AOM lubandakanya:

Ukususwa kweAdenoid

Ugqirha womntwana wakho unokucebisa ukuba ii-adenoids zomntwana wakho zisuswe ngotyando ukuba zandisiwe okanye zosulelekile kwaye umntwana wakho unezifo ezenzeka rhoqo kwindlebe.

Iityhubhu zeendlebe

Ugqirha wakho unokucebisa ngenkqubo yotyando ukufaka iityhubhu ezincinci kwindlebe yomntwana wakho. Iityhubhu zivumela umoya kunye nolwelo ukuba luphume kwindlebe esembindini.

Ithini imbonakalo yexesha elide?

Usulelo lwe-AOM ngokubanzi lubangcono ngaphandle kwengxaki, kodwa usulelo lungavela kwakhona. Umntwana wakho unokufumana ilahleko yokuva okwethutyana okwexeshana. Kodwa ukuva komntwana wakho kufuneka kubuye ngokukhawuleza emva konyango. Ngamanye amaxesha, usulelo lwe-AOM lunokubangela:

• usulelo lwendlebe oluqhelekileyo
• i-adenoids eyandisiweyo
• iitoni ezandisiweyo
• indlebe eqhekekileyo
• cholesteatoma, nto leyo ukukhula endlebeni embindini
• ukulibaziseka kwentetho (kubantwana abanezifo ezenzeka rhoqo kwi-otitis media)

Kwiimeko ezinqabileyo, usulelo lwethambo le-mastoid kwikakayi (mastoiditis) okanye usulelo kwingqondo (meningitis) lunokwenzeka.

Ungayithintela njani imithombo yeendaba ebukhali

Ungawanciphisa amathuba okuba umntwana wakho abe ne-AOM ngokwenza oku kulandelayo:

• hlamba izandla kunye nezinto zokudlala rhoqo ukunciphisa amathuba akho okufumana ukubanda okanye olunye usulelo lokuphefumla
• thintela umsi wecuba
• Fumana amahlumela omkhuhlane kunye nokugonya kwe-pneumococcal
• ukuncancisa iintsana endaweni yokuba uzincancise ngebhotile ukuba kunokwenzeka
• kuphephe ukunika usana lwakho pacifier