I-Otitis Media kunye ne-Effusion

Umxholo

• Yintoni i-otitis media nge-effusion?
• Yintoni ebangela i-OME?
• Zithini iimpawu ze-OME?
• Uxilongwa njani?
• Iphathwa njani i-OME?
• Ndingayikhusela njani kwi-OME?
• Zeziphi iingxaki ezinxulunyaniswa ne-OME?
• Ithini imbonakalo yexesha elide ye-OME?

Yintoni i-otitis media nge-effusion?

Umbhobho we-eustachian ukhupha ulwelo ezindlebeni zakho uye emva komqala wakho. Ukuba ivala, i-otitis media nge-effusion (i-OME) inokwenzeka.

Ukuba unayo i-OME, icandelo eliphakathi lendlebe ligcwalisa ulwelo, olunokunyusa umngcipheko wosulelo lwendlebe.

I-OME ixhaphake kakhulu. Ngokwe-Arhente yoPhando lwezeMpilo kunye noMgangatho, malunga neepesenti ezingama-90 zabantwana baya kuba ne-OME ubuncinci kube kanye xa beneminyaka eli-10.

Yintoni ebangela i-OME?

Abantwana kunokwenzeka ngakumbi ukuba bafumane i-OME ngenxa yemilo yeetyhubhu zabo ze-eustachian. Iityhubhu zabo zimfutshane kwaye zinokuvuleka okuncinci. Oku kwandisa umngcipheko wokuvaleka nosulelo. Imibhobho yabantwana eustachian nayo ijolise ngokuthe tye ngakumbi kunakubantu abadala. Oku kwenza ukuba kube nzima ngakumbi ukukhupha ulwelo kwindlebe ephakathi. Kwaye abantwana banomkhuhlane oxhaphakileyo kunye nezinye izifo zentsholongwane ezinokubasetyenziselwa ulwelo olungaphezulu kwindlebe esembindini kunye nosulelo olungakumbi lwendlebe.

I-OME ayilulo usuleleko lwendlebe, kodwa zinokunxulumana. Umzekelo, usulelo lwendlebe lunokuchaphazela indlela ohamba kakuhle ngayo umbane kwindlebe ephakathi. Kwanasemva kokuba usulelo luphelile, ulwelo lunokuhlala luhleli.

Kwakhona, ityhubhu evaliweyo kunye nolwelo olungaphezulu kunokunika imeko efanelekileyo yokuba ibhaktiriya ikhule. Oku kunokukhokelela kusulelo lwendlebe.

Ukungabikho komzimba, ukucaphukisa umoya, kunye nosulelo lokuphefumla kunokubangela i-OME. Utshintsho kuxinzelelo lomoya lunokuvala ityhubhu ye-eustachian kwaye ichaphazele ukuhamba kwamanzi. Oonobangela banokubangelwa kukubhabha ngenqwelomoya okanye ngokusela xa ulele.

Ukuqonda gwenxa okuqhelekileyo kukuba amanzi endlebeni anokubangela i-OME. Oku akuyonyaniso.

Zithini iimpawu ze-OME?

I-OME ayisosiphumo sosulelo. Iimpawu zihlala ziphakathi okanye ziphantsi, kwaye zinokwahluka ngokuxhomekeke kubudala bomntwana. Kodwa ayingabo bonke abantwana abane-OME abaneempawu okanye isenzo okanye abaziva begula.

Olunye uphawu oluqhelekileyo lwe-OME ziingxaki zokuva. Kubantwana abancinci, utshintsho kwindlela yokuziphatha inokuba luphawu lweengxaki zokuva. Umzekelo, umntwana unokumenza abe phezulu kakhulu umabonwakude kunesiqhelo. Banokutsala okanye batsale ezindlebeni zabo.

Abantwana abadala kunye nabantu abadala abane-OME bahlala bechaza isandi njenge-muffled. Kwaye banokuba nemvakalelo yokuba indlebe igcwele ulwelo.

Uxilongwa njani?

Ugqirha uya kuvavanya indlebe esebenzisa i-otoscope, eyiglasi yokukhulisa enesiphelo esikhanyisiweyo esisetyenziselwa ukujonga ngaphakathi kwendlebe.

Ugqirha uya kukhangela:

• amaqamza omoya kumphezulu wendlebe
• indlebe ebonakala buthuntu endaweni yokuguda nokukhazimla
• ulwelo olubonakalayo emva kwendlebe
• indlebe engashukumiyo xa kuvuthelwa umoya omncinci kuyo

Ezinye iindlela zovavanyo oluphucukileyo ziyafumaneka. Omnye umzekelo yi-tympanometry. Kolu vavanyo, ugqirha ufaka iprobe endlebeni. Isiphumo sigqiba ukuba luluphi ulwelo olungemva kwendlebe kunye nokuba lukhulu kangakanani.

I-otoskopu ye-acoustic ikwanokubona ulwelo kwindlebe ephakathi.

Iphathwa njani i-OME?

U-OME uhlala ecoca yedwa. Nangona kunjalo, i-OME engapheliyo inokunyusa umngcipheko wosulelo lwendlebe. Kuya kufuneka ubone ugqirha wakho ukuba uziva ngathi kusekho ulwelo emva kwendlebe yakho emva kweeveki ezintandathu. Unokufuna unyango oluthe ngqo ngakumbi ukuze ucofe iindlebe zakho.

Olunye uhlobo lonyango oluthe ngqo yimibhobho yendlebe, enceda ukukhupha ulwelo emva kweendlebe.

Ukususa ii-adenoids kunokunceda ukunyanga okanye ukuthintela i-OME kwabanye abantwana. Xa ii-adenoids zisanda zinokuthintela ukuntywila kwindlebe.

Ndingayikhusela njani kwi-OME?

I-OME kunokwenzeka ukuba yenzeke ekwindla nasebusika iinyanga, ngokweSibhedlele saBantwana sasePennsylvania (CHOP). Ngethamsanqa, kukho izinto onokuzenza ukunciphisa umngcipheko wokuphuhlisa i-OME.

Iindlela zokuthintela zibandakanya:

• ukuhlamba izandla rhoqo kunye nezinto zokudlala
• ukunqanda umsi wecuba kunye nongcoliseko, ezinokuchaphazela ukuhambisa indlebe
• ukuthintela i-allergen
• usebenzisa izihluzi zomoya ukugcina umoya ucocekile kangangoko
• ukusebenzisa iziko lokugcina abantwana elincinci, ngokuchanekileyo linabantwana abathandathu okanye ngaphantsi
• ukuncancisa, okunceda umntwana wakho amelane nosulelo lwendlebe
• ungaseli utywala xa ulele phantsi
• ukuthatha ii-antibiotics kuphela xa kukho imfuneko

I-pneumonia kunye nokugonya umkhuhlane nako kunokukwenza ube sengozini kwi-OME. Banokuthintela usulelo lweendlebe olonyusa umngcipheko we-OME.

Zeziphi iingxaki ezinxulunyaniswa ne-OME?

I-OME ayinxulunyaniswa nomonakalo osisigxina weendlebe, kwanaxa ulwelo lusakha ixesha elithile. Nangona kunjalo, ukuba i-OME inxulunyaniswa nosulelo lwendlebe rhoqo, ezinye iingxaki zinokwenzeka.

Oku kunokubandakanya:

• usulelo lwendlebe olunamandla
• cholesteatoma (ii-cysts kwindlebe esembindini)
• isikhumba se-eardrum
• umonakalo kwindlebe, kubangela ukulahleka kwendlebe
• intetho echaphazelekayo okanye ukulibaziseka kolwimi

Ithini imbonakalo yexesha elide ye-OME?

I-OME ixhaphake kakhulu kwaye ihlala ingabangeli monakalo wexesha elide. Nangona kunjalo, ukuba umntwana wakho uvela usulelo lwendlebe oluqhelekileyo kunye noluthe gqolo, nxibelelana nogqirha wakho malunga neendlela zokuthintela usulelo olongezelelekileyo okanye i-OME. Kubalulekile ukuthathela ingqalelo iingxaki zokuva kubantwana abancinci njengoko kunokubangela ukulibaziseka kolwimi lwexesha elide.