Ukuqhekeka kwamakhala - ukunakekelwa ngemuva

Impumulo yakho inamathambo ama-2 ebhulohweni lekhala lakho nocezu olude lwe-cartilage (izicubu eziguqukayo kepha ezinamandla) ezinikeza ikhala lakho ukwakheka kwalo.

Ukuqhekeka kwamakhala kwenzeka lapho ingxenye yamathambo ekhaleni lakho iphukile. Amakhala amaningi aphukile abangelwa ukuhlukumezeka njengokulimala kwezemidlalo, izingozi zemoto, noma izimpi zezibhakela.

Uma ikhala lakho ligwegwile ngenxa yokulimala ungadinga ukuncishiswa ukuze ubeke amathambo endaweni yawo. Uma ukuphumula kulula ukukulungisa, ukunciphisa kungenziwa ehhovisi lomhlinzeki wezempilo. Uma ikhefu linzima kakhulu, ungadinga ukuhlinzwa ukuze ulilungise.

Kungaba nzima ukuphefumula ngamakhala akho ngoba amathambo kungenzeka ukuthi awekho endaweni noma kukhona ukuvuvukala okuningi.

Ungaba nesinye noma zonke lezi zimpawu zekhala eliphukile:

• Ukuvuvukala ngaphandle nasebhulohweni lekhala lakho
• Ubuhlungu
• Isimo esigwegwile emakhaleni akho
• Ukopha kusuka ngaphakathi noma ngaphandle kwekhala
• Kunzima ukuphefumula ngamakhala akho
• Ukulimaza ngasesweni elilodwa noma womabili

Umhlinzeki wakho angadinga ukuthola i-x-ray yekhala lakho ukuze abone ukuthi unokwephuka yini. Kungadingeka i-CT scan noma ezinye izivivinyo ukukhipha ukulimala okungathi sína kakhulu.

Uma unegazi elingapheli, umhlinzeki angafaka iphedi ethambile noma olunye uhlobo lokupakisha emakhaleni aphuma igazi.

Kungenzeka ukuthi waba ne-nasal septal hematoma. Leli iqoqo legazi ngaphakathi kwesikhumba sekhala. Iseptum yingxenye yekhala phakathi kwamakhala amabili. Ukulimala kuphazamisa imithambo yegazi ukuze kuqoqwe uketshezi negazi ngaphansi kolwelwesi. Umhlinzeki wakho kungenzeka ukuthi usike kancane noma wasebenzisa inaliti ukukhipha igazi.

Uma unokuqhekeka okuvulekile, lapho kukhona ukusikeka esikhunjeni kanye namathambo empumulo aphukile, ungahle udinge imithungo nemithi elwa namagciwane.

Uma udinga ukuhlinzwa, kuzodingeka ulinde kuze kufike ukuvuvukala okuningi noma konke ngaphambi kokuba kwenziwe ukuhlolwa okuphelele. Ezimweni eziningi, lokhu kuyizinsuku eziyi-7 - 14 ngemuva kokulimala kwakho. Ungathunyelwa kudokotela okhethekile - njengodokotela ohlinzayo wepulasitiki noma udokotela wendlebe, impumulo, nomphimbo - uma ukulimala kukhulu kakhulu.

Amakhefu alula, lapho ithambo lekhala lingagwegwile, umhlinzeki angakutshela ukuthi uphuze umuthi wezinhlungu namazinyo okubulala izinhlungu emakhaleni, futhi ubeke neqhwa ekulimaleni.

Ukugcina ubuhlungu nokuvuvukala phansi:

• Phumula. Zama ukuziqhelelanisa nanoma yimuphi umsebenzi lapho ungashayisa khona ikhala lakho.
• Iceza ikhala lakho imizuzu engama-20, njalo emahoreni angu-1 kuya kwangu-2 ngenkathi uvukile. Ungafaki iqhwa ngqo esikhunjeni.
• Thatha umuthi wezinhlungu uma kunesidingo.
• Gcina ikhanda lakho liphakeme ukusiza ukunciphisa ukuvuvukala nokwenza ngcono ukuphefumula.

Ngobuhlungu, ungasebenzisa ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), noma i-acetaminophen (iTylenol). Ungathenga le mithi yezinhlungu esitolo. Kunconywa ukuthi ulinde amahora angama-24 ngaphambi kokuthatha imithi yezinhlungu ye-NSAID uma ngabe wopha kakhulu ngokulimala kwakho kwempahla.

• Khuluma nomhlinzeki wakho ngaphambi kokusebenzisa le mithi uma unesifo senhliziyo, umfutho wegazi ophakeme, isifo sezinso, isifo sesibindi, noma uke waba nezilonda zesisu noma ukopha ngaphakathi esikhathini esedlule.
• Ungathathi ngaphezu kwenani elinconywe ebhodleleni noma ngumhlinzeki wakho.

Ungaqhubeka nokwenza imisebenzi eminingi yansuku zonke, kepha sebenzisa ukunakekelwa okwengeziwe. Kungaba nzima ukuzivocavoca ngamandla ngoba ukuphefumula ngamakhala akho kungakhubazeka ngokuvuvukala. Zama ukungaphakamisi noma yini esindayo ngaphandle kokuthi umhlinzeki wakho athi kulungile. Uma une-cast noma i-splint, gqoka lokhu kuze kube umhlinzeki wakho uthi kulungile ukuyikhumula.

Kungase kudingeke ukuthi uyigweme imidlalo isikhashana. Lapho umhlinzeki wakho ekutshela ukuthi kuphephile ukudlala futhi, qiniseka ukuthi ugqoka onogada bobuso namakhala.

Ungasusi noma yikuphi ukupakisha noma imicu ngaphandle uma udokotela wakho ekutshela.

Thatha izihlambi ezishisayo ukuze uphefumule ku-steam. Lokhu kuzosiza ukudambisa ukugcwala futhi kuhlukanise amafinyila noma igazi elomisiwe elakhiwa ngemuva kokuhlinzwa.

Ungadinga futhi ukuhlanza ingaphakathi lekhala lakho ukuze ususe igazi elomile noma amanzi. Sebenzisa i-swab kakotini efakwe emanzini afudumele anensipho bese usula ngokucophelela ingaphakathi lekhala ngalinye.

Uma uthatha noma imuphi umuthi ngamakhala, khuluma nomhlinzeki wakho ngaphambi kokuwusebenzisa.

Landela udokotela wakho 1 emavikini amabili ngemuva kokulimala kwakho. Ngokuya ngokulimala kwakho, udokotela wakho angafuna ukukubona ngaphezu kwesikhathi esisodwa.

Ukuqhekeka kwamakhala okuhlukanisiwe kuvame ukuphulukisa ngaphandle kokukhubazeka okukhulu, kepha kungahle kudingeke ukuhlinzwa ukuze kulungiswe amacala abucayi kakhulu. Uma kube nokulimala ekhanda, ebusweni nasemehlweni, kuzodingeka ukunakekelwa okwengeziwe ukuvimbela ukopha, ukutheleleka, kanye neminye imiphumela emibi.

Shayela umhlinzeki uma une:

• Noma yisiphi isilonda esivulekile noma ukopha
• Imfiva
• Iphunga elibi noma elikhanyayo (amanzi aphuzi, aluhlaza, noma abomvu) avela ekhaleni
• Isicanucanu nokuhlanza
• Ukuba ndikindiki okungazelelwe noma ukuhayiza
• Ukwanda okungazelelwe kwezinhlungu noma ukuvuvukala
• Ukulimala akubonakali kuphulukisa njengoba kulindelwe
• Kunzima ukuphefumula okungapheli
• Noma yiluphi ushintsho kumbono noma umbono ophindwe kabili
• Ikhanda elibuhlungu

Iphuka ikhala

UChegar BE, Tatum SA. Ukuqhekeka kwamakhala. Ku: IFlint PW, uFrancis HW, uHaughey BH, et al, eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 30.

UMayersak RJ. Ukuhlukumezeka ebusweni. Ku: Walls RM, Hochberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 35.

I-Reddy LV, i-Harding SC. Ukuqhekeka kwamakhala. Ku: Fonseca RJ, ed. Ukuhlinzwa ngomlomo nangamaMaxillofacial, vol 2. 3rd ed. ISt Louis, MO: Elsevier; 2018: isahluko 8.

• Ukulimala Kwamakhala Nokukhubazeka