Ukutheleleka endlebeni - okungamahlalakhona

Ukutheleleka okungapheli endlebeni kuketshezi, ukuvuvukala, noma ukutheleleka ngemuva kwe-eardrum engapheli noma eqhubeka ibuya. Kubanga ukulimala kwesikhathi eside noma unomphela endlebeni. Imvamisa kufaka umgodi endlebeni ongapholi.

Ishubhu le-eustachian ligijima lisuka phakathi kwendlebe ngayinye liye emuva komphimbo. Leli bhubhu likhipha uketshezi olwenziwe endlebeni ephakathi. Uma ishubhu le-eustachian livaleka, uketshezi lungakha. Uma lokhu kwenzeka, ukutheleleka kungenzeka. Ukutheleleka okungapheli endlebeni kuyenzeka lapho uketshezi noma ukutheleleka ngemuva kwendlebe kungapheli.

Ukutheleleka okungapheli endlebeni kungabangelwa:

• Ukutheleleka kwendlebe okunamandla okungapheli ngokuphelele
• Ukutheleleka okuphindaphindiwe kwezindlebe

"I-Suppurative chronic otitis" igama elisetshenziselwa ukuchaza indlebe egcina ukuqhuma, ukukhipha noma ukuvuvukala endlebeni ephakathi noma endaweni ye-mastoid futhi engapheli.

Ukutheleleka ngezindlebe kuvame kakhulu ezinganeni ngoba amashubhu abo eustachian amafushane, anciphile, futhi aqondile kakhulu kunabantu abadala. Ukutheleleka ngezindlebe okungalapheki akuvamile kakhulu kunezifo ezibukhali zezindlebe.

Izimpawu zokutheleleka endlebeni okungamahlalakhona zingase zibe zimbi kakhulu kunezimpawu zesifo esibi. Inkinga ingahle inganakwa futhi ingelashwa isikhathi eside.

Izimpawu zingafaka:

• Ubuhlungu bendlebe noma ukungakhululeki okuvame ukuba mnene futhi kuzwakale njengokucindezela endlebeni
• Imfiva, imvamisa iphansi
• Ukukhathazeka ezinganeni
• I-pus-like drainage evela endlebeni
• Ukulahlekelwa ukuzwa

Izimpawu zingaqhubeka noma zifike zidlule. Kungenzeka endlebeni eyodwa noma zombili.

Umhlinzeki wakho wokunakekelwa kwezempilo uzobheka ezindlebeni esebenzisa i-otoscope. Isivivinyo singaveza:

• Ubuthuntu, ububomvu endlebeni ephakathi
• Amagwebu omoya endlebeni ephakathi
• Uketshezi olujiyile endlebeni ephakathi
• I-eardrum enamathela emathanjeni endlebeni ephakathi
• Ukukhipha uketshezi oluvela eardrum
• Imbobo (i-perforation) ku-eardrum
• I-eardrum eqhuma noma ebuyela emuva ngaphakathi (iyawa)

Ukuhlolwa kungafaka:

• Amasiko oketshezi angakhombisa ukutheleleka kwamagciwane.
• Ukuskena kwe-CT kwekhanda noma kwe-mastoid kungakhombisa ukuthi ukutheleleka kusabalale kwadlula endlebeni ephakathi.
• Ukuhlolwa kokuzwa kungadingeka.

Umhlinzeki anganikeza ama-antibiotic uma ukutheleleka kubangelwa amagciwane. Le mithi ingadinga ukuphuzwa isikhathi eside. Zinganikezwa ngomlomo noma emthanjeni (ngemithambo yegazi).

Uma kunembobo ku-eardrum, kusetshenziswa amaconsi endlebe ngama-antibiotic. Umhlinzeki angancoma ukusebenzisa isisombululo esimuncu esine-asidi (njengeviniga namanzi) endlebeni elukhuni ukuselapha okunzima enembobo (i-perforation). Udokotela ohlinzayo angadinga ukuhlanza (debride) izicubu eziqoqene ngaphakathi kwendlebe.

Okunye ukuhlinzwa okungadingeka kungafaka:

• Ukuhlinzwa ukuhlanza ukutheleleka kuphume ethangeni le-mastoid (mastoidectomy)
• Ukuhlinzwa ukulungisa noma ukufaka amanye amathambo amancane endlebeni ephakathi
• Ukulungiswa kwe-eardrum
• Ukuhlinzwa kwamashubhu endlebe

Ukutheleleka ngezindlebe okungapheli kuvame ukuphendula ekwelashweni. Kodwa-ke, ingane yakho ingadinga ukuqhubeka nokuthatha imithi izinyanga ezimbalwa.

Ukutheleleka ngezindlebe okungapheli akusongeli impilo. Kodwa-ke, zingangakhululeki futhi kungaholela ekulahlekelweni kokuzwa nakwezinye izinkinga ezinkulu.

Ukutheleleka okungapheli kwendlebe kungadala ushintsho unomphela endlebeni nasemathanjeni aseduze, kufaka phakathi:

• Ukutheleleka kwethambo le-mastoid ngemuva kwendlebe (i-mastoiditis)
• Ukudonsa okuqhubekayo okuvela emgodini we-eardrum okungapholi, noma ngemuva kokufakwa kwamashubhu endlebe
• I-cyst endlebeni ephakathi (cholesteatoma)
• Ukuqina kwezicubu endlebeni ephakathi (tympanosclerosis)
• Ukulimala, noma ukugqoka amathambo endlebe ephakathi, okusiza ngokuzwa
• Ukukhubazeka kobuso
• Ukuvuvukala okuzungeze ubuchopho (i-epidural abscess) noma ebuchosheni
• Ukulimala kwengxenye yendlebe esiza ngokulinganisela

Ukuzwa ukulahleka kusuka ekulimaleni kwendlebe ephakathi kunganciphisa ukukhula kolimi nokukhuluma. Lokhu kungenzeka kakhulu uma zombili izindlebe zithintekile.

Ukulahleka kokuzwa unomphela akuvamile, kepha ingozi inyuka ngenani nobude bokutheleleka.

Shayela umhlinzeki wakho uma:

• Wena noma ingane yakho ninezibonakaliso zokutheleleka okungapheli endlebeni
• Ukutheleleka kwendlebe akuphenduli ekwelashweni
• Izimpawu ezintsha zikhula ngesikhathi noma ngemuva kokwelashwa

Ukuthola ukwelashwa okusheshayo kokutheleleka endlebeni okunamandla kunganciphisa ubungozi bokutheleleka ngezindlebe okungamahlalakhona. Yenza ukuhlolwa kokulandela okulandelayo nomhlinzeki wakho ngemuva kokuphathwa kokutheleleka endlebeni ukuze kuqinisekiswe ukuthi selapheke ngokuphelele.

Ukutheleleka kwendlebe okuphakathi - okungapheli; I-Otitis media - engapheli; I-otitis media engapheli; Ukutheleleka okungapheli endlebeni

• I-anatomy yendlebe
• Ukutheleleka kwendlebe ephakathi (i-otitis media)
• Ukutheleleka kwendlebe okuphakathi
• Ishubhu le-Eustachian
• Ukufakwa kweshubhu yendlebe - uchungechunge

Chole RA. I-otitis media engapheli, i-mastoiditis, ne-petrositis. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 139.

Ironside JW, Smith C. Amasistimu wezinzwa aphakathi nendawo namaphethelo. Ku: Cross SS, ed. I-Underwood's Pathology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 26. 21st ed. IPhiladelphia, PA: Elsevier; 2020: isahluko 658.

UKerschner JE, Preciado D. Otitis abezindaba. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson, KM. ama-eds. Incwadi kaNelson Yezingane.

URosenfeld RM, uSchwartz SR, uPynnonen MA, et al. Isiqondisi somkhuba womtholampilo: amashubhu eTympanostomy ezinganeni. I-Otolaryngol Head Neck Surg. 2013; 149 (1 Isipele): S1-S35. I-PMID: 23818543 pubmed.ncbi.nlm.nih.gov/23818543/.

URosenfeld RM, uShin JJ, uSchwartz SR, et al. Umhlahlandlela wokusebenza komtholampilo: i-otitis media nge-effusion (buyekeza). I-Otolaryngol Head Neck Surg. 2016; 154 (1 Isipele): S1-S41. I-PMID: 26832942 pubmed.ncbi.nlm.nih.gov/26832942/.

USteele DW, Adam GP, Di M, Halladay CH, Balk EM, Trikalinos TA. Ukusebenza kwamashubhu e-tympanostomy we-otitis media: ukuhlaziywa kwe-meta. Izifo zezingane. 2017; 139 (6): e20170125. i-doi: 10.1542 / peds.2017-0125. I-PMID: 28562283 pubmed.ncbi.nlm.nih.gov/28562283/.