Umlobi: Clyde Lopez
Usuku Lokudalwa: 20 Ujulayi 2021
Ukuvuselela Usuku: 18 Unovemba 2024
Anonim
Primitive Rabbit Soup Lunch and Preserving the Skin (episode 06)
Ividiyo: Primitive Rabbit Soup Lunch and Preserving the Skin (episode 06)

Ukutheleleka ngezindlebe ngesinye sezizathu ezivame kakhulu ukuthi abazali bathathe izingane zabo baziyise kumhlinzeki wezempilo. Uhlobo oluvame kakhulu lokutheleleka ezindlebeni lubizwa ngokuthi yi-otitis media. Kubangelwa ukuvuvukala nokutheleleka kwendlebe ephakathi. Indlebe emaphakathi itholakala ngemuva nje kwe-eardrum.

Ukutheleleka endlebeni okunamandla kuqala esikhathini esifushane futhi kubuhlungu. Ukutheleleka ezindlebeni okuhlala isikhathi eside noma okuzayo kudlule kubizwa ngokuthi izifo ezingamahlalakhona endlebe.

Ishubhu le-eustachian ligijima lisuka phakathi kwendlebe ngayinye liye emuva komphimbo. Ngokuvamile, le tube ithatha uketshezi olwenziwe endlebeni ephakathi. Uma le tube ivaleka, uketshezi lungakha. Lokhu kungaholela ekuthelelekeni.

  • Ukutheleleka ngezindlebe kuvamile ezinganeni nasezinganeni ngoba amashubhu eustachian avinjwe kalula.
  • Ukutheleleka ngezindlebe nakho kungenzeka kubantu abadala, yize kungavamile kakhulu kunezingane.

Noma yini ebangela ukuthi amashubhu eustachian avuvuke noma avinjwe enza uketshezi oluningi lukhule endlebeni ephakathi ngemuva kwe-eardrum. Ezinye izimbangela yilezi:


  • Ukungezwani komzimba
  • Izifo zomkhuhlane kanye nesinus
  • Amafinyila amaningi namathe akhiqizwa ngesikhathi sokudabuka
  • Ama-adenoid athelelekile noma akhule kakhulu (izicubu ze-lymph engxenyeni engenhla yomphimbo)
  • Intuthu kagwayi

Ukutheleleka ngezindlebe nakho kungenzeka kakhulu ezinganeni ezichitha isikhathi esiningi ziphuza enkomishini noma ebhodleleni elinciphayo zilele ngomhlane. Ubisi lungangena kubhubhu eustachian, okungakhuphula ubungozi bokutheleleka endlebeni. Ukuthola amanzi ezindlebeni ngeke kubangele ukutheleleka endlebeni okunamandla ngaphandle uma indlebe inembobo kuyo.

Ezinye izinto eziyingozi zokutheleleka ezindlebeni ezinzima zifaka:

  • Ukuya enkulisa (ikakhulukazi izikhungo ezinezingane ezingaphezu kwezingu-6)
  • Izinguquko kokuphakama noma kwesimo sezulu
  • Isimo sezulu esibandayo
  • Ukuvezwa ngentuthu
  • Umlando womndeni wokutheleleka ezindlebeni
  • Ukunganceliswa ibele
  • Ukusetshenziswa kwe-pacifier
  • Ukutheleleka kwezindlebe kwakamuva
  • Ukugula kwakamuva kwanoma yiluphi uhlobo (ngoba ukugula kwehlisa ukumelana komzimba nokutheleleka)
  • Ukukhubazeka kokuzalwa, njengokuntuleka komsebenzi we-eustachian tube

Ezinganeni, imvamisa uphawu oluyinhloko lokutheleleka endlebeni luthukuthele noma lukhala olungadambiseki. Izinsana eziningi nezingane ezinesifo esibi sendlebe zinomkhuhlane noma zinenkinga yokulala. Ukudonsa endlebeni akuyona ngaso sonke isikhathi uphawu lokuthi ingane inegciwane lendlebe.


Izimpawu zokutheleleka ezindlebeni ezinzima ezinganeni ezindala noma kubantu abadala zifaka:

  • Ubuhlungu bendlebe
  • Ukugcwala endlebeni
  • Ukuzizwa ngokugula okujwayelekile
  • Ukuminyana emakhaleni
  • Khwehlela
  • Imikhuba emibi
  • Ukuhlanza
  • Uhudo
  • Ukuzwa ukulahlekelwa endlebeni ethintekile
  • Ukukhipha uketshezi kusuka endlebeni
  • Ukuphelelwa isifiso sokudla

Ukutheleleka endlebeni kungaqala ngemuva nje komkhuhlane. Ukugeleza okungazelelwe kuketshezi oluphuzi noma oluhlaza oluvela endlebeni kungasho ukuthi i-eardrum iqhume.

Konke ukutheleleka ezindlebeni okunamandla kubandakanya uketshezi ngemuva kwe-eardrum. Ekhaya, ungasebenzisa i-elektroniki indlebe qapha ukubheka lokhu kuketshezi. Ungathenga le divayisi esitolo sezidakamizwa. Usadinga ukubona umhlinzeki wezokunakekelwa kwempilo ukuze aqinisekise ukutheleleka kwendlebe.

Umhlinzeki wakho uzothatha umlando wakho wezokwelapha futhi abuze ngezimpawu.

Umhlinzeki uzobheka ngaphakathi kwezindlebe esebenzisa insimbi ebizwa nge-otoscope. Lokhu kuhlolwa kungakhombisa:

  • Izindawo zobubomvu obumakiwe
  • Ukuqhuma kolwelwesi lwe-tympanic
  • Ukukhipha endlebeni
  • Amagwebu omoya noma uketshezi ngemuva kwe-eardrum
  • Imbobo (i-perforation) ku-eardrum

Umhlinzeki angancoma ukuhlolwa kokuzwa uma umuntu enomlando wokutheleleka ngezindlebe.


Ezinye izifo zendlebe ziyazicacela zodwa ngaphandle kwama-antibiotic. Ukwelapha izinhlungu nokuvumela isikhathi somzimba ukuthi uziphulukise imvamisa kuyikho okudingekayo:

  • Faka indwangu efudumele noma ibhodlela lamanzi afudumele endlebeni ethintekile.
  • Sebenzisa amaconsi okwehlisa ubuhlungu bezinto ezithengiswayo. Noma, cela umhlinzeki mayelana ne-eardrops kadokotela ukuze kudambise izinhlungu.
  • Thatha imishanguzo yamakhasimende njenge-ibuprofen noma i-acetaminophen yezinhlungu noma imfiva. UNGANIKI izingane i-aspirin.

Zonke izingane ezingaphansi kwezinyanga eziyisithupha ezinomkhuhlane noma izimpawu zokutheleleka endlebeni kufanele zibone umhlinzeki. Izingane ezineminyaka engaphezu kwezinyanga eziyisithupha zingabhekwa emakhaya uma zingenayo:

  • Umkhuhlane ophakeme kuno-102 ° F (38.9 ° C)
  • Ubuhlungu obukhulu noma ezinye izimpawu
  • Ezinye izinkinga zezokwelapha

Uma kungekho ngcono noma uma izimpawu ziba zimbi ngokwengeziwe, hlela i-aphoyintimenti nomhlinzeki ukunquma ukuthi ingabe ama-antibiotic ayadingeka yini.

I-ANTIBIOTICS

Igciwane noma amabhaktheriya angadala ukutheleleka ezindlebeni. Ama-antibiotic ngeke asize ukutheleleka okubangelwa igciwane. Abahlinzeki abaningi ababeki ama-antibiotic kukho konke ukutheleleka kwezindlebe. Kodwa-ke, zonke izingane ezingaphansi kwezinyanga eziyisithupha ezinegciwane lendlebe ziphathwa ngama-antibiotic.

Umhlinzeki wakho kungenzeka anikeze ama-antibiotic uma ingane yakho:

  • Ingaphansi kweminyaka engu-2
  • Unomkhuhlane
  • Kubonakala sengathi uyagula
  • Akuthuthuki emahoreni angama-24 kuye kwangama-48

Uma kunqunyelwe ama-antibiotic, kubalulekile ukuwaphuza nsuku zonke nokuphuza yonke imithi. UNGAWAYEKISI umuthi lapho izimpawu sezihambile. Uma ama-antibiotic engabonakali esebenza phakathi kwamahora angama-48 kuya kwangu-72, xhumana nomhlinzeki wakho. Ungadinga ukushintshela kuma-antibiotic ahlukile.

Imiphumela emibi yama-antibiotic ingabandakanya isicanucanu, ukuhlanza, nohudo. Ukusabela okweqile komzimba akuvamile, kepha futhi kungenzeka.

Ezinye izingane zinokutheleleka okuphindayo kwezindlebe okubonakala ngathi kuyaphela phakathi kweziqephu. Bangathola umthamo omncane, wansuku zonke wama-antibiotic ukuvimbela ukutheleleka okusha.

UKUHLINZA

Uma ukutheleleka kungapheli nokwelashwa okujwayelekile, noma uma ingane inezifo eziningi zezindlebe esikhathini esifushane, umhlinzeki angancoma amashubhu endlebe:

  • Uma ingane enezinyanga ezingaphezu kwezingu-6 ubudala ibe nokutheleleka kwezindlebe okungu-3 noma ngaphezulu ezinyangeni eziyisithupha noma ngaphezulu kokutheleleka kwezindlebe okungakapheli izinyanga eziyi-12
  • Uma ingane engaphansi kwezinyanga eziyisithupha ubudala ithole izifo ezimbili zezindlebe esikhathini esiyizinyanga eziyi-6 kuya kwezingu-12 noma iziqephu ezi-3 ezinyangeni ezingama-24
  • Uma ukutheleleka kungapheli nokwelashwa

Kule nqubo, kufakwa ishubhu elincane endlebeni, ligcine kuvuleke imbobo encane evumela umoya ukuba ungene ukuze uketshezi lukwazi ukuphuma kalula (myringotomy).

Amashubhu avame ukuwa ngokwawo. Labo abangawi bangasuswa ehhovisi lomhlinzeki.

Uma ama-adenoids enwetshiwe, ukuwasusa ngokuhlinzwa kungacatshangelwa uma izifo zendlebe ziqhubeka ukwenzeka. Ukususa amalaka akubonakali kusiza ukuvikela ukutheleleka ezindlebeni.

Imvamisa, ukutheleleka kwezindlebe kuyinkinga encane eba ngcono. Ukutheleleka ngezindlebe kungalashwa, kepha kungenzeka futhi ngokuzayo.

Iningi lezingane lizoba nokulahlekelwa okuncane kokuzwa ngesikhathi esifushane nangemva kokutheleleka kwendlebe. Lokhu kungenxa yoketshezi endlebeni. Uketshezi lungahlala ngemuva kwe-eardrum amasonto noma ngisho nezinyanga ngemuva kokutheleleka ngesifo.

Ukulibaziseka ekukhulumeni noma kolimi akuvamile. Kungenzeka enganeni elahlekelwe ukuzwa okungapheli ekuthelelekeni okuningi okuphindaphindiwe kwezindlebe.

Ezimweni ezingavamile, ukutheleleka okungathí sina kungavela, njenge:

  • Ukudabuka kwe-eardrum
  • Ukusabalala kokutheleleka ezicutshini eziseduze, njengokutheleleka kwamathambo ngemuva kwendlebe (mastoiditis) noma ukutheleleka kolwelwesi lobuchopho (meningitis)
  • Imidiya engapheli ye-otitis
  • Ukuqoqwa kobomvu ngaphakathi noma eduze kobuchopho (ithumba)

Xhumana nomhlinzeki wakho uma:

  • Uvuvukele ngemuva kwendlebe.
  • Izimpawu zakho ziba zimbi kakhulu, ngisho nangokwelashwa.
  • Unomkhuhlane omkhulu noma ubuhlungu obukhulu.
  • Ubuhlungu obukhulu buyema ngokuzuma, okungakhombisa ukuqhuma kwendlebe.
  • Izimpawu ezintsha ziyavela, ikakhulukazi ikhanda elibuhlungu, isiyezi, ukuvuvukala okuzungeze indlebe, noma ukudikiza kwemisipha yobuso.

Yazisa umhlinzeki ngokushesha lapho ingane engaphansi kwezinyanga eziyisithupha inemfiva, noma ngabe ingane ingenazo ezinye izimpawu.

Unganciphisa ingozi yengane yakho yokutheleleka ngezindlebe ngalezi zinyathelo ezilandelayo:

  • Geza izandla zakho nezandla namathoyizi engane yakho ukunciphisa amathuba okuphathwa umkhuhlane.
  • Uma kungenzeka, khetha inkulisa enezingane ezi-6 noma ezimbalwa. Lokhu kunganciphisa amathuba engane yakho okuthola umkhuhlane noma okunye ukutheleleka.
  • Gwema ukusebenzisa ama-pacifiers.
  • Ncelisa ingane yakho ibele.
  • Gwema ukuncelisa ingane yakho ngebhodlela lapho ilele phansi.
  • Gwema ukubhema.
  • Qiniseka ukuthi imigomo yengane yakho isesikhathini. Umuthi wokugoma we-pneumococcal uvimbela ukutheleleka okuvela kubhaktheriya okuvame ukudala ukutheleleka ezindlebeni okunamandla nezifo eziningi zokuphefumula.

Otitis media - oyingozi; Ukutheleleka - indlebe yangaphakathi; Ukutheleleka kwendlebe okuphakathi - okunamandla

  • I-anatomy yendlebe
  • Ukutheleleka kwendlebe ephakathi (i-otitis media)
  • Ishubhu le-Eustachian
  • I-Mastoiditis - umbono ohlangothini lwekhanda
  • I-Mastoiditis - ububomvu nokuvuvukala ngemuva kwendlebe
  • Ukufakwa kweshubhu yendlebe - uchungechunge

UHaddad J, uDodhia SN. Ukucatshangelwa okujwayelekile nokuhlolwa kwendlebe. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson, KM. ama-eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 654.

Irwin GM. I-Otitis media. Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kukaConn 2020. IPhiladelphia, PA: Elsevier; 2020: 493-497.

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. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 658.

UMurphy TF. I-Moraxella catarrhalis, i-kingella, kanye nezinye i-cocci ye-Gram-negative. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 213.

URanakusuma RW, uPitoyo Y, Safitri ED, et al, ama-Systemic corticosteroids we-acute otitis media ezinganeni. ICochrane Database Syst Rev. I-2018; 15; 3 (3): CD012289. I-PMID: 29543327 pubmed.ncbi.nlm.nih.gov/29543327/.

URosenfeld RM, uSchwartz SR, uPynnonen MA, et al. Isiqondisi somkhuba womtholampilo: amashubhu e-tympanostomy 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/.

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