Ukulungiswa kwe-Eardrum

Ukulungiswa kwe-Eardrum kubhekisa kunqubo eyodwa noma ngaphezulu yokuhlinzwa eyenziwayo ukulungisa ukukhala noma okunye ukulimala eardrum (ulwelwesi lwe-tympanic).

I-Ossiculoplasty ukulungiswa kwamathambo amancane endlebeni ephakathi.

Iningi labantu abadala (nazo zonke izingane) zithola i-anesthesia ejwayelekile. Lokhu kusho ukuthi uzobe ulele futhi ungakwazi ukuzwa ubuhlungu. Kwesinye isikhathi, i-anesthesia yendawo isetshenziswa kanye nomuthi okwenza ukozele.

Udokotela ohlinzayo uzosika ngemuva kwendlebe noma ngaphakathi komsele wendlebe.

Ngokuya ngenkinga, udokotela ohlinzayo uzo:

• Hlanza noma yikuphi ukutheleleka noma izicubu ezifile endlebeni noma endlebeni ephakathi.
• Hlanganisa i-eardrum ngocezu lwethishu yesiguli uqobo oluthathwe emthanjeni noma emgodleni wemisipha (obizwa nge-tympanoplasty). Le nqubo imvamisa izothatha amahora amabili kuya kwamathathu.
• Susa, buyisela, noma lungisa amathambo amancane ayi-1 noma ngaphezulu endlebeni ephakathi (ebizwa nge-ossiculoplasty).
• Lungisa izimbobo ezincane endlebeni ngokubeka ijeli noma iphepha elikhethekile phezu kwe-eardrum (ebizwa ngokuthi i-myringoplasty). Le nqubo izothatha imizuzu eyi-10 kuye kwengama-30.

Udokotela ohlinzayo uzosebenzisa imicroscope yokusebenza ukubona nokulungisa i-eardrum noma amathambo amancane.

Indlebe iphakathi kwendlebe yangaphandle nendlebe ephakathi. Iyavevezela lapho igagasi lomsindo liyishaya. Lapho i-eardrum yonakele noma inembobo kuyo, ukuzwa kungancipha futhi ukutheleleka ezindlebeni kungenzeka.

Izimbangela zezimbobo noma ukuvuleka eardrum zifaka:

• Ukutheleleka kwendlebe okubi
• Ukungasebenzi kahle kweshubhu le-eustachian
• Ukunamathisela okuthile ngaphakathi komsele wendlebe
• Ukuhlinzwa ukubeka amashubhu endlebe
• Ukuhlukumezeka

Uma indlebe inembobo encane, i-myringoplasty ingasebenza ukuyivala. Isikhathi esiningi, udokotela wakho uzolinda okungenani amasonto ayisithupha ngemuva kokuvela komgodi ngaphambi kokuphakamisa ukuhlinzwa.

I-Tympanoplasty ingenziwa uma:

• I-eardrum inembobo noma ukuvuleka okukhulu
• Kukhona ukutheleleka okungapheli endlebeni, futhi ama-antibiotic awasizi
• Kukhona inqwaba yezicubu ezengeziwe ezungeze noma ngemuva kwe-eardrum

Lezi zinkinga ezifanayo zingalimaza namathambo amancane kakhulu (ama-ossicles) angakwesokudla kwe-eardrum. Uma lokhu kwenzeka, udokotela wakho ohlinzayo angenza i-ossiculoplasty.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula
• Ukopha, amahlule egazi, ukutheleleka

Izingozi zale nqubo zifaka:

• Ukulimala kwenzwa yobuso noma imizwa elawula umuzwa wokunambitha
• Ukulimala kwamathambo amancane endlebeni ephakathi, okudala ukungezwa kwezindlebe
• Isiyezi noma i-vertigo
• Ukuphulukiswa okungaphelele komgodi eardrum
• Ukuqina kokuzwa, noma, ezimweni ezingavamile, ukulahlekelwa ngokuphelele kokuzwa

Tshela umhlinzeki wezempilo:

• Yikuphi ukungezwani komzimba nawe noma ingane yakho ongaba nakho kunoma yimiphi imithi, i-latex, i-tape, noma umhlanza isikhumba
• Imiphi imithi wena noma ingane yakho oyiphuzayo, kufaka phakathi amakhambi namavithamini owathengile ngaphandle kwemithi kadokotela

Ngosuku lokuhlinzwa kwezingane:

• Landela imiyalo mayelana nokungadli noma ukuphuza. Ezinganeni, lokhu kufaka ukuncelisa.
• Thatha noma imiphi imithi edingekayo ngokuphuza kancane amanzi.
• Uma wena noma ingane yakho igula ekuseni yokuhlinzwa, shayela udokotela ohlinzayo ngokushesha. Inqubo izodinga ukuhlelwa kabusha.
• Fika esibhedlela ngesikhathi.

Wena noma ingane yakho ningaphuma esibhedlela ngosuku olufanayo nokuhlinzwa, kodwa kungadingeka ukuthi nihlale ubusuku uma kunezinkinga.

Ukuvikela indlebe ngemuva kokuhlinzwa:

• Ukupakisha kuzobekwa endlebeni izinsuku ezi-5 kuya kwezi-7 zokuqala.
• Kwesinye isikhathi ukugqoka kuvala indlebe uqobo.

Kuze kube umhlinzeki wakho athi KULUNGILE:

• Ungavumeli amanzi angene endlebeni. Lapho ugeza noma ugeza izinwele zakho, faka ukotini endlebeni yangaphandle bese uyimboza nge-petroleum jelly. Noma, ungagqoka ikepisi lokugeza.
• Unga "pop" izindlebe zakho noma ushaye amakhala. Uma udinga ukuthimula, kwenze ngomlomo wakho. Dweba noma yimaphi amafinyila emakhaleni akho abuyele emphinjeni wakho.
• Gwema ukuhamba emoyeni nokubhukuda.

Sula ngobumnene noma yimaphi amanzi endlebe ngaphandle kwendlebe. Ungathola ama-eardrops ngesonto lokuqala. Ungafaki enye into endlebeni.

Uma unemithungo ngemuva kwendlebe bese iba manzi, yoma ngobumnene indawo. Ungahlikihli.

Wena noma ingane yakho ningazizwa ngidlikiza, noma ngizwa ukuqhuma, ukuchofoza, noma eminye imisindo endlebeni. Indlebe ingazizwa igcwele noma sengathi igcwele uketshezi. Kungaba nezinhlungu ezibukhali, zokudubula futhi ngokushesha ngemuva kokuhlinzwa.

Ukugwema ukungenwa umkhuhlane, hlala kude nezindawo ezinabantu abaningi abanezimpawu ezibandayo.

Ezimweni eziningi, izinhlungu nezimpawu zikhululeka ngokuphelele. Ukuzwa kokuzwa kuyinto encane.

Umphumela ungahle ungabi muhle uma amathambo endlebeni ephakathi edinga ukwakhiwa kabusha, kanye ne-eardrum.

I-Myringoplasty; I-Tympanoplasty; I-Ossiculoplasty; Ukwakhiwa kabusha kwe-osssicular; I-Tympanosclerosis - ukuhlinzwa; Ukuyekiswa kwe-osssicular - ukuhlinzwa; Ukulungiswa kwe-osssicular - ukuhlinzwa

• Ukulungiswa kwe-Eardrum - uchungechunge

I-Adams ME, u-El-Kashlan HK. I-Tympanoplasty ne-ossiculoplasty. Ku: IFlint PW, uFrancis HW, uHaughey BH, et al, eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 142.

UChiffer R, u-Chen D. I-Myringoplasty ne-tympanoplasty. Ku: Eugene M, Snyderman CH, abahleli. I-Operative Otolaryngology Head kanye ne-Neck Surgery. 3rd ed. IPhiladelphia, PA: Elsevier; 2018: isahluko 131.

UFayad JN, uSheehy JL. I-Tympanoplasty: inqubo yangaphandle yokuxhunyelelwa ebusweni. Ku: Brackmann DE, Shelton C, Arriaga MA, eds. Ukuhlinzwa kwe-Otologic. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2016: isahluko 8.