Ubuhlungu bendlebe

I-earache ibuhlungu obukhali, obufiphele noma obushisayo endlebeni eyodwa noma zombili. Ubuhlungu bungahlala isikhashana noma buqhubeke. Izimo ezihlobene zifaka:

• I-Otitis media
• Indlebe yokubhukuda
• I-malignant otitis externa

Izimpawu zokutheleleka endlebeni zingabandakanya:

• Ubuhlungu bendlebe
• Imfiva
• Ukuxokozela
• Ukukhala okwengeziwe
• Ukuthukuthela

Izingane eziningi zizoba nokulahlekelwa okuncane kokuzwa ngesikhathi noma ngemuva kokutheleleka endlebeni. Isikhathi esiningi, inkinga iyahamba. Ukulahleka kokuzwa okungapheli akuvamile, kepha ingozi inyuka ngenani lezifo.

Ishubhu le-eustachian ligijima lisuka engxenyeni emaphakathi yendlebe ngayinye lize liye emuva komphimbo. Le tube ithatha uketshezi olwenziwe endlebeni ephakathi. Uma ishubhu le-eustachian livaleka, uketshezi lungakha. Lokhu kungaholela ekucindezelekeni ngemuva kwe-eardrum noma ukutheleleka kwendlebe.

Ubuhlungu bendlebe kubantu abadala abunamathuba amancane okuvela ekutheleleni kwendlebe. Ubuhlungu obuzwa endlebeni kungenzeka buvela kwenye indawo, njengamazinyo akho, ilunga lomhlathi wakho (ilunga le-temporomandibular), noma umphimbo wakho. Lokhu kubizwa ngobuhlungu "obubhekiswe".

Izimbangela zobuhlungu bendlebe zingabandakanya:

• I-arthritis yomhlathi
• Ukutheleleka kwezindlebe okwesikhashana
• Ukutheleleka kwezindlebe zesikhathi eside
• Ukulimala endlebeni kusuka ekushintsheni kwengcindezi (kusuka ezindaweni eziphakeme nakwezinye izimbangela)
• Into enamathele endlebeni noma ekwakheni i-wax yendlebe
• Imbobo endlebeni
• Ukutheleleka kweSinus
• Umphimbo obuhlungu
• I-temporomandibular joint syndrome (TMJ)
• Ukutheleleka kwamazinyo

Ubuhlungu bendlebe enganeni noma enganeni bungahle bube ngenxa yokutheleleka. Ezinye izimbangela zingafaka:

• Ukucasulwa komsele wezindlebe kusuka kuma-swabs akhishwe ukotini
• Insipho noma insipho ehlala endlebeni

Izinyathelo ezilandelayo zingasiza indlebe:

• Beka iphakethe elibandayo noma indwangu yokugeza emanzi ebandayo endlebeni engaphandle imizuzu engama-20 ukunciphisa izinhlungu.
• Ukuhlafuna kungasiza ekudambiseni ubuhlungu nengcindezi yokutheleleka endlebeni. (I-Gum ingaba yingozi yokuchofoza ezinganeni ezincane.)
• Ukuphumula endaweni emile esikhundleni sokulala kunganciphisa ingcindezi endlebeni ephakathi.
• Amaconsi endlebe angaphezulu kwekhawunta angasetshenziswa ukudambisa izinhlungu, inqobo nje uma indlebe ingaphumanga.
• Ukudambisa izinhlungu ezithengiswayo, njenge-acetaminophen noma ibuprofen, kunganikeza ukukhululeka ezinganeni nakubantu abadala abane-earache. (UNGANIKI izingane i-aspirin.)

Ubuhlungu bendlebe obubangelwa ukuguquka kokuphakama, okufana nendiza:

• Gwinya noma uhlafune ushungamu lapho indiza yehla.
• Vumela izinsana ukuthi zimunce ibhodlela noma ukuncelisa ibele.

Izinyathelo ezilandelayo zingasiza ekuvikeleni izindlebe:

• Gwema ukubhema eduze kwezingane. Intuthu kagwayi iyimbangela enkulu yokutheleleka ezindlebeni ezinganeni.
• Vikela ukutheleleka kwendlebe kwangaphandle ngokungafaki izinto endlebeni.
• Zomise izindlebe kahle emva kokugeza noma ukubhukuda.
• Thatha izinyathelo zokulawula ukungezwani komzimba. Zama ukugwema izimbangela zokungezwani komzimba.
• Zama isifutho se-steroid nasal ukusiza ukunciphisa ukutheleleka ezindlebeni. (Kodwa-ke, ama-antihistamine aphezu kwamakhompiyutha kanye nama-decongestants AKUVIMI ukutheleleka kwezindlebe.

Shayela umhlinzeki wakho wezempilo uma:

• Ingane yakho inemfiva ephezulu, ubuhlungu obukhulu, noma ibonakala igula kakhulu kunokujwayelekile ukutheleleka endlebeni.
• Ingane yakho inezimpawu ezintsha ezifana nesiyezi, ikhanda elibuhlungu, ukuvuvukala okuzungeze indlebe, noma ubuthakathaka emisipha yobuso.
• Ubuhlungu obukhulu buyema ngokuzumayo (lokhu kungaba luphawu lwe-eardrum eqhekekile).
• Izimpawu (ubuhlungu, imfiva, noma ukucasuka) ziba zimbi kakhulu noma azithuthuki kungakapheli amahora angama-24 kuye kwangama-48.

Umhlinzeki uzokwenza ukuhlolwa ngokomzimba bese ebheka izindawo zendlebe, impumulo, nomphimbo.

Ubuhlungu, isisa, noma ukubomvu kwethambo le-mastoid ngemuva kwendlebe kugebhezi kuvame ukuba uphawu lokutheleleka okungathi sína.

I-Otalgia; Ubuhlungu - indlebe; Ubuhlungu bendlebe

• Ukuhlinzwa kwamashubhu endlebe - okufanele ukubuze udokotela wakho

• I-anatomy yendlebe
• Ukutholwa kwezokwelapha okususelwa ku-anatomy yezindlebe

I-Earwood JS, Rogers TS, iRathjen NA. Ubuhlungu bendlebe: ukuxilonga izimbangela ezivamile nezingavamile. Ngingudokotela Womndeni. 2018; 97 (1): 20-27. I-PMID: 29365233 www.ncbi.nlm.nih.gov/pubmed/29365233/.

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

I-Pelton SI. I-Otitis externa, i-otitis media, ne-mastoiditis. 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 61.