I-Acute Otitis Media: Izimbangela, Izimpawu, Nokuxilongwa

-Delile

• Ukubuka konke
• Ziyini izimpawu ze-acute otitis media?
• Yini ebangela i-acute otitis media?
• Ubani osengozini ye-acute otitis media?
• Ngabe i-acute otitis media itholakala kanjani?
• I-Otoscope
• I-Tympanometry
• I-Reflectometry
• Ukuhlolwa kokuzwa
• Iphathwa kanjani i-acute otitis media?
• Ukunakekelwa kwasekhaya
• Imithi
• Ukuhlinzwa
• Ukususwa kwe-Adenoid
• Amashubhu endlebe
• Uyini umbono wesikhathi eside?
• Ungayivimbela kanjani i-acute otitis media

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukubuka konke

I-acute otitis media (AOM) uhlobo olubuhlungu lokutheleleka kwezindlebe. Kwenzeka lapho indawo engemuva kwe-eardrum ebizwa ngendlebe ephakathi iyavuvukala futhi itheleleke.

Ukuziphatha okulandelayo ezinganeni kuvame ukuthi zine-AOM:

• ukulingana nokukhala okukhulu (ezinganeni)
• ukubamba indlebe ngenkathi unqoba ngobuhlungu (ezinganeni)
• ukukhononda ngobuhlungu endlebeni (ezinganeni ezindala)

Ziyini izimpawu ze-acute otitis media?

Izinsana nezingane zingaba nesinye sezi zimpawu ezilandelayo:

• ekhala
• ukucasuka
• ukungalali
• edonsa ngezindlebe
• ubuhlungu bendlebe
• ikhanda elibuhlungu
• ubuhlungu bentamo
• umuzwa wokugcwala endlebeni
• amanzi avela endlebeni
• umkhuhlane
• ukuhlanza
• isifo sohudo
• ukucasuka
• ukungabi nokulinganisela
• ukulahlekelwa ukuzwa

Yini ebangela i-acute otitis media?

Ishubhu le-eustachian yishubhu eligijima lisuka phakathi kwendlebe liye emuva komphimbo. I-AOM yenzeka lapho ithubhu yengane yakho eustachian ivuvukala noma ivinjwe futhi ibambe uketshezi endlebeni ephakathi. Uketshezi oluvalelekile lungatheleleka. Ezinganeni ezincane, ishubhu le-eustachian lifushane futhi livundlile ngaphezu kwezingane ezindala nakubantu abadala. Lokhu kwenza ukuthi kube lula ukuthola igciwane.

Ishubhu le-eustachian lingavuvukala noma livinjwe ngezizathu eziningana:

• komzimba
• umkhuhlane
• umkhuhlane
• ukutheleleka kwesono
• i-adenoids enesifo noma enwetshiwe
• intuthu kagwayi
• ukuphuza ngenkathi ulele (ezinganeni)

Ubani osengozini ye-acute otitis media?

Izici ezinobungozi ze-AOM zifaka:

• ngiphakathi kwezinyanga ezi-6 nezingama-36 ubudala
• usebenzisa i-pacifier
• ukuya enkulisa
• ukondliwa ngebhodlela esikhundleni sokunceliswa ibele (ezinganeni)
• ukuphuza ngenkathi ulele (ezinganeni)
• ukuvezwa intuthu kagwayi
• ukuvezwa amazinga aphezulu okungcoliswa komoya
• uhlangabezana nezinguquko endaweni ephakeme
• uhlangabezana nezinguquko esimweni sezulu
• ukuba sendaweni ebandayo
• ngibe nomkhuhlane osanda kuvela, umkhuhlane, isifo sesono, noma indlebe

Izakhi zofuzo nazo zidlala indima ekwandiseni ingozi yengane yakho ye-AOM.

Ngabe i-acute otitis media itholakala kanjani?

Udokotela wengane yakho angasebenzisa eyodwa noma ngaphezulu yalezi zindlela ezilandelayo ukuxilonga i-AOM:

I-Otoscope

Udokotela wengane yakho usebenzisa insimbi ebizwa nge-otoscope ukubheka endlebeni yengane yakho bese uthola:

• ububomvu
• ukuvuvukala
• igazi
• ubomvu
• amagwebu omoya
• uketshezi endlebeni ephakathi
• ukugcotshwa kwendlebe

I-Tympanometry

Ngesikhathi sokuhlolwa kwe-tympanometry, udokotela wengane yakho usebenzisa ithuluzi elincane ukukala ingcindezi yomoya endlebeni yengane yakho bese unquma ukuthi i-eardrum idabukile yini.

I-Reflectometry

Ngesikhathi sokuhlolwa kwe-reflectometry, udokotela wengane yakho usebenzisa insimbi encane eyenza umsindo eduze kwendlebe yengane yakho. Udokotela wengane yakho anganquma ukuthi kukhona yini uketshezi endlebeni ngokulalela umsindo ovela emuva endlebeni.

Ukuhlolwa kokuzwa

Udokotela wakho angenza isivivinyo sokuzwa ukuthola ukuthi ingane yakho ibhekene nokulahleka kokuzwa.

Iphathwa kanjani i-acute otitis media?

Iningi lezifo ze-AOM zixazulula ngaphandle kokwelashwa kwama-antibiotic. Ukwelashwa kwasekhaya kanye nemithi yezinhlungu kuvame ukunconywa ngaphambi kokuba ama-antibiotic azame ukugwema ukusetshenziswa ngokweqile kwama-antibiotic futhi kunciphise ubungozi bokusabela okungafanele kusuka kuma-antibiotic. Ukwelashwa kwe-AOM kufaka:

Ukunakekelwa kwasekhaya

Udokotela wakho angase asikisele lezi zindlela zokwelashwa zasekhaya ezilandelayo ukudambisa izinhlungu zengane yakho ngenkathi ulinde ukutheleleka nge-AOM ukuthi kuphele:

• ukufaka indwangu yokufudumala, emanzi phezu kwendlebe enegciwane
• usebenzisa amaconsi endlebe e-over-the-counter (OTC) ukuqeda ubuhlungu
• ukuthatha izinhlungu ze-OTC njenge-ibuprofen (Advil, Motrin) ne-acetaminophen (Tylenol)

Imithi

Udokotela wakho futhi angakunikeza izindlebe zokunciphisa izinhlungu nokunye ukudambisa izinhlungu. Udokotela wakho angakunikeza ama-antibiotic uma izimpawu zakho zingapheli ngemuva kwezinsuku ezimbalwa zokwelashwa kwasekhaya.

Ukuhlinzwa

Udokotela wakho angancoma ukuhlinzwa uma ukutheleleka kwengane yakho kungaphenduli ekwelashweni noma uma ingane yakho inezifo eziphindelela zezindlebe. Izinketho zokuhlinzwa ze-AOM zifaka:

Ukususwa kwe-Adenoid

Udokotela wengane yakho angancoma ukuthi ama-adenoid engane yakho asuswe ngokuhlinzwa uma enwetshiwe noma ethelelekile futhi ingane yakho inezifo eziphindelela zezindlebe.

Amashubhu endlebe

Udokotela wakho angase asikisele inqubo yokuhlinzwa ukufaka amashubhu amancane endlebeni yengane yakho. Amashubhu avumela umoya noketshezi ukuphuma endlebeni ephakathi.

Uyini umbono wesikhathi eside?

Ukutheleleka kwe-AOM ngokuvamile kuba ngcono ngaphandle kwezinkinga, kepha ukutheleleka kungenzeka futhi. Ingane yakho nayo ingahle ilahlekelwe ukuzwa okwesikhashana isikhashana. Kodwa ukuzwa kwengane yakho kufanele kubuye ngokushesha ngemuva kokwelashwa. Kwesinye isikhathi, ukutheleleka nge-AOM kungadala:

• ukutheleleka okuphindelela kwezindlebe
• ama-adenoids akhulisiwe
• amalaka akhulisiwe
• indlebe eqhekekile
• i-cholesteatoma, okukhula endlebeni ephakathi
• ukubambezeleka kwenkulumo (ezinganeni ezinezifo eziphindaphindayo ze-otitis media)

Ezimweni ezingavamile, ukutheleleka emathanjeni e-mastoid ku-skull (mastoiditis) noma ukutheleleka ebuchosheni (i-meningitis) kungenzeka.

Ungayivimbela kanjani i-acute otitis media

Unganciphisa amathuba okuthi ingane yakho ibe ne-AOM ngokwenza okulandelayo:

• geza izandla namathoyizi njalo ukunciphisa amathuba akho okuthola umkhuhlane noma esinye isifo sokuphefumula
• gwema intuthu kagwayi
• thola ukushaywa komkhuhlane wonyaka kanye nemithi yokugoma ye-pneumococcal
• ukuncelisa izingane ibele esikhundleni sokuzincelisa ngamabhodlela uma kungenzeka
• gwema ukunikeza usana lwakho i-pacifier