Indlebe Yokubhukuda Okungapheli

-Delile

• Ziyini izimbangela zendlebe yokubhukuda engapheli?
• Yiziphi izinto eziyingozi endlebeni yokubhukuda okungamahlalakhona?
• Ziyini izimpawu zendlebe yokubhukuda okungamahlalakhona?
• Yiziphi izinkinga ezihambisana nendlebe yokubhukuda okungapheli?
• Ixilongwa kanjani indlebe yokubhukuda okungamahlalakhona?
• Yini ukwelashwa kwendlebe yokubhukuda okungamahlalakhona?
• Ngingayivimbela kanjani indlebe yokubhukuda engapheli?
• Uyini umbono wesikhathi eside?

Iyini indlebe yokubhukuda engapheli?

Indlebe yokubhukuda okungapheli yilapho indlebe yangaphandle kanye nomsele wendlebe ungenwa yigciwane, uvuvuke, noma ucasuke, esikhathini eside noma esiphindaphindayo. Amanzi avaleleke endlebeni yakho ngemuva kokubhukuda avame ukudala lesi simo. Isakhiwo sendlebe namanzi asele endlebeni ngemuva kokubhukuda ahlangana ukudala umswakama, isikhala esimnyama lapho amabhaktheriya nesikhunta kungachuma khona futhi kubangele ukutheleleka.

Indlebe yokubhukuda yenzeka kaningi ezinganeni nasebusheni, ikakhulukazi labo ababhukuda njalo. Amacala ajwayelekile (awahlali isikhathi eside) futhi aphendula ekwelashweni isonto elilodwa noma amabili. Indlebe yokubhukuda okungapheli kwenzeka lapho isimo singaxazululwa kalula noma lapho siphinda sivela kaningi.

Igama lezokwelapha lendlebe yokubhukuda okungapheli yi-chronic otitis externa.

Ziyini izimbangela zendlebe yokubhukuda engapheli?

I-earwax yakho, noma i-cerumen, inikeza umgoqo wemvelo ekulweni namagciwane angena endlebeni yakho. Indlebe yokubhukuda ingenzeka uma ungenayo i-earwax eyanele endlebeni yakho. Ngaphandle kokuvikelwa kwe-earwax eyanele, amabhaktheriya angangena endlebeni yakho abangele ukutheleleka.

Okulandelayo yizimbangela ezivamile zendlebe yokubhukuda engapheli:

• ukuvumela amanzi amaningi ukuba angene ezindlebeni zakho
• ukugcwala umsele wendlebe ngama-swabs okotini
• ukuvumela amakhemikhali ezimonyo avela emikhiqizweni efana ne-hairspray ukungena endlebeni yakho, okudala ukusabela kokuzwela
• ukuklwebha ingaphakathi noma ngaphandle kwendlebe, kubange ikhefu elincane esikhunjeni elingabamba ukutheleleka
• kunokuthile okunamathele endlebeni yakho
• ukungalandeli ngokulandela ukwelashwa kwendlebe yokubhukuda ebukhali

Yiziphi izinto eziyingozi endlebeni yokubhukuda okungamahlalakhona?

Indlebe yokubhukuda okungapheli ivame kakhulu ezinganeni. Izingane zivame ukuba nemisele emincane yezindlebe, ebamba amanzi kalula.

Ezinye izimo nokuziphatha okungakhuphula ubungozi bokuthuthukisa indlebe yokubhukuda okungamahlalakhona kufaka:

• ukubhukuda njalo, ikakhulukazi emachibini omphakathi
• ukubhukuda ezindaweni lapho kungahle kube khona amagciwane amaningi, njengamabhavu ashisayo noma amanzi angcolile
• usebenzisa amahedfoni, izinsiza-kuzwa, noma izigqoko zokubhukuda ezingaklwebha noma zilimaze izindlebe zakho
• ukuba nezimo zesikhumba njenge-psoriasis, eczema, noma seborrhea

Icala elibucayi lendlebe yokubhukuda lingahlala lingalapheki uma:

• ukwakheka kwendlebe kwenza ukwelashwa kube nzima
• ibhaktheriya (noma ukhunta) uhlobo olungavamile
• une-allergian reaction kuma-eardrops wama-antibiotic
• ukutheleleka kubangelwa yi-bacterial ne-fungal

Ziyini izimpawu zendlebe yokubhukuda okungamahlalakhona?

Indlebe yokubhukuda okungapheli iqala ngezimpawu zecala elibi lendlebe yokubhukuda. Izimpawu zifaka:

• ukulunywa ngaphakathi kwendlebe noma indlebe
• ubuhlungu obukhulayo lapho udonsa ngaphandle kwendlebe noma lapho uhlafuna
• ukuzwa ukuthi indlebe igxishiwe noma ivinjiwe
• ukunciphisa izinga lokuzwa
• imfiva
• uketshezi noma ubomvu okukhipha endlebeni
• ama-lymph node avuvukile azungeze indlebe

Isimo sithathwa njengesingapheli uma:

• izimpawu zenzeka kaninginingi, njengeziqephu eziningi ezilandelanayo
• izimpawu ziyaqhubeka isikhathi esingaphezu kwezinyanga ezintathu

Yiziphi izinkinga ezihambisana nendlebe yokubhukuda okungapheli?

Izinkinga zezindlebe zokubhukuda ezingalashwa zingahlanganisa:

• ukulahlekelwa ukuzwa
• ukutheleleka kwesikhumba esizungezile
• i-cellulitis (ukutheleleka okuthinta izicubu ezijulile zesikhumba)

Izinkinga ezinkulu ezithinta ezinye izitho zomzimba zifaka:

• i-malignant otitis externa, ukutheleleka okusakazeka phansi kogebhezi lwakho futhi kungenzeka kuthinte abantu abadala asebekhulile kanye nabantu abanesifo sikashukela noma abanokukhubazeka komzimba
• ukutheleleka okubanzi, inkinga engajwayelekile, engaba yingozi yokuphila eyenzeka lapho i-malignant otitis externa isakazeka ebuchosheni bakho noma kwezinye izingxenye zomzimba wakho

Ixilongwa kanjani indlebe yokubhukuda okungamahlalakhona?

Ngokuvamile udokotela angakwazi ukuthola indlebe yokubhukuda okungapheli ngesikhathi sokuvakasha kwehhovisi. Bazosebenzisa i-otoscope, insimbi ekhanyisiwe ebavumela ukuthi bahlole ngaphakathi kwezindlebe. Udokotela wakho uzobheka lezi zimpawu ezilandelayo zendlebe yokubhukuda engapheli:

• umsele obomvu, ovuvukile, noma othambile wendlebe nendlebe
• ama-flakes of scaly, achitha isikhumba emgodini wezindlebe
• ukuvinjelwa kwendawo ethintekile okungadinga ukususwa

Ukuze unqume ukuthi kungani lesi sifo singapheli, ungadinga ukubona i-otolaryngologist (uchwepheshe wezindlebe, impumulo nomphimbo). I-otolaryngologist ingakhomba ukuthi ngabe indawo eyinhloko yokutheleleka isendlebeni ephakathi noma endlebeni yangaphandle. Ukutheleleka endlebeni ephakathi kudinga uhlobo oluthile lokwelashwa.

Udokotela wakho angathatha nesampula yokukhishwa kwezindlebe noma imfucumfucu ukuze ihlaziywe elebhu. Lokhu kubenza bakwazi ukunquma umzimba obangela ukutheleleka okuphindaphindayo.

Yini ukwelashwa kwendlebe yokubhukuda okungamahlalakhona?

Ngaphambi kokuba uqale ukwelashwa, udokotela wakho angadinga ukusula noma yikuphi ukukhishwa noma imfucumfucu endlebeni. Le nqubo isebenzisa ukuncela noma i-curette yendlebe, ene-scoop ekugcineni.

Ezimweni eziningi zendlebe yokubhukuda engapheli, ukwelashwa kuzoqala ngama-eardrops wama-antibiotic ukwelapha ukutheleleka kwebhaktheriya. Uma indlebe yakho ivuvukele kakhulu, udokotela wakho kungadingeka ukuthi afake intambo kakotini noma i-gauze (ithubhu) endlebeni yakho ukuvumela izindlebe ukuba zingene emseleni wezindlebe.

Ukwelashwa ngama-eardrops wama-antibiotic ngokuvamile kuhlala izinsuku eziyi-10 kuya kweziyi-14. Kubalulekile ukuqeda inkambo yezindlebe, noma ngabe ubuhlungu nezimpawu ziyancipha ngaphambi kokuphela kwenkambo.

Ezinye izindlela zokwelashwa kwendlebe yokubhukuda okungamahlalakhona zifaka:

• corticosteroids ukunciphisa ukuvuvukala
• uviniga eardrops ukusiza ukubuyisela ibhalansi evamile yegciwane lendlebe yakho
• izindlebe ezibulala amagciwane zezifo ezibangelwa isikhunta
• i-acetaminophen noma ibuprofen yokudambisa izinhlungu noma ukungaphatheki kahle

Ukwelashwa kwakho kungashintshwa ukuze kufakwe ama-antibiotics omlomo, ikakhulukazi uma ama-eardrops engakusizanga. Udokotela wakho futhi anganquma ukuthi kudambise izinhlungu ukudambisa izinhlungu ezikhuphuke kakhulu noma esezihlale isikhathi eside.

Ukweqiwa okuphezulu kwama-antibiotic e-IV kwelapha amacala endlebe yokubhukuda okungamahlalakhona ane-malignant otitis externa, ikakhulukazi kubantu abadala asebekhulile noma kubantu abanesifo sikashukela.

Ngesikhathi sokwelashwa kwakho, uzothola imiphumela emihle uma ungakwenzi:

• ukubhukuda
• ukundiza
• faka ingaphakathi lezindlebe zakho limanzi ngenkathi ugeza
• faka noma yini ezindlebeni zakho, kufaka phakathi ama-headphone kanye nama-plugs endlebe, kuze kuphele izimpawu zakho

Ngingayivimbela kanjani indlebe yokubhukuda engapheli?

Unganciphisa ubungozi bokuthuthukisa indlebe yokubhukuda okungapheli ngokulandela le mikhuba:

• Ungasusi i-earwax.
• Ungafaki lutho ezindlebeni zakho, kufaka phakathi ama-cotton swabs, iminwe, uketshezi, noma izifutho.
• Cabanga ukugqoka ama-earplugs uma ubhukuda kaningi. Ngezinye izikhathi ama-plugs endlebe angenza indlebe yokubhukuda ibe yimbi kakhulu. Buza udokotela wakho ukuthi kufanele usebenzise ama-plugs endlebe uma ujwayele ukuba nendlebe yokubhukuda.
• Sula kahle izindlebe zakho ngethawula noma ngesomisi izinwele endaweni ephansi ngemuva kokubhukuda noma ukushawa. Yiba mnene futhi wome kuphela indlebe yangaphandle lapho womisa ngethawula.
• Jikisa ikhanda lakho ngapha nangapha ukusiza ukuphuma kwamanzi lapho izindlebe zakho zimanzi.
• Vikela izindlebe zakho noma ufake amabhola kakotini kuzo ngaphambi kokufaka odayi bezinwele noma ukufafaza ama-hairsprays noma amakha.
• Sebenzisa izindlebe zomuthi zokuvikela ezenziwe ngengxenye eyodwa yokugcoba utshwala no-1 wengxenye uviniga omhlophe ngaphambi nangemva kokubhukuda.
• Ungabhukudi ezindaweni lapho kungahle kube nokuqukethwe okuphezulu kwamagciwane.
• Ungayeki noma yikuphi ukwelashwa kwendlebe yokubhukuda ngokushesha kunokuba udokotela wakho ancoma.

Uyini umbono wesikhathi eside?

Ukwelashwa kwendlebe yokubhukuda okungapheli ngokuvamile kuyaphumelela. Kodwa-ke, ngokuya ngobukhulu besifo sakho, ukwelashwa kwakho kungathatha isikhashana. Ungadinga futhi ukuphinda ukwelashwa.

Kubalulekile ukulandela imiyalo kadokotela wakho futhi uthathe yonke imithi, ikakhulukazi ama-antibiotic omlomo noma ama-eardrops wama-antibiotic, esikhathini esibekiwe. Ukutheleleka kwakho akulapheki ngoba izimpawu zakho ziyanyamalala.