Ubovu Endlebeni

Ukuphuma kobovu obuphuzi endlebeni kubonisa isifo esidinga ukunakekelwa kwezempilo. Ukuvuza koketshezi endlebeni kubangela ukukhathazeka, nokho ukwazi izimbangela zako kusiza abantu bathole ukwelashwa okufanele. Isizathu esivame kakhulu ngemuva kokukhishwa kwezindlebe sihlala izifo ezindlebeni ezimaphakathi, odokotela abazibiza nge-acute otitis media.

Izingane ezincane ezingaphansi kweminyaka emi-3 zikhombisa ukungenwa yizifo ezindlebeni. Isikhala sendlebe emaphakathi sigcwala uketshezi oluthelelekile noma ubomvu ngesikhathi ukutheleleka kugadla, okudala ingcindezi emgudwini wendlebe. I-eardrum ingase iqhume uma lokhu kucindezela kukhula ngokweqile, futhi kuphuma uketshezi oluphuzi olujiyile. Izimpawu zeziguli ngokuvamile zihlanganisa izinkinga zokuzwa, izinkinga zebhalansi, kanye imfiva, kanye nobuhlungu. Lezi zifo zenzeka kaningi, ikakhulukazi uma unezingane ezincane, nakuba abantu banoma iyiphi iminyaka bengakwazi ukuzihlakulela. Odokotela bavame ukunquma inkinga yempande ngokuhlola izici nokubukeka kokukhishwa.

Iyini iPus Endlebeni? 

Igama lezokwelapha elithi otorrhea lichaza uketshezi oluphuma endlebeni. 

Amaphuzu avelele angukhiye yilezi:

• Uketshezi olujiyile, ngokuvamile oluphuzi noma oluluhlaza, lubonisa umzimba wakho ulwa nezifo
• Inhlanganisela yamangqamuzana amhlophe egazi, izicubu ezifile, amagciwane kanye namanye amaseli omzimba
• Imiphumela yokuvuvukala endlebeni ephakathi noma engaphandle
• Ivuza ngesigubhu sendlebe esinezimbobo noma ngokuqondile embotsheni yendlebe

Izimbangela Zobomvu Endlebeni 

Okulandelayo yizimbangela ezivamile zokuvuza kobovu endlebeni:

• I-acute otitis media ene-eardrum perforation
• I-otitis media engapheli ene-perforation noma cholesteatoma
• I-Otitis yangaphandle ithinta umgudu wezindlebe wangaphandle
• Izinto ezinamathele kumsele wendlebe
• Ukulimala noma ukulimala komsele wendlebe noma i-eardrum
• Izimo zesikhumba njenge-eczema ku-canal yendlebe
• I-Cholesteatoma idala ukukhula kwamangqamuzana esikhumba okungavamile endlebeni ephakathi

Izimpawu Zobomvu Endlebeni 

Ungase uzizwele:

• Ubuhlungu noma imizwa yokucindezela ngaphakathi endlebeni
• Izingane zivame ukuba nemfiva
• Ukuzwa okuncishisiwe noma okuvalekile
• Izinkinga zebhalansi kanye isiyezi
• Ukucasuka komsele wendlebe nokuluma
• tinnitus kubangela imisindo ekhalayo
• Izingane ziba nomsindo, zidonse izindlebe zazo futhi baphelelwe isifiso sokudla

Ukuxilongwa Kokukhipha Ubomvu Endlebeni 

Ukuxilongwa kuhlanganisa:

• Odokotela bahlola indlebe nge-otoscope
• Ukuhlolwa kwe-pneumatic otoscope hlola ukunyakaza kwe-eardrum
• I-tympanometry ihlola ukusebenza kwendlebe emaphakathi
• Ukuhlolwa kwaselabhorethri kuhlaziya amasampula okukhishwa
• Ukuhlolwa kokuzwa kulinganisa noma yikuphi ukulahlekelwa
• Ezinye izimo zidinga ukuhlolwa kwe-CT noma i-MRI

Ukwelapha Ubovu Endlebeni 

Izinketho zokwelapha ubomvu bendlebe zihlanganisa:

• Ukutheleleka kwamagciwane kudinga ama-antibiotic njengamaconsi noma amaphilisi
• Izifo ze-fungal zidinga imithi ye-antifungal
• Ukuphatha ubuhlungu ngokusebenzisa acetaminophen or ibuprofen
• Ukutheleleka okuphindelelayo kungase kudinge amashubhu ezindlebeni
• Ukubuyisela kudinga ukugcina izindlebe zomile
• Izigubhu zendlebe ezinezimbobo ezingapholisiwe zidinga ukulungiswa
• Ukususwa ngokuhlinzwa kwelapha i-cholesteatoma

Uzoyibona Nini Udokotela 

Xhumana nodokotela wakho ngokushesha uma:

• Ukukhishwa kwendlebe kuthatha amahora angaphezu kwama-24
• Okubalulekile ubuhlungu bendlebe noma ukuvuvukala
• Umkhuhlane wezingane owedlula u-102.2°F
• Izimpawu eziqhubekayo ezinsukwini ezingu-2-3
• I-nausea, izinkinga zesiyezi noma ibhalansi
• Izinguquko emandleni okuzwa

Ukunakekelwa okuphuthumayo kuyadingeka ukuze kukhishwe ngemva kokulimala ekhanda

Amakhambi Asekhaya Obovu Endlebeni 

Amakhambi emvelo alandelayo angasiza:

• Ukucindezela okufudumele kusiza ukunciphisa ubuhlungu bezindlebe
• Ukulala uphakamise ikhanda nakho kunciphisa ingcindezi
• Landela umthamo ofanele wokudambisa izinhlungu
• Gcina indlebe ethintekile yomile 
• Gwema ukubhukuda kuze kube yilapho isifo sesiphelile ngokuphelele

Isiphetho

Ukutheleleka ezindlebeni kuvamile, ikakhulukazi ezinganeni ezincane, nakuba abantu abadala nabo bekuthola. Ubomvu obuphuma endlebeni yakho ngokuvamile bubonisa ukuthi umzimba wakho ulwa nesifo. Ukwenza ngokushesha kungamisa izinkinga ezinkulu njengokulahlekelwa ukuzwa noma inkinga yokugcina ibhalansi.

Ukwelashwa okufanele kuvumela izifo eziningi ezindlebeni zelaphe ngokwazo noma ngama-antibiotics. Ukugcina indlebe ethintekile yomile kubalulekile ngesikhathi sokululama. I-compress efudumele phezu kwendlebe ingasiza ekudambiseni ukungakhululeki ngenkathi uphulukisa.

Yiqiniso, izinkinga ezincane zezindlebe zingase zibe ngcono ngokwazo, kodwa udinga usizo lwezokwelapha uma uzwa ukukhishwa okuqhubekayo, ubuhlungu obukhulu noma umkhuhlane ophezulu. Abazali kufanele bahlale beqaphile njengoba izingane zivame ukudonsa izindlebe noma zicasuke lapho zinezifo ezindlebeni.

Ukwazi ukuthi yini ebangela ubomvu bendlebe kuzokuvumela ukuthi uthole ukunakekelwa okufanele. Impilo yendlebe yakho inomthelela empilweni yakho yansuku zonke ngokuzwa nokulinganisela. Lezi zifo zingase zingakhululeki, kodwa ngokuvamile zisabela kahle ekwelashweni, futhi uzobuyela esimisweni sakho ngokushesha.

Ukukhipha okungavamile endlebeni yakho kudinga ukunakwa udokotela. Bazohlonza imbangela futhi baphakamise ukwelashwa okungcono kakhulu kwecala lakho. 

Imibuzo Evame Ukubuzwa

1. Kungani kuphuma uketshezi olunombala ophuzi endlebeni yami?

Uketshezi olunombala ophuzi oluphuma endlebeni yakho lungase lusho ukuthi unesifo sendlebe. Nakhu ukuthi kungani lokhu kungenzeka:

• Umzimba wakho ulwa namagciwane adala izifo endlebeni ephakathi. Lokhu kudala ubomvu obubhoboza isigubhu sendlebe esidabukile
• Ungaba nendlebe yombhukudi (i-otitis externa) ebangela ukugobhoza kumsele wendlebe wangaphandle.
• Amashubhu ezindlebeni abekwe ukwelapha izifo ezingelapheki angase akhiphe uketshezi oluphuzi
• I-earwax yakho exutshwe namanzi ingase ibukeke njengokuphuma okuphuzi

2. Kuyini ukukhipha okungavamile endlebeni?

I-earwax evamile akufanele ikukhathaze. Ukukhipha indlebe yakho kudinga ukunakwa uma ubona:

• Uketshezi olumhlophe, oluphuzi, olucacile, noma olunegazi oluhlala ngaphezu kwezinsuku ezinhlanu
• Ubovu obukhulu, obuphuzi ngokuluhlaza obunuka kabi
• Ukugeleza kwegazi okungase kubhekisele endlebeni edabukile
• Ukuvuza koketshezi ngemva kokulimala ekhanda okungaba uketshezi lwe-cerebrospinal
• Noma yikuphi ukukhishwa okungaphezu kwe-earwax evamile kudinga ukuhlolwa kwezokwelapha.

3. Kufanele uye nini esibhedlela ukuze uthole isifo sezindlebe?

Kufanele uvakashele isibhedlela uma uhlangabezana:

• Ubuhlungu obukhulu obungathuthuki ngokunye ukwelashwa
• Ukuvuvukala noma ububomvu obuvela ngemuva kwendlebe yakho
• Umkhuhlane ongaphezu kuka-104°F (40°C) kubantu abadala noma ngaphezu kuka-102.4°F (39°C) ezinganeni
• Inkinga ngeyakho umbono noma inkulumo 
• Intamo eqinile
• Ubuhlungu obukhulu obunoketshezi olunegazi noma olufana nobomvu oluphuma endlebeni yakho
• Ubuhlungu bendlebe kulandela ukulimala ekhanda lakho

UDkt Minal Gupta

CARE Medical Team