Uma lezi zimpawu noma ezinye izimpawu ze-pathological occur, akuzona njalo ezicacile kudokotela okufanele abhalise, ngoba kukhona ochwepheshe abaningi abanokugxila okuncane. Ake sihlale ngokuningiliziwe mayelana nokuthi yiluphi uhlobo lwemibonakalo i-otolaryngologist eyokusiza, ukuthi ngubani, ukuthi yenzani, nokuthi lo mchwepheshe uqhuba kanjani ukwamukela.
I-otolaryngologist - ngubani futhi lokho okuphathayo?
Mayelana nokuthi ubani otolaryngologist onjalo nokuthi uphulukisa, abaningi bafunda kusukela ebuntwaneni, lapho ithunyelwa kudokotela wezingane ngezinkinga emva kwezifo zokuphefumula. Lo dokotela ugxile kwizifo zezitho ezintathu eziyinhloko: izindlebe, umphimbo kanye nekhala. Ngaphezu kwalokho, i-otolaryngologist ihlanganyela ekuhloleni nasekuphatheni izitho eziseduze, akugcini nje ngokuvala ngokwemvelo, kodwa futhi ihlobene ngokuzimela ngokomzimba: amathoni, izidakamizwa ze-adnexal, i-trachea, i-lymph nodes.
I-otolaryngologist yi-ENT noma cha?
Uma sicabanga ukuthi i-otolaryngologist ingokwedokotela, kufanele sikhethe elinye igama - ENT. Lesi yisifinyezo se-otolaryngologists, futhi imvelaphi yesifinyezo ivela ezincwadini zokuqala zezimpande zamagama esiGreki asendulo ezikhomba ukuthi udokotela uyazi ukuthi: "laryng" - umphimbo, "kusuka" - indlebe, "ibhongo" - impumulo. ENT odokotela abanolwazi lwezinkinga zentanyeni nekhanda, bajwayele ukuthambo, umzimba, neurology.
Iyini ukwelashwa kwe-otolaryngologist?
Ake sicabangele lokho okwenziwa yi-otolaryngologist, yiziphi izifo ezisezingeni lomsebenzi wakhe:
- I-pathology yezinhlaka zokuzwa:
- ukuvuvukala kwendlebe yangaphakathi, ephakathi, ngaphakathi;
- i-eustachiitis;
- i-mastoiditis;
- Isifo se-Miniera;
- i-otomycosis;
- i-neuritis ye-nerve auditory;
- ukutholakala komsele womlomo nge-plug sulfur;
- i-otosclerosis;
- ukulahleka kokuzwa;
- i-barotrauma;
- ukukhubazeka kwesigxobo sezinyosi kanye nezono ze-paranasal:
- i-rhinitis;
- ukugoba kwe-septum nasal;
- i-sinusitis;
- i-aerosynexitis;
- ozena;
- ama-polyps ekhaleni;
- ukuphuma kwegazi;
- i-hematoma ye-septum yangasese;
- ukukhubazeka komphimbo:
- i-angina;
- i-tonsillitis engapheli;
- i-laryngitis;
- i-pharyngitis;
- i-paratonzillar ne-absent okolohlotocnye;
- laryngospasm;
- i-tracheitis;
- ama-papillomas ku-larynx, emiceleni yamagama;
- polyposis kanye nabanye.
Ngaphezu kwalokho, udokotela we-ENT okukhishwa emaphethelweni okuphefumula okuphezulu, amaphuzu angamazinyo kanye nokuhamba kwezimpahla zangaphandle. Futhi ekusebenzeni kwalaba odokotela yizivivinyo ezivimbelayo nezihleliwe zabesifazane abakhulelwe, abafundi, abasebenzi bezinkampani ezahlukene. Ukwelashwa okuhlinzekwa kwenziwa ngudokotela ohlinzayo-otolaryngologist, kanti i-oncologist-otolaryngologist isebenzelana nezifo ze-oncologic.
Imisebenzi ye-otolaryngologist
Imisebenzi eyinhloko ye-otolaryngologist esebenza nge-polyclinic ukuhlinzeka ngezinsizakalo zokuxilonga, zokwelapha, nokululekwa kweziguli. Ekutholeni i-pathologies, udokotela kufanele enze ngesikhathi esifanele enze izindlela zokwelashwa nokuhlinzeka, ukuhlinzeka ngokunakekelwa okuphuthumayo, nokubhekisela ezigulini ukuze afike esibhedlela. Zonke izenzo zesazi kufanele zihambisane nemiyalelo yeziphathimandla zezempilo.
Uma uxhumane ne-otolaryngologist?
Wonke umuntu okhathalela impilo yakhe kufanele azi ukuthi u-otolaryngologist uthatha ukuthini, ngubani. Kunconywa ukuba uhlole njalo lo dokotela ukuze uqaphele ukwehluka okungenzeka ngesikhathi. Ukuphuthumayo ukuya ekwamukeleni kufanele kube lapho kukhona izimpawu ezibonisa isifo se-ENT:
- ikhala eligijima elide elinomkhuhlane;
- ukucindezela ubuhlungu ebunzini, ekhaleni nasemaceleni alo;
- ukungahlali isikhathi eside kokuphefumula komzimba;
- ukungabi khona kwephunga;
- ukuphazamiseka kokuzwa;
- ubuhlungu, umsindo, noma ukukhala ezindlebeni ;
- umkhuhlane omkhulu, ohambisana nomkhuhlane;
- ukunganaki emphinjeni lapho uhlafuna, ugwinya, ukhuluma;
- inzwa yento yangaphandle emgodini omsulwa .
I-otolaryngologist kanjani?
Ukunquma ukuthi yiliphi odokotela otolaryngologist kulula, futhi lokhu kungenzeka ngenxa yokuthi odokotela balezi zici ezikhethekile bayagqoka idivayisi ekhethekile emakhanda abo - i-reflector yangaphambili. Yimbuthano ye-concave nesibuko kanye nomgodi phakathi, okukuvumela ukuba uqondise umzila wokukhanya endaweni yocwaningo. Ngaphezu kwalokho, ukuhlola iziguli u-otolaryngologist udokotela usebenzisa amathuluzi anjalo namathuluzi:
- Spatula - ukuhlolwa kwe-pharynx;
- Isibuko sokusondeza - ukuhlolwa kwezingxenye zomlomo;
- I-Otoscope - yokuhlola indlebe yezindlebe;
- isibuko se-rhinoscopy yangemuva, okuvumela ukuba ubone nasopharynx naseminyangweni yeminyango yangemuva;
- i-audiometer - idivaysi yokunquma ubukhulu bokuzwa;
- endoscope - ithuluzi lokucwaninga ngokujulile izingxenye ezijulile zendlebe, impumulo, i-larynx.
Ukwamukela i-otolaryngologist kuqala ngokuxoxisana ngesiguli, ukucaciswa kwezikhalazo. Ngaphandle kokugcina kwalokhu, ukuhlolwa kwezingxenye zokuhlola nokucwaninga, umphimbo, ukuhlunga kwe-lymph nodes kuvame ukwenza. Uma izimpawu ze-pathological zikhona futhi ukuhlolwa kwembula okungavamile, kungase kudingeke ukuthi kutholakale ezinye izindlela zokuxilonga:
- I-X-ray;
- i-computer noma i-imaging resonance imaging;
- Baknanaliz smear kusuka emphinjeni , impumulo, indlebe;
- ukuhlaziywa kwegazi nabanye.
Uhlolisisa udokotela we-ENT?
Udokotela we-ENT ungumchwepheshe ohlolwayo wendabuko eqhutshwa ngezigaba eziningana:
- Ukuhlolisiswa komphimbo kanye namathoni - ngenxa yalokhu isiguli sidinga ukuvula umlomo wakhe ngokubanzi, unamathela olimini lwakhe bese ubiza umsindo "a", futhi udokotela uhlola i-mucosa, ukutholakala kwe-plaque nokuvuvukala.
- Ukuhlolwa kwezingxenye zomlomo - kwenziwa ngokusebenzisa isibonakaliso se-nasal dilator, ngokungafani kufakwe emakhaleni, ubukhulu bezingxenye zomlomo, isimo se-septum, ukuguqulwa kwezinguquko kanye nokushintsha kwamathambo kubonakala.
- Ukuhlolwa kwezindlebe - udokotela we-ENT ungena eardrum ngokufaka ukungena kwangaphandle kwe-otoscope, ucindezela i-tragus, ahlole ukuzwa ngenkulumo noma ngokusebenzisa imishini.
Ama-otolaryngologist amathiphu
Amathiphu alandelayo ka-ENT asiza ukugcina impilo ye-ENT izitho, ukugwema ukutheleleka ngesikhathi sokubandayo nokukhushulwa komzimba:
- Ukuze ulondoloze imisebenzi yokuvikela yamangqamuzana, kufanele uqaphele umswakama ekamelweni, okungafanele kube ngaphansi kuka-45%.
- Esikhathini esibandayo kubalulekile ukuvikela izindlebe kanye nomphimbo ovela emoyeni naseqhwa, ukugqoka isigqoko nesiqhwa.
- Ngeqhwa elibi, akukhuthazwa ukuba ukhulume ngaphandle, ukufaka umoya emlonyeni.
- Hlala kude nabantu abanezibonakaliso zokugula.
- Ukuze ugweme ukulimala futhi uphonse isibabule emgodini wezindlebe, awukwazi ukusebenzisa uhla lwekotini, futhi uhlanza ukungena ezindlebeni emva kokudonsa, usebenzisa uhlangothi lwendwangu.
- Ukuze unciphise ubungozi bokulahlekelwa ukuzwa, udinga ukushiya ukusetshenziswa kwe-headphone engenawo umzila, futhi ku-headphones evamile kumele kubekwe kumthamo ongaphezulu kuka-60% wezinga eliphezulu.
- Ezimpawu zokuqala ze-pathological kunconywa ukubhekana nodokotela, esikhundleni sokuthi ube ne-selftreatment.