ENT (Indlebe, impumlo, umqala)

Kwiimeko ze-tonsillitis ephindaphindiweyo okanye ukudumba okukhulu kwe-adenoid, okuchaphazela ukuphefumla nokuginya, sinokuncoma i-tonsillectomy okanye i-adenoidectomy. Sizenza ezi nkqubo ngokuchanekileyo, sisebenzisa iindlela eziphambili ezifana noncedo lwelaser ukunciphisa ukopha kunye nokungonwabi. Ukuhlasela kancinci, olu tyando lwenzelwe ukubuyisela ukuphefumla okuqhelekileyo kunye nokunciphisa usulelo, uphucula kakhulu umgangatho wobomi bakho. Emva kotyando, ukubuyisela ngokukhawuleza, kunye nokunciphisa okuphawulekayo kwiimpawu ezinxulumene neetoni ezandisiweyo okanye i-adenoids. 

Ukuba ufumana ukuvaleka kweempumlo ngenxa ye-septum etenxileyo, i-septoplasty inokuba sisisombululo. Iqela lethu ligxile ekulungiseni ukutenxa kwi-septum ukuphucula ukuhamba komoya ngeempumlo. Ngononophelo olucokisekileyo, sibeka ngokutsha kwaye silungelelanise isahluli phakathi kweempumlo, ngokufuthi sisebenzisa ubuchule be-endoscopic ukuchaneka okuphuculweyo. Olu tyando aluphelisi ubunzima bokuphefumla kuphela kodwa lunciphisa imiba ye-sinus, ekhokelela kumgangatho ophuculweyo wokulala kunye namandla onke. 

Kwabo baphethwe sinusitis engapheliyo, utyando lwe-sinus lunokubonelela ngesiqabu esifuneka kakhulu. Sisebenzisa i-Functional Endoscopic Sinus Surgery (FESS), ubuchule obuncinci, ukujongana nemiqobo okanye usulelo kwiipaseji ze-sinus. Le ndlela iphucula i-sinus ventilation kunye ne-drainage, ukunciphisa uxinzelelo lwe-sinus, ukusuleleka rhoqo, kunye neentlungu ezinxulumene nazo. Emva kotyando, siqinisekisa ukulandelelwa okubanzi kwaye sinikezela ngesikhokelo esilungiselelwe ukwandisa inzuzo yexesha elide.

I-Tympanoplasty yenziwa ukulungisa i-eardrum eyonakeleyo, ukubuyisela ukuva kunye nokunyaniseka kwesakhiwo. Inkqubo ibandakanya ukuxhunyelelwa ukulungisa i-eardrum ene-perforated, eyenziwa ngokuchaneka kwe-microsurgical. Iingcali zethu ziqinisekisa ukuba utyando lukhululekile ngokusemandleni, kusetyenziswa izixhobo zanamhlanje ukuze kuphunyezwe iziphumo ezilungileyo. Ukulandela inkqubo, izigulana zihlala zifumana ukubuyiselwa komthamo wokuva kunye nomngcipheko oncitshisiweyo wosulelo, oxhaswa sisicwangciso esineenkcukacha emva kwenkqubo yokhathalelo olusebenzayo kunye nokuphazamiseka okuncinci. 

Kulabo abanokulahlekelwa kwindlebe okunzulu, ukufakelwa kwe-cochlear kunika iziphumo eziguqukayo. Iqela lethu leengcali linobuchule ekufakeni izixhobo zotyando ezithatha indawo yomsebenzi wendlebe eyonakeleyo yangaphakathi. Le nkqubo yindlela enokusetyenziswa xa izixhobo zokuva eziqhelekileyo zingasebenzi. Siqinisekisa ukuba isigulane ngasinye sixilongwa ngokucokisekileyo ukuze sihambelane neenzuzo ze-cochlear implant kunye neemfuno zabo ezikhethekileyo zokuva, ukuphucula kakhulu ukuva kunye nokunxibelelana kwabo. 

Izixhobo zokuva ezifakwe ngokufanelekileyo zinokuphucula kakhulu umgangatho wobomi kubantu abangeva kakuhle. Iingcali zethu ze-audiologists zibonelela ngeenkonzo ezibanzi, ukusuka ekufakweni okuchanekileyo ukuya kuhlengahlengiso oluneenkcukacha, ukuqinisekisa ukusebenza kakuhle. Sithathela ingqalelo indawo yakho ye-acoustic, izinto ozikhethayo, kunye neemfuno zokuva ukulungisa isixhobo ngasinye ngokweemfuno zakho. Injongo yethu kukubonelela ukuva okucacileyo kunye nokukhululeka, kunye nenkxaso eqhubekayo ngokubonisana komntu. 

I-Laryngoscopy sisixhobo esibalulekileyo sokuxilonga esivumela ukuba sihlolisise umqala wakho kunye nebhokisi yezwi. Isetyenziselwa ukuchonga izizathu zokukhohlela okuzingileyo, ukurhabaxa, okanye eminye imiba yomqala. Le nkqubo yenziwa ngetyhubhu eguquguqukayo efakwe ikhamera, inika ingcaciso ecacileyo neneenkcukacha. Iingcali zethu ziqinisekisa ukungonwabi okuncinci ngexesha lenkqubo kwaye zikunike ingxelo ebanzi malunga nalo naluphi na unyango oluyimfuneko, nokuba lutyando okanye lunyango. 

Ukuba ujongene namaqhuqhuva e-thyroid, i-goitre, okanye umhlaza we-thyroid, i-thyroidectomy ingafuneka. Indlela yethu igxile ekususweni ngokuchanekileyo kwayo yonke okanye inxalenye ye-thyroid gland, ngelixa igcina ngokucophelela izicubu ezijikelezayo. Olu tyando aluphelisi kuphela iimpawu ezicinezelayo kodwa lukwasebenza indima ebalulekileyo yonyango ekunyangeni izifo. Sinikezela ngokhathalelo olucokisekileyo emva kokusebenza, kubandakanywa nenkxaso yamanqanaba ezwi kunye ne-calcium, ukuququzelela ukubuyiswa kwakho kunye nokuqinisekisa ukuguqulwa okugudileyo kulandela inkqubo. 

Kwiingqungquthela ze-salivary ezivaliweyo okanye ezosulelekileyo, ukungenelela ngotyando kunokufuneka. Iqela lethu lisebenzisa iindlela ezichanekileyo zokususa izithintelo, ukunciphisa iintlungu kunye nokudumba. Nokuba sijongana ne-sialolithiasis (amatye amathe) okanye amathumba, sisebenzisa iindlela ezihlaselayo kancinci naphi na apho kunokwenzeka, siqinisekisa ukuba iimpawu zilungiswa ngokufanelekileyo ngamaxesha alawulekayo. 

I-FESS yinkqubo ye-cutting-edge enikezela isiqabu kwiimeko ezahlukeneyo ezinxulumene ne-sinus. Ukusebenzisa izixhobo ze-endoscopic, sinciphisa ubungakanani be-incisions, sinciphisa ixesha lokubuyisela. Ngokuphucula iindlela ze-sinus drainage, i-FESS ibonelela ngokukhululeka kwexesha elide kusulelo oluqhelekileyo kunye nokuvalwa. Ukuchaneka kwayo kunye nendalo ehlaselayo encinci iqaqambisa ukuzinikela kwethu kubuchule obuphambili kunye nokhathalelo lwesigulane.

I-Otitis media yintsholongwane yendlebe ephakathi enokuthi ibe yinto enzima okanye engapheliyo. I-Acute Otitis Media ibonakala ngokukhawuleza, ihlala ibangela intlungu kunye nomkhuhlane, ngelixa i-Otitis Media engapheliyo iqhubeka, ikhokelela ekulahlekelweni kokuva. Sinikezela ngonyango olususela kumayeza okubulala iintsholongwane ukuya kungenelelo lotyando lwamatyala azingisayo, ukuqinisekisa ukukhululeka okukhawulezayo kunye nokukhusela ukuva kwakho. 

I-Sinusitis kukuvuvukala kwe-sinus lining, enokubangela intloko ebuhlungu, ukuxinana kweempumlo, kunye neentlungu ebusweni. Sinikezela ngonyango olulungelelanisiweyo, kubandakanywa i-antibiotics kwaye, ukuba kuyimfuneko, utyando lwe-sinus, ukunciphisa iimpawu kunye nokujongana nezizathu ezisisiseko, ukubuyisela umsebenzi oqhelekileyo we-sinus kunye nokuphucula impilo yakho yonke. 

I-Rhinitis kukuvuvukala kwenwebu yempumlo, ebangela ukuthimla, impumlo evuzayo, kunye nokuxinana. Sinikezela ngeendlela ezahlukeneyo zokungenelela kwezonyango kunye nendlela yokuphila ukulawula zombini i-rhinitis ye-allergies kunye ne-non-alergic. Unyango lubandakanya i-antihistamines, i-decongestants, okanye i-immunotherapy ukunika isiqabu sexesha elide kunye nokuphucula umgangatho wobomi bakho. 

I-tonsillitis kunye ne-adenoiditis ziimeko ezibandakanya ukudumba kunye nosulelo lwetoni kunye ne-adenoids. Sivavanya ngononophelo imeko nganye ukugqiba ukuba ngaba unyango lwe-antibiotic okanye ukususwa kokuhlinzwa kuyadingeka. Indlela yethu epheleleyo iqinisekisa ukukhululeka kwangoko kunye nokuthintela iziqendu ezizayo, ukunceda ukugcina impilo yomqala.

I-sleep apnea sisifo esiyingozi esibonakala kukuphazamiseka kokuphefumla okuphindaphindiweyo xa ulele. Sinikezela ngovavanyo olubanzi kunye neendlela ezahlukeneyo zonyango, kubandakanywa unyango lwe-CPAP, utshintsho lwendlela yokuphila, okanye utyando, ukuqinisekisa ukuba ukuphefumla kwakho kuhlala kuzinzile ngelixa ulele, ukuphucula impilo yakho yonke kunye nomgangatho wokulala. 

I-Laryngitis kukuvuvukala kweentambo zezwi, okukhokelela ekuphelelweni kwelizwi okanye ukukhwaza. Sigxininisa ekuchongeni oonobangela be-laryngitis, njengokusetyenziswa ngokugqithiseleyo, ukusuleleka, okanye ukucaphukisa, kunye nokubonelela ngonyango olususela ekuphumleni kwezwi ukuya kumayeza okanye unyango, ukunceda ukubuyisela ilizwi lakho kunye nempilo yezwi. 

I-Pharyngitis, okanye umqala obuhlungu, ihlala ihamba kunye neempawu ezifana nokubanda kwaye idla ngokuba yintsholongwane kwindalo. Sinikezela ngokukhululeka kweempawu kunye nolawulo losulelo, kwaye ukuba usulelo lwebhaktheriya njenge-strep throat ichongiwe, sinokumisela i-antibiotics ukuqinisekisa ukubuyiswa kunye nokunciphisa ukungahambi kakuhle. 

Ukulahlekelwa kwindlebe kunokwahluka ukusuka komnene ukuya kunzulu kwaye kunokuchaphazela kakhulu unxibelelwano. Ngovavanyo oluneenkcukacha lwe-audiometric, sinikezela ngongenelelo olulungelelanisiweyo olunjengezixhobo zokuva okanye utyando, ukulungisa isisombululo ngasinye kwiprofayile yakho yokuva ekhethekileyo kunye neemfuno, ukubuyisela ukukwazi kwakho ukuva kunye nokunxibelelana ngokufanelekileyo. 

I-tinnitus yimbono yesandi okanye ukukhala ezindlebeni ngaphandle komthombo wangaphandle. Sichonga oonobangela abasisiseko kwaye sibonelele ngezicwangciso zonyango lomntu ngamnye, kubandakanywa unyango oluvakalayo kunye nohlengahlengiso lwendlela yokuphila, ukunciphisa iimpawu kunye nokuphucula ubomi bemihla ngemihla. 

Ukuphazamiseka kwelizwi, okunokuthi kwenzeke ngenxa yokusetyenziswa kakubi kwezwi, iimeko ze-neurological, okanye izifo, zichaphazela ukuveliswa kwesandi. Sinikezela ngokhathalelo olubanzi, kubandakanya unyango lwelizwi kunye nongenelelo lotyando xa kukho imfuneko, ukwenza ngokwezifiso unyango olusekwe kubunzima bokuphazamiseka ukubuyisela impilo yezwi.

I-Audiometry luvavanyo oluphambili olusetyenziselwa ukuvavanya ukukwazi ukuva kwiifrikhwensi ezahlukeneyo kunye nemithamo. Le nkqubo yokuxilonga isinceda siqonde uhlobo kunye nobunzima bokulahlekelwa kwindlebe, okusenza sikwazi ukuphuhlisa izicwangciso zonyango ezijoliswe kuyo, kubandakanywa izixhobo zokuva okanye ukungenelela kwezonyango ezilungiselelwe iimfuno ezithile zesigulane ngasinye. 

I-Laryngoscopy ivumela ukujongwa ngokuthe ngqo komqala kunye ne-larynx, inceda ukuxilonga iimeko ezifana nosulelo, umhlaza, okanye ukuphazamiseka kwentambo yezwi. Ngokusebenzisa esi sixhobo ngobuchwephesha, siqokelela ulwazi olubalulekileyo ukukhokela ukucwangciswa konyango olusebenzayo, siqinisekisa ukuba izigulana zifumana ukhathalelo oluchanekileyo kunye nexesha elifanelekileyo. 

I-CT kunye ne-MRI scans inikeza imifanekiso ecacileyo yeempumlo zempumlo, izakhiwo zeendlebe, kunye nentloko kunye nentamo. Ezi ndlela zokuxilonga zibalulekile kuxilongo oluchanekileyo kunye nokucwangcisa utyando oluntsonkothileyo, siqinisekisa ukuba sikulungele ngokupheleleyo ukujongana nemeko eyodwa yesigulane ngasinye kunye nokuhambisa olona nyango lusebenzayo. 

I-tympanometry isetyenziselwa ukuvavanya ukusebenza kwedrum yendlebe kunye nokubona iimeko zendlebe ephakathi, ezifana nokwakhiwa kwamanzi okanye izifo. Ngokuvavanya uxinzelelo lwendlebe, siqokelela idatha ebalulekileyo ukwazisa unyango olusebenzayo, ukuxhasa ukugcinwa kwempilo yeendlebe kunye nokuphuculwa komsebenzi wokuva. 

Uvavanyo lwe-allergies sisixhobo esibalulekileyo sokuxilonga ukuchonga izinto ezithile ezichaphazela impilo ye-ENT. Ngokusebenzisa ulusu okanye iimvavanyo zegazi, sikhomba izinto ezibangela kwaye senze izicwangciso zokungenelela ezilungiselelwe, kubandakanywa iingcebiso zokuphepha, amayeza, okanye i-immunotherapy, ukunciphisa iimpawu kunye nokuphucula impilo yonke. 

Izifundo zokulala, ezifana ne-polysomnography, zisetyenziselwa ukuxilonga ukuphazamiseka kokulala njenge-apnea yokulala. Ezi zifundo zibanzi zilinganisa iiparitha ezahlukeneyo zomzimba ngexesha lokulala, zisenza sikwazi ukwenza izicwangciso zonyango ezisebenzayo, ezilungelelanisiweyo ezinceda ukuphucula umgangatho wokulala kunye neziphumo zempilo iyonke. 

I-Otoscopy ibandakanya ukuvavanya umjelo wendlebe kunye negubu lendlebe ukubona iimeko ezifana nosulelo okanye ukwakheka kwewax. Njengesixhobo sokuxilonga esisisiseko, i-otoscopy isinika ukuqonda ngokukhawuleza kwimpilo yeendlebe, inceda ukukhokela unyango olufanelekileyo ukugcina ingqibelelo yokuva kunye nokusebenza kweendlebe ngokubanzi.