Septum Ephendukile

Ukuphambuka kweseptamu kuvela uma ibhange eliqolo (iseptamu yempumulo) elikhona phakathi kwezindonga zomlomo wakho wempumulo liyeka ukuqondana. Kubantu abaningi, iseptamu yempumulo ayiqondani — noma iphambukile — okwenza indlela eyodwa yempumulo ibe mncinci.

Ukushintsha okuningi kwe-septum akunabangela lutho, futhi ungase ungazi ukuthi une-septum ehlanekezelwe. Kodwa-ke, ezinye izinkinga ze-septum zingabangela izimpawu ezilandelayo:

• Ukuvinjwa kwesinye noma kokubili ama-nostril. Lokhu kuvinjwa kwenza kube nzima ukuphefumula nge-nostril noma ama-nostril. Ungase uqaphele lokhu kakhulu uma une-cold noma i-allergies engabangela ukuba izindawo zakho zokuphefumula zifufe futhi zibe mncinci.
• Ukuphuma kwegazi ekhaleni. Ubuso be-septum yakho bungase bube bomile, okwandisa ingozi yokopha igazi ekhaleni.
• Ubuhlungu ebusweni. Kukhona ingxabano ethile mayelana nezimbangela ezingaba khona ze-nasal zokubuhlungu ebusweni. Imbangela enokwenzeka yobhlungu ebusweni ohlangothini olulodwa ingaba yi-septum ehlanekezelwe kakhulu lapho izindawo ezikhona ekhaleni ziqhakambisana futhi zibangele ukucindezela.
• Ukuphefumula okukhulu ngesikhathi sokulala. I-septum ehlanekezelwe noma ukufufuza kwezinsimbi ekhaleni kungaba omunye wezizathu eziningi zokuphefumula okukhulu ngesikhathi sokulala.
• Ukwazi i-nasal cycle. Ikhala liguqula phakathi kokuvimba ohlangothini olulodwa bese kuguqula kube ukuvinjwa kolunye uhlangothi. Lokhu kubizwa nge-nasal cycle. Ukuba uqaphele i-nasal cycle akuyona into evamile futhi kungabonisa ukuvinjwa kwekhala.
• Ukukhetha ukulala ohlangothini oluthile. Abanye abantu bangase bakhethe ukulala ohlangothini oluthile ukuze baqondise ukuphefumula ngekhala ebusuku uma indlela yokuphefumula ekhaleni icindezelwe.

Bona udokotela wakho uma ubhekene nalokhu okulandelayo:

• Ikhala lekhala (noma amalahla) elihlala livaliwe futhi lingaphenduli ekwelapheni
• Ukopha kwemfucuza okuvamile
• Ukutheleleka okuphindaphindayo kwe-sinus

Ukuphambuka kwesegimenti kwenzeka lapho isegimenti yakho yempumulo—udonga olucelé oluhlukanisa izindawo zakho zempumulo ngakwesokudla nangakwesobunxele—luthuthukiswe ngakolunye uhlangothi.

Ukuphambuka kwesegimenti kungenziwa yilokhu okulandelayo:

• Isimo esikhona ekuzalweni. Kwezinye izimo, ukuphambuka kwesegimenti kwenzeka lapho isisu sithuthuka esibilinini futhi kubonakala ekuzalweni.
• Ukulimala empumlweni. Ukuphambuka kwesegimenti kungaba umphumela wokulimalala okubangela ukuthi isegimenti yempumulo ihambiswe endaweni engalungile.

Ezinganeni, ukulimala okunjalo kungenzeka ngesikhathi sokuzalwa. Ezinganeni nasekubantu abadala, uhlu olukhulu lwezingozi lungabangela ukulimala empumlweni nokuphambuka kwesegimenti. Ukulimala empumlweni kuvame kakhulu ezemidlalo eziqhakambayo, ukudlala okunamandla njengokulwa noma ezingoveni.

Inkqubo yokuguga ingathinta izakhiwo zempumulo, ibe yimbi ukuphambuka kwesegimenti ngokuhamba kwesikhathi.

Ukuvuvukala nokuvuvukala kwezindawo zempumulo noma izindawo zesinus ngenxa yokutheleleka kunganciphisa ngokwengeziwe indlela yempumulo futhi kuphumele ekuphambaneni kwempumulo.

Kwabanye abantu, i-septum ehlanekezelwe ivela ngesikhathi sokuzalwa — ivela ngesikhathi sokuthuthukiswa kwesisu noma ngenxa yokulimala ngesikhathi sokubeletha. Ngemva kokuzalwa, i-septum ehlanekezelwe ivame ukubangelwa ukulimala okuhambisa i-septum yakho yempumulo endaweni engalungile. Izici ezingozi zihlanganisa:

• Ukuzijabulisa ngemidlalo yokuxhumana
• Ukungagqoki ibhande lakho lokuvikeleka uma uhamba ngemoto

Ukwahlukana okukhulu kwendonga yempumulo okubangela ukuthi impumulo ivalekile kungabangela:

• Ubomvu bomlomo, ngenxa yokuphefumula ngomlomo isikhathi eside
• Ukuzwa kogandaganda noma ukuqina emagxalabeni ompumulo
• Ukuphumula okuphazamisekile, ngenxa yokungakhululeki kokungakwazi ukuphefumula kalula ngempumulo ebusuku

Ungase ukwazi ukuvimbela ukulimala ekhathini lakho okungabangela i-septum ehlanekezelwe ngalezi zindlela zokuqapha:

• Gqoka i-helmet noma i-mask yobuso obuphakathi uma udlala imidlalo ethinta, njengobhola ne-volleyball.
• Gqoka ibhande lokuhlala uma uhamba ngemoto.

Phakathi nokuvakasha kwakho, udokotela wakho uzoqala ngokubuza mayelana nanoma yiziphi izimpawu onazo.

Ukuhlola ingaphakathi lekhala lakho, udokotela uzosebenzisa ukukhanya okukhanya, futhi ngezinye izikhathi ithuluzi eliqediwe lokuqhaqhazela ama-nostril akho. Ngezinye izikhathi udokotela uzohlola ngemuva ekhaleni lakho nge-scope ende enefomu le-tube enokukhanya okukhanya ekupheleni. Udokotela angase futhi abukele izicubu zakho ze-nasal ngaphambi nangemuva kokusebenzisa i-spray decongestant.

Ngokusekelwe kuloluvivinyo, angakwazi ukuxilonga i-septum ehlukanisiwe futhi anqume ukubaluleka kwezimo zakho.

Uma udokotela wakho engelona ilungu le-ENT futhi udinga ukwelashwa, angase akuqondise esazi ngale ndaba ukuze uthole ukwelashwa okwengeziwe nokuxilongwa.

Ukwelashwa kokuqala kwe-septum ehlanekezelwe kungase kugxilwe ekuphatheni izimpawu zakho. Udokotela wakho angase anikeze:

Izinto ezikhipha ukungcola. Izinto ezikhipha ukungcola yimithi eyancipha ukukhula kwezicubu zekhala, ekusiza ukugcina izindlela zomoya kokubili eceleni kwempumulo yakho zivulekile. Izinto ezikhipha ukungcola zitholakala njengephilisi noma njengesiqandama sempumulo. Kodwa sebenzisa ama-sprays empumulo ngokucophelela. Ukusetshenziswa okuvamile nokuqhubekayo kungadala ukuxhomeka nokwenza izimpawu zibe zimbi ngemuva kokuba uyeka ukuzisebenzisa.

Izinto ezikhipha ukungcola ngomlomo zinethonya lokukhuthaza futhi zingakwenza ube nomfutho kanye nokwenza ukucindezeleka kwegazi nezinga lenhliziyo yakho likhuphuke.

Imithi iphela kuphela izicubu ezivuvukile futhi ngeke ilungise i-septum ehlanekezelwe.

Uma usalokhu uhlangabezana nezimpawu naphezu kokwelashwa kwezokwelapha, ungase ucabange ngokuhlinzwa ukuze ulungise i-septum yakho ehlanekezelwe (septoplasty).

Phakathi ne-septoplasty ejwayelekile, i-septum yempumulo ilungiswa futhi ibekwe kabusha ephakathi lempumulo. Lokhu kungase kudinge ukuba udokotela asikhe futhi asuse izingxenye ze-septum ngaphambi kokubuyisela ezikhundleni ezifanele.

Izinga lokuthuthuka ongalindela ngokuhlinzwa kuncike ebukhali bokuhlanekezelwa kwakho. Izimpawu ezivela kwi-septum ehlanekezelwe — ikakhulukazi ukuvimbela ukuphefumula — zingase zihambe ngokuphelele. Noma kunjalo, noma yiziphi ezinye izimo zempumulo noma zesinus onazo ezihlasela izicubu ezimboza impumulo yakho — njenge-allergies — azikwazi ukwelashwa ngokuhlinzwa kuphela.

Kwezinye izimo, ukuhlinzwa kokubumba impumulo (rhinoplasty) kwenziwa ngesikhathi esifanayo ne-septoplasty. I-Rhinoplasty ihilela ukuguqula ithambo ne-cartilage yempumulo yakho ukuze uguqule ukuma noma usayizi wayo noma kokubili.

Ekwesobunxele, impumulo yowesifazane ngaphambi kwe-rhinoplasty. Ngakwesokudla, owesifazane ofanayo omfanekiso unyaka ngemuva kokuhlinzwa.

• Izinto ezikhipha ukungcola. Izinto ezikhipha ukungcola yimithi eyancipha ukukhula kwezicubu zekhala, ekusiza ukugcina izindlela zomoya kokubili eceleni kwempumulo yakho zivulekile. Izinto ezikhipha ukungcola zitholakala njengephilisi noma njengesiqandama sempumulo. Kodwa sebenzisa ama-sprays empumulo ngokucophelela. Ukusetshenziswa okuvamile nokuqhubekayo kungadala ukuxhomeka nokwenza izimpawu zibe zimbi ngemuva kokuba uyeka ukuzisebenzisa.

  Izinto ezikhipha ukungcola ngomlomo zinethonya lokukhuthaza futhi zingakwenza ube nomfutho kanye nokwenza ukucindezeleka kwegazi nezinga lenhliziyo yakho likhuphuke.

• I-Antihistamines. I-Antihistamines yimithi esiza ukuvimbela izimpawu ze-allergy, kufaka phakathi impumulo evaliwe noma ephumayo. Zingase futhi ngezinye izikhathi zisize izimo ezingelona i-allergy njengezo ezenzeka ngesikhathi sokuqanduseka. Ezinye i-antihistamines zibangela ubuthongo futhi zingathinta ikhono lakho lokwenza imisebenzi edinga ukuhlanganiswa komzimba, njengokuqhuba.

• Ama-sprays e-nasal steroid. Ama-sprays e-nasal corticosteroid angaphethwe ngumthombo anganciphisa ukukhula endleleni yakho yempumulo futhi asisize ngokukhipha. Ngokuvamile kuthatha amasonto angu-1 kuya kwangu-3 ukuze ama-sprays e-steroid afinyelele emiphumeleni yawo enkulu, ngakho kubalulekile ukulandela imiyalelo yodokotela wakho ekusebenziseni wona.