Ke hanu pinepine nei kāu keiki liʻiliʻi ma ko lākou waha? Hiki paha ke pehu nā adenoids (Adenoiditis)!

Ua ʻike anei ʻoe he pinepine ka ihu wai o kāu keiki liʻiliʻi, ka ihu paʻa, a hanu ma kona waha? I kekahi manawa ke hiamoe ʻo ia i ka pō, kani ʻo ia e like me ka ʻelemakule, ʻeā? ʻŌlelo kekahi mau makuahine, "Auē, e ke kauka, he ihu wai mau ko kaʻu keiki a he ihu paʻa." ʻOiai ke manaʻo nei mākou he anu wale nō kēia mau mea, i kekahi manawa hiki ke kumu o ka pehu ʻana o nā kelepa i kapa ʻia ʻo adenoids, i kapa ʻia ʻo adenoiditis . E kamaʻilio hou aku kākou e pili ana i kēia?

He aha maoli nā adenoids?

I ka ʻōlelo maʻalahi, ʻo kēia mau adenoids he ʻelua mau kelepa liʻiliʻi e like me ka ʻiʻo lymphoid i loaʻa ma hope o ka ihu o kā mākou poʻe liʻiliʻi, ma ka piko o ka puʻu, a ʻoi aku ka pololei, ma hope o ka lua ihu. E noʻonoʻo iā lākou he mau kiaʻi e hopu ana i nā germs e komo i loko o ko mākou kino. ʻO ia hoʻi, he ʻāpana koʻikoʻi lākou o ka ʻōnaehana pale o kā mākou mau keiki. Aia kēia mau adenoids ma laila e hopu i nā germs makemake ʻole ʻia, nā bacteria, a me nā virus e komo i loko o ko mākou kino mai ke kaiapuni ke hanu mākou a ʻai, hakakā iā lākou, a pale iā lākou mai ka maʻi.

No laila, he aha ka adenoiditis? No ke aha e hana ai?

I kēia manawa ua maopopo iā ʻoe ke ʻano o nā adenoids a me ko lākou koʻikoʻi. No laila, hiki i kēia mau kelepa e hakakā nei i nā germs ke loaʻa i nā germs, a i ʻole hiki iā lākou ke mumū. ʻO ia ka mea a mākou e kapa nei i ka lāʻau lapaʻau he adenoiditis . I ka pololei, ʻo kēia ka pehu ʻana o nā adenoids.

He aha ka mea e hana ʻia ke hana ʻia kēlā? Pehu kēia mau ʻōpū a lilo i mea nui. A laila hoʻomaka ke ala ea e ʻae ai i ka hanu ʻana ma o ka ihu e ālai ʻia. Lilo ia i mea paʻakikī i ke keiki ke hanu ma ko lākou ihu, a hoʻomaka lākou e hanu ma ko lākou waha . I kekahi manawa, hiki iā ʻoe ke ʻike i kahi ʻokoʻa ke kamaʻilio ʻoe me kou ihu i ālai ʻia.

ʻO nā kumu nui o ka pehu ʻana o nā adenoids

Aia kekahi mau kumu e pehu ai kēia mau adenoids. ʻO ka hapa pinepine, hoʻomaka ia penei:

1. Nā maʻi viral a me bacteria: ʻO ka mea mua, loaʻa paha i ke keiki kahi maʻi viral , e like me ke anu, e hoʻonāwaliwali ai i ke ala hanu o luna. A laila, hiki i kahi maʻi bacteria ke lawe i kēlā wahi nāwaliwali. Ke loaʻa ʻelua mau maʻi like ʻole i ka lālani, ʻoi aku ka nui o ka pehu ʻana o nā adenoids.

• Nā maʻi e hoʻoulu ai i ke anu maʻamau a me ka maʻi palū.
• ʻO nā bacteria e hoʻoulu ai i nā maʻi e like me ka bronchitis , nā maʻi pepeiao, ka pneumonia , a me nā maʻi ʻāʻī (e like me ka strep throat ).

2. Nā maʻi ʻaleka: Loaʻa paha i kekahi mau keiki nā maʻi ʻaleka i nā mea e like me ka lepo, ka pollen, a me kekahi mau meaʻai. Hiki i kēia mau maʻi ʻaleka ke hoʻoulu i nā adenoids e pehu.

3. Reflux waikawa:I kekahi manawa, hiki i nā adenoids ke pehu i ka wā e holo hou ai ka waikawa o ka ʻōpū i loko o ka puʻu a hōʻeha i ka ʻiʻo ma laila. He kūlana kēia i kapa ʻia ʻo LPR (Laryngopharyngeal Reflux) .

ʻO wai ka mea e loaʻa pinepine ai ka adenoiditis?

ʻO kēia maʻi i kapa ʻia ʻo adenoiditis ka mea maʻamau i nā keiki ma waena o 3 a me 7 mau makahiki. Ua ʻike nā mākua he nui ka maʻi anu a me ke kuni o nā keiki o kēia makahiki. ʻO kēia no ka mea e hoʻomaka ana lākou e hele i ke kula a pāʻani me nā keiki ʻē aʻe. Eia kekahi, ʻo nā adenoids ka nui loa i kēia makahiki. No laila, ʻoiai kahi pehu liʻiliʻi i ia manawa hiki ke hana i ka nui o ka paʻa ʻana i nā ala ihu.

He mea kākaʻikahi loa kēia i nā pākeke. ʻO kēia no ka mea, emi pinepine nā adenoids a lilo i mea liʻiliʻi ma hope o 7 mau makahiki. I ka hapanui o nā hihia, nalowale loa lākou i ka wā e hiki ai i ka wā makua. Eia nō naʻe, ma muli o ka nui o nā ʻiʻo i koe, hiki i nā adenoids i nā pākeke ke pehu no nā kumu i ʻōlelo ʻia ma luna. I kekahi manawa, hiki i nā ulu ʻano ʻē e like me ke kanesa ke hoʻoulu i nā adenoids i nā pākeke e pehu. ʻOi aku ka maʻamau o kēia i nā pākeke.

He mea nui: ʻOiai he mea maʻamau ka hoʻonui ʻana o nā adenoids i nā keiki ʻōpio, he mea nui loa ia e hopohopo inā hoʻonui ʻia nā adenoids o kahi pākeke.

He aha nā hōʻailona e hōʻike ai i kahi keiki inā loaʻa iā lākou kēia maʻi?

Inā loaʻa i kāu keiki ka adenoiditis, e ʻike paha ʻoe i kekahi o kēia mau hōʻailona:

• Hoʻomaka ke kuni .
• Ka hanu ʻana ma ka waha (ʻoi aku hoʻi i ka pō, i ka wā e hiamoe ana).
• Paʻa koʻu ihu a he ihu kahe koʻu ihu i nā manawa a pau.
• I kekahi manawa hiki ke pani loa ʻia ke ala ea (pale ʻia ka ihu) .
• Manaʻo e like me ka huʻa e iho mai ana i lalo o ka puʻu, e ʻānai mau ana i ka puʻu (Postnasal drip) .
• Ke kani ʻana i ka pō . I kekahi manawa hiki ke manaʻo ʻia e like me ʻoe e hanu ana.
• ʻeha ka ʻāʻī .
• Hiki i nā pēpē hānai waiū ke pilikia i ka hānai ʻana no ka mea ua paʻa ko lākou ihu.
• Hiki ke loaʻa pinepine nā maʻi pepeiao.
• Ke ʻōlelo ʻoe, kani paha ʻoe me he mea lā e ʻōlelo ana ʻoe ma kou ihu (leo ihu).

He aha nā pilikia e hiki ke kū mai inā hoʻomau ka pilikia o nā adenoids?

He mea kēia e makaʻala ai. Inā pehu nā adenoids a paʻa mau nā ala ea, hiki i hoʻokahi pilikia ke alakaʻi i nā pilikia hou aku.

E noʻonoʻo, i ka wā e paʻakikī ai ka hanu ʻana ma ka ihu, hoʻomau ke keiki i ka hanu ʻana ma ka waha. Ke hanu ʻana ma ka waha no ka manawa lōʻihi , nui ka manawa e loaʻa ai nā lua i loko o nā niho a me ka nahu ʻana i ke ala kūpono ʻole. No ka mea, i ka wā e hāmama ai ka waha, maloʻo ka lawai i loko o ka waha, ʻaʻole ia he mea maikaʻi no nā niho. ʻAʻole wale ia, akā hoʻopilikia pū ia i ka ulu ʻana o nā iwi maka.Hiki i kēia ke hoʻopilikia a hoʻololi iki i ke ʻano o ka maka.

ʻO ka paʻakikī o ka hanu ʻana e hiki ai ke paʻakikī i ka hiamoe i ka pō. I kekahi manawa e pau ka hanu ʻana no kekahi manawa a laila hoʻomaka hou. Kāhea mākou i kēia ʻo 'Obstructive Sleep Apnea' . A laila paʻakikī i ke keiki ke hoʻolohe i ke ao, paʻakikī i ka noʻonoʻo ʻana i ka hana kula, a hiki nō hoʻi i kēia ke hoʻopilikia i ka hiki ke aʻo. Hiki i ke keiki ke luhi i nā manawa a pau.

ʻO kekahi mea ʻē aʻe, hiki i kēia mau adenoids pehu ke ālai i nā ʻōmole Eustachian, ka mea e hoʻopili ai i ka pepeiao waena o ke keiki i ke kua o ka ihu. ʻO kēia mau ʻōmole ke kuleana no ka hoʻohālikelike ʻana i ke kaomi i loko o ka pepeiao. Ke ālai ʻia kēia mau ʻōmole, hiki iā lākou ke hana i ka hoʻopili pinepine ʻana o ka pepeiao, nā maʻi pepeiao , a i kekahi manawa ka nalowale o ka lohe .

Pehea e hoʻoholo ai ke kauka i ka adenoiditis?

Ke lawe ʻoe i kāu keiki liʻiliʻi i ke kauka, e nīnau mua lākou iā ʻoe e pili ana i nā hōʻailona. E nīnau lākou iā ʻoe i nā nīnau he nui, e like me ka lōʻihi o ka loaʻa ʻana o nā hōʻailona, ​​pehea lākou e manaʻo ai i ka pō, a pehea lākou e ʻai ai a inu ai. A laila, hana paha lākou i kekahi mau hoʻokolohua e ʻike ai inā he adenoiditis kou a he aha ke kumu:

• Hoʻokolohua kino: I kekahi manawa e hoʻokomo ke kauka i kahi aniani liʻiliʻi (e like me nā mea a nā kauka niho e hoʻohana ai) i lalo o ka puʻu e nānā i nā adenoids pehu. Eia nō naʻe, hiki ke paʻakikī ke ʻike pololei, ʻoiai hoʻi i nā keiki ʻōpio.
• Endoscopy: ʻO kēia ke ala maikaʻi loa e ʻike ai i nā adenoids. Pili kēia i ke komo pono ʻana i kahi ʻōmole lahilahi a palupalu me kahi kāmela a me ke kukui ma ka hopena (i kapa ʻia hoʻi he nasal endoscopy ) ma kou ihu a nānā pono i nā adenoids. Hiki iā ʻoe ke ʻike pololei i ko lākou pehu ʻana, pehea ko lākou nui, a pehea ka paʻa ʻana o nā ala ihu. Hiki ke lilo i mea ʻoluʻolu ʻole iki, akā ʻaʻole ia he mea ʻeha loa.
• Ke hoʻāʻo ʻana i kahi hāpana pus/wai: Hiki ke lawe ʻia kahi swab ʻāʻī (i kapa ʻia he moʻomeheu ʻāʻī ) e ʻike inā he bacteria i loko, ʻoiai nā bacteria e hoʻoulu ai i ka strep throat .
• Nā hoʻokolohua alerhiya: Inā manaʻo ke kauka he alerhiya ke kumu o ka pehu ʻana, hiki iā ia ke hana i nā hoʻokolohua e pili ana i kēlā.

I kekahi manawa hiki ke lawe ʻia kahi X-ray e ʻike i ka nui o nā adenoids.

He aha nā lāʻau lapaʻau no kēia? He mea anei ia e makaʻu ai?

ʻO ke ʻano o ka mālama ʻana i ka adenoiditis e pili ana i ke kumu.

I ka hapa nui o ka manawa, ke pehu nā adenoids ma muli o kahi maʻi, hakakā ka ʻōnaehana pale o ke keiki iā ia a ho'ōla i loko o kekahi mau lā a i ʻole hoʻokahi pule. ʻAʻole pono ia i kekahi lāʻau kūikawā. ʻO kāu wale nō e hana ai, ʻo ia ke lawe i kekahi lāʻau lapaʻau no ke kuni a me nā ʻeha kino, e hoʻomaha nui, a inu i nā wai he nui.

Eia nō naʻe, inā ma muli o kekahi kumu ʻē aʻe, e emi ana ka pehu ke mālama ʻia kēlā kumu. Eia kekahi laʻana:

• Inā hōʻoia ke kauka he maʻi bacteria ia, e kuhikuhi ʻo ia i nā antibiotics . ʻO Amoxicillin lāua ʻo Penicillin nā antibiotics kaulana loa i kuhikuhi pinepine ʻia. Pono e lawe ʻia kēia mau lāʻau lapaʻau e like me ke kauoha, no ka helu pololei o nā lā. ʻAʻole maikaʻi ka hoʻōki ʻana i ka lawe ʻana iā lākou i ka hapalua.
• Inā ma muli o kahi maʻi allergy, hiki i kāu kauka ke kuhikuhi i nā antihistamines a i ʻole kahi steroid spray nasal, e like me Flonase® .
• ʻO ka hoʻoinu ʻana i ka ihu me ka wai saline e kōkua i ka hoʻomaʻemaʻe ʻana i nā mea hoʻonāukiuki a i ʻole nā ​​​​​​mea kolo a kōkua pū kekahi i ka hoʻēmi ʻana i ka paʻa ʻana o ka ihu.
• Inā loaʻa iā ʻoe ka reflux acid, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau, e like me nā mea hoʻopaʻa proton pump (PPI) a i ʻole nā ​​​​mea pale H2 .

He aha inā ʻaʻole holo pono ka lāʻau lapaʻau? Pono anei au e hana i ke ʻoki kino (Adenoidectomy)?

I kekahi manawa, ʻoiai me ka lāʻau lapaʻau, hiki ke hoʻomau ka pehu ʻana o nā adenoids. A i ʻole, inā loaʻa iā ʻoe ka adenoiditis pinepine, ka mea e hoʻoulu ai i ka hoʻopili pinepine ʻana o ka pepeiao, a i ʻole ka paʻakikī o ka hanu ʻana i ka pō (Obstructive Sleep Apnea), hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino , i kapa ʻia he adenoidectomy . Pili kēia i ka wehe ʻana i nā adenoids pehu ma ke ʻoki kino. Hana ʻia kēia hana e kahi loea pepeiao, ihu, a me ka ʻāʻī (Otolaryngologist - kauka ENT) .

I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'ʻAuē, e ʻoi aku ka maʻi o kaʻu keiki ma muli o ka wehe ʻana i kahi ʻāpana o ka ʻōnaehana pale?' Mai hopohopo . ʻAʻole ia e hana. ʻO ka ʻoiaʻiʻo, he ʻāpana liʻiliʻi wale nō nā adenoids o ka ʻōnaehana pale. ʻO ka wehe ʻana iā lākou ʻaʻole ia e ʻoi aku ka maʻi o kāu keiki. ʻO ke koena o ka ʻōnaehana pale (e like me nā tonsils a me nā lymph nodes) e hana maikaʻi a pale i kāu keiki mai nā germs. ʻO ka ʻoiaʻiʻo, ʻo ka wehe ʻana i nā adenoids pehu a maʻi pinepine paha e hoʻemi i ka maʻi o kāu keiki.

He aha ka mea e hana ʻia ma hope o ke ʻoki ʻana i nā adenoids? Ua maikaʻi anei ke keiki liʻiliʻi?

E ola koke ana ka Adenoiditis inā mālama ʻia ke kumu. Inā he maʻi ia, e ola koke ia ma kahi o hoʻokahi pule. E hoʻomaka ana ke keiki e ʻoi aku ka maikaʻi i loko o kekahi mau lā o ka hoʻomaka ʻana i nā antibiotics. Eia nō naʻe, pono e hāʻawi pololei ʻia nā lāʻau lapaʻau a pau i kuhikuhi ʻia e ke kauka a i ka manawa kūpono. Mai hoʻōki i ka hapalua no ka mea ua ʻoi aku kou maikaʻi.

Inā loaʻa iā ʻoe kahi ʻoki e wehe i nā adenoids (Adenoidectomy), hana pinepine ʻia ia i ka lā hoʻokahi a hiki iā ʻoe ke hoʻi i ka home (ʻoki lā). No kekahi mau lā ma hope o ke ʻoki ʻana, e ʻeha iki paha kou puʻu, a e ʻoluʻolu iki paha ʻoe i ka ʻai ʻana. E hāʻawi ke kauka iā ʻoe i nā lāʻau ʻeha no kēia. Pono ʻoe e hoʻomaha ma ka home no hoʻokahi pule ma ka liʻiliʻi. Ma hope o kēlā, hiki i ke keiki ke hele i ke kula a pāʻani maʻamau. Manaʻo ka nui o nā keiki i ka hōʻoluʻolu nui ma hope o kēia ʻoki ʻana, a ʻoi aku ka maikaʻi o nā mea e like me ka hanu ʻana ma ka ihu a me ka hiamoe.

Pehea e mālama ai i kāu pēpē ma ka home? Āhea ʻoe e ʻike ai i ke kauka?

I ka mālama ʻana i kahi keiki me ka adenoiditis, pono ʻoe e aloha nui a makaʻala . I mea e kōkua ai iā lākou e ʻoluʻolu, e hāʻawi iā lākou i nā wai he nui (e like me ka wai, ka sopa, ka wai huaʻai) a loaʻa ka nui o ka hoʻomaha. Inā loaʻa iā lākou ka ʻeha o ka puʻu, aia kekahi mau lāʻau lapaʻau home hiki iā ʻoe ke hoʻāʻo, e like me ka hāʻawi ʻana iā lākou i kahi meli liʻiliʻi a me ka gargling me ka wai paʻakai (inā hiki i kāu keiki ke lawelawe).

ʻO ka mea nui loa, ʻo ia ke nānā mau i ka manaʻo o kāu keiki. E nīnau mau, 'Pehea ʻoe, e ke keiki kāne/kaikamahine?' E kōkua kēlā iā lākou e ʻoluʻolu. Hiki iā ʻoe ke haʻi pololei i ke kauka i ka mea āu e pono ai e haʻi aku iā ia.

I kēia mau hihia, pono ʻoe e ʻike i ke kauka:

• Inā ʻaʻole hoʻomaikaʻi nā hōʻailona a i ʻole ʻaʻole i emi ke kuni ma hope o ʻelua mau lā o ka hoʻomaka ʻana i nā lāʻau antibiotic.
• Inā loaʻa i ke keiki nā hōʻailona hou, a inā e ʻoi aʻe ka ʻino o nā hōʻailona e kū nei (e laʻa, ka piʻi ʻana o ka hanu ʻana, nā lehelehe polū).
• Inā hoʻomau ke kuni ʻoiai ua hāʻawi ʻia i ka lāʻau hoʻohaʻahaʻa kuni.
• Inā pilikia nui ke keiki i ka hanu ʻana.
• Inā hōʻole lākou e ʻai a inu paha, a inā e luaʻi lākou.

No laila, e hoʻomanaʻo kākou i nā mea nui loa, ʻeā?

He nui nā keiki e pehu ana nā adenoids ke maʻi lākou. Akā, ʻo ka hapa nui o nā anu a me nā maʻi palū e hoʻomaikaʻi i ka hala ʻana o ka manawa. Hiki ke mālama ʻia kekahi mau kumu - nā maʻi bacteria, nā pilikia waikawa o ka ʻōpū, nā maʻi ʻaleka - me ka lāʻau lapaʻau. Akā inā pono kāu keiki i ke ʻoki ʻana, e hoʻomanaʻo he hana maʻamau a holomua ia. Hiki i ke keiki ke olakino me ka ʻole o nā adenoids.

ʻAʻole noʻonoʻo ka nui o nā mākua i ka huaʻōlelo lapaʻau 'adenoiditis' ke ʻike lākou i nā hōʻailona o kā lākou keiki. Akā, hiki i nā adenoids pehu ke like me ke anu a i ʻole ka maʻi palū. I ka hala ʻana o ka manawa, hiki iā lākou ke like me nā maʻi pepeiao e hoʻi hou ana. Akā ʻoi aku ka nui ma mua o ka ʻike ʻana i ka huaʻōlelo lapaʻau ka ʻike ʻana i ka wā e ʻike ai i ke kauka. Hoʻomaikaʻi ka hapa nui o nā keiki me ka manawa. Akā inā ʻoi aku ka lōʻihi o nā hōʻailona ma mua o hoʻokahi pule, a i ʻole he koʻikoʻi, e kāhea i ke kauka. Hiki iā lākou ke kōkua i kāu keiki e hoʻomaikaʻi koke. Ke makemake nei i kāu keiki liʻiliʻi e hoʻōla koke!

ʻO nā adenoids, adenoiditis, olakino o nā keiki, ʻeha puʻu, ihu paʻa, hanu waha, adenoidectomy