Ke hanu nei kāu keiki liʻiliʻi ma ko lākou waha? Ke kani nei lākou? ʻO ke kumu paha he adenoids!

Ke kani nui nei kāu keiki liʻiliʻi i ka pō ke hiamoe ʻo ia? A i ʻole ke hanu pinepine nei ʻo ia me kona waha e hāmama ana ʻoiai ke pāʻani nei ʻo ia i ke ao? Ke manaʻo nei anei ʻo ia ua paʻa mau kona ihu? He mau pilikia maʻamau kēia i loaʻa i nā mākua he nui. I kekahi manawa manaʻo mākou he mea maʻamau, a he anu iki paha. Akā no kekahi mau keiki, ʻo ke kumu o kēia he ʻāpana o ke kino ʻaʻole mākou e kamaʻilio nui e pili ana, akā he mea nui loa ia. ʻO ia nā adenoids . I kēia lā e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.

He aha maoli nā adenoids?

I ka ʻōlelo maʻalahi, he mau ʻōpū liʻiliʻi nā adenoids ma ka piko o ko kākou puʻu, ma hope o ko kākou ihu. ʻO ka ʻōlelo pololei, he ʻāpana lākou o ka ʻōnaehana pale o ko kākou kino, ʻo ia hoʻi ka ʻōnaehana pale. E noʻonoʻo i ko kākou kino e like me kahi pā kaua. ʻO ka ihu a me ka waha nā puka nui ʻelua o kēlā pā kaua. Pono nā kiaʻi e hopu i nā germs, e like me nā bacteria a me nā virus, e komo mai ana ma o kēia mau puka. Ma ke ʻano like, he mau kiaʻi liʻiliʻi nā adenoids e hopu i nā germs e komo mai ana ma o ko kākou ihu a me ka waha a hakakā iā lākou.

He mea nui loa kēia no ke olakino o nā keiki ʻōpio a me nā pēpē . No ka mea, i kēlā makahiki, ʻaʻole i hoʻomohala piha ʻia nā ʻano hana ʻē aʻe o ke kino e hakakā ai i ka maʻi. No laila, kōkua nā adenoids i ka hoʻopiha ʻana i kēlā hakahaka a pale i ke keiki mai ka maʻi.

Akā, aia kekahi mea kupaianaha ma ʻaneʻi.

• ʻO ka nui o nā adenoids o ke keiki e hiki i ko lākou nui ma waena o 3 a 5 mau makahiki.
• A laila, ma kahi o 7 a 8 paha makahiki, hoʻomaka mālie lākou e emi.
• I ko kākou ʻelemakule ʻana, e emi loa ana kēia mau mea a nalowale loa.

ʻO ia hoʻi, ua like nā adenoids me kahi mea pale kino no ka manawa pōkole, kūikawā wale nō i ka wā kamaliʻi.

Aia i hea nā adenoids? Hiki iā mākou ke ʻike iā lākou?

He pilikia kēia i loaʻa i nā kānaka he nui. ʻAʻole e like me nā tonsils i ʻike ʻia ma nā ʻaoʻao ʻelua o ka puʻu ke wehe ʻoe i kou waha a nānā i mua o ke aniani, ʻaʻole ʻike ʻia nā adenoids iā mākou. Aia lākou ma ka piko o ka puʻu, ma hope o kahi e pau ai ka lua ihu. I ka pololei, ma luna o ka ʻili o ka waha, ma luna o ka palale palupalu. ʻAʻole hiki i ke kauka ke ʻike i kēia mau mea me ka nānā maʻamau; pono lākou e hoʻohana i kahi mea hana kūikawā i lako me ke kāmela (nasal endoscopy).

Ua like lākou me kahi ʻāpana palupalu a poni o nā ʻiʻo. Ua wehewehe kekahi poʻe iā lākou he "ʻano kāpeti." ʻO ka adenoid maʻamau a olakino he 6 millimeters ka nui. Akā inā pehu a hoʻonui ʻia lākou ma muli o kahi maʻi a i ʻole ka maʻi allergy, hiki iā lākou ke ulu a hiki i 11-12 millimeters a ʻoi aku paha. ʻO ia ka manawa e hoʻomaka ai nā pilikia.

No ke aha e nui ai nā adenoids inā ʻaʻole lākou e pehu?

I kēlā me kēia manawa e hakakā ai ke kino o ke keiki i kahi maʻi, hiki i kēia mau adenoids ke hoʻāla ʻia a pehu. He mea maʻamau kēia. Eia nō naʻe, i kekahi mau keiki, pehu mau lākou a nui loa. Aia kekahi mau kumu nui no kēia.

• Nā maʻi pinepine o ka hanu luna: Pono nā keiki e loaʻa pinepine i ke anu, ka maʻi palū, a me nā maʻi ʻāʻī e hana mau, e hoʻoulu ai i ko lākou adenoids e pehu a hoʻonui ʻia.
• Nā maʻi pepeiao pinepine: Ua pili nā pepeiao, ka ihu, a me ka ʻāʻī, no laila hiki i nā maʻi pepeiao ke hoʻoulu i nā adenoids pehu.
• Nā Allergies: ʻO nā keiki me nā maʻi allergies i nā mea e like me ka lepo a me ka pollen e hoʻoulu mau ʻia a pehu paha ko lākou adenoids.
• Ka kahe koko pinepine: I kekahi manawa pili pū kēia ʻano me nā adenoids pehu.

He aha nā hōʻailona ke hoʻonui ʻia nā adenoids i loko o ke keiki?

Ke hoʻonui ʻia nā adenoids, e ālai lākou i ke ala ea ma hope o ka ihu. ʻO ia ke kumu o nā pilikia he nui. ʻAʻole nā ​​adenoids i hoʻonui ʻia a pau e hoʻoulu i nā hōʻailona. Akā inā hana lākou, hiki iā lākou ke komo pū me kēia mau hōʻailona. E nānā e ʻike inā loaʻa i kāu keiki kekahi o kēia mau mea.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke lawe ʻoe i kāu keiki i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i nā hōʻailona o kāu keiki. Ke hanu nei ʻo ia i ka pō, hanu ma kona waha, a maʻi pinepine paha? A laila, e nānā ke kauka i kāu keiki. ʻOiai ʻaʻole ʻike pololei ʻia nā adenoids, hiki iā lākou ke paipai i kekahi mau hoʻokolohua e hōʻoia i ke kūlana.

• ʻO ka Endoscopy Ihu: ʻO kēia ke ʻano hana maikaʻi loa. Hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela liʻiliʻi a me ke kukui ma ka hopena i loko o ka ihu o ke keiki a e nānā pono ke kauka i nā adenoids e ʻike i ko lākou nui, pehu, a ʻulaʻula paha.
• X-ray: I kekahi manawa hiki ke hoʻohana ʻia kahi X-ray o ka ʻaoʻao o ka ʻāʻī e ʻike i ka nui o ke ala ea i ālai ʻia e nā adenoids.
• Haʻawina hiamoe: Inā he kānalua he obstructive sleep apnea ka keiki, hiki ke hana ʻia kēia hoʻāʻo.
• Moʻomeheu ʻāʻī: Kōkua kēia hoʻāʻo e hoʻoholo inā ua pehu nā adenoids ma muli o kahi maʻi bacteria.

He aha kāu e hana nei ma ke ʻano he lāʻau lapaʻau?

ʻO ka mea maikaʻi loa, ʻaʻole pono nā keiki āpau me nā adenoids i hoʻonui ʻia i ke ʻoki kino. E hoʻāʻo mua kāu kauka e mālama i ke kūlana me ke ʻoki ʻole ʻana. E hilinaʻi ka lāʻau lapaʻau i ke kumu o nā adenoids i hoʻonui ʻia a me ke koʻikoʻi o nā hōʻailona.

1. Ke mālama ʻana i ke kumu kumu

E ho'āʻo mua ke kauka e ʻike i ke kumu o nā adenoids pehu a mālama iā ia.

• Inā he maʻi bacteria: E hāʻawi ʻia ke keiki i nā lāʻau antibiotic no kahi manawa i kuhikuhi ʻia.
• Inā he maʻi ʻaleka ia: Hiki ke hāʻawi ʻia iā ʻoe nā antihistamines a i ʻole kahi ʻōpala corticosteroid ihu. Hiki i kēia ʻōpala ke kōkua i ka hōʻemi ʻana i ka pehu ʻana o nā adenoids.

2. Hoʻopau ʻana i ka adenoid

Inā ʻaʻole hiki ke kāohi ʻia nā hōʻailona me ka lāʻau lapaʻau, a inā hoʻomau lākou e hoʻopilikia i ka hiamoe o kāu keiki, ka lohe, a i ʻole ke ola o kēlā me kēia lā, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino. Ua kapa ʻia kēia ʻoki kino he adenoidectomy.

Ma kēia kaʻina hana, hoʻokomo ʻia ke keiki ma lalo o ka anesthesia laulā, a wehe ke kauka ʻoki i ka ʻiʻo adenoid i hoʻonui ʻia me ka hoʻohana ʻana i nā mea hana kūikawā i loko o ka waha. ʻAʻohe ʻoki ʻia ma waho. Hiki ke hoʻouna ʻia ke keiki i ka home i ke ahiahi hoʻokahi a i ʻole kekahi lā aʻe. E hoʻōla piha ke keiki i loko o ʻelua a ʻekolu mau lā.

ʻO kekahi nīnau a nā mākua he nui, "E hōʻemi anei ka wehe ʻana i nā adenoids i ka hiki o ke keiki ke pale aku i ka maʻi?" ʻAʻole. Ua hōʻike ʻia e ka noiʻi ʻana ʻaʻole e hoʻonui ka wehe ʻana i nā adenoids i ka maʻi anu a i ʻole ka maʻi. ʻO kēia no ka mea he nui nā ʻāpana ʻē aʻe o ka ʻōnaehana pale o ke kino (e like me nā tonsils a me nā lymph nodes) e pale aku i nā germs.