Loaʻa pinepine anei i kāu keiki liʻiliʻi nā pilikia pepeiao, e lawe iā ia i ke kauka a loaʻa ka lāʻau lapaʻau, a laila hoʻi hou mai ka pilikia like i kekahi mau lā ma hope? A i ʻole ua piha ka pepeiao i ka wai a manaʻo kāu keiki ua nalowale kona lohe? Pono ʻoe e hopohopo nui no nā mea e like me kēia. Ma ke ʻano he hopena no ia mau pilikia, ʻōlelo pinepine nā kauka e pono lākou e "hoʻokomo i kahi ʻōmole i loko o ka pepeiao." ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka tympanostomy?
ʻO ke kau ʻana i nā paipu pepeiao, a i ʻole ma ke ʻano lapaʻau, he tympanostomy, he hana ʻoki liʻiliʻi ia e hana ʻia e kahi loea pepeiao, ihu, a me ka puʻu (ENT). Pili ia i ka hoʻokomo ʻana i kahi paipu liʻiliʻi loa, e like me ka cylinder hakahaka i hana ʻia me ka palakiko a me ka metala i loko o ka eardrum o kāu (a i ʻole kāu keiki) (ka membrane tympanic a i ʻole ka eardrum).
He hana maʻamau loa kēia i hana ʻia i waena o nā keiki, akā aia kekahi mau hihia kahi e hiki ai ke hoʻokomo ʻia kēia mau ʻōmole i loko o nā pākeke inā pono.
No ke aha lā e pono ai iā kākou ke kau i kahi ʻōmole e like me kēia i loko o ko kākou mau pepeiao?
E noʻonoʻo, he pepeiao waena ko kākou. ʻO ka maʻamau, pono e loaʻa ka ea i loko o kēia pepeiao waena. Akā i kekahi manawa piha ia i kahi wai e like me ka wai. A i ʻole e loaʻa ka maʻi. ʻO kēia ka manawa e pono ai ke hoʻokomo ʻia nā ʻōmole.
ʻO kekahi o nā kumu nui:
- Nā maʻi pepeiao waena pinepine (otitis media acute): Loaʻa i kekahi mau keiki nā maʻi pepeiao i kēlā me kēia mau mahina. Pono kēia i nā lāʻau antibiotic pinepine. Hiki i ke kau ʻana o ka paipu ke kōkua i ka kaohi ʻana i kēia maʻi.
- Ka hoʻokahe ʻana o ka pepeiao waena: Inā he hōʻiliʻili ʻana o ka wai i loko o ka pepeiao waena no nā mahina ʻekolu a ʻoi me ka ʻole o ka ʻeha a i ʻole ke kuni, hiki iā ia ke hoʻopilikia i ka lohe o kāu keiki. Hiki ke hoʻokomo ʻia kahi ʻōmole e hoʻokahe i ka wai.
- Barotrauma: He mea maʻamau kēia i waena o nā pākeke. No ka laʻana, ke loli ke kaomi i ka wā o ka lele ʻana a i ʻole ka piʻi mauna ʻana, pono paha ka ʻeha nui i ka pepeiao e hoʻokomo ʻia nā ʻōmole e kāohi i ka ʻeha.
ʻElua mau hana nui o kēia ʻōmole. ʻO kekahi, ʻo ia ke hana i ala no ka wai i paʻa i loko o ka pepeiao waena e kahe ai i waho. ʻO kekahi, ʻo ia ka ʻae ʻana i ka ea mai waho e komo i loko o ka pepeiao waena, e pale ana iā ia mai ka hoʻopiha hou ʻana.
Inā waiho ʻole ʻia kēia mau kūlana, e lohi paha nā keiki i ko lākou hiki ke ʻōlelo a i ʻole ka nalowale mau loa o ka lohe.
Pehea e hana ʻia ai kēia ʻoki kino?
ʻAʻole kēia he hana nui e like me kāu e manaʻo ai, a hoʻopau pinepine ʻia i loko o ka manawa pōkole loa, ma kahi o 15 mau minuke.
- Anesthesia: No nā keiki, maʻamauHāʻawi ʻia ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole manaʻo ke keiki i kekahi mea i ka wā o ke kaʻina hana, ua hiamoe ʻo ia. No nā pākeke, hiki ke hana ʻia kēia i kekahi manawa me ka hoʻomānoʻo wale ʻana i ka pepeiao (anesthesia kūloko) .
- Kaʻina Hana:
1. ʻO ka mea mua, hana ke kauka i kahi ʻoki liʻiliʻi loa ma ka eardrum. Ua kapa ʻia kēia he myringotomy .
2. A laila, ua omo ʻia i waho ke kahe a pau i paʻa i loko o ka pepeiao waena me kahi mea hana liʻiliʻi.
3. ʻO ka hope loa, ua hoʻokomo ʻia ka ʻōmole liʻiliʻi i loko o kēlā ʻoki liʻiliʻi.
Hana ʻia kēia ma loko o ka lumi hana o ka haukapila, a hiki iā ʻoe ke hoʻi i ka home i kekahi mau hola ma hope o ke ʻoki kino. ʻAʻohe pono e noho i ka haukapila.
Inā loaʻa pinepine kēia pilikia i kekahi mau keiki, hiki i ke kauka ke ʻōlelo aku i kahi hana e wehe ai i nā adenoids (adenoidectomy) i ka manawa like me kēia hana. ʻO nā adenoids kahi ʻāpana o nā ʻiʻo i loaʻa ma hope o ko mākou ihu, ma luna o ka lehelehe luna. ʻO ka wehe ʻana i kēia mau mea e hōʻemi paha i ka pono no nā ʻōmole pepeiao i ka wā e hiki mai ana.
He aha kaʻu e makaʻala ai ma hope o ke ʻoki kino?
Ma hope o ke ʻoki kino, pono ʻoe e noho i loko o ka lumi hoʻōla no kekahi manawa. Hiki i ka anesthesia ke hoʻohiamoe iki iā ʻoe a me ka nausea . He mea maʻamau kēia.
E nānā kāu kauka iā ʻoe. Hiki iā lākou ke kuhikuhi i nā kulu pepeiao antibiotic e kōkua i ka pale ʻana i ka maʻi. Hiki iā lākou ke paipai i nā pani pepeiao e pale aku i ka wai mai loko mai o kou mau pepeiao i kou ʻauʻau ʻana a ʻauʻau paha.
Ma hope o kēlā, pono ʻoe e ʻike i ke kauka i kēlā me kēia mau mahina e nānā inā e hana pono ana ka ʻōmole.
ʻEhia ka lōʻihi o ke kaula i loko o ka pepeiao?
ʻO ka maʻamau, hāʻule ka ʻōmole ma kona iho i loko o 9 a 18 mau mahina. Hoʻōla ka pahu pepeiao a puni ka ʻōmole a hoʻokuke i ka ʻōmole i waho. Inā ʻaʻole i hāʻule ka ʻōmole ma hope o ʻelua mau makahiki, hiki i kāu kauka ke wehe iā ia me kahi hana liʻiliʻi.
| Nā pono a me nā pōʻino o ke kau ʻana o ka paipu | |
|---|---|
| Nā Pōmaikaʻi | Nā pilikia hiki ke loaʻa (Nā pilikia/Nā hopena ʻaoʻao) |
| Hoʻemi i ka pono no nā lāʻau antibiotic waha pinepine no nā maʻi pepeiao. | ʻAʻole pani ʻia ka lua i loko o ka pahu pepeiao i hana ʻia ma hope o ka wehe ʻia ʻana o ka ʻōmole (pono paha kēia i ke ʻoki kino hou aku). |
| ʻOiai inā loaʻa iā ʻoe kahi maʻi pepeiao, e emi ana ka ʻeha a me ke kuni. | Ka ʻeha o ka eardrum. |
| Hoʻihoʻi ʻana i ka lohe nalowale a emi iho paha. | Hoʻi hou mai nā maʻi pepeiao ma hope o ke hoʻokomo ʻia ʻana o nā paipu. |
| Ka hoʻomaikaʻi ʻana i ka ulu ʻana o ka ʻōlelo a ke keiki. | Hiki ke hemo koke ka ʻōmole a i ʻole ʻaʻole loa e hemo. |
| Ka hōʻemi ʻana i nā pilikia hiamoe i hoʻokumu ʻia e nā pilikia pepeiao. | ʻO ke ʻano i kapa ʻia ʻo ka kahe mau ʻana o ka wai mai ka pepeiao (otorrhea). |
Āhea ʻoe e kāhea aku ai i ke kauka?
Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, aia kekahi mau mea āu e makaʻala ai. Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e kāhea koke i kāu kauka.
- ʻEha pepeiao ʻaʻole e emi iho ʻoiai ke lawe ʻana i ka lāʻau lapaʻau.
- Kuni a i ʻole ke anu.
- Ke kahe nei ke koko mai ka pepeiao.
- Ma hope o nā lā mua, hiki ke nui aku ka wai e puka mai ana mai loko mai o ka pepeiao.
Inā loaʻa iā ʻoe a i ʻole kāu keiki nā pilikia pepeiao mau (nā maʻi, ka ʻeha, nā pilikia lohe) e like me kēia, he hopena maikaʻi paha ke ʻoki ʻana i ka paipu. ʻO ke ala maikaʻi loa e ʻike ai inā kūpono kēia iā ʻoe a i ʻole kāu keiki, ʻo ia ke kamaʻilio ʻana me kāu loea pepeiao, ihu, a me ka puʻu (ENT).
Leka Lawe-Home
- He hana ʻoki maʻamau a palekana hoʻi ka Tympanostomy i hana ʻia e mālama i nā pilikia e like me nā maʻi pepeiao pinepine a me ka hōʻiliʻili ʻana o ka wai i loko o ka pepeiao.
- Hoʻopau kēia i ke kahe i paʻa i loko o ka pepeiao, hāʻawi i ka ea, a hoʻemi i ka pilikia o nā maʻi e hiki mai ana.
- He hana ʻoki kino pōkole loa kēia, a hiki iā ʻoe ke hoʻi i ka home mai ka haukapila i ka lā hoʻokahi.
- ʻO ka maʻamau, hāʻule wale ka ʻōmole ma waena o 9-18 mau mahina.
- E hōʻoia e kūkākūkā me kahi loea pepeiao, ihu, a me ka ʻāʻī e hoʻoholo ai inā kūpono kēia lāʻau no kāu keiki a iā ʻoe paha.
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