Piʻi anei ka pepeiao o kāu keiki e like me ka gum? ʻO kēia ka 'Glue Ear'!

Ke manaʻo nei ʻoe i kekahi manawa ʻaʻole hiki i kāu keiki liʻiliʻi ke lohe iā ʻoe ke kamaʻilio ʻoe me lākou? A i ʻole ke hoʻokiʻekiʻe nui nei ʻoe i ke TV? Hiki paha no ka mea ua piha ka pepeiao o kāu keiki liʻiliʻi i kahi wai mānoanoa a pipili. Ma ke ʻano he mau kauka, kapa mākou i kēia ʻano ʻo 'Glue Ear'. Ma nā ʻōlelo lapaʻau, ua kapa ʻia hoʻi ʻo ia ʻo `(Otitis Media with Effusion - OME)` a i ʻole `(Secretory Otitis Media)`. Hiki ke hana kēia i kekahi a i ʻole nā ​​pepeiao ʻelua o ke keiki. ʻIke pinepine ʻia ma hope o ka maʻi pepeiao, akā hiki ke hana ʻia e nā kumu ʻē aʻe. Mai hopohopo, e hoʻomaikaʻi pinepine kēia ʻano ma hope o kekahi manawa. Eia naʻe, inā hoʻomau ia, hiki ke hoʻopilikia i ka lohe o kāu keiki.

He aha maoli ka 'Glue Ear'? Pehea e ulu ai?

I ka ʻōlelo maʻalahi, ʻo ka 'glue ear' he wai mānoanoa a pipili e hōʻiliʻili ana i loko o ka pepeiao waena o kāu keiki (ka hakahaka ma hope o ka eardrum). Ua kapa ʻia ʻo 'glue ear' no ka mea ua like ia me ka gum.

E noʻonoʻo, i mea e lohe maikaʻi ai kākou, pono e maopopo ko kākou pepeiao waena a piha i ka ea. Komo kēia ea i loko o ka pepeiao waena ma o ʻelua mau ʻōmole i kapa ʻia ʻo Eustachian tubes . Hoʻopili kēia mau ʻōmole ʻelua i ko kākou pepeiao waena a me ka ʻāʻī. I mea e pololei ai, holo kēia mau ʻōmole mai ke kua o ka ihu a i ka ʻāʻī a i loko o ka pepeiao waena. ʻO kekahi o nā hana nui o kēia mau ʻōmole Eustachian, ʻo ia ka hoʻokahe ʻana i nā wai i makemake ʻole ʻia e hōʻiliʻili ana i loko o ka pepeiao waena. Moni mākou i ka wai e puka mai ana me ka ʻike ʻole.

ʻOi aku ka laulā o kēia mau ʻōmole Eustachian i nā keiki ʻōpio ma mua o nā pākeke, a aia pū lākou ma ke ʻano pae. No laila, ʻaʻole lākou e hana me ka maikaʻi e like me nā pākeke. No laila, inā paʻa nā ʻōmole Eustachian o ke keiki no kekahi kumu, ʻaʻole komo ka ea i loko o ka pepeiao waena. A laila hoʻomaka nā ʻāpana i loko o ka papa o loko o ka pepeiao waena e hana i kahi wai mānoanoa a pipili. ʻO ia ka mea i kapa ʻia ʻo 'pepeiao glue'.

Ke piha ka pepeiao waena i ka wai, ʻaʻole hiki i ka pahu pepeiao ke haʻalulu pono. A laila, ʻaʻole e holo pono nā nalu kani i ka pepeiao o loko. ʻO ia ke kumu ʻaʻole hiki i nā pēpē ke lohe maikaʻi.

ʻO wai ka mea e loaʻa pinepine ai kēia maʻi 'pepeiao pipili'? Pehea ka maʻamau?

ʻO ka 'pepeiao pipili' kahi maʻi e hoʻopilikia pinepine ai i nā keiki ʻōpio , ʻoiai nā pēpē a me nā keiki ma lalo o 6 makahiki. Eia nō naʻe, hiki iā ia ke hoʻopilikia i nā pākeke i kekahi manawa.

He mea maʻamau kēia inā ʻoe e lawe i ʻelima mau keiki kula kamaliʻi, e loaʻa i kekahi o lākou ka 'pepeiao pipili' i kēlā me kēia manawa. Eia kekahi, ma kahi o ʻewalu o nā keiki he ʻumi e loaʻa i kēia maʻi ma mua o ka piha ʻana o 10 mau makahiki. No laila, ʻaʻole kēia he mea hou.

Pehea e ʻike ai inā loaʻa i kaʻu keiki liʻiliʻi ka 'pepeiao pipili'? He aha nā hōʻailona?

ʻO ka hōʻailona nui o ka 'pepeiao pipili' i nā keiki a me nā pākeke, ʻo ia ka nalowale o ka lohe . Hiki ke hana kēia i hoʻokahi pepeiao a i ʻole nā ​​pepeiao ʻelua i ka manawa hoʻokahi. Hiki ke manaʻo ʻia he ʻelua mau pani pepeiao i loko o kou pepeiao, e hōʻemi ana i ka nui o ke kani a puni ʻoe a e hoʻolilo iā ʻoe i mea leo ʻole. Inā hoʻomau ka nalowale o ka lohe o kahi keiki ʻōpio, hiki iā ia ke hoʻopilikia i ko lākou hiki ke ʻōlelo a hoʻomohala i ka ʻōlelo . No ka laʻana, ʻaʻole paha lākou e hiki ke haʻi maopopo i nā huaʻōlelo.

Eia kekahi, hiki i kāu keiki ke loaʻa nā maʻi e like me kēia:

• ʻEha pepeiao.
• ʻO Tinnitus kahi leo kani a ʻūhū paha i loko o nā pepeiao.
• He manaʻo o ke kaomi, piha, a i ʻole ke kani 'pop' i loko o ka pepeiao i ka wā e moni ai.

ʻAʻole maopopo i nā pēpē ke haʻi aku ʻoe iā lākou ʻaʻole hiki iā lākou ke lohe. No laila, ʻo ʻoe ka mea e pono ai ke makaʻala i kēia mau hōʻailona. Inā loaʻa i kāu pēpē a keiki liʻiliʻi paha ka 'pepeiao pipili', e ʻike paha ʻoe i nā mea e like me kēia:

• Nā loli o ke ʻano: Manaʻo hiamoe mau, huhū koke ma mua o ka wā ma mua.
• Ka nele i ka nānā: Me he mea lā ua nele i ka nānā i nā mea āpau.
• Makemake e pāʻani hoʻokahi.
• ʻAʻole pane mai ke kāhea ʻana.
• Ke noi ʻana i kekahi e hana hou i kāu mea i ʻōlelo ai.
• Ke noi nei e hoʻokiʻekiʻe nui i ka leo o ke kīwī.
• Ke kamaʻilio nui nei ma mua o ka wā ma mua.

Inā hōʻike kāu keiki i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka no ka ʻōlelo aʻo.

He aha ke kumu o ka 'pepeiao pipili'?

Hoʻomaka pinepine ka pepeiao pipili ma hope o ka maʻi pepeiao . Hoʻokumu ʻia ia e ke wai e koe ana i loko o ka pepeiao ma hope o ka pau ʻana o ka maʻi. Eia naʻe, ʻaʻole i hoʻokumu mau ʻia ka pepeiao pipili e ka maʻi pepeiao. ʻO ke kumu maʻamau ka paʻa ʻana o ka ʻōmole Eustachian o ke keiki. Hiki ke hana ʻia kēia paʻa ʻana e nā kumu like ʻole:

• Anu a me ka maʻi palū.
• Nā ʻano maʻi ʻaleka like ʻole.
• ʻO nā adenoids pehu: Aia kēia ma kahi kokoke i ka puʻu a me nā ʻāpana ihu, kokoke i nā pepeiao.
• ʻO ka ʻike ʻia ʻana i nā mea hoʻonāukiuki e like me ka uahi cigarette (Passive smoking). He mea nui loa kēia.
• ʻO kekahi mau kūlana hoʻoilina e like me ke "(Down syndrome)".
• Lepe māwae.
• ʻO GERD (maʻi reflux gastroesophageal) a i ʻole ka reflux waikawa mau loa.
• Ka hānai waiū ʻana i ka wā e moe ana: Hiki ke hana kēia inā ʻoe e kau i kāu pēpē ma kona kua i ka wā e hānai ana mai ka ʻōmole.
• Nā loli koke i ke kaomi o ka ea: e like me ka wā e lele ai i loko o ka mokulele a luʻu paha.

He mea nui: ʻAʻole ulu ka pepeiao pipili mai ka hōʻiliʻili ʻana o ka wai pepeiao. ʻAʻole hoʻi ia e ulu mai ka wai e komo ana i loko o ka pepeiao i ka wā e ʻauʻau ana a ʻauʻau paha.

Pehea e ʻike ai nā kauka i ka 'pepeiao glue'?

No ka nānā ʻana i ka pepeiao pipili, e nānā mua ke kauka o kāu keiki i nā pepeiao o kāu keiki. E hoʻohana lākou i kahi mea liʻiliʻi (otoscope) e nānā i ka wai i loko o ka pepeiao.

I kekahi manawa e ʻōlelo ke kauka, "E kali kākou i kekahi manawa a ʻike inā e nalo wale kēia." No ka mea, ʻo ia ka hihia pinepine. Akā inā hoʻomau nā hōʻailona ma hope o kekahi mau mahina, a laila e kuhikuhi lākou iā ʻoe no ka hoʻāʻo hou a me ka mālama ʻana.

He aha ke ʻano o nā hoʻokolohua e hana ʻia?

Inā hoʻoholo kāu kauka e pono ana ka hoʻāʻo hou ʻana, e kuhikuhi ʻo ia iā ʻoe i kahi mea loea pepeiao a i ʻole he loea pepeiao, ihu, a me ka puʻu (ENT).

E hana ke kauka loea i kahi hoʻāʻo i kapa ʻia he hoʻāʻo tympanometry e nānā i nā pepeiao o kāu keiki. Ana kēia hoʻāʻo i ka neʻe ʻana o ka pahu pepeiao o ke keiki. E hoʻokomo lākou i kahi mea hana kūikawā me kahi microphone a me kahi kumu leo ​​i loko o ke kahawai pepeiao o ke keiki. E ana ka mea hana i ke ʻano o ka loli ʻana o ke kaomi i loko o ke kahawai pepeiao, a e lele nā ​​​​hawewe leo mai ka pahu pepeiao. Inā he wai i loko o ka pepeiao waena o ke keiki, ʻaʻole e neʻe pono ka pahu pepeiao. E hoʻohana lākou i kahi kiʻi i kapa ʻia he tympanogram e nānā i kēia mau hopena.

Eia kekahi, hiki i ke kauka loea ke hana i kahi hoʻāʻo lohe . E nānā kēia e ʻike i ka nui o ka wai i loko o ka pepeiao waena i hoʻopilikia i ka lohe o ke keiki. Hiki i nā hoʻāʻo lohe ke kōkua i ka hoʻoholo ʻana i ke koʻikoʻi o ka nalowale o ka lohe a me ke kumu.

He aha nā lāʻau lapaʻau no ka 'pepeiao glue'?

ʻO ka hapa nui o ka manawa, e hoʻomaikaʻi wale ka pepeiao pipili me ka ʻole o ka lāʻau lapaʻau . E kali pinepine ke kauka o kāu keiki i kekahi mau mahina e ʻike inā e nalowale ana ke kahe ma kāna iho. Inā ʻaʻole e hoʻomaikaʻi nā hōʻailona o kāu keiki ma kāna iho, aia nā lāʻau lapaʻau e hiki ke kōkua:

• Nā lāʻau lapaʻau: Inā loaʻa i kāu keiki ka ʻeha me ka hōʻiliʻili ʻana o ka wai i loko o ko lākou pepeiao, he maʻi pepeiao paha ia. I ia mau hihia, e kuhikuhi ke kauka i nā lāʻau lapaʻau e mālama ai.
• Myringotomy: I kekahi manawa, e kuhikuhi paha ke kauka loea i kahi ʻoki liʻiliʻi i kapa ʻia ʻo "Myringotomy." ʻO kēia ka hana ʻana i kahi ʻoki liʻiliʻi ma ka eardrum o ke keiki a me ka hoʻokahe ʻana i ke wai i loko o ka pepeiao waena. I kekahi manawa, e hoʻokomo ke kauka loea i kahi ʻōmole liʻiliʻi, hakahaka (Ear tube / Grommet) ma o ka ʻoki. Kōkua kēia ʻōmole i ka hoʻohālikelike ʻana i ke kaomi ma waena o ka eardrum a me ka pepeiao waena. Kōkua pū ia i ka hoʻokahe ʻana i ke wai mai ka pepeiao waena a i ka pepeiao waho. ʻO ka maʻamau, hāʻule kēia ʻōmole ma kona iho i loko o hoʻokahi makahiki.
• Adenoidectomy: Inā ʻo ka 'pepeiao pipili' o kāu keiki i hana ʻia e nā adenoids pehu, hiki i kāu kauka ke hana i kahi 'Adenoidectomy'. Hana pinepine ʻia kēia ʻoki kino me ka 'Myringotomy', ʻo ia hoʻi ka wehe ʻana i nā adenoids pehu.
• Nā mea kōkua hoʻolohe: ʻO nā mea kōkua hoʻolohe he mau mea hana e hoʻonui ai i ke kani. Hiki i ke kauka ke ʻōlelo aku i nā mea kōkua hoʻolohe e kōkua i nā keiki i nalowale ka lohe no ka manawa pōkole. Hoʻohana nā keiki i kēia mau mea i ka wā e ho'ōla ai ka 'pepeiao glue', a i ʻole i ka wā hiki ʻole ke ʻoki 'myringotomy'.

Aia kekahi mau pilikia ma hope o ke ʻoki ʻana?

ʻO ka mea paha, ʻaʻole e loaʻa i kāu keiki kekahi pilikia ma hope o ka myringotomy. Hiki i kāu keiki ke loaʻa kekahi wai e puka mai ana mai ko lākou pepeiao no kekahi mau lā ma hope o ke ʻoki ʻana. Inā hoʻomau ka wai e puka mai ana no nā lā he nui, e kamaʻilio me kāu kauka.

Aia kekahi mau ala e hoʻomaha ai i ka 'pepeiao pipili' ma ka home?

ʻAe, i kekahi manawa aia kekahi mau hoʻomaʻamaʻa maʻalahi hiki iā ʻoe ke hana ma ka home e hiki ke kōkua i ka hoʻomaʻemaʻe ʻana i ka pepeiao waena o kāu keiki no kekahi manawa:

• ʻO ka hana Valsalva: He ʻano hanu kēia. E haʻi aku i ke keiki e ʻūmiʻi i ko lākou ihu, e pani i ko lākou waha, a e hoʻāʻo e puhi i ka ea mai loko mai o ko lākou ihu. E manaʻo ke keiki e "pō" ana ko lākou mau pepeiao.
• ʻŌpū ihu ʻOtovent®: ʻO kēia mea hana, i kapa ʻia ʻo ``(Otovent®)``, kōkua i ka hoʻokahe ʻana i ke wai mai ka pepeiao o kāu keiki. Hoʻokomo ʻia kahi nozzle i hoʻopili ʻia i ka ʻōpū i loko o kekahi puka ihu a pani ʻia kekahi puka ihu me kahi manamana lima. A laila hoʻāʻo ke keiki e hoʻopiha i ka ʻōpū ma o ko lākou ihu. Hoʻoikaika kēia i ka ea mai ke kua o ka puʻu i loko o ka pepeiao waena, e kōkua ana i ka wehe ʻana i ka ʻōmole Eustachian.

Akā, he mea nui loa e kūkākūkā me kāu kauka ma mua o ka hoʻāʻo ʻana i kēia mau ʻano hana.

Hiki ke pale ʻia ka hoʻopili ʻana o ka pepeiao?

ʻO ka hōʻemi ʻana i ka pilikia o kāu keiki i nā maʻi pepeiao hiki ke kōkua i ka hōʻemi ʻana i ka pilikia o ka 'pepeiao pipili'. Eia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia o kāu keiki i nā maʻi pepeiao:

• Ka hānai waiū ʻana: Kōkua nā meaolaola i loko o ka waiū umauma i nā pēpē e hakakā i nā maʻi. Ua hōʻike ʻia e ka noiʻi ʻana ʻaʻole nui ka loaʻa ʻana o ka 'pepeiao pipili' i nā pēpē i hānai ʻia i ka waiū umauma.
• E hoʻopaʻa pololei i kāu pēpē i ka wā e hānai ana: Inā ʻoe e hānai waiū ana a i ʻole e hānai ana i ka ʻōmole, e hoʻopaʻa i kāu pēpē ma kahi noho ma kahi o ka moe ʻana. Hiki i kēia ke kōkua i ka pale ʻana i ke komo ʻana o ka wai i loko o nā ʻōmole Eustachian i ka wā e hānai ana.
• E pale i ka uahi lua: ʻO nā keiki i hōʻike ʻia i ka uahi lua, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka 'pepeiao pipili'. E pale i ka puhipaka ʻana i loko o ka hale a i loko o nā kaʻa i ka hiki.
• Hoʻāʻo ʻana i ka maʻi ʻaleka: ʻO nā mea maʻamau e like me ka pollen, nā ʻuku lepo, a me ka dander holoholona hiki ke hoʻoulu i nā ʻōmole Eustachian. Inā manaʻo ʻoe ʻo kēia ke kumu o ka 'pepeiao pipili' o kāu keiki, e nīnau i kāu kauka e pili ana i ka hoʻāʻo ʻana i ka maʻi ʻaleka.
• Ka maʻemaʻe a me ka hoʻomaʻemaʻe ʻana: E aʻo i kāu keiki pehea e holoi pono ai i ko lākou mau lima. E holoi i ko lākou mau lima me ke kopa a me ka wai no 20 kekona ma ka liʻiliʻi. Eia kekahi, e hoʻomaʻemaʻe i nā ʻili o ka hale a me nā mea pāʻani ma ka holoi pinepine ʻana iā lākou.

He aha kaʻu e manaʻo ai inā loaʻa i kaʻu keiki ka 'pepeiao glue'?

He maʻi maʻamau loa ka 'pepeiao pipili' e hoʻōla pinepine ʻia ma kāna iho. Eia nō naʻe, inā mau nā hōʻailona no kekahi mau mahina, hiki iā ia ke hoʻopilikia i ka lohe o ke keiki. Hiki iā ia ke hoʻopilikia i ko lākou hiki ke ʻōlelo a hoʻomohala i ka ʻōlelo. Hiki i kēia mau pilikia ke alakaʻi i nā pilikia aʻo, a me nā pilikia kamaʻilio a me ka launa pū ʻana me nā poʻe ʻē aʻe.

Akā ʻo ka mea maikaʻi loa, ʻoiai inā e noho ana ka wai i loko o ka pepeiao no nā mahina, ʻaʻole i loaʻa i ka hapa nui o nā keiki ka nalowale o ka lohe a i ʻole nā ​​​​pilikia ʻōlelo no ka manawa lōʻihi ma muli o kēia ʻano.

Pehea ka lōʻihi o ka hiki ʻana o kahi 'makahiki hoʻopili'?

ʻO ka hapa nui o ka manawa, e hoʻomaikaʻi wale ka pepeiao glue i loko o ʻelua a ʻekolu pule. I kekahi manawa, hiki ke hoʻomau ke kūlana no kekahi mau mahina. Inā ʻaʻole ia e hoʻomaikaʻi wale i loko o ʻekolu mahina, e kamaʻilio me ke kauka o kāu keiki e pili ana i ka lāʻau kūpono.

Hiki i ke keiki me ka 'pepeiao glue' ke ʻauʻau a ʻauʻau paha?

Inā he mau ʻōmole pepeiao ko kāu keiki, e haʻi aku ke kauka iā lākou ʻaʻole e hoʻomaʻū i ko lākou mau pepeiao no ʻelua a ʻehā pule ma hope o ke ʻoki ʻana. ʻO ke ʻano kēia, ʻaʻohe ʻauʻau a ʻauʻau paha. Hiki iā lākou ke holoi i ko lākou kino me ka ʻole o ka hoʻomaʻū ʻana i ko lākou mau pepeiao. Ma hope o kēlā manawa, ʻaʻohe kapu maʻamau i ka ʻauʻau ʻana a i ʻole ka ʻauʻau ʻana i loko o nā loko wai.

Akā, pono paha kekahi mau keiki i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā maʻi e hana i nā hana palekana hou aʻe. Inā pēlā, hiki i ke kauka o kāu keiki ke ʻōlelo i nā mea e like me:

• E pale i ka lele ʻana i loko o ka wai a i ʻole ka luʻu ʻana.
• E hoʻohana i nā pani pepeiao a me ka pāpale ʻauʻau i ka wā e ʻauʻau ai.
• E noho mamao aku mai nā wahi e like me nā loko a me nā loko ʻauʻau i nele i ka chlorine.
• I ka holoi ʻana i ka lauoho o kāu keiki, e makaʻala i ʻole e komo ka wai i loko o ko lākou mau pepeiao.

He pilikia anei inā holo kahi keiki me ka 'pepeiao pipili' ma luna o ka mokulele?

ʻAʻole pilikia ka hapa nui o nā keiki me ka pepeiao pipili i ka lele ʻana ma luna o ka mokulele. Eia nō naʻe, he manaʻo maikaʻi e nīnau i ke kauka o kāu keiki e pili ana i ke kūlana kikoʻī o kāu keiki. Hiki i ke kahe i loko o ka pepeiao waena ke hoʻonui i ka wā lele a me ka pae ʻana, hiki ke hōʻeha i ka ʻoluʻolu ʻole. Ua kapa ʻia kēia he "pepeiao mokulele." ʻO ka ʻai ʻana a i ʻole ka inu ʻana i kekahi mea i ka wā lele a me ka pae ʻana e hiki ke kōkua i ka wehe ʻana i ka ʻōmole Eustachian o kāu keiki a hōʻemi i ka ʻoluʻolu ʻole.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka o kaʻu keiki?

Inā loaʻa i kāu keiki ka 'pepeiao pipili', nui paha kāu mau nīnau e pili ana i kēia maʻi. Hiki i ke kauka o kāu keiki ke pane i nā nīnau āu e loaʻa ai. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i ke kauka:

• No ke aha he wai i loko o ka pepeiao o kaʻu keiki?
• Pono anei kaʻu keiki i ka lāʻau lapaʻau?
• He aha ke ʻano o ka lāʻau lapaʻau e pono ai kaʻu keiki?
• Pehea lā e hiki ai iā kākou ke pale aku i kēia kūlana mai ka hiki ʻana mai i ka wā e hiki mai ana?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He maʻi maʻamau ka pepeiao pipili (Otitis Media with Effusion) i nā keiki ʻōpio. I ka hapa nui o ka manawa, e hoʻomaikaʻi ia iā ia iho.Eia nō naʻe, hiki i ka hōʻiliʻili ʻana o ka wai i loko o ka pepeiao ke hoʻopilikia i ka lohe o ke keiki, a hiki ke hoʻopilikia i ka ulu ʻana o ka ʻōlelo a me ka ʻōlelo.

No laila, inā ʻike ʻoe i kekahi mau hōʻailona o kēia ʻano, e ʻike koke i ke kauka o kāu keiki. A laila hiki i ke kauka ke nānā i kāu keiki a hāʻawi i ka lāʻau kūpono inā pono. ʻO ka nūhou maikaʻi, ʻaʻole i loaʻa i ka hapa nui o nā keiki ka nalowale o ka lohe a i ʻole nā ​​​​pilikia ʻōlelo no ka manawa lōʻihi ma muli o kēia ʻano. No laila, mai hopohopo pono ʻole, akā he mea nui e makaʻala.

Pepeiao Pili, Pepeiao Pili, Otitis Media me ka Effusion, Wai Pepeiao, Nā Maʻi Pepeiao i nā Keiki, Ka Lohe ʻana, Eustachian Tube, Myringotomy