Ua ʻike anei ʻoe ua loaʻa i kāu keiki liʻiliʻi ka ʻeha pepeiao a laila koke, i ka wā e hoʻomaikaʻi ana, ua pehu ke kua o ka pepeiao, ʻulaʻula, a ʻeha ke pā? A i ʻole ua ʻike anei ʻoe i kēia iho? Mai hoʻokuke i kēia me he ʻeha pepeiao wale nō. He maʻi koʻikoʻi paha kēia i hiki ke hana ʻia e ka maʻi pepeiao waena i mālama ʻole ʻia. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi maʻi i kapa ʻia ʻo 'Mastoiditis', kahi āu e kānalua ai i ka manawa e like me kēia.
He aha kēia mastoiditis?
I ka ʻōlelo maʻalahi, ʻo ka mastoiditis kahi maʻi bacteria o ka iwi mastoid, ʻo ia kekahi ʻāpana o ke poʻo ma hope o ko kākou mau pepeiao. ʻAʻole kēia iwi he iwi paʻa wale nō. I loko, e like me nā lua liʻiliʻi i loko o ka waihona meli, he nui nā keʻena liʻiliʻi i piha i ka ea (nā keena ea). ʻO ka hana nui o kēia mau mea, ʻo ia ka pale ʻana i nā ʻano palupalu i loko o ka pepeiao, hoʻoponopono i ke kaomi i loko o ka pepeiao, a hoʻēmi i ka hōʻino ʻana i ka poʻo i ka wā e loaʻa ai kahi ulia.
ʻO ka mea maʻamau e hana ʻia, inā ʻaʻole mālama pono ʻia kahi maʻi pepeiao waena (Otitis Media), e laha ka bacteria i hoʻokumu i ka maʻi mai ka pepeiao waena a i nā hakahaka ea ma ka iwi mastoid. ʻO kēia ka manawa e hana ʻia ai ka mastoiditis. ʻOi aku ka maʻamau o kēia ʻano i nā keiki ʻōpio, akā hiki nō hoʻi ke hana ʻia i nā pākeke.
Ma muli o ke hele ʻana o nā aʻalolo koʻikoʻi a me nā kīʻaha koko i loko o ko kākou kino ma o kēia iwi mastoid, inā loaʻa kahi maʻi ma ʻaneʻi, hiki iā ia ke laha ma waho o ka iwi a hoʻoulu i nā pilikia olakino koʻikoʻi loa.
Loaʻa paha i kekahi poʻe kahi maʻi lōʻihi i kapa ʻia ʻo 'Chronic Mastoiditis', kahi e hoʻoulu ai i kahi kahe ʻana e like me ka pus mai ka pepeiao.
No ke aha lā e kū mai ai kēia kūlana?
E like me kaʻu i ʻōlelo ai ma mua, ʻo ke kumu nui a me ka mea maʻamau o kēia, ʻo ia ka maʻi pepeiao waena i mālama ʻole ʻia a i ʻole i mālama pono ʻole ʻia (Otitis Media). Neʻe mālie nā bacteria i loko o ka pepeiao waena i ka iwi mastoid.
Eia kekahi, he kumu kakaikahi loa kahi maʻi i kapa ʻia ʻo 'cholesteatoma'. He hōʻiliʻili ʻano ʻē kēia o nā ʻili i loko o ka pepeiao, e hana ana i kahi puʻupuʻu. Hiki i kēia puʻupuʻu ke ālai i ka kahe ʻana o ka wai pepeiao, e hoʻoulu ai i ka maʻi a alakaʻi i ka mastoiditis.
He aha nā hōʻailona o kēia?
Pono ʻoe e hopohopo nui e pili ana i kēia mau hōʻailona, ʻoiai inā ua loaʻa i kāu keiki kahi maʻi pepeiao i hala koke nei.
| Hōʻailona | Ua wehewehe maʻalahi ʻia |
|---|---|
| ʻUlaʻula a me ka pehu ma hope o ka pepeiao | ʻO kēia ka hōʻailona nui. Lilo ka iwi ma hope o ka pepeiao i ʻulaʻula ʻeleʻele a pehu loa. ʻEha nui ia ke hoʻopā ʻia. |
| Hoʻokuʻu pepeiao i mua | Me he mea lā ua paʻi ʻia i mua a i lalo ka pehu ma hope o ka pepeiao. |
| Ka hoʻokuʻu ʻana mai ka pepeiao | Hiki paha i kahi wai ʻala pilau, melemele a ʻōmaʻomaʻo paha e like me ka pehu ke hoʻomau i ka kahe ʻana mai loko mai o ka pepeiao. |
| Kuni, maʻi ʻaʻai | Hiki i kahi maʻi i loko o ke kino ke hoʻoulu i ke kuni nui, nā ʻeha kino, a me ka luhi loa e hana i kekahi mea. Hoʻopaʻa pinepine ʻia nā maka o nā keiki liʻiliʻi. |
He aha nā kūlana weliweli e hiki ke kū mai inā ʻaʻole mālama ʻia?
ʻO kēia ka mea a kākou e makaʻu nui ai. Inā manaʻo kākou he ʻeha pepeiao wale nō ia, hiki i ka maʻi ke laha a hoʻoulu i nā pilikia koʻikoʻi loa, a hiki ke hoʻoweliweli i ke ola.
| Ka pilikia | Ua wehewehe maʻalahi ʻia |
|---|---|
| Poho lohe | Hiki i ka maʻi ke hōʻino i nā ʻāpana palupalu o ka pepeiao a hoʻoulu i ka nalowale mau o ka lohe. |
| ʻO ka maʻi lolo o ka maka | Ma muli o ke aʻalolo e hoʻomalu ana i nā ʻiʻo o ka maka e hele ana ma o kēia iwi, hiki i ka maʻi ke laha a hoʻomoe i kekahi ʻaoʻao o ka maka. |
| ʻO ka maʻi meningitis a i ʻole ka abscess o ka lolo | Hiki i ka maʻi ke pālahalaha i loko o ke poʻo, e hana ana i ka maningitis a i ʻole ka abscess o ka lolo. He mea hoʻoweliweli kēia i ke ola. |
| Vertigo | Inā laha ka maʻi i nā ʻāpana o ka pepeiao e pili ana i ke kaulike o ke kino (Labyrinthitis), hiki ke loaʻa ka poniuniu nui a me ka luaʻi. |
| Nā ʻūpā koko | He mea kākaʻikahi loa, hiki ke hana ʻia nā ʻūpā koko i loko o nā kīʻaha koko o ka lolo, e hana ana i nā hōʻailona e like me nā loli o ka ʻike a me nā ʻeha poʻo nui. |
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Inā loaʻa iā ʻoe a i ʻole kāu keiki ka ʻeha pepeiao me ke kuni, ka ʻeha, ka ʻulaʻula, a i ʻole ka pehu ʻana ma hope o ka pepeiao, e ʻike koke i ke kauka. E nānā mua ke kauka i loko o ka pepeiao me kahi mea i kapa ʻia he otoscope. He mea kākaʻikahi ka mastoiditis me ka ʻole o ka maʻi pepeiao waena.
A laila, hiki ke lawe ʻia kahi hāpana o ka wai pepeiao a hoʻouna ʻia no kahi hoʻāʻo hoʻokolohua (culture) e ʻike pono ai i ka bacteria e hoʻoulu ai i ka maʻi.
Inā he kānalua he koʻikoʻi ke ʻano, a inā paha he mau pilikia, e kuhikuhi ʻia ʻoe no kahi CT scan . Hiki i kēia ke ʻike maopopo i ke ʻano o ka iwi mastoid a me ka ʻāina e pili ana. Inā he mea e like me ka cyst ma kekahi wahi, pono e wehe ʻia a mālama ʻia.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka lāʻau lapaʻau nui no kēia he antibiotics .
ʻO ka maʻamau, inā ua ʻike ʻia ʻoe me ka mastoiditis, pono ʻoe a i ʻole kāu keiki e lawe ʻia i ka haukapila no ka mālama ʻana. Ma laila, e ʻike ʻia ʻoe e kahi loea pepeiao, ihu, a me ka puʻu (loea ENT). E hāʻawi ʻia nā antibiotics ma o kahi syringe (IV - Intravenous) e kāohi koke i ka maʻi.
Eia kekahi, hiki ke hana ʻia kahi ʻoki liʻiliʻi i kapa ʻia ʻo myringotomy e wehe i ka pus mai ka pepeiao waena. Pili kēia i ka hana ʻana i kahi lua liʻiliʻi loa i loko o ka eardrum a me ka hoʻokahe ʻana i kekahi o ka pus ma o ia mea. I kekahi manawa, hoʻokomo ʻia kahi ʻōmole liʻiliʻi i loko o ka lua e mālama iā ia. E hāʻule kēia ʻōmole ma kona iho i loko o 6-12 mau mahina.
Inā ʻaʻole hāʻawi nā antibiotic IV i kahi lāʻau wikiwiki, a inā he mau pilikia e like me ka abscess a i ʻole ka pohō iwi, pono paha kahi mastoidectomy . Pili kēia i ka wehe ʻana i ka ʻāpana i loaʻa i ka maʻi o ka iwi mastoid.
Mai poina, inā ʻike mua ʻia ka maʻi a mālama ʻia me nā lāʻau antibiotic kūpono a, inā pono, ke ʻoki kino, hiki ke pale ʻia kēia mau pilikia koʻikoʻi a hiki ke hoʻōla piha ʻia.
Leka Lawe-Home
- He maʻi koʻikoʻi ka mastoiditis o ka iwi ma hope o ka pepeiao. ʻO ke kumu nui o kēia, he maʻi pepeiao waena i hoʻōla pono ʻole ʻia.
- ʻO nā hōʻailona nui ka pehu ʻana ma hope o ka pepeiao, ka ʻulaʻula, ka ʻeha nui, ke kuni, a me ka kahe ʻana mai ka pepeiao.
- Mai hoʻowahāwahā i kēia mau hōʻailona, ʻoi aku hoʻi i nā keiki ʻōpio.
- ʻO ka mea maikaʻi loa e hana ai ke ʻike ʻoe i kahi hōʻailona e like me kēia, ʻo ia ke ʻike koke aku i kāu kauka.
- ʻO ka wikiwiki o ka hoʻomaka ʻana o ka lāʻau lapaʻau, ʻo ka liʻiliʻi o ka hiki ke hoʻomohala i nā pilikia weliweli e like me ka nalowale o ka lohe a me ka meningitis.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo