Loaʻa iā ʻoe nā pilikia pepeiao pinepine? E kamaʻilio kākou e pili ana i ke kī ʻana i ka eardrum (Myringotomy)

Loaʻa pinepine anei i kāu keiki liʻiliʻi nā ʻeha pepeiao? A i ʻole ke manaʻo nei ʻoe i kekahi manawa i ke kaomi, ke kaumaha, a i ʻole ka paʻakikī o ka lohe ʻana i loko o kou mau pepeiao? ʻO ke kumu nui o kēia mau pilikia, ʻo ia ka hōʻiliʻili ʻana o ka wai i loko o ka pepeiao waena, aia ma hope o ka pahu pepeiao. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau maʻalahi akā maikaʻi loa no kēia.

He aha ka Myringotomy?

I ka ʻōlelo maʻalahi, ʻo ka myringotomy kahi hana e pili ana i ka hana ʻana i kahi lua liʻiliʻi loa i loko o kou eardrum (tympanic membrane) e hoʻokahe i kekahi wai makemake ʻole ʻia (e like me ka pus, ka wai, a i ʻole ke koko) i hōʻiliʻili ʻia i loko o kou pepeiao waena. Hana pinepine ʻia kēia e kahi loea pepeiao, ihu, a me ka ʻāʻī, i kapa ʻia he kauka ENT . I kekahi manawa hana ʻia kēia ma hoʻokahi pepeiao wale nō, akā i nā manawa ʻē aʻe hiki ke hana ʻia ma nā pepeiao ʻelua.

I ka manawa pinepine, e hana ke kauka i kahi mea ʻē aʻe i ka manawa like me kēia ʻoki kino. ʻO ia hoʻi, e hoʻokomo ʻo ia i kahi ʻōmole liʻiliʻi loa (ʻōmole pepeiao) ma o ka lua liʻiliʻi i hana ʻia. Kāhea mākou i kēia he tympanostomy . Kōkua kēia ʻōmole i ke kaulike ʻana i ke kaomi i loko o ka pepeiao a hoʻōki pū i nā maʻi pinepine.

I nā hihia hea e pono ai kēia ʻoki kino?

Hāʻawi kēia i ka hoʻomaha mai nā pilikia like ʻole i hoʻokumu ʻia e ka hōʻiliʻili ʻana o ka wai i loko o ka pepeiao. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā kūlana ma lalo nei, hiki i kāu kauka ke ʻōlelo i kēia lāʻau lapaʻau.

Pehea ʻoe e hoʻomākaukau ai no ke ʻoki kino?

E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi a pau āu e pono ai ma mua o ke ʻoki ʻana. Ma ke ʻano laulā, ʻaʻole ia he manaʻo maikaʻi e ʻai a inu paha i kekahi mea ma hope o ke aumoe o ka pō ma mua o ke ʻoki ʻana . Eia kekahi, pono ʻoe e hoʻokele iā ʻoe i ka home ma hope o ke ʻoki ʻana i kahi hoaaloha hilinaʻi a ʻohana paha.

Pehea e hana ʻia ai ke ʻoki kino?

He hana maʻalahi a wikiwiki hoʻi kēia ma mua o kou manaʻo. Hiki ke hoʻopau ʻia i loko o 15-20 mau minuke wale nō.

1. Anesthesia: ʻO ka hapa nui o ka manawa, hana ʻia kēia ma lalo o ka anesthesia laulā . ʻO ke ʻano kēia, ʻaʻole ʻoe e manaʻo i kekahi mea, e hiamoe ana ʻoe. Eia nō naʻe, i kekahi mau hihia, ma muli o kou kūlana, hiki ke hāʻawi ʻia iā ʻoe kahi anesthetic topical e hoʻomāno i kou pepeiao . Eia naʻe, ʻaʻole ʻoe e ʻeha. Inā hana ʻoe, e haʻi koke i kāu kauka.

2. Ke nānā ʻana i ka eardrum: E nānā pono ke kauka i kou eardrum me ka hoʻohana ʻana i kahi microscope liʻiliʻi.

3. Ke hana ʻana i kahi ʻoki liʻiliʻi: ʻO ka mea aʻe, hana ʻia kahi ʻoki liʻiliʻi loa a i ʻole ka puka i loko o ka eardrum me ka hoʻohana ʻana i kahi mea hana kūikawā.

4. Ka wehe ʻana i ka wai: ʻO ka mea hope loa, hoʻokomo ʻia kahi ʻōmole liʻiliʻi (mea omo) a omo mālie ʻia ka wai i hōʻiliʻili ʻia ma ka pepeiao waena.

ʻAʻole pono kēia i nā humuhumu. E ho'ōla wale nō ka lua liʻiliʻi i ka hala ʻana o ka manawa. Ma hope o ke ʻoki ʻana, e waiho ʻia ʻoe me kahi mea e like me kahi ʻāpana gauze i loko o kou pepeiao.

He aha nā pōmaikaʻi o kēia?

Nui nā pono āu e loaʻa ai mai kēia ʻoki maʻalahi.

• Ua pau ka ʻeha a me ke kaomi o ka pepeiao.
• Ua hoʻemi ʻia nā maʻi pepeiao pinepine.
• Ua hoʻihoʻi ʻia ka lohe i nalowale ma muli o ka hōʻiliʻili ʻana o ka wai.
• Inā he mau pilikia kaulike, e hoʻomaikaʻi lākou.
• I ka holomua ʻana o ka lohe o nā keiki, e holomua ana hoʻi ko lākou mākaukau aʻo a me ka ʻōlelo ʻana.

Aia kekahi mau pilikia i loko o kēia?

E like me nā ʻoki kino āpau, aia kekahi mau pilikia. Eia kekahi laʻana, ka maʻi, ke kahe nui ʻana o ke koko, a me kahi hopena maikaʻi ʻole i ka anesthesia. Eia naʻe, he mea kakaikahi loa kēia. Eia kekahi mau pilikia e pili pono ana i ke ʻoki kino myringotomy:

• ʻAʻole pani ʻia ka lua i hana ʻia ma ka pahu pepeiao ma ona iho a noho mau ia he lua mau loa .
• Ke kahe ʻana o ka wai mai ka pepeiao a ʻaʻole e pau ma hope o kekahi mau lā.
• ʻO ka mānoanoa a i ʻole ka ʻōpala o ka pahu pepeiao he hopena iki paha i ka lohe ʻana i ka wā e hiki mai ana.
• Kakaikahi loa ka hōʻino ʻana i nā ʻāpana ʻē aʻe o ka pepeiao i ka wā o ke ʻoki ʻana.

ʻEhia ka lōʻihi e ho'ōla ai a he aha nā mea e mālama ai ma hope o ke ʻoki ʻana?

E ʻoi aku kou maikaʻi i loko o hoʻokahi a ʻelua paha lā ma hope o ke ʻoki ʻana. He mea nui loa e hahai pololei i nā ʻōlelo a kāu kauka e hōʻoia i ka hoʻōla wikiwiki ʻana. Inā piʻi ka ʻeha ma kahi o ka emi ʻana, a inā paha ʻoe e manaʻo i kekahi mea ʻē aʻe, e hoʻomaopopo koke i kāu kauka.

Ma keʻano laulā, pono ʻoe e hahai i kēia mau kuhikuhi:

• Mai hoʻoluʻu loa i kou poʻo i ka wai.
• E pale i ka lulu wikiwiki ʻana i kou poʻo no hoʻokahi mahina.
• E lawe i nā lāʻau lapaʻau a pau i kauoha ʻia e ke kauka i ka manawa kūpono .
• E hōʻoia e komo i nā pani pepeiao i ka wā e ʻauʻau ana, e ʻauʻau ana, a i ʻole e ʻauʻau ana.

Hiki i ka hapa nui o ka poʻe ke hoʻi i ka hana a i ke kula paha i loko o ʻelua a ʻekolu mau lā. E nīnau i kāu kauka i ka manawa kūpono e hoʻi hou ai i kāu mau hana maʻamau.

Nā kūlana maʻamau e hiki mai ana ma hope o ke ʻoki ʻana

He mea maʻamau kēia mau mea ma hope o ke ʻoki kino. Mai hopohopo no lākou.

• Pōniuniu: Hiki paha iā ʻoe ke manaʻo iki i ka pōniuniu a loaʻa kahi loli iki i ke kaulike no kekahi mau lā. Inā hoʻomau kēia no nā hola he 12 a ʻoi, e haʻi i kāu kauka .
• Ka hoʻokuʻu ʻana o ka pepeiao:ʻO ka wai moakaka a melemele paha e kahe ana mai ka pepeiao no ʻelua a ʻekolu mau lā he hōʻailona ia ua holomua ke ʻoki kino . Inā hoʻomau ka kahe ʻana o ka wai no ka ʻoi aku o hoʻokahi pule, e hoʻomaopopo i kāu kauka .
• ʻEha pepeiao: Aia paha kekahi ʻeha iki i loko a puni ka pepeiao no hoʻokahi a ʻelua paha lā. ʻO nā lāʻau ʻeha i kauoha ʻia e ke kauka e lawa ia no kēia.
• Kaumaha i ka pepeiao/nalowale ka lohe: Ma hope o ke ʻoki kino, manaʻo paha ʻoe ua paʻa kekahi mea i loko o kou pepeiao. E nalo wale aku kēia i loko o kekahi mau lā.

Āhea ʻoe e pono ai e kāhea koke aku i ke kauka?

Pono ʻoe e makaʻala i nā hopena ʻaoʻao e hiki mai ana ma hope o ke ʻoki ʻana. Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e kāhea koke i kāu kauka . Inā koʻikoʻi ke kūlana (e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana), e hele i ka Emergency Department (ETU) kokoke loa.

• Nā hōʻailona o ka maʻi e like me ke kuni a me ke anu .
• Ka nausea nui a me ka luaʻi ʻana .
• ʻEha nui ʻaʻole e emi iho ma hope o ka lawe ʻana i ka lāʻau lapaʻau.
• Ka kahe nui ʻana o ke koko a i ʻole ka pus mai ka pepeiao.
• Ka paʻakikī i ka lohe a i ʻole ka nalowale o ka lohe no nā lā he nui.
• ʻEha ka umauma a i ʻole ka paʻakikī o ka hanu ʻana .
• Ka pehu ʻana a i ʻole ke ʻano ʻeleʻele o ka ʻili a puni ka pepeiao.

ʻO ka hōʻiliʻili ʻana o ka wai i loko o kou pepeiao a i ʻole kou keiki e hiki ke hoʻoulu i ka ʻeha o ka pepeiao, ke kaomi, a me ka nalowale o ka lohe. Ke hoʻomau kēia mau hōʻailona, ​​​​hiki iā lākou ke lilo i mea hoʻopilikia nui i ke ola o kēlā me kēia lā. Hiki i kahi ʻoki maʻalahi i kapa ʻia ʻo myringotomy ke wehe i ke wai, e hōʻemi ana i ka pilikia o ka ʻeha, ka maʻi, a me ka nalowale o ka lohe. E kamaʻilio me kāu kauka e pili ana inā kūpono kēia lāʻau iā ʻoe.