Aia kekahi wai e puka mai ana mai loko mai o kou pepeiao? (Otorrhea) – E makaʻala kākou i kēia!

Ua ʻike anei ʻoe i kahi wai melemele, wai, a i ʻole kekahi mea mānoanoa e like me ka mucus e puka mai ana mai kou pepeiao? Kapa kekahi poʻe i kēia "ear discharge" a i ʻole "wai i loko o ka pepeiao." Hiki i nā keiki ʻōpio ke ʻike pinepine i kēia ʻano. ʻAʻohe mea e hopohopo ai, akā he mea nui e makaʻala. I kēia lā, e kamaʻilio mākou e pili ana i kēia ʻano, a i ʻole e like me ke kāhea ʻana o nā kauka , ʻo otorrhea .

He aha ʻo Otorrhea? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo ka otorrhea ka hoʻokuʻu ʻia ʻana o ka wai mai kou pepeiao. Hana pinepine kēia i ka wā e haki ai ka pahu pepeiao i kahi maʻi pepeiao. ʻAe kēia i ka wai mai ka pepeiao waena e kahe i waho ma ke kahawai pepeiao. Eia nō naʻe, aia kekahi mau kumu ʻē aʻe. No ka laʻana, ka pepeiao ʻauʻau, kahi kūlana e kū mai ana i ka poʻe e ʻauʻau pinepine ana, a i ʻole kahi mea ʻē i paʻa i ka pepeiao, a i ʻole kahi ʻeha poʻo mai kahi ulia.

He maʻi mau anei ka otorrhea?

ʻAʻole, ʻaʻole ia he ʻoiaʻiʻo. He ʻoiaʻiʻo ʻo ke kumu nui o ka otorrhea ka maʻi. ʻO ka hapa nui o ka manawa, he maʻi pepeiao waena ia, i kapa ʻia ʻo otitis media , a i ʻole he maʻi pepeiao waho a i ʻole ka mumū o ka eardrum a me ke kahawai pepeiao, i kapa ʻia ʻo otitis externa . Eia naʻe, e like me ka mea i ʻōlelo ʻia ma mua, inā paʻa kekahi mea i loko o ka pepeiao a inā he ʻeha poʻo koʻikoʻi kou, hiki nō hoʻi ke hopena i ka wai e kahe ana mai ka pepeiao. No laila, inā ʻike ʻoe i ka wai e puka mai ana mai kou pepeiao, mai manaʻo he maʻi ia, akā ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka e ʻike i ke kumu pololei.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia maʻi (Otorrhea)?

He mea maʻamau loa kēia ʻano maʻi i waena o nā kamaliʻi ʻōpio. ʻO ke kumu o kēia, ʻo ia ka loaʻa pinepine ʻana o nā maʻi pepeiao. Hiki i nā pākeke ke loaʻa iā ia, akā pinepine ia e hana ʻia e kahi mea e like me ka ʻeha ulia pōpilikia i ka pepeiao.

ʻO kekahi mea ʻē aʻe, loaʻa pinepine i kekahi mau keiki ʻōpio nā maʻi pepeiao, no laila hoʻokomo nā kauka i kahi ʻōmole liʻiliʻi i loko o ko lākou pepeiao (he "ʻōmole pepeiao"). Ma kahi o 17% o nā keiki me kēia mau ʻōmole, a i ʻole he ʻumikumamāhiku mai loko mai o hoʻokahi haneli, e loaʻa i ka wai i loko o ko lākou mau pepeiao. Inā loaʻa i kāu keiki kekahi o kēia mau "ʻōmole pepeiao", e haʻi aku ke kauka iā ʻoe e hoʻohana i kekahi mau kulu antibiotic e hoʻōki i ka wai. Inā ʻaʻole e hoʻōki nā kulu i ka wai, e nānā hou ke kauka i ke keiki a hana i nā hoʻokolohua hou aku.

Inā he mau keiki a he mau mākua paha e kahe ana ka wai mai ko lākou mau pepeiao ma muli o ka mea i ʻōlelo ʻia ma luna (otitis externa) a i ʻole ka 'pepeiao ʻauʻau', hiki iā lākou ke hoʻohana i nā 'ear plugs' kūikawā i hoʻokomo ʻia i loko o ko lākou mau pepeiao i ka wā e ʻauʻau ana a ʻauʻau paha. A i ʻole, hiki iā ʻoe ke hoʻopili i kahi petroleum jelly liʻiliʻi i kahi ʻāpana pulupulu liʻiliʻi a hoʻokomo i loko o ke kahawai pepeiao. Hiki i kēia ke hōʻemi i ka nui o ka wai e komo ana i ka pepeiao i kekahi ʻano.

He aha nā ʻano wai e puka mai ana mai loko mai o ka pepeiao?

ʻElima mau ʻano nui o ke wai e puka mai ana mai loko mai o ka pepeiao:

• ʻŌpū: ʻO kēia ka wā e puka mai ai ka ʻōpū. He melemele pinepine ia a he mānoanoa paha.
• Serous: Pili kēia i ka wai momona i ka protein (serum) i loko o ko kākou koko. He wai iki paha ia, a he melemele māmā paha ke kala.
• Koko: I kekahi manawa hiki ke hui pū ʻia ke koko. Hiki ke ʻulaʻula ʻeleʻele a ʻulaʻula māmā paha.
• Mucoid: He wai mānoanoa kēia, e like me ka mucus.
• Maopopo: He wai moakāka , ʻaʻohe kala, e like me ka wai.

Ma kēia ʻano, ma muli o ke ʻano o ka wai, hiki i ke kauka ke loaʻa kahi manaʻo no ke kumu.

Pehea ka maʻamau o Otorrhea?

He maʻi maʻamau loa ka otorrhea . I kekahi manawa hiki ke hana ʻia e kahi maʻi maʻalahi, ʻaʻole koʻikoʻi, akā i kekahi manawa hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi. ʻO ke kumu maʻamau ka maʻi pepeiao.

He aha nā hōʻailona o kēia?

ʻO ka hōʻailona nui ka kahe ʻana mai ka pepeiao . Hiki ke ʻala ʻole kēia kahe ʻana a i ʻole he ʻala pilau paha. Hiki ke lahilahi, wai, a mānoanoa paha. Ua like nō hoʻi ke kala; hiki ke loaʻa i nā kala like ʻole, e like me ke moakāka, melemele, a ʻōmaʻomaʻo paha.

Ma waho aʻe o kēia hōʻailona nui, aia kekahi mau hōʻailona maʻamau:

• ʻEha pepeiao
• Pepeiao ʻāʻī
• Ke lohe nei i nā leo like ʻole i loko o nā pepeiao (kapa nā kauka i kēia he 'tinnitus')

Eia nō naʻe, hiki i kekahi poʻe ke ʻike i nā hōʻailona koʻikoʻi . I kēlā mau hihia, he mea nui e ʻike koke i ke kauka. ʻO ia mau hōʻailona:

• kuni
• ʻUlaʻula o ka ʻili a puni ka pepeiao (ua kapa ʻia kēia he 'erythema')
• Poho lohe
• Nā pilikia me nā aʻalolo i loko o ke poʻo , no ka laʻana, ka paʻakikī i ka ʻōlelo ʻana, ka moni ʻana, a i ʻole ka ʻike ʻana.
• Manaʻo poniuniu (vertigo)

ʻO ka poʻe me kēia mau hōʻailona ua loaʻa paha iā lākou kahi ʻeha poʻo (poʻo trauma).

Pono ka poʻe me ka maʻi diabetes mellitus a i ʻole kahi ʻōnaehana pale i hoʻopilikia ʻia e makaʻala loa i kēia mau hōʻailona, ​​​​​​no ka mea, ʻoi aku ka nui o ko lākou pilikia o ka loaʻa ʻana o nā pilikia. Inā loaʻa iā ʻoe kekahi o nā hōʻailona koʻikoʻi i ʻōlelo ʻia ma luna, e ʻike koke i ke kauka .

No ke aha e hana ai kēia (Otorrhea)? He aha nā kumu?

E like me ka mea i ʻōlelo ʻia ma luna, aia kekahi mau kumu o ka otorrhea.

Nā kumu maʻamau:

• Pahu pepeiao i haki
• Nā maʻi pepeiao waena(Hiki i kēia ke lilo i 'ʻoi' pōkole a i ʻole he 'mau' lōʻihi)
• Nā maʻi pepeiao waho , e like me ka pepeiao o ka mea ʻauʻau, a i ʻole nā ​​maʻi hū fungal i loko o ke kahawai pepeiao
• He mea ʻē i paʻa i ka pepeiao

ʻO nā kumu i emi pinepine ʻole, akā hiki ke koʻikoʻi:

• He ulu ʻili maʻamau ʻole ma hope o ka pahu pepeiao (ua kapa ʻia kēia he cholesteatoma . He ʻano paʻakikī iki kēia)
• Ka haki ma ke kumu o kou iwi poʻo
• Ka maʻi ʻaʻai o kou kahawai pepeiao
• He maʻi pepeiao waho koʻikoʻi (ua kapa ʻia kēia he 'Malignant (necrotizing) external otitis'. He maʻi koʻikoʻi kēia e hoʻopilikia ana i ke kahawai pepeiao waho a me nā iwi o ke poʻo)

He mea laha anei (Otorrhea)?

ʻAʻole laha ka otorrhea ponoʻī. Pēlā nō, ʻaʻole laha pinepine nā maʻi pepeiao mai ke kanaka a i ke kanaka. Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi pepeiao a me ke anu, hiki iā ʻoe ke hoʻolaha i kēlā anu i nā poʻe ʻē aʻe ke ʻū ʻoe a ʻūhā paha.

Pehea e ʻike ai ke kauka i kēia (Otorrhea)?

Ke hele ʻoe e ʻike i ke kauka, e nānā mua ʻo ia iā ʻoe. ʻO ka maʻamau, aia kēia mau mea i loko o kēia hoʻokolokolo ʻana:

• E nānā lākou i kou mahana a me nā hōʻailona koʻikoʻi ʻē aʻe.
• E nānā pono ʻia kou kahawai pepeiao e ʻike inā he wai, maʻi, a i ʻole he lua i loko o ka eardrum.
• E hoʻopā lākou a puni kou mau pepeiao, ka ʻauwae, a me ka ʻāʻī e ʻike ai inā he pehu a i ʻole kekahi mea ʻē aʻe.
• Nānā ʻia hoʻi ka ʻili a puni ka pepeiao no ka ʻulaʻula a me ka pehu ʻana.

He aha nā hoʻokolohua ʻē aʻe āu e hana ai?

I ka hapa nui o ka manawa, hiki i kāu kauka ke ʻike i ka otorrhea me ka hoʻokolokolo kino i ʻōlelo ʻia ma luna. Eia nō naʻe, i kekahi manawa, hiki ke hana ʻia nā hoʻokolohua hou aʻe e hōʻoia i ka hōʻailona a i ʻole e kuhikuhi i ke kumu.

• Hoʻāʻo lohe (`Audiometry`): Hoʻāʻo kēia i ka maikaʻi o kou lohe ʻana a me ka laulā o kou lohe ʻana.
• CT scan: He hoʻāʻo kiʻi kēia. Hiki iā ia ke nānā inā ua pālahalaha ka maʻi ma ʻō aku o ka pepeiao waena.
• MRI scan: Inā loaʻa iā ʻoe kahi ʻeha poʻo, hiki i kēia MRI ke ʻike i kekahi mau leaka i loko o ka wai cerebrospinal (CSF) a puni kou lolo.
• Ka hoʻokolokolo ʻana i ke aʻalolo cranial: Inā ua loaʻa iā ʻoe kahi ʻeha poʻo i hala koke nei a i ʻole ke paʻakikī nei ʻoe i ka ʻike ʻana, ka moni ʻana, a i ʻole ka ʻōlelo ʻana, e nānā kāu kauka e ʻike inā e hana pono ana kāu mau aʻalolo cranial.
• Moʻomeheu: Lawe ʻia kahi hāpana liʻiliʻi o ka wai mai ka pepeiao a hoʻāʻo ʻia i loko o kahi keʻena hoʻokolohua e ʻike ai inā ulu kekahi bacteria a fungi paha i loko.

Pehea e mālama ʻia ai kēia?

ʻO ka lāʻau no ka otorrhea e pili ana i ke kumu o ke kahe ʻana o ka wai mai kou pepeiao . No ka laʻana, inā ua loaʻa i kou pepeiao waena ka maʻi bacteria, e hāʻawi kāu kauka iā ʻoe i nā antibiotic waha. No nā maʻi o ka pepeiao waho, e hāʻawi pinepine lākou iā ʻoe i nā kulu pepeiao antibiotic.

Inā he pahu pepeiao i haki kou, e ho'ōla wale ia i loko o kekahi mau pule. Eia nō naʻe, pono kekahi poʻe i ke ʻoki kino e pani ai i ka lua. Ua kapa ʻia kēia he tympanoplasty .

Inā ʻaʻole hiki ke loaʻa koke ke kumu, e kuhikuhi aku kāu kauka iā ʻoe i kahi loea. ʻO ka poʻe i loaʻa pinepine i nā maʻi pepeiao, e kuhikuhi ʻia i kahi loea pepeiao, ihu a me ka ʻāʻī (otolaryngologist - kauka ENT) . Inā he kānalua ua hoʻokumu ʻia ke ʻano e kahi ʻeha poʻo, e kuhikuhi aku kāu kauka iā ʻoe i kahi neurosurgeon no nā hoʻokolohua hou aʻe a me ka mālama ʻana.

Hiki ke pale ʻia ka otorrhea?

I ka hapa nui o ka manawa, he mea paʻakikī iā mākou ke kāohi i nā kumu o (Otorrhea). No laila, ʻaʻole hiki ke pale loa iā ia. Eia nō naʻe, no ka poʻe e loaʻa pinepine ana i ke kūlana i kapa ʻia ʻo 'swimmer's ear', hiki ke hoʻemi ʻia ka pilikia o ka kahe ʻana o ka wai mai ka pepeiao ma ka hoʻohana ʻana i nā 'ear plugs' kūikawā i ka wā e ʻauʻau ana a me ka ʻauʻau ʻana.

He aha ka mea e hana inā loaʻa iaʻu (Otorrhea)? Pono anei au e hopohopo?

ʻO ka hapa nui o ka manawa, ʻaʻole paʻakikī ka mālama ʻana i ka otorrhea. Inā he maʻi, e kuhikuhi kāu kauka i nā antibiotics waha a i ʻole nā ​​​​​​kulu pepeiao antibiotic e mālama ai.

Inā loaʻa iā ʻoe a i ʻole kāu keiki nā maʻi pepeiao pinepine (nā maʻi pepeiao mau loa), hiki i kāu kauka ke kuhikuhi iā ʻoe i ke kauka ENT no ka hoʻāʻo hou aku.

Eia nō naʻe, inā e kahe ana ke wai mai kou pepeiao ma ke ʻano he hopena ʻaoʻao o kahi ʻeha poʻo i hala koke aku nei, e kuhikuhi aku kāu kauka iā ʻoe i kahi neurosurgeon e hoʻoholo i ka mea e hana ai ma hope. He pilikia kēia, no laila pono e nānā koke ʻia.

Pehea ka lōʻihi o kēia kūlana e mau ai?

Hiki i ka otorrhea ke pōkole (ʻākiʻi) a i ʻole ka lōʻihi (ʻōmaʻomaʻo). ʻO ka lōʻihi o kona mau ʻana, ma muli ia o ke kumu.

Āhea wau e ʻike ai i ke kauka?

Inā ʻoi aku ka lōʻihi o ke kahe ʻana o kou pepeiao ma mua o ʻekolu lā , pono ʻoe e ʻike i ke kauka. Eia kekahi, inā ʻeha kou pepeiao, kuni, ʻulaʻula a puni ka pepeiao, a pehu paha ma ka ʻāʻī , e ʻike koke i ke kauka. ʻO ka Otorrhea kahi hōʻailona i hiki ke hana ʻia e nā kumu like ʻole. ʻOiai ʻaʻole koʻikoʻi kekahi mau kumu, hiki i kekahi ke koʻikoʻi. No laila, he mea nui loa ka loaʻa ʻana o kahi hōʻailona i ka wā hikiwawe.

I ka manawa hea ʻoe e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā he wai e puka mai ana mai kou pepeiao ma hope o kahi trauma poʻo a ʻeha paha i hala koke aku nei,E kelepona koke i ka 911 a i ʻole e hele i ka lumi pilikia kokoke loa. Eia kekahi, inā pilikia ʻoe i ka ale ʻana, ka ʻōlelo ʻana, a i ʻole ka ʻike ʻana , pono ʻoe e ʻimi koke i ke kōkua lapaʻau.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau i kēia mau nīnau:

• No ke aha e puka mai ai kēia wai mai loko mai o koʻu pepeiao? He aha ke kumu?
• He maʻi pepeiao koʻu? Inā pēlā, he aha ke ʻano o ia maʻi?
• He aha ke ʻano lāʻau lapaʻau e pono iaʻu ke lawe?
• Pono anei au e ʻike i kahi loea?
• Pono anei au e hana i nā hoʻokolohua hou aku?
• Pono anei au i ka mālama ulia pōpilikia?

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

He kahe ʻana o ka pepeiao mai ka otorrhea. Hiki ke loaʻa nā kumu like ʻole. ʻO ka hapa nui, ua hoʻokumu ʻia e kahi maʻi pepeiao a i ʻole kahi pahu pepeiao i puka. Me ka mālama ʻana, e nalowale pinepine ia i loko o kekahi mau lā. Eia nō naʻe, i kekahi manawa hiki i ka otorrhea ke hōʻailona he pilikia olakino koʻikoʻi ʻē aʻe kāu.

No laila, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i ke kauka ke ʻike ʻoe i kekahi mau hōʻailona e like me ke kahe ʻana o ka wai mai kou pepeiao, me ka lawe ʻole ʻana i ka māmā. A laila hiki iā ʻoe ke loaʻa i ka lāʻau kūpono a ho'ōla koke. Mai hopohopo, akā, mai hoʻokaʻulua pū kekahi!

ʻotorrhea , kahe ʻana o ka pepeiao, maʻi pepeiao, haki ʻana o ka eardrum, pepeiao ʻauʻau