ʻEha mau anei nā pepeiao o kāu keiki liʻiliʻi? E kamaʻilio kākou e pili ana i nā maʻi pepeiao waena (Otitis Media)!

Ke hoʻopiʻi pinepine nei kāu keiki liʻiliʻi i ka ʻeha pepeiao? A i ʻole ke uē nei ʻo ia a paʻa i kona pepeiao? He mea maʻamau ka ʻeha pepeiao no nā keiki liʻiliʻi. ʻO ke kumu nui o kēia he maʻi ma ka pepeiao waena. I ka ʻōlelo maʻalahi, ʻo ka pepeiao waena he wahi liʻiliʻi i loko o ko kākou pepeiao, ma hope o ka pahu pepeiao. Inā komo nā germs, e like me nā virus a bacteria paha, ma ʻaneʻi, e maʻi lākou a piha i ka pus. Hoʻokau kēia pus i ke kaomi ma ka pahu pepeiao, ʻo ia ke kumu e ʻeha ai ke keiki i ka pepeiao.

He aha nā hōʻailona o ka maʻi pepeiao? Pehea ʻoe e ʻike ai?

Ke loaʻa i kahi keiki ʻōpiopio kahi maʻi pepeiao (otitis media), ʻo ka hōʻailona nui ka ʻeha nui o ka pepeiao . Eia nō naʻe, e ʻike paha ʻoe i kēia mau hōʻailona:

• E loaʻa paha iā ʻoe ke kuni.
• Hiki ke paʻakikī ke ʻai a inu. I kekahi manawa, ʻaʻole hiki iā ʻoe ke hiamoe. Ua ʻike anei ʻoe i ke kumu? Ke nau ʻoe i ka meaʻai, omo i ka waiū, a moe paha, loli ke kaomi ma ka pepeiao waena a piʻi aʻe ka ʻeha. E noʻonoʻo i kahi pēpē liʻiliʻi e uē ana i ka wā e hoʻomaka ai ʻo ia e omo i kahi ʻōmole waiū, a i ʻole e ala ana i ka pō e uē ana.
• Hiki i kekahi keiki ʻōpiopio iki ke ʻōlelo, "Māmā, ʻeha koʻu pepeiao." Akā, ʻo kahi pēpē liʻiliʻi hiki ʻole ke kamaʻilio, hiki iā ia ke hoʻopā mau a huki paha i ko lākou pepeiao, a i ʻole e uē nui paha lākou ma mua o ka maʻamau, me ke ʻano hopohopo a me ka huhū.

I kekahi manawa, inā kiʻekiʻe loa ke kaomi i hoʻokumu ʻia e ka pus e hoʻopiha ana i ka pepeiao waena, hiki i ka eardrum ke pahū . Inā hana ʻia kēlā, hoʻomaka ka pus e puka mai i waho o ka pepeiao. ʻO kēia ke kumu nui e pahū ai nā eardrum i nā keiki ʻōpio. Hiki i ke keiki me ka eardrum i haki ke manaʻo i ka poniuniu a i ʻole ka luaʻi. Hiki iā lākou ke lohe i kahi leo "whooshing..." i loko o ko lākou mau pepeiao, a i ʻole e manaʻo paha lākou e kani ana kekahi mea i loko o ko lākou mau pepeiao.

Pehea e ulu ai kēia mau maʻi pepeiao?

ʻO ka maʻi pepeiao waena (Otitis Media) ka mea maʻamau ke hele mai kekahi a i ʻole nā ​​ʻāpana ʻelua o nā paipu Eustachian, ka mea e hoʻopili ai i ko kākou pepeiao waena i ke kua o ko kākou puʻu, e pehu. ʻO kēia mau paipu ka mea e hoʻokahe i ka mucus a me nā mea ʻē aʻe e hōʻiliʻili ana i loko o ka pepeiao waena i loko o ka puʻu. Hana ia i kahi hana koʻikoʻi loa, ʻeā?

E noʻonoʻo he anu kou, he maʻi ʻāʻī, a i ʻole he maʻi e like me ka gastritis, kahi e piʻi ai ka waikawa o ka ʻōpū (acid reflux) , a i ʻole kekahi ʻano allergy . Hiki i kēia mau mea ke hoʻoulu i nā ʻōmole Eustachian e pehu. He aha ka mea e hana ʻia a laila? Ua ālai ʻia ke ala e puka ai ka mucus. A laila, hiki i nā virus a i ʻole nā ​​​​bacteria ke ulu maʻalahi i loko o kēlā mucus i paʻa a hana i ka pus. Hoʻopiha kēia pus i ka pepeiao waena a hoʻoulu i kēlā ʻeha.

Ke ʻōlelo ke kauka "he maʻi pepeiao," ʻo ka maʻamau, ke kuhikuhi nei lākou i kahi maʻi o ka pepeiao waena (Otitis Media). He ʻokoʻa kēia mai kahi kūlana i kapa ʻia ʻo "Swimmer's Ear" a i ʻole "Otitis Externa," kahi e kū mai ana ke komo ka wai i loko o ka pepeiao i ka wā e ʻauʻau ana.

Aia kekahi mea ʻē aʻe, ʻo ia hoʻi (Otitis Media me Effusion)ʻO kēia ka manawa e piha ai ka pepeiao waena i kahi wai, e like me ka wai, me ka ʻole o ka maʻi, ʻo ia hoʻi, ʻaʻohe pus. I kekahi manawa ʻaʻole paha kēia e hōʻike i nā hōʻailona nui. Eia nō naʻe, manaʻo paha kekahi mau keiki me he mea lā e hoʻopiha ana kekahi mea i ko lākou pepeiao, a i ʻole me he mea lā e "popping" ana ko lākou pepeiao.

No ke aha i hoʻomohala nui ai nā keiki ʻōpio i kēia ma mua o nā poʻe ʻē aʻe?

Ke noʻonoʻo nei paha ʻoe, "No ke aha i loaʻa mau ai kēia mau pilikia pepeiao i kaʻu keiki liʻiliʻi?" ʻO ka ʻoiaʻiʻo, ʻoi aku ka nui o nā keiki ʻōpio, ʻoiai ka poʻe ma waena o nā makahiki ʻelua a me ʻehā , e loaʻa i nā maʻi pepeiao ma mua o nā pākeke. Aia kekahi mau kumu no kēia:

• ʻO kekahi, ʻo nā ʻōmole Eustachian a mākou i kamaʻilio ai ma mua i nā keiki ʻōpio he pōkole iki a ʻoi aku ka pae . No laila hiki i nā bacteria a me nā virus ke komo maʻalahi i loko o ka pepeiao waena. ʻO kekahi, ʻoi aku ka haiki o kēia mau ʻōmole. No laila ʻoi aku ka maʻalahi o ka paʻa ʻana. Ua maopopo iaʻu?
• ʻO kekahi pilikia ʻo ia nā adenoids i nā keiki. He mau ʻano gland kēia e like me ke gland ma hope o ka ihu. Inā nui lākou, hiki iā lākou ke ālai i ka wehe ʻana o nā ʻōmole Eustachian. ʻOiai pēlā, lilo ia i mea paʻakikī no ka mucus e kahe.

Ma waho aʻe o kēia, aia kekahi mau mea ʻē aʻe e hoʻonui ai i ka pilikia o kahi keiki ʻōpiopio e loaʻa ana i nā maʻi pepeiao. Eia kekahi laʻana:

• He mea ʻino loa ka hōʻike ʻana i kāu pēpē i ka uahi lua .
• Ka hānai ʻana i ka ʻōmole , ʻoiai i ka wā e hānai ana i ka pēpē i ka wā e moe ana.
• Ke leʻaleʻa nei me nā keiki ʻē aʻe ma nā wahi e like me nā kula kamaliʻi , no ka mea, ʻoi aku ka nui o ka loaʻa ʻana o nā mea e like me ke anu mai kekahi i kekahi.

Ua ʻike ʻia hoʻi, ma ke ʻano laulā, loaʻa pinepine nā maʻi pepeiao i nā keiki kāne ma mua o nā keiki wahine.

Akā e hoʻomanaʻo, ʻaʻole laha pololei nā maʻi pepeiao mai ke kanaka a i ke kanaka . Eia nō naʻe, hiki ke laha maʻalahi nā maʻi ʻōpū hanu o luna , e like me ke anu a me ka maʻi palū. ʻOiai ke anuanu ke aniau, loaʻa i ka nui o ka poʻe kēia mau maʻi. No laila, hiki i ke keiki me ka maʻi pepeiao ke loaʻa nā hōʻailona o ke anu, e like me ka ihu wai, ka ihu paʻa, a me ke kuni.

Pehea ka lōʻihi e ola ai kēia ʻeha pepeiao?

ʻO ka hapa nui o ka manawa, e hoʻōla wale nā ​​​​maʻi pepeiao waena (Otitis Media) i loko o ʻelua a ʻekolu mau lā me ka ʻole o kekahi lāʻau lapaʻau kūikawā . He mea hōʻoluʻolu iki kēlā, ʻeā?

Eia nō naʻe, i kekahi manawa hiki ke noho ka wai i loko o ka pepeiao waena no kekahi manawa ma hope o ka pau ʻana o ka maʻi. Inā noho ka wai i loko o ka pepeiao waena no nā mahina ʻekolu a ʻoi aku , pono paha ka lāʻau hou. ʻO ia ke kumu he mea nui e launa pū me ke kauka.

Pehea e ʻike pololei ai ke kauka i kēia ma ke ʻano he maʻi?

Ke lawe ʻoe i kāu keiki i ke kauka, e hāʻawi mua ʻo ia i kāu keiki i kahi nānā maʻamau. A laila e nānā lākou i ka pepeiao. E hoʻohana ke kauka i kahi mea liʻiliʻi i kapa ʻia he otoscope . Ua like ia me kahi kukui uila liʻiliʻi. Hiki iā ʻoe ke ʻike pono i ka eardrum. Hiki iā ia ke nānā no ka ʻulaʻula, ka pehu, a i ʻole ka pus ma hope o ka eardrum.

No laila he aha nā lāʻau lapaʻau no kēia mau maʻi pepeiao?

I ka mālama ʻana i kahi maʻi pepeiao, noʻonoʻo nā kauka i nā kumu he nui. ʻAʻole lākou e hāʻawi wale iā ʻoe i kahi lāʻau lapaʻau a haʻalele. Noʻonoʻo lākou i kēia mau mea:

• Pehea e ʻike ai i ke ʻano o ka maʻi pepeiao a me kona koʻikoʻi .
• ʻEhia pinepine ka loaʻa ʻana o nā maʻi pepeiao i ke keiki?
• ʻEhia ka lōʻihi o ka loaʻa ʻana o ka maʻi i kēia manawa?
• ʻO ka makahiki o ke keiki a inā paha he mau kumu pilikia ʻē aʻe (no ka laʻana, inā he ʻōpiopio loa ke keiki, a inā paha he mau maʻi ʻē aʻe).
• Inā ua hoʻopilikia kēia maʻi i ka lohe o ke keiki .

Aia nā ʻokoʻa ma waena o ka mālama ʻana i ka Otitis Media, a mākou i kūkākūkā ai ma mua, a me ka mālama ʻana i ka Otitis Media me ka Effusion. ʻAʻole pono nā ʻano maʻi pepeiao āpau i nā antibiotics . He mea kēia e pono ai nā mākua he nui e hoʻomaopopo.

Ma muli o ka pau ʻana o ka hapa nui o nā maʻi pepeiao iā lākou iho, lawe pinepine nā kauka i kahi ala "kali a ʻike" . ʻO ia hoʻi, hāʻawi lākou i ke keiki i ka lāʻau ʻeha a waiho wale i nā antibiotics no kekahi mau lā e ʻike ai inā e hoʻomaikaʻi ka maʻi.

ʻAʻole i ʻōlelo pinepine ʻia nā antibiotics no kēia mau kumu:

• Inā he huakino ke kumu o ka maʻi, ʻaʻole e kōkua nā lāʻau antibiotic (hana wale nā ​​​​lāʻau antibiotic i nā bacteria).
• ʻAʻole kōkua nā lāʻau antibiotic i ka wehe ʻana i ke kahe mai ka pepeiao waena.
• Hiki i nā lāʻau antibiotic ke hana i nā hopena ʻaoʻao ʻē aʻe (e.g., diarrhea).
• ʻAʻohe ona hopena koʻikoʻi i ka hōʻoluʻolu ʻana i ka ʻeha i loko o nā hola 24 mua , a laila he hopena liʻiliʻi wale nō kona.

ʻO ka mea nui loa, ke hoʻohana pinepine ʻia nā lāʻau antibiotic ma mua o ka mea e pono ai, hiki ke ulu mai nā bacteria kūʻē i ka antibiotic . Inā hana ʻia kēlā, hiki ke paʻakikī loa ka mālama ʻana i kahi maʻi bacteria ma hope.

Eia nō naʻe, inā hoʻoholo ke kauka e hāʻawi i nā antibiotics, e hāʻawi pinepine lākou i kahi papa hana he 10 lā. Hiki ke hāʻawi ʻia i kahi keiki ma luna o 6 mau makahiki ʻaʻole i loaʻa i kahi maʻi koʻikoʻi i kahi papa hana pōkole o 5-7 mau lā. Inā he pus e puka mai ana mai ka pepeiao i loaʻa i ka maʻi, hiki ke hoʻohana ʻia nā kulu pepeiao antibiotic.

No kekahi mau keiki, no ka laʻana,ʻO nā keiki i loaʻa pinepine i nā maʻi pepeiao, ka nalowale mau o ka lohe, a i ʻole ka lohi o ka ʻōlelo ʻana, pono paha lākou i ke ʻoki ʻana i nā paipu pepeiao . Pili kēia i kahi hana ʻoki liʻiliʻi e ke kauka pepeiao, ihu, a me ka puʻu (ENT) e hoʻokomo i nā paipu liʻiliʻi i kapa ʻia he mau paipu tympanostomy i loko o ka eardrum. Hoʻokumu kēia i kahi ala no ka wai e kahe ai mai ka pepeiao waena. Kōkua kēia i ka hoʻomaha ʻana i ke kaomi i loko o ka pepeiao.

No laila, ke "makaʻala" mau nei ʻoe? ʻAʻole anei he mau manawa e pono koke ai nā lāʻau antibiotic?

ʻAe, aia kekahi mau manawa i ia manawa. He kūpono paha nā antibiotics no nā keiki i loaʻa pinepine i nā maʻi pepeiao . Eia kekahi, ʻo nā keiki liʻiliʻi (ma lalo o 6 mahina) a i ʻole nā ​​​​keiki maʻi loa e pono e hāʻawi ʻia i nā antibiotics mai ka hoʻomaka ʻana.

ʻAʻole paha kūpono ke ʻano "kali a ʻike" no kēlā me kēia keiki. ʻAʻole paha kūpono no nā keiki me nā pilikia olakino ʻē aʻe, e like me:

• Nā keiki i loaʻa nā implants cochlear .
• Nā keiki me nā maʻi e like me ka lehelehe māwae a me/a i ʻole ka lehelehe māwae .
• Nā keiki me nā maʻi genetic e like me Down syndrome .
• Nā keiki me nā maʻi o ka ʻōnaehana pale .

I nā hihia kūikawā e like me kēia, hiki i ke kauka ke hoʻoholo e hoʻomaka koke i ka lāʻau lapaʻau.

No laila, he aha nā mea nui e pono ai kākou e hoʻomanaʻo e pili ana i kēia mau maʻi pepeiao?

ʻAe, no laila ʻo ka leka lawe-home mai ka mea a mākou i kamaʻilio ai, aia kekahi mau mea nui e hoʻomanaʻo ai:

• He mea maʻamau loa nā maʻi pepeiao waena (otitis media) i nā keiki ʻōpio, no laila mai hopohopo.
• Inā ʻōhumu kāu keiki i ka ʻeha o ka pepeiao, ke hoʻopā nei i kona pepeiao, ke kuni nei, a i ʻole ʻoi aku ka pīhoihoi ma mua o ka maʻamau, e ʻike pono i ke kauka .
• ʻAʻole pono nā maʻi pepeiao āpau i nā lāʻau antibiotic . E hahai pololei i nā ʻōlelo a kāu kauka.
• Inā kuhikuhi ke kauka i nā lāʻau antibiotic, e hāʻawi iā lākou i ka nui kikoʻī a no ka helu kikoʻī o nā lā . Mai hoʻōki i ka hapalua.
• Aia kekahi mau mea hiki iā ʻoe ke hana e pale aku i nā maʻi pepeiao. E pale i kāu pēpē mai ka uahi o ka cigarette a e mālama iā lākou mai ka poʻe i loaʻa i ke anu.
• Inā loaʻa pinepine nā maʻi pepeiao o kāu keiki a i ʻole he pilikia lohe paha, e kamaʻilio pū me kāu kauka e pili ana i kēlā. Pono paha ʻoe e kuhikuhi ʻia i kahi loea ENT .

E hoʻomanaʻo, inā he kānalua iki kou e pili ana i ke olakino o kāu keiki, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka a hoʻoponopono iā ia.

Nā maʻi pepeiao, pepeiao waena, otitis media, ʻeha pepeiao i nā keiki, Eustachian tube, earwax, antibiotics