Ua manaʻo paha ʻoe i kahi manaʻo ʻē, kaumaha, a ʻānai paha i loko o kou pepeiao ma hope o ka ʻauʻau ʻana, ʻoiai ma hope o ka ʻauʻau ʻana i loko o ka loko ʻauʻau a i ʻole ke kai? Malia paha e uē mau ana kāu keiki liʻiliʻi a e ʻapo ana i kona pepeiao? A laila he mea nui loa kēia iā ʻoe. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi i kapa ʻia ʻo 'Swimmer's Ear' a i ʻole, e like me kā nā kauka e kapa nei, 'Otitis Externa'.
He aha ka pepeiao o ka mea ʻauʻau?
I ka ʻōlelo maʻalahi, ʻo ka Pepeiao ʻAuʻau kahi maʻi o ka ʻāpana like me ka paipu o ko kākou pepeiao e hoʻomaka ana mai waho o ko kākou pepeiao a hoʻopau i ka eardrum, ʻo ia hoʻi, ke kahawai lohe waho. E noʻonoʻo e like me ka wā e loaʻa ai kahi ʻeha ma kahi o ko kākou ʻili, ua maʻi ʻia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ke komo ʻana o nā germs i loko o ka ʻili palupalu i loko o ke kahawai pepeiao a hoʻoulu i kahi maʻi. Hiki i kēia ke lilo i maʻi bacteria a i ʻole ka maʻi fungal.
Ua kapa ʻia kēia ʻo 'swimmer's ear' no ka mea, ʻoi aku ka maʻamau o ia ma nā poʻe e hoʻolilo i ka manawa nui i loko o ka wai, ʻoiai hoʻi nā mea ʻauʻau. Eia nō naʻe, hiki ke hana ʻia i kekahi, ʻaʻole wale nā mea ʻauʻau. Kiʻekiʻe loa kēia pilikia i ka wā wela, i ka wā e ʻauʻau pinepine ai mākou a pāʻani i ka wai.
ʻO ka mea nui loa, inā ʻaʻole mālama pono ʻia kēia, i kekahi manawa hiki ke loaʻa ka nalowale o ka lohe, a hiki i ka nalowale ʻana o ka lohe no kekahi manawa. Akā, mai hopohopo, i ka hapa nui o ka manawa hiki ke ho'ōla loa ʻia kēia maʻi me ka mālama kūpono. ʻO ka maʻamau, kuhikuhi nā kauka i nā kulu pepeiao no kēia.
Pehea ka maʻamau o kēia ʻano?
He mea maʻamau ka pepeiao ʻauʻau. Hōʻike nā noiʻi he 10% o ka poʻe ma ʻAmelika Hui Pū ʻIa wale nō i loaʻa iā ia i kekahi manawa o ko lākou ola. ʻOiai hiki ke ulu i kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā keiki ma waena o 7 a me 14 mau makahiki .
He aha nā hōʻailona o ka pepeiao ʻauʻau (Otitis Externa)?
Hiki i nā hōʻailona o ka pepeiao ʻauʻau ke hoʻopilikia i kekahi poʻe i nā ʻano like ʻole. Hiki i kekahi poʻe ke ʻike i nā hōʻailona koʻikoʻi. E nānā inā kamaʻāina kēia mau hōʻailona iā ʻoe:
- He manaʻo o ka piha a me ke kaumaha i loko o ka pepeiao.
- ʻO ka ʻeha pepeiao, ʻoiai inā piʻi ka ʻeha i ka wā e huki ʻia ai ka pepeiao, he hōʻailona koʻikoʻi ia.
- Hiki i kekahi poʻe ke loaʻa i ke kuni .
- He wai a wai paha e like me ka pus mai ka pepeiao mai.
- Ka maneʻo nui i loko o ka pepeiao.
- Ua emi iki ka lohe ʻana, a me he mea lā e lohe mālie ana ʻoe (lohe leo ʻole).
- ʻUlaʻula a me ka pehu ʻana o ka ʻili a puni ka pepeiao.
- Nā kīʻaha lymph pehu a puni ka pepeiao a ma luna paha o ka ʻāʻī.
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ua like loa ka pepeiao o ka mea ʻauʻau.
No ke aha lā e loaʻa ai iā kākou ka pepeiao o ka mea ʻauʻau?
Hiki ke nui nā kumu no kēia. Akā ʻo ke kumu nui, ua paʻa ka wai i loko o ke kahawai pepeiao. E noʻonoʻo e pili ana i ia mea, makemake nā pathogens e like me ka bacteria a me nā fungi e ulu i kahi mahana a pulu. No laila, ke paʻa ka wai i loko o ka pepeiao, lilo ia i wahi kūpono no kēia mau germs. Noho lākou ma laila, hoʻonui koke, a hoʻoulu i kahi maʻi.
ʻO ka maʻamau , ʻo ia ka maʻi bacteria, ma mua o ka maʻi fungal. I nā hihia kakaikahi, hiki i ka hui pū ʻana o kekahi mau ʻano bacteria ke hana i kēia maʻi. ʻO nā ʻano bacteria nui e hiki ai ke hana i ka pepeiao ʻauʻau ʻo ia ʻo 'Pseudomonas aeruginosa' a me 'Staphylococcus aureus'. Hiki i nā fungi 'Candida' a me 'Aspergillus' ke hana iā ia.
ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia? (Nā kumu pilikia)
ʻOi aku ka nui o ka loaʻa ʻana o ka pepeiao ʻauʻau i kekahi poʻe. E nānā inā pili kēia mau ʻoiaʻiʻo iā ʻoe:
- No ka poʻe me nā maʻi ʻili: Inā he maʻi ʻili kou e like me ka eczema a i ʻole psoriasis a puni ke kahawai pepeiao, ʻoi aku kou pilikia o ka loaʻa ʻana o ka pepeiao ʻauʻau.
- No ka poʻe e hōʻeha ana i ko lākou mau pepeiao: Ke hoʻāʻo mākou e wehe i ka pehu pepeiao me nā mea e like me nā ʻūpā pulupulu, nā wēlau peni, nā pine bobby, a me nā ʻūpā pepa , hiki ke hōʻeha ʻia ka ʻili palupalu i loko o ka pepeiao. ʻOi aku ka nui o kēia mau ʻeha e ʻae i nā germs e komo a hoʻoulu i nā maʻi. No laila e hoʻomanaʻo, mai hoʻokomo i nā mea ʻoi i loko o ka pepeiao e hoʻomaʻemaʻe i ka pepeiao.
- No ka poʻe e noho ana ma nā wahi me ke aniau wela a pulu: ʻOi aku ke kiʻekiʻe o ka pilikia no ka mea e ulu maʻalahi nā germs i ia mau wahi.
- No ka poʻe me ka haʻahaʻa o ka pepeiao: He mea pale kūlohelohe ka pepeiao e pale ai i ko kākou mau pepeiao mai ka bacteria a me ka fungi. Inā loaʻa pinepine ka wai i loko o ko kākou mau pepeiao, a inā paha e wehe nui kākou i ka pepeiao i ka wā e hoʻomaʻemaʻe ai i ko kākou mau pepeiao, hiki ke nalowale kēia pale a hiki ke ulu mai nā maʻi.
- No ka poʻe e ʻauʻau ana i ka wai haumia: ʻOiai hiki ke loaʻa i ka maʻi mai kahi loko ʻauʻau, ʻoi aku ka nui o ka pilikia i ka wā e ʻauʻau ana i nā kino wai maoli e like me nā loko, nā loko, nā muliwai, nā kahawai, a me ke kai . ʻO kēia no ka mea hiki i ka wai ma kēia mau wahi ke loaʻa nā germs he nui aʻe ma mua o kahi loko ʻauʻau maʻemaʻe.
- No ka poʻe e hoʻohana pinepine ana i nā pepeiao pepeiao a i ʻole nā mea kōkua hoʻolohe: Inā ʻaʻole e hoʻomaʻemaʻe pono ʻia kēia mau mea, hiki i ka lepo a me nā germs ke hōʻiliʻili a hoʻoulu i nā maʻi pepeiao.
He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?
I ka hapanui o ka manawa, hiki ke mālama ʻia ka pepeiao o ka mea ʻauʻau inā mālama koke ʻia. Eia nō naʻe, i kekahi manawa, ʻoiai inā ʻaʻole mālama ʻia a hoʻopaneʻe ʻia paha, hiki ke loaʻa nā pilikia. He mea kākaʻikahi loa kēia, akā he mea nui e makaʻala iā lākou.
- Nā maʻi pepeiao mau loa:Inā hoʻomau ka pepeiao o ka mea ʻauʻau no ʻekolu mahina a ʻoi, ua manaʻo ʻia he maʻi mau. Inā hui pū nā bacteria a me nā fungi e hana i kahi maʻi, hiki ke hana kēia i nā poʻe me nā maʻi ʻili a i ʻole ka poʻe i loaʻa ka maʻi allergies i nā lāʻau pepeiao.
- ʻO ka cellulitis (ka maʻi o nā ʻiʻo hohonu o ka ʻili): I ka manawa kākaʻikahi loa, hiki i kēia maʻi pepeiao ke laha i nā ʻiʻo hohonu ma lalo o ka ʻili.
- Ka hōʻino ʻana o ka iwi a i ʻole ke kāʻei (osteomyelitis mua): He pilikia kakaikahi loa kēia. Hiki i ka maʻi pepeiao ke lilo i mea koʻikoʻi a laha i ke kāʻei a me ka iwi kokoke. ʻOi aku ka pilikia o ka poʻe me nā ʻōnaehana pale nāwaliwali.
- ʻO ka osteomyelitis kumu poʻo holomua: Inā pālahalaha hou aku ka maʻi pepeiao a hiki i nā iwi ma ke kumu o ke poʻo, hiki iā ia ke hoʻopilikia i nā aʻalolo kokoke, ka lolo, a me nā ʻāpana ʻē aʻe o ke kino. He mea kākaʻikahi ka pepeiao ʻauʻau, akā inā hana ia, hiki ke hoʻoweliweli i ke ola.
Mai hopohopo! He mea kākaʻikahi loa kēia mau pilikia koʻikoʻi, ʻoiai inā ʻoe e ʻimi i ke kōkua lapaʻau i ka wā e hoʻomaka ai ʻoe e ʻike i nā hōʻailona. No laila he mea nui e ʻike koke i ke kauka, ʻoiai inā he mea liʻiliʻi wale nō.
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, e nānā pono lākou i kou pepeiao. E ʻimi lākou i ka ʻulaʻula, ka pehu ʻana, a i ʻole nā hōʻailona ʻē aʻe o ka hōʻino. Inā he kahe mai kou pepeiao, e lawe paha lākou i kahi laʻana a hoʻouna aku i kahi keʻena hoʻokolohua e ʻike pono i ke kumu o ka maʻi. ʻO kēia no ka mea ʻaʻole like ka lāʻau lapaʻau āu e hoʻohana ai no ka maʻi fungal me ka lāʻau lapaʻau āu e hoʻohana ai no ka maʻi bacteria. No laila, he mea nui e ʻike i ke kumu pololei no ka mālama ʻana.
Mai huikau i ka pepeiao ʻauʻau me ka maʻi pepeiao waena!
I kekahi manawa, hiki ke huikau ʻia ka pepeiao o ka mea ʻauʻau me kekahi maʻi pepeiao maʻamau i nā keiki ʻōpio, kahi maʻi pepeiao waena (Middle Ear Infection a i ʻole Otitis Media) . ʻO ke keiki me ka maʻi pepeiao waena e loaʻa pinepine ka ʻeha pepeiao e ʻoi aku ka ʻino ke moe lākou. Hiki iā lākou ke ʻike i nā hōʻailona e like me ka luaʻi ʻana, ka maʻi pākī, a me ka nalowale o ka makemake.
ʻOkoʻa ka mālama ʻana i nā kūlana ʻelua. ʻAʻole e hana ka lāʻau lapaʻau like no ka pepeiao ʻauʻau no ka maʻi pepeiao waena, a ʻo ka ʻaoʻao ʻē aʻe. No laila he mea nui e ʻike i ke kauka no ka ʻike pololei.
He aha nā lāʻau lapaʻau no ka pepeiao o Swimmer?
ʻO ka hapa pinepine, kuhikuhi nā kauka i nā kulu pepeiao e hoʻomaʻemaʻe i kēia maʻi. Ma muli o kou kūlana, hiki iā lākou ke paipai i nā lāʻau lapaʻau penei:
- Nā kulu pepeiao me nā lāʻau antibiotic: Pepehi i ka bacteria.
- Nā kulu pepeiao antifungal: E hakakā i ka fungus.
- Nā lāʻau pepeiao i loaʻa i ka steroid:E ho'ēmi i ka pehu a me ka ʻeha.
He mea nui loa ka hoʻohana ʻana i kēia lāʻau pepeiao e like me ka ʻōlelo a kāu kauka iā ʻoe, no ka manawa piha. Mai ho'ōki i ka hapalua.
Eia kekahi, no ka hōʻemi ʻana i ka ʻeha, hiki iā ʻoe ke lawe i nā lāʻau ʻeha e like me ka acetaminophen (e.g. Tylenol®) a i ʻole ibuprofen (e.g. Advil®) e like me ke kauoha a kāu kauka.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
ʻO ka pepeiao ʻauʻau he maʻi ia e hoʻopau ponoʻī ʻia me ka lāʻau lapaʻau. I ka hapanui o nā hihia, e pau loa ka maʻi i loko o hoʻokahi pule. Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki ke loaʻa nā pilikia e like me ka laha ʻana o ka maʻi, e like me ka mea i ʻōlelo ʻia ma mua. I kēlā hihia, pono paha ʻoe e hoʻohana i nā antibiotics ikaika a i ʻole nā antifungals.
E ʻoi aku ka maikaʻi o kēia?
ʻAʻole, ʻaʻole. He maʻi ka pepeiao ʻauʻau o ke kahawai pepeiao. Inā ʻaʻole mālama ʻia, ʻaʻole ia e ho'ōla iā ia iho. Inā ʻaʻole mālama ʻia, hiki i ka maʻi ke laha i ke kumu o ke poʻo, ka lolo, a i ʻole nā aʻalolo cranial.
ʻOiai hiki i ka maʻi ke pālahalaha ma waho o ke kahawai pepeiao, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka ke ʻike ʻoe i nā hōʻailona a hoʻomaka i ka lāʻau lapaʻau. ʻO ka wikiwiki o kou loaʻa ʻana o ka lāʻau lapaʻau, ʻo ka wikiwiki hoʻi o kou hoʻōla ʻana.
Pehea e pale ai i ka pepeiao o ka mea ʻauʻau?
ʻAe, aia nā mea hiki iā kākou ke hana e pale aku ai i kēia. ʻO ka mea nui, ʻo ia ka mālama ʻana i ko kākou mau pepeiao i maloʻo loa.
E hahai i kēia mau ʻōlelo aʻoaʻo e hōʻemi hou aku i kou pilikia:
- E hoʻēmi i ka ʻauʻau ʻana a me ka ʻauʻau ʻana i ka wai lepo i ka hiki.
- Mai hoʻokomo i kekahi mea, me nā ʻūpā pulupulu, i loko o ke kahawai pepeiao. He palupalu loa ka ʻili i loko o ka pepeiao. Inā ua ʻeha, hiki ke maʻalahi ke loaʻa i ka maʻi.
- Inā komo ka wai i loko o kou pepeiao i ka wā e ʻauʻau ana a ʻauʻau paha, e hoʻohuli i kou poʻo i ka ʻaoʻao a huki mālie i ka ʻaoʻao pepeiao mai kēlā ʻaoʻao a i kēia ʻaoʻao e hoʻokahe i ka wai.
- E hoʻomaloʻo pono i kou mau pepeiao ma hope o ka ʻauʻau ʻana, ka ʻauʻau ʻana, a i ʻole ke komo ʻana i ka wai. Hiki iā ʻoe ke hana i kēia me kahi kāwele maʻemaʻe a i ʻole ma ka hoʻomaloʻo mālie ʻana iā lākou me kahi mea hoʻomaloʻo lauoho ma kahi haʻahaʻa.
- I ka wā e ʻauʻau ai, hiki iā ʻoe ke kau i nā pōpō pulupulu i loko o kou mau pepeiao e hōʻemi i ka pilikia o ke komo ʻana o ka wai i loko o kou mau pepeiao.
- E hoʻohana i nā pani pepeiao i ka wā e ʻauʻau ai a i ʻole i loko o ka wai.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo mua ʻia o ka pepeiao ʻauʻau (e like me ka ʻeha pepeiao, ka hoʻokuʻu ʻana o ka pepeiao, ka maneʻo, a i ʻole ka nalowale o ka lohe), e ʻike koke i ke kauka.
Inā ua kuhikuhi mua ʻia ʻoe e ke kauka i nā kulu pepeiao no ka pepeiao ʻauʻau, a ʻaʻole i hoʻomaikaʻi kou mau hōʻailona ma hope o 10 mau lā, e ʻike hou i kāu kauka. Pono paha ʻoe e hāʻawi ʻia i kahi lāʻau lapaʻau ikaika aʻe.
ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai
Ma mua o kou hele ʻana i kahi loko ʻauʻau, loko, a i ʻole ke kai, e mālama pono i kou mau pepeiao. Inā ʻoe e ʻeha a ʻānai paha i kou mau pepeiao ma hope o kou puka ʻana i waho o ka wai, mai hoʻokuke aku iā ia me he mea maʻamau lā, akā e haʻi aku i ke kauka. Hiki iā ia ke kuhikuhi iā ʻoe i kahi lāʻau pepeiao e kōkua ai. Pono e nalowale kāu mau hōʻailona i loko o hoʻokahi pule. E hoʻomanaʻo, ʻaʻole he maʻi koʻikoʻi ka pepeiao ʻauʻau inā ʻike ʻia a mālama ʻia i ka wā mua. No laila, mai hopohopo, e ʻimi koke i ka ʻōlelo aʻoaʻo lapaʻau. Makemake au iā ʻoe e ho'ōla koke!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He maʻi cholesterol anei nā PVC (Premature Ventricular Contractions) e pono ai ke ʻoki puʻuwai?
Auē! ʻAʻole kēia he poloka cholesterol. Hoʻopuka ko mākou puʻuwai i ke koko i kahi mele maʻamau (lap-dab). Akā i ka wā e puka mai ai kahi hōʻailona uila keu mai nā ventricles ma lalo o ka puʻuwai ma mua o kēlā mele, ua kapa ʻia kēia kuʻi mua ʻana (PVC).
💬 Pehea kou manaʻo i kou kino ke kuʻi koke kou puʻuwai? Ua ʻeha anei?
ʻAʻole kēia e hōʻeha i ka umauma. Manaʻo pinepine ka mea maʻi ua 'lele/haʻalele ka puʻuwai' ko lākou umauma (puʻuwai), he manaʻo ʻē me he mea lā ua huli koke kekahi mea i loko o ka umauma. He nui ka poʻe e ʻōlelo nei ua like ia me 'ua lele koʻu puʻuwai i kahi kuʻi'.
💬 Pono anei au e makaʻu i kēia? He aha nā lāʻau lapaʻau e ho'ōla ai?
He mea maʻamau no ke kanaka olakino ke loaʻa i kekahi mau PVC i ka lā (hana ʻia kēia i ka wā e inu ai i ke kofe, i ka wā e piʻi ai ke kaumaha, a i ka wā e hiamoe ai ʻoe). ʻAʻole pono ka lāʻau lapaʻau no ia mea! Akā inā hana kēia i ka lā a pau, a inā nāwaliwali ka puʻuwai, hiki i nā kauka ke ʻōlelo aku i nā Beta-blockers a i ʻole, i nā hihia koʻikoʻi, ʻoki ʻana i ka Ablation e kāohi i ka rhythm o ka puʻuwai.
Pepeiao ʻauʻau, otitis externa, maʻi pepeiao, ʻeha pepeiao, wai i loko o ka pepeiao, ʻauʻau ʻana, lāʻau lapaʻau pepeiao











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