Inā he mea mālama ʻoe no kahi keiki ʻōpiopio, ʻike paha ʻoe i ka pinepine o ko lākou loaʻa ʻana i nā ʻeha pepeiao. Hiki ke hana kēia i nā pākeke, akā ʻoi aku ka maʻamau i nā keiki ʻōpio. ʻO kēia no ka mea ʻaʻole hiki i ko lākou kino liʻiliʻi ke hakakā i nā maʻi a me nā bacteria e like me nā pākeke, a ʻaʻole i hoʻolālā ʻia ko lākou mau pepeiao e hoʻokahe pono i ka wai. Me ka ʻeha pepeiao, hiki i kāu keiki ke loaʻa nā hōʻailona e like me ke kuni, ka ʻāʻī ʻeha, a me ka ihu wai . He mau hōʻailona paha kēia o ka maʻi pepeiao.
Pehea ʻoe e hoʻāʻo ai i kēia, e ke kauka?
Ke lawe ʻoe i kāu keiki i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i nā hōʻailona. No laila, he manaʻo maikaʻi e kākau i lalo ma kahi ʻāpana pepa i nā mea āu e makemake ai e hoʻomanaʻo a me nā nīnau āu e makemake ai e nīnau.
A laila e nānā ke kauka i loko o ka pepeiao o ka pēpē me kahi mea i kapa ʻia he otoscope a nānā i ka eardrum. He mea hana kēia e like me ke kukui liʻiliʻi. Ua ʻike ke kauka he mea paʻakikī iki ke nānā aku i loko o nā pepeiao o kahi pēpē liʻiliʻi e uē mau ana a e hakakā nei. No laila, pono ʻo ia i kāu kōkua e hoʻomau i ka mālie o ka pēpē i kēia manawa.
He aha ka mea a ke kauka e ʻimi nei?
- ʻUlaʻula anei ka pahu pepeiao? - Inā he maʻi, ʻulaʻula paha ka pahu pepeiao.
- Aia kekahi wai ma hope o ka pahu pepeiao? - I kekahi manawa hiki ke hōʻiliʻili ka wai ma hope o ka pahu pepeiao, ma ka pepeiao waena, e hoʻoulu ai i ka pahu pepeiao e pehu a puʻupuʻu i waho. Hiki i kēia wai ke lahilahi e like me ka wai a i ʻole ka mānoanoa e like me ka pus. Ua kapa ʻia kēia maʻi pepeiao waena ma ke ʻano lapaʻau ʻo (Otitis Media) .
I ka ʻōlelo maʻalahi, ʻo Otitis Media kahi mumū a i ʻole ka maʻi o ka pepeiao waena. ʻO kēia ke kumu nui o nā ʻeha pepeiao i nā keiki ʻōpio.
Hiki paha i ke kauka ke hoʻohana i kahi mea liʻiliʻi i kapa ʻia he otoscope e puhi i ka ea i loko o ka pepeiao e nānā inā e neʻe pono ana ka eardrum. Ke piha ka pepeiao waena i ka wai, ʻaʻole neʻe maʻalahi ka eardrum, a he ʻoʻoleʻa iki.
I kekahi mau hihia, hiki ke hoʻohana ʻia kekahi mea i kapa ʻia he tympanometer e hoʻoholo ai inā he wai i loko o ka pepeiao waena me ka hoʻohana ʻana i nā nalu kani a me ke kaomi o ka ea.
He aha nā lāʻau lapaʻau no nā maʻi pepeiao?
ʻAe, e nānā kākou i ka mea hiki ke hana ʻia e pili ana i kēia. Nui nā lāʻau lapaʻau.
1. Nā lāʻau antibiotic
ʻO ka hapa nui o nā maʻi pepeiao ke kumu o kahi maʻi. I ia mau hihia, ʻaʻole e kōkua nā antibiotics. Hiki i nā antibiotics ke pepehi wale i ka bacteria.
Eia nō naʻe, inā manaʻo ke kauka he maʻi bacteria kēia ma muli o nā hōʻailona a me ka hoʻokolokolo ʻana o kāu keiki, e kuhikuhi ʻo ia i nā antibiotics.
He mea nui loa: Inā kuhikuhi kāu kauka i nā lāʻau antibiotic, pono ʻoe e lawe iā lākou no ka helu pololei o nā lā a ma ke ʻano kikoʻī i kuhikuhi ʻia. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau no ka mea ua ʻoi aku ka maikaʻi o kāu keiki. Inā hana ʻoe pēlā, e hoʻi hou mai paha ka maʻi a hiki i ka bacteria ke kūʻē i ka lāʻau lapaʻau āu e hāʻawi ai iā lākou i ka manawa aʻe (Antibiotic Resistance).
2. Hoʻomaha ʻeha
He mea hiki ʻole ke hoʻomanawanui i ka ʻeha o kahi maʻi pepeiao, no laila he mea nui e kaohi i ka ʻeha.
- Nā lāʻau hoʻopau ʻeha: E kuhikuhi pinepine ke kauka i kahi lāʻau hoʻopau ʻeha e like me Paracetamol a i ʻole Ibuprofen. E hoʻomalu kēia i ka ʻeha a me ke kuni.
- ʻŌlelo Aʻo: Mai hāʻawi i ka aspirin i nā pēpē a me nā keiki liʻiliʻi, no ka mea hiki iā ia ke hana i kahi maʻi laha ʻole akā koʻikoʻi i kapa ʻia ʻo Reye's syndrome, hiki ke hōʻino i ke ake a me ka lolo.
- Nā ʻūmiʻi mehana: ʻO ke kau ʻana i kahi ʻūmiʻi mehana i ka pepeiao e hāʻawi paha i kahi hōʻoluʻolu mai ka ʻeha. Eia nō naʻe, e makaʻala loa ʻaʻole e puhi i nā keiki i ka wā e hoʻohana ai i kēia .
3. ʻO ke ʻoki kino e wehe i ka wai mai ka pepeiao (Myringotomy)
Loaʻa i kekahi mau keiki nā maʻi pepeiao mau, a i ʻole ʻaʻole i hoʻomaʻemaʻe ʻia ke kahe i loko o ka pepeiao waena no ka manawa lōʻihi. I kēia mau hihia, hiki i kāu kauka ke ʻōlelo aku i kahi ʻoki liʻiliʻi i kapa ʻia he myringotomy .
ʻO kēia ka hana ʻana i kahi puka liʻiliʻi loa i loko o ka pahu pepeiao e ʻae i ka wai a me ka pus e kahe i waho o ka pepeiao waena. I ka manawa pinepine, hoʻokomo ʻia kahi ʻōmole liʻiliʻi (ʻōmole pepeiao a grommet paha) e pale i kēia puka mai ka pani hou ʻana.
ʻO ka maʻamau, hāʻule kēia ʻōmole ma hope o 6 a 18 mau mahina. I loko o kēia manawa,
- Hoʻōki ka hōʻiliʻili ʻana o ka wai i loko o ka pepeiao waena.
- Ua komo ka ea i loko o ka pepeiao, a ua maloʻo ka pepeiao waena.
- Ke emi nei ka ʻeha.
- Ua holomua ka lohe.
- Hoʻemi nui ʻia ka hoʻi hou ʻana o nā maʻi.
Hana ʻia kēia ʻoki kino ma nā keiki ʻōpio i ko lākou ʻike ʻole ʻana a ma ka haukapila. He 15 mau minuke ka lōʻihi. No nā pākeke, hiki ke hana pololei ʻia ma ke keʻena o ke kauka. He mea kākaʻikahi loa nā pilikia mai kēia ʻoki kino.
Nā lāʻau lapaʻau hiki iā ʻoe ke hana ma ka home
Ma waho aʻe o nā lāʻau lapaʻau a kāu kauka e hāʻawi ai iā ʻoe, aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana ma ka home e kōkua i ka hōʻoluʻolu ʻana i kāu mau hōʻailona. E kamaʻilio me kāu kauka ma mua o ka hana ʻana i kēia mau mea.
| He aha ka mea hiki ke hana ʻia? | ʻO ka pōmaikaʻi o ia mea |
|---|---|
| Palai wela | ʻO ke kau ʻana i kahi ʻūmiʻi mehana i ka ʻāpana a puni ka pepeiao e hiki ke kōkua i ka hoʻomaha ʻana i ka ʻeha. |
| Kūlana hānai waiū | Inā ʻoe e hānai ana i ka ʻōmole, e hānai i kāu pēpē me ka noho ʻana a i ʻole e paʻa ana iā ia i luna ma mua o ka moe ʻana i lalo. Mai hoʻomoe iā ia me ka ʻōmole i loko o kona waha. |
| Ka holoi ʻana me ka wai paʻakai | No nā keiki ʻōpio a me nā pākeke, ʻo ka holoi ʻana i ka ʻōpū me ka wai paʻakai mehana e hiki ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha o ka puʻu a hiki nō hoʻi ke kōkua i ka hoʻomaʻemaʻe ʻana i nā ʻōpū Eustachian. |
| E mālama pono i ke poʻo | ʻO ka mālama ʻana i kou poʻo i luna e kōkua i ka kahe ʻana o ke wai i loko o ka pepeiao waena me ka maʻalahi. |
| Ke pale ʻana i ka uahi paka | Inā he poʻe puhipaka, e pale i ka puhipaka i loko o ka hale, ʻoiai a puni kāu keiki. Hiki i ka uahi paka ke hoʻonui i nā maʻi pepeiao. |
Leka Lawe-Home
- He mea maʻamau ka ʻeha pepeiao i nā keiki ʻōpio. Inā loaʻa iā ʻoe ka ʻeha pepeiao me nā hōʻailona e like me ke kuni a me ka ihu paʻa, pono ʻoe e ʻike i ke kauka.
- ʻAʻole pono nā maʻi pepeiao āpau i nā lāʻau antibiotic. E ʻae i kāu kauka e hoʻoholo.
- Inā kuhikuhi ke kauka i nā lāʻau antibiotic, e hāʻawi pololei iā lākou i ka papa holoʻokoʻa. Mai ho'ōki i ka hapalua.
- E hoʻohana i nā mea hōʻeha ʻeha e like me ka paracetamol a i ʻole ibuprofen e kāohi i ka ʻeha. Mai hāʻawi i ka aspirin i nā keiki.
- E hoʻomanaʻo inā loaʻa iā ʻoe nā maʻi e hoʻi hou ana a inā ʻaʻole e ho'ōla ana ke wai i loko o ka pepeiao waena, aia kahi lāʻau kūikawā (Myringotomy) no kēlā.
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