Ke anu pinepine nei kāu keiki liʻiliʻi? Ua ʻike anei ʻoe ma hope o kekahi mau lā, e paʻa mau ana kāu pēpē i kona pepeiao a ʻoluʻolu iki? Manaʻo paha ʻoe i kekahi manawa ʻaʻole ʻo ia e hoʻolohe pono ana i kāu kamaʻilio ʻana me ia? He mea maʻamau iā ʻoe ma ke ʻano he makuahine ke makaʻu nui i ka wā e hana ʻia ai nā mea e like me kēia. Akā, mai hopohopo, he maʻi maʻalahi kēia e hiki ke mālama ʻia i nā keiki ʻōpio loa. I kēia lā, ke kamaʻilio nei mākou e pili ana i kekahi ʻano maʻi, ʻo Otitis Media me Effusion (OME).
He aha ka Otitis Media me ka Effusion (OME)?
I ka ʻōlelo maʻalahi, ʻo Otitis Media me ka Effusion (OME) ka wā e piha ai kou pepeiao waena i kahi wai wai. I kekahi manawa ua kapa ʻia kēia ʻo 'Serous Otitis Media'. ʻO ka mea nui, ʻaʻole kēia he pus . ʻO ke ʻano kēia, ʻaʻole kēia he maʻi pepeiao e hoʻopiha ai i ka pus i ka pepeiao waena. He hōʻiliʻili wai wale nō kēia.
E noʻonoʻo i ko kākou pepeiao waena e like me kahi lumi liʻiliʻi. Aia kahi paipu liʻiliʻi e hoʻopili ana i kēia lumi i ko kākou puʻu. Kāhea mākou i kēia ʻo `(Eustachian tube)`. ʻO ka hana nui o kēia paipu, ʻo ia ke hoʻokahe i ka wai keu ma ka pepeiao waena i ka puʻu a e kaulike i ke kaomi ea i loko o ka pepeiao. I ke ʻano o OME, ua ālai ʻia kēia paipu no kekahi kumu, a ʻaʻole hiki i ka wai i hōʻiliʻili ʻia ma ka pepeiao waena ke kahe a paʻa i loko. Ma muli o kēia, hiki iā ʻoe ke manaʻo i ke kaumaha a i ʻole ka manaʻo o kahi mea i paʻa i loko o ka pepeiao.
He mea maʻamau loa kēia ʻano i nā keiki ʻōpio ma waena o 6 mahina a me 3 makahiki. Wahi a nā noiʻi, ʻoi aku ma mua o 80% o nā keiki e ʻike i ka OME ma ka liʻiliʻi hoʻokahi i ko lākou ola ma mua o ko lākou hiki ʻana i ke kula.
No ke aha e hana ai kēia i nā kamaliʻi ʻōpio? He aha nā kumu?
ʻO ke kumu nui i piha ai ka pepeiao o ke keiki i ka wai e like me kēia no ka mea ʻaʻole hana pono ka ʻōmole Eustachian a mākou i kamaʻilio ai ma mua. ʻAʻole e like me nā pākeke, ʻokoʻa iki ke ʻano o kēia ʻōmole i nā keiki ʻōpio. Eia kekahi, hiki ke ālai ʻia kēia ʻōmole ma muli o nā mea e like me ke anu pinepine a me nā maʻi ʻaleka.
E nānā kākou i nā kumu nui no kēia ma ka papa ma lalo.
| Kumu | He wehewehe maʻalahi |
|---|---|
| ʻAʻole i hoʻomohala piha ʻia ka ʻōpū. | He pōkole a moe ka ʻōmole Eustachian i nā keiki ʻōpio, e paʻakikī ai ka hoʻokahe ʻana o ke koko. |
| Anuanu pinepine a me nā maʻi ʻāʻī | I ka wā anu a me ka ʻāʻī ʻeha, pehu ka ihu, ka ʻāʻī, a me ka ʻōmole Eustachian. Ke ālai nei kēia pehu i ka ʻōmole a hoʻoulu i ka hōʻiliʻili ʻana o ke wai. |
| Nā Adenoids mumū | ʻO nā adenoids he mau kelepa lymph aia ma hope o ka ihu a ma ka piko o ka puʻu. Ke pehu lākou, hiki iā lākou ke ālai i ka wehe ʻana o ka ʻōmole Eustachian a hoʻoulu i ka hōʻiliʻili ʻana o ka wai. |
| Nā maʻi ʻaleka | Hiki i nā maʻi ʻaleka i nā mea e like me ka lepo a me ka pollen ke hana i nā ducts e pehu a pani ʻia. |
He aha nā hōʻailona o kēia maʻi?
Ma OME, ʻaʻole ʻoi aku ka nui o ka ʻeha o ka pepeiao. I kekahi manawa, hiki ke loaʻa ke ʻano me ka ʻole o nā hōʻailona. Eia nō naʻe, inā ʻike ʻoe i kēia mau mea i kāu keiki, e hopohopo.
- Poho lohe: ʻO kēia ka hōʻailona maʻamau a maʻamau. Hiki ke hōʻike ʻia e nā mea e like me ka pane ʻole ʻana o ke keiki i kāu ʻōlelo ʻana a i ʻole ka hoʻohuli ʻana i ke TV me ka leo nui.
- ʻO ka hopu ʻana a i ʻole ka huki ʻana i ka pepeiao: Hiki i ke keiki ke hopu a huki mau i ko lākou pepeiao no ka mea ke manaʻo nei lākou i kahi mea ʻoluʻolu ʻole a kaumaha paha i loko o ko lākou pepeiao.
- Nā pilikia kaulike: Kōkua pū ko kākou pepeiao waena i ke kaulike o ke kino. No laila, ke piha i ka wai, hiki i ke keiki ke manaʻo i kahi haʻalulu iki a manaʻo paha he kaulike ʻole i ka wā e hele ana.
- Ka ulu ʻana o ka ʻōlelo lohi: Ke lohe ʻole ke keiki, hiki iā lākou ke lohi i ke aʻo ʻana e ʻohi i nā huaʻōlelo a ʻōlelo pono. Hiki ke kū mai kēia pilikia inā hoʻomau kēia ʻano no ka manawa lōʻihi.
Akā e hoʻomanaʻo, ʻaʻole i hoʻokumu mau ʻia kēia mau hōʻailona e OME. Hiki ke hoʻokumu ʻia e nā pilikia olakino ʻē aʻe. No laila , ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka ʻohana a e nānā i kāu keiki.
He aha nā lāʻau lapaʻau no kēia?
Ke hōʻike ʻoe i kāu keiki i ke kauka, na ia e hoʻoholo i ka lāʻau lapaʻau ma muli o ke kūlana o ke keiki.
Ke kali wale nei a hiki i ka maikaʻi ʻana (Nānā ʻana)
ʻO ka hapa nui o ka manawa, ʻo ia hoʻi, i ka hapa nui o nā hihia, e kahe wale kēia wai pepeiao i loko o 4 a 6 mau pule me ka ʻole o kekahi lāʻau lapaʻau. No laila, ʻo ka mea mua a ke kauka e hana ai, ʻo ia ke nānā i ke keiki a ʻōlelo, "E kali kākou a ʻike." Ua kapa ʻia kēia he "kali makaʻala".
Nā lāʻau lapaʻau
ʻOiai ʻaʻole he maʻi ka OME, ʻaʻole kuhikuhi pinepine nā kauka i nā antibiotics no ia mea. Eia nō naʻe, inā loaʻa i ke keiki kekahi maʻi ʻē aʻe, e like me ka maʻi bacteria o ka puʻu, me OME, hiki ke hāʻawi ʻia nā antibiotics ma ke ʻano he lāʻau lapaʻau. ʻAʻole i kuhikuhi pinepine ʻia nā antihistamines a me nā decongestants no ka mea ʻaʻole nui ko lākou hopena ma ka OME.
Ke kau ʻana o ka paipu pepeiao (Myringotomy)
I kekahi manawa, ʻaʻole e iho ka wai i loko o ka pepeiao ma hope o 2 a 3 mau mahina paha. Hiki i kēia ke hoʻopilikia i ka lohe o ke keiki, e hoʻopilikia ana i kā lākou aʻo ʻana a me ka ulu ʻana o ka ʻōlelo. I kēlā mau hihia, hiki i ke kauka ke kuhikuhi i kahi ʻoki liʻiliʻi. Ua kapa ʻia kēia he "Myringotomy".
Ma kēia, hana ke kauka lapaʻau i kahi lua liʻiliʻi loa ma ka pahu pepeiao a hoʻokahe i nā wai āpau i loko o ka pepeiao waena ma o ia mea. A laila, no ka pale ʻana i ka hōʻiliʻili hou ʻana o ke wai, hoʻokomo ʻia kahi ʻōmole liʻiliʻi loa (ʻōmole Myringotomy) i loko o kēlā lua liʻiliʻi. Ma hope o ke komo ʻana o kēia, hoʻi ka lohe o ke keiki i ka maʻamau. Mai hopohopo, e hāʻule kēia ʻōmole ma hope o 6 a 12 mau mahina.
Nā mea e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka OME
ʻOiai hiki i kekahi keiki ke loaʻa i ka OME, hiki i kekahi mau kumu ke hoʻonui i kēia pilikia.
| Nā Kumu Pilikia | |
|---|---|
| Anuanu pinepine. | Ke hoʻolilo nei i ka manawa me ke keiki ma kahi kikowaena mālama keiki. |
| Ka ʻike ʻia ʻana e ka uahi lua. | ʻAʻole hānai waiū. |
| ʻO ka hānai ʻana i ke pēpē mai ka ʻōmole i kona wā e moe ana a moe ana paha. | Ua loaʻa pinepine iaʻu nā maʻi pepeiao i ka wā ma mua. |
| Loaʻa kahi ʻano ʻē o ka helehelena e like me ka lehelehe māwae (cleft palate) i loaʻa i ka wā hānau. | |
I ka manawa hea e ʻike ai i ke kauka
Hiki i nā maʻi pepeiao ke lilo i hōʻailona o kekahi pilikia olakino ʻē aʻe. No laila, inā he mau hopohopo kāu e pili ana i kāu keiki, mai kānalua e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau. ʻOi loa aku i nā hihia e like me kēia, he mea nui e ʻike i ke kauka.
- Inā ʻaʻole hoʻomaikaʻi nā hōʻailona ma hope o 24 mau hola .
- Inā ʻaʻole i piha kāu keiki i 6 mahina, e ʻimi koke i ka lāʻau lapaʻau.
- Inā ʻōlelo ke keiki he ʻeha pepeiao kona hiki ʻole ke hoʻomanawanui .
- Inā ʻike ʻoe i kekahi ʻano wai a pus paha e puka mai ana mai ka pepeiao o kāu keiki .
- Inā pilikia kāu keiki i ka hiamoe ma muli o ke anu a i ʻole ka maʻi hanu.
I kēlā kūlana, e lawe koke i kāu keiki i kāu kauka. Inā loaʻa kahi pilikia, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- ʻO ka Otitis Media me ka Effusion (OME) kahi kūlana i piha ai ka pepeiao i ka wai, ʻaʻole ka pus. ʻIke pinepine ʻia ia i nā keiki ʻōpio.
- ʻO ke kumu nui o kēia ʻano, ʻo ia ka paʻa ʻana o ka ʻōmole Eustachian ma muli o nā mea e like me ke anu.
- Hoʻoholo pinepine kēia maʻi iā ia iho i loko o kekahi mau pule me ka ʻole o ka lāʻau lapaʻau.
- ʻAʻole i kuhikuhi pinepine ʻia nā antibiotics no kēia.
- Inā he hopena lōʻihi i ka ulu ʻana o ka lohe a i ʻole ka ʻōlelo a ke keiki, hiki i ke kauka ke kuhikuhi i nā lāʻau ʻē aʻe, e like me ke ʻoki ʻana.
- Inā he mau hopohopo a kānalua paha kāu e pili ana i nā pepeiao o kāu keiki, e ʻoluʻolu e nīnau i ke kauka.
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