Fluid de kɔmɔt na yu yes? (Otorrhea) – Lɛ wi no bɔt dis!

Yu dɔn ɛva notis sɔntin we tan lɛk wata, yɔlɔ wata, ɔ sɔntɛnde tik tin we tan lɛk mɔkɔs de kɔmɔt na yu yes? Sɔm pipul dɛn kin kɔl dis "ear discharge" ɔ "wata in di ear." Yɔŋ pikin dɛn kin gɛt dis sik bɔku tɛm. Na notin fɔ wɔri bɔt, bɔt i impɔtant fɔ no bɔt am. Tide, wi go tɔk bɔt dis sik, ɔ lɛk aw dɔktɔ dɛn kin kɔl am , ɔtorria .

Wetin na Ɔtorria? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, ɔtorria na we wata de kɔmɔt na yu yes. Bɔku tɛm dis kin apin we yu yes infɛkshɔn kin mek yu ia rɔm brok. dis de mek wata we de kכmכt na di midul ia fכ lik kכmכt tru di ia kanal. Bɔt, ɔda tin dɛn de we kin mek i apin. Fɔ ɛgzampul, swima in yes, wan sik we kin apin to pipul dɛn we kin swim bɔku tɛm, ɔ fɔrina tin we kin stɔp na dɛn yes, ɔ we pɔsin wund in ed bikɔs i gɛt aksidɛnt.

Yu tink se ɔtorria na infekshɔn ɔltɛm?

Nɔ, dat nɔto tru. Na tru se di men tin we kin mek pɔsin gɛt ɔtrɛa na infekshɔn. Bɔrku tɛm, na wan midul ia infεkshɔn, we dɛn kɔl otitis media , ɔ wan ɔda ia infεkshɔn ɔ inflamɛns na di ia drɔm ɛn yes kanal, we dɛn kɔl otitis externa . Bɔt lɛk aw wi bin dɔn tɔk, if sɔntin stɔp na yu yes ɔ if yu gɛt siriɔs injuri na yu ed, i kin mek bak wata kɔmɔt na yu yes. So, if yu si wata de kɔmɔt na yu yes, nɔ tink se na infekshɔn, bɔt i bɛtɛ fɔ go to dɔktɔ fɔ no di rayt tin we mek yu gɛt am.

Udat dɛn kin afɛkt mɔ pan dis sik (Otorrhea)?

Dis sik kin rili kɔmɔn pan yɔŋ pikin dɛm. Di rizin fɔ dis na bikɔs bɔku tɛm dɛn kin gɛt infɛkshɔn na dɛn yes. Big pipul dɛn kin gɛt am bak, bɔt bɔku tɛm na sɔntin lɛk we pɔsin in yes aksidɛntli wund.

כda tin na dat sכm yכng pikin dεm kin gεt infεkshכn na dεn yes, so dכkta dεn kin put sכm sכm tכb na dεn yes (wan ``ear tube``). כlmost 17% pan di pikin dεm we gεt dεn tכb dεm ya, כ sεvintin pan wan כndrεd, go εnjɔy fכ gεt wata na dεn yes. If yu pikin gɛt wan pan dɛn ``ear tubes`` ya, dɔktɔ go tɛl yu fɔ yuz sɔm antibayɔtik drɔp fɔ stɔp di wata. If di drɔp dɛn nɔ stɔp di wata, di dɔktɔ go luk di pikin bak ɛn du mɔ tɛst.

If pikin ɔ big pipul dɛn de we gɛt wata we de kɔmɔt na dɛn yes bikɔs ɔf di tin we wi bin dɔn tɔk bɔt (otitis externa) ɔ `swima in yes`, dɛn kin yuz spɛshal `ɛya plɔg` we dɛn kin put insay dɛn yes we dɛn de was ɔ swim. Ɔda we de fɔ du dat, yu kin put smɔl petrolium jeli pan smɔl kɔtɔn wul ɛn put am insay di yes kanal. Dis kin mek di wata we de go insay di yes nɔ bɔku te i rich sɔm mak.

Us kayn wata kin kɔmɔt na di yes?

Fayv men kayn wata de we de kɔmɔt na di yes:

• Puulent: Dis na wen pus de kɔmɔt. Bɔku tɛm, i kin gɛt yɔlɔ kɔlɔ ɛn i kin tik.
• Serous: Dis de tɔk bɔt di wata we gɛt bɔku prɔtin (sɛrum) we de na wi blɔd. I kin gɛt wata smɔl, ɛn i kin gɛt layt yɔlɔ kɔlɔ.
• Blɔd: Sɔntɛnde, dɛn kin miks blɔd insay.I kin bi dak rɛd ɔ layt rɛd.
• Mucoid: Dis na tik tik wata, we fiba mכkus.
• Klia: Na klia , wata we nɔ gɛt kɔlɔ, lɛk wata.

Dis we ya, bay di kayn we aw di wata de, dɔktɔ kin gɛt sɔm aidia bɔt wetin na di kɔz.

Aw kɔmɔn tin fɔ gɛt Otorrhea?

Ɔtorria na rili wan sik we kin rili kɔmɔn. Sɔmtɛm e kin bi bikɔs ɔf wan simpul, nɔr siriɔs, bɔt sɔmtɛm e kin bi sayn fɔ wan siriɔs sik. Di tin we kin mek pɔsin gɛt dis sik pas ɔl na we i gɛt infɛkshɔn na in yes.

Wetin na di sayn dɛm fɔ dis?

Di men sayn na we wata de kɔmɔt na di yes . Dis dischaj kin gɛt wan smel ɔ i kin gɛt bad bad smel. I kin tan lɛk tin, wata, ɔ tik. Di kɔlɔ bak na di sem; i kin gɛt difrɛn kɔlɔ dɛn lɛk klia, yɔlɔ, ɔ grɛn.

Apat frɔm dis men sayn, sɔm ɔda kɔmɔn sayn dɛn kin de:

• I de pen na yu yes
• Itchy yes
• Fɔ yɛri difrɛn sawnd dɛn na yu yes (dɔktɔ dɛn kɔl dis `tinnitus`) .

Bɔt sɔm pipul dɛn kin gɛt mɔ siriɔs sayn dɛn . If dɛn kayn tin ya apin, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm. Dɛn kayn sayn ya na:

• Fiva
• di skin we de rawnd di yes de rεd (dεn kכl dis `erythema`) .
• I nɔ de yɛri fayn igen
• Prɔblɛm wit di nerv dɛm na di skel , fɔ ɛgzampul, i nɔ kin izi fɔ tɔk, swɛla, ɔ si.
• Fɔ fil lɛk yu ed de tɔn (vertigo) .

Pipul wae gɛt dis sik kin dɔn gɛt injury na dɛn ed (ed trauma) dis biɛn tɛm.

Pipul wae gɛt dayabitis ɔr dɛn imyun sistɛm wae nɔr de woke fayn fɔ tek tɛm mɔr bɔt dɛn kayn sik ya, bikɔs dɛn kin gɛt bɔrku prɔblɛm. If yu gɛt ɛni wan pan di siriɔs sayn dɛn we wi dɔn tɔk bɔt, go to dɔktɔ wantɛm wantɛm .

Wetin mek dis (Otorrhea) kin apin? Wetin na di tin dɛn we kin mek i apin?

As wi bin dɔn tɔk, bɔku tin dɛn de we kin mek pɔsin gɛt ɔtrɛa.

Di tin dɛn we kin mek pɔsin gɛt dis sik:

• Ripchɔ na di ia drɔm
• Infεkshכn dεm na di midul ia(Dεn kin bi sכt tεm `akyu` כ lכng tεm `krכnik`)
• Ɔta ia infɛkshɔn , lɛk swima in yes, ɔ fɔngal yist infɛkshɔn na di yes kanal
• Somtin fohrin bin stik na di yes

Di tin dɛn we nɔ kin apin so ɔltɛm, bɔt we kin rili siriɔs na:

• wan abnכmal growth fכ di skin bihayn di ia dכm (dεn kכl dis cholesteatoma . Dis na wan kכndyushכn we kכmplikt sכmtεm) .
• Fraktrɔs na di bays pan yu skel
• Kansa na yu yes kanal
• wan bad bad infεkshכn na di כta ia (dεn kכl dis `Malignant (necrotizing) external otitis`. Dis na bad bad infεkshכn we de afekt di כta ia kanal εn di bon dεm na di sכkul)

Yu tink se (Otorrhea) kin pas?

Ɔtorria insɛf nɔ kin pas pɔsin. Semweso, infεkshכn na in yes nɔ kin pas frɔm pɔsin to ɔda pɔsin. Bɔt if yu gɛt infɛkshɔn na yu yes ɛn yu gɛt kol, yu kin spre da kol de to ɔda pipul dɛn we yu de kɔf ɔ sniz.

Aw dɔktɔ kin no dis (Otorrhea)?

We yu go to dɔktɔ, i go chɛk yu fɔs. Dis ɛgzamin kin gɛt fɔ du wit:

• Dɛn go chɛk yu tɛmpracha ɛn ɔda impɔtant sayn dɛn.
• Dɛn go tek tɛm chɛk yu yes kanal fɔ si if ɛni wata, infɛkshɔn, ɔ ol de na di ia drɔm.
• Dɛn go fil rawnd yu yes, yu chin eria, ɛn nɛk fɔ si if ɛni swel de ɔ ɛni ɔda tin we nɔ kɔmɔn.
• di skin we de rawnd di yes dεn de chεk bak fכ rεd εn swεla (inflammation).

Us ɔda tɛst dɛn yu kin du?

Bɔrku tɛm, yu dɔktɔ kin no se yu gɛt ɔtrɛa wit di fyzikal ɛgzam we wi bin dɔn tɔk bɔt. Bɔt sɔntɛnde, dɛn kin du ɔda tɛst fɔ no if pɔsin gɛt di sik ɔ fɔ no wetin mek i gɛt di sik.

• Tεst fכ yεri (`Audiometry`): Dis de tεst aw yu kin yεri fayn fayn wan εn wetin yu de yεri rεnj.
• CT scan: Dis na tɛst we dɛn kin du fɔ tek pikchɔ. I kin chɛk if di infekshɔn dɔn spre pas di midul ia.
• MRI skan: If yu gɛt injuri na yu ed, dis MRI kin no ɛni lik na di sɛribrospaynal fluid (CSF) we de rawnd yu bren.
• Kranial nerve examination: If yu dɔn gɛt injury na yu ed i nɔ tu te yet ɔ yu gɛt prɔblɛm fɔ si, swɛla, ɔ tɔk, yu dɔktɔ go chɛk fɔ si if yu kraynia nerves de wok fayn fayn wan.
• Kכlt: dεn de tek sכm sכm sכm wata we de kכmכt na di yes εn tεst am na labכtכri fכ si if εni baktri כ fεnshכn de gro insay.

Aw dɛn kin trit dis?

Di tritmɛnt fɔ ɔtorria dipen pan wetin mek di wata we de kɔmɔt na yu yes . Fɔ ɛgzampul, if yu midul yes gɛt baktri, yu dɔktɔ go gi yu antibayɔtik we yu de it. Fɔ infɛkshɔn na di ɔda yes, bɔku tɛm dɛn go gi yu antibayɔtik ia drɔp .

If yu gɛt yu yes we dɔn brok, i go mɔs bi se i go wɛl fɔ insɛf insay sɔm wiks. Bɔt sɔm pipul dɛn nid ɔpreshɔn fɔ lɔk di ol. Dɛn kɔl dis tympanoplasty .

If dɛn nɔ ebul fɔ no di tin we mek yu gɛt dis sik wantɛm wantɛm, yu dɔktɔ go sɛn yu to spɛshal pɔsin. Pipul dɛn we gɛt infɛkshɔn na dɛn yes bɔku tɛm go go to spɛshal pɔsin we sabi bɔt yes, nos ɛn trot (otolaryngologist - ENT surgeon) . If yu tink se na bikɔs yu gɛt injury na yu ed, yu dɔktɔ go sɛn yu to nyurosɔjɔn fɔ mek dɛn du ɔda tɛst ɛn tritmɛnt.

Yu tink se dɛn kin ebul fɔ mek yu nɔ gɛt ɔtrɛa?

Bɔrku tɛm, e kin tranga fɔ wi fɔ kɔntrol de tin dɛm wae de mek wi gɛt (Otorrhea). So, i nɔ pɔsibul fɔ mek dɛn nɔ du am kpatakpata. כltu, fכ di wan dεm we kin gεt di kכndyushכn we dεn kכl `swima in yes`, dεn kin rεdכks di risk fכ wata we de kכmכt na di yes bay we dεn yuz spεshal `ear plug` we dεn de was εn swim.

Wetin kin apin if a gɛt (Otorrhea)? A fɔ wɔri?

Bɔrku tɛm, fɔ trit ɔtrɛa nɔr kin tranga so. If infekshɔn de, yu dɔktɔ go gi yu antibayɔtik we yu kin it ɔ antibayɔtik ia drɔp fɔ trit am.

If yu ɔ yu pikin kin gɛt infɛkshɔn na yu yes ɔltɛm (chronic ear infections), yu dɔktɔ kin rifer yu to ENT dɔktɔ fɔ mek dɛn du ɔda tɛst.

Bɔt if di wata de kɔmɔt na yu yes as sayd ɛfɛkt we yu jɔs wund yu ed, yu dɔktɔ go sɛn yu to nyurosɔjɔn fɔ no wetin fɔ du nɛks. Dis na imejensi, so i nid fɔ pe atɛnshɔn to am wantɛm wantɛm.

Aw lɔng dis tin kin las?

Ɔtorria kin bi fɔ shɔt tɛm (`acute`) ɔ fɔ lɔng tɛm (`chronic`). Aw lɔng i de te, i dipen pan di tin we mek i apin.

Ustɛm a fɔ go to dɔktɔ?

If yu yes dischaj las fɔ pas tri dez , yu fɔ rili go to dɔktɔ. Dɔn bak, if yu yes de pen, yu gɛt fiva, yu yes de rɛd, ɔ yu nɛk de swel , go to dɔktɔ wantɛm wantɛm. Ɔtorria na wan sayn wae kin kam bikɔs ɔf difrɛn rizin. Pan ɔl we sɔm tin dɛn we kin mek pɔsin sik nɔ kin siriɔs, ɔda wan dɛn kin rili siriɔs. So, e fayn fɔ gɛt diagnosis kwik kwik wan.

Ustɛm yu fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt wata we de kɔmɔt na yu yes afta yu dɔn gɛt ed trauma ɔ injuri i nɔ tu te yet, .Kɔl 911 wantɛm wantɛm ɔ go na di imejensi rum we de nia yu. Dɔn bak, if i nɔ izi fɔ yu fɔ swɛla, tɔk, ɔ si , yu fɔ go to dɔktɔ wantɛm wantɛm.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu go to dɔktɔ, i go fayn fɔ aks dɛn kwɛstyɔn ya:

• Wetin mek dis wata de kɔmɔt na mi yes? Wetin na di kɔz?
• A gɛt infɛkshɔn na mi yes? If na so, us kayn infekshɔn i bi?
• Us kayn mɛrɛsin a fɔ tek?
• A nid fɔ go to spɛshal pɔsin?
• A go gɛt fɔ du mɔ tɛst dɛn?
• A nid tritmɛnt fɔ kwik kwik wan?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Ɔtorria na wata we de kɔmɔt na di yes. I kin gɛt difrɛn tin dɛn we kin mek i apin. Bɔrku tɛm, na bikɔs ɔf infεkshɔn na in yes ɔr yu yes dεm we gɛt pɔt. Wit tritmɛnt, i kin dɔn insay sɔm dez. Bɔt sɔmtɛm, Ɔtorria kin bi sayn fɔ se yu gɛt ɔda siriɔs wɛl bɔdi prɔblɛm.

So, di bɛst tin fɔ du na fɔ go to dɔktɔ jɔs afta yu notis ɛni sayn lɛk wata we de kɔmɔt na yu yes, ɛn yu nɔ tek am layt. Dɔn yu kin gɛt di rayt tritmɛnt ɛn wɛl kwik kwik wan. Nɔ panik, bɔt nɔ delay bak!

` otorrhea, yes dischaj, ia infεkshכn, ruptured eardrum, swima in yes