Yu smɔl pikin kin kol bɔku tɛm? Yu dɔn notis se afta sɔm dez, yu pikin kin jɔs kɔntinyu fɔ ol in yes ɛn i nɔ kin fil fayn smɔl? Sɔntɛnde, i kin tan lɛk se i nɔ de lisin fayn we yu de tɔk to am? Na nɔmal tin fɔ mek yu as mama fil bad bad wan we tin lɛk dis apin. Bɔt nɔr wɔri, dis na simpul sik wae dɛn kin trit pan pikin dɛm wae rili yɔŋ. Tide wi de tɔk bɔt wan pan dɛn kayn tin ya, we na Otitis Media wit Effusion (OME).
Wetin na Otitis Midya wit Effusion (OME)?
Fɔ tɔk am simpul wan, Otitis Media with Effusion (OME) na we yu midul yes kin ful-ɔp wit wata we gɛt wata. Sɔntɛnde dɛn kin kɔl dis `Serous Otitis Media`. Di impɔtant tin na dat, dis nɔto pus . dis min se dis nכto infεkshכn na in yes we de mek pus fulכp di midul yes. Dis na jɔs wan kɔlekɛshɔn fɔ wata.
Tink bɔt wi midul yes lɛk smɔl rum. Wan smɔl tiub de we de kɔnɛkt dis rum to wi trot. Wi de kɔl dis `(Eustachian tube)`. di men wok we dis tכb de du na fכ drεn di wata we pasmak na di midul yes to di trot εn fכ bεlε di briz prεshכn insay di yes. insay di kes fכ OME, dis tכb kin blok fכ sכm rizin, εn di wata we de bכlכp na di midul ia nכ kin dכn εn i kin stכk insay. Bikɔs ɔf dis, yu kin fil se yu de ebi ɔ yu kin fil se sɔntin dɔn stɔp insay yu yes.
Dis kכndyushכn kin bכku pan yכŋ pikin dεm we ol bitwin 6 mכnt εn 3 ia. Akɔdin to stɔdi dɛn, pas 80% pan di pikin dɛn go gɛt OME wan tɛm na dɛn layf bifo dɛn rich skul ej.
Wetin mek dis kin apin to yɔŋ pikin dɛn? Wetin na di rizin dɛn?
di men rizin we mek pikin in yes fulכp wit wata lεk dis na biכs di Eustachian tכb we wi bin tכk bכt fכs nכ de wok fayn. Dis tiub nɔ tan lɛk big pipul dɛn, i de difrɛn smɔl pan yɔŋ pikin dɛn. Dɔn bak, dis tiub kin blok bikɔs ɔf tin dɛn lɛk kol ɔltɛm ɛn alɛji.
Lɛ wi luk di men rizin dɛn fɔ dis na di tebul we de dɔŋ ya.
| Rizin | Simpul ɛksplen |
|---|---|
| Di tiub nɔ dɔn ful-ɔp. | di Yustachian tiub na yכŋ pikin dεm sכt εn i de כrizכnal, we de mek i at fכ mek wata kכmכt. |
| Kɔl ɛn infekshɔn na yu trot ɔltɛm | We kol ɛn trot de at, di nos, trot, ɛn Yustachian tyub kin swel. Dis swɛlin de blok di tiub ɛn mek wata gɛda. |
| Adenoid dɛn we gɛt inflamed | adenoyd na limf gland dεm we de bihayn di nos εn na di tכp pat pan di trot. we dεn swεla, dεn kin blok di opin we di Yustachian tכb de opin εn mek wata kכlכm. |
| Alɛji dɛn we pɔsin kin gɛt | Alɛji to tin dɛn lɛk dɔst ɛn pɔlin kin mek bak di dakt dɛn swel ɛn blok. |
Wetin na di sayn dɛm fɔ dis sik?
Insay OME, di yes pen nɔ kin rili bad. Sɔmtɛm, de sik kin de witout ɛni sayn. Bɔt if yu si dɛn tin ya pan yu pikin, na fɔ wɔri.
- Wae yu nɔr de yɛri fayn: Dis na de sik wae kin kam pan pɔrsin ɛn wae kin kam pan pɔrsin. I kin sho bay tin dɛn lɛk we di pikin nɔ de ansa we yu de tɔk ɔ we yu tɔn di TV lawd tumɔs.
- Grab ɔ pul in yes: Di pikin kin ol ɔ pul in yes ɔltɛm bikɔs i kin fil sɔntin we nɔ fayn ɔ i ebi na in yes.
- Bεlεns εshyu: Wi midul ia de εp bak fכ bεlε na di bכdi. So we i ful-ɔp wit wata, di pikin kin fil lɛk se i de shek shek smɔl ɛn i kin fil se i nɔ balans we i de waka.
- Slow tok divεlכpmεnt: We pikin nɔ de yɛri fayn, i kin delay fɔ lan fɔ pik wɔd ɛn tɔk fayn. Dis prɔblɛm kin kam if dis sik de fɔ lɔng tɛm.
Bɔt mɛmba se, nɔto ɔltɛm na OME kin kam wit dɛn sik ya. Dɛn kin kam bak wit ɔda wɛl bɔdi prɔblɛm. So di bɛst tin fɔ du na fɔ go to yu famili dɔktɔ ɛn mek dɛn chɛk yu pikin.
Wetin na di tritmɛnt dɛm fɔ dis?
We yu sho yu pikin to dɔktɔ, na in go disayd aw fɔ trit am bay di pikin in kɔndishɔn.
Jɔs de wet fɔ mek i bɛtɛ (Monitoring)
Bɔku tɛm, dat na, bɔku tɛm, dis wata we de na di yes go dray in wan insay 4 to 6 wiks we dɛn nɔ gɛt ɛni tritmɛnt. So di fɔs tin we di dɔktɔ go du na fɔ wach di pikin ɛn se, "Lɛ wi wet ɛn si." Dɛn kin kɔl dis bak ``Watchful waiting''.
Di mɛrɛsin dɛn we dɛn kin yuz
Bikɔs OME nɔto infekshɔn, dɔktɔ dɛn nɔ kin gi am antibayɔtik. Bɔt if di pikin gɛt ɔda infekshɔn, lɛk baktriyal infɛkshɔn na in trot, wit OME, dɛn kin gi am antibayɔtik as tritmɛnt. Dɛn nɔ kin gi antihistamin ɛn dikonjɛstant bak bikɔs dɛn nɔ kin gɛt bɔku ifɛkt pan OME.
Fɔ put di ia tyub (Myringotomy) .
Sɔntɛnde, di wata we de na di yes nɔ kin go dɔŋ ivin afta 2 ɔ 3 mɔnt. Dis kin mek di pikin nɔ de yɛri fayn, ɛn dis kin afɛkt di we aw i de lan ɛn di we aw i de tɔk. If dɛn kayn tin ya apin, di dɔktɔ kin tɛl dɛn fɔ mek dɛn du smɔl ɔpreshɔn. dis dεn kכl am ``Myringotomy''.
Insay dis, di dɔktɔ we de du di ɔpreshɔn kin mek wan rili smɔl ol na di ia drɔm ɛn i kin pul ɔl di wata we de na di midul ia tru am. Dɔn fɔ mek di wata nɔ gɛda bak, dɛn kin put wan rili smɔl tiub (Myringotomy tiub) insay da smɔl ol de. Afta dεn dכn put dis, di pikin in yεri de kam bak to nכmal. Nɔ wɔri, dis tiub go fɔdɔm insɛf afta lɛk 6 to 12 mɔnt.
Factor wae de inkrisayz de risk fɔ gɛt OME
Pan ɔl we ɛni pikin kin gɛt OME, sɔm tin dɛn kin mek dis risk bɔku.
| Tin dɛn we kin mek pɔsin gɛt prɔblɛm | |
|---|---|
| Kol we kin kam ɔltɛm. | Fɔ spɛn tɛm wit di pikin na say usay dɛn de kia fɔ pikin dɛn. |
| We pɔsin de smok we i de smok. | Nɔto fɔ gi pikin in bɛlɛ. |
| Fɔ gi di pikin tin fɔ it frɔm bɔtul we i de ledɔm ɔ we i de sidɔm. | Bikɔs i bin dɔn gɛt infɛkshɔn na in yes bɔku tɛm trade. |
| fכ gεt wan fכs abnכmaliti lεk klif lip (cleft palate) we de de we dεn bכn am. | |
Ustɛm fɔ go to dɔktɔ
Sɔntɛnde, yu yes infɛkshɔn kin bi sayn fɔ ɔda ɔndalayn wɛlbɔdi prɔblɛm. So, if yu gɛt ɛnitin fɔ wɔri bɔt yu pikin, nɔ shem fɔ go to dɔktɔ. Ɛspɛshali pan kes dɛm lɛk dis, i impɔtant fɔ go to dɔktɔ.
- If di sayn dɛm nɔr bɛtɛ afta 24 awa .
- If yu pikin nɔ rich 6 mɔnt, go to tritmɛnt wantɛm wantɛm.
- If di pikin se i gɛt in yes we nɔ go ebul fɔ bia .
- If yu si ɛni kayn wata ɔ pus we de kɔmɔt na yu pikin in yes .
- If yu pikin gɛt prɔblɛm fɔ slip bikɔs i gɛt kol ɔ infekshɔn we i de blo.
If dis kayn tin apin, kɛr yu pikin go to yu dɔktɔ kwik kwik wan. If ɛnitin apin, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Mɛsej we dɛn kin kɛr go na os
- Otitis Media with Effusion (OME) na wan sik we de mek di yes ful-ɔp wit wata, nɔto pus. Dɛn kin si am mɔ pan yɔŋ pikin dɛn.
- di men tin we de mek dis kכndyushכn na we di Yustachian tyub de blok bikoz fכ tin dεm lεk kol.
- Bɔrku tɛm dis sik kin dɔn fɔ insɛf insay sɔm wiks wae dɛn nɔr gɛt ɛni tritmɛnt.
- Dɛn nɔ kin gi antibayɔtik fɔ dis.
- If i afɛkt di pikin in yes ɔ tɔk fɔ lɔng tɛm, di dɔktɔ kin tɛl am ɔda tritmɛnt dɛn lɛk fɔ du ɔpreshɔn.
- If yu gɛt ɛnitin fɔ wɔri bɔt ɔ dawt bɔt yu pikin in yes, mek shɔ se yu go to dɔktɔ.
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