He raruraru taringa tō tāu tamaiti? Me ako tātou mō ngā mate taringa (Otitis Media)!

Kei te amuamu ohorere tāu tamaiti mō te mamae o te taringa? Kei te ara ake ia i te pō me te tangi? Kei te pā tonu rānei ia, kei te kukume tonu rānei i tōna taringa? He tohu pea ēnei mō te mate taringa . I tēnei rā, ka kōrero tātou mō ngā mate taringa, te mea e kīia ana e ngā tākuta ko te otitis media acute . Kaua e manukanuka, he mea tino noa tēnei i waenga i ngā tamariki nohinohi.

He aha te mate taringa (Otitis Media)? Kia mārama tātou!

He kupu ngāwari noa iho, ko te mate taringa he mate e puta ana i roto i tō taringa waenga . Tērā pea kei te whakaaro koe he aha te taringa waenga. Ko te taringa waenga te wāhi iti kua whakakiia ki te hau i waenganui i te taha o waho o tō taringa me te taha o roto o tō taringa. Hei whakamārama, ko te wāhi i waenganui i tō pūoro taringa me tō taringa o roto. Kei te taringa waenga ngā wheua iti e toru e āwhina ana i a tātou ki te whakarongo ki te oro. Ko ngā wiri oro e pā ana ki te pūoro taringa ka haere mā roto i ēnei wheua ki te taringa o roto, ki reira tātou ka rongo ai.

E rua ngā ngongo iti e hono ana ki te taringa waenga, ka haere ki muri o te korokoro. Ko ēnei e kiia ana ko ngā ngongo Eustachian . Mā ēnei ngongo ka whakahaere te pēhanga hau i roto i te taringa, ka ārai hoki i te wai e kohikohi ana i roto i te taringa waenga. Whakaarohia te aha ka puta mēnā kāore ēnei ngongo Eustachian e mahi tika? Kātahi ka kore e taea e te wai i roto i te taringa waenga te rere tika. Kātahi ka kī te taringa i te wai, ka taumaha, ka uaua hoki te whakarongo.

Ina pā mai he mate taringa nā te huaketo , nā te huakita rānei, ka pangia hoki te wai o te taringa waenga. Ko te wā tēnā ka tīmata te mamae o te taringa, ā, e ai ki te kōrero i mua ake nei, ka taumaha te taringa.

He pēhea te noa o ngā mate taringa?

Ina hoki, ko ngā mate taringa waenga te mate tino noa i roto i ngā tamariki nohinohi, i tua atu i te makariri noa. He mea tino noa i roto i ngā tamariki i waenga i te 6 marama me te 2 tau te pakeke. Ka taea te pā ki te 8 tau te pakeke. Ehara i te mea kāore ngā tamariki pakeke me te hunga kua paku pakeke ake e pāngia e ngā mate taringa, engari kāore i te tino noa pērā i ngā tamariki nohinohi.

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He aha i nui ake ai ngā mate taringa o ngā tamariki nohinohi i ngā pakeke?

He maha ngā take mō tēnei. Kia tirohia tātou he aha ēnei:

• Ngā Rerekētanga o ngā Ngongo Eustachian: Kāore ngā ngongo Eustachian o ngā tamariki nohinohi i te tino whanake pērā i ngā pakeke. He whakapae ake hoki ō rātou tūnga. Mō ngā pakeke, he paku piko ki raro, e ngāwari ake ai te mimiti o te wai. Mō ngā tamariki, ehara tēnei i te āhua, nō reira he nui ake te tūponotanga ka kohia te wai i muri i te tarau taringa. Whakaarohia he rite ki te paipa wai kāore i te piko tika, ka piri te wai.
• Pūnaha ārai mate ngoikore: Kāore anō kia tino whanake te pūnaha ārai mate o ngā tamariki, arā, te pūnaha ārai mate o te tinana e whawhai ana ki te mate. Nō reira, he iti ake tō rātou ātete ki te mate.
• Te hora i te mate mai i ētahi atu:Ko ngā tamariki nohinohi, inā koa ko te hunga e haere ana ki ngā whare tiaki tamariki, he nui ake te tūponotanga ka pangia e ngā mate o ētahi atu tamariki. Mēnā ka pāngia tētahi tamaiti e te makariri, ka tere te horapa ki ētahi atu.

He aha ngā tohu o te mate taringa?

Ko ngā tohu o te mate taringa ka tīmata i ētahi rā i muri i te makariri. Anei ngā tohu matua:

• Mamae taringa: Koinei te tohu matua. I ētahi wā ka tino mamae.
• Hiahia kai: Ka taea e te taringa mamae te mea ka ngaro te hiahia o ngā tamariki ki te kai me te inu.
• Te uaua ki te moe: Ka uaua pea te moe pai i te pō i te mamae o te taringa.
• Te ngaronga o te rongo mai i te taringa pangia: Tērā pea ka kī te taringa i te wai, ka ngaro ai te rongo.
• Te rongo i te kī, i te pēhanga rānei i roto i te taringa: Tērā pea ka taimaha te taringa, me te mea kei te mau tetahi mea.
• He wai kōwhai, parauri, mā rānei e maringi ana i te taringa: Ko te tikanga tēnei kua pakaru pea tō parāone taringa.

He mea nui: Ki te puta mai he wai i te taringa, kaua e whakaurua tetahi mea ki roto i te taringa. Ko tetahi mea e pā ana ki te pakū o te taringa ka pā kino atu.

Me pēhea te mōhio ki ngā āhuatanga o ngā pēpi me ngā tamariki nohinohi?

Kāore e taea e ngā pēpi me ngā tamariki nohinohi te kōrero pai te whakapuaki i ō rātou mamae. Nō reira, me aro nui koe ki ēnei tohu:

• Ka hopukina, ka kumea, ka hurihia rānei te taringa.
• He nui atu taku tangi i te tikanga, ā, e manukanuka tonu ana ahau.
• Kirika: Ka rerekē te pāmahana o te kirika mai i te 38 ki te 40 nekehanga Celsius (100.5 - 104 nekehanga Fahrenheit). Ehara i te mea ka pāngia ngā tamariki katoa e te kirika, engari tata ki te haurua o ngā tamariki ka pāngia e te kirika me te mate taringa.
• Te manawa waha, te nui haere rānei o te ngongoro: Tērā pea he tohu te manawa waha kua pupuhi ō adenoids . He puranga kiko iti ngā adenoids kei te tihi o tō korokoro, i muri i tō ihu, e tata ana ki tō ngongo Eustachian. Ko ngā huaketo, ngā huakita rānei e mate ai te taringa ka pupuhi anō hoki i ēnei adenoids.
• Te kore e pai ki te kai i te wā e whāngai ana i te pēpi, e whāngai ana rānei: Ina horomia e ngā tamariki, ka rerekē te pēhanga o te taringa waenga. Kātahi ka piki ake te mamae, ka heke te hiahia ki te kai. Whakaarohia, i pā tētahi mea rite ki te pēpi a Samantha. I pāngia te pēpi e te makariri, ā, kāore i pai ki te inu miraka mō ngā rā e rua, e toru rānei, ā, i tangi nui ia i te pō. Nō te whakaaturanga a te tākuta ki a ia, kātahi ia ka mōhio he mate taringa.

He aha ngā take o ngā mate taringa?

E ai ki te kōrero i mua ake nei, ko ngā huakita me ngā huaketoKoinei te tino take o ngā mate taringa. He maha ngā wā ka tīmata ngā mate taringa i muri i te makariri, i tētahi atu mate manawa o runga rānei. Ka piki ake ngā iroriki e hua ai ēnei mate i roto i te ngongo Eustachian ki roto i te taringa waenga. Ina pērā, ka pupuhi te ngongo Eustachian i ngā iroriki. Ina pupuhi, ka āraia te ngongo, ka mutu te mahi tika, ā, ka kī te taringa waenga i te wai kua pangia.

He mate hopuhopu te mate taringa?

Kāore ngā mate taringa e horapa tika mai i te tangata ki te tangata. Heoi, he mea hopuhopu ngā huaketo me/ranei ngā huakita e puta ai te mate. He maha ngā huakita me ngā huaketo e puta ai ngā mate pēnei i te makariri noa me te rewharewha ka taea te puta ai ngā mate taringa. Nō reira, ki te pāngia koe e te makariri mai i tētahi e pāngia ana e te makariri, ka nui ake te tūponotanga ka pāngia koe e te mate taringa i muri mai.

He aha ngā āhuatanga mōrearea e pāngia ai te whanaketanga o ngā mate taringa?

Ka nui ake te mōrearea o te pangia o te taringa mēnā kei a koe ēnei āhuatanga:

• Tau: Ko ngā tamariki nohinohi i waenga i te 6 marama me te 2 tau te hunga e tino mōrearea ana.
• Hītori whānau: Mena he maha ngā mate taringa o tētahi o tō whānau, tera pea he take ira.
• Makariri: Ka nui ake te mōrearea o ngā mate taringa i te maha o ngā makariri. He nui ake te mōrearea o ngā tamariki e haere ana ki ngā whare tiaki tamariki nā te mea he nui ake te tūponotanga ka pangia rātou e ngā mate mai i ētahi atu tāngata.
• Ngā mate pūmau: Ka pāngia pea te hunga e pāngia ana e ngā mate manawa roa pērā i ngā mate ārai mate, te cystic fibrosis, me te mate huango e ngā mate taringa.
• Iwi: Kua kitea e ngā rangahau he nui ake te tūponotanga o ngā tamariki o ētahi iwi (hei tauira, te Īniana o Amerika, te Hispanic, te Taketake o Alaska) ki te pangia e ngā mate taringa i ētahi atu.
• Te hauhautanga ngoikore me te taiao paowa: Ka piki ake te mōrearea o ngā mate taringa nā te parahanga o te hau me te pānga ki te paowa tuarua.

He aha ngā raruraru pea ka pā mai i ngā mate taringa?

Kāore te nuinga o ngā mate taringa e puta ai ngā raruraru mō te wā roa. Heoi, mā te mate taringa e puta tonu ana, e puta ai ētahi raruraru.

• Te ngaronga o te rongo: He mea noa te ngaronga o te rongo mō te wā poto me te haruru o ngā oro i te wā e pangia ana te taringa e te mate taringa. Heoi, ki te mau tonu te mate, ki te pakaru rānei te taringa o roto, ka pā mai pea te ngaronga o te rongo tuturu.
• Te whakaroa i te whanaketanga o te kōrero me te reo: Me rongo pai ngā tamariki nohinohi kia ako ai rātou i te reo me te kōrero. Mēnā he ngoikore te whakarongo ahakoa mō te wā poto, ka pā nui ki te whanaketanga o te kōrero a te tamaiti.
• Te pakaru o te pū taringa: I waenganui i te 5% me te 10% o ngā tamariki e pangia ana e ngā mate taringa ka puta he pakaru iti i roto i te pū taringa. I te nuinga o te wā, ka ora ake tēnei. Ki te kore, me mahi pokanga pea.
• Te horapa o te mate: Ki te kore e rongoatia, ki te kore rānei e rongoatiaKi te kore e rongoatia, ka horapa te mate. Ka horapa te mate ki te wheua i muri i te taringa ( mastoiditis ). I ētahi wā, ka horapa te mate ki ngā kiriuhi e karapoti ana i te roro me te taurakira ( meningitis ), he mea morearea pea.

Me pēhea te mōhio ki te mate taringa?

He maha ngā wā, ka taea e te tākuta te mōhio mēnā he mate taringa tō tāu tamaiti mā te tirotiro i ōna tohu, he whakamātautau tinana hei tirotiro mēnā he makariri, me te whakamātautau taringa. Hei tirotiro i te taringa, ka whakamahia e te tākuta he taputapu iti, he rama e kiia nei ko te otoscope . Ka whakamahia tēnei hei tirotiro i te pūoro taringa. Mēnā he whero, he pupuhi hoki te pūoro taringa, he tohu tēnei nō te mate taringa.

I ētahi wā ka whakamahia e te tākuta he otoscope hau hei tirotiro mēnā he wai kei roto i te taringa waenga. Ka pupuhihia he iti noa te hau ki roto i te pūoro taringa. Kātahi ka neke te pūoro taringa ki mua, ki muri. Mēnā he wai kei roto i te taringa, kāore e neke tika te pūoro taringa.

Me whai whakamātautau anō taku tamaiti?

I ētahi wā, ka hiahia pea tāu tamaiti ki ētahi atu whakamātautau, pēnei i:

• Tympanometry: Ka whakamahia e tēnei whakamātautau te pēhanga hau hei tirotiro mō te wai i roto i te taringa waenga.
• Whakaataorooro oro: Ka whakamahia e tēnei he ngaru oro hei tirotiro mō te wai i roto i te taringa waenga.
• Tympanocentesis: Mā tēnei tikanga ka taea e te tākuta te tango i tētahi wai iti mai i te taringa waenga, ka whakamātautau mō ngā huaketo me ngā huakita. Tērā pea ka mahia tēnei mēnā kāore anō kia ora te mate i ētahi atu maimoatanga.
• Ngā whakamātautau whakarongo: Mā te whakamātautau whakarongo a te tohunga whakarongo ka āwhina i te whakatau mēnā he ngoikore te whakarongo o tāu tamaiti. Ko ngā tamariki e pāngia ana e ngā mate taringa roa, e ngā mate taringa auau rānei, he wai rānei kei roto i ō rātou taringa waenga kāore e rere tika ana, ka nui ake te tūponotanga ka ngoikore te whakarongo.

Me pēhea te rongoā i te mate taringa?

Ka whakatauhia te maimoatanga i runga i ētahi āhuatanga:

• Te tau o tāu tamaiti.
• Te kaha o te mate.
• Te āhua o te mate (ahakoa he mate tuatahi, he mate tonu, he mate pūmau rānei).
• Mena kua roa te wai i roto i te taringa waenga.

Ko te nuinga o ngā mate taringa ka memeha noa iho, kāore he maimoatanga. Tērā pea ka tirotirohia tāu tamaiti e tō tākuta mō ētahi rā i mua i te tohu maimoatanga. Ki te kore te mate e memeha, me rongoā paturopi , me pokanga rānei tāu tamaiti. I taua wā tonu, ka taea e koe te tango i ngā rongoā whakamamae hei āwhina i te whakahaere i ngā tohumate, pērā i te mamae taringa.

Ngā rongoā paturopi

Mena he mate kitakita te taringa o tāu tamaiti, me rongoā paturopi pea. Heoi, ko te tikanga ka tatari ngā tākuta mō ngā rā e toru kia memeha noa te mate iti i mua i te hoatutanga o ngā paturopi. Mena he kino te mate, me tīmata wawe pea te rongoā paturopi.

Kei te American Academy of Pediatrics ngā aratohu mō te wā e tika ai te hoatu paturopi ki te tamaiti me te wā pai ki te whakamahi. Ka whakawhirinaki tēnei ki ngā āhuatanga pēnei i te tau o te tamaiti, te kaha o te mate, me te mea kei te pāngia rātou e te kirika.

Ko te mea nui: Kaua e mutu te tango i te rongoā kia tohutohu rā anō tō tākuta, ahakoa kua pai ake ō tohu. Ki te kore koe e tango i te rongoā katoa mō te wā kua whakaritea, ka hoki anō pea te mate.

Ngā rongoā whakamamae

Tērā pea ka tohua e tō tākuta he rongoā mamae kore-tohu (OTC) pērā i te acetaminophen (hei tauira, Tylenol®, Panadol®) ibuprofen rānei (hei tauira, Advil®, Motrin®, Brufen®) hei whakaiti i te mamae me te kirika. Tērā pea ka tohua hoki e ia he pata taringa hei whakaiti i te mamae. Me āta whai i ngā tohutohu a tō tākuta kia mōhio ai ko ēhea ngā rongoā he haumaru mō tāu tamaiti.

Kaua rawa e hoatu he āpipirini ki ngā tamariki nohinohi. Ka taea e te āpipirini te whakaputa i tētahi mate morearea, e kiia nei ko te mate Reye .

Ngā ngongo taringa / Ngā ngongo tympanostomy

Mena he maha ngā mate taringa o tāu tamaiti, he mate kāore e pai ki ngā rongoā paturopi, he ngaronga rānei o te rongo nā te nui o te wai e puta mai ana, me whakauru pea he ngongo taringa. Ka whakaurua e te tohunga taringa, ihu, me te korokoro (ENT) ngā ngongo mā te tikanga e kiia nei ko te tympanostomy . He tikanga māmā noa iho tēnei, e 10 meneti pea te roa. Ka taea e tāu tamaiti te hoki ki te kāinga i taua rā anō.

I roto i te tympanostomy, ka tapahia e te tākuta he tapahi iti rawa ki te tara o te taringa o te tamaiti, ka whakauruhia he ngongo iti whakarewa, kirihou rānei ki roto. Ko tēnei tikanga, e uru ana ki te wero i te tara me te tango i te wai, e kiia ana hoki ko te myringotomy . Kia tū ngā ngongo, ka tukuna te hau kia tomo ki te taringa waenga, ā, ka āwhina i te tango i te wai ki waho.

Ka waihotia tēnei ngongo ki tōna tūranga mō te 12 ki te 18 marama. Tērā pea ka taka noa iho , ka hiahiatia rānei he pokanga iti hei tango. I muri i te tangohanga o te ngongo, ka ora te kōhao i te tarau taringa, ā, ka kati.

Ka taea e te mate taringa te ora ko ia anake ?

Ae, ka ora ake te nuinga o ngā mate i a rātou anō . Koia te take ka tatari tō tākuta mō tētahi wā i mua i te tohu rongoā pēnei i te paturopi. I tēnei wā, ka taea e koe te whakahaere i ngā tohu pēnei i te mamae taringa me ngā rongoā whakamamae.

I runga i te tau o tāu tamaiti, ngā tohu, me te kirika, me whai rongoā paturopi hei āwhina i a ia kia ora. Mena he mate pāwera tonu tāu tamaiti, he maha rānei ngā mate, he nui rānei te wai i roto i te taringa waenga, ā, kei te mōrearea ki te ngaro o te rongo, ka whakaurua pea he ngongo taringa. Whāia ngā tohutohu a tō tākuta mō te mea pai mō tāu tamaiti.

Āhea ka taea e taku tamaiti te hoki ki ngā mahi o ia rā?

Kia tino heke te kirika o te tamaiti, ka taea e ia te haere ki te kura, ki te whare tiaki tamariki rānei.

He aha taku e taea ai te ārai i ngā mate taringa?

Ka āwhina ēnei mea ki te whakaiti i te mōrearea o ngā mate taringa mōu, mō tāu tamaiti rānei:

• Ārai i te makariri me ētahi atu mate manawa: Whakamātauria te ārai i te makariri, inā koa i te tau tuatahi o tāu tamaiti. Whakaakona rātou ki te horoi i ō rātou ringa i ngā wā katoa, te hipoki i ō rātou maremare me te tihe ki ō rātou tuke, me te karo i te whakawhitiwhiti i ngā taputapu kai, kapu, me ngā pūnu. Ki te taea, kaua e tukuna tāu tamaiti ki ngā whare tiaki tamariki kikī kia pakeke haere rā anō rātou.
• Āraia te auahi tuarua: Āraia te pāngia e te auahi hikareti a ētahi atu, ā, kaua e tukua tetahi kia momi hikareti tata ki tāu tamaiti.
• Whāngaihia tō pēpi ki te ū: Ki te taea, whāngaihia tō pēpi ki te ū mō ngā marama tuatahi e 6 ki te 12. Ka whawhai ngā paturopi i roto i te waiū ū ki ngā huaketo me ngā huakita e puta ai ngā mate.
• Ki te whāngai koe i te pēpi ki te pounamu, pupuritia tō pēpi kia tika: Ki te whāngai koe i te pēpi ki te pounamu, pupuritia tō pēpi kia tika kia teitei ake tōna māhunga i tōna puku. Mā tēnei tūranga ka āwhina i te aukati i te rere o te waiū, o ētahi atu wai rānei ki roto i ngā ngongo eustachian.
• Werohia tāu tamaiti: Me whakarite kei te hou katoa ngā werohanga a tāu tamaiti. Me whiwhi ngā tamariki neke atu i te 6 marama te pakeke i te werohanga rewharewha ā-tau. Pātai atu ki tō tākuta tamariki mō ngā werohanga mō te mate pneumococcal me te meningitis.

Āhea ahau me toro atu ki te tākuta mō te mate taringa?

Mena kei a koe ēnei tohu, me toro atu ki te tākuta tonu:

• Mena he mārō te kaki o tāu tamaiti.
• Mena kei te tino takoto kau te pēpi, te āhua nei kei te tino pouri, ā, e kore e mutu te tangi ahakoa te nui o te ruirui i a ia.
• Ki te kore e pumau te hikoi a te tamaiti.
• Mena he tino kino te mamae o tō taringa, o tō tamaiti rānei.
• Mena he kirika tōu, tō tamaiti rānei, neke atu i te 40 nekehanga Celsius (104 Fahrenheit).
• Mena kei te whakaatu te tamaiti i ngā tohu o te ngoikore o te kanohi (hei tauira, te āhua nei kua kumea te waha ki te taha ina menemene ana).
• Ki te kite koe i te toto, i te wai rānei kī tonu i te pūkahukahu e puta mai ana i te taringa.

Mena kei a koe ēnei tohu, waea atu ki tō tākuta i ngā hāora tari:

• Mena ka mau tonu te kirika i muri i ngā hāora 48 i muri i te tīmatanga o te rongoā paturopi, ki te hoki mai anō rānei te kirika.
• Ki te kore te mamae o te taringa e memeha i muri i ngā rā e toru o te tango i ngā rongoā paturopi.

Me hipoki rānei ngā taringa o te tamaiti he mate taringa tōna ina haere ki waho?

Kāo, kāore koe e hiahia ki te taupoki i ō taringa ina haere koe ki waho.

Ka taea e te tamaiti he mate taringa tōna te kaukau?

Mena kāore he pūwero taringa o tāu tamaiti, he wai rānei e puta mai ana i tōna taringa, kāore he aha kia kaukau ia.

Ka taea e au te rere, te haere rānei ki ngā teitei teitei mēnā he mate taringa tōku?

He haumaru te rere, inā koa i ngā wāhi maunga. Heoi, tera pea ka pāngia koe e te mamae wā poto i te wā e rere ana, e tau ana rānei. Mā te inu wai, te ngaungau kapia rānei i te wā e rere ana ka āwhina i te whakamamae i te mamae. Mena he mate taringa tō tamaiti, mā te hoatu i tētahi ngongo ngote ki a ia i te wā e rere ana ka āwhina i te whakaiti i te mamae.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Mena kei te whakaatu tō tamaiti i ngā tohu o te mate taringa, ā, kāore te āhua e pai ake i roto i ngā rā e rua, e toru rānei, he mea nui kia kite i tētahi tākuta tamariki. Ko te nuinga o ngā mate taringa ka memeha noa iho, kāore he maimoatanga. Heoi, i runga i te tau me ngā tohu o tō tamaiti, tera pea e hiahiatia he paturopi. Ka tūtohu tō tākuta i ngā rongoā whakamamae tika hei āwhina i tō tamaiti kia iti ake te mamae i a ia e whawhai ana ki te mate. Kaua rawa e mataku, he mea nui kia whai i ngā tohutohu a tō tākuta.

Ngā mate taringa, te otitis media, te mamae taringa, ngā mate o te tamarikitanga, ngā paturopi, te parāoa taringa, te ngongo eustachian