He maha ngā wā ka pāngia tō tamaiti e te makariri? Kua kite koe i muri i ētahi rā, ka pupuri tonu tō pēpi i tōna taringa, ā, ka ahua kore whakamarie? I ētahi wā, ka rite ia ki te kore e whakarongo tika ina kōrero koe ki a ia? He mea noa ki a koe hei whaea te mataku nui ina puta mai ēnei āhuatanga. Engari kaua e manukanuka, he mate ngāwari tēnei ka taea te rongoā i roto i ngā tamariki nohinohi. I tēnei rā kei te kōrero tātou mō tētahi o aua mate, ko te Otitis Media with Effusion (OME).
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He aha te Otitis Media me te Pupuhi (OME)?
Ki te whakarapopoto, ko te Otitis Media with Effusion (OME) ko te wā e kī ana tō taringa waenga i te wai wai. I ētahi wā ka kiia tēnei ko te 'Serous Otitis Media'. Ko te mea nui, ehara tēnei i te pus . Ko te tikanga ehara tēnei i te mate taringa e whakakī ana i te taringa waenga i te pus. He kohinga wai noa iho tēnei.
Whakaarohia tō tātou taringa waenga he rūma iti. He ngongo iti kei reira e hono ana i tēnei rūma ki tō tātou korokoro. Ka karangatia tēnei e tātou ko '(te ngongo Eustachian)'. Ko te mahi matua o tēnei ngongo he tango i te wai nui i roto i te taringa waenga ki te korokoro, me te whakataurite i te pēhanga hau i roto i te taringa. Mō te OME, ka āraihia tēnei ngongo mō tētahi take, ā, kāore e taea e te wai e kohia ana i roto i te taringa waenga te rere, ā, ka piri ki roto. Nā tēnei, tera pea ka rongo koe i te taumaha, i te ahua rānei kei te piri tetahi mea ki roto i te taringa.
He tino noa tēnei āhuatanga i roto i ngā tamariki nohinohi i waenga i te 6 marama me te 3 tau te pakeke. E ai ki ngā rangahau, neke atu i te 80% o ngā tamariki ka pāngia e te OME i te iti rawa kotahi i roto i ō rātou oranga i mua i te taenga ki te tau kura.
He aha tēnei ka pā ki ngā tamariki nohinohi? He aha ngā take?
Ko te tino take e kī ana te taringa o te tamaiti i te wai pēnei, nā te mea kāore te ngongo Eustachian i kōrerotia i mua ake nei e mahi tika ana. He rerekē te tūnga o tēnei ngongo i roto i ngā tamariki nohinohi, he rerekē ki ngā pakeke. Waihoki, ka āraia pea tēnei ngongo nā ngā mea pēnei i te makariri me te mate pāwera.
Me titiro tātou ki ngā take matua mō tēnei i roto i te ripanga i raro nei.
| Take | He whakamārama māmā |
|---|---|
| Kāore anō kia tino whanake te ngongo. | He poto, he whakapae hoki te ngongo Eustachian i roto i ngā tamariki nohinohi, ā, he uaua ki te mimiti i te wai. |
| Ngā makariri me ngā mate korokoro maha | I te wā makariri me te mamae o te korokoro, ka pupuhi te ihu, te korokoro, me te ngongo Eustachian. Ka āraihia te ngongo e tēnei pupuhi, ā, ka kohia te wai. |
| Ngā Adenoids Mumura | Ko ngā adenoids he repe lymph kei muri i te ihu me te tihi o te korokoro. Ina pupuhi, ka ārai i te whakatuwheratanga o te ngongo Eustachian ka puta he wai. |
| Mate pāwera | Ka pupuhi, ka ārai hoki ngā awaawa i ngā mate pāwera ki ngā mea pēnei i te puehu me te hae. |
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Check Availability →He aha ngā tohu o tēnei mate?
I te OME, kāore te mamae o te taringa i te tino kino. I ētahi wā, ka kitea pea te mate me te kore he tohu. Heoi, ki te kite koe i ēnei mea i roto i tāu tamaiti, kia āwangawanga.
- Te ngaronga o te rongo: Koinei te tohu tino kitea, ā, ko te mea tino kitea. Ka taea te whakaatu mā te kore whakautu a te tamaiti ina kōrero koe, te whakanui rawa rānei i te pouaka whakaata.
- Te hopu, te kume rānei i te taringa: Ka hopu tonu, ka kume tonu rānei te tamaiti i tōna taringa nā te mea ka rongo ia i tētahi mea e kore e whakamarie, e taimaha rānei i roto i tōna taringa.
- Ngā raruraru taurite: Ka āwhina hoki tō tātou taringa waenga ki te taurite i roto i te tinana. Nō reira, ina kī ana i te wai, ka paku wiri te tamaiti, ka kore pea e taurite i a ia e hikoi ana.
- Te puhoi o te whanaketanga o te kōrero: Ki te kore te tamaiti e rongo pai, ka roa pea tana ako ki te hopu kupu me te kōrero tika. Ka puta pea tēnei raruraru mēnā ka roa te noho o tēnei āhuatanga.
Engari kia maumahara, ehara i te mea ko te OME anake te take o ēnei tohu. Tērā pea ka puta mai i ētahi atu raruraru hauora. Nō reira , ko te mea pai ko te toro atu ki tō tākuta whānau me te tirotiro i tāu tamaiti.
He aha ngā maimoatanga mō tēnei?
Ina whakaaturia e koe tāu tamaiti ki te tākuta, māna e whakatau te maimoatanga i runga i te āhua o te tamaiti.
Kei te tatari noa kia pai ake (Aroturuki)
I te nuinga o te wā, arā, i te nuinga o ngā wā, ka mimiti noa iho tēnei wai taringa i roto i ngā wiki e 4 ki te 6, kāore he maimoatanga. Nō reira, ko te mea tuatahi ka mahia e te tākuta ko te tirotiro i te tamaiti, me te kī, "Me tatari tātou, kia kite." Ka kiia hoki tēnei ko te "Tatari Mataara".
Ngā rongoā
Nā te mea ehara te OME i te mate urutā, kāore ngā tākuta e tohu i ngā paturopi mōna. Heoi, ki te pāngia te tamaiti e tētahi atu mate urutā, pērā i te mate kitakita o te korokoro, me te OME, ka taea te hoatu paturopi hei rongoā. Kāore hoki i te maha ngā wā ka tohua ngā antihistamines me ngā rongoā whakaiti ihu pupuhi nā te mea kāore i te nui te pānga ki te OME.
Te whakatakotoranga o te ngongo taringa (Myringotomy)
I ētahi wā, kāore te wai i roto i te taringa e heke iho ahakoa kua rua, kua toru rānei ngā marama. Ka raru pea te whakarongo o te tamaiti i tēnei, ka pā ki tana ako me tana whanaketanga kōrero. Mēnā he pēnei, ka tūtohu pea te tākuta kia pokangahia he pokanga iti. Ka kiia tēnei he "Myringotomy".
I roto i tēnei, ka hangaia e te taote pokanga he kōhao iti rawa ki roto i te pūoro taringa, ā, ka ringihia te wai katoa i roto i te taringa waenga mā roto. Kātahi, hei aukati i te wai kei kohia anō, ka whakauruhia he ngongo iti rawa (ngoi Myringotomy) ki roto i taua kōhao iti. Whai muri i te whakaurunga o tēnei, ka hoki te rongo o te tamaiti ki te āhua noa. Kaua e manukanuka, ka taka noa iho tēnei ngongo i muri i te 6 ki te 12 marama pea.
Ngā āhuatanga e whakanui ake ai i te mōrearea o te whakawhanaketanga o te OME
Ahakoa ka taea e tetahi tamaiti te pāngia e te OME, ka taea e ētahi āhuatanga te whakanui ake i tēnei mōrearea.
| Ngā Take Mōrearea | |
|---|---|
| Ngā makariri maha. | Te noho tahi me te tamaiti i roto i te whare tiaki tamariki. |
| Te pānga ki te auahi tuarua. | Kāore i te whāngai ū. |
| Te whāngai i te pēpi mai i te pounamu i a ia e takoto ana, e takoto kau ana rānei. | He maha ngā mate taringa i pāngia ai ahau i mua. |
| He āhua rerekē te kanohi pērā i te ngutu ngatata (te waha ngatata) e kitea ana i te whānautanga. | |
Āhea te wā e kite ai i te tākuta
I ētahi wā, he tohu pea ngā mate taringa o tētahi atu mate hauora. Nō reira, ki te mea he āwangawanga āu mō tāu tamaiti, kaua e mangere ki te rapu tohutohu hauora. Ina koa i roto i ēnei āhuatanga, he mea nui kia kite i te tākuta.
- Ki te kore ngā tohu e pai ake i muri i ngā hāora 24 .
- Mena kei raro iho i te ono marama te pakeke o tāu tamaiti, rapua tonutia he maimoatanga.
- Ki te mea te tamaiti he mamae taringa tōna e kore e taea te manawanui .
- Ki te kite koe i tētahi momo wai, i tētahi pūkahukahu rānei e puta mai ana i te taringa o tāu tamaiti .
- Mena he uaua ki tāu tamaiti te moe nā te makariri, te mate manawa rānei.
I roto i tēnei āhuatanga, me kawe wawe tonu tāu tamaiti ki tō tākuta. Mēnā he āhuatanga ohorere, haere ki te Tari Ohorere (ETU) o te hōhipera tata.
Karere Tangohia ki te Kāinga
- Ko te Otitis Media with Effusion (OME) he āhuatanga e kī ana te taringa i te wai, ehara i te pupuhi. Ko te nuinga o te wā ka kitea i roto i ngā tamariki nohinohi.
- Ko te tino take o tēnei āhuatanga ko te aukati i te ngongo Eustachian nā ngā mea pēnei i te makariri.
- He maha ngā wā ka memeha noa iho tēnei āhuatanga i roto i ētahi wiki, kāore he maimoatanga.
- Kāore i te nuinga o te wā ka tohua ngā rongoā paturopi mō tēnei.
- Mena he pānga roa ki te whanaketanga o te whakarongo, o te kōrero rānei o te tamaiti, ka tūtohu pea te tākuta i ētahi atu maimoatanga, pērā i te pokanga.
- Mena he āwangawanga, he ruarua rānei āu mō ngā taringa o tāu tamaiti, me toro atu ki te tākuta.
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