Maʻi kīpē - maʻi

ʻO ka maʻi pepeiao pepeiao mau ka wai, puhū, a i ʻole kahi maʻi ma hope o ka eardrum ʻaʻole e hele a hoʻi ʻole i ka hoʻi. Kuhi ia i ka wā lōʻihi a i ʻole pōʻino mau i ka pepeiao. Hoʻopili pinepine ia i kahi puka i ka eardrum e hoʻōla ʻole ai.

Holo ka pahu eustachian mai ka waena o kēlā me kēia pepeiao a i ka hope o ka ʻāʻī. Hoʻopau kēia paipu i ka wai i hana ʻia i ka pepeiao waena. Inā kūpaka ʻia ka paipu eustachian, hiki i ka wai ke kūkulu aʻe. Ke hiki mai kēia, hiki ke maʻi i ka maʻi. Kūkulu kahi maʻi pepeiao pepeiao mau ke ʻole e hele ka wai a i ʻole kahi maʻi ma hope o ka eardrum.

Hoʻokumu ʻia kahi maʻi pepeiao pepeiao mau e:

• ʻO kahi maʻi pepeiao pepeiao hiki ʻole ke hele
• ʻO nā maʻi pepeiao hou

ʻO "Assitisative otitis mau" kahi huaʻōlelo i hoʻohana ʻia e wehewehe i kahi eardrum e hoʻomau i ka haki, kahe ʻana, a i ʻole ka pehu ʻana ma ka pepeiao waena a i ʻole ka mastoid wahi a hele ʻole.

ʻOi aku ka maʻi maʻamau o ka pepeiao i nā keiki no ka mea ʻoi aku ka pōkole o ko lākou mau paipu eustachian, liʻiliʻi, a ʻoi aku ke ākea ma mua o nā mākua. ʻOi aku ka liʻiliʻi o nā maʻi ma ka pepeiao pepeiao ma mua o nā maʻi o ka pepeiao nui.

ʻOi aku paha ka liʻiliʻi o nā ʻōuli o ka maʻi pepeiao pepeiao ma mua o nā ʻōuli o kahi maʻi ʻino. Hele a nānā ʻole ʻia ka pilikia no kekahi manawa lōʻihi.

Pākuʻi ʻia paha nā ʻōuli:

• ʻEha ʻeha a hōʻoluʻolu paha e maʻa mau a manaʻo ʻia e like me ke kaomi o ka pepeiao
• Fiva, papa haʻahaʻa haʻahaʻa
• ʻO ka pīhoihoi i nā pēpē
• Pēpē-e like me ka hoʻokahe ʻana mai ka pepeiao
• Lohe hoʻolohe

E hoʻomau paha nā ʻōuli a hele mai paha. Kū paha lākou i hoʻokahi a i ʻole nā ​​pepeiao ʻelua.

E nānā kāu mea olakino i loko o nā pepeiao e hoʻohana ana i kahi otoscope. Hōʻike paha ka hōʻike:

• Puʻupuʻu, ʻulaʻula i ka pepeiao waena
• Pōhaku lewa i ka pepeiao waena
• ʻO ka wai mānoanoa ma ka pepeiao waena
• Eardrum pili i nā iwi i ka pepeiao waena
• ʻO ka hoʻoheheʻe ʻana i ka wai mai ka eardrum
• He lua (perforation) i ka eardrum
• Kahi eardrum e ʻōhū a huki paha i loko (hāʻule)

E komo pū paha nā hoʻāʻo:

• Nā moʻomeheu o ka wai e hōʻike i kahi maʻi bacteria.
• Hiki i kahi CT scan o ke poʻo a i ʻole nā ​​mastoids ke hōʻike ua hoʻolaha ʻia ka maʻi ma waho o ka pepeiao waena.
• Pono paha nā hoʻolohe hoʻolohe.

Kauoha paha ka mea hāʻawi i nā lāʻau antibiotic inā pili ka maʻi i ka maʻi bacteria. Pono paha e lawe i kēia mau lāʻau no ka manawa lōʻihi. Hiki iā lākou ke hāʻawi ʻia e ka waha a i ʻole i kahi aa (intravenously).

Inā he puka ma ka eardrum, hoʻohana ʻia nā kulu pepeiao antibiotic. Hiki paha i ka mea hoʻolako ke paipai i ka hoʻohana ʻana i kahi hopena waikawa haʻahaʻa (e like me ka vīnega a me ka wai) no ka pepeiao maʻi ʻoi loa i ka maʻi i loaʻa ka lua (perforation). Pono paha kahi kauka e hoʻomaʻemaʻe (debride) i nā kiko i ʻākoakoa i loko o ka pepeiao.

ʻO nā ʻoki ʻana ʻē aʻe e pono ai e komo pū me:

• ʻO ke keʻoki e hoʻomaʻemaʻe i ka maʻi mai ka iwi mastoid (mastoidectomy)
• Ke ʻoki kino e hoʻoponopono a i ʻole hoʻololi i nā iwi liʻiliʻi ma ka pepeiao waena
• Hoʻoponopono o ka eardrum
• ʻOki kino paipu

Pane pinepine nā maʻi pepeiao pepeiao i ka lāʻau. Eia nō naʻe, pono paha i kāu keiki e mālama mau i nā lāʻau no kekahi mau mahina.

ʻAʻole hoʻoweliweli ke ola nā maʻi maʻi pepeiao. Eia nō naʻe, hiki ʻole iā lākou ke hōʻoluʻolu a hopena paha i ka nalo ʻana o ka lohe a me nā pilikia koʻikoʻi ʻē aʻe.

Hiki i kahi maʻi pepeiao pepeiao mau ke hoʻololi i ka pepeiao a me nā iwi kokoke, e like me:

• ʻO ka maʻi o ka iwi mastoid ma hope o ka pepeiao (mastoiditis)
• Ke kahe mau nei ka puka mai kahi lua i ka eardrum e ola ʻole ai, a ma hope paha o ka hoʻokomo ʻia ʻana o nā paipu pepeiao
• Cyst ma ka pepeiao waena (cholesteatoma)
• ʻO ka paʻakikī o nā mea i ka pepeiao waena (tympanosclerosis)
• Ka hōʻino a i ʻole ka ʻaule ʻana o nā iwi o ka pepeiao waena, ka mea e kōkua ai i ka hoʻolohe ʻana
• Paralysis o ka helehelena
• ʻO ka huhū a puni ka lolo (abscess epidural) a i ʻole i ka lolo
• Poino i ka ʻaoʻao o ka pepeiao e kōkua me ke kaulike

Lohe paha ka lohe ʻana mai ka hōʻino ʻana o ka pepeiao waena i ka lohi o ka ʻōlelo a me ka hoʻomohala ʻōlelo. ʻOi aku paha kēia inā pili nā pepeiao ʻelua.

He kakaikahi ka nalo hoʻolohe mau ʻana, akā piʻi ka makaʻu me ka helu a me ka lōʻihi o nā maʻi.

Kāhea i kāu mea hāʻawi inā:

• ʻO ʻoe a ʻo kāu keiki paha nā ʻōuli o ka maʻi palaho mau
• ʻAʻole pane ka maʻi pepeiao i ka lāʻau
• Hoʻolālā nā ʻōuli hou i ka wā a ma hope paha o ka mālama ʻana

ʻO ka loaʻa koke ʻana o kahi lāʻau no ka maʻi pepeiao pepeiao koʻikoʻi hiki ke hoʻēmi i ka makaʻu o ke kūkulu ʻana i kahi maʻi pepeiao kūlohelohe. E mālama i kahi hōʻike hope me kāu mea hāʻawi ma hope o ka mālama ʻia ʻana o kahi maʻi pepeiao e hōʻoia ua hoʻōla loa ʻia.

Maʻi pepeiao waena - maʻi mau; ʻO Media Otitis - maʻi mau; Pāhoʻi otitis maʻi mau; Maʻi maʻi puʻupuʻu

• Anatomy pepeiao
• Maʻi pepeiao waena (otitis media)
• Maʻi maʻi waena waena
• Tube ʻEustachian
• Hoʻokomo paipu pepeiao - moʻo

ʻO Chole RA. ʻO ka media otitis maʻamau, mastoiditis, a me petrositis. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 139.

ʻO Ironside JW, Smith C. kikowaena a me nā ʻōnaehana ʻōnaehana āpau. I: Cross SS, ed. Underwood's Pathology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 26. 21 pā. Piladelapia, PA: Elsevier; 2020: chap 658.

ʻO Kerschner JE, ʻo Preciado D. Otitis media. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson, KM. nā ʻaoʻao ʻO Puka Textbook of Pediatrics ʻo Nelson.

Rosenfeld RM, Schwartz SR, Pynnonen MA, et al. Kuhikuhi hana hoʻomaʻamaʻa Clinical: Tympanostomy tubes i nā keiki. Otolaryngol poʻo ʻāʻoki poʻo. 2013; 149 (1 Hōʻawi): S1-S35. PMID: 23818543 pubmed.ncbi.nlm.nih.gov/23818543/.

Rosenfeld RM, Shin JJ, Schwartz SR, et al. ʻO ka papa kuhikuhi hoʻomaʻamaʻa lapaʻau: ka pāpāho otitis me ka effusion (update). Otolaryngol poʻo poʻo ʻoki. 2016; 154 (1 Hōʻawi): S1-S41. PMID: 26832942 pubmed.ncbi.nlm.nih.gov/26832942/.

ʻO Steele DW, Adam GP, Di M, Halladay CH, Balk EM, Trikalinos TA. Ka hopena o nā paipu tympanostomy no ka media otitis: kahi meta-analysis. Pediatrics. 2017; 139 (6): e20170125. hana: 10.1542 / peds.2017-0125. PMID: 28562283 pubmed.ncbi.nlm.nih.gov/28562283/.