Mastoiditis

ʻO Mastoiditis kahi maʻi o ka iwi mastoid o ka iwi poʻo. Aia ka mastoid ma hope pono o ka pepeiao.

Hoʻokumu pinepine ʻia ʻo Mastoiditis e kahi maʻi pepeiao waena (media otitis ākea). Pālahalaha paha ka maʻi mai ka pepeiao a i ka iwi mastoid. He ʻano meli ko ka iwi e hoʻopiha ai i nā mea maʻi a haki paha.

Kūleʻa pinepine ke kūlana i nā keiki. Ma mua o nā lāʻauʻalopero, ʻo ka mastoiditis kekahi o nā kumu nui o ka make i nā keiki. ʻAʻole pinepine ke ʻano i kēia lā. ʻOi aku ka liʻiliʻi o ka makaʻu.

ʻO nā hōʻailona me:

• Kahe mai ka pepeiao
• Ka pepeiao ʻeha a hōʻoluʻolu ʻole paha
• Fiva, e kiʻekiʻe a piʻi aʻe paha ma mua
• ʻEha poʻo
• Lohe hoʻolohe
• ʻUlaʻula o ka pepeiao a i ʻole ma hope o ka pepeiao
• ʻO ka pehu ʻana ma hope o ka pepeiao, hana paha i ka pepeiao e kū i waho a manaʻo paha me he mea lā ua hoʻopiha ʻia me ka wai

Hōʻike kahi hōʻike o ke poʻo i nā hōʻailona o ka mastoiditis. Hōʻike paha nā hōʻike aʻe i kahi kūpono ʻole o ka iwi mastoid:

• CT scan o ka pepeiao
• Poʻomanaʻo CT poʻo

Hōʻike kahi moʻomeheu o ka hoʻokahe ʻana mai ka pepeiao i ka bacteria.

He paʻakikī paha ka mālama ʻana i ka mastoiditis no ka mea ʻaʻole hiki i ka lāʻau ke komo hohonu i ka iwi. Pono ke ʻano i kekahi manawa i ka lāʻau hou a lōʻihi paha. Mālama ʻia ka maʻi me nā lāʻau antibiotic, a ukali ʻia e nā antibiotic i lawe ʻia e ka waha.

ʻO ke kaha e wehe i kahi ʻāpana o ka iwi a hoʻokahe i ka mastoid (mastoidectomy) e pono ai inā ʻaʻole holo pono ka lāʻau antibiotic. ʻO ke ʻoki e hoʻokahe i ka pepeiao waena ma waena o ka eardrum (myringotomy) e pono ai e mālama i ka maʻi o ka pepeiao waena.

Hiki ke hoola i ka Mastoiditis. Eia nō naʻe, paʻakikī paha e mālama a hoʻi hou paha.

Komo pū nā pilikia:

• Ka luku ʻia ʻana o ka iwi mastoid
• Ka pākī a i ʻole vertigo
• Abscess Epidural
• Paralysis helehelena
• Meningitis
• Hapa hapa a piha lohe paha
• Ka hohola ʻana o ka maʻi i ka lolo a i ʻole ke kino holoʻokoʻa

Kāhea i kāu mea mālama ola inā loaʻa iā ʻoe nā ʻōuli o mastoiditis.

Kāhea pū inā:

• Loaʻa iā ʻoe kahi maʻi pepeiao i pane ʻole i ka mālama ʻana a i ukali ʻia paha e nā ʻōuli hou.
• ʻAʻole pane kāu mau ʻōuli i ka lāʻau.
• ʻIke ʻoe i kekahi asymmetry o kou alo.

ʻO ka wikiwiki a me ka mālama pono ʻana i nā maʻi pepeiao e hoʻoliʻiliʻi i ka makaʻu no ka mastoiditis.

• Mastoiditis - ʻike ʻaoʻao i ke poʻo
• Mastoiditis - ʻulaʻula a me ka pupuhi ma hope o ka pepeiao
• Mastoidectomy - moʻo

Pelton SI. ʻO Otitis externa, media otitis, a me mastoiditis. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 61.

ʻO Pfaff JA, Moore GP. ʻĀtolaryngology. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 62.