Lepo uila

ʻO kahi eardrum ruptured kahi puka a puka paha i ka pepeiao. ʻO ka eardrum kahi ʻāpana lahilahi o ka mea hoʻokaʻawale i ka pepeiao waho a waena. Hoʻopilikia paha ka pepeiao i ka lohe ʻana.

Hiki i nā maʻi pepeiao ke kumu i kahi eardrum ruptured. Kū pinepine kēia i nā keiki. Hoʻokumu ka maʻi i ka pus a i ʻole ka wai e kūkulu ma hope o ka eardrum. Ke piʻi nei ke kaomi, e haki paha ka eardrum (rupture).

Hiki ke hōʻino i ka eardrum mai:

• He walaʻau nui kokoke loa i ka pepeiao, e like me ka pū kī
• Hoʻololi wikiwiki i ka kaomi pepeiao, hiki ke hana ʻia ke lele ana, luʻu scuba, a i ʻole ke kalaiwa ʻana i nā kuahiwi
• Nā mea haole i ka pepeiao
• Ka ʻeha i ka pepeiao (e like me ka pāpā ikaika a i ʻole pahū paha)
• Hoʻokomo i nā swab tipped-cotton a i ʻole nā ​​mea liʻiliʻi i loko o nā pepeiao e hoʻomaʻemaʻe iā lākou

E hōʻemi koke ka ʻeha pepeiao ma hope koke o ka haki ʻana o kou eardrum.

Ma hope o ka haki, loaʻa paha iā ʻoe:

• Hoʻokahe ka wai mai ka pepeiao (maopopo ke kahawai, pus, a koko paha)
• Nani ka pepeiao / kani
• Ka hōʻeha pepeiao a i ʻole hōʻoluʻolu o ka pepeiao
• Lohe ka lohe pepeiao i ka pepeiao i pili (ʻaʻole paha he nui ka nalo lohe ʻana)
• Nāwaliwali o ka helehelena, a dizziness paha (i nā hihia ʻoi aku ka koʻikoʻi)

E nānā ka mea mālama ola i loko o kou pepeiao me kahi mea kani i kapa ʻia he otoscope. I kekahi manawa pono lākou e hoʻohana i kahi microscope no kahi ʻike ʻoi aku ka maikaʻi. Inā haki ka eardrum, ʻike ke kauka i kahi wehe i loko. ʻIke ʻia paha nā iwi o ka pepeiao waena.

ʻO ka hoʻokahe ʻana o ka pepeiao mai ka pepeiao i mea e paʻakikī ai ka ʻike ʻana o ke kauka i ka eardrum. Inā aia ka pā a keʻakeʻa i ka ʻike o ka eardrum, pono paha i ke kauka e omo i ka pepeiao e hoʻomaʻemaʻe i ka pā.

Hiki i ka hoʻāʻo audiology ke ana i ka nalo o ka lohe.

Hiki iā ʻoe ke hana i nā ʻanuʻu ma ka home e mālama ai i ka ʻeha o ka pepeiao.

• Kau i nā compresses mehana ma ka pepeiao e kōkua e hōʻoluʻolu.
• E hoʻohana i nā lāʻau e like me ibuprofen a i ʻole acetaminophen e hōʻoluʻolu ai i ka ʻeha.

E mālama i ka pepeiao maʻemaʻe a maloʻo i ka wā e hoʻōla ana.

• E hoʻokomo i nā pōpō pulupulu i ka pepeiao ke holoi a shampoo paha i mea e pale ai i ka wai mai ke komo ʻana i ka pepeiao.
• Hōʻalo i ka ʻauʻau ʻana a i ʻole ke kau ʻana i kou poʻo ma lalo o ka wai.

Kauoha paha kāu mea hāʻawi i nā lāʻau antibiotic (waha a i ʻole nā ​​kulu pepeiao) e pale a mālama ai i kahi maʻi.

Pono paha ka hana hou ʻana o ka eardrum no nā puka ʻoi aku ka nui a haki paha a i ʻole inā ʻaʻole e hoʻōla ka pepeiao iā ia iho. Hiki ke hana i kēia ma ke keʻena a i ʻole ma lalo o ka anesthesia.

• Hoʻopili i ka eardrum me kahi ʻāpana o ke kino ponoʻī o ke kanaka i lawe ʻia (i kapa ʻia ʻo tympanoplasty). Lawe pinepine kēia kaʻina hana i 30 mau minuke i 2 mau hola.
• Hoʻoponopono i nā puka liʻiliʻi ma ka eardrum ma ke kau ʻana i kahi gel a i ʻole kahi pepa kūikawā ma luna o ka eardrum (i kapa ʻia ʻo myringoplasty). Lawe pinepine kēia kaʻina hana i 10 a 30 mau minuke.

ʻO ka wehe ʻana i ka eardrum e hoʻōla pinepine iā ia iho ma waena o 2 mau mahina inā he puka liʻiliʻi ia.

He wā pōkole ka lohe ʻana inā hoʻōla loa ka haki.

Kākaʻikahi ka hiki ʻana o nā pilikia ʻē aʻe, e like me:

• Lohe lohe wā lōʻihi
• Ka hohola ʻana o ka maʻi i ka iwi ma hope o ka pepeiao (mastoiditis)
• ʻO ka vertigo wā lōʻihi a me ka luʻuluʻu
• ʻO ka maʻi pepeiao pepeiao a i ʻole ka hoʻokahe pepeiao

Inā hoʻomaikaʻi kou ʻeha a me nā hōʻailona ma hope o ka haki ʻana o kou eardrum, hiki iā ʻoe ke kali a hiki i ka lā aʻe e ʻike i kāu mea nāna e hāʻawi.

Kāhea koke i kāu mea hāʻawi ma hope o ka haki ʻana o kāu eardrum inā ʻoe:

• Pīhoihoi loa
• Loaʻa i ke kuni, ka manaʻo maʻi maʻamau, a i ʻole ka nalo ʻana o ka lohe
• He ʻeha ʻino loa a i ʻole he kani kani i kou pepeiao
• Loaʻa i kahi mea i kou pepeiao i puka ʻole i waho
• Loaʻa nā ʻōuli i ʻoi aku ka lōʻihi ma mua o 2 mau mahina ma hope o ka lapaʻau

Mai hoʻokomo i nā mea i loko o ka aʻa pepeiao, ʻoiai e hoʻomaʻemaʻe iā ia. ʻO nā mea i paʻa i ka pepeiao e hoʻoneʻe wale ʻia e kahi mea hoʻolako. E mālama koke ʻia nā maʻi maʻi pepeiao.

Perforation membrane Tympanic; Eardrum - ruptured a perforated paha; Pepeiao pepeiao

• Anatomy pepeiao
• Loaʻa nā ʻike lapaʻau e pili ana i ka anatomy pepeiao
• Mastoiditis - ʻike ʻaoʻao i ke poʻo
• Hoʻoponopono Eardrum - moʻo

ʻO Kerschner JE, ʻo Preciado D. Otitis media. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 658.

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.

Pelton SI. Media media Otitis. I: Long SS, Prober CG, Fischer M, hua pā. Nā Kumuhana a me nā Hana o nā maʻi maʻi Pediatric. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 29.