Tonsillitis
ʻO Tonsillitis ka mumū (pehu) o nā tonsils.
ʻO nā tonsils nā lymph node ma ka hope o ka waha a me ka piko o ka puʻu. Kōkua lākou i ka kānana ʻana i nā koʻohune a me nā mikrobapa ʻē aʻe e pale aku ai i ka maʻi ma ke kino.
Hiki i kahi maʻi bacteria a viral paha ke hana i ka tonsillitis. ʻO Strep ka puʻu kahi kumu maʻamau.
ʻIke ʻia nō hoʻi ka maʻi maʻi ma nā wahi ʻē aʻe o ka puʻu. ʻO kekahi ʻano maʻi e kapa ʻia ʻo pharyngitis.
Kūleʻa nui ka Tonsillitis i nā keiki.
ʻO nā ʻōuli maʻamau paha:
- Pilikia i ka ale ʻana
- ʻEha pepeiao
- Fiva a me nā anuanu
- ʻEha poʻo
- ʻO ka puʻu ʻeha, ʻoi aku ka lōʻihi ma mua o 48 mau hola a ʻeha paha
- Mālie o ka iwi ā a me ka ʻāʻī
Nā pilikia a i ʻole nā ʻōuli ʻē aʻe e hiki mai ana:
- Nā pilikia e hanu ana, inā nui loa nā tonsil
- Pilikia i ka ʻai ʻana a i ʻole ka inu ʻana
E nānā kāu mea olakino i ka waha a me ka puʻu.
- ʻUlaʻula paha nā tonsil a he kiko keʻokeʻo paha ma luna o lākou.
- Pehu paha nā aka lymph ma ka iwi ā a me ka ʻāʻī a palupalu i ka pā.
Hiki ke hana i kahi hōʻike wikiwiki strep i nā keʻena o ka hapa nui o nā mea hoʻolako. Eia nō naʻe, maʻamau paha kēia hoʻāʻo, a hiki iā ʻoe ke loaʻa i ka strep. Hiki i kāu mea hāʻawi ke hoʻouna i ka swab swab i kahi keʻena hoʻokolohua no kahi moʻomeheu strep. Hiki i nā hopena hōʻike ke hala i kekahi mau lā.
ʻO nā tonsil pehu ʻaʻole ʻeha a ʻaʻole kumu ʻia nā pilikia ʻē aʻe e pono e mālama ʻia. ʻAʻole paha e hāʻawi kāu mea hāʻawi iā ʻoe i nā lāʻau ʻaloʻalo. Noi paha ʻoe e hoʻi mai no kahi nānā ma hope.
Inā hōʻike ka hōʻike iā ʻoe he strep, e hāʻawi kāu mea hāʻawi iā ʻoe i nā lāʻau ʻaloʻalo. He mea nui e hoʻopau i kāu mau lāʻau āpau āpau e like me ke kuhikuhi, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi. Inā ʻaʻole ʻoe e lawe iā lākou āpau, hiki i ka maʻi ke hoʻi.
Hiki i nā ʻōlelo aʻoaʻo aʻe ke kōkua i kou puʻu e ʻoluʻolu maikaʻi:
- E inu i nā wai anuanu a hānai paha i nā kī kī hau.
- Inu i nā wai, a me ka hapa nui mehana (ʻaʻole wela), wai hano.
- Kāhi me ka wai paʻakai mehana.
- Kuhi ma nā lozenges (i loaʻa ka benzocaine a i ʻole nā mea like like) e hōʻemi i ka ʻeha (ʻaʻole pono e hoʻohana ʻia kēia mau mea i nā keiki ʻōpio ma muli o ka makaʻu ʻana o ka ʻeha).
- Lawe i nā lāʻau lapaʻau over-the-counter (OTC), e like me ka acetaminophen (Tylenol) a i ʻole ibuprofen e hōʻemi i ka ʻeha a me ke kuni. MAI hāʻawi i kahi aspirin i kahi keiki. Ua hoʻopili ʻia ʻo Aspirin i ka Reye Syndrome.
Pono paha kekahi poʻe i loaʻa pinepine i nā maʻi i kahi ʻoki e wehe i nā tonsil (tonsillectomy).
ʻOi aku ka maikaʻi o nā hōʻailona Tonsillitis ma muli o ka strep ma waena o 2 a 3 mau lā ma hope o kou hoʻomaka ʻana i nā antibiotic.
Pono e mālama ʻia nā keiki me ka ʻāʻī strep ma ka home mai ke kula a i ʻole mālama mālama lā a hiki i ka wā i kau ai lākou i nā lāʻau ʻaloʻalo no 24 mau hola. Kōkua kēia i ka hōʻemi ʻana i ka laha ʻana o ka maʻi.
Kūpilikiʻi paha nā pilikia mai ka ʻālina strep. Pākuʻi ʻia lākou:
- Loaʻa i ka wahi a puni nā tonsils
- ʻO ka maʻi kīwī i hoʻokumu ʻia e ka strep
- ʻO ka maʻi Rumatika a me nā pilikia puʻuwai ʻē aʻe
Kāhea i kāu mea hāʻawi inā aia:
- ʻOi aku ka drooling i kahi keiki ʻōpio
- ʻO ka fiva, ʻo ia hoʻi 101 ° F (38.3 ° C) a ʻoi aku paha
- Pākuʻi i ka hope o ka ʻāʻī
- ʻUlaʻula ʻulaʻula a manaʻo ʻono, a hoʻonui i ka ʻulaʻula i nā pale o ka ʻili
- Pilikia loa i ka ale ʻana a me ka hanu ʻana
- Mālama a ʻōhū paha nā ʻōpena lymph i ka ʻāʻī
Puʻu ʻeha - tonsillitis
- Lawe ʻia ʻo Tonsil a me adenoid - hoʻokuʻu
- ʻŌnaehana Lymphatic
- Anatomia kuʻi
- ʻĀʻī Strep
Meyer A. maʻi maʻi maʻi Pediatric. 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 197.
Shulman ST, Bisno AL, Clegg HW, et al. ʻO ke kulekele hana lapaʻau no ka hōʻailona a me ka hoʻokele o ka hui A streptococcal pharyngitis: 2012 update e ka Infectious Diseases Society of America. Maʻi maʻi maʻi Dis. 2012; 55 (10): 1279-1282. PMID: 23091044 www.ncbi.nlm.nih.gov/pubmed/23091044.
ʻO Wetmore RF. Tonsils a me nā adenoids. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 383.
ʻO Yellon RF, ʻo Chi DH. ʻĀtolaryngology. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 24.