Perichondritis

ʻO Perichondritis kahi maʻi o ka ʻili a me nā kiko e hoʻopuni ana i ka cartilage o ka pepeiao waho.

ʻO ka cartilage ka mea mānoanoa e hana i ke kinona o ka ihu a me ka pepeiao waho. Loaʻa i nā cartilage āpau i kahi ʻāpana lahilahi o nā mea a puni i kapa ʻia ʻo perichondrium. Kōkua kēia uhi i nā meaʻai i ka cartilage.

ʻO ka ʻano maʻamau o nā koʻohune e kumu ai i ka maʻi perichondritis Pseudomonas aeruginosa.

Hoʻokumu pinepine ʻia ʻo Perichondritis e kahi ʻeha i ka pepeiao ma muli o:

• ʻOki kino pepeiao
• Kui ʻia ka pepeiao (ʻo ke kuʻu ʻana i ka cartilage)
• Kāhea i nā haʻuki
• Trauma i ka ʻaoʻao o ke poʻo
  

ʻO ke kuʻi ʻana o ka pepeiao i ka cartilage paha ka mea nui weliweli i kēia lā. ʻO ke ʻoki ʻana, ke ahi, a me ka acupuncture ka mea e hoʻonui ai i ka maʻi o ka maʻi.

Hiki i ka Perichondritis ke alakaʻi i ka chondritis, kahi maʻi o ka cartilage ponoʻī. Hiki i kēia ke kumu i ka hōʻino nui i ka hanana o ka pepeiao.

ʻO kahi pepeiao ʻeha, pehu, ʻulaʻula ka hōʻailona maʻamau. I ka wā mua, e like ka maʻi me ka maʻi ʻili, akā ʻoi aku ka ʻino a pili pū me ka perichondrium.

Hoʻopuni pinepine ka ʻulaʻula i kahi ʻeha o ka ʻeha, e like me kahi ʻoki a ʻoki paha. He fiva paha kekahi. I nā hihia ʻoi loa, e kahe ka wai mai ka ʻeha.

Hoʻokumu ʻia ka hōʻailona ma ka mōʻaukala olakino a me ka hoʻokolokolo ʻana o ka pepeiao. Inā he mōʻaukala trauma i ka pepeiao a ʻulaʻula a pepeiao ka pepeiao, a laila ʻike ʻia ka perichondritis. Hiki paha i kahi hoʻololi i ke ʻano maʻamau o ka pepeiao. Pehu paha ka pepeiao.

Hoʻomaʻamaʻa ʻia nā antibiotic, ma ka waha a i ʻole pololei i ke kahe o ke koko ma o ka laina intravenous (IV). Hiki ke hāʻawi ʻia nā lāʻau antibiotic no 10 mau lā a i mau pule. Inā loaʻa kahi ohi o ka pus i paʻa, pono ʻoe i ke ʻoki. Hana ʻia ke ʻoki e hoʻokahe i kēia wai a hoʻoneʻe i nā ʻili make a me nā kāhili.

Ma ke ʻano o ka hilinaʻi ʻana o ke kanaka i ka wikiwiki o ka ʻike a mālama ʻia ʻana o ka maʻi. Inā lawe wawe ʻia nā lāʻau antibiotic, manaʻo ʻia ka hoʻōla piha. Inā pili ka maʻi i ka cartilage pepeiao, pono i ka lāʻau hou aʻe.

Inā pālahalaha ka maʻi i ka cartilage pepeiao, make paha kahi ʻāpana o ka pepeiao a pono e hemo me ka lāʻau. Inā kū kēia, pono paha ka ʻoki lula e hoʻihoʻi i ka pepeiao i kona ʻano maʻamau.

Inā loaʻa iā ʻoe kahi trauma i kou pepeiao (kahi ʻeha, puhi, a ʻono ʻana paha) a laila hoʻomohala i ka ʻeha a me ka ʻulaʻula ma luna o ka ʻāpana ʻoʻoleʻa o ka pepeiao o waho, e hoʻopili aku i kāu kauka mālama ola Pono paha ʻoe e lawe i nā lāʻau ʻaloʻalo.

Hōʻalo i ka hou ʻana i kou pepeiao ma ka cartilage. ʻO ke kui ʻana i ka lobe o ka pepeiao he koho ʻoi aku ka maikaʻi. ʻO ke kaulana o ka ʻōniu ʻana i ka iwi nui i ka hoʻonui nui ʻana i ka helu o ka perichondritis a me nā maʻi chondritis.

ʻO Brant JA, ʻo Ruckenstein MJ. Nā maʻi o ka pepeiao waho. I: Flint PW, Haughey BH, Lund V, et al, eds. ʻO Cummings Otolaryngology. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 137.

Haddad J, Keesecker S. Waho otitis (otitis externa). 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 639.