Wehe Adenoid

ʻO ka wehe ʻana ʻo Adenoid kahi ʻoki e lawe ai i nā gland adenoid. Noho nā ʻōpū adenoid ma hope o kou ihu ma luna o ka kaupaku o kou waha i ka nasopharynx. Hele ka ea ma luna o kēia mau glands ke hanu ʻoe.

Lawe pinepine ʻia nā adenoids i ka manawa like me nā tonsil (tonsillectomy).

Kapa ʻia ka hemo ʻana o Adenoid he adenoidectomy. Hana pinepine ʻia ke kaʻina hana i nā keiki.

Hāʻawi ʻia kāu keiki i ka anesthesia laulaha ma mua o ke kaha ʻana. ʻO kēia ka mea e hiamoe ana kāu keiki a ʻaʻole hiki ke ʻehaʻeha.

Ma ke ʻoki kino:

• Hoʻokomo ke kauka lāʻau i kahi mea hana liʻiliʻi i loko o ka waha o kāu keiki e wehe.
• Lawe ke kauka i nā glands adenoid me ka hoʻohana ʻana i kahi mea hana spoon (curette). A i ʻole, hoʻohana ʻia kahi mea hana ʻē aʻe e ʻoki i nā mea palupalu.
• Hoʻohana kekahi poʻe kaukipō uila i ka uila e hoʻomehana i kaʻiʻo, lawe iā ia, a hoʻōki i ke kahe ʻana o ke kahe. Kapa ʻia kēia ʻo electrocautery. Hoʻohana kekahi hana i ka ikehu radiofrequency (RF) e hana i ka mea like. Kapa ʻia kēia coblation. Hiki ke hoʻohana ʻia kahi mea hana ʻoki i kapa ʻia he debrider e hemo i kaʻiʻo adenoid.
• Hiki ke hoʻohana ʻia nā mea komo pono ʻole i kapa ʻia i nā mea ukana e kaohi i ke kahe.

E noho kāu keiki i loko o ka lumi hoʻōla ma hope o ke kaha ʻana. ʻAe ʻia ʻoe e lawe i kāu keiki i ka home ke ala aʻe kāu keiki a hiki ke hanu maʻalahi, ʻū, a ale. I ka hapanui o nā hihia, he mau hola kēia ma hope o ke kaha ʻana.

E ʻōlelo paha kahi kahu mālama ola i kēia kaʻina hana inā:

• Ke ālai nei nā adenoid hoʻonui ʻia i ke ala mokulele o kāu keiki. Hiki i nā ʻōuli o kāu keiki ke hoʻopili i ka hū nui, nā pilikia e hanu ana ma o ka ihu, a me nā hanana o ka hanu ʻole i ka wā hiamoe.
• Loaʻa nā maʻi pepeiao pepeiao mau i kāu keiki e hana pinepine ʻia, hoʻomau me ka hoʻohana ʻana i nā lāʻau ʻaloʻalo, hoʻoneʻe i ka lohe pepeiao, a i ʻole ke kumu e nalo ai ke keiki i nā lā kula.

Adenoidectomy paha e paipai ʻia inā loaʻa i kāu keiki ka tonsillitis e hoʻi mau nei.

Kūleʻa nā adenoids i ka ulu ʻana o nā keiki. ʻAʻole makemake nā mākua e hoʻoneʻe iā lākou.

Nā pilikia o kekahi anesthesia:

• Nā hopena i nā lāʻau
• Nā pilikia hanu

Nā pilikia o kekahi ʻoki kino:

• Kahena
• Maʻi kīnā

E haʻi aku kāu mea lawelawe iā ʻoe pehea e hoʻomākaukau ai i kāu keiki no kēia kaʻina hana.

I hoʻokahi pule ma mua o ke kaha ʻana, mai hāʻawi i kāu keiki i nā lāʻau e hoʻomāhuahua ai i ke koko ke ʻōlelo ʻole kāu kauka e hana pēlā. ʻO nā lāʻau e like me aspirin a me ibuprofen (Advil, Motrin).

ʻO ka pō ma mua o ke kaha ʻana, ʻaʻohe mea āu keiki e ʻai ai a inu ai ma hope o ke aumoe. Pākuʻi ʻia kēia i ka wai.

E haʻi ʻia iā ʻoe i nā lāʻau e pono ai kāu keiki e ʻai i ka lā o ke kaha. E lawe i kāu keiki i ka lāʻau me kahi wai wai.

E hoʻi kāu keiki i ka hale i ka lā like me ke kaha. Loaʻa ka hoʻoponopono hou ma kahi o 1 a 2 mau pule.

E hāhai i nā ʻōkuhi pehea e mālama ai i kāu keiki ma ka home.

Ma hope o kēia kaʻina hana, ka hapa nui o nā keiki:

• Hanu maikaʻi ma o ka ihu
• E hōʻemi a liʻiliʻi i nā ʻāʻī ʻeha
• Loaʻa ka liʻiliʻi o nā maʻi pepeiao

I nā hihia maʻamau, ulu paha nā mea adenoid. ʻAʻole kumu kēia i nā pilikia i ka hapa nui o ka manawa. Eia naʻe, hiki ke hemo hou inā pono.

Adenoidectomy; Ka wehe ʻana i nā glands adenoid

• Lawe ʻia ʻo Tonsil a me adenoid - hoʻokuʻu
• ʻO ka wehe ʻana o Tonsil - he aha e nīnau aku ai i kāu kauka

• ʻO Adenoids
• Wehe Adenoid - moʻo

ʻO Casselbrandt ML, Mandel EM. ʻO ka pāpaho otitis ākea a me ka pāpāho otitis me ka effusion. 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 195.

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.