ʻO Tonsillectomy

ʻO Tonsillectomy kahi ʻoki e wehe i nā tonsil.

ʻO nā tonsil he gland ma hope o kou puʻu. Lawe pinepine ʻia nā tonsil me nā gland adenoid. Kapa ʻia kēlā ʻoki he adenoidectomy a hana pinepine ʻia i nā keiki.

Hana ʻia ke kahakaha ʻoiai ke keiki ma lalo o ka anesthesia ākea. E hiamoe ana kāu keiki a ʻaʻohe ʻeha.

• E hoʻokau ka mea hoʻopuka maʻi i kahi mea hana liʻiliʻi i loko o ka waha o kāu keiki e hoʻopaʻa hāmama ai.
• ʻOkiʻoki, puhi, a ʻako hoʻi ka lāʻau lapaʻau i nā tonsil. Hoʻola kūlohelohe nā ʻeha me ka ʻole o nā kuʻi.

Ma hope o ke kaha ʻana, e noho ana kāu keiki i ka lumi hoʻōla a hiki i kona ala ʻana a hiki i ka hanu maʻalahi, ka ʻū, a me ka ale. Hele ka hapa nui o nā keiki i ka home i mau hola ma hope o kēia ʻoki.

Kōkua nā tonsil i ka pale ʻana i nā maʻi. Akā pilikia paha nā keiki me nā tonsil nui i ka hanu ʻana i ka pō. Hoʻopili pū paha nā tonsil i nā bacteria i hiki ke alakaʻi i nā ʻāʻī ʻehaʻeha mau a ʻeha hoʻi. I kekahi o kēia mau hihia, ua lilo nā tonsil o ke keiki i mea hōʻino ma mua o ka pale.

Hiki iā ʻoe a me kāu kahu mālama olakino ke noʻonoʻo i kahi tonsillectomy inā:

• Loaʻa pinepine nā maʻi i kāu keiki (7 a ʻoi paha mau manawa i ka 1 makahiki, a i ʻole 5 a ʻoi aku mau manawa i kēlā me kēia makahiki i nā makahiki 2 i hala iho nei.
• Ua haʻo nui kāu keiki i ke kula.
• He pilikia ko kāu keiki i ka hanu ʻana a ʻaʻole hiamoe maikaʻi no ka mea kaohi nā tonsil i ke ala ʻāpana (sleep apnea).
• He abscess kāu keiki a i ʻole kahi ulu ʻana ma nā tonsil.
• Loaʻa pinepine kāu keiki a hoʻopilikia i nā pōhaku tonsil.

ʻO nā pilikia no kekahi anesthesia:

• Ka pane ʻana i nā lāʻau
• Nā pilikia hanu

ʻO nā pilikia no kekahi ʻoki kino:

• Kahena
• Maʻi kīnā

Kākaʻikahi wale nō, hiki ke ʻike ʻole ʻia ke kahe ʻana o ke kahe ma hope o ke kaha ʻana a hana i nā pilikia maikaʻi ʻole. ʻO ka ale ʻana i ka nui he hōʻailona paha ia o ke kahe ʻana mai nā tonsil.

ʻO kekahi mea ʻino e pili ana i ka hōʻeha i ka uvula (palate palupalu).

E noi paha ka mea hāʻawi i kāu keiki i kāu keiki e loaʻa iā:

• Nā hoʻokolohua koko (helu piha i ke koko, nā electrolytes, a me nā mea hoʻopili)
• ʻO kahi hoʻokolohua kino a me ka mōʻaukala olakino

E haʻi mau i ka mea hāʻawi i kāu keiki i nā lāʻau a kāu keiki e lawe nei. Hoʻopili i nā lāʻau, nā mea kanu, a me nā huaora āu i kūʻai ai me ka ʻole o ka lāʻau.

I nā lā ma mua o ke kaha ʻana:

• He ʻumi mau lā ma mua o ke kaha ʻana, e noi ʻia paha kāu keiki e haʻalele i ka lawe ʻana i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), warfarin (Coumadin), a me nā lāʻau ʻē aʻe e like me kēia.
• E noi i ka mea hāʻawi i kāu keiki i nā lāʻau e pono ai i kāu keiki e lawe i ka lā o ke ʻoki.

I ka lā o ke kaha:

• E noi pinepine ʻia kāu keiki mai inu a ʻai ʻole i kekahi mea no kekahi mau hola ma mua o ke kaha ʻana.
• E hāʻawi i kāu keiki i nā lāʻau i kauoha ʻia iā ʻoe e hāʻawi me kahi wahi wai ʻuʻuku.
• E haʻi ʻia ʻoe i ka wā e hōʻea ai i ka haukapila.

Hana pinepine ʻia kahi tonsillectomy i kahi haukapila a i ʻole kikowaena kikowaena. E hoʻi kāu keiki i ka hale i ka lā like me ke ʻoki. ʻAʻohe pono nā keiki e noho pō i ka haukapila no ka nānā ʻana.

Loaʻa ka hoʻoponopono hou ma kahi o 1 a 2 mau pule. I loko o ka pule mua, pono i kāu keiki e hōʻalo i ka poʻe maʻi. E maʻalahi ʻoi aku ka maʻi o kāu keiki i kēia manawa.

Ma hope o ke kahakaha ʻana, ʻo ka helu o nā maʻi puʻu e ʻoi aku ka haʻahaʻa, akā e loaʻa mau paha kāu keiki.

Wehe i nā tonsils; Tonsillitis - tonsillectomy; Pharyngitis - tonsillectomy; Puʻu ʻeha - tonsillectomy

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

• Anatomia kuʻi
• Tonsillectomy - moʻo

ʻO Goldstein NA. Ka loiloi a me ka hoʻokele o ka pneatric obstructive sleep apnea. 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 184.

Mitchell RB, Archer SM, Ishman SL, et al. Kuhikuhina Hana Lapaʻau: Tonsillectomy i nā Keiki (Hoʻohou). Otolaryngol poʻo poʻo ʻoki. 2019; 160 (2): 187-205. www.ncbi.nlm.nih.gov/pubmed/30921525 PMID: 30921525.

Ua haʻi aku iā TN. ʻO Tonsillectomy a me adenoidectomy. I: Fowler GC, nā ʻaoʻao. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 66.

ʻO Wetmore RF. Tonsils a me nā adenoids. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21th hua. Piladelapia, PA: Elsevier; 2020: chap 411.