Hoʻokomo paipu pepeiao

Hoʻokomo ka paipu pepeiao i ke kau ʻana i nā paipu ma waena o nā eardrums. ʻO ka eardrum kahi ʻāpana lahilahi o nā mea i hoʻokaʻawale i ka pepeiao waho a me waena.

Kahakaha: Kuhi kēia ʻatikala i ka hoʻokomo o ka paipu pepeiao i nā keiki. Eia nō naʻe, hiki i ka hapa nui o ka ʻike ke pili i nā mākua me nā ʻōuli like ʻole a me nā pilikia.

ʻOiai e hiamoe ana ke keiki a ʻaʻohe ʻeha (anesthesia āpau), hana ʻia kahi ʻoki liʻiliʻi i ka eardrum. ʻO nā wai i hōʻiliʻili ʻia ma hope o ka eardrum e hoʻoneʻe ʻia me ka omo ma o kēia ʻoki.

A laila, kau ʻia kahi ʻōmole liʻiliʻi ma o ka ʻoki o ka eardrum. ʻAe ka paipu i ka ea e kahe i loko ke like ke kaomi ma nā ʻaoʻao ʻelua o ka eardrum. Eia kekahi, hiki i ke kahe i hoʻopaʻa ʻia ke kahe mai ka pepeiao waena. Pale kēia i ka nalo ʻana o ka pepeiao a hoʻemi i ka makaʻu o nā maʻi pepeiao.

ʻO ke kūkulu ʻia ʻana o ka wai ma hope o ka eardrum o kāu keiki ke kumu o ka nalowale ʻana o ka lohe. Akā ʻaʻole ka hapa nui o nā keiki i ka hōʻino wā lōʻihi i kā lākou hoʻolohe a kamaʻilio ʻana paha, ʻoiai aia ka wai i laila no nā mahina he nui.

Hiki ke hana i ka hoʻokomo o ka paipu pepeiao ke kūkulu ʻia ka wai ma hope o ka eardrum o kāu keiki a:

• ʻAʻole hele ma hope o 3 mau mahina a hoʻopili ʻia nā pepeiao ʻelua
• ʻAʻole e hele ma hope o 6 mau mahina a ʻo ka wai wale nō i ka pepeiao hoʻokahi

ʻO nā maʻi pepeiao i hele ʻole me ka lāʻau lapaʻau a i ʻole hoʻi e hoʻi hou nei kekahi mau kumu no ke kau ʻana i kahi paipu pepeiao. Inā ʻaʻole e hele kahi maʻi me ka lapaʻau, a inā he nui nā maʻi pepeiao o ke keiki ma kahi o ka manawa pōkole, hiki i ke kauka ke koi aku i nā paipu pepeiao.

Hoʻohana ʻia nā paipu pepeiao i kekahi manawa no ka poʻe o nā makahiki i loaʻa:

• ʻO kahi maʻi pepeiao pepeiao nui e pālahalaha aku i nā iwi kokoke (mastoiditis) a i ʻole ka lolo, a i ʻole mea e hōʻino ai i nā ʻalolo kokoke
• ʻEha i ka pepeiao ma hope o ka hoʻololi koke ʻana o kaomi mai ka lele ʻana a i ʻole ke luʻu kai hohonu ʻana

ʻO nā pilikia o ka hoʻokomo ʻana o ka puʻupaʻa pepeiao:

• Kahe mai ka pepeiao.
• Hole i loko o ka eardrum e ola ʻole ma hope o ka hāʻule ʻana o ka paipu.

ʻO ka hapa nui o ka manawa, ʻaʻole lōʻihi kēia mau pilikia. ʻAʻole nō hoʻi lākou e hoʻokumu pinepine i nā pilikia i nā keiki. Hiki i kāu mea mālama olakino ke wehewehe i kēia mau pilikia ma ke kikoʻī.

ʻO nā pilikia no kekahi anesthesia:

• Nā pilikia hanu
• Nā hopena i nā lāʻau

ʻO nā pilikia no kekahi ʻoki kino:

• Kahena
• Maʻi kīnā

E noi paha ke kauka pepeiao o kāu keiki i ka mōʻaukala a me ka hoʻokolohua kino o kāu keiki ma mua o ka hana ʻana. Paipai ʻia kahi hoʻolohe hoʻolohe i mua o ka hana ʻana.

E haʻi mau i ka mea hāʻawi i kāu keiki:

• He aha nā lāʻau a kāu keiki e lawe nei, e like me nā lāʻau, nā mea kanu, a me nā huaora āu i kūʻai ai me ka ʻole o ka lāʻau.
• He aha nā maʻi āpau a kāu keiki e loaʻa ai i nā lāʻau, latex, tape, a hoʻomaʻemaʻe ʻili paha.

I ka lā o ke kaha:

• Noi paha kāu keiki mai inu a ʻai ʻole i kekahi mea ma hope o ke aumoe i ka pō ma mua o ke kaha.
• E hāʻawi i kāu keiki i kahi wahi wai liʻiliʻi me nā lāʻau i ʻōlelo ʻia iā ʻoe e hāʻawi i kāu keiki.
• E haʻi ka mea hāʻawi i kāu keiki iā ʻoe i ka wā e hōʻea ai i ka haukapila.
• E ʻike pono ka mea hāʻawi i ke olakino maikaʻi o kāu keiki no ke ʻoki kino. ʻO ia hoʻi ʻaʻohe hōʻailona o kāu keiki i ka maʻi a i ʻole ka maʻi. Inā maʻi kāu keiki, lohi paha ke kāla ʻana.

Noho pinepine nā keiki i ka lumi hoʻōla no kahi manawa pōkole a haʻalele i ka haukapila i ka lā like e hoʻokomo ʻia ai nā paipu pepeiao. Pulu paha kāu keiki a fussy no hoʻokahi hola a ʻoiai e ala ana mai ka anesthesia. Kauoha paha kāu mea hāʻawi keiki i nā kulu pepeiao a i ʻole nā ​​lāʻau ʻaloʻalo no kekahi mau lā ma hope o ke ʻoki. E noi paha ke kauka o kāu keiki e mālama ʻoe i nā pepeiao i kahi maloʻo no kekahi manawa kikoʻī.

Ma hope o kēia kaʻina hana, hōʻike ka hapa nui o nā mākua i kā lākou keiki:

• Loaʻa ka liʻiliʻi o nā maʻi pepeiao
• E hoʻōla koke mai nā maʻi
• ʻOi aku ka hoʻolohe ʻana

Inā ʻaʻole hāʻule nā ​​paipu iā lākou iho i loko o kekahi mau makahiki, pono paha i kahi loea pepeiao ke lawe aku iā lākou. Inā hoʻi nā maʻi pepeiao ma hope o ka hāʻule ʻana o nā paipu, hiki ke hoʻokomo ʻia i kahi o nā paina pepeiao.

Myringotomy; Tympanostomy; ʻOki puʻupuʻu pepeiao; Nā paipu kaulike kaomi; Nā paipu hoʻoholomua; Otitis - paipu; Maʻi kīpē - paipu; ʻO Media Otitis - nā paipu

• Ke kīʻaha paipu pepeiao - he aha e nīnau ai i kāu kauka

• Hoʻokomo paipu pepeiao - moʻo

Hannallah RS, Brown KA, Verghese ST. Nā kaʻina hana Otorhinolaryngologic. I: Cote CJ, Lerman J, Anderson BJ, hua. He hana hoʻomaʻamaʻa no nā pēpē a me nā keiki. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 33.

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.

ʻO Prasad S, ʻo Azadarmaki R. Otitis media, myringotomy, tympanostomy tube, a me ka pāhola balloon. I: Myers EN, Snyderman CH, eds. ʻO ke keʻoki Otolaryngology Operative a me ka ʻoki ʻāʻī. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2018: chap 129

Rosenfeld RM, Schwartz SR, Pynnonen MA, et al. ʻO ka papa kuhikuhi hoʻomaʻamaʻa lapaʻau: tubes tympanostomy i nā keiki. Otolaryngol poʻo poʻo ʻoki. 2013; 149 (1 Hōʻawi): S1-35. PMID: 23818543 pubmed.ncbi.nlm.nih.gov/23818543/.