He aha kahi maʻi pepeiao ʻelua a pehea e mālama ʻia ai?
Anter
He aha ia ka maʻi palahā o ka pepeiao?
Hoʻokumu pinepine ʻia kahi maʻi pepeiao e nā bacteria a me nā mea ʻino. Kūkulu ia ke kūkulu ʻia ka wai maʻi i loko o ka pepeiao waena. Ke hiki mai ka maʻi i loko o nā pepeiao ʻelua, kapa ʻia ia he maʻi ʻelua o ka pepeiao a i ʻole ka maʻi o ka pepeiao ʻelua.
Kuhi ʻia kahi maʻi pepeiao ʻelua ma mua o ka maʻi i hoʻokahi pepeiao. Hiki ke ʻoi aku ka ikaika o nā ʻōuli, a ʻoi aku ka ikaika o ka lāʻau i koi ʻia ma mua o kahi maʻi pepeiao unilateral (hoʻokahi).
Inā loaʻa ke kuni i kāu keiki, hōʻike i nā hōʻailona o ka maʻi pepeiao, a huki i nā pepeiao ʻelua a i ʻole ʻānai paha i nā pepeiao ʻelua, loaʻa paha iā lākou kahi maʻi pepeiao ʻelua. Hiki i ka pane wikiwiki ʻana ke hoʻonā i ka pilikia ma loko o kekahi mau lā.
Nā ʻōuli
Hiki i kahi maʻi pepeiao unilateral ke lilo i maʻi maʻi pepeiao ʻelua. Eia nō naʻe, hoʻomohala mau nā ʻōuli o ka maʻi pepeiao pālua ma nā pepeiao ʻelua i ka manawa like. ʻO ia ke kumu e hoʻopiʻi ai kāu keiki i ka ʻeha ma nā pepeiao ʻelua.
Ma waho o nā fiva pinepine a ʻoi aku, ʻo nā ʻōuli maʻamau o kahi maʻi pepeiao bilateral e like me nā maʻi o ka pepeiao unilateral.
Hiki i nā ʻōuli o ka maʻi pepeiao pālua ke hoʻopili ʻia:
- he maʻi hanu luna hou
- ke kuni o 100.4 ° F (38 ° C) a ʻoi aku paha i kū i nā hola he 48 a ʻoi
- hoʻowahāwahā a i ʻole nū mai nā pepeiao
- ʻālau, ʻānai ʻana, a ʻeha paha i nā pepeiao ʻelua
- pilikia hiamoe
- huhū a me ka piʻipiʻi
- makemake ʻole i ka hānai ʻana
- pilikia i ka lohe ʻana
He mea nui kēia mau hōʻailona, keu hoʻi inā he pēpē kāu keiki a ʻōpio hiki ʻole ke haʻi iā ʻoe i nā mea e hoʻopilikia nei iā lākou.
Nā Kumu
Hoʻoulu pinepine kahi maʻi pepeiao ma hope o ka maʻi ma luna o ka hanu viral. Hiki i ka maʻi ke hoʻonā i ka wela a me ka pehu ʻana o nā paipu ʻo Eustachian. Holo kēia mau paipu lahilahi mai nā pepeiao a i hope o ka ihu ma ka ʻāpana kiʻekiʻe o ka ʻāʻī. Kōkua lākou i ka mālama ʻana i ke kaomi olakino i loko o nā pepeiao.
Ke hele a pehu a paipae nā paipu, hiki i ka wai ke kūkulu aʻe ma hope o ka eardrum. Hiki ke ulu wikiwiki i nā bacteria i kēia wai, e hoʻoulu ai i ka maʻi a me ka mumū o ka pepeiao waena. ʻOi aku ka maʻalahi o nā keiki i nā maʻi pepeiao no ka mea ʻoi aku ka liʻiliʻi o kā lākou mau paipu ʻo Eustachian ma mua o nā mākua.
Nā pilikia
I nā manawa he nui, pili wale ka lohe ʻana a hoʻi mai ke hele a maʻi a hoʻomaʻemaʻe ka wai. ʻO ka nalo ʻana o ka hoʻolohe mau ʻana a me nā pilikia ʻōlelo lōʻihi ka hopohopo nui e pili ana i nā maʻi pepeiao nui a mau. ʻO nā keiki e loaʻa pinepine i nā maʻi pepeiao a i ʻole e hele lōʻihi me nā maʻi pepeiao i hana ʻole ʻia e ʻike paha i kekahi nalo ʻana o ka lohe. Hoʻopilikia pinepine ka lohe pepeiao i ka hoʻomohala ʻōlelo.
I nā hihia koʻikoʻi hou aku, e hōʻino paha ka eardrum. Hiki i kahi eardrum weluwelu ke hoʻoponopono iā ia iho i loko o kekahi mau lā. I nā manawa ʻē aʻe, koi paha ia i ke kahakaha.
E like me kēlā me kēia maʻi, hiki i ka maʻi pālua o ka pepeiao ke pāhola i nā wahi ʻē aʻe o ke kino. ʻO ka ʻāpana o ka makaʻu ʻo ka mākoki, ʻo ia ka ʻāpana o ka iwi iwi poʻo ma hope o ka pepeiao. ʻO ka maʻi o kēia iwi, i kapa ʻia ʻo mastoiditis, nā kumu:
- ʻeha pepeiao
- ʻulaʻula a ʻeha ma hope o ka pepeiao
- fiva
- he koʻokoʻo mai ka pepeiao
He pilikia weliweli kēia o nā maʻi pepeiao. Hiki iā ia ke kumu i nā hopena koʻikoʻi, e like me:
- ʻeha i ka iwi iwi poʻo
- nā maʻi ʻino hou aʻe
- pilikia kūpilikiʻi i ka lolo a me ka ʻōnaehana puni
- nalowale hoʻolohe mau
Kānāwai
Inā kānalua ʻoe i kahi maʻi pepeiao pālua, e ʻimi koke i ka lāʻau. ʻOi aku ka ʻeha a me ka hōʻoluʻolu ʻole o ka maʻi pālua ma mua o ka loaʻa ʻana o ka maʻi hoʻokahi o ka pepeiao. Pono ʻoe e ʻimi koke i ka lāʻau inā loaʻa i kāu keiki ka ʻehaʻeha a i ʻole inā he pus a hoʻokuʻu paha lākou mai hoʻokahi a i ʻole nā pepeiao ʻelua.
Inā he 6 mau mahina a ʻoi paha o kāu pēpē, e kāhea i kā lākou pediatrician ke ʻike koke ʻoe i nā ʻōuli o ka maʻi pepeiao.
I nā keiki ʻoi aku ka nui, e ʻike i ke kauka inā lōʻihi nā hōʻailona no hoʻokahi a ʻelua mau lā me ka hoʻomaikaʻi ʻole. He ʻoiaʻiʻo loa kēia inā he kuni kāu keiki.
E nānā hou ke kauka i ka mōʻaukala olakino o kāu keiki a me nā hōʻailona. A laila, e hoʻohana lākou i kahi otoscope e nānā i loko o nā pepeiao ʻelua. ʻO kahi otoscope kahi mea i hoʻomālamalama ʻia me kahi aniani hoʻonui e ʻae ai i ke kauka e nānā pono i loko o ka pepeiao. ʻO kahi eardrum ʻulaʻula, pehu, a ʻōhū e hōʻike i kahi maʻi pepeiao.
Hoʻohana paha ke kauka i kahi mea like i kapa ʻia he otoscope pneumatic. Hoʻopuka ia i kahi ea e kūʻē i ka eardrum. Inā ʻaʻohe wai ma hope o ka eardrum, e neʻe maʻalahi ka ʻili o ka eardrum i mua a hoʻi i ka wā e paʻi ai ka ea iā ia. Eia nō naʻe, hoʻoweliweli ka buildup wai ma hope o ka eardrum no ka neʻe ʻana o ka eardrum.
Lapaʻau
E nalowale kahi maʻi pepeiao unilateral mālie me ka ʻole o ka lapaʻau ʻana, kaukaʻi ʻia i ka makahiki o ke keiki. ʻO kahi maʻi pepeiao ʻelua, ʻoi aku ka koʻikoʻi. Inā hopena ʻia e kahi maʻi, ʻaʻole hiki i kahi lāʻau ke kōkua. Ma kahi o, pono ʻoe e hoʻokuʻu i ka maʻi i kāna holo. Inā he maʻi koʻohune ia, koi ka lāʻau ʻana i nā antibiotic.
ʻO kahi antibiotic maʻamau i hoʻohana ʻia no nā keiki ʻōpio me nā maʻi pepeiao he amoxicillin. Pono e lawe pinepine ʻia nā lāʻau antibiotic no hoʻokahi pule a ʻoi. He mea nui e lawe i ka papa holoʻokoʻa o nā antibiotic e like me ke kauoha e hoʻōla i ka maʻi. Hiki i kāu kauka ke nānā i loko o nā pepeiao i ka wā o kahi kipa ukali. E hoʻoholo lākou inā ua holoi ka maʻi.
I mea e hōʻoluʻolu ai i ka ʻeha, hiki i kāu kauka ke koi aku iā acetaminophen (Tylenol) a i ʻole ibuprofen (Advil, Motrin). ʻAʻole koi ʻia ʻo Ibuprofen no nā keiki ʻōpio ma mua o 6 mau mahina. He mea kōkua paha nā kulu pepeiao hoʻōla.
No nā keiki i loaʻa hou i nā maʻi pālua a hoʻokahi paha o ka pepeiao, hiki ke hoʻokomo i nā paipu pepeiao liʻiliʻi i ka pepeiao e kōkua ai i ka hoʻomaikaʻi ʻana i ka wai. Hiki i kahi keiki me nā tubust Eustachian kūpono ʻole a makua ʻole paha ke koi i nā paipu pepeiao no kekahi mau mahina a ʻoi aku paha ka lōʻihi e hoʻemi ai i nā maʻi pepeiao.
Outlook
Me ka lapaʻau kūpono, pono e hoʻōla ka maʻi o kāu keiki. E hoʻomaka paha ka hoʻomaʻemaʻe ʻana i kahi maʻi pepeiao papalua i loko o kekahi mau lā o ka hoʻomaka ʻana o ka mālama ʻana. Eia nō naʻe, pono i kāu keiki e lawe i ka papa holoʻokoʻa o nā antibiotic, he pule paha ia a 10 mau lā paha.
Eia kekahi, mai hopohopo inā hoʻōla ka maʻi o kāu keiki ma mua o ka mea i manaʻo ʻia. ʻO kahi maʻi pepeiao pālua e ʻoi aku ka lōʻihi o ka hoʻōla ma mua o ka maʻi pepeiao hoʻokahi. I kēia manawa, ʻoi aku ka paʻakikī o ka hiamoe ʻana o kāu keiki no ka ʻeha o nā pepeiao ʻelua.
Ma ke ʻano holoʻokoʻa, ʻaneʻane hiki ʻole ke pale aku i kāu keiki mai ka loaʻa ʻana o nā maʻi pepeiao i ko lākou mau makahiki mua. E makaʻala i nā hōʻailona o kāu keiki i hiki ai iā ʻoe ke ʻike i ka maʻi pepeiao hiki a ʻimi i ka lāʻau kūpono.
Kāohi
ʻOi aku ka maʻi o nā maʻi pepeiao bilateral ma mua o nā maʻi o ka pepeiao hoʻokahi, ʻoiai inā haʻalele ʻoe i kahi maʻi unilateral i mālama ʻole ʻia, hiki i nā pilikia ke ulu i loko o ka pepeiao ʻē aʻe. No laila, ke pale nei i kahi maʻi pepeiao pālua me ke kiʻi wikiwiki ʻana i ka wā e ulu ai kahi maʻi i hoʻokahi pepeiao.
ua loaʻa i ka lōʻihi o ka hiamoe a i ʻole ka naptime e hānai nei me kahi ʻōmole.
- hoʻonāukiuki i ka ʻōnaehana hanu o kahi keiki
- hoʻonui i nā maʻi pepeiao, nā maʻi sinus, a me ke kaukā
- hoʻonui i ka reflux acid mai ka ʻōpū
E ʻae i kāu keiki e hoʻopau i ka hānai ʻana ma mua o ka hiamoe ʻana.
ʻLelo aʻoaʻo
- E holoi pinepine i nā lima e hoʻoliʻiliʻi i ka laha ʻana o nā g germ.
- Mai hoʻokuʻu i kāu mau keiki i ka uahi paka.
- Palena i ka hōʻike ʻana o kāu keiki i nā keiki ʻē aʻe maʻi.
- E ʻike pono i loaʻa i kāu keiki ka lāʻau āpau no ka maʻi flu. Inā he mau nīnau kāu e pili ana i nā makaʻi a me nā pōmaikaʻi o ke kīkā pū, e kamaʻilio me kāu kauka.
- E hōʻoia i ka loaʻa ʻana o kāu keiki i kā lākou mau lāʻau hoʻomaʻamaʻa maʻamau.