ʻO Acute Otitis Media: Nā kumu, nā ʻōuli, a me nā diagnosis

Anter

• Hōʻike Overview
• He aha nā hōʻailona o ka pāpāho otitis huehue?
• He aha ke kumu o ka pāpāho otitis huehue?
• ʻO wai ka mea e makaʻu i ka pāpāho otitis huehue?
• Pehea e ʻike ʻia ai ka pāpāho otitis huehue?
• Otoscope
• Tympanometry
• Hewaikeike
• Hōʻike hoʻolohe
• Pehea e mālama ʻia ai ka pāpāho otitis huehue?
• Mālama home
• Laau Lapaʻau
• ʻOki kino
• Wehe Adenoid
• Paipu pepeiao
• He aha ka manaʻo lōʻihi?
• Pehea e pale ai i ka pāpāho otitis koʻikoʻi

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

Hōʻike Overview

ʻO ka otitis media akomi (AOM) kahi ʻano ʻeha o ka maʻi pepeiao. Hana ʻia ia i ka wā ma hope o ka eardrum i kapa ʻia ka pepeiao waena e lilo i wela a maʻi.

ʻO ke ʻano o kēia mau ʻano i nā keiki he AOM ko lākou:

• pili o ka fussiness a me ka uē nui (i nā pēpē)
• lālau i ka pepeiao ʻoiai e ʻū ana i ka ʻeha (i nā kamaliʻi)
• ʻōhumu e pili ana i ka ʻeha o ka pepeiao (i nā keiki nui)

He aha nā hōʻailona o ka pāpāho otitis huehue?

Loaʻa i nā pēpē a me nā keiki i hoʻokahi a ʻoi paha o nā hōʻailona aʻe:

• uē ʻana
• ukiuki
• hiamoe ʻole
• huki ana i nā pepeiao
• ʻeha pepeiao
• he ʻeha poʻo
• ʻeha ʻāʻī
• he manaʻo piha i ka pepeiao
• kahe kahe mai ka pepeiao
• he kuni
• ka luaʻi
• pāhoehoe
• ukiuki
• he nele o ke kaulike
• poho lohe

He aha ke kumu o ka pāpāho otitis huehue?

ʻO ka Tube eustachian ka paipu e kahe ana mai ka waena o ka pepeiao a i ka hope o ka ʻāʻī. Hana ʻia kahi AOM ke hele a pehu a paipū ʻia ka pahu eustachian o kāu keiki a hoʻopaʻa i ka wai i ka pepeiao waena. Hiki ke maʻi i ka wai paʻa. I nā keiki ʻōpio, ʻoi aku ka pōkole o ka Tube Eustachian a ʻoi aku ke ākea ma mua o nā keiki a me nā mākua. Hoʻomaopopo hou ʻia kēia i mea e maʻi ai.

Hiki i ka Tube Eustachian ke lilo i pehu a pale ʻia no nā kumu he nui:

• nā mea pākuʻi
• he anu
• ka maʻi palū
• he maʻi sinus
• hoʻopili ʻia a hoʻonui ʻia paha nā adenoids
• uahi paka
• e inu ana i ke kau ʻana (i nā pēpē)

ʻO wai ka mea e makaʻu i ka pāpāho otitis huehue?

ʻO nā kumu pilikia no AOM me:

• aia ma waena o 6 a me 36 mau makahiki
• e hoʻohana ana i ka pacifier
• hele i ka mālama mālama lā
• hānai ʻia i ka ʻōmole ma kahi o ka umauma (i nā pēpē)
• inu i ka moe ʻana (i nā pēpē)
• ke puhi ʻia nei i ka uahi paka
• ke hōʻike ʻia nei i nā kiʻekiʻe o ka haumia ea
• ke ʻike nei i nā loli i ke kiʻekiʻe
• ke ʻike nei i nā loli i ke aniau
• i ke aniau anu
• i loaʻa i kahi maʻi anuanu, flu, sinus, a pepeiao paha

Mālama pū kekahi nā genetics i ka hoʻonui ʻana i ka makaʻu o kāu keiki iā AOM.

Pehea e ʻike ʻia ai ka pāpāho otitis huehue?

Hiki paha i ke kauka o kāu keiki ke hoʻohana i hoʻokahi a ʻoi paha o nā hana e hōʻike nei i ka AOM:

Otoscope

Hoʻohana ke kauka o kāu keiki i kahi mea kani i kapa ʻia he otoscope e nānā i loko o ka pepeiao o kāu keiki a ʻike:

• ʻulaʻula
• pehu
• koko
• pāū
• huʻa ea
• wai ma ka pepeiao waena
• perforation o ka eardrum

Tympanometry

I ka wā o kahi hoʻokolohua tympanometry, hoʻohana ke kauka o kāu keiki i kahi mea liʻiliʻi e ana i ke kaomi ea i loko o ka pepeiao o kāu keiki a hoʻoholo inā ua haki ka eardrum.

Hewaikeike

I loko o kahi hōʻike hōʻikeometometry, hoʻohana ke kauka o kāu keiki i kahi mea kani e hana i kahi kani kokoke i ka pepeiao o kāu keiki. Hiki i ke kauka o kāu keiki ke hoʻoholo inā loaʻa ka wai i loko o ka pepeiao ma ka hoʻolohe ʻana i ke kani i hōʻike ʻia mai ka pepeiao.

Hōʻike hoʻolohe

E hana paha kāu kauka i kahi hoʻokolohua hoʻolohe ʻana e hoʻoholo inā loaʻa i kāu keiki ka nalo ʻana o ka lohe.

Pehea e mālama ʻia ai ka pāpāho otitis huehue?

Hoʻoholo ka hapa nui o nā maʻi AOM me ka ʻole o ka lāʻau antibiotic. Paipai pinepine ʻia nā lāʻau lapaʻau o ka home a me nā lāʻau ʻeha ma mua o ka hoʻāʻo ʻana ʻana o nā lāʻau ʻaloʻalo e hōʻalo i ka hoʻohana nui ʻana o nā antibiotic a hoʻoliʻiliʻi i ka hopena o nā hopena maikaʻi ʻole mai nā antibiotics. Nā mālama ʻana no AOM:

Mālama home

E ʻōlelo paha kāu kauka i kēia mau hana mālama home e hōʻoluʻolu i ka ʻeha o kāu keiki ʻoiai ke kali nei no ka hala ʻana o ka maʻi AOM:

• e noi ana i kahi kapa holoi mehana, maū ma luna o ka pepeiao i loaʻa i ka maʻi
• hoʻohana i nā kulu pepeiao over-the-counter (OTC) no ka hoʻomaha ʻeha
• lawe i nā mea ʻeha ʻeha OTC e like me ibuprofen (Advil, Motrin) a me acetaminophen (Tylenol)

Laau Lapaʻau

Kau kauka paha i kau kauka pepeiao no ka ʻeha a me nā mea ʻē aʻe ʻeha. Hiki paha i kāu kauka ke kuhikuhi i nā lāʻau ʻalopika inā ʻaʻole e hala kāu mau ʻōuli ma hope o kekahi mau lā o ka mālama ʻana i ka home.

ʻOki kino

Paipai paha kāu kauka i ke ʻoki ʻana inā ʻaʻole pane ka maʻi o kāu keiki i ka lāʻau lapaʻau a i ʻole he maʻi maʻi pepeiao hou kāu keiki. Nā koho ʻoki kino no AOM:

Wehe Adenoid

Hiki i ke kauka o kāu keiki ke koi aku e kāpae ʻia nā adenoid o kāu keiki inā hoʻonui ʻia a maʻi ʻia a loaʻa hou i kāu keiki nā maʻi pepeiao hou.

Paipu pepeiao

E ʻōlelo paha kāu kauka i kahi hana ʻoki e hoʻokomo i nā paipu liʻiliʻi i loko o ka pepeiao o kāu keiki. ʻAe nā paipu i ka ea a me ka wai e kahe mai ka pepeiao waena.

He aha ka manaʻo lōʻihi?

ʻOi aku ka maikaʻi o nā maʻi AOM me ka ʻole o nā pilikia, akā hiki ke hana hou i ka maʻi. E ʻike paha kāu keiki i ka nalo ʻana no ka manawa pōkole no kahi manawa pōkole. Akā pono ka hoʻolohe ʻana o kāu keiki e hoʻi koke ma hope o ka lapaʻau ʻana. I kekahi manawa, hiki i nā maʻi AOM ke kumu:

• nā maʻi palaho hou
• hoʻonui nā adenoids
• i hoʻonui ʻia nā tonsil
• he eardrum ruptured
• he cholesteatoma, ka mea e ulu ana ma ka pepeiao waena
• lohi ka haʻiʻōlelo (i nā keiki i loaʻa hou i nā maʻi media otitis)

I nā hihia maʻamau, hiki i kahi maʻi i ka iwi mastoid i ka iwi poʻo (mastoiditis) a i ʻole kahi maʻi i ka lolo (meningitis) hiki ke hana.

Pehea e pale ai i ka pāpāho otitis koʻikoʻi

Hiki iā ʻoe ke hōʻemi i nā manawa o kāu keiki me ka AOM ma ka hana ʻana i kēia mau mea:

• holoi lima a me nā mea pāʻani pinepine e hōʻemi ai i kou manawa e loaʻa ai i ke anuanu a i ʻole nā ​​maʻi hanu ʻē aʻe
• pale i ka uahi paka
• kiʻi i nā pana flu a me nā lāʻau āpau pneumococcal
• hānai keiki pēpē ma kahi o ka hānai ʻana iā lākou inā hiki
• pale i ka hāʻawi ʻana i kāu pēpē i pacifier