ʻO Otitis Media me Effusion
Anter
- He aha ka pāpaho otitis me ka effusion?
- He aha ke kumu o OME?
- He aha nā hōʻailona o OME?
- Pehea e ʻike ʻia ai ka OME?
- Pehea e mālama ʻia ai ʻo OME?
- Pehea e hiki ai iaʻu ke pale iā OME?
- He aha nā pilikia e pili ana me OME?
- He aha ka nānā wā lōʻihi no OME?
He aha ka pāpaho otitis me ka effusion?
Hoʻopau ka paipu eustachian i ka wai mai kou mau pepeiao a i ka hope o kou puʻu. Inā clogs ia, hiki i ka pāpāho otitis me ka effusion (OME) ke kū.
Inā loaʻa iā ʻoe ka OME, hoʻopiha ka ʻaoʻao waena o kou pepeiao i ka wai, i hiki ai ke hoʻonui i ka makaʻu o ka maʻi pepeiao.
Maʻamau loa ʻo OME. Wahi a ka Agency of Healthcare Research and Quality, ma kahi o 90 pākēneka o nā keiki e loaʻa iā OME ma ka liʻiliʻi i hoʻokahi manawa ma ka makahiki 10.
He aha ke kumu o OME?
ʻIke paha nā keiki i ka OME ma muli o ke ʻano o kā lākou mau paipu eustachian. ʻOi aku ka pōkole o kā lākou mau paipu a he mau puka liʻiliʻi. Hoʻonui kēia i ka makaʻu o ka pale ʻana a me ka maʻi. Hoʻokumu pū ʻia nā paipu eustachian a nā keiki ma kahi o ka lōʻihi ma mua o ka poʻe mākua. ʻOi aku ka paʻakikī o kēia kahe ʻana o ka wai mai ka pepeiao waena. A ʻo nā keiki he mau anuanu pinepine a me nā maʻi viral ʻē aʻe i hiki ke hoʻonohonoho iā lākou no ka nui o ka wai i ka pepeiao waena a ʻoi aku nā maʻi pepeiao.
ʻAʻole he maʻi pepeiao ʻo OME, akā hiki iā lākou ke pili. ʻO kahi laʻana, hiki i kahi maʻi pepeiao ke hoʻopili i ke kahe o ka wai ma waena o ka pepeiao waena. ʻOiai ma hope o ka hala ʻana o ka maʻi, e mau paha ka wai.
Eia nō naʻe, hiki i kahi paipu i kāpae ʻia a me nā wai keu ke hāʻawi i kahi kūpono kūpono no ka ulu ʻana o ka bacteria. Hiki i kēia ke alakaʻi i kahi maʻi pepeiao.
ʻO nā maʻi āpau, nā mea hoʻonāukiuki i ka ea, a me nā maʻi hanu hiki ke hana iā OME āpau. Hiki i nā loli i ke kaomi ea ke hoʻopau i ka Tube eustachian a hoʻopili i ke kahe o ka wai. ʻO kēia mau kumu ma muli paha o ka lele ʻana i ka mokulele a i ʻole ka inu ʻana i ka wā e moe ana.
ʻO kahi kuhi hewa maʻamau ka wai i ka pepeiao e hiki ke hana iā OME. He ʻoiaʻiʻo ʻole kēia.
He aha nā hōʻailona o OME?
ʻAʻole ka OME ka hopena o kahi maʻi. Māmā a liʻiliʻi paha nā ʻōuli, a hiki ke loli ma muli o ka makahiki o ke keiki. Akā ʻaʻole nā keiki āpau me OME i nā ʻōuli a i ʻole hana a manaʻo paha i ka maʻi.
ʻO kahi hōʻailona maʻamau o OME ke lohe nei i nā pilikia. I nā keiki ʻōpio, hiki i nā loli ke ʻano ke hōʻailona o ka lohe ʻana i nā pilikia. ʻO kahi laʻana, hoʻohuli paha ke keiki i ke kīwī i ʻoi aku ka leo ma mua o ka maʻamau. Hiki iā lākou ke huki a huki paha i ko lākou pepeiao.
ʻO nā keiki makua a me nā mākua i loaʻa ka OME e wehewehe pinepine i ke kani ma ke ʻano he muffled. A loaʻa paha iā lākou ka manaʻo ua piha ka pepeiao i ka wai.
Pehea e ʻike ʻia ai ka OME?
E nānā kahi kauka i ka pepeiao e hoʻohana ana i kahi otoscope, kahi aniani hoʻonui me kahi hopena kukui e hoʻohana ai no ka nānā ʻana i loko o ka pepeiao.
E ʻimi ana ke kauka:
- ʻōhū o ka ea ma luna o ka papale eardrum
- kahi kūpeʻe e ʻike ʻia ma kahi o ka mālie a me ka ʻōlinolino
- ʻike wai ma hope o ka eardrum
- kahi eardrum e neʻe ʻole ke puhi ʻia kahi ea liʻiliʻi i loko ona
Loaʻa nā hana hoʻokolohua sophisticated hou aku. Hoʻokahi laʻana o ka tympanometry. No kēia hoʻāʻo, hoʻokomo ke kauka i kahi ʻimi i loko o ka pepeiao. Hoʻoholo ka ʻimi i ka nui o ka wai ma hope o ka eardrum a me kona mānoanoa.
Hiki i kahi otoscope acoustic ke kuhikuhi i ka wai i ka pepeiao waena.
Pehea e mālama ʻia ai ʻo OME?
Hoʻomaʻemaʻe pinepine ʻo OME iā ia iho. Eia nō naʻe, hiki i ka OME mau ke hoʻonui i ka makaʻu o nā maʻi pepeiao. Pono paha ʻoe e ʻike i kāu kauka inā manaʻo ʻoe e waiho ana ka wai ma hope o kou pepeiao ma hope o ʻeono pule. Pono ʻoe i kahi lāʻau pololei hou e hoʻokahe i kou mau pepeiao.
ʻO kekahi ʻano o ka mālama pololei ʻana he mau paipu pepeiao, kahi e kōkua ai e kahe i ka wai mai hope o nā pepeiao.
ʻO ka hemo ʻana i nā adenoids hiki ke kōkua i ka mālama ʻana a pale ʻana iā OME i kekahi mau keiki. Ke hoʻonui ʻia nā adenoids hiki iā lākou ke pale i ke kahawai pepeiao.
Pehea e hiki ai iaʻu ke pale iā OME?
Kūpono ʻo OME i ka hāʻule a me nā mahina hoʻoilo, e like me ka Haukapila Kamaliʻi o Pennsylvania (CHOP). ʻO ka mea pōmaikaʻi, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou makaʻu i ka hoʻomohala ʻana iā OME.
Pākuʻi ʻia nā ʻenehana pale:
- holoi pinepine i nā lima a me nā mea pāʻani
- e hōʻalo nei i ka uahi paka a me ka haumia, kahi e hiki ai ke hoʻopili i ka hoʻokahe ʻana o ka pepeiao
- ka hōʻalo ʻana i nā mea hōʻalo
- me ka hoʻohana ʻana i nā kānana ea e hoʻomaʻemaʻe i ka ea e like me ka hiki
- Ke hoʻohana nei i kahi kikowaena mālama lā liʻiliʻi, kūpono me nā keiki ʻeono a ʻoi aku paha
- hānai umauma, nāna e kōkua i kāu keiki e pale aku i nā maʻi pepeiao
- inu ʻole i ka wā e moe ana
- lawe wale i nā antibiotic ke pono
ʻO nā lāʻau ākea ākea a me ka maʻi flu hiki paha iā ʻoe ke hoʻoweliweli iki iā OME. Hiki iā lākou ke pale i nā maʻi o ka pepeiao e hoʻonui ai i ka makaʻu o OME.
He aha nā pilikia e pili ana me OME?
ʻAʻole pili ka OME me ka hoʻolohe pepeiao mau, ʻoiai ke kūkulu ʻia ka wai no kekahi manawa. Eia nō naʻe, inā pili ʻo OME me nā maʻi pepeiao pinepine, hiki i nā pilikia ʻē aʻe ke kū.
Hiki i kēia mau mea ke:
- maʻi kīnā o ka pepeiao
- cholesteatoma (cist ma ka pepeiao waena)
- scarring pā pepeiao
- pōʻino i ka pepeiao, e lilo ana ka lohe pepeiao
- hoʻopaneʻe i ka ʻōlelo a i ʻole ka lohi ʻōlelo
He aha ka nānā wā lōʻihi no OME?
Maʻamau loa ka OME a ʻaʻole maʻa mau i ka hōʻino wā lōʻihi. Eia nō naʻe, inā ulu aʻe kāu keiki i nā maʻi pepeiao hou a pinepine hoʻi, e nīnau i kāu kauka e pili ana i nā ala e pale aku ai i nā maʻi hou a i ʻole OME. He mea nui ka nānā ʻana i nā pilikia hoʻolohe ʻana i nā keiki ʻōpio no ka mea hiki ke hoʻolohi i ka ʻōlelo lōʻihi.