Ua manaʻo paha ʻoe i kēia? E noʻonoʻo e hoʻokele ana i luna o kahi puʻu a lele paha i loko o kahi mokulele. I ka manawa koke, ua paʻa kou mau pepeiao, kaumaha, a ua emi ke kani mai waho. I kēlā manawa, hāmama wale mākou i ko mākou waha a ʻūhā a moni paha i kahi kuha liʻiliʻi. A laila, me kahi kani "pop", hoʻi kou mau pepeiao i ka maʻamau, ʻeā? Ua ʻike ka poʻe āpau i kēia ʻike ma ka liʻiliʻi hoʻokahi i ko lākou ola. No laila, ua noʻonoʻo paha ʻoe no ke aha e hana ai kēia, he aha ke kaʻina hana kupaianaha e hana ʻia ana ma kēia pepeiao? I kēia lā e kamaʻilio mākou e pili ana i kēlā ʻāpana liʻiliʻi akā koʻikoʻi loa o ko mākou kino. ʻO ia ka Eustachian Tube.
He aha ka ʻEustachian Tube?
I ka ʻōlelo maʻalahi, ʻo ka ʻōmole Eustachian he ʻōmole liʻiliʻi e hoʻopili ana i ko mākou pepeiao waena i ke kua o ko mākou puʻu (kahi e hui ai ka ihu me ka pepeiao). Hana ʻia ia me ka iwi a me ke cartilage. Loaʻa iā ʻoe ʻelua o kēia mau ʻōmole ma nā ʻaoʻao ʻelua o kou maka, ma kēlā me kēia pepeiao. ʻAʻole lākou nui loa, ma kahi o 36 millimeters (ʻoi aku ma mua o hoʻokahi ʻīniha) ka lōʻihi a me 2-3 millimeters ka laulā.
Ua kapa ʻia ʻo ia ma muli o ke kauka i kapa ʻia ʻo Bartolomeo Eustachi. ʻO ia ka mea mua i ʻike i ka pilina ma waena o ka pepeiao waena, ka ihu, a me ka puʻu. I kekahi manawa kapa pū nā kauka iā ia ʻo ka ʻōmole lohe. ʻO kēlā me kēia ʻano, hana like ia.
E noʻonoʻo i kou pepeiao waena e like me kahi lumi liʻiliʻi me ka ʻole o nā puka makani a puka paha. ʻO ke ala wale nō e hiki ai i kēia lumi ke kamaʻilio me ke ao waho ma o kēia ʻōmole Eustachian. No laila, inā ʻaʻole hana pono kēia ʻōmole liʻiliʻi, hiki ke loaʻa nā pilikia he nui i loko o kēlā lumi.
He aha ka lawelawe a kēia ʻōmole liʻiliʻi e hāʻawi ai i ko mākou kino?
ʻOiai he mea liʻiliʻi kēia, nui loa ka hana āna e hana ai. ʻO ke kumu nui, ʻekolu mau hana e hana ʻia e kēia kahawai. E nānā kākou i ko lākou ʻano.
| Hana nui | Ua wehewehe maʻalahi ʻia |
|---|---|
| 1. Ke wehe ʻana i ke wai mai ka pepeiao waena | Hoʻopuka mau ko kākou pepeiao waena i kahi wai liʻiliʻi. Inā hōʻiliʻili kēia wai, lilo ia i wahi hānau maikaʻi no nā germs e like me ka bacteria. ʻO kēia ka manawa e loaʻa ai nā maʻi pepeiao. Hana ka ʻōmole Eustachian e like me kahi kahawai, e hoʻokahe ana i kēia wai makemake ʻole i loko o ka puʻu. |
| 2. Ke kaulike ʻana i ke kaomi ea | ʻO kēia ka mea nui loa. Pono e like ke kaomi o ka ea ma nā ʻaoʻao ʻelua o ko kākou pahu pepeiao, ʻo ia hoʻi, i loko o ka pepeiao waena a ma waho o ka pepeiao. A laila wale nō e hiki ai i ka pahu pepeiao ke haʻalulu pono a lohe maopopo kākou. Ke wehe ʻoe i kou waha a moni paha, wehe iki kēia ʻōmole, e ʻae ana i kekahi ea e komo i loko o ka pepeiao waena. A laila ua hoʻohālikelike ʻia ke kaomi. Ke piʻi ʻoe i kahi mauna, hāʻule ka pahu pepeiao i waho no ka mea ua emi ke kaomi o waho a nalowale kēia kaulike. |
| 3. Ke pale ʻana i ka pepeiao waena | ʻO ka maʻamau, ke ʻole ʻoe e ale a ʻūlū paha, ua pani ʻia kēia ʻōmole. Pale kēia i nā germs e like me nā virus a me nā bacteria mai ke komo ʻana i ka pepeiao waena mai ka puʻu a me ka ihu. Hana ia e like me ka puka pale. |
Pehea e hana ʻia ai ka maʻi ʻeha o ka Eustachian Tube?
I kekahi manawa hiki i kēia ʻōmole Eustachian ke pehu a ʻaʻole e wehe a pani pono paha. Ua kapa nā kauka i kēia ʻano ʻo Eustachian Tube Dysfunction (ETD) . I ka ʻōlelo maʻalahi, he paʻa ia i loko o kēia ʻōmole. Nui nā kumu no kēia.
- Anu: Ke loaʻa iā ʻoe ke anu, pehu nā ʻiʻo i loko o kou ihu, a hiki i nā ʻiʻo a puni kēia paipu ke pehu pū. Hiki i kēia ke kumu e ālai ʻia ai ka paipu.
- Nā Allergies: Hiki i ka poʻe maʻi āpau i nā mea e like me ka lepo a me ka pollen ke ʻike i ka pehu a me ka paʻa ʻana o ke kahawai ma kēia ʻano.
- Sinusitis: ʻO ka pehu e kū mai ana i ka wā e maʻi ai nā lua sinus e hoʻopilikia pū i ka ʻōmole Eustachian.
- Barotrauma: Hiki ke hana ʻia kēia ʻano ke loli koke ke kaomi o ka ea o waho , e like me ka lele ʻana, ka luʻu ʻana, a i ʻole ke piʻi ʻana i nā mauna, a ʻaʻole hiki i nā ala ea ke hoʻololi.
- GERD (Maʻi Reflux Gastroesophageal): He ʻano kēia e kahe ai ka waikawa o ka ʻōpū i luna i loko o ka puʻu. Hiki i kēia waikawa ke hoʻoulu i ka pehu ʻana o nā ʻiʻo a puni ka puʻu a me ka ʻōmole Eustachian.
- Nā ʻōpū pepeiao: He mea laha ʻole kēia, akā hiki i kekahi ʻano ʻōpū ke ālai i kēia ʻōmole.
No ke aha i ʻike pinepine ʻia ai kēia pilikia i nā keiki ʻōpio?
Ua ʻike paha ʻoe he pinepine ka ʻeha pepeiao o nā keiki ʻōpio. ʻO kekahi o nā kumu nui o kēia, ʻo ia ka ʻōmole Eustachian. He pōkole iki ka ʻōmole o ke keiki, he ākea, a ʻoi aku ka laulā ma mua o ka pākeke. Ua hoʻokiʻekiʻe iki ʻia ka ʻōmole o ke pākeke. ʻO kēia kūlana e paʻakikī ai i nā keiki ke hoʻomaʻemaʻe i ka mucus mai ko lākou pepeiao waena, a hiki nō hoʻi i nā germs mai ko lākou puʻu ke komo maʻalahi i ka pepeiao waena. ʻO ia ke kumu e loaʻa pinepine ai i nā keiki nā maʻi pepeiao.
Loaʻa iā ʻoe kēia mau ʻano?
Ke ālai ʻia ka ʻōmole Eustachian, hiki ke ʻike ʻia nā ʻano hōʻailona like ʻole. E nānā inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea.
| Hōʻailona | Pehea kona manaʻo |
|---|---|
| He manaʻo o ka piha/kaumaha i loko o nā pepeiao | He mea kaumaha ia, me he mea lā ua paʻa ka pulupulu i loko o ka pepeiao, a i ʻole me he mea lā ua piha i ka wai. |
| Leo hoʻopilikia/leo palupalu | Ua like nā leo a puni me ka hoʻolohe ʻana mai loko mai o kahi luawai. ʻAʻole hiki iā ʻoe ke lohe maopopo i ka mea e ʻōlelo ʻia nei. |
| Ke lohe ʻana i nā leo i loko o nā pepeiao | Lohe ʻia ke kani "click" a i ʻole "tock", ʻoiai hoʻi i ka wā e moni ai i ka kuha. |
| ʻEha pepeiao | Hiki ke loaʻa ka ʻeha ma kekahi a i ʻole nā pepeiao ʻelua, e like me ke ʻano o ka maʻi pepeiao. |
| Tinnitus | Ke lohe nei i kahi leo "kani..." mau i loko o kou mau pepeiao. |
| Nā pilikia kaulike o ke kino | Hiki ke manaʻo ʻia e like me ʻoe e nalowale ana kou kaulike ke hele ʻoe. He mea nui loa ka pepeiao no ko kākou kaulike. |
| Pōʻino / Vertigo | Manaʻo paha ʻoe e wili ana kou poʻo a i ʻole e wili ana nā mea a puni ʻoe. |
ʻO ka hapa nui o ka manawa, e hoʻopau wale kēia mau hōʻailona i loko o kekahi mau lā, ke hoʻopau ʻia ke kumu nui, e like me ke anu.
Nā mea maʻalahi hiki iā ʻoe ke hoʻāʻo ma ka home
ʻAʻole pinepine kēia pilikia e koi i ka mālama nui. Aia kekahi mau mea maʻalahi hiki iā ʻoe ke hoʻāʻo ma ka home.
- Ke nau ʻana i ka ʻūpā, ke ale ʻana i ka lawai, a me ka wehe ʻana i kou waha: ʻO ka hana ʻana i kēia mau mea e hoʻoulu ai i nā ʻiʻo i loko o kou puʻu a kōkua i ka wehe ʻana i ka ʻōmole Eustachian.
- Ka hoʻomaʻemaʻe ʻana i ka ihu: ʻO ka hoʻohana ʻana i kahi mea e like me ka saline spray e holoi a hoʻomaʻemaʻe pono i ka ihu e kōkua i ka hōʻemi ʻana i ka pehu i loko o ka ihu a wehe i nā puka ihu.
- Nā Decongestants a i ʻole Antihistamine: E nīnau i kāu kauka e pili ana i ka lawe ʻana i nā decongestants a i ʻole antihistamines. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka pehu. Akā e hoʻomanaʻo, pono ʻoe e nīnau mau i kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau.
E hana kākou i ka Valsalva Maneuver me ke pololei.
He ʻano hana kaulana kēia i ʻike ʻia e ka poʻe he nui. Kōkua ia i ka wehe ʻana i kahi pepeiao paʻa. Akā, ʻaʻole maikaʻi ke hana i kēia me ka leo nui. Hiki i ka hana ʻana pēlā ke hōʻino i ka eardrum. Eia pehea e hana pono ai.
1. E pani pono i kou waha.
2. E pani pono i nā puka ihu ʻelua me nā manamana lima ʻelua.
3. I kēia manawa, e hanu mālie , me he mea lā e puhi ana ʻoe i ka ea ma kou ihu. No ka mea ua pani ʻia kou waha a me kou ihu, ʻaʻohe wahi e hele ai ka ea, a e hele kēlā kaomi i ka ʻōmole Eustachian a kōkua i ka wehe ʻana.
4. Inā lohe ʻoe i ke kani "tock", ʻo ia hoʻi ua hāmama ka ʻōmole.
Lomilomi ʻana i ka ʻōmole Eustachian
ʻO kēia kekahi ala maʻalahi hiki iā ʻoe ke hoʻāʻo ma ka home.
1. E hoʻohana i kou manamana lima e ʻike i ke koʻikoʻi o ka iwi ma hope o ka pepeiao.
2. Mai laila mai, e hoʻohaʻahaʻa i kou manamana lima. E ʻike ʻoe i kahi hakahaka liʻiliʻi ma waena o ka pepeiao a me ka pepeiao.
3. I kēia manawa, e kaomi iki ana, e neʻe i kou manamana lima i lalo o ka ʻāʻī ma kēlā laina, a hiki i ka iwi ʻāʻī.
4. E hana i kēia i ʻekolu manawa ma kēlā me kēia ʻaoʻao, ma kahi o ʻekolu manawa i ka lā.
Pono ʻoe e ʻike i ke kauka?
ʻOiai hoʻi e hoʻoponopono pinepine ʻia kēia pilikia ma kāna iho, i kekahi mau hihia he mea nui e ʻike i ke kauka.
ʻOi aku ma mua o ʻelua pule o ka hana ʻana i nā mea ma ka homeInā ʻaʻole hoʻomaikaʻi kou mau hōʻailona, a inā paha e ʻoi aku ka koʻikoʻi o ka ʻeha o ka pepeiao, ka poniuniu, a i ʻole ka nalowale o ka lohe, e ʻike pono i kāu kauka.
Ke ʻike ʻoe i ke kauka, e nānā pono lākou i kou mau pepeiao, ihu, a me ka puʻu. Hiki iā lākou ke hoʻohana i kahi mea hana i kapa ʻia he otoscope e nānā i kou pahu pepeiao e ʻike inā he hōʻiliʻili wai a i ʻole he maʻi. Inā pono, hiki iā lākou ke kuhikuhi iā ʻoe no nā mea e like me ka hoʻāʻo lohe.
He aha nā lāʻau lapaʻau i loaʻa?
Inā ʻaʻole kōkua nā lāʻau lapaʻau ma ka home, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea pepeiao, ihu, a me ka ʻāʻī (ENT Surgeon). Ma laila, e hoʻoholo ʻia ka lāʻau lapaʻau ma muli o ke koʻikoʻi o ke kūlana.
- Tympanostomy (Nā ʻŌmole Pepeiao): Pili kēia i kahi hana ʻoki liʻiliʻi kahi e hoʻokomo ʻia ai kahi ʻōmole liʻiliʻi i loko o ka pahu pepeiao. Kōkua kēia i ka hoʻokahe ʻana i ke wai mai ka pepeiao waena a mālama i ke kaomi ea. E hāʻule wale ka ʻōmole ma hope o kekahi manawa.
- ʻO Eustachian Tuboplasty: ʻIke ʻia hoʻi ʻo Balloon Dilation, ʻo kēia kaʻina hana e pili ana i ka hoʻokomo ʻana i kahi mea liʻiliʻi e like me ka pōpō ma o ka ihu i loko o ka ʻōmole Eustachian a me ka hoʻopiha ʻana i ka pōpō e wehe i ka ʻōmole i paʻa.
ʻAʻole pono pinepine kēia lāʻau lapaʻau. ʻAʻole pono ka hapa nui o ka poʻe e hele i kēia mamao.
Leka Lawe-Home
- ʻO ka ʻōmole Eustachian kahi ʻōmole liʻiliʻi e hoʻopili ana i kou pepeiao waena a me ka ʻāʻī, e kōkua ana i ka hoʻohālikelike ʻana i ke kaomi ea a mālama i kou mau pepeiao i ke olakino.
- ʻO kēia paʻa ʻana o ka paipu (ETD) ke kumu o nā mea e like me ka piha o ka pepeiao, ka nalowale o ka lohe, a me ke kani ʻana o nā pepeiao.
- ʻO ka hapa nui o ka manawa, hoʻokumu ʻia kēia ʻano e nā kumu manawa pōkole, e like me ke anu a i ʻole nā maʻi allergies, a e hoʻōla ia iho i loko o kekahi mau lā.
- ʻO nā mea maʻalahi e like me ka nau ʻana i ka gum, ka moni ʻana, a me ka hana ʻana i ka Valsalva maneuver hiki ke hāʻawi i ka hōʻoluʻolu.
- Inā hoʻomau nā hōʻailona no nā pule ʻelua a ʻoi aku paha ka koʻikoʻi (ʻoi aku ka ʻeha nui, ka dizziness), e ʻimi pono i ke kōkua lapaʻau.
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