He ihu paʻa kou i nā manawa a pau? ʻAʻole hiki ke hoʻōki i ka ihu wai? Ke kaumaha nei kou poʻo a me ka ʻeha o kou helehelena no ka manawa lōʻihi? Kāhea mākou i kēia he pilikia sinus, a i ʻole sinusitis. No kekahi poʻe, ʻaʻole kēia e emi iho ma hope o ka lawe ʻana i ka lāʻau lapaʻau. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau maʻalahi loa e kōkua i kēlā mau manawa, ʻaʻole nui e like me ke ʻoki kino.
I ka ʻōlelo maʻalahi, he aha ka Balloon Sinuplasty?
E noʻonoʻo i nā lua sinus i loko o kou ihu e like me nā lua liʻiliʻi e kahe ana ka ea. Ke piha kēia mau lua i ka mucus, e ālai ʻia nā ala e alakaʻi ana i kēia mau lua. ʻO ia ka manawa e loaʻa ai kēlā mau hōʻailona hoʻonāukiuki a pau.
He hana maʻalahi a akahele loa ka Balloon Sinuplasty i hoʻohana ʻia e wehe i kēlā mau ala i paʻa ʻia. I ka ʻōlelo maʻalahi, hoʻokomo ke kauka i kahi mea liʻiliʻi e like me ka pōpō i loko o kou ihu a hoʻopiha mālie iā ia ma luna o ka wahi i paʻa ʻia. I ka wā e hoʻopiha ai ka pōpō, e ākea a wehe ʻia ke ala i paʻa ʻia a haiki. A laila, hoʻomaka ka mucus a me ka pus i paʻa i loko e kahe maʻalahi i waho. No ka mea, hana ʻia kēia me ka ʻole o nā ʻoki nui, ʻoi aku ka maʻalahi ma mua o ke ʻoki sinus maʻamau (endoscopic sinus surgery - ESS).
No wai kēia lāʻau lapaʻau kūpono?
Hoʻomaikaʻi kekahi poʻe ma hope o kekahi mau lā o nā pilikia sinus. Akā no kekahi poʻe, hoʻomau kēia mau hōʻailona hoʻonāukiuki no nā pule he 12 a ʻoi (ʻo ia hoʻi he 3 mahina). Inā hoʻomau nā mea e like me ka ihu paʻa, ka ihu wai, a me ka ʻeha o ka maka, kapa mākou ia he sinusitis mau .
E ho'āʻo mua kāu kauka e mālama i kēia ma ka hāʻawi ʻana iā ʻoe i nā lāʻau lapaʻau e like me nā antibiotics. Eia nō naʻe, inā ʻaʻole kōkua kēlā mau lāʻau lapaʻau, hiki iā ʻoe ke noʻonoʻo i ka Balloon Sinuplasty ma ke ʻano he hana aʻe. Na kāu kauka e hoʻoholo inā kūpono kēia iā ʻoe.
ʻO ka mea nui loa, ma mua o ka hana ʻana i kēia lāʻau lapaʻau, e noi aku kāu kauka iā ʻoe e hana i kahi CT scan e hōʻoia i kūpono maoli kēia iā ʻoe. E ʻae kēia iā ʻoe e ʻike maopopo i loko o kou mau lua sinus.
Pehea e hana ʻia ai ka mālama ʻana - e nānā kākou i kēlā me kēia ʻanuʻu
Hiki ke hana ʻia kēia lāʻau lapaʻau ma loko o ka lumi hana o ka haukapila a i kekahi manawa ma ke keʻena o ke kauka. Inā ua hoʻomaʻemaʻe piha ʻia ʻoe a i ʻole ua mae wale kou ihu, pili ia i ka wahi o ka lāʻau lapaʻau a me kou kūlana.
Aia kekahi mau ʻokoʻa iki i ke ʻano o ka mālama ʻana. E nānā kākou i kēia ala e hoʻomaopopo pono ai.
| Ma loko o kahi lumi hana o ka haukapila | Ma ke keʻena lapaʻau |
|---|---|
| E hoʻokomo ʻia ʻoe ma lalo o ka anesthesia laulā a i ʻole ka hoʻomaha hoʻomaʻamaʻa ʻike. | E noho ʻoe ma luna o kahi noho, a e hoʻohana ʻia ka ʻaila anesthetic a me nā lotions e hoʻomānoʻino i ka ʻāina a puni kou ihu. |
| Hoʻokomo ʻia kahi lāʻau lapaʻau i loko o ka ihu e kāohi i ke kahe ʻana o ke koko. A laila, hoʻokomo ʻia kahi anesthetic kūloko i loko o nā ʻiʻo i loko o ka ihu. | Ke mae wale ka ihu, hāʻawi ʻia kahi inikini liʻiliʻi i loko o nā ʻiʻo i loko o ka ihu, inā pono. |
| Hoʻokomo ʻia kahi catheter i loko o ka ihu me ka hoʻohana ʻana i kahi ʻōmole lahilahi (endoscope) me kahi kukui liʻiliʻi ma ke alo. | Pēlā nō, ua hoʻokomo ʻia kahi catheter i loko o ka ihu me ka hoʻohana ʻana i kahi endoscope. |
| Hoʻokomo ʻia kahi pōpō liʻiliʻi ma o ke catheter i loko o ka lua sinus i paʻa a hoʻopiha mālie ʻia. | Hoʻouna ʻia ka pōpō i kahi i paʻa ai a hoʻopiha ʻia, e wehe ana i ke ala i ālai ʻia. |
| Ma hope o kekahi mau minuke, e hoʻohaʻahaʻa ʻia ka pōpō a wehe ʻia. Hana hou ʻia kēia no nā lua sinus ʻē aʻe inā pono. | Hoʻopiha ʻia ka pōpō a lawe ʻia i waho. E hana hou inā pono. |
He ʻeha anei kēia?
He pilikia kēia i loaʻa i nā kānaka he nui. ʻO kaʻoiaʻiʻo, no ka hapa nui o nā kānaka, ʻaʻole ia he mea ʻeha. He manaʻo wale nō ia o ke kaomi i loko o ka ihu. Hiki paha iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole a ʻeha paha ma hope o ka mālama ʻana. E kuhikuhi kāu kauka i kahi lāʻau ʻeha kūpono no kēia. Mai lawe i kekahi lāʻau lapaʻau me ka ʻole o ka nīnau ʻana i kāu kauka.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau? Pehea ka lōʻihi e hoʻōla ai?
Ma hope o kāu mālama ʻana, pono ʻoe e noho ma ka haukapila a i ʻole ke keʻena o ke kauka a hiki i kou ʻoluʻolu e hoʻi i ka home. ʻOi aku ka maikaʻi o ka loaʻa ʻana o kekahi e hoʻokele iā ʻoe i ka home.
He wikiwiki loa ka manawa ho'ōla.
- ʻO ka maʻamau, e ʻōlelo ke kauka iā ʻoe e hoʻomaha ma ka home no hoʻokahi a ʻelua paha lā (24-48 mau hola) .
- Mai ʻūlū i kou ihu no nā lā ʻelua mua.
- E hoʻohana i ka ʻaila ihu a kāu kauka e hāʻawi ai e hoʻomaʻemaʻe i kou ihu.
- Inā paʻa kou ihu, e hiamoe me kou poʻo i hoʻokiʻekiʻe iki ʻia .
- E hōʻalo i nā hana ikaika e like me ka hāpai ʻana i nā mea kaumaha i ka pule mua.
Ma hope o hoʻokahi a ʻelua paha pule, pono ʻoe e hoʻōla piha ʻia a hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau. E hoʻonohonoho kāu kauka i kahi manawa hoʻokolokolo. I kēlā manawa, e noi ʻia paha ʻoe e hana i kahi nasal endoscopy, ʻo ia hoʻi kahi nānā ʻana i loko o kou ihu.
He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau a pau, aia nā pono a me kekahi mau pilikia kakaikahi loa.
| Nā Pōmaikaʻi | Nā Pōʻino |
|---|---|
| He lāʻau lapaʻau palekana loa. | Ka leakage o ke wai a puni ka lolo (wai cerebrospinal) (kākaʻikahi loa). |
| ʻAʻohe ʻoki nui (minimally invasive). | Ka hōʻino ʻana i ka ʻāpana a puni ka maka. |
| Hiki iā ʻoe ke hoʻōla koke a hoʻomaka hou i ka hana. | Nā hopena maikaʻi ʻole i ka anesthesia. |
| ʻEha iki ma mua o ke ʻoki kino maʻamau. | Ke kahe koko nui ʻana. |
| He mau loa nā hopena. | Ka loaʻa ʻana o nā maʻi lele. |
I kekahi manawa, hiki ke hoʻi hou mai nā hōʻailona ma hope o kekahi manawa o ka lāʻau lapaʻau. Inā hana ʻia kēia, hiki i ke kauka ke aʻo aku iā ʻoe e hoʻāʻo i kēia lāʻau lapaʻau a i ʻole kekahi lāʻau lapaʻau ʻē aʻe.
I ka wā e pono ai ʻoe e kāhea koke i ke kauka
He mea maʻamau ka loaʻa ʻana o kahi kahe koko liʻiliʻi mai kou ihu i ka lā mua ma hope o ka mālama ʻana. Mai hopohopo i kēlā.
Eia nō naʻe, inā nui a mau ke kahe ʻana o ke koko ihu a ʻaʻole hiki iā ʻoe ke kāohi iā ia, pono ʻoe e kāhea koke i kāu kauka. Inā pono, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Eia kekahi, he mea nui e hoʻomaopopo i ke kauka inā loaʻa nā hōʻailona koʻikoʻi ʻē aʻe e like me ke kuni a me ka ʻeha poʻo nui.
ʻAʻole pono ʻoe e noho me nā pilikia sinus mau loa no ke koena o kou ola. ʻOiai ʻaʻole hiki i nā lāʻau lapaʻau ke kāohi iā lākou, aia nā lāʻau lapaʻau maʻalahi a hou e like me kēia. E kamaʻilio me kāu kauka pepeiao, ihu, a me ka ʻāʻī (ENT) e ʻike inā kūpono kēia lāʻau lapaʻau iā ʻoe.
Leka Lawe-Home
- He lāʻau maʻalahi a ʻaʻohe invasive ka Balloon Sinuplasty no ka sinusitis mau.
- ʻAʻole ʻeha kēia ma mua o ke ʻoki kino maʻamau, a ʻoi aku ka wikiwiki o ka ho'ōla ʻana.
- I ka wā o ka mālama ʻana, e ʻoi aku kou manaʻo e like me ke kaomi i ka ihu ma mua o ka ʻeha.
- Na kāu kauka e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe ma hope o ka CT scan.
- Inā ʻike ʻoe i kekahi mea ʻē, e like me ke kahe koko nui ma hope o ka lāʻau lapaʻau, e hoʻomaopopo koke i kāu kauka.











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