Aia kekahi kahe ʻala pilau e puka mai ana mai kou pepeiao? A i ʻole he nalowale kou lohe ma kekahi pepeiao a me ka manaʻo kaumaha mau i kou pepeiao? ʻAʻole kēia he mau hōʻailona e hoʻowahāwahā wale ʻia. Hiki i kēia ke lilo i mau hōʻailona o kahi ulu ʻaʻole maʻi kanesa e pono ai ke mālama ʻia. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia he cholesteatoma . He mea ʻē paha ke kani o ka inoa, akā mai makaʻu. I kēia lā, e kamaʻilio mākou e pili ana i ia mea ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Cholesteatoma?
Hiki i nā pūnaewele i loko o ko kākou kino ke hui pū e hana i nā puʻupuʻu liʻiliʻi. Kāhea mākou i kēia mau puʻupuʻu, a i ʻole cysts. Hiki ke hoʻopiha ʻia me ka ea, ka wai, a i ʻole nā mea ʻē aʻe. He mea like ka Cholesteatoma. Akā ua hana ʻia ia mai kahi hōʻiliʻili o nā pūnaewele ʻili make i loko o ka pepeiao .
Hoʻomaka pinepine kēia puʻupuʻu ma kahi kokoke i ka eardrum, i loko hohonu o ka pepeiao. A laila ulu mālie ia i loko o ka pepeiao waena a me ka pepeiao o loko. Ke ʻōlelo hou nei au, ʻaʻole kēia he maʻi kanesa. Eia naʻe, inā ʻaʻole mālama ʻia, hiki iā ia ke hana i nā pilikia koʻikoʻi e like me ka nalowale o ka lohe a me ka hōʻino ʻana o ka pepeiao.
ʻAʻole maʻamau loa kēia maʻi. ʻOiai hiki ke ulu aʻe i kēlā me kēia makahiki, ʻoi aku ka maʻamau o ia i nā kāne ma mua o nā wahine.
He aha nā hōʻailona nui o kēia?
ʻO ka maʻamau, hoʻokumu wale ʻo Cholesteatoma i nā hōʻailona ma hoʻokahi pepeiao. E nānā e ʻike inā loaʻa iā ʻoe kēia mau hōʻailona.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Ke kahe ʻana o ka wai mai ka pepeiao | Ke hoʻomau nei ka kahe ʻana o kahi wai ʻala pilau, i kekahi manawa he melemele a ʻōmaʻomaʻo paha, mai ka pepeiao mai. |
| Ka hemahema o ka lohe | Ke emi mālie nei ka lohe ʻana ma kekahi pepeiao. |
| Piha ka pepeiao | Manaʻo mau wau he mea piha a kaumaha hoʻi i loko o koʻu pepeiao. |
| ʻEha pepeiao a i ʻole ka maʻi | Nā maʻi pepeiao pinepine a i ʻole ka ʻeha e puka mai ana mai loko mai o ka pepeiao. |
| Pōʻino a me ke kani ʻana o nā pepeiao | Hiki i kekahi poʻe ke ʻike i ka manaʻo wili (vertigo). Hiki i kekahi poʻe ke ʻike i ke kani mau ʻana o ko lākou mau pepeiao (tinnitus). |
| Ka nāwaliwali ma kekahi ʻaoʻao o ka maka | He mea kākaʻikahi loa, inā ulu nui ka puʻupuʻu, hiki iā ia ke hoʻopilikia i nā aʻalolo o ka maka, e hoʻoulu ai i ka maneʻo a nāwaliwali paha ma kekahi ʻaoʻao o ka maka. |
ʻO ka mea nui loa, inā e waiho ʻole ʻia kēia puʻupuʻu no ka manawa lōʻihi, hiki iā ia ke hōʻino i nā ʻōpū e kōkua ana i ke kaulike o ke kino i loko o ka pepeiao, a me nā iwi o ka pepeiao. He mea kākaʻikahi loa, hiki i kēia maʻi ke laha i ka lolo a hoʻoulu i nā maʻi koʻikoʻi e like me ka meningitis. No laila, mai hoʻowahāwahā i kēia mau hōʻailona.
No ke aha e hana ʻia ai kekahi mea e like me kēia? He aha nā kumu?
Aia kekahi mau kumu nui e ulu ai ka cholesteatoma.
- Nā maʻi pepeiao pinepine: ʻO kēia ke kumu nui. Inā loaʻa iā ʻoe nā maʻi pepeiao pinepine, inā loaʻa iā ʻoe nā pilikia pepeiao ke anu ʻoe, a inā paha ua loaʻa iā ʻoe kahi ʻeha pepeiao, ʻoi aku ka kiʻekiʻe o kēia pilikia. E noʻonoʻo e pili ana iā ia, aia kahi ʻōmole liʻiliʻi e hoʻopili ana i ko mākou ihu a me ka pepeiao. Kāhea mākou i kēia ʻo ka ʻōmole Eustachian . Hoʻoponopono kēia ʻōmole i ke kaomi i loko o ka pepeiao. Ke ālai ʻia kēia ʻōmole ma muli o kahi maʻi, hana ʻia kahi hakahaka i loko o ka pepeiao waena. Huki kēia kaomi i ka eardrum i loko. A laila hana ʻia kahi ʻāpana liʻiliʻi e like me ka ʻeke. Aia i loko o kēlā ʻeke e hōʻiliʻili ai nā ʻili make a hana ʻia kēia puʻupuʻu.
- Nā pilikia me ka hana o ka ʻōmole Eustachian: Hānau ʻia kekahi poʻe me kēia ʻōmole ʻaʻole e hana pono. ʻOiai i kēlā manawa, e like me ka mea i ʻōlelo ʻia ma luna, hiki i kahi puʻupuʻu ke ulu i loko o ka eardrum.
- Hānau ʻia: He mea kākaʻikahi loa, hiki i kekahi mau pēpē ke loaʻa kēia puʻupuʻu i ka wā e ulu ana ko lākou mau pepeiao i loko o ka ʻōpū, kahi e paʻa ai kekahi mau ʻili ma waena o nā iwi o ka pepeiao. ʻIke pinepine ʻia kēia mau mea i ka wā kamaliʻi.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke ʻike ʻoe i ke kauka me nā hōʻailona āu i ʻōlelo ai ma luna, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā i loko o kou pepeiao me kahi otoscope, kahi mea hana me ke kukui a me ka aniani hoʻonui. A laila, e hana ʻo ia i kahi hoʻāʻo lohe e ʻike i ke ʻano o kou lohe ʻana.
Inā kānalua ʻia kahi puʻupuʻu, e kuhikuhi aku kāu kauka iā ʻoe i kahi loea pepeiao, ihu, a me ka ʻāʻī (loea ENT) , hiki iā ia ke holo i kekahi mau hoʻokolohua e nānā pono i ka puʻupuʻu.
- ʻO ke kiʻi CT (Computerized Tomography): Ua like kēia me ka hoʻohui ʻana i kahi pūʻulu o nā kiʻi X-ray e hana i kahi kiʻi 3D kikoʻī o nā iwi, nā kīʻaha koko, a me nā ʻiʻo i loko o ka pepeiao. Hiki i ke kauka ke ʻike pololei i ka nui o ka puʻupuʻu, inā ua hōʻino ia i nā iwi o ka pepeiao, a inā ua pālahalaha i nā ʻāpana e hoʻopilikia ai i ka lohe a me ke kaulike. Hana pinepine ʻia kēia ma mua o ke ʻoki ʻana.
- MRI scan (Magnetic Resonance Imaging): Inā hōʻike ka CT scan ua pālahalaha ka maʻi i ka lolo, hiki ke hana ʻia kahi MRI scan e hōʻoia i kēia.
Pehea e mālama ʻia ai?
ʻAʻole hiki ke ho'ōla ʻia kēia me ka lāʻau lapaʻau. ʻO ke ʻoki wale nō ka lāʻau e wehe loa i ka puʻupuʻu. E hoʻomoe ʻia ʻoe no kēia ʻoki ʻana, kahi maʻamau he 2-3 mau hola. ʻAʻole pono ʻoe e noho i ka haukapila.
ʻElua ʻano nui o ke ʻoki kino:
1. Mastoidectomy: ʻO ka iwi mastoid ka iwi ma hope o kou pepeiao. Wehe ke kauka lapaʻau i kēia iwi, hele ma waena, a wehe loa i ka puʻupuʻu.
2. Tympanoplasty: He hana ʻoki kino kēia e hoʻoponopono ai i kahi lua i loko o kou eardrum (membrane tympanic) i hoʻokumu ʻia e kahi puʻupuʻu. Pili kēia i ka hoʻohana ʻana i kahi ʻāpana cartilage a i ʻole ʻiʻo i lawe ʻia mai kahi ʻāpana ʻē aʻe o kou pepeiao.
Hiki paha i kou lohe ke hoʻi i ka maʻamau i kekahi ʻano ma hope o ke ʻoki ʻana, akā ʻaʻole kēia e hana mau ʻia.
He kūlana koʻikoʻi ka Cholesteatoma e hiki ke hoʻi hou mai i kahi ʻano ʻoi aku ka ʻino. Inā ʻaʻole ia e wehe loa ʻia, hiki ke hoʻi hou mai. No laila, he mea nui loa ka nānā ʻana me kāu kauka i nā manawa maʻamau ma hope o ke ʻoki ʻana.
Leka Lawe-Home
- ʻAʻole ʻo Cholesteatoma he maʻi ʻaʻai, akā he maʻi ia e pono e mālama ʻia.
- E hopohopo inā loaʻa iā ʻoe nā hōʻailona e like me ke wai ʻala pilau e puka mai ana mai ka pepeiao mai, ka emi ʻana o ka lohe ma kekahi pepeiao, a i ʻole ke kaumaha o ka pepeiao.
- Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka. ʻOi aku ka maikaʻi o ka ʻike ʻana i kahi loea pepeiao, ihu, a me ka ʻāʻī.
- ʻO ke ʻano lapaʻau wale nō no kēia, ʻo ia ka wehe ʻana i ka puʻupuʻu ma o ke ʻoki ʻana.
- ʻOiai ma hope o ke ʻoki ʻana, he mea nui loa ia e hana i nā hoʻokolohua lapaʻau i nā manawa maʻamau e nānā ai no ka hoʻi hou ʻana.
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