ʻAʻole mākou e manaʻo nui i kahi pimple ma ko mākou helehelena, ʻoi aku hoʻi ma nā ʻaoʻao o ko mākou ihu a ma luna o ko mākou lehelehe luna, ka ʻeha niho, a i ʻole ka maʻi sinus, ʻeā? Akā ua ʻike anei ʻoe ʻoiai nā mea maʻamau loa e like me kēia hiki ke alakaʻi i kahi maʻi koʻikoʻi e hiki ke hoʻoweliweli i ke ola inā ʻaʻole mālama pono ʻia? I kēia lā ke kamaʻilio nei mākou e pili ana i kekahi ʻano maʻi kakaʻikahi akā weliweli loa, ʻo " Cavernous Sinus Thrombosis ".
I ka ʻōlelo maʻalahi, he aha ka Cavernous Sinus Thrombosis?
E noʻonoʻo ma lalo o ko kākou lolo, ma hope o ko kākou mau lua maka, aia kahi hakahaka liʻiliʻi. ʻO kēia ka mea a kākou e kapa nei ʻo "Cavernous Sinus" i ka lāʻau lapaʻau. Ma o kēia e hele ai kahi aa nui e lawe ana i ke koko i hoʻohana ʻia a lepo paha mai ko kākou maka a hoʻi i ka puʻuwai.
No laila, ʻo Cavernous Sinus Thrombosis ka wā e hana ʻia ai kahi ʻaʻa koko i loko o kēia kīʻaha koko a paʻa. Ke ālai nei kēia ʻaʻa koko i ke kahe koko a hoʻonui i ke kaomi ma ia wahi. Hoʻopilikia pololei kēia kaomi i ka lolo, e hōʻino ana i ka lolo a i kekahi mau hihia, hiki i ka make. He mea koʻikoʻi loa kēia a ma kahi o 30% o ka poʻe i loaʻa i kēia maʻi e make. No laila, he mea nui loa ka makaʻala i kēia.
He aha nā hōʻailona o kēia maʻi weliweli?
ʻIke koke ʻia nā hōʻailona o kēia maʻi. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea, pono ʻoe e hopohopo.
ʻO ka mea nui loa, inā hele pū ka ʻeha poʻo nui me kahi pilikia maka (pehu, ʻulaʻula , loli o ka ʻike), mai hoʻowahāwahā iā ia.
E hoʻomaopopo pono kākou i kēia mau hōʻailona mai ka papa ma lalo nei.
| Hōʻailona | Pehea ke ʻano o kēia? |
|---|---|
| ʻEha poʻo nui | He ʻeha poʻo hiki ʻole ke hoʻomanawanui. I kekahi manawa hiki ke hele mai me ka waimaka ma nā maka. |
| Nā loli a puni nā maka | Pehu, ʻulaʻula, a me ka mumū o kekahi a i ʻole nā maka ʻelua. Hiki ke ʻike ʻia ka maka e puka mai ana. |
| Ke kulou nei ka lihilihi o ka maka | He manaʻo o ke kulou ʻana o nā lihilihi maka i kekahi a i ʻole nā maka ʻelua, e paʻakikī ai ke wehe piha i ka maka. |
| ʻAʻole hiki ke hoʻoneʻe i ka maka | ʻAʻole hiki ke hoʻoneʻe i ka maka i luna, i lalo, a i nā ʻaoʻao paha. |
| kuni kiʻekiʻe | Ke kuni nui a me ka malaise no ke kumu ʻike ʻole ʻia. |
| ʻEha maka a i ʻole ka mae ʻana | ʻEha a mae paha ma ka maka a puni paha nā maka. |
| Nā pilikia ʻike | ʻIke pōwehiwehi, ʻike pālua, a i ʻole ka nalowale piha ʻana o ka ʻike. |
| Ka huikau a me nā hopu ʻana | Hiki ke loli i ka hoʻomanaʻo, ka hoʻonāukiuki, a me ka coma. He mea kākaʻikahi nō hoʻi nā hopu ʻana. |
No ke aha lā kēia e hana nei? He aha nā kumu?
ʻO ke kumu nui o kēia, ʻo ia ka laha ʻana o kahi maʻi. ʻO ka maʻamau, ke hiki ʻole ke kāohi ʻia kahi maʻi ma ko kākou maka, nā sinuses, a i ʻole nā niho, hele nā bacteria i hoʻokumu i ka maʻi ma o ke kahe koko a i loko o ka Cavernous Sinus a mākou i kamaʻilio ai ma mua.
"Ka Huinakolu Pōʻino o ka Maka"
Ma ke ʻano he mau kauka, kapa mākou i ka ʻāpana triangular o ka maka mai ka piko o ka ihu a i nā kihi o ka waha ʻo ka "danger triangle." Pili pono nā kīʻaha koko ma kēia wahi i ka lolo.Ua pili ia i ka Cavernous Sinus . No laila , ʻo ka ʻomi ʻana i kahi pimple ma kēia wahi a me ka hōʻeha ʻana he mea weliweli loa ia. Inā ʻoe e hana pēlā, aia kahi manawa kūpono e komo ai nā germs ma ka ʻili o ka ʻili i ke kahe koko a hele pololei i ka wahi e hoʻopuni ana i ka lolo.
Ke laha kahi maʻi, hoʻāʻo ko mākou kino e hoʻōki iā ia. Ma muli o kēlā hoʻoikaika ʻana, hana ʻia kahi ʻūpā koko. Akā ʻo kēia ʻūpā koko ka pilikia nui loa ma hope.
Ma waho aʻe o kēia, aia paha kekahi mau kumu ʻē aʻe:
- He ʻeha poʻo nui.
- ʻOi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana o nā ʻūpā koko. No ka laʻana, ʻoi aku ka nui o ka pilikia o nā wahine e lawe ana i nā lāʻau hoʻomalu hānau, nā poʻe me ka maʻi diabetes i kāohi ʻole ʻia, a me nā poʻe me ke kanesa.
Nā hoʻāʻo e ʻike i kēia maʻi
Ke hele ʻoe i ka haukapila me kēia mau hōʻailona, e nānā ke kauka iā ʻoe, a inā kānalua ʻo ia i kēia ʻano, e kuhikuhi koke aku ʻo ia iā ʻoe no kekahi mau hoʻokolohua.
- Nā scan lolo: ʻO kēia ka mea nui loa. Hiki ke hana ʻia kahi scan CT a i ʻole MRI scan e nānā i nā mea e like me nā ʻōpū koko a me ke kaomi i hoʻonui ʻia i loko o ka lolo.
- Nā hoʻāʻo koko : Hana ʻia nā hoʻāʻo koko e hōʻoia inā he maʻi i loko o ke kino.
- Lumbar Puncture: I kekahi manawa, hiki ke hana ʻia kēia hoʻāʻo e ʻike ai inā ua hoʻopilikia ka maʻi i ka lolo a me ke kaula spinal.
Pehea e mālama ʻia ai?
He pilikia olakino ka Cavernous Sinus Thrombosis. ʻO ia hoʻi, i ka wā e ʻike ʻia ai nā hōʻailona, pono ʻoe e hele i ka Emergency Department (ETU) o ka haukapila me ka hoʻonele ʻole i ka manawa. Hāʻawi pinepine ʻia ka lāʻau lapaʻau ma ka Intensive Care Unit (ICU) o ka haukapila.
ʻO ka mālama ʻana e pili ana i kekahi mau mea:
- Nā lāʻau antibiotic kiʻekiʻe: No ke kāohi ʻana i ka maʻi, hāʻawi ʻia nā lāʻau antibiotic ikaika ma o ka intravenous ma o kahi hopena saline.
- Nā lāʻau hoʻokahe koko: Hāʻawi ʻia kēia mau lāʻau lapaʻau e pale i ka nui ʻana o nā ʻōpū koko a pale i ke kūkulu hou ʻana o nā ʻōpū koko.
- Corticosteroids: Hāʻawi ʻia kēia ʻano lāʻau lapaʻau e hōʻemi i ka pehu a me ke kaomi i loko o ka lolo.
- ʻOki kino: I kekahi manawa, pono paha kahi ʻoki liʻiliʻi e wehe i ka pus mai kahi i hoʻomaka ai ka maʻi (e.g., i loko o kahi lua sinus).
ʻO ka wikiwiki o ka hoʻomaka ʻana o kēia mau lāʻau lapaʻau, ʻo ka nui o ka manawa e hoʻopakele ai i ke ola. No laila, he mea nui e makaʻala i kēia mau hōʻailona a hana koke inā loaʻa kekahi mea e like me kēia iā ʻoe a i ʻole kekahi āu i ʻike ai.
Leka Lawe-Home
- He maʻi laha ʻole ka Cavernous Sinus Thrombosis, akā he maʻi hoʻoweliweli a hiki ke make.
- ʻO ke kumu nui o kēia, ʻo ia ka laha kaohi ʻole ʻia o kahi maʻi ma ka maka, nā niho, a i ʻole nā sinus.
- E pale i ke kaomi ʻana i nā pimples e kū mai ana ma ka "huikolu pōʻino" o ka maka (ka ʻāpana mai ke alahaka o ka ihu a i nā kihi o ka waha).
- ʻO ke poʻo ʻeha hiki ʻole ke hoʻomanawanui, me nā maka pehu a ʻulaʻula, nā loli i ka ʻike, a me ke kuni nui he mau hōʻailona ia.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, he pilikia olakino ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU) a e ʻike i kāu kauka.
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