Loaʻa iā ʻoe kekahi manawa kahi kahe ʻala ʻino mai kou pepeiao? A i ʻole ke manaʻo pinepine nei ʻoe i kahi puʻupuʻu a i ʻole ke kaomi i loko o kou pepeiao? ʻOiai he nui ka poʻe e manaʻo nei he ʻeha pepeiao wale nō kēia a he maʻi paha, i kekahi manawa hiki ke lilo i mea koʻikoʻi. I kēia lā e kamaʻilio mākou e pili ana i kekahi ʻano maʻi. Ua kapa ʻia ʻo Cholesteatoma. ʻOiai he mea ʻē paha ka inoa, he mea nui e ʻike e pili ana i ia mea.
I ka ʻōlelo maʻalahi, he aha ka Cholesteatoma?
He ulu ʻano ʻē ka Cholesteatoma e ulu ana ma hope o kou eardrum (tympanic membrane), ma ka pepeiao waena. ʻOiai he puʻupuʻu maoli ia, ʻaʻole ia he maʻi kanesa. No laila, mai hopohopo no ia mea. Hoʻokumu ʻia ia e kahi hōʻiliʻili o nā ʻili make. Ua like ia me ke ʻano o ka hōʻiliʻili ʻana o kā mākou mau ʻili make a hana i kahi puʻupuʻu liʻiliʻi i loko o ka pepeiao. I ka hala ʻana o ka manawa, ulu mālie kēia puʻupuʻu o nā ʻili. I kekahi manawa ua like ia me ka momi, no laila ua kapa kekahi poʻe iā ia he "puʻupuʻu momi."
Hiki ke hana ʻia kēia kūlana ma nā ʻano nui ʻelua:
- ʻO ka cholesteatoma hānau: Hiki i kekahi mau keiki ke loaʻa kēia ulu i loko o ko lākou pepeiao i ka wā hānau. He mea kākaʻikahi kēia.
- ʻO ka cholesteatoma i loaʻa: ʻO kēia ke ʻano maʻamau. Loaʻa ia i ka hala ʻana o ka manawa ma muli o nā pilikia ʻē aʻe i loko o ka pepeiao.
ʻO ka mea nui, ʻoiai ʻaʻole kēia he maʻi kanesa, inā ʻaʻole mālama ʻia, hiki i kēia puʻupuʻu ke ulu a hōʻino i nā iwi palupalu, nā aʻalolo, a me ka lolo i loko o ka pepeiao. No laila, he mea nui loa e makaʻala i kēia a e ʻimi koke i ke kōkua lapaʻau inā loaʻa nā hōʻailona.
He aha nā hōʻailona e kū mai ana ke kū mai kēia ʻano?
Hiki ke ʻokoʻa iki nā hōʻailona o ka cholesteatoma ma muli o ka loaʻa ʻana i ka wā hānau a i ʻole ka ulu ʻana ma hope. Inā hānau ʻia kahi keiki ʻuʻuku me ia, ʻaʻohe paha he mau hōʻailona a hiki i ka nui ʻana o ka puʻupuʻu. Hiki i ke kauka o ke keiki ke ʻike mua iā ia i ka wā o ka nānā maʻamau.
Eia nō naʻe, ma ke ʻano laulā, hiki ke ʻike ʻia nā hōʻailona ma lalo nei ma kēia ʻano.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Ka hoʻokuʻu ʻana mai ka pepeiao | ʻO ka hoʻokuʻu mau ʻana o kahi wai ʻala pilau, melemele a ʻōmaʻomaʻo paha e like me ka pus mai ka pepeiao mai ka hōʻailona maʻamau. |
| Kaomi pepeiao a piha paha | He manaʻo mau o ke kaumaha, ke kaomi, a i ʻole kekahi mea e hoʻopiha ana i ka pepeiao. Ua like ia me ka wai i loko o kou pepeiao. |
| Poho lohe | E emi mālie ana ka nalowale o ka lohe ma ka pepeiao i hoʻopilikia ʻia. ʻAʻole paha e ʻike ʻia kēia i ka wā mua, akā hiki ke hoʻonui ʻia i ka hala ʻana o ka manawa. |
| Pōʻino | Ua pilikia ke kaulike a ua like ia me ka poniuniu. |
| Nā maʻi pepeiao pinepine | Nā maʻi mau i ka pepeiao hoʻokahi. Nā ʻeha pepeiao i pane ʻole i nā lāʻau maʻamau. |
| Tinnitus | Ke lohe ʻana i ke kani ʻana a i ʻole kekahi walaʻau ʻē aʻe i loko o nā pepeiao. |
No ke aha i hoʻokumu ʻia ai kēia cholesteatoma? He aha nā kumu nui?
ʻO ke kumu nui o kēia, ʻo ia ka huki ʻia ʻana o ka pahu pepeiao i loko, i kapa ʻia ʻo `(Retracted eardrum)`. I kēia manawa, e nānā kākou pehea e hana ʻia ai kēlā.
E noʻonoʻo, aia kahi ʻōmole liʻiliʻi e hoʻopili ana i ko mākou mau pepeiao a me ka puʻu. Kāhea mākou i kēia ʻo ka ʻōmole Eustachian . ʻO kāna hana nui ka hoʻohālikelike a me ke kaulike ʻana i ke kaomi ea ma waena o loko o ka pepeiao (pepeiao waena) a me ke kaiapuni o waho. Ke hāwanawana mākou a moni paha, ʻike mākou i kahi leo "pop" i loko o ko mākou mau pepeiao a me he mea lā e wehe ana lākou no ka mea ua hoʻāla ʻia kēia ʻōmole.
I kēia manawa, e noʻonoʻo ʻoe he anu kou, he maʻi ʻaleka, a he pilikia sinus paha. ʻO ka mea e hana ʻia ana, ʻo ia ka pehu ʻana o ka ʻōmole Eustachian a ālai ʻia. He aha ka mea e hana ʻia a laila? Hoʻōki ka ea i ke kahe ʻana i loko o ka pepeiao waena, a ua omo ʻia ka ea ma laila i loko o ke kino. ʻO ka hopena , emi ke kaomi i loko o ka pepeiao waena, e hana ana i kahi hakahaka.
Ma muli o kēia kaomi hakahaka, ʻo ka pahu pepeiao, ʻaʻole hiki ke kū i ke kaomi ea o waho, ua huki ʻia i loko ma kona wahi nāwaliwali loa. E like me ka ea liʻiliʻi i hoʻokomo ʻia i loko o kahi ʻōmole plastik hakahaka i ka wā e ʻomi ʻia ai.
Ke huki ʻia ka pahu pepeiao ma kēia ʻano, e hana ʻia kahi ʻeke liʻiliʻi ma laila. ʻO nā ʻili make ma waho o ka pahu pepeiao e hāʻule pinepine a puka i waho ma o lākou iho. Akā i ka wā e hana ʻia ai kēia ʻeke, ʻaʻole hiki i kēlā mau ʻili make ke puka i waho a hoʻomaka e hōʻiliʻili i loko. I ka hala ʻana o ka manawa, hōʻiliʻili kēia mau ʻāpana a hana i kahi puʻupuʻu i kapa ʻia he cholesteatoma.
Ma waho aʻe o kēia kumu nui,
- Ma muli o nā maʻi pepeiao pinepine (Chronic otitis media) .
- Ma muli o kahi ulia e like me ka haki ʻana o ka pahu pepeiao .
- He mea kākaʻikahi loa, hiki ke loaʻa kēia ʻano i ka wā hānau .
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, pono ʻoe e ʻike mua i kāu kauka ʻohana. E nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a inā ua loaʻa iā ʻoe nā maʻi pepeiao ma mua.
A laila, hoʻohana ke kauka i kahi mea liʻiliʻi i kapa ʻia he otoscope e nānā i kou pepeiao. Hiki iā ia ke nānā i loko o ka pepeiao a ʻike inā he hōʻiliʻili ʻili make ma hope o ka eardrum a i ʻole he puʻupuʻu i loko o ka eardrum.
Inā kānalua ʻia he cholesteatoma, e kuhikuhi aku kāu kauka iā ʻoe i kahi loea pepeiao, ihu, a me ka ʻāʻī (otolaryngologist a loea ENT paha) . Hiki i ke loea ke hana i nā hoʻokolohua hou aʻe e hōʻoia i ke kūlana a hoʻoholo i ka nui o ka pōʻino.
- CT scan (Computed Tomography scan): Hiki i kēia ke ʻike maopopo i ka nui o ka puʻupuʻu, inā paha ua hōʻino ʻia nā iwi palupalu loa i kapa ʻia ʻo nā ossicles i loko o ka pepeiao, a inā paha ua pālahalaha aku i ka lolo.
- Nā hoʻāʻo lohe: Hana ʻia nā ʻano hoʻāʻo lohe like ʻole e ana i ka nui o ka hopena o kou lohe. ʻO Tympanometry kahi hoʻāʻo kūikawā e hiki ke kōkua i ka ʻike ʻana i kēia kūlana.
He aha nā lāʻau lapaʻau no kēia?
He nīnau kēia a ka poʻe he nui e nīnau nei. ʻAʻole anei hiki ke ho'ōla ʻia kēia ma ka lawe ʻana i ka lāʻau lapaʻau?
ʻO ke ʻano lapaʻau kūleʻa wale nō no ka cholesteatoma, ʻo ia ka wehe loa ʻana iā ia ma o ke ʻoki ʻana.
Hiki ke hāʻawi ʻia nā lāʻau lapaʻau, ʻoiai nā antibiotics a me nā kulu pepeiao, akā hāʻawi wale ʻia lākou no ka kaohi ʻana i ka maʻi i hoʻokumu ʻia e ka cyst. ʻO ia hoʻi, no ka hōʻemi ʻana i ka pus a me ka ʻeha mai ka pepeiao mai. Akā, ʻaʻole loa e hoʻopau nā lāʻau lapaʻau i ka cyst.
ʻElua mau pahuhopu nui o ke ʻoki kino:
1. Ke wehe loa ʻana i ka puʻupuʻu cholesteatoma a me ke kāohi ʻana i ka laha ʻana o ka maʻi.
2. E hoʻāʻo e hoʻoponopono i ka pōʻino o ka pepeiao i ka hiki a hoʻihoʻi i ka lohe.
ʻO nā ʻokiʻoki i hana ʻia no kēia kumu ua kapa ʻia ʻo "Mastoidectomy" a me "Tympanoplasty." Na ke kauka lapaʻau e hoʻoholo i ke ʻano o ke ʻokiʻoki kūpono loa iā ʻoe ma muli o kou kūlana.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino? A he aha nā mea e makaʻala ai?
ʻIke ka hapa nui o ka poʻe i ka hoʻopau piha ʻana o nā hōʻailona ma hope o ke ʻoki ʻana. Eia nō naʻe, aia kahi pilikia o ka hoʻi hou ʻana o ka cholesteatoma. No laila, he mea nui e hoʻomau i ka nānā ʻana me kāu kauka ma hope o ke ʻoki ʻana.
E haʻi aku kāu loea iā ʻoe e hoʻi mai i nā manawa kikoʻī . I ka wā o kēia mau nānā ʻana:
- Ke nānā hou nei au i kuʻu pepeiao.
- Ke nānā ʻia nei ka hoʻolohe ʻana.
- I kekahi manawa, hana ʻia kahi debridement (hoʻomaʻemaʻe) o ka pepeiao. Pili kēia i ka wehe pono ʻana i nā ʻili make a me nā ʻiʻo ʻē aʻe i hōʻiliʻili ʻia.
| Inā loaʻa iā ʻoe kēia mau hōʻailona ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka. | |
|---|---|
| 🚨 | Ka hoʻokuʻu nui ʻia ʻana o ka wai, e like me ke koko a i ʻole ka pus, mai ka pepeiao. |
| 🚨 | ʻEha nui ka pepeiao. |
| 🚨 | Loaʻa ke kuni ma luna o 38 kekelē Celsius (100.4 Fahrenheit). |
| 🚨 | Inā ʻike hou ʻia nā hōʻailona ma mua (ʻala maikaʻi ʻole, hoʻokuʻu ʻana). |
Hiki ke pale ʻia ka cholesteatoma?
ʻAʻohe ala e pale aku ai i ke ʻano i loaʻa i ka wā hānau. Akā, aia kekahi mau mea hiki iā kākou ke hana e hōʻemi i ka pilikia o ka hoʻomohala ʻana i ke ʻano maʻamau, a ma hope aku.
- Ke mālama wikiwiki a me ka pololei i nā maʻi pepeiao:Inā ʻoe a i ʻole kāu keiki e loaʻa pinepine ana i nā maʻi pepeiao, he mea nui e ʻimi i ke kōkua lapaʻau e hoʻoholo i ke kumu a mālama pono iā ia. He mea nui hoʻi e mālama i nā kūlana e hōʻino ai i ka hana o ka ʻōmole Eustachian, e like me ke anu a me nā maʻi allergies.
- Ka pale ʻana i nā pepeiao: He mea nui hoʻi e pale i nā pepeiao mai nā mea a me nā ulia e hiki ai ke haki i ka eardrum.
Leka Lawe-Home
- ʻO ka Cholesteatoma kahi ulu ʻana ʻaʻole he maʻi kanesa e kū mai ana mai kahi hōʻiliʻili o nā ʻili make ma hope o ka eardrum.
- ʻO nā hōʻailona nui he wai ʻala pilau e kahe ana mai ka pepeiao mai, ke kaomi i loko o ka pepeiao, a me ka nalowale o ka lohe.
- ʻO ke kumu nui o kēia, ʻo ia ka huki ʻia ʻana o ka eardrum i loko ma muli o ka hana ʻino o ka ʻōmole Eustachian.
- ʻO ke ala wale nō e ho'ōla ai i kēia, ʻo ia ka wehe ʻana ma ke ʻoki ʻana. ʻAʻole hiki ke ho'ōla ʻia me ka lāʻau lapaʻau.
- Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou a e ʻike koke i kāu kauka. Hiki i ka lāʻau lapaʻau koke ke pale i nā pilikia koʻikoʻi.
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