E noʻonoʻo ua hana ʻia ʻoe i ke ʻoki no ka ihu paʻa, a ua manaʻo ʻoe e hiki iā ʻoe ke hanu maikaʻi i kēia manawa. Akā ma hope o ke ʻoki ʻana, ua manaʻo mau ʻoe ua paʻa a he mea paʻakikī loa ka hanu ʻana. Ke nānā ke kauka iā ʻoe, ʻōlelo ʻo ia ʻaʻohe mea paʻa i loko o kou ihu, a ua wehe pono ʻia ke ala. ʻO kēia manaʻo ʻē a kūʻē ka mea a mākou e kamaʻilio nei i kēia lā, ʻo Empty Nose Syndrome (ENS). E like me ka inoa e hōʻike nei, he mea kakaikahi loa kēia ʻano i kapa ʻia ʻo 'empty nose', a he mea hoʻi ia e hoʻoulu ai i ka nui o ke kaumaha no nā poʻe he nui.
He aha kēia kūlana i kapa ʻia ʻo Empty Nose Syndrome?
I ka ʻōlelo maʻalahi, ʻo ka Empty Nose Syndrome (ENS) ka wā e manaʻo ai ʻoe ua paʻa kou ihu a ʻaʻole hiki iā ʻoe ke hanu, ʻoiai he nui ka lumi e hanu ai ma kou ihu. Hiki ke hana pinepine ʻia kēia ma hope o ke ʻoki ʻana i ka ihu.
ʻEkolu mau ʻano liʻiliʻi e like me ka papa i loko o ko kākou ihu i kapa ʻia ʻo 'Turbinates'. ʻO kā lākou hana nui ka hoʻomaʻemaʻe, hoʻomaʻū, a hoʻomehana i ka ea a kākou e hanu ai a hoʻouna aku i nā māmā. I kekahi manawa, ma muli o nā mea e like me nā maʻi allergies a me nā maʻi, hiki i kēia mau turbinates ke pehu a hoʻoulu i ka ihu paʻa. I kēlā hihia, hana nā kauka i kahi ʻoki e hōʻemi i ka nui o kēia mau turbinates (ʻoki hoʻemi Turbinate). I kekahi manawa, pono e wehe i kahi hapa o kēia mau turbinates (Partial turbinectomy) a i ʻole (Complete turbinectomy).
Ua holomua ka hapa nui o kēia mau ʻoki kino. Eia nō naʻe, he mea kākaʻikahi loa , inā nui ka ʻiʻo turbinate i wehe ʻia a i ʻole i hōʻino ʻia i ka wā o ke ʻoki kino, hiki ke loaʻa ka ENS. Hiki i kēia ke hana iā ʻoe e like me ʻoe e hanu ana, ʻoiai ke wehe mau nei kou mau puka ihu. Ua like ia me kahi puzzle.
He aha ke kumu o ka ENS?
Ke noiʻi ʻia nei ke kumu kikoʻī o ka ENS, akā ua manaʻoʻiʻo ʻia ua hana ʻia e ka wehe nui ʻana o ka ʻiʻo turbinate i ka wā o ke ʻoki ʻana i ka ihu.
E noʻonoʻo e pili ana i ia mea, ʻaʻole wale ko kākou ihu he ʻōmole e hoʻokuʻu ai i ka ea. He ʻōnaehana paʻakikī loa ia.
- Ka hōʻino ʻana o nā aʻalolo: Aia nā aʻalolo liʻiliʻi ma luna o ka ʻili o kēia mau turbinates e ʻike i nā mea e like me ke kaomi ea a me ka mahana. Ke hanu mākou, hoʻouna kēia mau aʻalolo i ka hōʻailona i ka lolo e "hanu i kēia manawa." Inā wehe ʻia a hōʻino ʻia paha kēia mau aʻalolo i ka wā o ke ʻoki ʻana, ʻaʻole loaʻa i ka lolo kēlā hōʻailona. Wehewehe ka lolo iā ia me he "ʻAʻole hiki iaʻu ke hanu, ua paʻa koʻu ihu."
- Nā loli o ke kahe ʻana o ka ea: Ke nui loa ka hakahaka i loko o ka ihu ma hope o ke ʻoki ʻana, hele pololei ke ala ea. Paʻi ia i nā turbinates, wili, a ʻaʻole pulu. Hiki i kēia ke hana i ka lolo e like me ka hanu pono ʻana.
- Ke kaulike ʻole o ka bacteria: ʻO ka membrane mucous e uhi ana i ka ihu e kōkua i ka pale ʻana i nā bacteria olakino. Ke hōʻino ʻia kēia papa e ke ʻoki ʻana, hiki i nā bacteria olakino ke emi a hiki i nā bacteria ʻino ke ulu. Hiki i kēia ke hoʻonui i ka pilikia o nā maʻi a me nā hōʻailona ENS.
He aha nā hōʻailona o ka Empty Nose Syndrome (ENS)?
Hiki ke ʻike ʻia nā hōʻailona ENS i nā pule, nā mahina, a i ʻole nā makahiki ma hope o ke ʻoki ʻana. Hiki ke ʻokoʻa kēia mau hōʻailona mai kēlā kanaka a kēia kanaka.
| ʻAno o ka hōʻailona | Wehewehena |
|---|---|
| Nā hōʻailona e pili ana i ka hanu ʻana | Paʻakikī ka hanu ʻana, ka manaʻo mau o ka paʻa ʻana o ka ihu, ka manaʻo anu i ka ihu i ka wā e hanu ana, ka manaʻo o ka hanu ʻana a i ʻole ke piholo ʻana. |
| Nā hōʻailona e pili ana i ka ihu a me ka ʻāʻī | Ka maloʻo nui o ka ihu a me ka puʻu, ke kahe koko o ka ihu, ka emi ʻana o ka hana mucus, ka ʻōpala i loko o ka ihu, a me ke kahe ʻana o ka wai ma hope o ka ihu. |
| Nā ʻano kino ʻē aʻe | ʻEha pinepine ka ʻeha, ka poniuniu, ka honi piha a emi paha ke ʻala (anosmia), ka ʻono emi (ageusia), ka luhi nui, ka hiamoe ʻole. |
ʻO ka pilina ma waena o ka ENS a me ke olakino noʻonoʻo
He mea nui loa kēia. ʻO ka manaʻo e like me ʻoe e pilikia mau ana i ka hanu ʻana a ʻaʻole ʻoe e manaʻoʻiʻo ʻia hiki ke loaʻa ka hopena nui i ke olakino noʻonoʻo o ke kanaka . Ma waena o ka poʻe me ENS:
- Hopohopo
- Kaumaha
- ʻAʻole hiki ke noʻonoʻo
- Huhū pinepine
ʻO nā kūlana e like me: he mea maʻamau. Ua hōʻike kekahi mau noiʻi a hiki i ka 70% o ka poʻe me ENS e ʻeha nei i ke kaumaha.
Mea nui: Inā ʻoe a i ʻole kekahi āu i ʻike ai e noʻonoʻo ana e hōʻeha iā lākou iho, e ʻoluʻolu e ʻike koke i kāu kauka, a i ʻole e hele i ka ʻOihana Pōpilikia (ETU) ma ka haukapila kokoke loa iā ʻoe. He mea nui loa e kamaʻilio e pili ana i kēia a e ʻimi i ke kōkua.
He maʻi maoli anei ka ENS? Pehea e ʻike ai ke kauka iā ia?
ʻAe, he maʻi maoli ka ENS, akā ʻaʻole maʻamau loa. ʻO ia ke kumu e paʻakikī ai ke ʻike ʻana i kekahi manawa no ka mea ʻaʻole hōʻike kahi scan i kekahi mea paʻa i loko o ka ihu.
E hoʻohana nui ke kauka i kāu mau hōʻailona a me ka mōʻaukala ʻoki kino e ʻike ai i ka ENS. Eia kekahi,
- Hiki ke hoʻohana ʻia kahi endoscope, kahi ʻōmole liʻiliʻi me kahi kāmela, e nānā i loko o ka ihu.
- Hiki ke hana ʻia kahi scan CT a MRI paha e kāpae i nā kumu ʻē aʻe (e like me nā polyp ihu, ke kanesa).
- "Hoʻāʻo Pulupulu": He hoʻāʻo maʻalahi loa kēia, akā he mea nui. Hoʻokomo ke kauka i kahi pōpō pulupulu i hoʻomoʻa ʻia i loko o ka wai saline i loko o kou puka ihu, ma kahi i noho ai nā turbinates. Ma hope o 20-30 mau minuke, e nānā lākou e ʻike inā e hoʻomaikaʻi ana kāu mau hōʻailona e like me ka pōkole o ka hanu a me ka maloʻo. Inā hoʻomaikaʻi kēlā mau hōʻailona no kekahi manawa pōkole, he hōʻailona ikaika ia he ENS kou.
He aha nā lāʻau lapaʻau no ka ENS?
ʻAʻohe lāʻau lapaʻau no ka ENS, akā he nui nā ala e hoʻokele ai i nā hōʻailona a hoʻomaikaʻi i ke ʻano o ke ola .
- E hoʻomaʻū i ka ihu: ʻO ka hoʻohana ʻana i nā saline sprays a i ʻole gels, inu i ka nui o ka wai i ka lā a pau, a me ka hoʻohana ʻana i kahi humidifier i loko o ka lumi moe e hiki ke kōkua i ka hōʻemi ʻana i ka maloʻo o ka ihu.
- Mīkini CPAP: Manaʻo kekahi poʻe he mea kōkua ka hoʻohana ʻana i ka mīkini CPAP i ka wā hiamoe i ka mālama ʻana i ka makū a me ke kahe ʻana o ke ea.
- Lāʻau lapaʻau: Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e hoʻonui ai i nā kīʻaha koko i loko o kou ihu a kōkua i ka hōʻemi ʻana i ka pehu ʻana o nā membrane mucous.
- ʻOki kino: Inā koʻikoʻi nā hōʻailona, hiki ke hana ʻia ke ʻoki kino e pani i nā turbinates i wehe ʻia me kahi implant. Pili paha kēia i ka hoʻohana ʻana i nā mea synthetic e like me Gore-Tex a i ʻole nā mea i loaʻa mai nā ʻiʻo kanaka e like me ka acellular dermis a i ʻole ka platelet-rich plasma (PRP). Hana kēia ma ka hōʻemi ʻana i ka hakahaka i loko o ka ihu, ka hoʻohaiki ʻana i ke ala ea, a me ka hoʻāʻo ʻana e hoʻihoʻi i ka manaʻo o ka hanu ʻana i ka lolo.
Leka Lawe-Home
- He maʻi lapaʻau kakaʻikahi ka Empty Nose Syndrome (ENS) akā he ʻano maoli ia e hiki ke hana ma hope o ke ʻoki ʻana i ka ihu, kahi e manaʻo ai ua pani ʻia ka ihu ʻoiai ua hakahaka.
- ʻO ke kumu nui o kēia ka wehe ʻana o ka nui o nā ʻiʻo turbinate mai ka ihu i ka wā o ke ʻoki ʻana.
- Hiki ke loaʻa nā hōʻailona kino e like me ka paʻakikī o ka hanu ʻana, ka ihu maloʻo, a me ka nalowale o ke ʻala, a me nā hopena noʻonoʻo e like me ke kaumaha a me ka hopohopo.
- Inā ua hana ʻia ke ʻoki ihu iā ʻoe a ke ʻike nei ʻoe i kēia mau hōʻailona, he mea nui loa ia e kamaʻilio me kāu kauka pepeiao, ihu, a me ka ʻāʻī (ENT) e pili ana i ia mea.
- ʻOiai ʻaʻole hiki ke ho'ōla loa ʻia, aia nā lāʻau lapaʻau e loaʻa ana e kāohi i nā hōʻailona a alakaʻi i kahi ola maikaʻi.
- Inā ʻoe e hana ʻia ana i ke ʻoki ihu, e kūkākūkā me kāu kauka i ka pilikia o ka ENS a me ke koʻikoʻi o ka hana ʻana i ke ʻoki ma ke ʻano e mālama ai i ka nui o nā ʻiʻo e like me ka hiki.
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