Ua noʻonoʻo paha ʻoe i ke ʻano o ka ʻakaʻaka ʻana, ka uē ʻana i ke kaumaha, a i ʻole ka ʻai ʻana i kahi meaʻai ʻono? ʻOiai ʻaʻole mākou e noʻonoʻo nui i kēia mau mea i ko mākou ola o kēlā me kēia lā, aia kekahi koa koʻikoʻi ma hope o kēia mau mea a pau. ʻO ia ke "aʻalolo maka" a i ʻole e like me kā mākou e kapa nei ma nā huaʻōlelo lapaʻau, ʻo ke Aʻalolo Maka . Ua like kēia aʻalolo me kahi "uea uila" e hele mai ana mai ko mākou lolo a i ko mākou maka. ʻO nā hōʻailona e hele mai ana mai ia mea e kāohi i ka aneane o nā manaʻo a me nā hana o ko mākou maka. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia aʻalolo kupaianaha.
He aha ke aʻalolo maka?
I ka ʻōlelo maʻalahi, he aʻalolo kūikawā ke Aʻalolo Maka i loko o kou poʻo. Lawe ia i nā leka mai ka lolo a i nā ʻiʻo o kou maka, a lawe pū ia i nā manaʻo mai ka maka (e like me ka ʻono) i ka lolo. Ua like ia me kahi ʻelele ʻelua ala.
He 12 mau pālua o kēia mau aʻalolo nui i loko o ko kākou poʻo. Kāhea mākou iā lākou he mau aʻalolo cranial . ʻO ke aʻalolo maka ka hiku o kēlā mau ʻumikūmālua. ʻO ia ke kumu i kapa ʻia ai e nā kauka i kekahi manawa ʻo "cranial nerve 7." ʻElua mau aʻalolo maka ma kēlā me kēia ʻaoʻao o ko kākou poʻo, hoʻokahi ma ka ʻaoʻao ʻākau a hoʻokahi ma ka hema.
ʻOiai ʻoe e heluhelu nei i kēia ʻatikala, ʻaʻole paha ʻoe i ʻike e hana ana kēia mau aʻalolo ʻelua. Na lākou ke kuleana no nā mea nui he nui, e like me kou helehelena, ka ʻōlelo, ka ʻono, a me nā waimaka.
He aha nā hana nui o kēia aʻalolo?
ʻEkolu mau hana nui o ke aʻalolo maka. E nānā kākou i ko lākou ʻano.
1. Ke kāohi ʻana i nā waimaka a me ka lawai
ʻO ia ke kuleana no nā waimaka e hiki mai ana i kou mau maka ke nānā ʻoe i kahi kiʻiʻoniʻoni kaumaha a me ka lawai e hiki mai ana i kou waha ke ʻike ʻoe i kahi meaʻai ʻono. ʻO nā olonā nerve parasympathetic i loko o kēia aʻalolo e hoʻoulu ai i nā kelepa lacrimal ma nā kihi o nā maka e hana i nā waimaka. ʻO ia hoʻi ke aʻalolo e hoʻoulu ai i nā kelepa salivary i loko o ka waha e hana i ka lawai.
2. Nā manaʻo e pili ana i ka ʻono a me ka lohe
He hana koʻikoʻi nō hoʻi kēia. Hoʻopilikia ʻia nā hapakolu ʻelua o mua o kou alelo e kēia aʻalolo. ʻO kēia aʻalolo ke hoʻouna i nā hōʻailona i ka lolo e pili ana i nā ʻono ʻono, ʻawaʻawa, a me ka paʻakai. ʻAʻole wale kēlā, akā kōkua pū kēia aʻalolo i ka hāʻawi ʻana i ka ʻike i kekahi mau ʻāpana o ko kākou pepeiao i loko, ka eardrum, a me ka ʻaoʻao o waho o ka pepeiao.
3. Ke kāohi ʻana i nā ʻano helehelena a me nā neʻe ʻana
ʻO kēia ka hana kaulana loa a nui loa o ke aʻalolo maka. ʻO nā ʻano helehelena a pau e like me ka minoʻaka, ka ʻūmiʻi ʻana, ka pani ʻana i nā maka, a me ka hana ʻana i ka helehelena i ka wā e huhū ai, ua kāohi ʻia e nā lālā motor o kēia aʻalolo. He 5 mau lālā nui kona. E nānā kākou i kēia papa e hoʻomaopopo pono ai.
| Ka inoa o ka lālā aʻalolo | Hana nui |
|---|---|
| Lālā Frontal (Manawa) | Hoʻomalu ia i nā ʻiʻo ma kou lae. ʻO kēia lālā ka mea e kōkua iā ʻoe e ʻūmiʻi ke kahaha ʻoe a huhū paha. |
| Lālā zygomatic | ʻO kēia ka mea e kōkua iā ʻoe e pani pono i kou mau maka. Ke hiamoe ʻoe, ke hanu ʻoe i ka lepo, pani kou mau maka ma muli o kēia lālā. |
| Lālā Buccal | Kōkua ia i ka hoʻokiʻekiʻe ʻana i kou lehelehe luna a me nā kihi o kou waha ke minoʻaka ʻoe. Pili pū ia i ka hoʻoneʻe ʻana i kou ihu a me ka ʻālohilohi ʻana i kou mau maka. |
| Lālā mandibular marginal | Kōkua ia iā ʻoe e huki i kou lehelehe lalo i lalo, e like me kou wā e kaumaha ai. Hoʻomalu pū ia i kahi ʻiʻo liʻiliʻi i loko o ka pepeiao, e kōkua ana i ka pale ʻana i kou mau pepeiao mai nā leo nui. |
| Lālā cervical | ʻO kahi ʻiʻo ma ka ʻāʻī (ʻiʻo platysma) e kaohi a kōkua i ka neʻe ʻana o ke auwae a me nā kihi o lalo o ka waha. |
Pehea lā ke ʻano o kēia aʻalolo maka i loko o ke poʻo?
He ʻano paʻakikī ke ala o kēia. Ua like ia me nā lālā o kahi lāʻau e puka mai ana mai ke aʻa.
- Hoʻomaka kēia ma ke kumu o ka lolo, ka ʻāpana haʻahaʻa loa o ka lolo.
- A laila hele ia ma ke kumu o ke poʻo.
- Hiki mai kēia i ka maka ma o kahi lua liʻiliʻi ma ka iwi kokoke i ka pepeiao.
- Mai laila mai, lālā ia ma kahi kokoke i ka parotid gland, kekahi o kā mākou mau kelepa salivary nui, a laha ma ka maka.
He aha ka mea e hana ai inā ua hōʻino ʻia ke aʻalolo maka?
Inā ua hōʻino ʻia kēia aʻalolo, ʻaʻole hiki ke hana pono ʻia nā hana āna e kāohi ai. Kāhea mākou i kēia Facial Nerve Palsy.ʻO ke ʻano o "Palsy" ʻo ia hoʻi "paralysis" a i ʻole "incapability". Nui nā kumu no kēia hōʻino.
- Nā kūlana Autoimmune: Nā maʻi i hoʻouka ai ka ʻōnaehana pale ponoʻī o ke kino i nā aʻalolo, e like me ka Guillain-Barré syndrome a me ka sarcoidosis.
- Nā puʻupuʻu a me nā maʻi ʻaʻai: ʻO nā mea e like me nā puʻupuʻu kelepa salivary a me nā puʻupuʻu lolo (meningioma) hiki ke hoʻopaʻa i ke aʻalolo.
- Nā maʻi pepeiao a i ʻole nā pūpū: ʻO nā maʻi pepeiao, nā pūpū e ulu a puni ka pepeiao, e like me nā neuromas acoustic, hiki ke hōʻino i kēia aʻalolo.
- Nā ʻeha ma ke poʻo a me ka maka: Nā ʻeha ma ke poʻo a me nā iwi maka i hana ʻia e kahi ulia.
- ʻO kekahi mau ʻoki kino: Aia kahi pilikia o ka hōʻino ʻana i kēia aʻalolo i ka wā o kekahi mau ʻoki kino maka, me nā ʻoki kino hoʻonaninani (facelifts).
- Nā maʻi: ʻO kekahi mau maʻi bacteria, e like me ka maʻi Lyme.
- Hahau: Hiki i kēia aʻalolo ke nalowale i ka hana ma muli o ka hōʻino ʻia ʻana o nā hunaola lolo ma muli o ke kahe koko i ka lolo.
ʻO ka mea nui loa, inā loaʻa iā ʻoe ka nāwaliwali koke a i ʻole ka maneʻo ʻana ma kekahi ʻaoʻao o kou maka, he mea nui e hele koke i ka Emergency Department (ETU) o ka haukapila , no ka mea, he hōʻailona paha kēia o ka hahau ʻana.
ʻO nā ʻano nui o ka palsy o ke aʻalolo maka
- ʻO ka maʻi lolo o Bell: ʻO kēia ke ʻano maʻamau. I kēia kūlana, lilo koke kekahi ʻaoʻao o ka maka i mea ʻole. ʻO nā hōʻailona e komo pū me ka hāʻule ʻana o ka waha i ka wā e minoʻaka ai a me ka paʻakikī i ka pani ʻana i nā maka. ʻO ka hapa nui o ka manawa, he manawa pōkole kēia a hiki ke mālama ʻia. Eia nō naʻe, ʻoiai ua like kēia mau hōʻailona me nā hōʻailona o ka hahau ʻana, he mea nui e ʻike i ke kauka e hōʻoia ʻaʻole ia he hahau ʻana.
- ʻO ka maʻi Ramsay Hunt: He pilikia kēia o ka maʻi varicella-zoster, ka mea e hoʻoulu ai i ka chickenpox a i ʻole shingles. Ma waho aʻe o ka maʻi lolo o ka maka, hiki iā ia ke hoʻoulu i ka ʻeha pepeiao nui a me ka pehu ʻeha o ka pepeiao, ka maka, a i loko o ka waha .
I kekahi manawa lilo kēia aʻalolo i mea hana nui a hoʻomaka nā ʻiʻo o ka maka e ʻoni pinepine. Kāhea mākou i kēia he hemifacial spasm .
He aha nā hōʻailona o ka hōʻino ʻia ʻana o ke aʻalolo maka?
Hiki ke ʻokoʻa nā hōʻailona ma muli o kahi i hōʻino ʻia ai ke aʻalolo a me ke kumu. Hiki i kēia ke lilo i manawa pōkole a mau loa paha. E nānā kākou i nā hōʻailona nui.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Ka nāwaliwali o nā ʻiʻo maka | Ka lolo hapa a piha paha o kekahi ʻaoʻao o ka maka. ʻAʻole hiki ke minoʻaka a ʻūmiʻū paha. |
| Nā kuʻemaka a me nā maka e hāʻule ana | Ke kulou ʻana o ke kuʻemaka a me ka lihilihi ma ka ʻaoʻao i hoʻopilikia ʻia. |
| Ka paʻakikī i ka pani ʻana i ka maka | ʻAʻole hiki ke ʻimo a pani loa paha i ka maka. |
| Nā maka maloʻo | Nā maka maloʻo ma muli o ka emi ʻana o ka hana ʻana o ka waimaka. |
| ʻO Hyperacusis | Manaʻo ʻia ua nui loa ka leo o nā leo maʻamau. |
| Ke kahe ʻana o ka wai | Huki ʻia ka waha i kekahi ʻaoʻao i ka wā e minoʻaka ai a i ʻole e kamaʻilio ana. Ke kahe nei ka lawai mai ke kihi o ka waha. |
| Ka paʻakikī i ka ʻai ʻana a me ka inu ʻana | Paʻakikī ke mālama i ka meaʻai i loko o ka waha a me ka wai e puka mai ana mai loko mai o ka waha i ka wā e inu ai. |
| Ka nalowale o ka ʻono a me ka waha maloʻo | Nā loli i ka ʻike o ka ʻono ma ke alelo a me ka waha maloʻo ma muli o ka emi ʻana o ka hana ʻana o ka lawai. |
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, he mea nui loa ia e ʻike i ke kauka e nānā iā lākou. No ka mea, ʻo ke kumu ma hope o kēia he mea koʻikoʻi paha. E hana kāu kauka i nā hoʻokolohua e pono ai, e ʻimi i ke kumu pololei, a e kuhikuhi i ka lāʻau lapaʻau e pono ai.
Pehea lā e mālama ai i ke olakino o ko kākou aʻalolo maka?
I kekahi manawa, ʻaʻole hiki iā kākou ke pale aku i ka hōʻino ʻia ʻana o kēia aʻalolo. Akā, aia kekahi mau mea hiki iā kākou ke hana e mālama i ko kākou ʻōnaehana aʻalolo holoʻokoʻa, me ke aʻalolo maka.
- ʻAi i nā meaʻai momona: E hoʻohui i nā meaʻai i loaʻa ka wikamina D a me ka wikamina B12 (iʻa, waiū, hua manu, nā mea kanu ʻōmaʻomaʻo), he mea nui loa ia no ke olakino o nā aʻalolo, i kāu papaʻai.
- E mālama i nā maʻi mau loa: Hiki i nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe ke hōʻino i nā aʻalolo. No laila, e hahai i nā ʻōlelo aʻoaʻo a kāu kauka a mālama pono i kēia mau maʻi.
- E pale i ka puhipaka: Hoʻemi ka puhipaka i ke kahe koko i nā aʻalolo. No laila, inā ʻoe e puhipaka, e kiʻi i ke kōkua e haʻalele.
- E mālama i ke kaumaha olakino: ʻO ka mālama ʻana i ke kaumaha olakino kūpono i ke kino he mea maikaʻi ia no ke olakino holoʻokoʻa.
- E hōʻemi i ke kaumaha: ʻO ka hōʻemi ʻana i ke kaumaha ma ke ʻano e kūpono iā ʻoe, e like me ka noʻonoʻo ʻana a i ʻole ka hele wāwae ʻana, he mea maikaʻi nō hoʻi ia no ka ʻōnaehana nerve.
- E pale i kou poʻo: He mea nui loa ia e pale i kou poʻo mai nā ulia. E hōʻoia e kau i ka mahiole i ka wā e pāʻani ana i nā haʻuki, holo paikikala, a holo mokokaikala paha.
I ka hopena, pono kākou e mahalo no ke aʻalolo maka, ka mea e kōkua iā kākou e hana i nā mea nui i ko kākou ola o kēlā me kēia lā, e like me ka minoʻaka, ka ʻai ʻana i ka meaʻai, a me ka pani ʻana i ko kākou mau maka. Inā ʻike ʻoe i ka nāwaliwali o ka maka a i ʻole kekahi o nā hōʻailona ʻē aʻe i ʻōlelo ʻia ma kēia ʻatikala, hiki ke lilo i ka hōʻino ʻia o ke aʻalolo. No laila, e ʻike koke i ke kauka a kamaʻilio e pili ana i ia mea.
Leka Lawe-Home
- ʻO ke aʻalolo maka kahi aʻalolo e kaohi ana i nā hana koʻikoʻi he nui, e like me ko mākou ʻano helehelena, ka ʻono, a me ka hana ʻana o nā waimaka a me ka lawai.
- Mai hoʻowahāwahā i ka nāwaliwali koke, ke kūlou ʻana, a i ʻole ka mae ʻana o kekahi ʻaoʻao o ka maka. He hōʻailona paha ia o ka hahau ʻana, no laila e hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
- Hiki ke hana ʻia ka maʻi lolo o ka maka e nā kūlana e like me Bell's Palsy, akā he mea nui e ʻike mua i ke kauka e hōʻoia ʻaʻohe kumu koʻikoʻi.
- ʻO ka ʻai ʻana i ka meaʻai kaulike, ka mālama ʻana i nā maʻi maʻi mau, ka pale ʻana i ka puhipaka, a me ka pale ʻana i kou poʻo e kōkua i ka mālama ʻana i ke olakino o kāu ʻōnaehana nerve holoʻokoʻa.
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