Loaʻa iā ʻoe kekahi ʻeha pepeiao pinepine? Ua haʻi aku anei ke kauka iā ʻoe e pono ʻoe e hana i ke ʻoki ʻana ma ka iwi ma hope o kou pepeiao? Ke lohe ʻoe i ka inoa ʻo 'Mastoidectomy', hiki paha iā ʻoe ke hopohopo iki a kānalua. He mea maʻamau loa ia. Akā, mai makaʻu i kekahi mea. I kēia lā, e kamaʻilio mākou e pili ana i kēia ʻoki ʻana, no ke aha e hana ʻia ai, pehea e hana ʻia ai, a me nā mea e hana ʻia ma hope, ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Mastoidectomy?
ʻAe, e nānā mua kākou i ke ʻano o kēia Mastoid. Aia kahi iwi ma hope o kou pepeiao, ma ka ʻaoʻao o kou poʻo, ʻo ia ka iwi Mastoid . Ua piha ia me kahi puʻu o nā hunaola ea liʻiliʻi, e like me ka meli, a i ʻole ka huʻahuʻa.
No laila, inā no kekahi kumu e loaʻa ai kēia mau keʻena ea i nā germs, a inā paha e maʻi lākou, pono e wehe ʻia ma ke ʻoki ʻana. ʻO ke ʻoki ʻana e wehe i kēlā mau keʻena ea mastoid maʻi ua kapa ʻia he mastoidectomy .
No ke aha mākou e pono ai i ka mastoidectomy?
Aia kekahi mau kumu nui no ka hana ʻana i kēia ʻoki kino. ʻAʻole ʻoe e hana i kēia ʻano ʻoki kino no kahi pilikia pepeiao liʻiliʻi wale nō.
- Ka laha ʻana o nā maʻi pepeiao (Otitis Media): I kekahi manawa, inā ʻaʻole mālama pono ʻia nā maʻi pepeiao waena, hiki i ka maʻi ke laha i ka iwi mastoid. A laila pono kēia ʻoki kino e wehe i nā ʻāpana i loaʻa i ka maʻi.
- ʻO Cholesteatoma: He ʻano kūikawā kēia. I ka ʻōlelo maʻalahi, he ulu ʻana o nā ʻili ʻili ʻaʻole ia he maʻi kanesa e hana ʻia ma hope o ka eardrum. ʻOiai ʻaʻole ia he maʻi kanesa, i kona ulu ʻana, hoʻomaka ia e luku i ka iwi palupalu a puni (ka iwi liʻiliʻi e alakaʻi i ke kani i loko o ka pepeiao) a me ka iwi mastoid. No ka wehe ʻana, pono ʻoe e hana i kahi mastoidectomy.
- I ka wā o ke ʻoki ʻana i ka cochlear implant: Pono paha kekahi poʻe e hana i kahi mastoidectomy ma ke ʻano he ʻāpana o ke ʻoki ʻana ke loaʻa iā lākou kahi implant cochlear, kahi mea i hoʻokomo ʻia i loko o ka pepeiao ma ke ʻano he kōkua hoʻolohe.
- Hoʻoponopono ʻana i ka pahu pepeiao (Tympanoplasty): Inā he pahu pepeiao puka ko kekahi kanaka a ke hana ʻia nei ke ʻoki kino e hoʻoponopono iā ia (Tympanoplasty), akā he pilikia nō hoʻi me ka iwi mastoid, hiki ke hana pū ʻia nā ʻoki kino ʻelua.
Pehea ke koʻikoʻi o kēia ʻoki kino? He aha nā ʻano o nā ʻoki kino?
ʻAʻole hoʻokahi wale nō ʻano o ke ʻoki mastoidectomy. Na kāu kauka e hoʻoholo i ke ʻano o ke ʻoki āu e pono ai ma muli o ke ʻano o kou kūlana a me ka mamao o kona laha ʻana. E nānā kākou i nā ʻano nui.
| ʻAno o ke ʻoki kino | I ka ʻōlelo maʻalahi... |
|---|---|
| Mastoidectomy maʻalahi | ʻO kēia ke ʻano maʻalahi loa. Wehe wale ia i nā ʻeke ea maʻi i loko o ka iwi mastoid. ʻAʻole ia e hōʻeha i kou kahawai pepeiao a i ʻole nā iwi palupalu i loko o kou pepeiao waena (ossicles). |
| Mastoidectomy e hoʻopaʻa ana i ka paia o ke kahawai | ʻO kēia ka wehe ʻana i kahi iwi hou aʻe ma mua o kahi hana maʻalahi. ʻO kēia no ka mea pono ke kauka e komo i ka pepeiao waena ma hope o ka eardrum a wehe i nā pilikia ma laila (e.g., cholesteatoma). Eia naʻe, ʻaʻole kēia kaʻina hana e hōʻino i ke kahawai pepeiao. |
| ʻO ka Mastoidectomy i lalo o ka paia o ke kahawai | ʻO kēia ke ʻoki kino paʻakikī loa. Hana ʻia ia ke pālahalaha ka maʻi a hiki i ka wā i hōʻino ʻia ai ke kahawai pepeiao a ʻaʻole hiki ke hoʻoponopono ʻia. Maanei, ua hui pū ʻia ke kahawai pepeiao a me ka iwi mastoid e hana i kahi lua nui (lua mastoid/kīʻaha). Hoʻonui iki ʻia ka puka pepeiao i mea e maʻalahi ai ka hoʻomaʻemaʻe ʻana i kēia lua i ka wā e hiki mai ana. Ua kapa ʻia hoʻi kēia he Radical Mastoidectomy . |
E wehewehe pono ana kāu kauka iā ʻoe i ke ʻano o ke ʻoki kino e pono ai ʻoe e hana, no laila mai makaʻu.
He aha ka mea e hana ʻia ma mua a i ka wā o ke ʻoki kino?
Ma mua o ke ʻoki kino
Ma mua o ke ʻoki kino, e hāʻawi ke kauka iā ʻoe i kahi hoʻonohonoho o nā kuhikuhi. He mea nui loa ia e hahai pololei iā lākou.
- Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā mea e hōʻemi ai i ke kāpili ʻana o ke koko).
- Ma muli o ka hana ʻia ʻana o ke ʻoki ʻana ma lalo o ka anesthesia laulā, e noi ʻia ʻoe e hoʻokē ʻai (ʻaʻole e ʻai a inu paha i kekahi mea) no kekahi mau hola ma mua o ke ʻoki ʻana.
- ʻOiai ʻaʻole hiki iā ʻoe ke hoʻokele iā ʻoe iho i ka home ma hope o ke ʻoki ʻana, e hoʻonohonoho mua no kahi mea āu e hilinaʻi ai e hoʻokele iā ʻoe i ka home.
I ka wā o ke ʻoki kino
ʻAʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki ʻana, no ka mea, e hiamoe ana ʻoe. ʻO ka maʻamau, e hana ʻia kēia mau mea:
1. ʻO ka mea mua, e hoʻomaʻemaʻe piha ʻia ʻoe.
2. A laila e hana ke kauka ʻokiʻoki i kahi ʻoki liʻiliʻi ma ka ʻili ma hope o kou pepeiao e hiki ai i ka iwi mastoid. (Mai hopohopo, e hana ke kauka i kēia i ʻole e ʻike iki ʻia ka ʻeha ma hope.)
3. Ua wehe ʻia ka iwi mastoid me ka hoʻohana ʻana i nā mea hana kūikawā.
4. E wehe pono i nā keʻena ea a pau i loaʻa i ka maʻi a me nā maʻi i loko.
5. ʻO ka hope loa, ua pani ʻia ka ʻoki me nā humuhumu a uhi ʻia me kahi ʻaʻahu gauze.
ʻO ka maʻamau, ʻelua a ʻekolu paha hola ka lōʻihi o kēia hana holoʻokoʻa.
Aia kekahi ʻeha ma hope o ke ʻoki kino?
ʻAʻohe ʻeha i ka wā o ke ʻoki ʻana. Eia nō naʻe, ma hope o ke ʻoki ʻana, i ka pau ʻana o ka anesthesia a ala ʻoe, e ʻike paha ʻoe i kahi ʻeha iki ma kahi i ʻoki ʻia ai, he kaumaha, a i ʻole he piha i loko o kou pepeiao. He mea maʻamau kēia.
E kuhikuhi ana kāu kauka i nā mea hoʻomaha ʻeha e kōkua i ka kaohi ʻana i kēia ʻeha. Hiki i nā mea hoʻomaha ʻeha ke kūʻai ʻia ma luna o ke kauka e like me Paracetamol a i ʻole Ibuprofen ke kōkua pū kekahi. E hāʻawi kāu kauka iā ʻoe i kekahi mau ʻōlelo aʻoaʻo e kōkua iā ʻoe e noho ʻoluʻolu i kou wā e hoʻōla ai.
He aha nā pōmaikaʻi a me nā pilikia kūpono o kēia ʻoki kino?
E like me nā mea āpau, loaʻa i kēia ʻoki kino nā pono a me nā pilikia liʻiliʻi loa.
Nā Pōmaikaʻi o ke ʻoki kino
ʻO ka pōmaikaʻi nui o kēia, ʻo ia ka hiki ke ho'ōla i kahi maʻi pepeiao i hoʻopilikia iā ʻoe no ka manawa lōʻihi. Hiki iā ia ke pale aku i nā pilikia koʻikoʻi e hiki mai ana mai nā kūlana e like me ka cholesteatoma inā ʻaʻole mālama ʻia. ʻO ia mau pilikia:
- Poho lohe
- Vertigo a me ka Dizziness
- Ka pōʻino o ke aʻalolo maka
- ʻO ka maʻi pepeiao o loko (Labyrinthitis)
- ʻO ka maʻi meningitis
- ʻO ka ʻōpū o ka lolo
Nā pilikia hiki ke loaʻa (Nā pilikia)
E like me nā ʻoki kino āpau, aia kekahi mau pilikia e hiki ʻole ke hana pinepine ʻia.
| Pilikia/Paʻakikī | ʻO ia hoʻi... |
|---|---|
| Poho lohe sensorineural | Ka nalowale ʻana o ka lohe ma muli o ka hōʻino ʻia ʻana o nā aʻalolo lohe ma ka pepeiao o loko. |
| ʻEha o ke aʻalolo maka | ʻO ka hōʻino ʻana i ke aʻalolo e kaohi ana i nā ʻiʻo maka hiki ke hoʻonāwaliwali a i ʻole ka lolo ma kekahi ʻaoʻao o ka maka. He maʻi laha ʻole kēia. |
| Ka loli o ka ʻono (Dysgeusia) | He loli i ke ʻano o kou alelo. ʻO ka hapa nui o ka manawa, he manawa pōkole kēia a nalowale i loko o kekahi mau mahina. |
| Tinnitus | He leo kani mau i loko o nā pepeiao. |
ʻEhia ka lōʻihi e ho'ōla ai?
Hiki paha iā ʻoe ke hoʻōla piha ma kahi o 6 a 12 mau pule . Akā, mai hopohopo, hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau (kula, hana) i loko o hoʻokahi a ʻelua paha pule . Eia nō naʻe, i loko o kēia manawa, pono ʻoe e hahai pono i nā ʻōlelo a ke kauka (e like me ka hoʻoikaika kino ʻole, ka hāpai ʻole ʻana i nā mea kaumaha, ka ʻae ʻole ʻana i ka wai e komo i loko o kou mau pepeiao).
He aha nā manawa e pono ai ʻoe e kamaʻilio me ke kauka ma hope o ke ʻoki kino?
He mea nui loa kēia. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o kou hoʻi ʻana i ka home mai ke ʻoki ʻana, pono ʻoe e kāhea koke i kāu kauka .
- Inā loaʻa iā ʻoe ke kuni he 100.5 Fahrenheit (38.05 Celsius) a ʻoi aku paha .
- Inā he kahe koko nui a i ʻole he wai e puka mai ana mai ka pepeiao.
- Inā ʻike ʻoe i ka nāwaliwali o ka maka (e.g., e kulou ana kekahi ʻaoʻao o kou waha i kou minoʻaka ʻana).
- Inā loaʻa iā ʻoe ka dizziness nui a i ʻole ka vertigo.
- Inā e emi koke ana kou lohe .
Inā loaʻa pinepine iā ʻoe nā maʻi pepeiao a i ʻole nā pilikia ʻē aʻe, ʻo ke ʻoki mastoidectomy paha ke koho maikaʻi loa nāu. E kamaʻilio me kāu kauka e pili ana i kēia. Hiki i kēia ʻoki ke hoʻopau i ka maʻi a hoʻomaikaʻi i kou olakino holoʻokoʻa a me ke ʻano o ke ola.
Leka Lawe-Home
- ʻO ka Mastoidectomy kahi ʻoki kino palekana e wehe ai i nā ʻāpana maʻi o ka iwi mastoid ma hope o ka pepeiao.
- Hana ʻia kēia no ka mālama ʻana i nā kūlana e like me nā maʻi pepeiao e kū hou ana a me ka cholesteatoma a no ka pale ʻana i nā pilikia koʻikoʻi e hiki mai ana i ka wā e hiki mai ana.
- E ʻokoʻa ke ʻano o ke ʻoki kino (Simple, Canal-wall-up, Canal-wall-down) ma muli o kou kūlana olakino.
- Hiki ke hoʻomalu maʻalahi ʻia ka ʻeha ma hope o ke ʻoki ʻana me nā ʻeha hoʻomaha maʻamau.
- He mea nui loa e hahai pono i nā ʻōlelo a kāu kauka i kou wā e hoʻōla ai. Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ke kahe nui ʻana o ke koko, a i ʻole ka nāwaliwali o ka helehelena, e kāhea koke aku i kāu kauka.
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