Ke ʻeha nei hoʻi ʻoe i nā maʻi pepeiao pinepine? Ke ʻeha nei ʻoe i nā pilikia e like me ka pus e kahe ana mai ka pepeiao, ka ʻeha pepeiao, a me ka nalowale mālie o ka lohe? I kekahi manawa ʻo ke kumu o ia mau pilikia pepeiao mau loa he maʻi ia ma ka iwi ma hope o ka pepeiao. I ia mau hihia, ʻo kahi ʻoki kūikawā a nā kauka e ʻōlelo nei ua kapa ʻia ʻo Mastoidectomy. ʻOiai he mea ʻē iki ka inoa, he ʻoki kēia i lawe mai i ka hōʻoluʻolu i ke ola o nā kānaka he nui. I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ka Mastoidectomy?
I ka ʻōlelo maʻalahi, ʻo ka mastoidectomy ka wehe ʻoki ʻana i nā ʻāpana i loaʻa i ka maʻi o ka iwi ma hope o kou pepeiao.
E noʻonoʻo, ma hope o ko kākou mau pepeiao, ma ke ʻano he ʻāpana o ke poʻo, aia kahi iwi i kapa ʻia ʻo 'Mastoid'. ʻAʻole kēia he iwi paʻa. Ua like ia me ka meli, a i ʻole ka huʻa, i piha i ka nui o nā hunaola ea liʻiliʻi i loko. ʻO ka maʻamau, pono e olakino kēia mau mea. Akā i kekahi manawa, inā ʻaʻole i kāohi ʻia nā maʻi pepeiao, ʻoiai nā maʻi pepeiao waena (`otitis media`), hiki i kēia maʻi ke laha a hele i nā hunaola ea i loko o ka iwi mastoid. ʻO ia ka manawa e hoʻomaka ai ka pilikia. ʻO ka Mastoidectomy ke ʻoki ʻana e wehe i kēia mau hunaola ea i loaʻa i ka maʻi.
No ke aha e pono ai ʻoe e hana i ka mastoidectomy?
Aia paha kekahi mau kumu nui e hana ai kekahi i kēia ʻoki kino.
- Nā maʻi pepeiao mau: Loaʻa i kekahi poʻe nā maʻi pepeiao mau. Pono paha kēia ʻoki kino ke lilo ka maʻi i mea koʻikoʻi loa e hiki ʻole ke kāohi ʻia me nā lāʻau antibiotic a pālahalaha i ka iwi mastoid.
- ʻO Cholesteatoma: He hihia kūikawā kēia. ʻO ka Cholesteatoma kahi ulu ʻili ʻaʻole maʻi kanesa, he ulu ʻano ʻē. Hoʻomohala pinepine ia ma ka pepeiao waena, ma hope o ka eardrum. Hiki nō hoʻi ke hana ʻia ma ke ʻano he pilikia o nā maʻi pepeiao i hana hou ʻia. I ka ulu ʻana o kēia ulu ʻana, hiki iā ia ke hōʻino i nā iwi palupalu (nā iwi liʻiliʻi i loko o ka pepeiao e kōkua ai i ka lohe ʻana) a me nā aʻalolo a puni. No laila, pono ka mastoidectomy e wehe loa iā ia.
- ʻO ke ʻoki kino Cochlear: I kekahi mau hihia, hana ʻia kēia ʻoki kino ma ke ʻano he ʻāpana o ke ʻoki kino cochlear implant e hoʻihoʻi i ka lohe i loko o ka pepeiao.
- Ka haki ʻana o ka pahu pepeiao: Hiki i ke kanaka me ka pahu pepeiao i haki ke hana i kahi mastoidectomy me kahi ʻoki e hoʻoponopono ai (tympanoplasty).
Aia kekahi mau ʻano o kēia ʻoki kino?
ʻAe, ma muli o ke ʻano a me ke koʻikoʻi o kou kūlana, e hoʻoholo kāu kauka i ke ʻano o ke ʻoki kino kūpono iā ʻoe. ʻEkolu mau ʻano nui.
| ʻAno o ke ʻoki kino | He aha ka mea e hana ʻia nei | Nā kiko kūikawā |
|---|---|---|
| Mastoidectomy maʻalahi (Mastoidectomy maʻalahi) | ʻO nā keʻena ea i loaʻa i ka maʻi i loko o ka iwi mastoid wale nō i wehe ʻia. | ʻAʻole ia e hōʻino i ke kahawai pepeiao a i ʻole nā ʻāpana o ka pepeiao waena. |
| Mastoidectomy e hoʻopaʻa ana i ka paia o ke kahawai (ʻoki ʻana i ka tympanomastoid) | Ua wehe ʻia nā iwi he nui ma mua o ke ʻoki kino maʻalahi, e hiki i nā ʻāpana o ka pepeiao waena, e like me nā iwi liʻiliʻi (ossicles) e kōkua ai i ka lohe. | I kēia hihia, ua palekana loa ke kahawai pepeiao. |
| ʻO ka Mastoidectomy i lalo o ka paia o ke kahawai (Mastoidectomy Radical a i ʻole i hoʻololi ʻia) | Hana ʻia kēia inā ua hōʻino ʻia ke kahawai pepeiao e kahi maʻi a inā pono e wehe ʻia ke kahawai e hoʻopau loa i ka maʻi. Ma kēia kaʻina hana, ua hui pū ʻia ke kahawai pepeiao a me ka iwi mastoid e hana i kahi lua nui (mastoid cavity). | Hana ʻia kēia ke holomua loa ka maʻi a i ʻole ke kūleʻa ʻole nā ʻokiʻoki ʻē aʻe. Hoʻonui ʻia hoʻi ka puka pepeiao i mea e maʻalahi ai ka hoʻomaʻemaʻe ʻana i kēia lua i ka wā e hiki mai ana. |
He aha ka mea e hana ʻia ma mua a i ka wā o ke ʻoki kino?
Ma mua o ke ʻoki kino...
E hāʻawi kāu kauka iā ʻoe i kahi papa inoa o nā kuhikuhi e hahai ai ma mua o ke ʻoki kino. 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 (e like me nā lāʻau hoʻokahe koko). ʻOiai ua hana ʻia kēia ʻoki kino ma lalo o ka anesthesia laulā, ʻo ia hoʻi ua hiamoe loa ʻoe, pono ʻoe e hoʻonohonoho i kahi mea āu e hilinaʻi ai e hoʻokele iā ʻoe i ka haukapila a me ka home ma hope o ke ʻoki kino.
I ka wā o ke ʻoki kino...
ʻAʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki kino. E hahai ke kauka ʻoki i kēia mau ʻanuʻu:
1. Ke ʻoki ʻana: Hana ʻia kahi ʻoki ʻili ma hope o ka pepeiao, e hiki ana i ka iwi mastoid. Mālama ke kauka e hana i kēia ʻoki i kahi ala e ʻike ʻole ai ka ʻōpala ma hope.
2. Ka wehe ʻana i ka iwi: Ua wehe ʻia ka iwi mastoid me ka hoʻohana ʻana i nā mea hana kūikawā.
3. Ka wehe ʻana i nā ʻāpana i loaʻa i ka maʻi: Hoʻopau pono ʻia nā keʻena ea i loaʻa i ka maʻi a me nā ʻiʻo maʻi ʻē aʻe.
4. Humuhumu: Ua pani hou ʻia ka ʻoki a ua humuhumu ʻia.
5. Ke uhi ʻana i ka ʻeha: Ua uhi ʻia ka ʻeha me ka gauze maʻemaʻe.
ʻO ka maʻamau, ʻelua a ʻekolu paha hola ka lōʻihi o kēia hana ʻoki kino.
E hoʻomanaʻo, ʻaʻole ʻoe e ʻeha i ka wā o ke ʻoki ʻana, akā he mea maʻamau ke loaʻa i kekahi ʻeha ma hope o ke ʻoki ʻana.
Aia kekahi ʻeha ma hope o ke ʻoki kino?
ʻO ka ʻoki ma hope o ka pepeiao e hiki ke hoʻoulu i kekahi ʻeha, kahi manaʻo kaumaha i ka pepeiao, a i ʻole kahi manaʻo o ka paʻa ʻana. He mau kūlana maʻamau kēia. No ka hoʻomalu ʻana i kēia ʻeha, hiki iā ʻoe ke hoʻohana i nā lāʻau hōʻeha ʻeha e like me ka paracetamol (`acetaminophen`) a i ʻole ibuprofen, e like me ke kuhikuhi a kāu kauka. E hāʻawi kāu kauka iā ʻoe i kahi hoʻonohonoho o nā kuhikuhi e kōkua iā ʻoe e noho ʻoluʻolu i ka wā ho'ōla. E hahai pono iā lākou.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?
E like me kekahi hana ʻoki kino, loaʻa i ka mastoidectomy nā pōmaikaʻi a me nā pilikia.
| Nā Pōmaikaʻi | Nā Pōʻino |
|---|---|
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ʻEhia ka lōʻihi e ho'ōla ai a he aha nā hopena?
Hiki ke hala ma kahi o 6 a 12 mau pule e hoʻōla piha ai. Eia nō naʻe, hiki i ka hapa nui o ka poʻe ke hoʻi i kā lākou mau hana maʻamau (hana, kula) i loko o hoʻokahi a ʻelua paha pule.
Ma ke ʻano laulā, ua holomua ka ʻoki mastoidectomy. Eia nō naʻe, pili nā hopena i ke kumu o ke ʻoki a me ke ʻano o ke ʻoki i hana ʻia. ʻO ka mea nui e hoʻomaopopo ma ʻaneʻi, ʻo ka pahuhopu nui o kēia ʻoki ʻana ʻaʻole ia e hoʻihoʻi i ka lohe, akā, e pale i kou ola ma ka wehe ʻana i ka maʻi e hiki ai ke hoʻoulu i nā pilikia koʻikoʻi. He mea maʻamau ka ʻike ʻana i kekahi pohō lohe, ʻoiai ma hope o kahi ʻoki nui e like me ka Radical Mastoidectomy. E wehewehe mua kāu kauka i kēia iā ʻoe.
Āhea wau e ʻike hou ai i ke kauka?
Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, inā ʻike ʻoe i kekahi o kēia mau hōʻailona , pono ʻoe e kāhea koke i kāu kauka.
- He kuni o 100.5 Fahrenheit (38 Celsius) a ʻoi aku paha.
- Ke kahe nui ʻana o ke koko a i ʻole ka wai e like me ka pus mai ka pepeiao.
- He ʻano nāwaliwali a make paha ma kekahi ʻaoʻao o ka maka.
- ʻO ka poʻo hina (vertigo) a i ʻole ka ʻeha poʻo nui.
- Ka nalowale koke ʻana o ka lohe.
Inā loaʻa iā ʻoe nā maʻi pepeiao mau, mai hoʻowahāwahā iā lākou a e ʻike i ke kauka no ka ʻōlelo aʻo. ʻO ka mastoidectomy paha ka hopena maikaʻi loa i kāu pilikia. Hiki i kēia ʻoki kino ke wehe 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 e wehe ai i kahi maʻi mai ka iwi mastoid ma hope o ka pepeiao.
- Hana nui ʻia kēia no ka wehe ʻana i nā maʻi pepeiao mau a me kahi ʻano puʻupuʻu i kapa ʻia ʻo cholesteatoma.
- ʻO ka pahuhopu nui o ke ʻoki ʻana, ʻo ia ka wehe ʻana i ka maʻi, ka mea hiki ke hoʻopilikia nui, ma mua o ka hoʻomaikaʻi ʻana i ka lohe.
- He mea nui ka hahai pono ʻana i nā ʻōlelo a ke kauka ma hope koke o ke ʻoki ʻana no ka hoʻōla koke ʻana.
- Inā ʻike ʻoe i kekahi mau hōʻailona ma hope o ke ʻoki ʻana, e like me ke kuni, ke kahe nui ʻana o ke koko, a i ʻole ka nāwaliwali o ka maka, e hoʻomaopopo koke i kāu kauka.
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