Ke manaʻo koke nei ʻoe i ka poniuniu a lohe i ke kani ʻana i loko o kou mau pepeiao? (E aʻo kākou e pili ana i ka maʻi Ménière)

E noʻonoʻo inā ua nalowale ʻoe a manaʻo koke e like me ka honua holoʻokoʻa e wili ana a puni ʻoe? A i ʻole inā lohe ʻoe i kahi leo "whooshing..." i loko o kou pepeiao i ka wā ʻaʻohe mea ʻē aʻe a puni? ʻO kēia ka ʻoluʻolu ʻole a ka poʻe he nui e ʻike ai me kahi maʻi i kapa ʻia ʻo Ménière's Disease. Hiki ke hoʻomaka koke, nalowale no kekahi manawa, a laila hoʻi mai, a he maʻi hoʻonāukiuki loa ia. E kamaʻilio kākou e pili ana i ia mea ma nā ʻōlelo maʻalahi i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka maʻi ʻo Ménière?

He maʻi laha ʻole ka maʻi Ménière e hoʻopilikia ana i ka pepeiao o loko. Mālama kēia ʻāpana o ka pepeiao i ko kākou kaulike a me ka lohe. No laila, ke loaʻa iā ʻoe kēia maʻi, manaʻo paha ʻoe e like me ka wili ʻana o ke ao holoʻokoʻa ʻoiai ʻoe e kū mālie ana. Kāhea mākou ia he vertigo . Hiki nō hoʻi iā ʻoe ke ʻike i ke kani ʻana o kou mau pepeiao a i ʻole ka nalowale o ka lohe.

Hiki i kēia mau hōʻailona ke hoʻomaka koke me ka ʻole o ka ʻōlelo aʻo . Hiki iā lākou ke nalo no kekahi manawa, a laila e ʻike hou ʻia i nā lā a i ʻole nā ​​​​mahina ma hope. Inā ʻaʻole mālama pono ʻia, hiki i kēia mau hōʻailona ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa, e alakaʻi ana i ka nalowale mau o ka lohe a me nā pilikia kaulike e hoʻomau nei. Akā, mai hopohopo, me ka mālama kūpono a me ke kākoʻo mai kāu kauka, hiki iā ʻoe ke hoʻomalu i kēia kūlana.

He aha nā hōʻailona nui o kēia maʻi?

Hiki koke mai kēia mau hōʻailona ma ke ʻano he hanana. Hiki i kēia ke mau no 20 mau minuke a i ʻole 24 mau hola. I kekahi manawa hiki ke hana ʻia kekahi mau hoʻouka kaua ma ka lālani. Loaʻa paha i kekahi poʻe hoʻokahi hoʻouka kaua a laila hala nā mahina me ka ʻole o nā hōʻailona.

E nānā kākou i nā hōʻailona nui o kēia maʻi.

No ke aha e hana ʻia ai kēia? He aha nā kumu?

ʻAʻole maopopo loa i nā kauka ke kumu o ka maʻi Ménière, akā manaʻo ka poʻe he nui ua hana ʻia e ka nui o kahi wai i kapa ʻia ʻo endolymph, i loaʻa i loko o ka pepeiao o loko. Ke hōʻiliʻili nui ʻia kēia wai, hiki iā ia ke hoʻopilikia i nā hōʻailona lohe a me ke kaulike e hele ana mai ka pepeiao a i ka lolo.

Aia kekahi mau kūlana i manaʻo ʻia e kōkua i ka hōʻiliʻili ʻana o ka wai endolymph ma kēia ʻano:

• Nā ʻano maʻi like ʻole (Allergies)
• Ke ālai ʻia ʻana o ke kahe o ka wai i loko o ka pepeiao
• Nā ʻeha poʻo
• Nā maʻi like ʻole
• Migraine

Eia nō naʻe, pono ka noiʻi hou aku e hoʻomaopopo piha i ka pilina ma waena o kēia mau kūlana a me ka maʻi Ménière.

ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?

ʻOiai hiki i kekahi ke loaʻa i ka maʻi ʻo Ménière, ʻoi aku ka nui o ka pilikia o kekahi poʻe.

• Makahiki: ʻIke pinepine ʻia kēia maʻi i nā poʻe ma waena o 40 a me 60 mau makahiki.
• Kāne: Ke hōʻike nei kekahi mau noiʻi he ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā wahine.
• Nā Genes: Ma waena o 7% a me 10% o ka poʻe me kēia maʻi he lālā o ka ʻohana i loaʻa i ka maʻi. ʻO ke ʻano kēia hiki ke hoʻoili ʻia i nā hanauna.
• Nā maʻi autoimmune:Inā loaʻa iā ʻoe kahi maʻi autoimmune, e like me ka rheumatoid arthritis a i ʻole lupus, ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka maʻi Ménière.

He aha nā hopena koʻikoʻi e hiki mai ana inā e hoʻowahāwahā ʻia kēia?

ʻO ka poniuniu nui i hoʻokumu ʻia e kēia maʻi hiki ke alakaʻi i ka hāʻule nui ʻana . ʻO kēia ka mea e hoʻoweliweli loa ai i nā hana o kēlā me kēia lā e like me ka piʻi ʻana i nā alapiʻi a me ka hoʻokele kaʻa. I ka hala ʻana o ka manawa (ma hope o 8-10 mau makahiki), hiki i kēia kūlana ke alakaʻi i ka nalowale mau o ka lohe .

Pēlā nō, hiki i kēia maʻi ke loaʻa ka hopena nui i kou olakino noʻonoʻo. ʻO ka hopohopo mau ʻana i nā mea e like me "Āhea wau e poni hou ai?" a "E nalowale loa anei koʻu lohe?" hiki ke alakaʻi i ka hopohopo a me ke kaumaha .

Pehea e ʻike pololei ai ke kauka i kēia maʻi?

ʻO ka maʻamau, ʻike ʻia kēia ʻano e kahi loea pepeiao, ihu, a me ka ʻāʻī (otolaryngologist - ENT). Ke ʻike ʻoe i kāu kauka, e nānā ʻo ia iā ʻoe a nīnau e pili ana i kāu mau hōʻailona. A laila, hana paha lākou i kekahi mau hoʻokolohua e hōʻoia ʻaʻole ʻoe i loaʻa nā kūlana ʻē aʻe e hoʻoulu ai i nā hōʻailona like.

• Hoʻāʻo lohe: E nānā inā he pohō kou lohe.
• Pākahi hoʻāʻo Vestibular: Hoʻāʻo i ka hana o ka ʻōnaehana kaulike ma ka pepeiao o loko a me nā ʻiʻo o ka maka.
• ʻO ke scan MRI lolo: Hiki ke hana i kēia hoʻāʻo e hōʻoia ʻaʻohe puʻupuʻu lolo a i ʻole kekahi pilikia ʻē aʻe e hoʻoulu ai i ka dizziness.

He aha nā lāʻau lapaʻau no kēia?

ʻAʻohe lāʻau lapaʻau no ka maʻi Ménière. Eia nō naʻe, he nui nā lāʻau lapaʻau kūpono e hiki ke hōʻemi i ke koʻikoʻi a me ka lōʻihi o nā hōʻailona . E hoʻomaka pinepine kāu kauka me nā lāʻau lapaʻau maʻalahi. Inā ʻaʻole kōkua kēia mau mea, hiki iā lākou ke paipai i ke ʻoki kino.

Nā loli o ke ʻano o ka nohona

ʻO ka hana ʻana i kekahi mau hoʻololi liʻiliʻi i kou ola o kēlā me kēia lā hiki ke hōʻemi nui i kēia mau hōʻailona.

• ʻO ka hōʻemi ʻana i ka caffeine a me ka inu ʻona.
• Ka mālama ʻana i ke kaumaha a me ka lawa ʻana o ka hiamoe.
• Ma hope o ka ʻai haʻahaʻa paʻakai.ʻO ka ʻōlelo aʻoaʻo maʻamau, ʻaʻole e ʻai ma mua o 1500 milligrams o ka paʻakai i kēlā me kēia lā. ʻO ia hoʻi ma kahi o ¾ teaspoon. Hiki i kāu kauka ke haʻi aku iā ʻoe e pale i nā meaʻai i loaʻa ka MSG.

Nā lāʻau lapaʻau

Aia kekahi mau ʻano lāʻau lapaʻau nui i hāʻawi ʻia no kēia maʻi.

• Nā Diuretics a me ka betahistine: Hoʻemi nā diuretics i ka nui o ka wai keu i loko o ke kino. Hoʻomaikaʻi ka lāʻau lapaʻau betahistine i ke kahe koko i loko o ka pepeiao o loko a hoʻemi i ke kaomi wai.
• Nā lāʻau lapaʻau no ka poniuniu a me ka nausea: Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka kaohi ʻana i ka poniuniu a hōʻemi i ka nausea. No ka laʻana, hiki ke hāʻawi ʻia nā lāʻau lapaʻau e like me diazepam a me meclizine.

Inā ʻaʻole kēia mau lāʻau lapaʻau e kaohi i ke kūlana, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau i hāʻawi ʻia ma ke ʻano he injection .

• ʻO ka inikini steroid intratympanic: ʻO ka hoʻokomo ʻana i kahi lāʻau steroid ma o ka eardrum hiki ke kāohi i nā hōʻailona.
• Gentamicin: He lāʻau antibiotic kēia. Hana ia ma ka hōʻino ʻana i ka ʻiʻo pepeiao o loko e hoʻoulu ai i nā hōʻailona. Eia nō naʻe, aia kahi pilikia me kēia lāʻau lapaʻau, ʻo ia hoʻi hiki ke hoʻoulu hou i ka nalowale o ka lohe.

Nā lāʻau lapaʻau a me nā mea hana ʻē aʻe

• Hoʻoponopono hou ʻana o Vestibular: Ua like kēia me ka hoʻōla kino. Aʻo ia iā ʻoe i nā hoʻomaʻamaʻa e kōkua i ka hoʻomaikaʻi ʻana i kou kaulike a kaohi i ka dizziness.
• Nā mea kōkua hoʻolohe: I ka hala ʻana o ka manawa, pono paha ʻoe e hoʻohana i kahi mea kōkua hoʻolohe.
• ʻO ka hoʻokomo ʻana o ke kokoleka: Pono paha kēia hāmeʻa inā pilikia loa ka lohe ʻana a ʻaʻole kōkua nā mea kōkua lohe.
• ʻO ka Cognitive Behavioral Therapy (CBT): Kōkua kēia ʻano lapaʻau i ka hoʻokō pono ʻana i ke kaumaha, ka hopohopo, a me ke kaumaha i hoʻokumu ʻia e kēia maʻi.

ʻoki kino

I nā hihia koʻikoʻi, ke ʻole e kaohi ʻia nā hōʻailona e nā lāʻau ʻē aʻe, pono paha ke ʻoki ʻana e hoʻomaha i ke kaomi wai i loko o ka pepeiao.

• Ke kaʻina hana ʻeke Endolymphatic: Ua wehe ʻia ka ʻāpana e like me ke ʻeke o ka pepeiao o loko kahi e hōʻiliʻili ai ka wai a lawe ʻia ka wai keu.
• ʻĀpana aʻalolo Vestibular: ʻO ka ʻoki ʻana i ke aʻalolo e lawe ana i nā hōʻailona kaulike i ka lolo e hoʻōki i ka dizziness.
• Labyrinthectomy: Hoʻopau loa ʻia ka ʻāpana o ka pepeiao e hoʻomalu ana i ke kaulike. Eia naʻe, ma hope o kēia ʻoki kino, e kuli loa ka pepeiao. No laila, hana wale ʻia kēia no ka poʻe i nalowale mua i ka lohe ma ia pepeiao.

E ho'ōla loa ʻia anei kēia maʻi?

Hiki i ka maʻi Ménière ke noho asymptomatic no nā mahina, a hiki i nā makahiki, a laila hoʻi hou. ʻO ia hoʻi, ʻoiai ʻaʻole hiki ke ho'ōla piha ʻia,Me ka mālama maikaʻi ʻana a me nā hoʻololi ʻana i ke ʻano o ka nohona, hiki ke mālama pono ʻia a hiki iā ʻoe ke alakaʻi i kahi ola maʻamau. ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka i ka wā e hoʻomaka ai ʻoe e loaʻa nā hōʻailona. A laila hiki iā ʻoe ke loaʻa koke ka hōʻoluʻolu.