I kekahi manawa, ʻo ka hahau ikaika ʻana i ka pepeiao, kahi maʻi pepeiao, a i ʻole kahi hewa i ka wā e hoʻomaʻemaʻe ai i kou pepeiao hiki ke kumu i ka haki ʻana o kou pahu pepeiao. ʻO ka hapa nui o ka manawa, e ho'ōla wale kēia, akā no kekahi poʻe, ʻaʻole. ʻO ia ka manawa e kamaʻilio ai nā kauka e pili ana i kēia ʻoki kino i kapa ʻia ʻo 'myringoplasty.' E nānā kākou i ke ʻano o ia mea, ʻo wai ka mea e pono ai, a pehea e hana ʻia ai.
He aha maoli ka myringoplasty?
I ka ʻōlelo maʻalahi, ʻo ka myringoplasty kahi hana ʻoki e hoʻoponopono ai i ka eardrum i haki .
ʻO ko kākou pahu pepeiao, a i ʻole ma ke ʻano lapaʻau, ka membrane tympanic, he membrane lahilahi loa ia ma waena o ko kākou pepeiao waho a me waena. Ua like ia me ka ʻili o ka pahu. Ke pā mai nā nalu leo mai waho mai i kēia membrane, e haʻalulu ia. ʻO kēlā haʻalulu ka mea e kōkua iā kākou e lohe i ke kani.
No laila, ke puka kēia pahu pepeiao, lilo ia e like me ka pahu i puka, a ʻaʻole lohe pono ʻia nā leo. ʻAʻole wale ia, akā hiki i ka wai a me nā germs mai waho ke komo maʻalahi i loko o ka pepeiao waena a hoʻoulu i nā maʻi. ʻO kēia ʻoki kino e pili ana i ke kau ʻana i kahi 'patch' liʻiliʻi, a i ʻole graft, i loko o ka lua a hoʻihoʻi i ka pahu pepeiao i kona kūlana maʻamau. ʻAʻole wale kēia e hoʻomaikaʻi i ka lohe, akā hiki nō hoʻi ke hōʻemi i ka pilikia o nā pilikia koʻikoʻi e like me nā maʻi pepeiao pinepine, nā kūlana e like me ka vertigo, a me nā maʻi o ka iwi ma hope o ka pepeiao (mastoiditis).
He hana maʻamau kēia e hana ʻia e nā loea pepeiao, ihu, a me ka ʻāʻī (otolaryngologists). Aia kekahi mau manawa e pono ai kēia hana ma nā pākeke a me nā keiki.
ʻO wai ka mea e pono ai kēia ʻoki kino?
ʻO ka hapa nui o ka manawa, e ho'ōla wale kahi lua liʻiliʻi i loko o kekahi mau pule. Eia nō naʻe, ʻo ia ka manawa e hoʻoholo ai ke kauka e hana i kēia ʻoki kino.
| Manawa kūpono | He wehewehe maʻalahi |
|---|---|
| ʻAʻole e ho'ōla ka ʻeha iā ia iho. | Inā ʻaʻole i pani ʻia ka pahu pepeiao ma kona iho ma hope o ʻekolu mahina o ka puka ʻana. |
| Nā maʻi pepeiao pinepine | Inā hoʻonāukiuki mau ʻia kou pepeiao a ua loaʻa ka maʻi, ʻo ia ke kumu e ʻae ai ka lua i nā germs e komo maʻalahi. |
| Poho lohe | Inā ua emi nui kou lohe ʻana ma muli o kahi puka i loko o kou eardrum. |
| He ulia | Inā ua hōʻino nui ʻia ka pahu pepeiao e kahi ulia a i ʻole kahi hahau ʻana i ka pepeiao. |
He aha nā mea i hoʻohana ʻia no ka hoʻoponopono ʻana i ka eardrum? (Grafts)
Hoʻohana nā kauka i nā ʻano mea like ʻole e hana i ka ʻāpana a i ʻole ka graft e pani ana i ka lua i loko o kou eardrum. Lawe ʻia ka hapa nui o kēia mau mea mai kou kino ponoʻī. No laila, ʻaʻole e hōʻole kou kino iā lākou.
- ʻO ka Temporal fascia: ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia. He ʻiʻo ikaika loa kēia e kū pono ana ma luna pono o kou pepeiao, a puni ka ʻiʻo e hoʻoneʻe ai i ka eardrum. I ka wā o ke ʻoki ʻana, lawe ʻia kahi ʻāpana liʻiliʻi o ia mea e pani ai i ka lua ma ka eardrum.
- Perichondrium: Hiki ke hana ʻia kēia kāpili ma ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka membrane e hoʻopuni ana i ke cartilage i loko o ko mākou pepeiao.
- Momona: I kekahi mau hihia, hoʻohana ʻia kahi ʻāpana momona liʻiliʻi i lawe ʻia mai ka pepeiao e pani i ka lua. Ua kapa ʻia kēia he myringoplasty graft momona.
- Cartilage: Aia kekahi mau hihia kahi e hana ʻia ai kēia ʻoki ma ka lawe ʻana i kahi ʻāpana liʻiliʻi o ke cartilage i loko o ka pepeiao ponoʻī.
- Nā mea hana: I kekahi manawa hiki ke hoʻohana ʻia nā mea hana, e like me ka pepa ʻokiʻoki kūikawā, no kēia kumu.
Na kāu kauka e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe ma muli o kou kūlana.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
ʻOiai ʻaʻole kēia he hana ʻoki kino nui, pono iki kahi hoʻomākaukau.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau, nā huaora, a i ʻole nā mea hoʻohui āu e lawe nei ma mua o ke ʻoki ʻana.
- I ka lā o ke ʻoki kino, e kamaʻilio me kahi hoaaloha a ʻohana paha nāna e lawe iā ʻoe i ka haukapila a hoʻi i ka home.
- E hoʻolālā e hoʻomaha no kekahi mau lā ma hope o ke ʻoki ʻana, e pale ana i ka hana a i ʻole ke kula .
He manaʻo iki e pili ana i ke ʻano o ka hana ʻana o ke ʻoki kino
ʻO ka hapa nui o ka manawa, hana ʻia kēia ʻoki ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole ʻoe e manaʻo i kekahi mea, e hiamoe ana ʻoe. I kekahi mau hihia maʻalahi, hiki ke hana ʻia ma lalo o ka anesthesia kūloko, kahi e hoʻomānoʻo ai i ka pepeiao wale nō.
I ka wā o ke ʻoki kino, e hahai ke kauka i kēia mau hana:
1. Ke komo ʻana i ka eardrum: Hana ʻia kahi ʻoki liʻiliʻi ma ke kahawai pepeiao a i ʻole ma hope o ka pepeiao e hiki ai i ka eardrum.
2. Ke hoʻomākaukau ʻana i ka lua: Hoʻomaʻemaʻe ʻia ka ʻiʻo a puni ka lua ma ke kahakaha iki ʻana iā ia, e hoʻomākaukau ana no ka hoʻopili maikaʻi ʻana o ke implant hou.
3. Ke kiʻi ʻana i ka hoʻopili ʻana: ʻO nā ʻiʻo e like me ka "Temporalis fascia" i kūkākūkā mua ʻia ua loaʻa mai kou kino ponoʻī.
4. Ke kau ʻana o ke kāpili ʻana: Ua kau ʻia ka ʻāpana ʻiʻo i hōʻiliʻili ʻia e pani i ka lua a laila hoʻomākaukau ʻia.
5. Ka hoʻopiha ʻana a me ke kāʻei ʻana i ka pepeiao: I mea e pale ai i ka neʻe ʻana o ka pahu pepeiao, ua kau ʻia kahi ʻano pulupulu kūikawā i loko o ka pepeiao a ua kau ʻia kahi kāʻei ma waho.
ʻO ka maʻamau, ma waena o 30 a me 90 mau minuke kēia kaʻina hana holoʻokoʻa.
Pehea e mālama ai iā ʻoe iho ma hope o ke ʻoki kino ma ka home?
Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi ma hope o ke ʻoki kino. Eia kekahi mau mea āu e mālama ai e kōkua iā ʻoe e hoʻōla koke ma ka home.
ʻO ka mea nui loa, ʻo ia ka mālama ʻana i ka pepeiao i maloʻo. He mea nui loa ka mālama ʻana i ka wai mai loko mai o ka pepeiao no ke kaʻina hana ho'ōla.
| Nā mea e hana ai | Nā mea ʻaʻole e hana ʻia |
|---|---|
| E lawe i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka i ka manawa kūpono (ʻoi aku hoʻi nā kulu pepeiao antibiotic). | Mai ʻauʻau a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe. (Ua maikaʻi ke holoi i kou maka, akā e mālama i kahi ʻāpana pulupulu i loko o kou pepeiao i ʻole e komo ka wai i loko o kou pepeiao). |
| E hoʻomaha i ka nui e like me ka hiki. | Mai ʻō pinepine i kou ihu . Hiki i kēia ke hoʻopilikia i kou mau pepeiao. |
| Inā ʻoe e kihe ana, e hāmama i kou waha a honi . E hōʻemi kēia i ke kaomi ma kou mau pepeiao. | Mai ʻauʻau a luʻu paha no kekahi mau pule. |
| E hele i kahi hoʻokolohua maʻi i ka lā a kāu kauka e ʻōlelo ai. | Mai ho'āʻo e wehe i ke kāʻei a i ʻole ka pulupulu mai ka pepeiao. |
Hiki iā ʻoe ke ho'ōla i loko o hoʻokahi a ʻelua paha pule. Inā he kanaka makua ʻoe, ʻoi aku ka maikaʻi o ka noho ʻana ma waho o ka hana no hoʻokahi pule. Inā he keiki ʻoe, e hoʻokuʻu iā lākou mai ke kula no hoʻokahi pule.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?
E like me nā ʻoki kino āpau, he mau pōmaikaʻi kēia a he mau pōpilikia liʻiliʻi hoʻi.
Nā Pōmaikaʻi
- Ua holomua loa kēia ʻoki kino. ʻOi aku ka nui o ka holomua ma mua o 90%.
- No nā kānaka he nui , hoʻomaikaʻi ka lohe ma hope o ke ʻoki ʻana.
- Ma muli o ka lohe maikaʻi o nā keiki ʻōpio, he kōkua nui ia i kā lākou ʻōlelo a me ka ulu ʻana o ka ʻōlelo .
- Hiki ke pale ʻia nā maʻi pepeiao pinepine.
Nā Pōʻino
He mau mea kākaʻikahi loa kēia.
- Ka maʻi ʻana.
- Ke lohe nei i nā leo like ʻole i loko o nā pepeiao (Tinnitus).
- Pōʻaiʻī.
- Ka nalowale o ka lohe no ka manawa pōkole a mau loa paha.
- Ka hāʻule ʻana o ke kāpili ʻana. ʻO ke ʻano kēia, ʻaʻole pili ka ʻiʻo i hoʻoili ʻia.
- Ka hana hou ʻana o kahi puka i loko o ka eardrum.
I ka wā e pono ai ʻoe e ʻike koke i ke kauka!
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona i kou wā ma ka home ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka.
- Inā he kuni kou ma luna o 39.4 Celsius (103 Fahrenheit) .
- Inā he ʻeha nui kou i ka pepeiao ʻaʻole e nalowale ma hope o ka lawe ʻana i ka lāʻau lapaʻau.
- Inā ʻoe e manaʻo nei i ka nausea nui.
- Inā ʻike ʻoe i ka nāwaliwali o kou mau ʻiʻo maka (e like me ka ʻūmiʻi).
- Inā pilikia ʻoe i ka hanu ʻana.
- Inā loaʻa iā ʻoe ka poniuniu nui a i ʻole ke kani ʻana o nā pepeiao (tinnitus) ʻaʻole ia e nalo.
- Inā e kahe nui ana ke koko o ka pepeiao .
ʻOiai he mea kākaʻikahi loa kēia mau mea, he mea nui loa ia e ʻike iā lākou.
Leka Lawe-Home
- He hana ʻoki kino holomua loa ka Myringoplasty a he hana maʻamau hoʻi e hoʻoponopono ai i kahi pahu pepeiao perforated i ho'ōla ʻole ʻia ma kāna iho.
- Hiki i kēia ke hoʻomaikaʻi i kou lohe a pale i nā maʻi pepeiao pinepine.
- I mea e ho'ōla koke ai ma hope o ke ʻoki ʻana, he mea nui e hahai pololei i nā ʻōlelo a ke kauka, ʻoiai hoʻi nā mea e like me ka mālama ʻana i ka wai mai loko mai o kou mau pepeiao.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona koʻikoʻi ma hope o ke ʻoki ʻana, mai hopohopo a e hoʻomaopopo koke i kāu kauka.











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