Ke manaʻo pinepine nei ʻoe ua paʻa kou ihu? Me he mea lā he paʻakikī ke hanu, a aia kahi manaʻo o ka mucus? I kekahi manawa manaʻo mākou he anu maʻamau wale nō. Akā inā hoʻomau kēia ʻano, ʻo ke kumu paha he "nasal polyps" e ulu ana i loko o kou ihu. I kēia lā, e kamaʻilio mākou e pili ana i kēia mau polyps nasal ma ke ʻano maʻalahi, i hiki iā ʻoe ke hoʻomaopopo.
He aha maoli nā polyps ihu?
I ka ʻōlelo maʻalahi, ʻo nā polyp nasal he mau ulu palupalu ʻaʻohe ʻeha, ʻaʻole maʻi kanesa (benign) e hana ana ma ka ʻili o loko (mucosa) o nā lua ea i loko a puni kou ihu (kapa mākou i kēia mau sinuses). Ua like lākou me nā puʻupuʻu ʻiʻo. ʻIke pinepine ʻia lākou ma nā ʻaoʻao ʻelua o kou ihu. Ke pehu kēia mau polyp, hiki iā ia ke paʻakikī loa iā ʻoe ke hanu ma kou ihu.
E noʻonoʻo, ua like ke ʻano o nā lau ʻiʻo liʻiliʻi me kahi kulu waimaka. Akā i ka wā e ulu aʻe ai, ua like lākou me ka hua waina i ʻili ʻia. Hiki iā lākou ke poni, melemele, a hina paha.
ʻOiai hiki ke ulu kēia maʻi i kekahi kanaka, ʻoi aku ka maʻamau o ia i nā kāne ma mua o nā wahine. ʻOi aku ka maʻamau i nā poʻe ma waena o 30 a me 40 mau makahiki.
Loaʻa iā ʻoe kēia mau hōʻailona?
Inā liʻiliʻi loa nā puʻupuʻu i loko o kou ihu, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona. Akā i ka wā e hoʻomaka ai lākou e ulu, e hoʻomaka paha ʻoe e ʻike i nā ʻano ʻoluʻolu ʻole like ʻole. E nānā kākou i kēia mau hōʻailona.
| Hōʻailona | Wehewehena |
|---|---|
| Paʻa ihu | He manaʻo mau o ka ihu paʻa, ʻoiai me ka ʻole o ke anu. |
| Ihu wai | Ihu wai pinepine. |
| Ka nalowale ʻana o ke ʻala a me ka ʻono | ʻO ka hiki ke ʻike i nā mea e like me ka ʻono o ka meaʻai a i ʻole ke ʻala o nā pua e emi mālie ana a nalo loa paha. |
| ʻEha poʻo a me ka ʻeha maka | ʻEha a i ʻole ke kaumaha ma ka lae, ma lalo o nā maka, a me nā papālina ma muli o ke kaomi ʻana i loko o nā lua sinus. |
| Ka kulu ʻana ma hope o ka ihu | Manaʻo e like me ka holo ʻana o ka huʻa mai ka ihu i lalo o ka puʻu. |
| Ka hānō ʻana | Hoʻonui ʻia ka hāhā ʻana i ka wā hiamoe ma muli o ke kūpikipikiʻō o ka ihu. |
| Kahe koko ihu | Hiki ke hana kākaʻikahi loa. |
He aha ka mea e hana ai inā nui loa nā meatballs?
Inā nui loa ka puʻu ʻiʻo a ālai i nā ala ihu a me nā lua sinus, hiki ke kū mai nā pilikia koʻikoʻi.
- ʻO ka hoʻonui pinepine ʻana o ka hānō i nā poʻe maʻi hānō .
- Nā maʻi sinus e hoʻi hou ana (sinusitis) .
- Nā pilikia hiamoe e like me ka apnea hiamoe .
- Paʻakikī ka hanu ʻana ʻoiai i ka poʻe ʻaʻole i loaʻa ka hānō.
No ke aha e hana ʻia ai kēia mau puʻupuʻu? He aha nā kumu pilikia?
Wahi a nā kauka, ʻo ke kumu nui o nā polyps ihu ka mumū lōʻihi . ʻO ia hoʻi, ka pehu ʻana o nā ʻiʻo i loko o ka ihu. Eia nō naʻe, ʻaʻole maopopo ke kumu e ulu ai nā polyps i kekahi poʻe ma muli o kēia mumū, a ʻo kekahi poʻe ʻaʻole.
Eia nō naʻe, ua ʻike ʻia kekahi mau mea pilikia e hiki ke kōkua i ka ulu ʻana o kēia maʻi. ʻO ke ʻano kēia inā loaʻa iā ʻoe kēia mau maʻi, ʻoi aku ka nui o kou loaʻa ʻana o nā polyp nasal.
- Asthma: ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe me ka hānō.
- ʻO ka rhinitis allergic: No ka poʻe i maʻi i nā mea e like me ka lepo a me ka pollen.
- Nā maʻi sinus mau loa: ʻO ka sinusitis e mau ana ma mua o ʻekolu mahina.
- ʻO Cystic fibrosis: He kūlana genetic kēia.
- ʻO ka maʻi hypersensitivity i kekahi mau lāʻau ʻeha: No ka poʻe i maʻalahi i nā lāʻau lapaʻau ma ka hui 'NSAID', e like me ka aspirin.
Eia kekahi, ua manaʻoʻiʻo ʻia he kuleana ko nā kumu hoʻoilina i kēia. ʻO ke ʻano kēia, inā loaʻa i kekahi o kou ʻohana ia mea, he wahi liʻiliʻi kou e loaʻa ai ia mea.
He mea koʻikoʻi paha kēia? Nā pilikia paha
ʻO ka hapa nui o ka manawa, ʻaʻole weliweli nā polyp nasal. Eia nō naʻe, inā ʻaʻole mālama pono ʻia nā maʻi sinus i hoʻokumu ʻia e lākou, ʻaʻole hiki iā lākou ke alakaʻi i nā pilikia koʻikoʻi. ʻO kēia mau mea:
- Ka laha ʻana o ka maʻi i nā iwi (osteomyelitis) .
- ʻO ke kūkulu ʻia ʻana o nā abscesses i loaʻa i ka maʻi e hiki ke laha i nā lua maka a me ka lolo.
- ʻO ka maʻi o nā membrane e uhi ana i ka lolo a me ke kaula spinal (meningitis) .
ʻOiai he mau mea kakaikahi loa kēia, he mea nui e ʻimi i ke aʻo lapaʻau inā hoʻomau nā hōʻailona ihu.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe e ʻike i ke kauka me kēia mau hōʻailona, ʻo ka mea mua āna e hana ai, ʻo ia ka hoʻolohe pono ʻana i kāu mau hōʻailona.
- Nīnau lākou i nā pilikia āu e loaʻa nei a me ka lōʻihi o ko lākou loaʻa ʻana.
- E nānā ʻia kāu mōʻaukala olakino e ʻike inā he mau maʻi ʻē aʻe kāu, e like me ka hānō a i ʻole nā maʻi allergies.
- A laila, e hoʻohana ʻia kahi ʻōmole lahilahi (scope) me kahi kāmela a me ke kukui e nānā i loko o kou ihu . E ʻae kēia iā ʻoe e ʻike maopopo inā he mau puʻupuʻu ʻiʻo.
I kekahi manawa, hiki i ke kauka ke ʻōlelo i nā hoʻokolohua hou aʻe e hoʻoholo ai i ka nui pololei o ka puʻupuʻu a me ka mamao o kona palahalaha ʻana.
- ʻIke CT (ʻIke Tomography i hoʻopili ʻia)
- ʻIke MRI (Kiʻi Resonance Magnetic)
Hiki ke ʻōlelo ʻia paha ʻoe e hana i kahi hoʻāʻo allergy e ʻike inā he mau maʻi allergy kāu.
He aha nā lāʻau lapaʻau?
ʻO ka mālama ʻana no nā polyps ihu e pili ana i ke koʻikoʻi o kou kūlana. ʻElua mau koho lapaʻau nui: ka lāʻau lapaʻau a me ke ʻoki ʻana.
Lāʻau lapaʻau
I ka hapa nui o ka manawa, ʻaʻole hiki i nā lāʻau lapaʻau ke hoʻopau loa i nā warts. Eia nō naʻe, hiki iā lākou ke kōkua i ka kaohi ʻana i nā hōʻailona a hoʻēmi i nā warts.
- Nā pīpī ihu steroid: ʻO kēia nā lāʻau lapaʻau i hoʻohana pinepine ʻia. Kōkua lākou i ka hoʻēmi ʻana i nā nodules a hōʻemi i nā hōʻailona.
- Nā steroid waha: Hāʻawi ʻia nā pila e like me ka prednisone no kahi manawa pōkole.
- Nā lāʻau lapaʻau biologic: Nā lāʻau pale e like me ka dupilumab. Hoʻoulu kēia i ka ʻōnaehana pale a hoʻemi i nā ʻili o ka ʻili.
Inā loaʻa iā ʻoe kahi maʻi bacteria, e ʻōlelo ʻo Dr.Paipai ʻia hoʻi nā lāʻau antibiotic.
ʻoki kino
Inā ʻaʻole hiki i nā lāʻau lapaʻau ke kāohi i ke kūlana, a inā nui loa nā cysts, pono paha ke ʻoki ʻana e wehe iā lākou. He mau ʻoki liʻiliʻi pinepine kēia i hana ʻia ma ka ihu, me ka ʻole o ka hana ʻana i nā ʻoki nui.
| Inoa o ke ʻoki kino | Pehea e hana ai |
|---|---|
| Polypectomy | Ke hoʻohana nei i nā mea hana liʻiliʻi loa (e like me ka ʻokiʻoki a i ʻole kahi pahele) e hopu a wehe i nā ʻiʻo i loko o ka ihu. |
| Sinuplasty baluna | Hoʻokomo ʻia kahi pōpō liʻiliʻi ma o ka ihu i loko o ka lua sinus a hoʻopiha mālie ʻia e wehe i nā ala i ālai ʻia. I kekahi manawa lawe ʻia ka ʻiʻo i ka manawa like. |
| FESS (ʻoki kino sinus endoscopic hana) | Ke wehe nei i nā puʻu ʻiʻo, nā ʻiʻo maʻi, a me nā mea āpau e ālai ana i nā ala ihu me ke kōkua o kahi endoscope. |
Ma muli o ka hana ʻia ʻana o kēia mau ʻoki kino a pau ma o nā puka ihu, ʻaʻohe māka e koe ma kou alo.
He aha ka mea e hana ʻia ma hope o ka mālama ʻana? Hiki i kēia mau mea ke hoʻi hou mai?
ʻAe. ʻO kēia ka mea nui loa. ʻOiai hiki i ka lāʻau lapaʻau ke wehe i nā cysts a maʻalahi iā ʻoe ke hanu, akā naʻe hiki iā lākou ke hoʻi hou mai . Pono paha kekahi poʻe e hoʻomau i ka lawe ʻana i nā lāʻau steroid a i ʻole e hana hou i nā ʻoki kino.
Eia kekahi, no ka poʻe i nalowale ke ʻala a me ka ʻono, ʻaʻole paha e hoʻōla piha ke ʻano ma hope o ka mālama ʻana. He mea nui e kamaʻilio me kāu kauka e pili ana i nā hopena i manaʻo ʻia no kou ʻano.
Aia kekahi mau ala e pale aku ai i kona hoʻokumu ʻia ʻana?
ʻOiai ʻaʻole hiki ke pale loa ʻia, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia:
- E hoʻohana i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai e like me ke kuhikuhi ʻana.ʻOi aku hoʻi nā lāʻau lapaʻau no ka hānō a me nā maʻi allergies.
- E pale i ka hanu ʻana i nā mea e hoʻoulu ai i nā maʻi allergies, e like me ka lepo a me ka uahi.
- Hiki iā ʻoe ke mālama i kou ala hanu ma ka hoʻohana ʻana i kahi humidifier ma ka home e mālama i ka makū i ka lewa.
- E hoʻohana i ka saline nasal spray e mālama i ka maʻemaʻe o loko o kou ihu.
- E mālama i ka hoʻomaʻemaʻe pilikino maikaʻi.
I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?
Inā loaʻa iā ʻoe nā hōʻailona a mākou i kūkākūkā ai ma mua no nā lā he 10 a ʻoi , e ʻike pono i ke kauka.
E hoʻomanaʻo pono: Inā ʻike ʻoe i kahi puʻupuʻu ma kekahi ʻaoʻao o kou ihu, he ulu ʻana paha ia o ke kanesa ma mua o ka puʻupuʻu maʻamau. No laila, inā ʻike ʻoe i kekahi mea e like me ia, e ʻike koke i ke kauka.
Loaʻa iā ʻoe kēia mau nīnau... (Nā Nīnau i Nīnau Pinepine ʻia)
E nalowale wale anei kēia mau lau ʻiʻo?
I kekahi manawa hiki i nā ʻūlū liʻiliʻi ke emi iho iā lākou iho i ka hala ʻana o ka manawa. Akā i ka hapa nui o ka manawa, ʻaʻole lākou e nalo loa. Pono maoli ka poʻe me nā hōʻailona koʻikoʻi i ka mālama ʻia.
Hiki iā ʻoe ke ʻike i kēia mau mea ke nānā ʻoe i loko o kou ihu?
ʻAʻole hiki iā ʻoe ke ʻike i kēia mau mea me ke aniani, akā inā nui loa lākou, hiki i ke kauka ke ʻike iā lākou me ka ʻole o kahi mea hana kūikawā (nasoscope).
ʻAʻole hiki ke lawe ʻia kēia mau mea ma ka home?
ʻAʻole loa! Mai ho'āʻo e wehe i kēia mau mea ma ka home no kekahi kumu a i ʻole ma lalo o kekahi kūlana. ʻO ka hana ʻana pēlā e alakaʻi ai i nā ʻeha koʻikoʻi, ke kahe koko nui, a me nā maʻi koʻikoʻi. E ʻimi wale i ke kōkua o ke kauka kūpono no kēia.
Hiki i nā polyps ihu ke hoʻolilo iā ʻoe i manaʻo e like me ka paʻa mau ʻana o kou ihu. Inā ʻaʻole mālama ʻia, hiki ke hoʻonui ʻia nā pilikia hanu a hiki ke alakaʻi i ka hōʻino ʻana o ka iwi a me nā ʻiʻo. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka no ka ʻōlelo aʻo.
Leka Lawe-Home
- ʻO nā polyp ihu he ulu ʻana o nā ʻiʻo me ka ʻole o ka maʻi kanesa, ʻaʻohe ʻeha, akā hiki iā lākou ke hana i kekahi mau pilikia, me ka paʻakikī o ka hanu ʻana.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ihu paʻa pinepine a me ka nalowale o ke ʻala a me ka ʻono no nā lā he 10 a ʻoi, e ʻimi pono i ke kōkua lapaʻau.
- ʻOi aku ka nui o ka pilikia o ka poʻe me ka hānō, nā maʻi allergies, a me nā maʻi sinus mau loa i ka hoʻomohala ʻana i kēia maʻi.
- Hiki ke mālama pono ʻia me ka lāʻau lapaʻau a me ke ʻoki ʻana, akā aia kahi manawa e hoʻi hou ai.
- Mai ho'āʻo e wehe i kēia mau mea ma ka home. He mea weliweli loa ia.
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