Ua ʻike anei ʻoe aia nā iwi liʻiliʻi ʻekolu o kou kino holoʻokoʻa i loko o kou pepeiao? ʻAe, he mea kupaianaha maoli nō ia. He liʻiliʻi loa lākou, ʻaʻole i ʻoi aku ka nui ma mua o kekahi mau hua laiki. Akā, hana nui kēia mau iwi liʻiliʻi. ʻOiaʻiʻo, kōkua kēia mau iwi liʻiliʻi ʻekolu iā mākou e lohe i nā leo o ke ao a puni mākou, e hauʻoli i ke mele, a e ʻike i nā leo o ka poʻe aloha. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia mau iwi liʻiliʻi kupaianaha (ossicles).
He aha kēia mau iwi kuamoʻo?
I ka ʻōlelo maʻalahi, ʻo nā iwi liʻiliʻi ʻekolu i loko o kou pepeiao waena ka mea a mākou e kapa nei he ossicles . Eia kēia:
1. Malleus - Ua kapa ʻia kēia ʻo ka 'hāmare'.
2. Incus - Ua kapa ʻia kēia ʻo 'antler'.
3. Stapes - Ua kapa ʻia kēia pēlā no ka mea he ʻano like kona me ka 'laina'.
Hana pū kēia mau mea ʻekolu e like me ke kaulahao. ʻO ia ke kumu i kapa ʻia ai kēia ʻōnaehana ʻo ke kaulahao Ossicular . ʻO kā lākou hana nui ka lawe ʻana i nā haʻalulu leo e hiki mai ana i kou eardrum, hoʻonui iā lākou, a hoʻouna iā lākou i ka cochlea i loko o kou pepeiao i loko, ʻo ia kahi nui e ʻike ʻia ai ke kani. Ma laila, hoʻololi ʻia kēia mau haʻalulu i mau hōʻailona uila e hiki ai i ka lolo ke hoʻomaopopo.
E noʻonoʻo wale, me ka ʻole o kēia mau iwi liʻiliʻi ʻekolu i loko o kou pepeiao, e emi nui ana ko kākou lohe ʻana, a e nalowale loa paha ia. Pēlā ke koʻikoʻi o kēia mau hoaaloha liʻiliʻi ʻekolu i ko kākou lohe ʻana.
Pehea lā ka hana pono ʻana o kēia kaulahao iwi?
Ua like kēia me ka heihei hoʻoili. E like me ka hāʻawi ʻana o kekahi mea pāʻani i ke koʻokoʻo i kekahi, hoʻoili kēia mau iwi ʻekolu i nā haʻalulu kani kekahi i kekahi. E nānā kākou pehea e hana ai kēia kaʻina hana.
1. KaʻAnuʻu Hana 1: Komo nā nalu kani i kou pepeiao a paʻi i ka eardrum (tympanic membrane). A laila hoʻomaka ka eardrum e haʻalulu, e like me ka ʻili o ka pahu e haʻalulu ai ke paʻi ʻoe iā ia.
2. KaʻAnuʻu Hana 2: Loaʻa i ka malleus , a i ʻole ka iwi 'hammer', ka mea i pili pono i ka eardrum, ka haʻalulu. Ke haʻalulu ka eardrum, haʻalulu pū ka malleus ma ke ʻano like.
3. KaʻAnuʻu Hana ʻEkolu: Hoʻoili ka malleus i ke kūpilikiʻi i loaʻa iā ia i kona hoaaloha aʻe, ʻo ka incus, a i ʻole ka iwi 'anvil'.
4. KaʻAnuʻu ʻEhā: Lawe ka incus i kēlā haʻalulu a hoʻoili iā ia i ka stapes, a i ʻole ka iwi 'laina', ʻo ia ka loulou hope loa o ke kaulahao.
5. Ka hana hope loa: ʻO ka iwi stapes, ka mea e omo i ke kūpilikiʻi i loaʻa iā ia, e kaomi ana i ka puka makani oval, ʻo ia kahi e like me ke komo ʻana o ke cochlea i loko o ka pepeiao.
Ke komo kēia haʻalulu i loko o ke cochlea, hoʻoulu ʻia nā hunaola wai a me nā hunaola sensory ma laila a hana i nā hōʻailona uila. ʻO kēia mau hōʻailona ka mea a mākou e ʻike ai he "kani" i loko o ka lolo. I loko o kēia kaʻina hana, hoʻonui ʻia ka nalu kani i kona hele ʻana ma waena o kēia mau iwi ʻekolu. ʻO ia ke kumu e hiki ai iā mākou ke lohe maopopo i nā leo palupalu loa.
E aʻo iki kākou e pili ana i kēia mau iwi liʻiliʻi ʻekolu.
E lawe kākou i kēia mau iwi ʻekolu a nānā pono iā lākou.
Malleus (Malleus - hāmare)
ʻO kēia ka mua a me ka nui loa o nā ossicles. Loaʻa iā ia kona inoa no ka mea ua like kona ʻano me ka hāmare. Hoʻopili ʻia kekahi wēlau o ia mea i ka eardrum. No laila, ke neʻe ka eardrum, neʻe ka iwi malleus holoʻokoʻa. Hoʻopili ʻia kekahi wēlau o ia mea i ka iwi incus.
ʻIncus (Incus - Anvil)
ʻO kēia ka loulou waena o ke kaulahao. Ua like ke ʻano me ke anvil i hoʻohana ʻia e ka mea hana hao. Ua paʻi nā haʻalulu mai ka malleus i kēia. Ua like ia me ke kuʻi ʻana i ka anvil me ka hāmare. Ua pili kekahi ʻaoʻao o ka incus i ka malleus, a ua pili kekahi ʻaoʻao i nā stapes.
Stapes (Stapes - laina)
ʻO kēia ke koa liʻiliʻi loa o ka moʻolelo. ʻO nā stapes ka iwi liʻiliʻi loa o ke kino kanaka holoʻokoʻa. He mau milimita wale nō ka lōʻihi a me ka laulā. Ua like kona ʻano me ke laina o nā wāwae o ka lio ke holo ʻia. ʻO kēia ka hana koʻikoʻi loa o ka lawe ʻana i nā haʻalulu mai ka incus a hoʻouna pololei iā lākou i ka pepeiao o loko.
He aha nā maʻi maʻamau e hoʻopilikia ai i kēia mau iwi?
Inā he pilikia i ka hana a kēia mau iwi liʻiliʻi, ʻaʻole hiki pono nā haʻalulu kani i ka pepeiao o loko. ʻO ka nalowale o ka lohe i loaʻa mai kēia ua kapa ʻia ʻo ka nalowale o ka lohe conductive . E nānā kākou i kekahi o nā pilikia e hoʻopilikia nei i kēia mau iwi ma lalo nei.
| Pilikia / kūlana | I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia? |
|---|---|
| Nā ʻano ʻē o ka hānau ʻana | He mea kākaʻikahi loa, hiki i kekahi mau pēpē ke hānau ʻia me ka nalowale ʻana o kekahi o kēia mau iwi, ʻaʻole e ulu pono, a i ʻole ua hui pū ʻia. |
| ʻOtosclerosis | I ka manawa pinepine, ua hui pū ʻia ka iwi stapes me nā ʻiʻo a puni a ʻaʻole hiki ke neʻe manuahi, e pale ana i ka hoʻoili ʻia ʻana o nā haʻalulu. |
| Kolesteatoma | I kēia kūlana, hōʻiliʻili nā ʻili ʻili i loko o ka pepeiao waena e like me kahi puʻupuʻu. Hiki i kēia puʻupuʻu ke hōʻino i nā iwi a hoʻopilikia i ko lākou neʻe ʻana. |
| Nā maʻi pepeiao waena mau loa | Hiki i nā maʻi pepeiao pinepine ke hoʻoulu i ka hōʻiliʻili ʻana o ka wai a me ka pehu ʻana i ka pepeiao waena, e kaupalena ana i ka neʻe ʻana o nā iwi. Inā ʻaʻole mālama ʻia, hiki ke hōʻino mau loa ʻia. |
| Ka hoʻokaʻawale ʻana o ke kaulahao ossicular | Hiki i nā ʻeha poʻo a me nā hahau ke hoʻokuʻu i nā loulou o kēia kaulahao iwi mai kekahi i kekahi a hemo. A laila, ʻaʻole e hele nā haʻalulu. |
Pehea e ʻike ai i kahi pilikia me nā iwi? (Nā hōʻailona)
Inā pilikia kou mau iwi pepeiao, hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona.
- Poho lohe a nalowale koke paha ka lohe: Me he mea lā ua mamao nā leo, a i ʻole ua like ka pepeiao me he mea lā ua paʻa.
- Ke kani ʻana i loko o nā pepeiao: He leo kani mau i loko o ka pepeiao.
- ʻEha pepeiao: He manaʻo ʻeha i loko o ka pepeiao.
- Ka wai e like me ka pus e kahe ana mai ka pepeiao mai: Hiki ke ʻike ʻia kēia i nā hihia o ka maʻi.
- Piha ka pepeiao a kaomi paha: He manaʻo e like me ka piha ʻana o ka pepeiao i ka ea.
- Nā pilikia kaulike: I kekahi manawa hiki i kēia mau pilikia ke hoʻopilikia i ka ʻōnaehana vestibular, ʻo ia ka ʻōnaehana e kaohi ana i ke kaulike i loko o ka pepeiao, e hoʻoulu ai i ka dizziness.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. ʻOi aku ka maikaʻi o ka ʻike ʻana i kāu kauka i ka wā hikiwawe loa a loaʻa ka ʻōlelo aʻoaʻo.
He aha ke ʻano o nā hoʻokolohua a ke kauka e hana ai?
Ke ʻike ʻoe i ke kauka, e nīnau ʻo ia e pili ana i kāu mau hōʻailona a nānā i kou pepeiao. Inā pono, hiki iā lākou ke kuhikuhi iā ʻoe no kekahi o kēia mau hoʻokolohua.
| Hoʻāʻo | He aha ka hana a kēia? |
|---|---|
| ʻOtoskopi | Ua nānā ʻia ka ʻaoʻao o loko o ka pepeiao me kahi mea i hoʻomālamalama kūikawā ʻia e nānā i nā pilikia me ka eardrum a me ka pepeiao waena. |
| Nā hoʻokolohua hoʻolohe | Ana mākou i ka mamao e hiki ai iā ʻoe ke lohe i nā leo a inā he pohō kou lohe. |
| Hoʻāʻo Tympanometry | Kōkua kēia hoʻāʻo e ʻike inā piha ka pepeiao waena i ka wai a inā e neʻe pono ana ka pahu pepeiao. |
| Nānā CT | Kōkua kēia i ka ʻike maopopo inā he pōʻino, haki, a i ʻole ka ulu ʻana maʻamau ʻole i nā iwi a i ʻole nā ʻiʻo a puni. |
He aha nā lāʻau lapaʻau no kēia mau kūlana?
Aia ka lāʻau lapaʻau i ka pilikia kikoʻī āu e loaʻa nei. E nānā kāu kauka iā ʻoe a kuhikuhi i ka lāʻau lapaʻau kūpono loa iā ʻoe. Eia nā lāʻau lapaʻau maʻamau i hoʻohana ʻia:
- Nā lāʻau antibiotic: Inā loaʻa ka pilikia i kahi maʻi bacteria, hāʻawi ʻia kēia mau mea e ho'ōla iā ia.
- Nā mea kōkua hoʻolohe: Kōkua kēia mau mea iā ʻoe e lohe maikaʻi i nā leo inā ua pilikia mau kou lohe.
- ʻOki: I kekahi manawa pono paha ke ʻoki ʻana e hoʻoponopono i ka pōʻino o ka iwi, wehe i nā ulu ʻano ʻē, a hoʻokomo paha i nā iwi hana.
Pehea ʻoe e mālama ai i kēia mau iwi makamae i ke olakino?
ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana e pale aku i kēia mau iwi liʻiliʻi, ʻo ia ke hana i nā hana e pale aku ai i nā maʻi pepeiao a e ʻimi i ke kōkua lapaʻau i ka wā hikiwawe loa inā ʻike ʻoe i kekahi loli i kou lohe.
- Inā komo ka wai i loko o kou pepeiao, e holoi maikaʻi a hoʻomaloʻo iā ia.
- Ke loaʻa iā ʻoe nā mea e like me ke anu, hiki iā lākou ke hoʻoulu i nā maʻi pepeiao, no laila e kiʻi i ka lāʻau kūpono.
- E ʻaʻahu i nā mahiole pale inā ʻoe e pāʻani i nā haʻuki e weliweli i kou poʻo.
- Inā loaʻa iā ʻoe kekahi pohō lohe, ʻeha, a kani paha i kou mau pepeiao, e ʻike koke aku i ke kauka .
Hiki ke mālama pono ʻia nā ʻano maʻi he nui e hoʻopilikia ana i kēia mau iwi inā ʻike mua ʻia. Eia nō naʻe, inā lohi ka mālama ʻana, hiki iā ia ke hōʻeha i ka wā lōʻihi. No laila, mai hoʻowahāwahā i kahi pilikia liʻiliʻi.
Leka Lawe-Home
- Aia nā iwi liʻiliʻi ʻekolu (ossicles) i loko o kou kino ma ka pepeiao waena. ʻO lākou ka Malleus, Incus, a me Stapes.
- He mea nui kēia kaulahao o nā iwi no kākou e lohe ai i nā leo. Lawe lākou i nā haʻalulu leo i ka pepeiao o loko.
- Hiki i nā maʻi pepeiao, nā ʻeha poʻo, a me kekahi mau maʻi olakino (e like me ka otosclerosis) ke hōʻino i kēia mau iwi.
- Inā ʻike ʻoe i nā hōʻailona e like me ka nalowale o ka lohe, ka ʻeha o ka pepeiao, a i ʻole ke kani ʻana o nā pepeiao, mai hoʻowahāwahā iā ia a e ʻike koke i kāu kauka.
- ʻO ka loaʻa ʻana o ka mālama kūpono i ka wā mua hiki ke hoʻōla i nā pilikia he nui a pale i ka hōʻino mau ʻana o ka lohe.
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