Ua loaʻa anei iā ʻoe ka ʻike o ka honi ʻana i kahi ʻala ʻaʻole maoli ma laila, me ke kumu ʻole? Malia paha he ʻala o ka ʻōpala i puhi ʻia, ka meaʻai palaho, a i ʻole no kekahi poʻe, he ʻala maikaʻi ia e like me ka mea ʻala. ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo 'Phantosmia', ʻo ia ka wā e honi ai mākou i nā ʻala ʻaʻole maoli ma laila. ʻOiai he ʻano ʻē kēia, ʻaʻohe mea e makaʻu ai, e kamaʻilio kākou e pili ana i nā kikoʻī.
He aha maoli ka Phantosmia?
I ka ʻōlelo maʻalahi, ʻo ka phantosmia ka ʻike ʻana i nā ʻala ʻaʻole maoli ma laila. ʻO kekahi inoa no kēia ʻo "olfactory hallucinations." Hiki ke ʻike ʻia kēia mau ʻala ma hoʻokahi puka ihu wale nō, a i ʻole hiki ke ʻike ʻia ma nā puka ihu ʻelua. I kekahi manawa hiki ke ʻike mau ʻia kēia mau ʻala, a i kekahi manawa he kakaikahi paha.
E noʻonoʻo, aia ʻoe i loko o ka lumi hoʻokipa ma ka home, ʻaʻohe mea e ʻā ana, ʻaʻohe mea e puhi ana i ka cigarette, akā honi koke ʻoe i ka paka i puhi ʻia. ʻO ia ke ʻano o kēia. ʻO ka hapa nui o ka manawa, ʻaʻole kēia he mea koʻikoʻi, a e hoʻomaikaʻi wale ia ma hope o kekahi manawa. Eia naʻe, he mea kakaikahi loa , hiki i kēia ke lilo i hōʻailona o kahi maʻi koʻikoʻi e like me ka maʻi Parkinson, ka hahau ʻana, a i ʻole ka puʻupuʻu lolo. No laila he mea nui e makaʻala i kēia.
Pehea ka maʻamau o kēia ʻano?
ʻAʻole maʻamau ka Phantosmia. Ma waena o 10% a me 20% o nā maʻi e hoʻopilikia i kā mākou ʻōnaehana honi, ʻo ia hoʻi, ke ʻano o ka honi ʻana, ua hōʻike ʻia ʻo Phantosmia. ʻO ke ʻano kēia, ʻaʻole ia e hiki i nā kānaka a pau.
He aha nā hōʻailona o kēia mau "ʻala nalo"?
Hiki ke ʻokoʻa ke ʻala i ʻike ʻia e ka phantosmia mai kēlā kanaka a kēia kanaka. No kekahi poʻe, he ʻala ʻoluʻolu paha ia, e like me ke ʻala o ka keke i hoʻomoʻa hou ʻia. Akā no ka poʻe he nui, he ʻala ʻoluʻolu ʻole paha ia . Eia kekahi mau laʻana:
- Ke ʻala o ka laholio e ʻā ana
- Ke ʻala o ka ʻōpala
- Ke ʻala o ka meaʻai i palaho ʻia
- Ke ʻala o ka berena i puhi ʻia
- Ke ʻala o ka uahi paka
- Ke ʻala o kahi kemika
- He ʻala metala
- He ʻala pala a ʻinoʻino.
I kekahi manawa, e ʻike paha ʻoe i kahi ʻala ʻē a maʻamau ʻole āu i honi ʻole ai ma mua. Hiki ke mau kēia ʻala, a i ʻole e hele mai a hele aku.
No ke aha mākou e honi ai i kēia mau ʻala ʻē? He aha nā kumu?
Aia paha he nui nā kumu no kēia. E nānā kākou i nā kumu nui e kōkua ana.
Nā kumu i ʻike pinepine ʻia:
- Anu: Ke loaʻa iā ʻoe ke anu maʻamau, e paʻa ana kou ihu a hiki ke hoʻopilikia ʻia nā pūnaewele e ʻike ana i nā ʻala.
- Nā maʻi Sinus: Hiki ke hana ʻia kēia ʻano e nā maʻi i loko o nā lua ea (sinuses) a puni ka ihu.
- Nā maʻi hanu kiʻekiʻe: Nā maʻi ʻē aʻe e pili ana i ka ʻāʻī a me ka ihu.
- Nā maʻi ʻaleka:Hiki i kekahi poʻe ke loaʻa i nā pilikia ihu ma muli o nā maʻi allergies i nā mea e like me ka lepo a me ka pollen, e alakaʻi ana i ka phantosmia.
- Nā polyps ihu: Hiki i nā ulu liʻiliʻi i loko o ka ihu ke ālai i ke ʻala.
- Migraines: Hiki i kekahi poʻe me ka migraines ke ʻike i kēia mau ʻala ʻē ma mua a i ka wā paha o ke poʻo.
- ʻO ka lawe ʻana i kekahi mau lāʻau lapaʻau: Hiki i kēia ke hana ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau āu e lawe nei.
- ʻIke ʻia i nā kemika ʻawahia: ʻO ka ʻike ʻia ʻana i nā kemika ʻawahia e like me ke kēpau a me ka mercury kekahi kumu.
- Nā pilikia niho a me ka ʻāʻī: Hiki ke hana ʻia e nā mea e like me ka maʻi ʻāʻī a me ka waha maloʻo.
- Puhipaka: ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe puhipaka.
- Ma hope o ka maʻi COVID-19: Ua hōʻike ka nui o ka poʻe i kēia mau loli i ko lākou ʻala, me ka nalowale ʻana o ke ʻala, ʻoiai ma hope o ka hoʻōla ʻana mai COVID.
Nā kumu kākaʻikahi akā hopohopo:
He mea koʻikoʻi iki kēia, akā e hoʻomanaʻo ʻaʻole lākou he mea maʻamau .
- ka maʻi o Parkinson
- ʻŌpū lolo
- Hahau
- ʻEha poʻo
- ʻEpilepsy
- ka maʻi o Alzheimer
- ʻO Neuroblastoma (kahi ʻano maʻi kanesa e loaʻa pinepine ana i nā keiki ʻōpio)
ʻO ka mea nui loa, ʻo ia ke ʻike pono i ke kumu o kēia mau hōʻailona inā loaʻa iā ʻoe. No kēia, he mea nui e ʻimi i ke kōkua lapaʻau.
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, e hoʻāʻo mua ʻo ia e ʻike i ke kumu o kou hanu ʻino. Ma ka ʻike ʻana i ke kumu e hiki ai iā ʻoe ke mālama pono.
E nānā ke kauka i kou ihu, pepeiao, poʻo, a me ka ʻāʻī. Eia kekahi, e nīnau lākou iā ʻoe e pili ana i kēia mau hōʻailona:
- He aha nā ʻala āu e honi ai?
- ʻEhia ka lōʻihi o kēia ʻala ma laila?
- Ke manaʻo nei ʻoe i loko o hoʻokahi puka ihu a i ʻole nā mea ʻelua?
Hiki i nā nīnau e like me kēia ke kōkua i ke kauka e loaʻa kahi manaʻo maikaʻi o kou kūlana.
He aha ke ʻano o nā hoʻokolohua āu e hana ai?
I kekahi manawa, pono paha nā hoʻokolohua hou aʻe e hoʻoholo ai i ke kumu pololei. Eia kekahi o nā hoʻokolohua e hiki ke hana ʻia:
- ʻO ka endoscope ihu: ʻO kēia ka manawa e hoʻokomo ai ke kauka i kahi ʻōmole lahilahi a palupalu (i kapa ʻia he endoscope, nona kahi kāmela liʻiliʻi a me ke kukui) i loko o kou ihu e nānā i kou mau ala ihu a me nā lua sinus. Hiki i kēia ke kōkua i ka nānā ʻana i nā pilikia i loko o kou ihu.
- Nā hoʻāʻo kiʻi:ʻO kēia mau mea nā scan CT a me nā scan MRI. Lawe kēia ʻano scan i nā kiʻi o nā wahi i loko o ke poʻo, e like me ka lolo, e ʻike inā he mau mea ʻē.
- Electroencephalogram (EEG): He hoʻāʻo palekana a ʻeha ʻole kēia e ana i ka hana uila o kou lolo. Hiki iā ia ke kōkua i ka ʻike ʻana i nā maʻi pili i ka lolo, e like me ka maʻi epilepsy.
He aha nā lāʻau lapaʻau no kēia?
ʻO ke ʻano o ka mālama ʻana no ka phantosmia e pili ana i ke kumu kumu .
- Inā kumu ʻia kēia e nā mea e like me ke anu, nā maʻi ʻaleka, a i ʻole ka maʻi sinus, e pau ke ʻala ke hoʻōla ʻia ke kumu.
- Eia nō naʻe, inā loaʻa ka phantosmia i kahi maʻi neurological (ʻo ia hoʻi, pili i ka lolo), ʻoi aku ka paʻakikī o ka mālama ʻana. ʻOiai pēlā, ʻokoʻa ka mālama ʻana ma muli o ke kumu pololei. No ka laʻana, pono paha i kahi kanaka me ka maʻi epilepsy ka lāʻau lapaʻau a i ʻole ke ʻoki ʻana. Pono paha i kahi kanaka me ka puʻupuʻu lolo ka chemotherapy a/a i ʻole ka radiation therapy.
Ke ʻike ke kauka i ke kumu o kou ʻano, e kuhikuhi ʻo ia i ka lāʻau kūpono.
Aia kekahi mau mea hiki iā ʻoe ke hana ma ka home?
ʻAe, hiki i kekahi poʻe me ka phantosmia ke loaʻa ka hōʻoluʻolu me kēia mau mea hiki iā lākou ke hana ma ka home:
- Ka hoʻoinu ʻana i ka ihu: E hoʻohana i ka ipu neti a i ʻole ka wai saline mai kahi hale kūʻai lāʻau lapaʻau e holoi i kou mau puka ihu. E kōkua kēia i ka holoi ʻana i nā ʻōpala a hoʻomaʻemaʻe i nā puka.
- Nā pīpī ihu: Hiki iā ʻoe ke hoʻohana i kahi pīpī ihu e loaʻa ana ka oxymetazoline e hōʻoluʻolu i ka paʻa ʻana o ka ihu. Loaʻa kēia mau mea ma ke kūʻai aku ma nā hale kūʻai lāʻau lapaʻau. Eia nō naʻe, ʻaʻole ʻōlelo ʻia e hoʻohana mau i kēia mau pīpī , a ʻoi aku ka maikaʻi o ke nīnau ʻana i ke kauka inā ʻoe e hoʻohana ana iā lākou no nā lā he nui.
Hiki ke pale ʻia kēia?
No ka mea, he hōʻailona pinepine ka phantosmia o kekahi maʻi ʻē aʻe, he paʻakikī ke pale loa i ka phantosmia inā ʻaʻole hiki ke pale ʻia ke kūlana kumu. Eia nō naʻe, ke ʻike ʻoe i ke kumu o ka phantosmia, hiki iā ʻoe ke hana i nā hana e hōʻemi ai i kou pilikia.
Pehea e hōʻemi ai i ka pilikia?
Hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i ka pilikia o ka hoʻomohala ʻana i ka phantosmia:
- Inā ʻoe e puhipaka, e hoʻōki.
- Inā kānalua ʻoe ua hoʻokumu ʻia kēia ʻano ma muli o ka lāʻau āu e lawe nei, e kamaʻilio me kāu kauka e pili ana i ia mea a ʻike inā hiki iā ʻoe ke hoʻololi i kahi lāʻau ʻē aʻe.
- Inā loaʻa iā ʻoe nā maʻi allergies, e kāohi iā lākou.
- E ʻimi koke i ka lāʻau lapaʻau inā loaʻa iā ʻoe kahi maʻi anu a i ʻole kekahi maʻi ʻē aʻe.
- Inā he mau pilikia kou me kou mau niho a me kou ʻāʻī paha, e mālama iā lākou.
- E holoi pinepine i kou mau lima a e noho maʻemaʻe. Hoʻemi kēia i ka pilikia o ka maʻi.
E nalo aku anei kēia kūlana? Pehea ka lōʻihi o kona mau ʻana?
ʻO ka hapa nui o ka manawa, he manawa pōkole ka phantosmia. Hiki ke nalo wale ia i loko o kekahi mau pule. Eia nō naʻe, inā he pilikia neurological ia, hiki i nā hōʻailona ke lōʻihi iki. Inā hoʻomau ʻoe i ka ʻike ʻana i kēia mau ʻala ʻē no nā pule he nui, pono ʻoe e ʻike i ke kauka.
ʻOkoʻa ka lōʻihi o kēia mai kēlā kanaka a kēia kanaka. Inā ma muli o kekahi mea e like me ke anu a i ʻole ka maʻi, e nalowale ia ke pau ka maʻi. Akā inā he pilikia ia me ka ʻōnaehana nerve, hiki i kēia mau hōʻailona ke mau no nā makahiki.
Āhea wau e ʻike ai i ke kauka?
Inā ʻoe e ʻike nei i kēia mau ʻala ʻē no nā pule ʻekolu a ʻoi , pono ʻoe e kamaʻilio me ke kauka. I ka hapanui o nā hihia, e nalowale ka phantosmia ke mālama ʻia ke ʻano kumu. Akā inā ʻaʻole, he mea nui e ʻimi i ke kumu.
He aha nā nīnau āu e nīnau ai i ke kauka?
Inā loaʻa iā ʻoe a i ʻole kekahi mea āu i ʻike ai he phantosmia, he mea kōkua paha ke nīnau i kāu kauka i kēia mau nīnau:
- No ke aha lā wau e honi nei i kēia mau ʻala ʻē?
- Pehea ka lōʻihi o kēia?
- Pono anei iaʻu e mālama ʻia no kekahi maʻi ʻē aʻe?
- He aha kekahi mau ala e hiki ai iaʻu ke hōʻemi i kēia mau hōʻailona?
- Pono anei au e ʻike i kahi kauka otolaryngologist (loea pepeiao, ihu, a me ka puʻu) a i ʻole kekahi loea ʻē aʻe?
He aha ka ʻokoʻa ma waena o Phantosmia lāua ʻo Parosmia?
He mau pilikia kēia mau mea ʻelua e pili ana i ke ʻano o ka honi.
- ʻO Phantosmia ka manaʻo o ka honi ʻana i kahi mea ʻaʻole maoli ma laila.
- ʻO Parosmia ka hoʻololi ʻana o kahi ʻala maʻamau, e ʻike ʻia ai ma ke ʻano ʻokoʻa. Eia kekahi laʻana, ma kahi o ka honi ʻana i ke kofe, hiki paha iā ʻoe ke honi i kahi mea e like me ka laholio i puhi ʻia.
Ua like loa nā kumu o nā kūlana ʻelua. ʻO ka mālama ʻana no ka phantosmia a me ka parosmia e pili ana i ke kumu kumu.
He maʻi noʻonoʻo anei kēia?
ʻAʻole, ʻaʻole ka phantosmia he maʻi noʻonoʻo nui. Eia nō naʻe, hiki ke ʻike ʻia ka phantosmia i kekahi manawa he hōʻailona o kekahi mau maʻi noʻonoʻo, e like me ka schizophrenia . Akā he mea kakaikahi loa ia.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
No laila, ʻo ka phantosmia ka ʻike ʻana i nā ʻala ʻaʻole maoli ma laila. Hoʻopili pinepine ʻia me nā maʻi maʻamau e like me ke anu, nā maʻi allergies, a me nā maʻi sinus. Akā, i kekahi manawa, hiki ke lilo i hōʻailona o kahi maʻi lolo koʻikoʻi e like me ka epilepsy, stroke, a i ʻole ka maʻi Alzheimer.
Inā ua loaʻa iā ʻoe ka hanu ʻino no nā pule he nui, mai hoʻowahāwahā iā ia a e ʻike i ke kauka. Hiki i kāu kauka ke hoʻoholo i ke kumu o ia mea a paipai i ka lāʻau lapaʻau maikaʻi loa. Mai hopohopo, ʻo ka hapa nui o ka manawa hiki ke mālama ʻia!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ke ʻano o ka maʻi ʻo Phantosmia (Phantosmia / Olfactory Hallucination)?
ʻO ke ʻano o ka phantom ʻo ia hoʻi he 'ʻuhane/mea ʻaʻole ma laila'. Pili ia i kahi kūlana neurological kahi e hoʻomau ai ke kanaka i ka honi ʻana i kahi ʻala ʻē a ʻawaʻawa, ke ʻala o ka laholio e ʻā ana, ke ʻala o ka ʻiʻo palaho, a i ʻole kekahi ʻala ʻē aʻe (he hallucination o ke ʻala) ʻoiai ʻaʻohe ʻala ʻē aʻe i ke kaiapuni (e.g., i loko o kahi lumi maʻemaʻe).
💬 No ke aha lā kākou e honi ai pēlā me ka ʻole o ka honi maoli ʻana?
ʻOi aku kēia i ka pilikia me ko kākou lolo e heluhelu ana i nā hōʻailona ma mua o ka pilikia nasal polyps/sinusitis. No kekahi poʻe, ma hope o kahi ʻeha poʻo koʻikoʻi, ma mua o ka migraine, i ka wā o ka hopu ʻana o ka temporal lobe, a i ʻole i ka wā e hōʻino ʻia ai nā aʻalolo e kahi maʻi e like me Covid-19, hana ka lolo i kahi ʻala wahaheʻe.
💬 He maʻi noʻonoʻo anei kēia? Aia kekahi lāʻau lapaʻau no kēia?
ʻAʻole kēia he pupule a he maʻi noʻonoʻo paha. He pilikia kino kēia no ka lolo. ʻO ka hapa nui o ka manawa, e nalowale ana kēia ʻala iā ia iho i loko o kekahi mau pule. Akā inā hoʻomau ia, e hana maoli nā kauka (ENT Specialist/Neurologist) i kahi scan MRI a nānā i kahi puʻupuʻu lolo. Hiki ke hoʻomalu pono ʻia kēia me nā kulu steroid a i ʻole nā lāʻau anti-epileptic.
ʻO Phantosmia, nalowale ke ʻala, ke ʻano o ke ʻala, nā maʻi ʻala, nā maʻi ihu, nā hoʻopilikia ʻala, nā hallucinations ʻala
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