Ke manaʻo nei anei kou maka e piholo ana i loko? E kamaʻilio kākou e pili ana i ka Silent Sinus Syndrome!

Ua ʻike anei ʻoe i kahi loli iki ma kekahi ʻaoʻao o kou helehelena, ʻoi aku hoʻi a puni ka maka? Malia paha ua piholo iki kou maka, a i ʻole ke kulou nei kou lihilihi? ʻOiai ke ʻano he pilikia liʻiliʻi kēia, i kekahi manawa aia paha kekahi kūlana ma hope ona i lohe ʻole ʻia e mākou, akā he mea nui e ʻike. ʻO kekahi o ia ʻano kūlana ua kapa ʻia ʻo 'Silent Sinus Syndrome.' He mea ʻē paha ke kani ʻana o ka inoa, akā e mālama kākou i ka maʻalahi.

He aha ka Silent Sinus Syndrome?

I ka ʻōlelo maʻalahi, he ʻano kēia e pili ana i nā lua a puni ko kākou ihu, i kapa ʻia ʻo 'sinuses'. Hoʻopilikia ia i nā lua ma nā ʻaoʻao ʻelua o ko kākou ihu, i kapa ʻia ʻo `(Maxillary sinuses)`. Ma kēia ʻano, hoʻokahi a i kekahi manawa ʻelua mau maka e piholo iki i loko (`(Enophthalmos)`). A i ʻole e iho ana ka maka i lalo i loko o ka lua maka (`(Eye socket)`). E noʻonoʻo e like me ka balloon e emi ana a emi ana, hana ʻia kēia no ka mea e ʻuʻuku nā paia o ko kākou mau lua sinus i loko. ʻO ka papahele o ka lua maka, e like me ke kaupaku o kēia mau lua sinus, ua hoʻohaʻahaʻa ʻia ma kēia ʻano.

ʻO ke kumu nui o kēia, ʻo ia ka paʻa ʻana o nā lua sinus. A laila, ʻaʻole hiki ke hoʻokuʻu ʻia a hōʻiliʻili ʻia nā mea huna i loko o nā sinus, a i ka hala ʻana o ka manawa, ua komo hou lākou i loko o ke kino. Ma muli o kēia, ua hana ʻia kahi hakahaka i loko o ka lua sinus, a ua emi mālie ka lua. ʻO ia ka manawa e piholo ai ka maka.

Ua hoʻohui ʻia ka huaʻōlelo 'sillent' no ka mea ʻaʻohe ʻeha o ke ʻano. Eia nō naʻe, hiki ke ʻano like ʻole ke ʻano o ka maka, ʻoiai ma kekahi ʻaoʻao. ʻO ka hapa nui, hoʻopilikia wale ia i hoʻokahi ʻaoʻao o ka maka, akā kākaʻikahi, hiki ke hoʻopilikia i nā ʻaoʻao ʻelua. He mea nui ka lāʻau lapaʻau e pale aku i nā hōʻailona mai ka ʻino a me ka pale ʻana i nā pilikia e like me ka nalowale o ka ʻike peripheral a i ʻole ka ʻike tunnel.

Pehea ka maʻamau o kēia ʻano?

ʻO kaʻoiaʻiʻo, he mea kākaʻikahi loa kēia ʻano i kapa ʻia ʻo "Silent Sinus Syndrome". Ua ʻike mua ʻia a wehewehe ʻia i ka makahiki 1964. Mai ia manawa, he kakaikahi wale nō nā hihia, ma kahi o 100, i hōʻike ʻia ma ka honua holoʻokoʻa. No laila, ʻaʻole nui ka kamaʻilio e pili ana i ia mea.

He aha nā hōʻailona? Pehea ʻoe e ʻike ai iā lākou?

ʻIke pinepine ʻia nā hōʻailona o ka "Silent Sinus Syndrome" i loko o kekahi mau pule a i ʻole nā ​​mahina. Eia nō naʻe, i kekahi manawa hiki ke ʻike koke ʻia kēia mau hōʻailona. ʻO nā hōʻailona nui i ʻike ʻia, ʻo ia nā loli i ke ʻano o kou helehelena.

• ʻEnophthalmos: ʻO kēia ka hōʻailona maʻamau. Loaʻa i ka hapa nui o nā maʻi. Hiki i ka nui o ka pehu ʻana o ka maka ke piʻi mai 2 a 6 millimeters.
• Ka neʻe ʻana o ka maka i lalo (`(Hypoglobus)`):Ma kahi o ka hapalua o nā maʻi e ʻike nei i kēia hōʻailona. ʻO ke ʻano kēia ua iho ka maka o ka maka i loko o ka lua o ka maka. Hiki i kēia ma kahi o 1 a 6 millimeters.
• Nā loli i loko o ka lihilihi: Ua ʻike ʻia nā loli i ke kūlana o ka lihilihi luna ma kahi o 88% o nā maʻi.
• ʻIke pālua (`(Diplopia)`): Ua ʻike ʻia e ʻelua mau noiʻi nui ma waena o 28% a me 65% o nā maʻi e ʻike i kahi kūlana kahi e ʻike ai lākou i ʻelua mau mea i ka manawa hoʻokahi.

Ma waho aʻe o kēia mau hōʻailona nui, aia kekahi mau hōʻailona ʻē aʻe:

• Ptosis (a i ʻole Blepharoptosis): Ke kulou ʻana a i ʻole ke kuʻu ʻana o ka lihilihi o luna.
• ʻUmiʻumi: Hoʻohaʻahaʻa ʻia nā lihilihi maka, e like me he mea lā e ʻumiʻumi ana nā maka.
• ʻIke pōwehiwehi: Paʻakikī i ka ʻike maopopo ʻana i nā mea a me ka paʻakikī i ka noʻonoʻo ʻana.
• Sinusitis: Ka pehu ʻana a me ka maʻi ʻana o nā lua sinus.
• Rhinorrhea (ihu holo): He kahe wai e like me ka mucus mai ka ihu.
• ʻO ka wai ʻana ma hope o ka ihu: Hōʻiliʻili ka mucus keu a kahe i lalo i ke kua o ka puʻu.
• Kaomi a ʻeha paha o ka maka: Manaʻo i ka ʻeha a i ʻole ka paʻa ma nā wahi sinus, e like me a puni nā maka, ka lae, a me nā papālina.

No ke aha e kū mai ai ka silent sinus syndrome? He aha nā kumu?

Mai ka ʻike ʻia ʻana o kēia maʻi, ua hoʻomohala nā kānaka noiʻi i nā manaʻo like ʻole e pili ana i kona mau kumu. Manaʻo ka poʻe he nui ʻo ke kumu nui o kēia ʻano he pani ʻana i kahi ʻāpana o ko kākou ihu i kapa ʻia ʻo ka "osteomeatal complex." He ʻano palupalu kēia "osteomeatal complex" e kōkua ana i ka mucus a me ka ea e kahe ana mai loko mai o ka ihu. I ka pololei, ua like ia me ke komo ʻana i loko o ko kākou mau lua sinus.

Hiki ke ālai ʻia kēia mau hakahaka no nā kumu like ʻole. Ke ālai ʻia lākou, hōʻiliʻili nā mea huna i loko o nā lua sinus. I ka hala ʻana o ka manawa, hoʻopili hou ko mākou kino i kēia mau mea huna i hōʻiliʻili ʻia. ʻO ka mea e hana ʻia, ua hana ʻia kahi vacuum (`(Vacuum effect)`) i loko o ka lua sinus. Ma muli o kēia kaomi lōʻihi, huki mālie nā paia o nā lua sinus i loko a emi iho. Ma muli o kēia, huki i lalo ka papahele o ka lua maka (`(Orbital floor)`) ma luna o ka lua sinus. Hiki i kēia ke hana i nā iwi e lahilahi a loli ko lākou ʻano.

ʻO wai ka mea i ʻoi aku ka paʻakikī ke hoʻomohala i kēia?

Hiki i kekahi ke loaʻa i kēia maʻi, i kapa ʻia ʻo "Silent Sinus Syndrome." Eia nō naʻe, ʻoi aku ka nui o ka pilikia o ka poʻe me ke ʻano o ka ihu ʻokoʻa. ʻO ka mea nui, ua manaʻo ʻia ka poʻe me ka septum deviated he nui ka pilikia.

ʻIke pinepine ʻia kēia maʻi i nā poʻe ma ko lākou mau makahiki 30 a me 40. Eia kekahi, ʻoi aku ka nui o ka pilikia o ka poʻe puhi paka i ka loaʻa ʻana o kēia maʻi.

He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?

E noʻonoʻo i ka mea e hiki mai ana inā e emi ana kou mau lua sinus a e hoʻomau ka piholo ʻana o kou mau maka. Inā ʻaʻole mālama ʻia, hiki i kēia "Silent Sinus Syndrome" ke hoʻomau i ka hoʻopilikia ʻana i kou mau sinus a hoʻonui i kou mau hōʻailona. Hiki i kou maka a i ʻole nā ​​maka ʻelua ke piholo hou aʻe a hiki i kou mau maka ke neʻe i lalo. I ka hala ʻana o ka manawa, hiki i kēia ke alakaʻi i ka "Peripheral vision loss", ʻo ia ke ʻano kahi e ʻike ai ʻoe i nā mea mai nā ʻaoʻao a ʻike me he mea lā e nānā ana ʻoe ma o kahi paipu. ʻAʻole wale ia, hiki nō hoʻi ke alakaʻi i nā pilikia olakino ʻē aʻe.

Pehea ʻoe e ʻike pololei ai i kēia maʻi?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​​​ke ʻike mua ʻoe i ke kauka, e nānā ʻo ia iā ʻoe a nīnau e pili ana i kāu mau hōʻailona. A laila, hiki ke kuhikuhi ʻia ʻoe i kahi loea pepeiao, ihu, a me ka ʻāʻī (he otolaryngologist, a i ʻole kauka ENT).

E nānā pono ke kauka i kou mau maka a e ʻike i ke kūlana ma muli o kāu mau hōʻailona. E nānā ʻo ia i nā mea e like me nā maka i piholo, nā lihilihi maka e kūlou ana, a me nā lihilihi maka e kūlou ana.

No ka hōʻoia ʻana i kēia kūlana, e noi paha kāu kauka iā ʻoe e hana i kahi "CT scan" (Computed Tomography scan). Hiki i kēia ke ʻike maopopo i ke kūlana o nā lua sinus.

He aha nā lāʻau lapaʻau no kēia? Hiki ke ho'ōla ʻia?

ʻO ka nūhou maikaʻi, ʻae, i ka hapanui o nā hihia , ʻo ke ʻoki kino ka lāʻau lapaʻau no kēia maʻi (Silent Sinus Syndrome). ʻElua ʻano nui o ke ʻoki kino:

• Antrostomy: Pili kēia i ka hoʻohana ʻana i kahi endoscope, kahi mea lahilahi i lako me ke kāmela, e wehe i ka mea paʻa i loko o ka lua sinus a ʻae i nā mea huna e kahe pono. Hoʻonui pū ia i ka wehe ʻana o ka lua sinus e hoʻoulu ai i ka pilikia. Hāʻule pinepine kēia ma lalo o ka māhele o ke ʻoki sinus endoscopic.
• Hoʻoponopono papahele orbital: I kekahi mau hihia, hiki i ke ʻoki kino ke komo pū me ka hoʻoponopono ʻana i ka papahele orbital. Eia nō naʻe, ʻōlelo kekahi mau kauka ʻaʻole pono kēia i nā manawa a pau.

Ma hope o kēia mau lāʻau lapaʻau, hoʻomaka hou nā lua sinus e hana maʻamau, a e hoʻi hou nā hōʻailona e like me ka hoʻokahe ʻana o ka maka i ka maʻamau.

He aha ke ʻano o ka manaʻolana e hiki iā ʻoe ke loaʻa ma hope o ka mālama ʻana?

ʻO ka wikiwiki o kou ʻike ʻana i kēia maʻi "Silent Sinus Syndrome", ʻo ka maikaʻi ia nou. A laila hiki iā ʻoe ke pale i nā pilikia maka koʻikoʻi a hoʻoponopono i ka pilikia me ka "Endoscopic sinus surgery" wale nō, me ka ʻole o ka pono no ke ʻoki kino nui (e like me ka "Orbital floor repair").

Inā ʻaʻole mālama ʻia, e like me ka mea i ʻōlelo ʻia ma mua, hiki i ke kūlana ke ʻoi aku ka ʻino a alakaʻi i nā pilikia e like me ka nalowale o ka ʻike peripheral, diplopia, a me ka ʻike blurred. No laila, he mea nui e ʻimi i ke kōkua lapaʻau i ka wā hikiwawe loa.

Aia kekahi ala e pale aku ai i kēia mai ka hana ʻana?

ʻO ka ʻoiaʻiʻo, ʻo kēia "Silent Sinus Syndrome" he maʻi ia e hiki ke hoʻopilikia i kekahi. ʻOiai ʻaʻole i loaʻa i nā kānaka noiʻi ke kumu pololei o kēia, ʻaʻohe ala kikoʻī e pale aku ai. Eia nō naʻe, inā he ʻano ʻē i loko o ka ihu, he mea nui e ʻimi i ke kōkua lapaʻau.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi mau hōʻailona hou, e like me ka manaʻo piholo i loko o kou maka, ka lihilihi o ka maka, a i ʻole ka lihilihi o ka maka, e ʻike pono i ke kauka. He mau mea maʻalahi paha kēia, akā he mea nui e hōʻoia ʻaʻohe mea koʻikoʻi.

He aha nā nīnau āu e nīnau ai i kāu kauka?

Ke hele ʻoe e ʻike i ke kauka, hiki i ka nīnau ʻana i nā nīnau e like me kēia ke kōkua iā ʻoe e hoʻomaopopo maikaʻi i ke kūlana:

• Pehea i loaʻa ai iaʻu kēia "Silent Sinus Syndrome"?
• He aha nā lāʻau lapaʻau āu e paipai nei?
• Pono anei au e hana i ke ʻoki kino?
• ʻEhia ka lōʻihi e hoʻōla ai ma hope o ke ʻoki ʻana? He aha kaʻu mea e hopohopo ai i loko o ia manawa?
• Aia kekahi mea hiki iaʻu ke hana e pale aku ai i kēia "Silent Sinus Syndrome" mai ka hana hou ʻana?

Aia kekahi inoa ʻē aʻe no kēia?

ʻAe, ua kapa ʻia kēia "Silent Sinus Syndrome" e kekahi mau inoa ʻē aʻe. No ka laʻana, hoʻohana ʻia ka "Chronic maxillary atelectasis" a me ka "Imploding antrum syndrome". Eia nō naʻe, manaʻo kekahi poʻe noiʻi he mau kūlana kaʻawale kēia.

No laila, he aha nā mea nui loa e pono ai kākou e hoʻomanaʻo mai kēia mau mea a pau?

ʻAe, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi manaʻo maikaʻi aʻe o ka mea a mākou i kamaʻilio ai, ʻo "Silent Sinus Syndrome." E hoʻomanaʻo, ʻoiai he maʻi kakaikahi kēia, hiki iā ia ke hoʻopilikia i nā maka ma muli o kahi ālai ʻana i loko o ko mākou mau lua sinus.

ʻO ka mea nui loa, inā ʻike ʻoe i kekahi mau loli hou a ʻano ʻē paha ma kou helehelena, ʻoiai a puni kou mau maka - e like me ka maka i piholo a i ʻole ka lihilihi o ka maka - mai hoʻowahāwahā iā ia. ʻAʻole paha he mea e hopohopo ai. Eia nō naʻe, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka e ʻike pono i ka mea e hana nei, a inā pono, e hoʻomaka i ka lāʻau i ka wā hikiwawe loa. E kōkua kēia i ka pale ʻana i nā pilikia pono ʻole. ʻO kou olakino ka mea nui loa iā mākou!

ʻO ka maʻi sinus leo ʻole, nā mea lana o ka maka, nā sinuses, enophthalmos, hypoglobus, lua ihu, ENT