He ihu paʻa kou i nā manawa a pau? He poʻo kaumaha kou a he ʻeha kou mau papālina? ʻAʻohe mucus? ʻO kēia nā hōʻailona nui o ka sinusitis. ʻO ka hapa nui o ka manawa, hiki ke hoʻomalu ʻia kēia ʻano me ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka. Akā i kekahi manawa, ʻaʻohe mea nui ka nui o ka lāʻau lapaʻau āu e lawe ai, ʻaʻole e emi kēia pilikia. ʻO ia ka manawa e kuhikuhi ai kāu kauka iā ʻoe i kahi ʻoki sinus. He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe i ka huaʻōlelo "ʻoki". Akā he pono maoli anei e makaʻu i kēia? E kamaʻilio kākou e pili ana i nā mea āpau me ka maʻalahi.
He aha maoli ke ʻano o ke ʻoki sinus?
I ka ʻōlelo maʻalahi, ʻo ke ʻoki sinus ke kaʻina hana o ka wehe hou ʻana i nā ala i paʻa i loko o nā sinuses, ʻo ia hoʻi nā lua i loko o kou iwi poʻo a puni kou ihu. E noʻonoʻo i kahi ʻauwai i paʻa i loko o kou home. ʻAʻole kahe pono ka wai. Pēlā e hōʻiliʻili ai ka mucus i hana ʻia i loko o nā sinuses a lilo i maʻi.
No laila, hana ʻia kēia ʻoki kino e wehe i nā mea e ālai ana i nā ala i ālai ʻia. Hiki i kēlā mau mea ke lilo i ʻiʻo i loaʻa i ka maʻi , nā ʻāpana iwi keu , a i ʻole nā polyp e ulu ana i loko o ka ihu. ʻO ka pahuhopu nui o kēia ʻoki kino, ʻo ia ke hana i ala no ka mucus e kahe maʻalahi. E hōʻemi kēia i nā manawa kūpono o ka maʻi a me ka ʻoluʻolu ʻole āu e manaʻo ai.
Me ka ʻenehana holomua o kēia au, hana ʻia ka hapa nui o kēia mau ʻoki me nā ʻoki liʻiliʻi loa (minimally invasive), ʻo ia hoʻi hiki iā ʻoe ke ho'ōla koke.
He aha nā ʻano hana sinus i loaʻa?
Aia kekahi mau ʻano nui o ke ʻoki sinus. Na kāu kauka e hoʻoholo i ke ʻano kūpono loa iā ʻoe ma muli o kou kūlana. E nānā kākou i kēia mau ʻano nui.
| ʻAno ʻoki kino | Pehea e hana ai maʻalahi | Hoʻohana pinepine ʻia kēia. |
|---|---|---|
| ʻO ke ʻoki kino sinus Endoscopic hana (FESS) | Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi (endoscope) i loko o ka ihu, a wehe ʻia nā ʻāpana ʻiʻo, ʻiʻo, a i ʻole nā ʻāpana iwi e ālai ana i nā ala sinus ma o ka endoscope. I kekahi manawa hoʻohana ʻia ka ʻenehana kamepiula (ʻōnaehana alakaʻi kiʻi) a me nā scan CT. | ʻO kēia ke ʻano hana i hoʻohana nui ʻia i kēia manawa. Hoʻohana ʻia kēia ʻano hana e wehe i nā pilikia sinus mau loa (Chronic Sinusitis) a me nā polyps. |
| Sinuplasty Baluna | Hoʻohana pū kēia i kahi endoscope. Akā ma kahi o ka ʻoki ʻana a me ka wehe ʻana i nā ʻiʻo, hoʻokomo ʻia kahi pōpō liʻiliʻi i loko o ke ala sinus i ālai ʻia a hoʻopiha ʻia. A laila hoʻonui ʻia ke ala i ālai ʻia a wehe ʻia. A laila wehe ʻia ka pōpō. | He hana hoʻopilikia iki kēia. ʻOiai ʻaʻole pono e ʻoki ʻia nā ʻiʻo, he pōkole ka manawa hoʻōla. ʻAʻole hiki i nā kānaka a pau ke hana i kēia. Na ke kauka e hoʻoholo. |
| Ke Keʻena Lapaʻau ʻo Caldwell Luc | He ʻano hana kahiko iki kēia. Hana ʻia kahi ʻoki liʻiliʻi ma luna o ka lehelehe luna, ma loko o ka ʻāʻī, a hoʻokomo ʻia ka sinus maxillary. Mai laila mai, hana ʻia kahi ala hou no ka ihu e hoʻokahe i ka mucus. | Hiki ke hoʻohana ʻia kēia ʻano hana i nā hihia paʻakikī kahi i ʻole ai nā ʻano hana ʻē aʻe i hāʻawi i nā hopena holomua. |
He like anei ke ʻoki sinus a me ka hoʻēmi ʻana o ka turbinate?
ʻAe. ʻElua ʻano hana ʻoki kino kēia. Hana ʻia ke ʻoki kino sinus e hoʻomaʻemaʻe i nā alahele i loko o nā lua sinus. Hana ʻia ka hoʻemi ʻana o ka turbinate e hoʻemi i ka nui o nā ʻano iwi i loko o ka ihu i kapa ʻia ʻo turbinates. Ke pehu kēia mau mea, hiki iā lākou ke hana i ka ihu paʻa. I kekahi manawa, hiki ke hana pū ʻia kēia mau ʻoki kino ʻelua.
He mea weliweli anei kēia ʻoki kino? E ʻeha nui anei?
ʻO kēia ka pilikia nui loa no nā kānaka he nui. ʻO kaʻoiaʻiʻo, ʻaʻole maʻamau ke ʻano o ke ʻoki sinus i loaʻa nā pilikia nui a koʻikoʻi. ʻO nā kaʻina hana hou, ʻoiai ʻo FESS a me Balloon Sinuplasty, he palekana loa ia.
I ke kamaʻilio ʻana e pili ana i ka ʻeha, ʻaʻole ʻoe e ʻike i kekahi ʻeha i ka wā o ke ʻoki ʻana no ka mea hoʻohana nā kauka i ka anesthesia.
- Anesthesia Laulā: Ma kēia, e hiamoe loa ʻoe. ʻAʻole ʻoe e manaʻo i kekahi mea a pau ke ʻoki ʻana.
- Anesthesia kūloko: Hoʻomānoʻo wale kēia i ka ʻāpana a puni ka ihu. Hiki iā ʻoe ke manaʻo i kekahi kaomi i ka wā o ke kaʻina hana, akā ʻaʻole ʻoe e ʻeha.
Ma hope o ke ʻoki kino, no kekahi mau lā, malia paha he pule,Aia paha he ʻeha iki a ʻeha waena. E hāʻawi ke kauka iā ʻoe i nā lāʻau ʻeha no kēlā. No laila, ʻaʻohe mea e hopohopo ai.
Nā mea e pono ai ʻoe e ʻike ma mua o ke ʻoki ʻana a pehea e hoʻomākaukau ai
Aia kekahi mau mea e pono ai ʻoe e hoʻomākaukau no ma mua o ke ʻoki kino. E wehewehe kāu kauka i kēia mau mea āpau iā ʻoe. ʻO ka maʻamau, hāʻawi ʻia nā kuhikuhi ma lalo nei:
- Inā he mea puhi paka ʻoe, e hoʻāʻo e hoʻōki ma ka liʻiliʻi he ʻekolu pule ma mua o ke ʻoki kino. Hiki i ka puhi paka ke hoʻonui i kou mau pilikia sinus a hoʻopaneʻe i ka ho'ōla ʻana.
- Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko e like me ka aspirin , e haʻi aku kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana iā lākou ma ka liʻiliʻi he 7 mau lā ma mua o ke ʻoki ʻana, no ka mea, hiki i kēia mau lāʻau ke hoʻonui i ke kahe koko i ka wā a ma hope o ke ʻoki ʻana.
- Inā hāʻawi ʻia ʻoe i ka anesthesia laulā , mai ʻai a inu paha i kekahi mea mai ke aumoe o ka lā o ke ʻoki kino.
- ʻOiai ʻaʻole hiki iā ʻoe ke hoʻokele no 24 mau hola ma hope o ke ʻoki ʻana, e hoʻonohonoho e loaʻa i kekahi e hoʻokele iā ʻoe i ka home .
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
E nānā hou aku kākou i ke ʻano o ka hoʻokaʻawale ʻia ʻana o nā ʻoki kino a mākou i kūkākūkā ai ma mua.
Pehea e hana ai i ke ʻoki kino FESS
ʻO kēia ke ʻano hana maʻamau loa.
1. ʻO ka mea mua, e kau ke kauka i kahi decongestant i loko o kou ihu.
2. A laila, hāʻawi ʻia kahi inikini i loko o ka ihu e hoʻomānoʻo ai.
3. ʻĀnō, ʻo kēlā endoscope aʻu i ʻōlelo ai, ʻo ia hoʻi, he ʻōmole lahilahi me kahi kāmela, kahi i hoʻokomo ʻia i loko o ka ihu a nānā ʻia ma kahi monitor.
4. Me ka hoʻohana ʻana i nā mea hana ʻoki liʻiliʻi e hele mai me ka ʻōmole, e wehe pono ʻia nā ʻāpana iwi keu, nā ʻiʻo maʻi, a i ʻole nā polyp e ālai ana i nā ala sinus.
5. ʻO ka mea hope loa, inā he kahe koko, hiki iā ʻoe ke hoʻopili i ka ihu me kahi mea kūikawā (mea hoʻopili) e omo iā ia.
Pehea e hana ʻia ai ka Balloon Sinuplasty
He ʻano maʻalahi loa kēia.
1. E hoʻokomo ke kauka i kahi lāʻau hoʻomānoino i loko o nā ʻiʻo i loko o kou ihu.
2. Hoʻokomo ʻia kahi catheter i loko o ka ihu ma lalo o ke alakaʻi ʻana o kahi endoscope.
3. Ma o kēlā catheter, hoʻouna ʻia kahi pōpō liʻiliʻi i loko o ke ala sinus i ālai ʻia.
4. A laila hoʻopiha hou ka mōneka i ka pōpō. A laila, ākea ke alanui i ālai ʻia a hāmama.
5. A laila e lawe i waho i ka pōpō. ʻO ia wale nō.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Pehea wau e mālama ai iaʻu iho ma ka home?
Inā ua hāʻawi ʻia ʻoe i ka anesthesia laulā, e mālama ʻia ʻoe i loko o kahi lumi hoʻōla no kekahi manawa a hiki i kou ala ʻana mai ka anesthesia. Inā ua hāʻawi ʻia ʻoe i ka anesthesia kūloko, hiki iā ʻoe ke hoʻi koke i ka home. Ma mua o kou hoʻi ʻana i ka home, e hāʻawi ke kauka a me nā kahu maʻi iā ʻoe i nā kuhikuhi āpau e pono ai ʻoe e hahai ma ka home.
E mālama i nā mea aʻe i kou wā e hoʻōla ai ma hope o ke ʻoki kino:
- E kau ʻia kahi ʻāpana gauze ma lalo o kou ihu e omo i nā mea huna e puka mai ana mai kou ihu. Pono e hoʻololi ʻia ke pulu.
- I ka wā e hiamoe ana, e kākoʻo i kou poʻo me ʻelua a ʻekolu paha mau uluna. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka pehu a me ke kahe ʻana o ke koko.
- E inu i ka nui o nā wai e like me ka wai.
- No nā lā mua, e manaʻo paha ʻoe i kahi manaʻo ʻūlū a paʻa i loko o kou ihu. He mea maʻamau kēia.
- Inā haʻi aku kāu kauka iā ʻoe e hoʻohana i ka saline spray/rinse, e hana pololei.
- Aia paha kekahi ʻeha no hoʻokahi pule. E lawe i nā lāʻau ʻeha i kuhikuhi ʻia i ka manawa kūpono.
ʻOiai ʻaʻole hoʻoweliweli ke ola i ka ʻeha sinus mau a me ka ihu paʻa, hiki iā lākou ke lilo i mea keakea nui i kou hauʻoli i ke ola a me nā hana o kēlā me kēia lā. No laila, hiki i ke ʻoki kino e like me kēia ke kōkua iā ʻoe e hoʻopau i kēlā mau pilikia a hoʻokō i kahi ola maikaʻi aʻe.
Aia kekahi mau pilikia o kēia ʻoki kino?
Aia kekahi mau pilikia me kekahi ʻoki kino. Eia nō naʻe, he mea kakaikahi loa nā pilikia mai ke ʻoki kino sinus. E wehewehe kāu kauka i kēia mau pilikia iā ʻoe ma mua o ke ʻoki kino. Eia kekahi o nā pilikia hiki (akā he mea kakaikahi loa):
- Ke kahe koko nui aʻe ma mua o ka maʻamau: He mea maʻamau ka kahe koko iki. Akā i kekahi manawa hiki ke nui aʻe ke kahe koko. Inā hana ʻia kēlā, hiki i ke kauka ke hoʻopaʻa i ka ihu a mālama paha iā ʻoe i ka haukapila no ka nānā ʻana.
- Ka haehae ʻana: Hiki ke hoʻonui ʻia ka haehae ʻana ma muli o ke ʻoki ʻana a i ʻole ka mumū o ka sinus.
- Ka Leaka ʻana o ka Wai o ka ʻIwi Kuʻi (CSF): He pilikia kakaikahi loa kēia akā he koʻikoʻi. Inā kahe kēia wai a puni ka lolo, hiki iā ia ke alakaʻi i nā maʻi e like me ka meningitis.
- Nā pilikia ʻike: He mea kākaʻikahi loa, hiki ke ʻike ʻia ka nalowale o ka ʻike a i ʻole ka ʻike pālua ma hope o ke ʻoki ʻana.
- ʻUliuli o ka Maka: ʻOi loa ma hope o ke ʻoki ʻana o Caldwell Luc, hiki i kekahi mau ʻāpana o ka maka ke ʻike i ke ʻuliuli.
- ʻO ka maʻi ihu hakahaka: He ʻano laha ʻole nō hoʻi kēia. I kēia, ʻoiai ua hāmama ka ihu, ʻaʻole piha ka umauma i ka wā e hanu ana, a ua paʻa ka ihu.
Inā loaʻa iā ʻoe kēia mau hōʻailona ma hope o ke ʻoki ʻana, e ʻike koke i kāu kauka.
Ma hope o kou hoʻi ʻana i ka home ma hope o ke ʻoki ʻana, e makaʻala i kou kino. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila.
- Inā loaʻa iā ʻoe ka ʻeha nui ʻaʻole i emi iho ma hope o ka lawe ʻana i nā lāʻau hoʻomaha ʻeha i hāʻawi ʻia iā ʻoe .
- kuniInā loaʻa. Hiki i ke kuni ke hōʻailona o kahi maʻi.
- Inā e hoʻomau ana kou ihu i ke kahe nui ʻana o ke koko .
- Inā he loli i ka ʻike (ʻike pōwehiwehi, ʻike pālua).
- Inā he ʻeha kou puʻu a he ʻeha poʻo nui paha .
Ua ʻoi aku ka maikaʻi o kekahi poʻe ma hope koke o ke ʻoki ʻana. No kekahi poʻe, hiki ke hala nā hebedoma a i ʻole nā mahina no ka nalowale loa ʻana o nā hōʻailona. No laila he mea nui e hoʻomanawanui.
Leka Lawe-Home
- Hoʻoikaika pinepine ʻia ke ʻoki ʻana i ka sinus ke ʻole i hoʻomaha ʻia nā pilikia sinus lōʻihi e ka lāʻau lapaʻau.
- Mahalo i nā ʻano hana hou e like me FESS a me Balloon Sinuplasty, ʻoi aku ka palekana o kēia mau ʻoki kino, a ʻoi aku ka pōkole o ka manawa hoʻōla.
- ʻAʻohe ʻeha i ka wā o ke ʻoki ʻana. Hiki ke hoʻomalu ʻia ka ʻeha ma hope o ke ʻoki ʻana me nā mea hoʻomaha ʻeha.
- He mea nui loa no ka ho'ōla koke ʻana e hahai pono ʻoe i nā ʻōlelo a kāu kauka ma mua a ma hope o ke ʻoki ʻana.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē (ʻeha nui, kuni) ma hope o ke ʻoki ʻana, mai hopohopo a e hoʻomaopopo koke i kāu kauka.











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