E noʻonoʻo i kou ihu e like me ke alanui ʻelua ala. ʻO ka pā ma waenakonu e hoʻokaʻawale ana i nā puka ihu ʻelua ua kapa ʻia ʻo ka septum. He pā lahilahi a ikaika ia i hana ʻia me ke cartilage a me ka iwi . ʻO kēia pā e kōkua iā mākou e hanu ma kekahi ʻaoʻao ke ālai ʻia kekahi puka ihu.
Akā i kekahi manawa, hiki ke ulu kahi lua ma kēia paia, ʻo ia hoʻi ka septum. Ma ke ʻano lapaʻau, ua kapa ʻia kēia he Nasal Septal Perforation . Ke ulu kēia ʻano lua, hiki iā ʻoe ke ʻike i ke kahe pinepine ʻana o ka ihu. Hiki paha iā ʻoe ke ʻike i kahi leo hū e puka mai ana mai kou ihu ke hanu ʻoe. E hoʻokomo kāu kauka i kahi ʻōmole lahilahi loa me kahi kāmela i hoʻopili ʻia i loko o kou ihu (i kapa ʻia he endoscope) e hoʻoholo ai inā loaʻa iā ʻoe kēia ʻano maʻi. Inā ʻike ʻoe he loaʻa iā ʻoe kēia ʻano lua, ʻaʻole pono mau ke mālama ʻia. Eia nō naʻe, inā pilikia ʻoe i nā hōʻailona, he koho maikaʻi paha ke ʻoki ʻana.
He aha ke kumu o ka puka ʻana o ka lua ma ka paia o ka ihu?
Aia kekahi mau kumu e hiki ai ke hana ʻia kahi lua ma ka paia ihu, a i ʻole septum. E nānā kākou i ke ʻano o lākou.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Ke kuhi ʻana i ka ihu | Hiki i ka paʻi pinepine ʻana i ka ihu a i ʻole ke kahakaha ʻana i ka ihu ke hōʻino i ka septum. |
| Ka hoʻohana ʻana i nā lāʻau lapaʻau | ʻO ka hoʻohū ʻana i nā lāʻau lapaʻau, ʻoiai ka cocaine, hiki ke hōʻino i nā kīʻaha koko e hoʻolako ana i ka septum a hoʻoheheʻe i ka paia. |
| ʻOki ihu | I kekahi manawa, hiki ke loaʻa kahi lua e like me kēia ma hope o ke ʻoki ʻana e hoʻopololei i kahi septum nasal deviated. |
| Nā ʻūpā ihu | Ke hoʻohana nei i nā decongestant a me nā steroid nasal sprays no ka manawa lōʻihi me ka ʻole o ke aʻo ʻana a ke kauka. |
| Nā kumu ʻē aʻe | ʻO ke hou ʻana i ka ihu, nā ʻeha i ka ihu, ka hanu ʻana i nā kemika ʻawahia, a me ke kanesa. |
Eia kekahi, ʻo nā maʻi laha ʻole e like me ka maʻi puʻupuʻu, sarcoidosis , syphilis, a me ka granulomatosis o Wegener hiki ke hana i nā lua ma ka paia ihu. Hiki ke hana ʻia kēia ʻano i ka wā e lawe ai i ka chemotherapy me ka lāʻau bevacizumab , kahi i hoʻohana ʻia no kekahi mau maʻi ʻaʻai umauma .
Nā lāʻau lapaʻau e hiki ke hana me ka ʻole o ke ʻoki ʻana
Inā loaʻa iā ʻoe kahi lua e like me kēia ma hope o ke ʻoki ihu, e kamaʻilio me kāu kauka e pili ana i ia mea. Inā ʻaʻohe ou hōʻailona hoʻopilikia, ʻaʻole paha e pono kekahi lāʻau lapaʻau.
Eia nō naʻe, hiki i ka lua i loko o ka ihu ke hoʻomaloʻo a hāmama i loko o ka ihu, kahi e hiki ai ke kahe pinepine ke koko. Eia kekahi, hiki i nā kihi o ka lua ke hana i kahi ʻili, kahi e hiki ai ke kahe ke kahe ke hemo.
ʻO ka hopena maikaʻi loa a maʻalahi hoʻi no kēia, ʻo ia ka mālama ʻana i kou ihu i ka pulu . Hiki iā ʻoe ke mālama i ka pulu o loko o kou ihu ma ka pīpī ʻana i ka saline nasal spray, hiki iā ʻoe ke kūʻai ma ka hale kūʻai lāʻau lapaʻau.
ʻO kekahi koho ʻē aʻe, ʻo ke kauka ke hoʻokomo i kahi 'pihi ihu' kūikawā i hana ʻia me ka palakiko palupalu a maʻalahi hoʻi e pani i kou mau puka ihu. Ua hōʻike ʻia nā noiʻi e hōʻemi nui ana kēia mau pihi i ke kahe ʻana o ka ihu, ka ʻili ʻana, a me ka hanu ʻana.
Pono maoli anei ʻoe i ke ʻoki kino?
Inā hoʻopilikia maoli kou hou ʻana i kou ihu iā ʻoe, e like me ke kahe pinepine ʻana o ke koko, paʻakikī ka hanu ʻana, a i ʻole ke kani ʻana o ka wheezing, pono paha ʻoe i ke ʻoki ʻana.
Ma kēia ʻoki kino, lawe ke kauka i kahi ʻāpana ʻiʻo mai kahi ʻāpana ʻē aʻe o kou kino, no ka laʻana, mai loko mai o kou ihu a i ʻole ma kahi ʻē aʻe, a humuhumu i ka lua me ia. A i ʻole e pani ʻo ia i ka lua me kahi 'flap' i hana ʻia me ka ʻiʻo. Hana pinepine ʻia kēia ʻoki kino ma lalo o ka anesthesia laulā, ʻo ia hoʻi, ua ʻike ʻole ʻoe.
Aia kekahi mau ʻano hana no ka hoʻoponopono ʻana i kahi lua ma ka paia o ka ihu. Pono kekahi mau ʻano hana i ʻelua mau ʻokiʻoki. No ka laʻana, ma ke ʻano "Pian" i kapa ʻia ʻo "Inferior turbinate flap", hana ʻia ke ʻokiʻoki mua ma lalo o ka anesthesia laulā. Pono paha kēia i kahi noho haukapila no hoʻokahi a ʻelua paha lā. Hana ʻia ke ʻokiʻoki ʻelua (follow-up) i kou ala ʻana, me kou ihu wale nō i hoʻopau ʻia. No ka mea he hana outpatient ia, ʻaʻohe pono e noho i ka haukapila.
He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?
E hoʻopiha ʻia kou ihu me ka gauze no kahi o 48 mau hola ma hope o ke ʻoki ʻana. He mea maʻamau ka loaʻa ʻana o ke koko a me ka ʻeha. E hāʻawi kāu kauka iā ʻoe i kahi papa inoa maopopo o nā mea āu e hana ʻole ai i ka wā hoʻōla. ʻO nā mea nui:
- E hōʻalo i ka hoʻohana ʻana i nā pīpī a me nā pila e hōʻemi ana i ka ihu paʻa .
- E hōʻalo i ka lawe ʻana i nā lāʻau lapaʻau a me nā mea inu i loaʻa ka caffeine.
- E pale i ka puhipaka a me ke noho ʻana ma nā wahi i nui ai ka uahi o ka cigarette.
ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā ʻōlelo aʻoaʻo a pau a kāu kauka e hāʻawi ai iā ʻoe. Inā ʻaʻole ʻoe e hana pēlā, hiki i ka lua i pani ʻia ke wehe hou. He kiʻekiʻe loa kēia pilikia no nā lua nui aʻe. Akā inā hana ia, ʻaʻohe mea e hopohopo ai, hiki iā ʻoe ke hana i kahi ʻoki kino ʻē aʻe e hoʻoponopono ai.
Leka Lawe-Home
- ʻAʻole pilikia mau ka puka ma ka septum nasal. Inā ʻaʻohe hōʻailona, ʻaʻole pono paha ka lāʻau lapaʻau.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona hoʻonāukiuki e like me ke kani ʻana o ka hū ʻana mai kou ihu mai, ke kahe pinepine ʻana o ke koko, a i ʻole ka ʻū ʻana o ka ʻili, e ʻike pono i ke kauka.
- Aia kekahi mau lāʻau lapaʻau ʻokiʻoki ʻole e like me ka saline spray a me nā pihi ihu.
- Inā hoʻopilikia loa nā hōʻailona, hiki i ke ʻoki kino ke ho'ōla loa i ke kūlana.
- E hahai pono i nā ʻōlelo a kāu kauka e pale aku i ka puka hou ʻana mai, ʻoiai ma hope o ke ʻoki ʻana.
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