Ke lawe nei ʻoe i ka lāʻau lapaʻau no kahi maʻi koʻikoʻi? Ua lohe koke anei ʻoe i ke kani ʻana o kou mau pepeiao i ka wā e lawe ana i ia lāʻau lapaʻau, a ua hoʻomaka paha ʻoe e manaʻo i ka poniuniu a me ke kaulike ʻole i ka wā e hele ana? Manaʻo pinepine mākou ua hana ʻia kēia e ka maʻi. Akā i kekahi manawa, ʻo ka lāʻau lapaʻau āu e lawe nei ke kumu. ʻO ia ka mea a mākou e kapa nei he Ototoxicity i ka lāʻau lapaʻau. Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.
I ka ʻōlelo maʻalahi, he aha ka Ototoxicity?
Ke lohe ʻoe i ka huaʻōlelo ototoxicity, me he mea lā he mea nui ia. Akā, he maʻalahi loa kona manaʻo.
ʻO Oto ke ʻano o ka pepeiao, a ʻo ka toxicity ke ʻano o ka lāʻau make. I nā huaʻōlelo ʻē aʻe, kapa mākou ia he ototoxicity
ke hōʻino kekahi mau lāʻau i kou mau pepeiao . Ua like ia me ka "lāʻau make i ka pepeiao." Loaʻa i ko mākou pepeiao i loko nā pūnaewele sensory palupalu loa e kōkua iā mākou e lohe a kāohi i ko mākou kaulike. ʻO kekahi mau lāʻau lapaʻau, ʻoiai ke lawe ʻia i nā nui kiʻekiʻe, hiki ke hōʻino i kēia mau pūnaewele sensory. ʻO kēia ka manawa e hoʻomaka ai ʻoe e nalowale i kou lohe, lohe i nā leo like ʻole i loko o kou mau pepeiao (tinnitus), a manaʻo ʻoe ua kaulike ʻole.
ʻO ka mea maikaʻi loa, inā ʻike mua ʻia kēia ʻano, hiki ke hoʻohuli pinepine ʻia ke hoʻōki ʻia a hoʻololi ʻia paha ka lāʻau lapaʻau e hoʻoulu ai. Eia nō naʻe, inā ʻike ʻia ma hope loa, hiki ke hōʻino mau ʻia ka pepeiao.
He aha nā lāʻau lapaʻau a me nā kemika e hiki ai ke hoʻoulu i ka ototoxicity?
I kēia manawa, ua ʻike ʻia ma mua o 200 mau lāʻau ototoxic. Hoʻohana ʻia ka hapa nui o kēia mau mea e mālama i nā kūlana koʻikoʻi e like me ke kanesa, nā maʻi koʻikoʻi, a me nā maʻi puʻuwai. ʻOiai he mea nui kēia mau lāʻau no ka hoʻopakele ʻana i nā ola, he mea nui e makaʻala i ko lākou mau hopena ʻaoʻao. Hōʻike ka papa ma lalo nei i nā lāʻau nui a me nā kemika e hoʻopilikia nei i kēia pilikia.
| ʻAno Lāʻau Lapaʻau/Kemika | Nā laʻana a me nā memo |
|---|
| ʻAspirina | ʻO nā mahele nui i lawe ʻia no ka manawa lōʻihi hiki ke hoʻopilikia i ka lohe a me ke kani ʻana o nā pepeiao (tinnitus). |
| Nā lāʻau lapaʻau i loaʻa ka quinine | Hiki i nā lāʻau lapaʻau malaria e like me Chloroquine a me Quinidine ke hoʻopilikia i ka lohe a me ke kaulike no kekahi manawa. |
| Nā Diuretics Loop | ʻO nā lāʻau lapaʻau e like me Furosemide lāua ʻo Torsemide, i hoʻohana ʻia e wehe i ka wai mai ke kino, he mau hopena manawa pōkole wale nō. |
| Nā lāʻau lapaʻau Aminoglycoside | He mau lāʻau antibiotic ikaika kēia e like me Gentamicin, Amikacin, Kanamycin, i hāʻawi ʻia no nā maʻi bacteria koʻikoʻi. He kumu nui lākou o ka ototoxicity. |
| Nā lāʻau lapaʻau anticancer | Hiki i nā lāʻau chemotherapy e like me Cisplatin lāua ʻo Carboplatin ke hōʻino i nā pūnaewele koʻikoʻi i loko o ka pepeiao me ka pepehi ʻana i nā pūnaewele kanesa. |
| Nā Kemika Kaiapuni | ʻO ka hoʻopili ʻana i nā mea e like me ka mercury, ke kēpau, a me ke kalapona monoxide hiki ke hōʻeha mau i ka lohe. |
ʻO wai ka mea i ʻoi aku ka pilikia?
ʻAʻole nā kānaka a pau e lawe i kēia lāʻau lapaʻau e loaʻa i ka ototoxicity, akā aia kekahi poʻe i ka pilikia kiʻekiʻe.
- Ke lawe ʻana ma mua o hoʻokahi mau lāʻau ototoxic i ka manawa like: No ka laʻana, ʻoi aku ka kiʻekiʻe o ka pilikia i ka wā e lawe pū ai i kahi diuretic loop a me kahi antibiotic aminoglycoside.
- ʻO ka poʻe me nā pilikia puʻupaʻa : Hoʻoneʻe ʻia kēia mau lāʻau mai ke kino e nā puʻupaʻa. Inā ʻaʻole hana pono nā puʻupaʻa, noho ka lāʻau i loko o ke kino no ka manawa lōʻihi, e hoʻonui ana i ka pilikia o ka hōʻino ʻana o ka pepeiao .
- Ka nui o ka lāʻau a me ka lōʻihi o ka lāʻau lapaʻau : Piʻi ka pilikia i ka piʻi ʻana o ka nui o ka lāʻau lapaʻau a me ka lōʻihi o ka mālama ʻana.
Inā pono ʻoe e lawe i kahi lāʻau lapaʻau e like me kēia,
e kamaʻilio me kāu kauka e pili ana i ka pilikia o ka ototoxicity ma mua o ka hoʻomaka ʻana i ka lāʻau.He aha nā hōʻailona o ka ototoxicity?
Hiki ke hoʻomaka koke kēia mau hōʻailona, a i ʻole e hoʻonui mālie paha i ka hala ʻana o ka manawa.
Nā hōʻailona mua
- Tinnitus: ʻO kēia ka hōʻailona mua a ka hapa nui o ka poʻe e ʻike ai. He leo mau i loko o nā pepeiao, e like me "kani..." a i ʻole "kani."
- Poho iki ka lohe: Manaʻo me he mea lā ʻaʻole e lohe maopopo ʻia nā huaʻōlelo i ka wā o ke kamaʻilio maʻamau.
Nā hōʻailona e kū mai ana i ka wā e koʻikoʻi ai ke kūlana
- Ke kaulike ʻole : Manaʻo paʻa ʻole i ka wā e hele ana, me he mea lā ua kaulike ʻole ʻoe.
- Vertigo : He manaʻo e milo ana ʻoe a i ʻole kou wahi e puni ana.
- ʻO Oscillopsia: ʻIke pōwehiwehi a i ʻole ka manaʻo o ka lele ʻana i ka ʻike i ka wā e lulu ai ke poʻo.
- Piha i loko o ka pepeiao: He manaʻo me he mea lā ua piha ka pepeiao i ka ea.
- Paʻakikī ke hele wāwae: Paʻakikī ke hele wāwae i ka pōʻeleʻele, ke hele wāwae me kou mau wāwae i ke kaʻawale e mālama i ke kaulike.
- ʻEha poʻo a me ka luhi nui.
ʻOkoʻa ke ʻano o kēia mau hōʻailona ma muli o ka hōʻino ʻana i hoʻokahi pepeiao a i ʻole nā pepeiao ʻelua, a me ka wikiwiki o ka hana ʻana o ka hōʻino.
Pehea e ʻike ai i kēia maʻi?
Inā loaʻa iā ʻoe kekahi o nā hōʻailona i helu ʻia ma luna, e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei. E kuhikuhi paha ʻo ia iā ʻoe i kahi loea hoʻolohe a me ke kaulike, a i ʻole
he audiologist . E hana lākou i nā hoʻokolohua e hōʻoia i ka hōʻailona.
- Nā hoʻāʻo Audiometric: Ke hoʻāʻo nei i nā pae o nā nalu kani hiki iā ʻoe ke lohe a ʻaʻole hiki ke lohe.
- Hoʻāʻo Auditory Brainstem Response (ABR): Nānā inā e hana pono ana nā hōʻailona mai ka pepeiao o loko a i ka lolo.
- Hoʻāʻo ʻia nā hoʻokuʻu leo Otoacoustic (OAE): Hoʻāʻo i ka hana o nā hunaola sensory i loko o ka pepeiao o loko. (Hoʻohana kūikawā ʻia kēia mau hoʻāʻo ABR a me OAE no ka ʻike ʻana i nā pilikia lohe i nā keiki ʻōpio.)
- Nā hoʻāʻo kaulike: Ana kēia mau hoʻāʻo i ke kaulike o kou kino ma ke ana ʻana i nā mea e like me ka neʻe ʻana o ka maka (Electronystagmogram) a me kou hiki ke kū ma nā ʻili like ʻole (Posturography).
Pehea e mālama ʻia ai?
ʻO ka lāʻau lapaʻau maikaʻi loa, ʻo ia ke hoʻōki i ka lāʻau lapaʻau hewa a hoʻololi paha i kahi lāʻau lapaʻau ʻē aʻe,
e like me ke kuhikuhi a kāu kauka . I ka hapanui o nā hihia, e hoʻi hou mai nā hōʻailona.
ʻO ka mea nui loa: Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ka nīnau mua ʻana i kāu kauka, no ka mea, he mea nui paha ka lāʻau lapaʻau i kou ola.
Eia nō naʻe, inā ʻaʻole hiki ke hoʻōki i ka lāʻau lapaʻau a inā paha ua hōʻino mau ʻia ka pepeiao, aia nā lāʻau lapaʻau e hiki ke kōkua iā ʻoe e hoʻokele a ola me nā pilikia. 1. Nā
Mea Kōkua Hoʻolohe: ʻO kēia mau mea hana, hiki ke hoʻokomo ʻia i loko a i waho paha o ka pepeiao, kōkua iā ʻoe e lohe maikaʻi i nā leo a puni ʻoe. 2.
Nā Mea Hoʻokomo Cochlear: Hoʻokomo ʻia kēia mau mea hana ma ke ʻoki ʻana i ka poʻe me ka nalowale o ka lohe koʻikoʻi i ʻoi aku ka nui o ke kōkua ʻia e nā mea kōkua hoʻolohe. 3.
Balance Therapy / Vestibular Rehabilitation: Ua like kēia me ka physiotherapy no ke kaulike. Aʻo aku kahi physiotherapist iā ʻoe i nā hoʻomaʻamaʻa like ʻole e hoʻomaikaʻi i kou kūlana, ka hele ʻana, a me ka hoʻonohonoho ʻana.
Leka Lawe-Home
- ʻO ka Ototoxicity ka hōʻino i hana ʻia e kekahi mau lāʻau lapaʻau i nā ʻāpana palupalu i loko o ka pepeiao.
- Inā ʻike ʻoe i ke kani ʻana o nā pepeiao (tinnitus) a i ʻole ka dizziness i ka wā e lawe ana i nā lāʻau ikaika no nā maʻi e like me ke kanesa a i ʻole nā maʻi koʻikoʻi, e hoʻomaopopo koke i kāu kauka.
- Mai hoʻōki a hoʻololi paha i ka nui o kāu mau lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka no kekahi kumu.
- Hiki i ka ʻike mua ʻana i kēia ʻano ke pale i ka hōʻino mau ʻana o ka lohe a i ʻole nā pilikia kaulike.
- Inā kānalua ʻoe i ka lāʻau make mai ka ʻike ʻia ʻana i kahi kemika i ke kaiapuni, e ʻimi koke i ke kōkua lapaʻau. Inā pono, hiki ke loaʻa ka ʻike hou aku mai ke Kikowaena ʻIke Lāʻau Make Lahui ma ka Halemai Lahui ʻo Colombo .
ʻO ka ototoxicity, ka nalowale o ka lohe, nā hopena ʻaoʻao o ka lāʻau lapaʻau, tinnitus, poniuniu, ka nalowale o ka lohe, nā hopena ʻaoʻao, cisplatin, aminoglycoside, ke kani ʻana o nā pepeiao
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