He kakara kino te wai i roto i tō taringa i ētahi wā? He maha rānei ngā wā ka rongo koe i tētahi puku, i tētahi pēhanga rānei i roto i tō taringa? Ahakoa he maha ngā tāngata e whakaaro ana he mamae taringa noa iho tēnei, he mate rānei, i ētahi wā he mea kino rawa atu. I tēnei rā ka kōrero tātou mō tētahi o aua mate. Ko te ingoa ko te Cholesteatoma. Ahakoa he rerekē te ahua o te ingoa, he mea nui kia mōhio koe ki tēnei mate.
He aha te Cholesteatoma?
He tipu rerekē te cholesteatoma e tupu ana i muri i tō pūoro taringa (tympanic membrane), i roto i te taringa waenga. Ahakoa he pukupuku tūturu, ehara i te mate pukupuku. Nō reira kaua e manukanuka. He mea hanga mai i te kohinga o ngā pūtau kiri mate. He rite ki te huarahi e kohia ai e ō tātou pūtau kiri mate, ka hanga he puku iti i roto i te taringa. I roto i te wā, ka nui haere te rahi o tēnei puku pūtau. I ētahi wā he rite ki te pērara te āhua, nō reira ka kiia e ētahi he "pukupuku pērara".
E rua ngā huarahi matua e puta ai tēnei āhuatanga:
- Kolesteatoma whānau: Ka taea e ētahi tamariki te puta tēnei tipu i roto i ō rātou taringa i te whānautanga. He āhua onge tēnei.
- Cholesteatoma kua whiwhi: Koinei te momo tino noa. Ka puta i roto i te wā hei hua o ētahi atu raruraru o te taringa.
Ko te mea nui, ahakoa ehara tēnei i te mate pukupuku, ki te kore e rongoatia, ka taea e tēnei pukupuku te tipu me te kino i ngā wheua ngawari, ngā io, tae atu ki te roro i roto i te taringa. Nō reira, he mea tino nui kia mōhio koe ki tēnei, me te rapu tohutohu hauora tonu mēnā ka puta ngā tohu.
He aha ngā tohu ka puta ina puta tēnei āhuatanga?
Ka rerekē pea ngā tohu o te cholesteatoma i runga i te mea kei te whānau mai, kei te whanake rānei i muri mai. Mēnā ka whānau mai he tamaiti me tēnei mate, kāore pea he tohu e puta tae noa ki te nui o te pukupuku. Tērā pea ka kitea tuatahitia e te tākuta o te tamaiti i te wā e tirotirohia ana ia e ia.
Heoi, i te nuinga o te wā, ka kitea ngā tohu e whai ake nei i roto i tēnei āhua.
| Tohu | He whakamārama māmā |
|---|---|
| Te rerenga mai i te taringa | Ko te tohu tino noa ko te rerenga tonu o te wai kakara kino, kōwhai, kakariki rānei mai i te taringa, he rite ki te pupuhi mai i te taringa. |
| Te pēhanga taringa, te kī rānei | He kare ā-roto tonu o te taumaha, te pēhanga, te mea rānei e whakakī ana i te taringa. He rite ki te wai kei roto i tō taringa. |
| Te ngaronga o te rongo | Ka heke haere te ngaronga o te rongo i roto i te taringa e pāngia ana. Tērā pea kāore e kitea i te tīmatanga, engari ka piki haere pea i roto i te wā. |
| Pōuriuri | Kua pāngia te taurite, ā, he rite ki te whanoke. |
| Ngā mate taringa auau | Ngā mate pūmau i roto i te taringa kotahi. Ngā mamae taringa kāore e pai ki ngā maimoatanga noa. |
| Tinnitus | Te rongonga i tētahi haruru, i tētahi atu haruru rerekē rānei i roto i ngā taringa. |
He aha i puta ai tēnei cholesteatoma? He aha ngā tino take?
Ko te take matua mō tēnei ko te kumenga o te tarau taringa ki roto, e kiia nei ko te `(Retracted eardrum)`. Nā, kia titiro tātou me pēhea te tupu o tēnā.
Whakaarohia, he ngongo iti kei reira e hono ana i ō tātou taringa me te korokoro. Ka kiia tēnei ko te ngongo Eustachian . Ko tana mahi matua he whakataurite me te taurite i te pēhanga hau i waenga i te taringa waenga me te taiao o waho. Ina hamama tātou, ina horomi rānei, ka rongo tātou i te tangi "pahū" i roto i ō tātou taringa, ā, e ahua ana kei te puare nā te mea kua whakahohehia tēnei ngongo.
Whakaarohia kei te pāngia koe e te makariri, te mate pāwera, te raruraru sinus rānei. Ko te mea ka tupu, ka pupuhi te ngongo Eustachian, ka ārai. Ka ahatia i muri mai? Ka mutu te rere o te hau ki roto i te taringa waenga, ā, ka mimitihia te hau ki roto i te tinana. Nō reira , ka heke te pēhanga i roto i te taringa waenga, ka hanga he korehau.
Nā te pēhanga korehau nei, ka tōia te tarau taringa ki roto, kāore e taea te tu atu i te pēhanga hau o waho, ā, ka kumea ki roto i tōna wāhi ngoikore rawa. Pērā i te hau iti e panaia ana ki roto i tētahi pounamu kirihou kau ina pēhia.
Ina tōia te pū taringa pēnei, ka puta he pōke iti ki reira. Ko ngā pūtau kiri mate kei waho o te pū taringa ka taka noa iho. Engari ina puta tēnei pōke, kāore e taea e aua pūtau mate te puta ki waho ka tīmata te kohikohi ki roto. I roto i te wā, ka kohikohi ēnei pūtau ka hanga he pukupuku e kiia nei ko te cholesteatoma.
Haunga tēnei take matua,
- Nā te maha o ngā mate taringa (Chronic otitis media) .
- Nā tētahi aituā pēnei i te pakaru o te parāoa taringa .
- He tino onge te puta mai o tēnei āhuatanga i te whānautanga mai .
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Mena kei a koe ngā tohu kua whakahuatia ake nei, me toro atu koe ki tō tākuta whānau i te tuatahi. Ka pātai atu ia ki a koe mō ō tohu, me te mea kua pāngia koe e ngā mate taringa i mua.
Kātahi ka whakamahia e te tākuta tētahi taputapu iti e kīia nei ko te otoscope hei tirotiro i tō taringa. Ka taea e ia te titiro ki roto i te taringa, me te kite mēnā he puranga kiri mate kei muri i te pūoro taringa, mēnā rānei he pupuhi kei roto i te pūoro taringa.
Mena kei te whakapaehia he cholesteatoma, ka tukuna koe e tō tākuta ki tētahi tohunga taringa, ihu, me te korokoro (he tohunga otolaryngology, he tohunga ENT rānei) . Tērā pea ka whakahaerehia e te tohunga ētahi atu whakamātautau hei whakaū i te āhua me te whakatau i te whānuitanga o te kino.
- Matawai CT (Matawai Tomography Rorohiko): Mā tēnei ka kitea mārama te rahi o te pukupuku, mēnā kua pakaru ngā wheua tino ngawari e kiia nei ko ngā wheua angiangi i roto i te taringa, mēnā rānei kua horapa ki te roro.
- Ngā whakamātautau whakarongo: Ka whakahaerehia ngā whakamātautau whakarongo maha hei ine i te nui o te pānga ki tō whakarongo. He whakamātautau motuhake te tympanometry hei āwhina i te tautuhi i tēnei mate.
He aha ngā maimoatanga mō tēnei?
He pātai tēnei e pātaihia ana e te tini tāngata. Kāore e taea te whakaora i tēnei mate mā te kai rongoā?
Ko te rongoā angitu anake mō te cholesteatoma ko te tango katoa mā te pokanga.
Ka taea te hoatu rongoā, inā koa ngā paturopi me ngā pata taringa, engari ka hoatu noa hei whakahaere i te mate i puta mai i te whē. Arā, hei whakaiti i te pupuhi me te mamae e puta mai ana i te taringa mō te wā poto. Engari e kore rawa e taea e ngā rongoā te whakaora i te whē.
E rua ngā whāinga matua o te pokanga:
1. Te tango katoa i te pukupuku cholesteatoma me te aukati i te horapa o te mate.
2. Kia ngana ki te whakatika i te kino o te taringa i ngā mea katoa e taea ana, me te whakahoki mai i te rongo.
Ko ngā pokanga e mahia ana mō tēnei kaupapa e kiia ana ko te "Mastoidectomy" me te "Tympanoplasty." Mā te tohunga e whakatau ko tēhea pokanga te mea tino tika mōu i runga i tō āhua.
He aha ngā mea ka puta i muri i te pokanga? Ā, he aha ngā mea hei tūpato māu?
Ko te nuinga o te tangata ka tino memeha haere ngā tohu i muri i te pokanga. Heoi anō, tera pea ka hoki anō te cholesteatoma. Nō reira, he mea nui kia haere tonu te tirotiro me tō tākuta i muri i te pokanga.
Ka kī atu tō tohunga kia hoki mai koe i ētahi wā kua whakaritea . I roto i ēnei tirotiro:
- Kei te tirotiro anō ahau i tōku taringa.
- Kei te tirotirohia te whakarongo.
- I ētahi wā, ka mahia he tangohanga (horoi) o te taringa. Ko tēnei ko te tango marie i ngā pūtau kiri mate me ētahi atu kiko kua kohia pea.
| Mena ka puta ēnei tohu i muri i te pokanga, waea atu ki tō tākuta tonu. | |
|---|---|
| 🚨 | He nui rawa te rerenga wai, pērā i te toto, i te pūkahukahu rānei, mai i te taringa. |
| 🚨 | Te mamae nui o te taringa. |
| 🚨 | He kirika neke atu i te 38 nekehanga Celsius (100.4 Fahrenheit). |
| 🚨 | Mena ka hoki mai anō ngā tohu o mua (kakara kino, rerenga toto). |
Ka taea te ārai i te cholesteatoma?
Kāore he huarahi hei ārai i te momo kei roto i te whānautanga. Engari he mea anō hei whakaiti i te tūponotanga o te whakawhanake i te momo e kitea whānuitia ana, e puta ake ana i muri mai.
- Te rongoā tere me te tika i ngā mate taringa:Mena kei te pāngia koe, tāu tamaiti rānei e ngā mate taringa maha, he mea nui kia rapu awhina hauora kia kitea ai te take me te rongoā tika. He mea nui anō hoki kia rongoāhia ngā āhuatanga e whakararu ana i te mahi a te ngongo Eustachian, pērā i te makariri me te mate pāwera.
- Te Tiaki i ngā Taringa: He mea nui anō hoki te tiaki i ngā taringa mai i ngā mea me ngā aituā ka pakaru ai te taramu taringa.
Karere Tangohia ki te Kāinga
- Ko te Cholesteatoma he tipu ehara i te matepukupuku e puta mai ana i te kohinga o ngā pūtau kiri mate i muri o te tarau taringa.
- Ko ngā tohu matua he wai kakara kino e maringi mai ana i te taringa, he pēhanga i roto i te taringa, me te ngaronga o te rongo.
- Ko te take matua mō tēnei ko te kumenga o te taramu taringa ki roto nā te ngoikore o te mahi a te ngongo Eustachian.
- Ko te tango atu mā te pokanga anake te huarahi hei whakaora i tēnei. Kāore e taea te whakaora mā te rongoā.
- Mena kei a koe, kei tāu tamaiti rānei tētahi o ēnei tohu, kaua e warewarehia, engari me toro atu ki tō tākuta i te wā e taea ai. Mā te maimoatanga tere ka ārai i ngā raruraru nui.
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