Kei te pāngia tō tamaiti e te mate taringa maha? Tērā pea i pakaru tō pūoro taringa i a ia e horoi ana i te taringa, i tētahi aituā rānei, ā, inaianei kua ngoikore tō whakarongo? Mēnā i taua wā ka kī atu te tākuta ki a koe, "He kōhao kei roto i te pūoro taringa, ā, me pokanga koe," kaua e mataku. I tēnei rā ka kōrero tātou mō te maimoatanga mōna, arā, he pokanga e kiia nei ko te Tympanoplasty.
He aha te tikanga o te Tympanoplasty?
He pokanga te tympanoplasty hei whakatika i tētahi kōhao i roto i tō pūoro taringa. Whakaarohia pēnei: he rite tō pūoro taringa ki te kiri o tētahi pūoro. Ina pā ngā ngaru oro ki a ia, ka wiri, ka taea ai e tātou te whakarongo ki te oro. Nā, he aha te mea ka tupu mēnā he kōhao kei roto i tēnei pūoro taringa? Kāore e wiri tika. Ko te mutunga iho he ngaronga o te rongo .
He maha ngā take e puta ai tēnei kōhao. Tērā pea nā te mate taringa roa, nā te whara, nā te aituā rānei.
Engari kia maumahara, kāore e hiahiatia he pokanga mō ngā pūwero taringa katoa. Ka ora ake ētahi pūwero iti i roto i te wā mā te rongoā (ngā pata taringa, ngā paturopi) i tohua e tō tākuta.
Heoi, ki te kore te kōhao e ora i muri i ngā marama e rua, e toru rānei, ka tūtohu pea te tākuta kia pokaina hei ārai i ngā raruraru ā muri ake nei. He aha aua raruraru? Ngā mea pēnei i te ngaronga o te rongo tonu, te rerenga pinepine o te taringa, me ngā mate taringa e hokihoki mai ana.
Mā te tohunga taringa, ihu, me te korokoro tēnei mahi pokanga, e kiia nei ko te ENT (Otolaryngologist) . Ka tāpirihia e ia he pātaki ki te kōhao i roto i te parāoa taringa, ka kati. Ahakoa he pokanga nui tēnei, he maha ngā wā ka taea e koe te hoki ki te kāinga i taua rā anō.
Me pēhea te whakarite i mua i te pokanga?
I muri i te whakarite i tō pokanga, ka tirotirohia koe e tō tākuta. Me titiro tātou ki ētahi o ngā mea ka puta i roto i tēnei whakaritenga.
| Arotake/Tohutohu | He whakamārama ngāwari noa iho |
|---|---|
| Uiuitanga hītori hauora | Ka pātai atu te tākuta ki a koe mō ētahi atu mate kei a koe, ngā rongoā e tangohia ana e koe, ngā mate pāwera, me ētahi atu. He mea tino nui kia kōrerotia te pono me te kore e huna i tetahi mea. |
| Whakamātautau taringa (Otoscope) | Ka whakamahia e te tākuta tētahi taputapu motuhake (otoscope) hei tirotiro i roto i tō taringa. Mā tēnei ka taea e ia te kite tika i te rahi o te kōhao i roto i te pū taringa, kei hea, me te mea he mate pāwera. |
| Ngā whakamātautau motuhake | Ka taea e koe te whakahaere i tētahi whakamātautau whakarongo me tētahi whakamātautau hei ine i te mahi a tō pakirau taringa hei whakatau i tō taumata whakarongo. |
| He whakamārama mō te pokanga | Mā te tākuta koe e whakamārama mārama ki te mahi o te pokanga, te roa o te wā e pau ana, me ngā raruraru ka puta i muri mai. Pātai atu ki a koe mēnā he pātai āu i tēnei wā. |
| Ngā tohutohu nui | Mā rātou koe e kī atu kia hia ngā hāora i mua i te pokanga me mutu te kai me te inu (te nohopuku), ko ēhea ngā rongoā e tangohia ana e koe me mutu te tango, me ēhea hoki ngā mea me haere tonu te tango. Ka whakamahara anō hoki rātou i a koe kia whai tangata hei kawe i a koe ki te kāinga i muri i te pokanga. |
Me pēhea te mahi i te pokanga?
He mea noa te mataku mō te pokanga, engari ka memeha haere tō mataku ina ako koe i te mahi a te tikanga.
Tuatahi, ka whakatakotoria koe ki te moe kia kore ai koe e rongo i te mamae. Ka kiia tēnei ko te whakamoe whānui . Nō reira, kāore koe e rongo i tetahi mea i te wā o te pokanga. Tērā pea ka hoatu he rongoā paturopi ki a koe hei ārai i te mate.
Kia moe koe, ka toro atu te tākuta ki tō pūoro taringa. He maha ngā tikanga e whakamahia ana mō tēnei.
- Transcanal: Koinei te tikanga e whakamahia whānuitia ana. Ka mahia te pokanga mā te whakauru i ngā taputapu tairongo mā roto i te awa taringa, me te kore e tapahia.
- I muri i te taringa (Postauricular): Ka tapahia he wahi iti i te taha o te kiri i muri i te taringa, kia tae atu ki te tarau taringa.
- I runga ake i te taringa (Endaural): Ka tapahia he wahi i runga ake i te pū taringa. Kāore i te whakamahia pinepinetia tēnei.
Ko te mahi e whai ake nei ko te kati i te kōhao. Hei mahi i tēnei, ka whakamahia e te tākuta he tāpiringa , he wahi kiko iti tēnei.
1. Te tiki i te hononga: He maha ngā wā ka tangohia tēnei wahi kiko mai i tō tinana ake. He maha ngā wā ka tangohia mai i tētahi wahi kiko honohono e tata ana ki te taringa, i te taha o tētahi uaua i te taha o te māhunga, i tētahi wahi kiriuhi rānei i mua o te taringa. I ētahi wā ka whakamahia hoki te kiko horihori.
2. Te whakatakotoranga o te whakapiringa: Kātahi ka whakatakotoria tēnei wahi kiko ki runga ake, ki raro rānei i te kōhao o te tarau taringa, kātahi ka whakapirihia.
3. Whakapūmau: Hei pupuri i te hononga kia mau tonu, ka tautokona e tētahi rauemi rite ki te pahuka i ngā taha e rua. Ka tiakina e tēnei pahuka te hononga kia puta rā anō he kiko hou, kia ora ai te pū taringa. I roto i te wā, ka memeha noa iho tēnei pahuka.
4. Te tuitui i te tapahi: Mena i tapahia he tapahi ki waho, ka tuituia anō, ka hipokina ki te takai ma.
Kia pēhea te roa o te pokanga?
He rerekē te roa o tēnei pokanga. E 30 meneti pea te roa, e maha rānei ngā hāora te roa . Kei te rahi o te pokanga taringa, tōna wāhi, me te mea he kino kē atu kei roto i te taringa. Hei tauira, ki te pakaru ngā wheua iti i muri i te pūoro taringa, me whakatika pea. I ētahi wā, ka puta he tipu rerekē (cholesteatomas) i roto i te taringa i te pokanga pūoro taringa. Ka roa ake pea te tango i ēnei.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
He painga, he mōrearea anō hoki ō tetahi pokanga, ā, he mea nui kia mōhio ki aua mea.
Ngā painga matua:
- Ka hoki te rongo ki te āhua noa: I te katinga o te kōhao, ka tīmata anō te wiri o te tarau taringa ki te tika, ā, ka mārama te rongo.
- Te ārai i ngā mate urutā: Mā te katinga o te kōhao ka ārai i ngā iroriki kei uru ki te taringa waenga mai i waho. Ka ārai tēnei i ngā mate urutā taringa maha me te rerenga wai mai i te taringa.
Ngā tūponotanga pea (tino onge):
He tino onge ngā raruraru mai i tēnei pokanga. Ko te raruraru tino noa ko te korenga o te hononga. Ko te tikanga o tēnei, kāore te hononga e kati katoa i te kōhao. Ki te tupu tēnei, ka taea e te hononga te hanga anō. He tino onge, ka paku kino ake te rongo.
Kaua e manukanuka! Kua whakaatuhia e ngā rangahau he neke atu i te 90% te angitu o te tympanoplasty. Ka rerekē pea tēnei reiti angitu i runga i te rahi me te wāhi o te kōhao.
I muri i te pokanga me te wā whakaora
Ka taea e te nuinga o te tangata te hoki ki te kāinga i te rā kotahi i tā rātou pokanga. Tērā pea ka whakatau te tākuta kia noho koe ki te hōhipera mō te pō.
Ko ngā mea e whai ake nei he mea noa i ngā rā tuatahi i muri i te pokanga:
- He iti nei te rerenga toto e puta mai ana i te taringa.
- He kare ā-roto o te mamae iti, te pēhanga rānei i roto i te taringa.
- Te rongonga i ngā oro iti pēnei i te "chit chit" i roto i te taringa.
- Tērā pea ka pōuri te rongo (tērā pea ka roa tēnei mō te ono wiki, kaua e manukanuka).
Ka taea te whakamahi i ngā rongoā whakamamae mamae ka taea te hoko kore utu mō ngā rā tuatahi o te mamae. Heoi, ki te kore e taea te manawanui te mamae, me whakamōhio atu ki tō tākuta .
E 10 ki te 14 ngā rā e pau ana kia tino ora ai. Ko te tikanga me ngaro katoa te mamae me te kore whakamarie. Heoi, e toru marama pea te roa ka hoki anō te rongo ki te āhua noa .
Mena kua pokangahia tāu tamaiti, kia mataara tonu ki tōna āhua. I te nuinga o te wā, ka taea e tāu tamaiti te hoki ki te kura i roto i te toru ki te rima rā. Pātai atu ki tō tākuta mō ētahi tohutohu.
Me pēhea te noho haumaru ki te kāinga? Ngā mea hei mahi, me ngā mea kāore e tika ana kia mahia
He mea tino nui te āhua o tō tiaki i a koe anō i te kāinga mō te angitu o te pokanga. Me whai i ngā tohutohu a tō tākuta. Anei ētahi mea whānui hei whai.
| Ngā mea hei mahi (Me mahi) 👍 | Ngā mea kāore e tika ana kia mahia (Ngā mea kāore e tika ana kia mahia) 👎 |
|---|---|
| Tangohia tō rongoā kia rite ki te mea i whakaritea: Whakamahia ngā pire paturopi, ngā pata taringa rānei i tohua e tō tākuta kia tae rā anō ki te mutunga o te wā kua whakaritea. | Kaua e kohia tō ihu: Kaua e kohia tō ihu mō te iti rawa i te 3 wiki i muri i te pokanga. Ki te mea me tihe koe, whakatuwherahia tō waha. |
| Kia maroke te taringa: Ka kī atu te tākuta kia kaua e horoi i ō makawe, kaua hoki e kaukau i ngā rā tuatahi. Ina whakaaetia koe ki te kaukau, pania te Vaseline® ki tētahi pōro miro ka whakanoho ki roto i tō taringa i a koe e kaukau ana. Mā tēnei ka ārai i te wai kei uru ki roto i tō taringa. | Kaua e hiki i ngā taumaha taimaha:Kaua e hiki i te neke atu i te 5-10 kirokaramu tae noa ki te wā e kīia ai e tō tākuta. Kaua ngā tamariki e haere ki te kura mō te rua wiki pea. |
| Kia nui te okiokinga: Kia nui te okiokinga e taea ana. Kaua e nui rawa ngā mahi tinana. | Āraia ngā mea e whakanui ana i te pēhanga i roto i te taringa: Āraia ngā mea pēnei i te rere, te kaukau rānei i roto i ngā puna kaukau mō te marama i muri i te pokanga. |
| Whakatakotoria he pōro miro hei whakahaere i te rere: Mena he rere toto e puta mai ana i te taringa, whakatakotoria he pōro miro ma ki waho o te taringa hei mimiti. Mena he nui rawa te toto i te mea e tumanakohia ana, waea atu ki tō tākuta. | Kaua e whakauru i tetahi mea ki roto i te taringa: Kaua e whakauru i ngā puku miro, i tetahi atu mea rānei ki roto i te taringa hei waru, hei horoi rānei. |
Āhea ahau me kite anō i te tākuta?
Ka tonoa koe kia hoki mai ki te tari o te tākuta i roto i ngā wiki e rua, e toru rānei i muri i te pokanga. Ka tirohia e rātou te āhua o te whakaora o tō pūoro taringa. Tērā pea ka tukuna atu tētahi atu rā ki a koe hei tirotiro i tō whakarongo i roto i ngā marama e rua, e toru rānei.
I tēnei wā, ki te pāngia koe e ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu.
| Ngā tohu whakatūpato hei tirotiro māu | |
|---|---|
| Waea atu ki tō tākuta mēnā kei a koe ēnei tohu: | |
| - He pūhā, he toto hou (whero pouri) rānei mai i te taringa, i te tapahi rānei | - Mena kei te kino haere te mamae o tō taringa, te ngaronga rānei o te rongo |
| - Ngā tohu o te mate (kirika, whero, mahana rānei huri noa i te wāhi i tapahia) | - Te tangi i roto i ngā taringa |
| - Te panoni o te reka, te ngoikore rānei o te kanohi | |
| I tēnei wā, haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera: | |
| - Te uaua ki te manawa | - Te whanoke nui rawa, te kore rānei e taea te whakahaere i te taurite o te tinana |
| - Te tere rawa o te manawa o te ngakau | |
Ka taea e te tangata katoa te pāngia e te pūoro taringa kua pokaia. Tērā pea nā te motu hohonu i te wā e horoia ana te taringa, nā te mate taringa waenga rānei. I te nuinga o te wā, ka ora noa iho ēnei pūoro. Engari ki te kore, ka taea e te tympanoplasty te āwhina i a koe kia pai ake te whakarongo me te noho hono atu ki te ao. Mā tō tākuta e whakatau mēnā ko tēnei pokanga te kōwhiringa pai rawa atu māu.
Karere Tangohia ki te Kāinga
- He tino angitu te tympanoplasty hei whakatika i tētahi kōhao i roto i te parāoa taringa. Kaua e mataku noa i tēnei.
- Kia ata whai i ngā tohutohu a tō tākuta i muri i te pokanga, kia maroke rawa ō taringa, kia kaua hoki e waruhia tō ihu.
- Tērā pea ka roa pea ētahi marama ka tino ora ai tō taringa i muri i te pokanga. Kia manawanui.
- Ki te pāngia koe e ngā tohu rerekē pērā i te toto nui, te pupuhi rānei mai i te taringa, te kirika, te mamae rānei e kore e taea te tohe, me whakamōhio tonu atu ki tō tākuta.
- Mena he āwangawanga, he wehi rānei āu mō te pokanga, kōrerotia marietia ki tō tākuta.
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