Maʻi Ménière

ʻO ka maʻi Ménière kahi maʻi pepeiao o loko e hoʻopili i ke kaulike a me ka hoʻolohe ʻana.

Aia i loko o kou pepeiao i loko nā paipu i piha i ka wai i kapa ʻia he labyrinths. ʻO kēia mau paipu, me kahi aʻa i loko o kou iwi poʻo, kōkua iā ʻoe e ʻike i ke kūlana o kou kino a kōkua i ka mālama ʻana i kāu kaulike.

ʻAʻole ʻike ʻia ke kumu kūpono o ka maʻi Ménière. Hiki paha ke kiʻekiʻe ke kaomi o ka wai i kahi ʻāpana o ka pepeiao o loko.

I kekahi mau hihia, pili paha ka maʻi Ménière i:

• Poino poʻo poʻo
• Maʻi pepeiao waena a i loko paha

ʻO nā kumu ʻē aʻe e pili pū me:

• Hoʻohana rama
• Nā Pāhoihoi
• Mōʻaukala ʻohana
• ʻO nā maʻi anuanu a viral hou paha
• Puhipaka
• Kaumaha
• Hoʻohana o kekahi mau lāʻau

ʻO ka maʻi Ménière kahi maʻi maʻamau.

Hoʻomaka pinepine ka hōʻeha ʻana o ka maʻi Ménière me ka ʻole o ka ʻōlelo aʻoaʻo. Kū paha lākou i kēlā me kēia lā a i ʻole ʻano kakaikahi i hoʻokahi manawa i ka makahiki. Hiki ke loli ke koʻikoʻi o kēlā me kēia hoʻouka. Kūleʻa paha kekahi mau hoʻouka a hoʻopilikia i nā hana ola o kēlā me kēia lā.

ʻEhā mau hōʻailona nui ka maʻi Ménière:

• Hoʻololi ka lohe pepeiao e loli
• Kaomi ma ka pepeiao
• Ke kani a kani paha i ka pepeiao i hoʻopili ʻia, i kapa ʻia ʻo tinnitus
• Vertigo, a i ʻole dizziness

ʻO ka vertigo koʻikoʻi ka hōʻailona e hoʻomaka i nā pilikia he nui. Me ka vertigo, manaʻo ʻoe e like me ka wili a neʻe paha ʻoe, a i ʻole ke wili nei ka honua iā ʻoe.

• Hoʻomaʻa pinepine kausea, ka luaʻi, a me ka hou.
• ʻOi aku ka maikaʻi o nā ʻōuli me ka neʻe koke.
• ʻO ka pinepine, pono ʻoe e moe i lalo a pani i kou mau maka.
• Pīhoihoi paha ʻoe a me ke kaulike ʻole no nā wahi āpau mai 20 mau minuke a 24 mau hola.

ʻO ka lohe pepeiao pinepine ma ka pepeiao hoʻokahi wale nō, akā hiki ke hoʻopili i nā pepeiao ʻelua.

• Hoʻonui maikaʻi ka hoʻolohe ʻana ma waena o nā hoʻouka, akā ʻoi aku ka maikaʻi o ka hala ʻana o ka manawa.
• ʻO ka lohe haʻahaʻa haʻahaʻa haʻahaʻa e nalowale ai ma mua.
• Hiki paha iā ʻoe ke uwo a kani paha i ka pepeiao (tinnitus), me ke ʻano o ke kaomi i loko o kou pepeiao

ʻO nā ʻōuli ʻē aʻe e like me:

• Pohā
• Poʻo poʻo poʻo
• ʻEha a ʻoluʻolu ʻole i loko o ka ʻōpū
• ʻO Nusea a me ka luaʻi
• Nā neʻe o ka maka kuʻi ʻole (kahi ʻōuli i kapa ʻia ʻo nystagmus)

I kekahi manawa nui ka nausea, ka luaʻi, a me ka maʻi pākī e pono ai e hoʻokomo ʻia i ka haukapila e loaʻa i nā wai IV a i ʻole pono ʻoe e hoʻomaha i ka home.

Hōʻike paha kahi hoʻokolohua lolo a me ka ʻōnaehana i nā pilikia me ka hoʻolohe, ke kaulike, a me ka neʻe ʻana o ka maka.

E hōʻike ana kahi hoʻokolohua hoʻolohe ʻana i ka nalo ʻana o ka lohe e pili ana me ka maʻi Ménière. Ma kahi kokoke paha i ka maʻamau ka lohe ʻana ma hope o kahi hoʻouka.

ʻO kahi hōʻike hoʻouluulu caloric e nānā i kāu reflexes o ka maka e ka hoʻomehana ʻana a hoʻoluʻolu i ka pepeiao i loko me ka wai. ʻO nā hopena hōʻike ʻaʻole i ka pae maʻamau hiki ke lilo i hōʻailona o ka maʻi Ménière.

E hana ʻia paha kēia mau hoʻokolohua e nānā ai no nā kumu ʻē aʻe o ka vertigo:

• Electrocochleography (ECOG)
• Electronystagmography (ENG) a i ʻole videonystagmography (VNG)
• Luna MRI scan

ʻAʻohe lāʻau lapaʻau i ʻike ʻia no ka maʻi Ménière. Eia nō naʻe, hiki i nā loli nohona a me kekahi mau lapaʻau ke kōkua i ke kōkua ʻana i nā ʻōuli.

Hōʻike paha kāu mea mālama ola i nā ala e hōʻemi ai i ka nui o ka wai i kou kino. Hiki i kēia ke kōkua pinepine i ka mālama ʻana i nā ʻōuli.

• Hiki i nā paukū wai (diuretics) ke kōkua i ka hoʻopakele ʻana i ke kaomi wai i loko o ka pepeiao o loko
• Hiki ke kōkua i kahi papaʻai paʻakai haʻahaʻa

I mea e hōʻoluʻolu ai i nā ʻōuli a noho palekana:

• Hōʻalo i nā neʻe koke, kahi e hōʻemi ai i nā ʻōuli. Pono ʻoe i kōkua e hele wāwae i ka wā hoʻouka.
• Hōʻalo i nā kukui ʻōlinolino, TV, a me ka heluhelu ʻana i ka wā hoʻouka. Hiki iā lākou ke hōʻeha i nā ʻōuli.
• Mai kalaiwa, hana i nā mīkini kaumaha, a i ʻole piʻi i luna a 1 hebedoma ma hope o ka nalo ʻana o kāu mau hōʻailona. Hiki ke weliweli ke kilokilo pioloke i kēia mau hana.
• Noho mālie a hoʻomaha ke loaʻa ʻoe nā ʻōuli.
• E hoʻonui iki i kāu hana ma hope o ka hoʻouka ʻana.

Nā hōʻailona o ka maʻi Ménière hiki ke hoʻonāukiuki. E hana i nā koho nohona olakino e kōkua iā ʻoe e kūleʻa:

• ʻAi i kahi papaʻai kaulike, olakino. Mai ʻai nui.
• Hoʻomaʻamaʻa pinepine, inā hiki.
• E lawa ka hiamoe.
• Ka palena o ka caffeine a me ka waiʻona.

Kōkua i ka maʻalahi ma o ka hoʻohana ʻana i nā hana hoʻomaha, e like me:

• Nā kiʻi alakaʻi
• Noʻonoʻo
• Ka hoʻomaha holomua holomua
• ʻO Tai chi
• Yoga

E nīnau i kāu mea hāʻawi e pili ana i nā ana mālama pilikino ʻē aʻe.

Kauoha paha kāu mea hāʻawi:

• ʻO nā lāʻau Antinausea e hōʻoluʻolu i ka nausea a me ka luaʻi
• Diazepam (Valium) a i ʻole ka neʻe ʻana i nā lāʻau, e like me meclizine (Antivert, Bonine, Dramamine) e hoʻopakele ai i ka palaho a me ka vertigo

ʻO nā ʻano lapaʻau ʻē aʻe e kōkua paha i ka:

• ʻO kahi mea kōkua lohe e hoʻomaikaʻi i ka pepeiao i ka pepeiao i hoʻopili ʻia.
• ʻO ke kaulike kaulike, e pili ana i ke poʻo, ka maka, a me nā hoʻoikaika kino hiki iā ʻoe ke hana ma ka home e kōkua i ke hoʻomaʻamaʻa i kou lolo e lanakila i ka luʻuluʻu.
• Overpressure therapy me ka hoʻohana ʻana i kahi hāmeʻa e hoʻouna i nā puʻupuʻu puʻupuʻu liʻiliʻi ma o ka puka pepeiao i ka pepeiao waena. Hoʻonohonoho nā pulse i ka hōʻemi ʻana i ka nui o ka wai ma ka pepeiao waena, a ʻo ia ka mea e hoʻoliʻiliʻi.

Hiki paha iā ʻoe ke ʻoki pepeiao inā koʻikoʻi kāu mau ʻōuli a mai pane i nā ʻano lāʻau ʻē aʻe.

• ʻO ke ʻoki e ʻoki i ke aʻalolo vestibular e kōkua i ka mālama ʻana i ka vertigo. ʻAʻole ia e hōʻino i ka hoʻolohe ʻana.
• ʻO ke kaha e decompress i kahi hanana i loko o ka pepeiao i loko i kapa ʻia ka ʻeke endolymphatic. Hoʻopilikia paha ka hoʻolohe ʻana i kēia kaʻina hana.
• ʻO ke komo ʻana i nā steroid a antibiotic paha i kapa ʻia ʻo gentamicin pololei i ka pepeiao waena hiki ke kōkua i ke kaohi ʻana i ka vertigo.
• ʻO ka hemo ʻana i kahi ʻāpana o ka pepeiao o loko (labyrinthectomy) kōkua i ka mālama ʻana i ka vertigo. ʻO kēia ke kumu o ka nalowale ʻana o ka lohe.

Hiki i kēia mau kumuwaiwai ke hāʻawi i ka ʻike hou aku e pili ana i ka maʻi Ménière:

• American Academy of Otolaryngology-Head and Neck Surgery - www.enthealth.org/conditions/menieres-disease/
• National Institute on Deafness and Other Communication Disorder - www.nidcd.nih.gov/health/menieres-disease
• ʻO ka hui maʻi maʻi Vestibular - vestibular.org/menieres-disease

Hiki ke kāohi pinepine ʻia ka maʻi Ménière me ka lāʻau. A i ʻole, e ʻoi aku paha ke kūlana ma ona iho. I kekahi mau hihia, hiki i ka maʻi Ménière ke hoʻomau (wā lōʻihi) a i ʻole ka hōʻino ʻana.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā hōʻailona o ka maʻi Ménière, a i ʻole inā ʻoi aku ka maikaʻi o nā ʻōuli. Pākuʻi ʻia kēia me ka nalo ʻana o ka pepeiao, kani i nā pepeiao, a me ka puʻupuʻu.

ʻAʻole hiki iā ʻoe ke pale aku i ka maʻi Ménière. ʻO ka mālama ʻana i nā ʻōuli mua ke kōkua i ka pale ʻana i ke ʻano mai ka ʻino loa ʻana. He mea kōkua paha ka mālama ʻana i kahi maʻi pepeiao a me nā ʻano maʻi ʻē aʻe.

Hydrops; Lohe lohe ʻana; Endolymphatic hydrops; Kahakaha - maʻi Ménière; Vertigo - maʻi Ménière; Lilo ka lohe ʻana - maʻi Ménière; Overpressure therapy - maʻi Ménière

• Anatomy pepeiao
• Membrane Tympanic

Boomsaad ZE, Telian SA, Patil PG. Ka mālama ʻana i ka vertigo hiki ʻole ke lawe ʻia. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 105.

ʻO Crane BT, Minor LB. Nā maʻi maʻi vestibular peripheral. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 165.