Maʻi Ménière - mālama pono iā ʻoe iho
Ua ʻike ʻoe i kāu kauka no ka maʻi Ménière. I ka hoʻouka kaua ʻana o Ménière, loaʻa paha iā ʻoe ka vertigo, a i ʻole ka manaʻo e wili nei ʻoe. Loaʻa paha iā ʻoe ka nalo ʻana o ka hoʻolohe (pinepine pinepine i hoʻokahi pepeiao) a kani a kani paha i ka pepeiao i hoʻopili ʻia, i kapa ʻia ʻo tinnitus. Hiki paha iā ʻoe ke kaomi a i ʻole piha i nā pepeiao.
I ka wā hoʻouka kaua, ʻike kekahi poʻe i ka hoʻomaha moe e kōkua ai i ka hōʻoluʻolu i nā ʻōuli o ka vertigo. Kākau paha kāu mea mālama ola i nā lāʻau e like me diuretics (paila wai), antihistamines, a i ʻole nā lāʻau anti-hopohopo e kōkua. Hiki ke hoʻohana ʻia ke kaha ʻana ma kekahi mau hihia me nā ʻōuli hoʻomau, ʻoiai he pilikia kēia a ʻaʻohe koi iki ʻia.
ʻAʻohe lāʻau lapaʻau no ka maʻi Ménière. Eia nō naʻe, hiki i ka hoʻololi ʻana i kahi nohona ke kōkua i ka pale ʻana a hōʻemi paha i nā hoʻouka.
ʻO ka ʻai ʻana i ka ʻai paʻakai haʻahaʻa (sodium) e kōkua ai i ka hoʻēmi i ka kaomi wai i loko o kou pepeiao o loko. Hiki i kēia ke kōkua i ke kaohi ʻana i nā hōʻailona o ka maʻi Ménière. E ʻōlelo paha kāu mea hāʻawi e ʻoki i 1000 a 1500 mg o sodium i kēlā me kēia lā. ʻO kēia e pili ana i ka asp teaspoon (4 gram) o ka paʻakai.
E hoʻomaka i ka lawe ʻana i ka paʻakai paʻakai mai kāu papaʻaina, a mai hoʻohui i kahi paʻakai keu i nā meaʻai. Loaʻa ʻoe i ka nui mai ka meaʻai āu e ʻai ai.
Hiki i kēia mau ʻōlelo aʻoaʻo ke kōkua iā ʻoe e ʻoki i ka paʻakai keu o kāu papaʻai.
Ke kūʻai ʻana, nānā i nā koho olakino haʻahaʻa haʻahaʻa i ka paʻakai, me:
- ʻO nā mea kanu hou a i ʻole ka hau.
- ʻO ka pipi hou a paʻahau paha, ka moa, ka pelehū, a me ka iʻa. Hoʻomaopopo e hoʻohui pinepine ʻia ka paʻakai i nā kuhukukū holoʻokoʻa, no laila e heluhelu pono i ka lepili.
E aʻo e heluhelu i nā lepili.
- E hōʻoia i nā lepili āpau e ʻike ai i ka nui o ka paʻakai i kēlā me kēia lawelawe ʻana o kāu meaʻai. ʻO kahi huahana me ka liʻiliʻi o 100 mg o ka paʻakai no kēlā me kēia lawelawe ʻana he maikaʻi.
- Helu ʻia nā mea hoʻohui i ke ʻano o ka nui o ka meaʻai. Hōʻalo i nā meaʻai e papa inoa i ka paʻakai ma kahi kokoke o ka papa inoa o nā mea hoʻohui.
- E nānā i kēia mau huaʻōlelo: low-sodium, sodium-ʻole, ʻaʻohe paʻakai i hoʻohui ʻia, hoʻemi ʻia ka sodium, a ʻaʻohe paʻakai ʻole.
Nā meaʻai e hōʻalo ai i:
- ʻO ka hapa nui o nā meaʻai kēpau, ke ʻole ka lepili e ʻōlelo haʻahaʻa a ʻaʻohe sodium. Loaʻa i nā meaʻai i kēpau i ka paʻakai ka mālama ʻana i ke kala o nā meaʻai a mālama i ka mea hou.
- ʻO nā meaʻai i hana ʻia, e like me nā ʻola i hoʻōla ʻia a puhi ʻia paha, ka puaʻa, nā ʻīlio wela, ka sausage, bologna, ham, a me nā salami.
- Nā mea ʻai pūʻolo e like me ka makaroni a me ka tī a me nā laiki.
- ʻO nā anchovies, ʻoliva, pickles, a me ka sauerkraut.
- Nā sausa Soy a me Worcestershire.
- ʻO Tomato a me nā wai momona ʻē aʻe.
- ʻO ka waiūpaʻa nui.
- Nui nā ʻōpala salakeke ʻōmole a me nā kāwili salakeke i kāwili ʻia.
- ʻO ka hapa nui o nā meaʻai māmā, e like me nā ʻāpana a i ʻole nā pahū.
Ke kuke a ʻai ʻoe ma ka home:
- E kuapo i ka paʻakai me nā mea ʻono ʻē aʻe. ʻO ka pepa, kālika, nā mea kanu, a me ka lemona nā koho maikaʻi.
- Hōʻalo i nā kāwili kāwili pūʻolo. Loaʻa iā lākou ka paʻakai.
- E hoʻohana i ka ʻōlika a me ka ʻoka onika, ʻaʻole i ka kālika a me ka paʻakai onion.
- Mai ʻai i nā meaʻai i loaʻa ka monosodium glutamate (MSG).
- Hoʻololi i kāu lūlū paʻakai me kahi kāwili ʻaina paʻakai ʻole.
- E hoʻohana i ka aila a me ka vīnega i nā salakeke. Hoʻohui i nā mea kanu hou a maloʻo paha.
- ʻAi i nā huaʻai a i ʻole sorbet hou no ka mea ʻono.
Ke hele ʻoe i waho e ʻai:
- Paʻa i ka uahi ʻia, hoʻomoʻa ʻia, hoʻomoʻa ʻia, hoʻolapalapa ʻia, a me nā meaʻai pūlehu ʻia me ka paʻakai ʻole, nā mea ʻai, a me nā tī.
- Inā manaʻo ʻoe e hoʻohana paha ka hale ʻaina iā MSG, e noi iā lākou ʻaʻole e hoʻohui ia i kāu ʻoka.
E hoʻāʻo e ʻai i ka nui like o ka meaʻai a inu i ka nui o ka wai ma kahi o ka manawa like i kēlā me kēia lā. Hiki i kēia ke kōkua i ka hōʻemi i nā loli i ke kaulike wai i loko o kou pepeiao.
Hiki ke kōkua i ka hana ʻana i nā hoʻololi aʻe:
- ʻO kekahi o nā lāʻau lapaʻau e kūʻai aku ai i ka ʻai, e like me antacids a me nā laxatives, he nui ka paʻakai i loko o lākou. Inā makemake ʻoe i kēia mau lāʻau, e nīnau i kāu mea hāʻawi mai a i ʻole ka mea kauka lāʻau he aha nā māka i loaʻa ka paʻakai liʻiliʻi a i ʻole.
- Hoʻohui nā palupalu wai home i ka paʻakai i ka wai. Inā loaʻa iā ʻoe hoʻokahi, e kaupalena i ka nui o ka wai piula āu e inu ai. Inu wai omole ma kahi.
- Hōʻalo i ka caffeine a me ka waiʻona, i mea e ʻoi aku ai ka maikaʻi o nā ʻōuli.
- Inā puhi ʻoe, haʻalele. Hiki ke kōkua i ka haʻalele ʻana i ka hōʻemi ʻana i nā ʻōuli.
- ʻIke kekahi poʻe i ka mālama ʻana i nā ʻōuli a pau a me ka hōʻalo ʻana i nā pākū a pau i kōkua i ka hōʻemi ʻana i nā maʻi maʻi Meniere.
- E loaʻa i ka hiamoe nui a hana i nā hana e hōʻemi ai i ke koʻikoʻi.
No kekahi poʻe, ʻaʻole lawa ka ʻai wale nō. Inā pono, hāʻawi paha kāu mea hāʻawi iā ʻoe i nā wai wai (diuretics) e kōkua i ka hōʻemi ʻana i ka wai i kou kino a me ka kaomi wai i loko o kou pepeiao o loko. Loaʻa iā ʻoe nā hoʻokolohua ukali maʻamau a me ka hana lab e like me ka ʻōlelo a kāu mea hāʻawi. Hoʻokomo ʻia paha nā Antihistamines. Hoʻomoe paha kēia mau lāʻau iā ʻoe, no laila pono ʻoe e lawe mua iā lākou ke ʻole ʻoe e hoʻokele a makaʻala hoʻi i nā hana nui.
Inā paipai ʻia ke ʻoki kino no kou kūlana, e ʻike pono e kamaʻilio pū me kāu kauka lāʻau e pili ana i nā kapu kikoʻī āu e loaʻa ai ma hope o ke kahakaha 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, kaomi a piha paha i nā pepeiao, a poni paha.
Hydrops - mālama pono iā ʻoe iho; Endolymphatic hydrops - mālama iā ʻoe iho; Puʻuwai - mālama pono iā Ménière; Vertigo - mālama pono iā Ménière; Lilo o ke kaulike - mālama pono Ménière; Nā hydrops endolymphatic mua - mālama pono iā ia iho; Auditory vertigo - mālama pono iā ʻoe iho; Aural vertigo - mālama pono iā ʻoe iho; Ménière’s syndrome - mālama ponoʻī; Otogenic vertigo - mālama pono iā ʻoe iho
Baloh RW, Jen JC. Lohe a me ke kaulike. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 400.
ʻO Fife TD. Maʻi ʻo Meniere. I: Kellerman RD, Rakel DP, eds. ʻO Conn's Current Therapy 2020. Piladelapia, PA: Elsevier; 2020: 488-491.
ʻO Wackym PA. Neurotology. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 9.
- ʻO ka maʻi ʻo Meniere