Barotrauma pepeiao

Kūpono ʻole ka barotrauma pepeiao i ka pepeiao ma muli o ka ʻokoʻa o ke kaomi ma waena o loko a me waho o ka eardrum. Pākuʻi paha i ka pepeiao.

ʻO ke kaomi o ka lewa i ka pepeiao waena ka mea pinepine e like me ke kaomi ea ma waho o ke kino. ʻO ka Tube eustachian kahi pilina ma waena o ka pepeiao waena a me ke kua o ka ihu a me ka puʻu luna.

ʻO ka ale ʻana a i ʻole ka uwau ʻana e wehe i ka Tube eustachian a ʻae i ka lewa e kahe i loko a i waho paha o ka pepeiao waena. Kōkua kēia i ka hoʻohālikelike ʻana i ke kaomi ma kēlā me kēia ʻaoʻao o ka pahu pepeiao. Inā kāpae ʻia ka pahu eustachian, ʻokoʻa ke kaomi o ka lewa i ka pepeiao waena ma mua o ke kaomi ma waho o ka eardrum. Hiki i kēia ke kumu ʻo barotrauma.

Nui nā poʻe i barotrauma i kekahi manawa. Kū pinepine ka pilikia me nā loli o ke kiʻekiʻe, e like me ka lele ʻana, ka luʻu scuba, a i ʻole ke kalaiwa ʻana i nā kuahiwi. Inā loaʻa kou ihu i huehue ʻia mai nā maʻi āpau, ke anuanu, a i ʻole he maʻi hanu luna, e hoʻomohala paha ʻoe i ka barotrauma.

Blockage o ka eustachian Tube hiki ke noho pū kekahi ma mua o ka hānau ʻana (congenital). Hoʻokumu ʻia paha ia e ka pehu ma ka ʻāʻī.

ʻO nā ʻōuli maʻamau ka:

• Puʻupuʻu
• Hōʻoluʻolu a ʻeha paha ka pepeiao i hoʻokahi o nā pepeiao ʻelua paha
• Lohe lohe (iki)
• ʻO ka manaʻo o ka piha a i ʻole ka mea nui i nā pepeiao

E ulu paha nā ʻōuli ʻē aʻe inā maikaʻi ʻole ke ʻano a hele paha i kahi manawa lōʻihi, e like me:

• ʻEha pepeiao
• Ka manaʻo o ke kaomi i loko o nā pepeiao (me he mea lā ma lalo o ka wai)
• Kuwaena i ka hoʻolohe hoʻolohe ʻino
• Nosebleed

I ka wā o kahi hoʻokolohua o ka pepeiao, ʻike ka mea mālama ola i kahi puʻupuʻu o waho a i ʻole huki i loko o ka eardrum. Inā koʻikoʻi ke ʻano, aia paha he koko a ʻeha hoʻi ma hope o ka eardrum.

ʻIke like paha ka barotrauma koʻikoʻi me kahi maʻi pepeiao.

I mea e hōʻoluʻolu ai i ka ʻeha o ka pepeiao a i ʻole hōʻoluʻolu ʻole, hiki iā ʻoe ke hana i nā ʻanuʻu e wehe i ka Tube eustachian a hoʻokuʻu i ke kaomi, e like me:

• ʻAlā pūmau
• E hanu, a laila hāpule mālie ʻoiai e paʻa ana nā puka ihu a paʻa ka waha
• Kuhi ma ka candy
• ʻAwnlelo

Ke lele nei, mai hiamoe ke hoʻomākaukau ka mokulele e pae. E hana hou i nā kaʻina i helu ʻia e wehe i ka Tube eustachian. No nā pēpē a me nā keiki liʻiliʻi, kōkua paha ka hānai ʻana a i ʻole ka inu ʻana i kahi wai inu.

Pono e iho i lalo e hele i luna a piʻi mālie. ʻO ka luʻu ʻoiai loaʻa iā ʻoe nā maʻi āpau a i ʻole he maʻi hanu ka weliweli. He koʻikoʻi paha ʻo Barotrauma i kēia mau hanana.

Inā ʻoluʻolu ʻole nā ​​hana pilikino iā ʻoe iho i loko o kekahi mau hola a i ʻole kaumaha ka pilikia, pono paha ʻoe e ʻike i kahi mea hāʻawi.

Pono ʻoe i ka lāʻau e hoʻopakele ai i ka ihu ihu a ʻae i ka eustachian Tube e wehe. Pākuʻi ʻia kēia mau mea:

• Lawe ʻia nā decongestants e ka waha, a i ʻole ka ʻehu ihu
• Lawe ʻia nā Steroids e ka waha, a i ʻole ka ʻehu ihu

Pono ʻoe i nā antibiotic e pale a mālama paha i kahi maʻi pepeiao inā koʻikoʻi ka barotrauma.

Kākaʻikahi, pono ka ʻoki ʻana inā ʻaʻole holo nā hana ʻē aʻe e wehe i ka paipu. I kēia kaʻina hana, hana ʻia kahi ʻokiʻoki i loko o ka eardrum e ʻae i ke kaomi e like a me ka wai e hoʻokahe (myringotomy).

Inā pono ʻoe e hoʻololi pinepine i ke kiʻekiʻe a prone paha ʻoe i ke barotrauma, pono paha ʻoe e ʻoki ʻia e hoʻonoho i nā paipu i ka pahu pepeiao. ʻAʻole kēia he koho no ka luʻu scuba.

ʻO Barotrauma ka mea maʻamau ʻole (benign) a pane i ka mālama ponoʻī. ʻAno mau ka manawa o ka hoʻolohe lohe ʻana.

Komo pū nā pilikia:

• Maʻi maʻi kūpilikiʻi
• Lohe hoʻolohe
• Rupehue a i ʻole perforated eardrum
• Vertigo

E hoʻāʻo mua i nā ana mālama home. Kāhea i kāu mea nāna e hāʻawi inā ʻaʻole maʻalahi ka hōʻoluʻolu ma hope o kekahi mau hola.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe ʻo barotrauma a me nā ʻōuli hou e hoʻomohala, keu hoʻi:

• Kahe a kahe paha mai ka pepeiao
• Fiva
• ʻEha pepeiao ʻeha

Hiki iā ʻoe ke hoʻohana i nā decongestants nasal (spray a pill pill paha) ma mua o ka loli ʻana o ke kiʻekiʻe. E hoʻāʻo e pale i nā loli o ke kiʻekiʻe ʻoiai ʻoe e loaʻa i kahi maʻi hanu kiʻekiʻe a i ʻole hoʻouka allergy.

E kamaʻilio i kāu mea hoʻolako e pili ana i ka hoʻohana ʻana i nā decongestants inā ʻoe e hoʻolālā e luʻu.

Pāhoihoi ʻo Barotitis; Barotrauma; Pihi pepeiao - barotrauma; Ka pepeiao pepeiao pili i ke kaomi; Hana pono ʻole ʻo Eustachian Tube - barotrauma; Barotitis; Kaomi ka pepeiao

• Anatomy pepeiao

Byyny RL, ʻO Sholie LW. Luʻu Scuba a me ka disbarism. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 135.

Van Hoesen KB, Lang MA. Lapaʻau lū. I: Auerbach PS, Cushing TA, Harris NS, hua. Ka Laau Lāʻau ʻo Auerbach. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 71.