Hoʻoponopono ʻalalā

Hoʻomaopopo ʻo Eardrum i kekahi a ʻoi paha o nā kaʻina hana i hana ʻia e hoʻoponopono i kahi waimaka a i ʻole nā ​​mea ʻino ʻē aʻe i ka eardrum (membrane tympanic).

ʻO Ossiculoplasty ka hoʻoponopono o nā iwi liʻiliʻi i ka pepeiao waena.

Loaʻa ka hapa nui o nā mākua (a me nā keiki āpau) i ka anesthesia ākea. ʻO kēia ka mea e hiamoe ana ʻoe a ʻaʻole hiki ke ʻike i ka ʻeha. I kekahi manawa, hoʻohana ʻia ka anesthesia kūloko me ka lāʻau e hiamoe ai ʻoe.

E ʻokiʻoki ke kaukoki ma hope o ka pepeiao a i ʻole i loko o ka auwaha pepeiao.

Kaukaʻi ʻia i ka pilikia,

• E hoʻomaʻemaʻe i nā maʻi a make paha ma ka pepeiao a i ʻole i ka pepeiao waena.
• Hoʻopili i ka eardrum me kahi ʻāpana o nā aʻa ponoʻī o ka mea maʻi i lawe ʻia mai kahi aʻa a i ʻole ka ʻāpana muscle (i kapa ʻia ʻo tympanoplasty). Lawe pinepine kēia kaʻina hana i 2 a 3 mau hola.
• Wehe, hoʻololi, a hoʻoponopono hou paha i 1 a ʻoi aku paha o nā iwi liʻiliʻi he 3 i ka pepeiao waena (i kapa ʻia ʻo ossiculoplasty).
• Hoʻoponopono i nā puka liʻiliʻi ma ka eardrum ma ke kau ʻana i kahi gel a i ʻole kahi pepa kūikawā ma luna o ka eardrum (i kapa ʻia ʻo myringoplasty). Lawe pinepine kēia kaʻina hana i 10 a 30 mau minuke.

E hoʻohana ka kaukoki i kahi microscope hana e nānā a hoʻoponopono i ka eardrum a i nā iwi liʻiliʻi.

Aia ka pepeiao ma waena o ka pepeiao waho a me ka pepeiao waena. Ke haʻalulu nei ke kuʻi ʻia e nā nalu kani. Ke hōʻino ʻia ka eardrum a i ʻole he puka i loko o ia mea, hoʻemi ʻia paha ka lohe ʻana a ʻoi aku paha nā maʻi o ka pepeiao.

ʻO nā kumu o nā puka a i ʻole nā ​​puka o ka eardrum:

• He maʻi pepeiao maikaʻi ʻole
• Ka hana ʻole o ka Tube eustachian
• Ka hoʻopili ʻana i kekahi mea i loko o ka aʻa pepeiao
• ʻOki kino e hoʻonoho ai i nā paipu pepeiao
• Trauma

Inā he puka liʻiliʻi ko ka eardrum, hana paha ka myringoplasty e pani ai. ʻO ka hapanui o ka manawa, e kali kau kauka ma ka liʻiliʻi he 6 mau pule ma hope o ka hoʻomohala ʻana o ka lua ma mua o ka ʻōlelo ʻana i kahi ʻoki.

Hana ʻia ʻo Tympanoplasty inā:

• He puka nui a he wehe paha kā ka eardrum
• Aia kekahi maʻi maʻi ma ka pepeiao, a ʻaʻole kōkua nā antibiotic
• Aia kahi kūkulu o nā mea keu a puni a ma hope paha o ka eardrum

Hiki i kēia mau pilikia like ke hōʻeha i nā iwi liʻiliʻi loa (ossicle) aia ma hope pono o ka eardrum. Inā kū kēia, hana paha kāu kauka lāʻau i kahi ossiculoplasty.

Nā pilikia no ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena i nā lāʻau
• Nā pilikia hanu
• Kahe ʻana o ke kahe, ke koko, maʻi

Nā pilikia no kēia kaʻina hana:

• Hoʻopōʻino i ke aʻalolo o ke alo a i ʻole ke aʻa e kaohi ana i ke ʻano o ka ʻono
• Poino i nā iwi liʻiliʻi ma ka pepeiao waena, e lilo ana ka nalo o ka pepeiao
• Ka pākī a i ʻole vertigo
• Hoʻopau pono ʻole o ka lua i ka eardrum
• ʻOi aku ka maikaʻi o ka hoʻolohe ʻana, a i ʻole nā ​​hihia kakaikahi, ka nalo ʻana o ka hoʻolohe ʻana

E haʻi i ka mea mālama ola:

• He aha nā mea ʻāpiki iā ʻoe a i kāu keiki paha i nā lāʻau, latex, tape, a hoʻomaʻemaʻe ʻili paha
• He aha nā lāʻau āu e lawe nei a i kāu keiki paha, e like me nā mea kanu a me nā huaora āu i kūʻai ai me ka ʻole o ka lāʻau

I ka lā o ke ʻoki ʻana no nā keiki:

• E hāhai i nā ʻōkuhi e pili ana i ka ʻai ʻole a me ka inu ʻole. No nā pēpē, pili kēia i ka hānai ʻana i ka waiū.
• E lawe i nā lāʻau e pono ai me kahi wai liʻiliʻi.
• Inā maʻi ʻoe a ʻo kāu keiki paha i ke kakahiaka o ke ʻoki ʻana, e kāhea koke aku i ke kauka. Pono e hoʻoponopono hou i ke kaʻina hana.
• E hōʻea i ka haukapila i ka manawa.

Hiki iā ʻoe a me kāu keiki ke haʻalele i ka haukapila i ka lā like me ke ʻoki, akā pono paha e noho i ka pō inā pilikia.

E pale i ka pepeiao ma hope o ke kaha ʻana:

• E hoʻokomo ʻia ka hāʻawe i loko o ka pepeiao no 5 a 7 mau lā mua.
• I kekahi manawa uhi ka lole i ka pepeiao ponoʻī.

Aia a ʻōlelo kāu mea lawelawe ua maikaʻi:

• Mai ʻae i ka wai e komo i loko o ka pepeiao. Ke holoi a holoi paha i kou lauoho, kau i ka pulupulu i ka pepeiao i waho a uhi iā ia me ka ʻaila ʻaila. A iʻole, hiki iāʻoe keʻaʻahu i kahi pāpale pale.
• Mai "pop" i kou mau pepeiao a puhi paha i kou ihu. Inā pono ʻoe e honi, hana pēlā me kou waha. E huki hou i kou mau ihu i kou ihu i kou ʻāʻī.
• Hōʻalo i ka huakaʻi ea a me ka ʻauʻau ʻana.

E holoi mālie i nā kahawai pepeiao ma waho o ka pepeiao. Loaʻa paha ʻoe i nā pepeiao i ka pule mua. Mai hoʻokomo i nā mea ʻē aʻe i ka pepeiao.

Inā loaʻa kahi humuhumu ma hope o ka pepeiao a pulu lākou, e hoʻomaloʻo mālie i ka wahi. Mai hamo.

ʻIke paha ʻoe a ʻo kāu keiki paha i ke kani ʻana, a i ʻole ke lohe ʻana i ke kani ʻana, ke kaomi ʻana a i ʻole nā ​​kani ʻē aʻe i ka pepeiao. ʻIke paha ka pepeiao a i ʻole inā hoʻopiha ʻia me ka wai. Aia paha he ʻoi, ke kī ʻana i nā ʻeha a ma hope koke iho o ke kaha ʻana.

I mea e hōʻalo ai i ke anuanu, e noho kaʻawale mai nā wahi lehulehu a me nā kānaka me nā ʻōuli anu.

I ka hapanui o nā hihia, hoʻomaha loa ka ʻeha a me nā ʻōuli. Heʻuʻuku ka lohe pepeiao.

ʻAʻole maikaʻi paha ka hopena inā pono e kūkulu hou i nā iwi i ka pepeiao waena, me ka eardrum.

Myringoplasty; Tympanoplasty; Ossikuloplasty; Kūkulu hou ʻo Ossicular; Tympanosclerosis - ʻoki kino; Hoʻomaha hoʻomau Ossicular - ʻoki kino; Ossicular fixation - ʻoki kino

• Hoʻoponopono Eardrum - moʻo

Adams ME, El-Kashlan HK. ʻO Tympanoplasty a me ossikuloplasty. I: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 142.

Chiffer R, Chen D. Myringoplasty a me tympanoplasty. I: Eugene M, Snyderman CH, eds. ʻO ke keʻoki Otolaryngology Operative a me ka ʻoki ʻāʻī. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2018: chap 131.

Fayad JN, Sheehy JL. ʻO Tympanoplasty: kahi hana grafting o luna. I: Brackmann DE, ʻo Shelton C, ʻo Arriaga MA, nā ʻaoʻao. ʻOki kino Otologic. ʻEhā ed. Piladelapia, PA: Elsevier; 2016: chap 8.