Lohe hoʻolohe

ʻO ka lohe ʻana he hapa a i ʻole hiki ʻole ke lohe i ke kani i hoʻokahi a i ʻole nā ​​pepeiao ʻelua.

Pākuʻi ʻia paha nā ʻōuli o ka nalo ʻana i ka pepeiao:

• Kū leo nui paha kekahi i ka pepeiao hoʻokahi
• Ka paʻakikī ma hope o nā kamaʻilio ʻana ke kamaʻilio ʻelua a ʻoi paha poʻe
• Lohe i ka lohe i nā wahi walaʻau
• Pilikia i ka haʻi ʻana i nā kani kani kiʻekiʻe (e like me "s" a i ʻole "th") mai kekahi
• ʻOi aku ka liʻiliʻi o ka hoʻolohe ʻana i nā leo o nā kāne ma mua o ka leo o nā wahine
• Lohe i nā leo i ke ʻano ʻū a mū paha

ʻO nā ʻōuli ʻē aʻe e like me:

• Ka manaʻo o ke kaulike ʻole a poni (ʻoi aku ka maʻamau me ka maʻi Ménière a me ka neuroma acoustic)
• ʻO ke kaomi o ka pepeiao (i ka wai ma hope o ka eardrum)
• Kani kani a kani paha i nā pepeiao (tinnitus)

Loaʻa ka nalowale hoʻolohe lohe (CHL) ma muli o kahi pilikia mechanical ma ka pepeiao waho a waena paha. ʻO kēia paha no:

• ʻO nā iwi liʻiliʻi 3 o ka pepeiao (ossicles) ʻaʻole e mālama pono i ke kani.
• ʻAʻole haʻalulu ka eardrum i ka pane ʻana i ke kani.

Kumu o conductive lohe nalo hiki pinepine lapaau. Pākuʻi ʻia lākou:

• Kūkulu o ka wax i loko o ka auwaha pepeiao
• Ka hōʻino ʻana i nā iwi liʻiliʻi loa (ossicles) aia ma hope pono o ka eardrum
• ʻO ka wai i koe i ka pepeiao ma hope o ka maʻi pepeiao
• Mea kū haole i paʻa i ka auwaha pepeiao
• Hole i ka pepeiao
• Pākuʻi ma ka eardrum mai nā maʻi pinepine

Hana ʻia ka lohe pepeiao Sensorineural (SNHL) ke hōʻeha nā maʻi lauoho liʻiliʻi (nā piko nerve) e ʻike i ke kani o ka pepeiao, maʻi, ʻaʻole holo pono, a i make paha. ʻAʻole hiki ke hoʻohuli i kēia ʻano o ka nalo ʻana i ka lohe.

ʻO ka nalo ʻana o Sensorineural lohe pinepine ʻia e:

• ʻO neuroma ākea
• Lohe hoʻolohe pepeiao pili i ka makahiki
• ʻO nā maʻi kamaliʻi, e like me ka meningitis, mumps, ʻulaʻula, a me ka maʻi ʻula
• Maʻi Ménière
• Kū pinepine i ka walaʻau nui (e like me ka hana a me ka leʻaleʻa)
• Hoʻohana o kekahi mau lāʻau

Aia paha ka nalowale o ka hoʻolohe ʻana ma ka hānau ʻana (hānau hānau) a hiki ma muli o:

• Nā kīnā hānau i kumu e hoʻololi i nā hanana o ka pepeiao
• Nā kūlana genetic (ʻike ʻia ma mua o 400)
• ʻO nā maʻi i hele aku ka makuahine i kāna pēpē i loko o ka ʻōpū, e like me ka toxoplasmosis, rubella, a i ʻole herpes

Hiki ke hōʻeha ʻia ka pepeiao e:

• ʻO nā ʻokoʻa kaomi ma waena o loko a me waho o ka pepeiao pepeiao, pinepine mai ka luʻu scuba
• Nā iwi poʻo (hiki ke hōʻino i nā hanana a i ʻole nā ​​ʻāʻī o ka pepeiao)
• Trauma mai nā pahū, nā ahi, nā pū kī, nā ʻahamele pōhaku, a me nā pepeiao pepeiao

Hiki iā ʻoe ke hoʻoheheʻe pinepine i ka wax i waho o ka pepeiao (mālie) me nā nūnū pepeiao (loaʻa i nā hale kūʻai lāʻau) a me ka wai mehana. Pono pono nā palupalu wax (e like me Cerumenex) inā paʻakikī ka waki a paʻa i ka pepeiao.

Mālama i ka lawe ʻana i nā mea haole mai ka pepeiao. Inā ʻaʻole maʻalahi e kiʻi, e lawe i kāu mea mālama ola i kēia mea. Mai hoʻohana i nā mea kani koi e hoʻoneʻe i nā mea haole.

E ʻike i kāu mea nāna e hāʻawi mai no nā nalowale hoʻolohe ʻē aʻe.

Kāhea i kāu mea hāʻawi inā:

• Hoʻopilikia ka lohe ʻana i nā pilikia i kou nohona.
• ʻAʻole hele a hele a ʻoi aku ka hewa o ka lohe ʻana i nā pilikia.
• ʻOi aku ka maikaʻi o ka hoʻolohe ʻana ma hoʻokahi pepeiao ma mua o ka pepeiao ʻē aʻe.
• Loaʻa ʻoe i ka nalo ʻana a nui a kani paha i nā pepeiao (tinnitus).
• He mau hōʻailona ʻē aʻe kāu, e like me ka ʻeha o ka pepeiao, me nā pilikia o ka hoʻolohe ʻana.
• Loaʻa iā ʻoe i nā poʻo poʻo hou, nāwaliwali, a i ʻole numbness ma nā wahi āpau o kou kino.

E lawe ka mea hāʻawi i kāu mōʻaukala olakino a hana i kahi hoʻokolohua kino.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Ke hoʻāʻo audiometric (hoʻolohe i nā hoʻolohe hoʻolohe e hoʻohana ai e nānā i ke ʻano a me ka nui o ka nalo ʻana o ka lohe)
  
• CT a me MRI scan o ke poʻo (inā kuhi ʻia kahi tumo a haki paha)
• Tympanometry

Hiki i nā ʻōkuhi ke kōkua aʻe i kekahi ʻano o ka nalo ʻana o ka lohe.

• Hoʻoponopono ʻalalā
• Ke waiho nei i nā paipu i loko o ka eardrums e hemo ai ka wai
• Hoʻoponopono i nā iwi liʻiliʻi i ka pepeiao waena (ossiculoplasty)

Kōkua paha ka mea aʻe me ka nalo ʻana o ka lohe wā lōʻihi.

• Kōkua hoʻolohe manaʻo
• Nā ʻōnaehana palekana a me ka makaʻala no kou home
• Kōkua hoʻolohe
• Hoʻokomo ʻia Cochlear
• E aʻo i nā ʻenehana e kōkua iā ʻoe e kamaʻilio
• ʻ Signlelo hōʻailona (no ka poʻe me ka lohe pepeiao nui)

Hoʻohana wale ʻia nā mea hoʻopili Cochlear i ka poʻe i nalowale i ka hoʻolohe ʻana e pono ai mai kahi mea hoʻolohe pepeiao.

Hoʻoemi i ka hoʻolohe ʻana; Kuli; Lilo o ka hoʻolohe ʻana; Lohe lohe hoʻolohe; Lohe lohe Sensorineural; ʻO Presbycusis

• Anatomy pepeiao

Nā Hana ʻo HA, Adams ME. Loaʻa ka lohe pepeiao Sensorineural i nā mākua. 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 152.

Eggermont JJ. Nā ʻano o ka nalo ʻana o ka lohe. I: Eggermont JJ, ed. Loss hoʻolohe. Cambridge, MA: Elsevier Academic Press; 2017: chap 5.

Kerber KA, Baloh RW. Neuro-otology: ʻike a me ka mālama ʻana i nā maʻi neuro-otological. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 46.

Le Prell CG. Lohe hoʻolohe leo i hoʻokomo ʻia e ka walaʻau. 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 154.

ʻO Shearer AE, Shibata SB, Smith RJH. Ka lohe pepeiao Genetic sensorineural. 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 150.

Weinstein B. Nā maʻi o ka hoʻolohe. I: Fillit HM, Rockwood K, Young J, eds. ʻO Brocklehurst's Textbook of Geriatric Medicine a me Gerontology. 8th ed. Piladelapia, PA: Elsevier, 2017: chap 96.