Mea Kākau: Judy Howell
Lā O Ka Hana: 28 Iulai 2021
HōʻAno Hou I Ka Lā: 14 Nowemapa 2024
Anonim
Ears and Sinuses: Barotrauma for the Dive Professional
Wikiō: Ears and Sinuses: Barotrauma for the Dive Professional

Anter

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

He aha ka barotrauma pepeiao?

ʻO ka barotrauma pepeiao he kūlana ia e hōʻoluʻolu ai i ka pepeiao ma muli o nā loli.

I kēlā me kēia pepeiao aia he paipu e hoʻopili i ka waena o kāu pepeiao i kou ʻāʻī a me kou ihu. Mālama pū kekahi ia i ka pihi o ka pepeiao. Kapa ʻia kēia paipu ʻo ka paipu eustachian. Ke pale ʻia ka paipu, ʻike paha ʻoe i ka barotrauma pepeiao.

ʻO ka barotrauma pepeiao maʻamau he mea maʻamau, ʻoi loa i nā wahi e loli ai ke kiʻekiʻe. ʻOiai ʻaʻole maikaʻi ke ʻano i kekahi poʻe, ʻo nā hihia pinepine paha ke kumu o nā pilikia hou aʻe. He mea nui e hoʻomaopopo i nā ʻokoʻa ma waena o nā hihia koʻikoʻi (i kekahi manawa) a me nā hihia mau (mau hou) i ʻike ʻoe i ka wā e ʻimi ai i ka lāʻau lapaʻau.

Nā hōʻailona barotrauma pepeiao

Inā loaʻa iā ʻoe he barotrauma pepeiao, ʻike paha ʻoe i kahi kaomi hōʻoluʻolu ʻole i loko o ka pepeiao. ʻO nā ʻōuli maʻamau, i kū ma mua a i ʻole i nā hihia akahai a kaulua paha, e hoʻopili pū ʻia:


  • ʻūpā
  • hōʻoluʻolu pepeiao laulā
  • hoʻolohe hoʻolohe iki a paʻakikī paha i ka lohe ʻana
  • ukana a piha paha i ka pepeiao

Inā lōʻihi ka holo ʻana me ka ʻole o ka lapaʻau ʻana a koʻikoʻi ʻole paha ka hihia, hiki ke hoʻonui ʻia nā ʻōuli. ʻO nā hōʻailona hou aʻe e kū i kēia mau hihia e like me:

  • ʻeha pepeiao
  • ka manaʻo o ke kaomi i loko o nā pepeiao, me he mea lā aia ʻoe i lalo o ka wai
  • ihu ihu
  • kūpono i ka hoʻolohe ʻana a paʻakikī paha
  • ʻeha pahu pepeiao

I ka manawa e mālama ʻia, kokoke e pau nā ʻōuli. ʻO ka nalo ʻana i ka lohe mai ka barotrauma pepeiao he mea mau loa ia a he hiki ke hoʻi.

Nā kumu o ka barotrauma pepeiao

ʻO ka pale ʻana ʻo Eustachian tube kekahi o nā kumu o ka barotrauma pepeiao. Kōkua ka Tube eustachian i ka hoʻihoʻi i ke kaulike i ka manawa o nā loli i ke kaomi. ʻO kahi laʻana, wehe ʻo yawning i ka Tube eustachian maʻamau. Ke pale ʻia ka paipu, ulu nā ʻōuli no ka mea ʻokoʻa ke kaomi o ka pepeiao ma mua o ke kaomi ma waho o kāu eardrum.


ʻO nā loli kiʻekiʻe ke kumu maʻamau o kēia ʻano. ʻO kekahi o nā wahi he nui ka poʻe e ʻike i ka barotrauma pepeiao i ka wā o ka lele ʻana o kahi mokulele. ʻO ke ʻano i kapa ʻia i kekahi manawa he pepeiao mokulele.

ʻO nā hanana ʻē aʻe i hiki ke hana i ka barotrauma pepeiao e hoʻopili i:

  • luʻu kini ea
  • hele wāwae
  • kalaiwa ana ma nā mauna

Barotrauma pepeʻu luʻu

ʻO ka luʻu kahi kumu maʻamau o ka barotrauma pepeiao. Ke hele luʻu ʻoe, ʻoi aku ka nui o ke kaomi ma lalo o ka wai ma mua o ka ʻāina. ʻO nā kapuaʻi 14 mua o ka luʻu pinepine ka makaʻu nui loa no ka hōʻeha pepeiao no nā mea like ʻole. Hoʻokumu koke nā ʻōuli ma hope koke paha ma hope o ka luʻu ʻana.

Kūleʻa maʻamau ka barotrauma pepeiao waena i nā mea like ʻole, ʻoiai ke loli nui nei ke kaomi o lalo o ka wai.

I pale i ka barotrauma pepeiao, e iho lohi i ka luʻu ʻana.

Nā kumu weliweli

ʻO kēlā me kēia pilikia e hiki ke ālai i ka Tube Eustachian e hoʻoweliweli iā ʻoe no ka ʻike ʻana i ka barotrauma. ʻO ka poʻe i loaʻa i nā maʻi āpau, anu, a i ʻole nā ​​maʻi ʻino e ʻike paha i ka barotrauma pepeiao.


Pilikia paha nā kamaliʻi a me nā keiki ʻōpio i kēia ʻano. ʻOi aku ka liʻiliʻi o ka paukū eustachian o kahi keiki a hoʻonohonoho ʻia i ka ʻokoʻa ma mua o ka makua a ʻoi aku ka maʻalahi o ka palaka ʻia ʻana. Ke uē nā pēpē a me nā kamaliʻi ma ka mokulele i ka wā o ka haʻalele a pae ʻana paha, pinepine ia no ka mea ke manaʻo nei lākou i nā hopena o ka barotrauma pepeiao.

ʻIke i ka barotrauma pepeiao

ʻOiai e hele aku ka barotrauma pepeiao ponoʻī, pono ʻoe e hoʻopili i ke kauka inā loaʻa i kāu mau hōʻailona nā ʻeha nui a i ʻole ke kahe ʻana mai ka pepeiao. E koi ʻia kahi hoʻokolohua olakino e hoʻopau i kahi maʻi pepeiao.

Hiki ke ʻike ʻia ka barotrauma pepeiao ma o ka hoʻāʻo kino. ʻO kahi nānā kokoke i loko o ka pepeiao me kahi otoscope hiki ke hōʻike pinepine i nā loli i ka eardrum. Ma muli o ka hoʻololi o ke kaomi, hoʻokuʻi ʻia ka eardrum i waho a i loko paha mai kahi e noho maʻamau ai. E kaomi pū paha kāu kauka i ka ea (insufflation) i loko o ka pepeiao e ʻike inā aia ka wai a me ke kūkulu ʻana o ke koko ma hope o ka eardrum. Inā ʻaʻohe mea nui i loaʻa ma ka hoʻokolohua kino, pinepine nā hanana āu e hōʻike ai e hoʻopuni ana i kāu mau ʻōuli e hōʻike i ke kuhi pololei.

Mālama lāʻau barotrauma

ʻO ka hapa nui o nā barotrauma pepeiao e hoʻōla maʻamau me ka ʻole o ka lāʻau lapaʻau. Aia kekahi mau hana mālama pilikino hiki iā ʻoe ke lawe no ke kōkua koke. Hiki iā ʻoe ke kōkua i ka hōʻoluʻolu i nā hopena o ke kaomi o ka ea ma kou mau pepeiao e:

  • auwē
  • ʻāpala wahie
  • e hoʻomaʻamaʻa ana i nā hana hanu
  • lawe i nā antihistamines a i ʻole decongestants

Kūʻai ma ka pūnaewele no nā antihistamines.

I nā hihia koʻikoʻi, hiki i kāu kauka ke kauoha i kahi lāʻau antibiotic a i ʻole kahi steroid e kōkua i nā hihia o ka maʻi a me ka mumū.

I kekahi mau hihia, ʻo ka barotrauma pepeiao ka hopena i kahi eardrum ruptured. Hiki i kahi eardrum ruptured ke lilo i ʻelua mau mahina e hoʻōla ai. ʻO nā ʻōuli e pane ʻole i ka mālama ponoʻī e koi paha i ke ʻoki e pale ai i ka hōʻino mau ʻana i ka eardrum.

ʻOki kino

I nā hihia koʻikoʻi a mau paha o ka barotrauma, ʻo ke ʻoki paha ke koho maikaʻi loa no ka mālama ʻana. Kōkua ʻia nā hihia pinepine o ka barotrauma pepeiao me ke kōkua o nā paipu pepeiao. Hoʻokomo ʻia kēia mau paukū liʻiliʻi ma o ka eardrum e hoʻoulu ai i ka ea i waenakonu o ka pepeiao. ʻO nā paipu pepeiao, i ʻike ʻia he mau paipu tympanostomy a i ʻole grommets, hoʻohana pinepine ʻia i nā keiki a hiki iā lākou ke pale i nā maʻi mai ka barotrauma pepeiao. Hoʻohana pū ʻia kēia mau mea i ka poʻe me ka barotrauma hoʻomau e hoʻololi pinepine i nā kiʻekiʻe, e like me nā mea e pono ai e lele a huakaʻi pinepine paha. E noho mau ka paipu pepeiao ma kahi no ʻeono a 12 mau mahina.

ʻO ka koho ʻoki ʻelua e pili ana i kahi ʻoki liʻiliʻi i hana ʻia i loko o ka eardrum e ʻae maikaʻi i ka kaomi e kaulike. Hiki i kēia ke hemo i kekahi wai e kū nei i ka pepeiao waena. E hoʻōla wikiwiki ka maʻa, a ʻaʻole paha ia he hopena mau.

ʻO ka barotrauma pepeiao i nā pēpē

Hiki maʻalahi ke pēpē a me nā keiki liʻiliʻi i ka barotrauma pepeiao. ʻO kēia no ka mea ʻoi aku ka liʻiliʻi o kā lākou mau paipu eustachian a ʻoi pololei a no laila ke hakakā nei me nā mea like.

Inā hōʻike kāu pēpē i nā hōʻailona o ka hōʻoluʻolu ʻole, ka pīhoihoi, ka hoʻonāukiuki ʻana, a me ka ʻehaʻeha ke ʻike nei ʻoe i kahi loli i ke kiʻekiʻe, e ʻike paha lākou i ka barotrauma pepeiao.

I mea e pale aku ai i ka barotrauma pepeiao i nā pēpē, hiki iā ʻoe ke hānai iā lākou a inu iā lākou i ka wā o nā loli kiʻekiʻe. No nā keiki me ka hōʻoluʻolu o ka pepeiao, hiki paha i kāu kauka ke kuhikuhi i nā pepeiao e kōkua ai i ka ʻeha.

Nā pilikia kūpono

Kūleʻa ka barotrauma pepeiao Eia nō naʻe, ala aʻe paha nā pilikia i kekahi poʻe, keu hoʻi i nā hihia mau. Inā haʻalele ʻole ʻia, hiki i kēia ʻano ke kumu:

  • maʻi maʻi pepeiao
  • wāwahi puka pepeiao
  • poho lohe
  • ʻeha hou
  • dizziness mau loa a me nā manaʻo o ke kaulike ʻole (vertigo)
  • kahe mai nā pepeiao a me ka ihu

Pono ʻoe e launa i kāu kauka inā ʻeha kou pepeiao a i ʻole hoʻemi ka lohe ʻana. ʻO nā ʻōuli hoʻomau a hoʻomau hoʻi he hōʻailona ia o ka barotrauma pepeiao nui a mau paha. E mālama ke kauka iā ʻoe a hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e kōkua ai i ka pale ʻana i nā pilikia.

Hoʻoiho

Aia kahi laulā o nā koʻikoʻi a me nā ʻano o ka barotrauma pepeiao e hoʻopili ai pehea e ola ai kekahi a me ke ʻano o kēlā hana hoʻōla. ʻO ka hapanui o ka poʻe i ʻike i ka barotrauma pepeiao e hoʻōla hou, me ka nalowale ʻole ʻana o ka lohe.

ʻOiai e ola nei, pono i nā mea maʻi e hōʻalo i nā loli koʻikoʻi koʻikoʻi (e like me nā ʻike i ka luʻu ʻana a i ʻole i kahi mokulele). ʻO nā hihia he nui o ke barotrauma e hoʻoponopono kūlohelohe a me ka ʻole o ka lāʻau.

Inā hoʻokumu ʻia ʻo barotrauma e nā maʻi āpau a i ʻole nā ​​maʻi hanu, e hoʻonā pinepine ʻia ia ke hoʻoholo ʻia ke kumu kumu. ʻO nā hihia akahai a kaulike e lawe i ka awelika a i ʻelua pule no ka hoʻōla piha. Hiki i nā hihia ʻoi loa ke lilo i ʻeono a i ka 12 mau mahina no ke ola hou ma hope o ke kahakaha ʻana.

Ke alakaʻi aku ʻo barotrauma i kahi maʻi maʻi a i ʻole inā ʻeha ka ʻeha a ʻaʻole hoʻonā nā ʻōuli a i ʻole ke kaumaha paha, pono ʻoe e hoʻokohu e ʻike i kāu kauka.

Kāohi ʻana i ka barotrauma pepeiao

Hiki iā ʻoe ke hōʻemi i kou makaʻu i ka loaʻa ʻana ʻo barotrauma ma ka lawe ʻana i nā antihistamines a i ʻole nā ​​decongestants ma mua o ka luʻu scuba a i ʻole ka lele ʻana ma kahi mokulele. E nānā mau ʻoe me kāu kauka a makaʻala i nā hopena ʻē aʻe ma mua o ka lawe ʻana i nā lāʻau hou.

Nā ʻanuʻu ʻē aʻe hiki iā ʻoe ke hana e pale a hōʻemi paha i ka barotrauma me:

  • e iho lohi i ka luʻu ʻana
  • e ale, ʻono, a nau i ka wā e ʻike ai ʻoe i nā ʻōuli o ke barotrauma, ka mea e hōʻoluʻolu i nā ʻōuli
  • Holo i loko o kou ihu i ka piʻi ʻana i ke kiʻekiʻe
  • pale i ke komo ʻana i nā earplugs ke luʻu a lele paha

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