Created at:1/16/2025
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Ko te taringa rererangi te pehanga, te mamae, te āhua ‘katia’ rānei e kitea ana e koe i roto i ō taringa i te wā e rere ana. Ka puta mai tēnei ina kore te pehanga o te hau i roto i tō taringa e rite ki te pehanga o te hau e hurihuri ana i roto i te rūma rererangi, ina koa i te wā e tīmata ana te rerenga me te tū.
Ka pā tēnei āhuatanga ki te nuinga o te hunga e rere ana, mai i te hunga e rere ana i ngā pakihi ki te hunga e haere ana ki te hararei. Ahakoa ka āwangawanga pea ina puta, he mea poto noa te taringa rererangi, ā, kāore hoki e kino, ahakoa ka taea e ia te arahi ki ētahi atu raruraru nui ake ki te kaha.
Ko te taringa rererangi, e kiia ana ko te barotrauma, ka puta ina kore ō taringa e taea te whakataurite i te pehanga tika i te wā e rere ana. Me pupuri e tō taringa waenganui (te wāhi kei muri i tō paparanga taringa) te pehanga rite ki te taiao kei tō taha kia mahi tika ai.
I te wā e rere ana, ka huri tere te pehanga o te rūma i te wā e piki ana te rererangi, ka heke iho rānei. He pūnaha iti kei ō taringa e kiia nei ko te pūnaha Eustachian e hono ana i tō taringa waenganui ki tō korokoro, ā, ka āwhina i te whakataurite i te pehanga. Ki te katia tēnei pūnaha, kāore rānei e taea te mahi tere, ka nui haere te pehanga, ka puta mai te āhua ‘popping’ e mohiotia ana.
Whakaarohia te whakatuwhera i tētahi ipu kua katia. Ko te rerekētanga o te pehanga te mea e ārai ana, ā, ka ‘mau’ tō taringa kia taea ra ano te whakataurite i ngā pehanga.
Ka rere ke ngā tohu o te taringa rererangi, mai i te mea ngāwari noa ki te mea tino kore e pai, kei te nui o te rerekētanga o te pehanga. Ko te nuinga o te iwi ka kite i ēnei tohu i te wā e tīmata ana te rerenga me te tū, ina tere rawa te huri o te pehanga.
Ko ētahi tohu noa ka kitea e koe:
I ngā take nui ake, ka kite pea koe i te mamae nui o te taringa, te ngaro nui o te rongonga, te ngāngā i roto i ō taringa (tinnitus), te ruaki rānei i te rerekētanga o te pehanga. He iti ake te noa o ēnei tohu kaha, engari ka puta pea mena ka katia rawa ō pūnaha Eustachian.
Ko te rongo pai, ko te nuinga o ngā tohu o te taringa rererangi ka ora ake i roto i ngā haora torutoru ki ngā rā torutoru i muri i te tū, i te wā e whakatika ana ō taringa ki te pehanga o te hau noa.
Ka puta te taringa rererangi nā te tere o te huri o te pehanga o te hau e kore ai e taea e ō taringa te pupuri. I te wā e rere ana, ka heke te pehanga o te rūma i te wā e piki ake ana koe, ka piki ake anō i te wā e heke ana koe ki te tū.
Ka tuwhera, ka kati aunoa ngā pūnaha Eustachian kia taea ai te whakataurite i te pehanga, engari he maha ngā mea ka ārai ki tēnei mahi:
Ko te tere o te huri o te pehanga, ko te nui ake o te tūpono ka kitea e koe te taringa rererangi. Koia te take he mea noa ngā tohu i te wā e piki tere ana, e heke tere ana rānei, kāore i te wā e rere ana.
He maha ngā tangata e pā ana ki te taringa rererangi nā ō rātou tinana, ngā āhuatanga hauora rānei e pā ana ki ō rātou taringa, ihu, korokoro rānei.
Ko te nuinga o ngā take o te taringa rererangi ka ora ake anake, ā, kāore e hiahiatia te tiaki hauora. Engari, me whakapiri atu koe ki tō taote mena ka mau tonu ngā tohu, ka kino ake rānei i muri i te tū.
Rapua te tiaki hauora mena ka kitea e koe:
Mena he hītori o ngā raruraru taringa, ngā mate taringa maha, te taringa rererangi nui rānei, he mea tika te kōrero mō ngā rautaki aukati ki tō kaiwhakarato hauora i mua i tō rerenga e whai ake nei.
Kaua e whakaroa ki te rapu i te tiaki hauora tonu mena ka kitea e koe te mamae nui o te taringa, te ngaro katoa rānei o te rongonga i te wā e rere ana, i muri rānei i te rerenga, i te mea ka taea e ēnei te tohu i te whara nui ake ki tō paparanga taringa.
Ahakoa ka taea e te tangata te whiwhi i te taringa rererangi, he maha ngā mea ka nui ake te tūpono ka puta mai ngā tohu. Ko te mārama ki ēnei take tūpono ka āwhina i a koe ki te tango i ētahi atu whakarite i mua i te rerenga.
Kei te nui ake tō tūpono mena kei a koe:
Ka taea hoki e ētahi wā i te wā e rere ana te whakanui ake i tō tūpono, pēnei i te moe i te wā e tīmata ana te rerenga, te tū rānei ina kore koe e āwhina ana i ō taringa ki te whakataurite i te pehanga mā te horomi, te ngāwari rānei.
He mea whakamīharo, ko ngā tamariki tino taitamariki me ngā kaumātua ka kitea e rere ana te taringa rererangi nā te rerekētanga o te mahi pūnaha Eustachian me te hanganga.
Ahakoa he mea kore kino, he mea poto noa te taringa rererangi, ka taea e ngā take nui te arahi ki ētahi atu raruraru nui ake. He iti rawa te noa o ēnei raruraru, engari he mea tika te mārama, ina koa ki te rere pinepine koe, ki te whai rānei koe i ngā raruraru taringa e puta ana.
Ko ngā raruraru pea:
I ngā take tino iti, ka taea e te barotrauma nui te pakaru i ngā wheua iti i roto i tō taringa waenganui, te hanga rānei i te rua i roto i tō paparanga taringa e kore e ora ake anake.
Ko te rongo pai, he iti te noa o ēnei raruraru nui, ā, ka puta noa i ngā huringa nui o te pehanga, i ngā tāngata rānei e whai ana i ngā raruraru taringa. Ko te nuinga o ngā take o te taringa rererangi ka ora katoa ake kahore he pānga roa.
Ka taea e koe te tango i ētahi mahi ngāwari ki te aukati, ki te whakaiti rānei i ngā tohu o te taringa rererangi. Ko te mea nui ko te āwhina i ō pūnaha Eustachian kia tuwhera tonu, kia mahi tika ai i te wā e hurihuri ana te pehanga.
I mua i te rerenga, whakaarohia ēnei rautaki aukati:
I te wā e tīmata ana te rerenga me te tū, āwhina tika i ō taringa ki te whakataurite i te pehanga mā te horomi, te ngāwari rānei, te ngau i te ngākau rānei. Ka taea hoki e koe te whakamātau i te ‘Valsalva maneuver’ – pupuhi ngāwari i te hau i roto i tō ihu i te wā e piri ana ō ngā ihu, e pupuri ana i tō waha.
Noho ara i ēnei wā nui o te rerenga kia taea ai e koe te āwhina i ō taringa ki te whakatika. Mena kei te haere koe me ngā tamariki, whakatenatena kia inu rānei, kia ngau i te pūnaha i te wā e tīmata ana te rerenga me te tū.
Ko te taringa rererangi te nuinga o te wā e whakatauritea ana i runga i ō tohu me tō hītori haere hou. Ka ui tō taote mō tō wheako rerenga, ka tirotiro i ō taringa ki te tirotiro i ngā tohu o te whara pehanga, te mate rānei.
I te wā e tirotiro ana, ka whakamahi tō kaiwhakarato hauora i te otoscope (he taputapu iti whakaata) ki te titiro ki roto i ō taringa. Ka tirotirohia e rātou te whero, te pupuhi, te wai, tetahi whara rānei ki tō paparanga taringa pea i puta mai i ngā huringa pehanga.
Ka taea hoki e tō taote te mahi i te whakamātautau rongonga ngāwari ki te kite mena kua pā te rerekētanga o te pehanga ki tō kaha ki te whakarongo ki ngā āhuatanga rerekē. Ka ui pea rātou ki a koe ki te whakaatu tika i te wā i tīmata ai ō tohu, me te mea kua pai ake, kua kino ake rānei i muri i te tū.
I te nuinga o ngā take, kāore he whakamātautau motuhake e hiahiatia ana mō te taringa rererangi. Engari, mena he nui, he mau tonu rānei ō tohu, ka taea e tō taote te tūtohutia ētahi atu whakamātautau rongonga, te tuku rānei i a koe ki te tohunga taringa, ihu, korokoro mō te arotake atu.
Ko te maimoatanga mō te taringa rererangi te arotahi ki te whakaora i te pehanga me te mamae i te wā e āwhina ana i ō taringa ki te hoki ki te mahi noa. Ko te nuinga o ngā take ka pai ake anake, engari he maha ngā maimoatanga ka tere ake te ora, ka hoatu te whakamarie.
Ko ngā maimoatanga tuatahi ka taea e koe te whakamātautau:
Mena ka mau tonu ō tohu, ka kino ake rānei, ka taea e tō taote te whakahau i ngā rongoā kaha ake pēnei i ngā whakaheke ihu whakahaunga, ngā antihistamines mō te mate pāwera, ngā antibiotics rānei mena he tohu o te mate.
Mō ngā take nui me te ngaro nui o te rongonga, te whara rānei ki te paparanga taringa, ka taea e tō taote te tuku i a koe ki te tohunga ENT ka taea te mahi i ngā mahi ki te whakataurite i te pehanga, ki te whakatika rānei i tetahi whara ki ō hanganga taringa.
He maha ngā rongoā kāinga ngāwari ka taea te āwhina i te whakaora i ngā tohu o te taringa rererangi, te tautoko rānei i tō ora. Ko ēnei maimoatanga te mahi pai ina tīmata i te wā e kitea ana e koe ngā tohu.
Whakamātautau i ēnei maimoatanga kāinga haumaru:
Pupuri i ō ngā āhuatanga ihu kia makuku ki te horoi ihu saline, ki te whakamahana rānei, ka taea te āwhina i te whakaiti i te mumura, te tautoko rānei i te tukanga ora taiao.
Kia manawanui ki tō ora, i te mea ka taea te roa o ngā rā kia hoki katoa ō taringa ki te noa. Kaua e whakauru i tetahi mea ki roto i ō taringa, tae atu ki ngā swabs miro, ka taea te whara, te pehi rānei i te paraoa hohonu.
Ko te whakarite mō tō haerenga ki te taote ka taea te āwhina i te whakarite ka whiwhi koe i te tiaki tino pai mō ō tohu taringa rererangi. Ko te whai i ngā mōhiohio tika e rite ana ka āwhina i tō taote ki te mārama ki tō āhuatanga, ki te tūtohutia te maimoatanga pai.
I mua i tō hui, tuhia:
Kawe mai i te rārangi o ngā rongoā katoa e inu ana koe, tae atu ki ngā rongoā kore-whakahaunga me ngā taapiri. Me mohio tō taote ki ēnei kia kore ai e pā ki ētahi maimoatanga pea ka tūtohu rātou.
Kaua e whakaroa ki te ui pātai mō te take i puta ai tō taringa rererangi, te roa o te ora, me te mea ka taea e koe te aukati i te wā e whai ake nei. Ko te mārama ki tō āhuatanga ka āwhina i a koe ki te whakatau i ngā whakatau mō tō hauora taringa me ō mahere haere.
Ko te taringa rererangi he āhuatanga noa, he mea poto noa te nuinga o te wā e pā ana ki te nuinga o te hunga e rere ana i tētahi wā. Ahakoa ka āwangawanga pea te pehanga me te kore e pai ina puta, ko te mārama he mea kore kino te nuinga o te wā ka hoatu te whakamarie.
Ko te mea nui hei mahara ko te taringa rererangi te nuinga o te wā ka ora ake i roto i ngā rā torutoru. Ko ngā tikanga aukati ngāwari pēnei i te pupuri i te wai, te whakaora i te kī atu i mua i te rerenga, te āwhina tika rānei i ō taringa ki te whakataurite i te pehanga i te wā e tīmata ana te rerenga me te tū ka taea te whakaiti nui i tō tūpono.
Mena ka kitea e koe te mamae nui, te ngaro tonu o te rongonga, ētahi atu tohu rānei e kore e pai ake i roto i te rā, rua rānei, kaua e whakaroa ki te whakapiri atu ki tō kaiwhakarato hauora. Mā te mārama tika me te whakarite, ka taea e koe te whakaiti i ngā tohu o te taringa rererangi, te haere rānei i te wā e pai ake ana.
Ko te nuinga o ngā take o te taringa rererangi ka ora ake i roto i ngā haora torutoru ki ngā rā 2-3 i muri i te tū. Ka whakatika anake ō taringa ki te pehanga o te hau noa i tēnei wā. Mena ka mau tonu ngā tohu i te roa atu i te wiki, ka kino ake rānei i te pai ake, kua tae ki te wā ki te kite i te kaiwhakarato hauora.
He tino iti te noa o te whara o te rongonga tonu mai i te taringa rererangi. Ahakoa ka taea e ngā take nui te whara roa i ētahi wā, ko te nuinga o te iwi ka ora katoa ake kahore he pānga roa. Engari, mena ka kitea e koe te ngaro o te rongonga nui, te mamae nui rānei, rapua te tiaki hauora tonu.
Ko te rerenga me te kī atu ka whakanui ake i tō tūpono o te taringa rererangi nui me ngā raruraru. Mena ka taea, whakaroa tō rerenga kia maarama ra ano tō mate huka, tō mate rānei. Mena me rere koe, ui atu ki tō taote i mua, whakaarohia te whakamahi i ngā whakaheke i mua i te tīmatanga o te rerenga ki te āwhina i te pupuri i ō pūnaha Eustachian kia tuwhera.
He iti ake, he pūnaha Eustachian pūtoru ngā tamariki e kore e rere pai i ngā pūnaha pakeke. Ka uaua ake te whakataurite i te pehanga. I tua atu, pea kāore ngā tamariki e mohio ki te āwhina i ō rātou taringa ‘pop’ mā te horomi, te ngāwari rānei i te wā e hurihuri ana te pehanga.
Ko te taringa rererangi te take i ngā rerekētanga pehanga, ā, ka puta te nuinga o te wā i te wā e rere ana, i muri i te rerenga rānei. Ko ngā mate taringa e pā ana ki ngā huakita, ngā huaketo rānei, ā, he maha ngā tohu pēnei i te kirika, te rere, te mamae rānei e kino haere ana i te wā. Ahakoa ka ora ake te taringa rererangi anake, ko ngā mate taringa te nuinga o te wā e hiahiatia ana te maimoatanga hauora me ngā antibiotics.