ʻO Otologie

He aha ka hopena?

ʻO Otology ka loea lapaʻau i hoʻolaʻa ʻia i ke aloha a me nā mea kūpono ʻole o ka pepeiao a me ka lohe. He subspecialty ia o ka otolaryngology a i ʻole "ENT".

Mālama ʻo Otology i nā aloha o ka pepeiao:

  • kūwaho, nona ka pinna a me ke aʻa hoʻolohe kūwaho;
  • waena, i hana ʻia e ka tympanum, ke kaulahao o nā iwi (hāmare, anvil, stirrup), puka aniani labyrinthine a me ka Tube eustachian;
  • i loko, a i ʻole cochlea, ʻo ia ka maʻa o ka hoʻolohe ʻana, i hana ʻia i mau auwai semicircular.

Hoʻokumu nui ʻo Otology i ka hoʻoponopono ʻana i nā maʻi lohe. Hiki ke hele a holomua paha kēia, o ka "transmision" (hōʻino i ka pepeiao o waho a waena paha) a i ʻole "ʻike" (ʻino i ka pepeiao o loko).

I ka manawa hea e nīnau ai i kahi loea?

Pili ka otologist i ka mālama ʻana i nā maʻi he nui. Eia ka papa inoa pau ʻole o nā pilikia i hiki ke hoʻopili i nā pepeiao i kahi.

  • lohe pepeiao a kuli paha;
  • ʻeha pepeiao (ʻeha pepeiao);
  • hoʻohaunaele hoʻohaunaele, luʻuluʻu;
  • tinnitus.

Me ka lehulehu o nā kumu kūpono:

  • nā maʻi pepeiao hou (e like me cholesteatoma, tympanosclerosis, etc.);
  • perforation o ka eardrum;
  • otosclerosis (ossification o nā mea o loko o ka pepeiao);
  • ʻO ka maʻi o Meniere ;
  • neurinome;
  • ʻo ke kuli ʻoihana a me ka "ʻawahia";
  • nā pathologies hōʻeha.

Hiki i nā pathologies o ka puni ENT ke hoʻopili i kekahi, akā aia kekahi mau mea ʻike ʻia i ʻike ʻia, a me nā poʻe ʻōpio, no ka mea ʻoi aku ka maʻalahi o nā keiki i nā maʻi pepeiao a me nā maʻi ENT ma mua o ka poʻe mākua.

He aha ka hana a ka otologist?

E hōʻea i kahi kuhi a ʻike i ke kumu o nā maʻi, ka otologist:

  • nā nīnau i kāna mea hoʻomanawanui e ʻike i ke ʻano o nā maʻi, ko lākou lā o ka hoʻomaka a me kā lākou ʻano o ka hoʻomaka ʻana, ke ʻano o ka hōʻoluʻolu ʻole i ʻike ʻia.
  • palapala i ke ʻano kuli a holomua paha o ke kuli, ka mea e kōkua i ke alakaʻi ʻana i ke kuhi;
  • hana i kahi hoʻokolohua hoʻokolohua o ka pepeiao i waho a me ka eardrum, e hoʻohana ana i kahi otoscope;
  • pono paha i nā hoʻokolohua hou aʻe (e nānā i ka nalo ʻana o ka lohe a i ʻole ka luʻuluʻu):
  • acumetry (nā hoʻāʻo a Weber lāua ʻo Rinne);
  • audiometry (hoʻolohe ʻana ma o nā lohe pepeiao i loko o kahi keʻena leo ʻole, a me nā mea ʻē aʻe);
  • impedancemetry (ʻimi i ka pepeiao waena a me ka eardrum);
  • e ʻimi ana i ka reflex vestibulo-ocular i ka hihia o ka ʻōpua;
  • nā maneuvers ninaninau vestibular (e laʻa me ka hoʻololi ʻana i ke kūlana o ka mea maʻi me ka wikiwiki e hoʻāʻo i ko lākou hiki ke kū i ke neʻe).

Ke hana ʻia ke kuhi, e hāʻawi ʻia ka lāʻau. Hiki ke ʻoki lāʻau, lāʻau lapaʻau a hoʻopili paha i nā prostheses a i ʻole nā ​​implants.

Kaukaʻi ʻia i kona ikaika, ʻike mākou:

  • kuli kuli inā emi ka deficit ma mua o 30 dB;
  • ke kuli maʻamau, inā aia ia ma waena o 30 a me 60 dB;
  • kuli loa, inā aia ia ma waena o 70 a 90 dB;
  • kuli hohonu inā ʻoi aku ia ma mua o 90 dB.

Kaukaʻi ʻia i ke ʻano o ke kuli (ʻike a i ʻole ke lawe ʻana) a me kona koʻikoʻi, e ʻōlelo ka mea loea i nā kōkua lohe a i ʻole ke ʻoki kino.

Pehea e lilo ai i otologist?

Lilo i ka ʻoholo i Farani

I lilo i ʻololaryngologist, pono i ka haumāna e loaʻa kahi palapala diploma o nā noiʻi kūikawā (DES) ma ENT a me ke poʻo a me ka ʻāʻī.

  • pono ʻo ia e ukali ma hope, ma hope o kāna baccalaureate, kahi makahiki mua maʻamau i ke aʻo olakino. E hoʻomaopopo i ka awelika ma lalo o 20% o nā haumāna e hoʻokele i kēia pae kiʻekiʻe.
  • ʻo ka 4th, 5th a me 6 mau makahiki ma ke Kula o ka lāʻau lapaʻau ka mea kākau
  • i ka hopena o ka makahiki 6, lawe nā haumāna i nā hoʻokolohua hoʻokaʻawale aupuni e komo i ke kula kau. Ma muli o kā lākou hoʻohālikelike ʻana, hiki iā lākou ke koho i kā lākou loea a me kā lākou wahi o ka hoʻomaʻamaʻa. ʻO ka internant otolaryngology 5 mau makahiki.

Lilo i ke kauka otologist ma Quebec

Ma hope o ke aʻo ʻana i ke koleke, pono ka haumāna e alualu i ka doctorate i ka lāʻau. ʻO kēia pae mua he 1 a 4 mau makahiki paha (me ka ʻole o ka makahiki hoʻomākaukau no ka lāʻau no nā haumāna i ʻae ʻia me ka hoʻomaʻamaʻa ʻana o ke koleke a i ʻole ke kula nui i manaʻo ʻia ʻaʻole lawa i nā ʻepekema biolo maʻamau.

A laila, pono ka haumāna e loea i ka ukali ʻana i kahi noho i ka otolaryngology a me ke poʻo o ka ʻāʻī a me ka ʻāʻī (5 makahiki).

E hoʻomākaukau i kāu kipa

Ma mua o ka hele ʻana i kahi kau me ENT, he mea nui e lawe i nā hoʻokolohua kiʻi a biology paha i hoʻokō ʻia.

He mea nui e hoʻomaopopo i nā ʻano o nā ʻeha a me nā ʻōuli (ka lōʻihi, ka hoʻomaka ʻana, ka pinepine, a me nā mea ʻē aʻe), e nīnau e pili ana i ka mōʻaukala o kou ʻohana a lawe mai i nā kauka like ʻole.

E loaʻa ai i kahi kauka ENT:

  • i Quebec, hiki iā ʻoe ke nīnau i ka pūnaewele o ka Association dʻoto-rhino-laryngologie et deirurgie cervico-faciale du Quebec3, e hāʻawi nei i kahi papa kuhikuhi o kā lākou lālā.
  • i Palani, ma o ka pūnaewele o ka National Council of the Order of Physicians4 a i ʻole ka National Syndicate of Physicians specializing in ENT and Head and Neck Surgery5, nona kahi papa kuhikuhi.

Uhi ʻia ke kūkākūkā me ka otolaryngologist e ka Health Insurance (Palani) a i ʻole Régie de lʻassurance maladie du Québec.

Hana ʻia ka moʻolelo : Iulai 2016

Ka mea kākau Ke : Marion Spee

 

E hoʻomaopopo '

¹ KAUKA KAUMANA. http://www.profilmedecin.fr/contenu/chiffres-cles-oto-rhino-laryngologue/

² FEDERATION OF SPECIALIST PHYSICIANS O QUEBEC. https://www.fmsq.org/fr/profession/repartition-des-effectifs-medicales

³ KA HUI ANA O OTO-RHINO-LARYNGOLOGY AND CERVICO-FACIAL SURGERY O QUEBEC. http://orlquebec.org/

4 AHA HUI KULA O KE KAUOHA O NA PALIKI. https://www.conseil-national.medecin.fr/annuaire

 5NationalAL SYNDICATE O NĀ PALAPALA PALAPALA MA ENT AND CERVICO-FACIAL SURGERY. http://www.snorl.org/members/ 

 

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