Tracheomalacia - kobadwa nako

Kobadwa nako tracheomalacia ndi kufooka ndi floppiness kwa mpanda wa mphepo (trachea). Kubadwa kumatanthauza kuti imakhalapo pakubadwa. Kupeza tracheomalacia ndi mutu wofananira.

Tracheomalacia m'mwana wakhanda amapezeka pamene chichereŵechereŵe champhepo sichinakule bwino. M'malo molimbikira, makoma a trachea amakhala ofiira. Popeza mphepo yamkuntho ndiyo njira yayikulu yothira mphepo, mavuto ampweya amayamba mwana akangobadwa.

Congenital tracheomalacia ndizofala kwambiri.

Zizindikiro zimatha kuyambira wofatsa mpaka wolimba. Zizindikiro zimaphatikizapo:

• Phokoso lopumira lomwe lingasinthe ndimalo ake ndikusintha tulo
• Mavuto opuma omwe amakulirakulira ndikukhosomola, kulira, kudyetsa, kapena matenda opatsirana apamwamba (monga kuzizira)
• Kupuma kwapamwamba
• Kupuma mokokomeza kapena kupuma mokweza

Kuyezetsa thupi kumatsimikizira zizindikirozo. X-ray ya pachifuwa idzachitika pofuna kuthetsa mavuto ena. X-ray imatha kuwonetsa kuchepa kwa trachea mukamapumira.

Njira yotchedwa laryngoscopy imapereka chidziwitso chodalirika kwambiri. Pochita izi, otolaryngologist (khutu, mphuno, mmero, kapena ENT) ayang'ana momwe ndegeyo ikuyendera ndikuwona momwe vutoli liliri.

Mayesero ena atha kuphatikizira:

• Airway fluoroscopy - mtundu wa x-ray womwe umawonetsa zithunzi pazenera
• Kumeza kwa Barium
• Bronchoscopy - kamera pansi pakhosi kuti muwone mayendedwe ampweya ndi mapapo
• Kujambula kwa CT
• Kuyesa kwa mapapo
• Kujambula kwa maginito (MRI)

Makanda ambiri amalabadira mpweya wabwino, kuwadyetsa mosamala, ndi maantibayotiki opatsirana. Ana omwe ali ndi tracheomalacia amayenera kuyang'aniridwa akakhala ndi matenda opuma.

Nthawi zambiri, zizindikiro za tracheomalacia zimakula mwana akamakula.

Nthawi zambiri, opaleshoni imafunika.

Congenital tracheomalacia nthawi zambiri imatha yokha ikafika miyezi 18 mpaka 24. Pamene chichereŵechereŵe chikulirakulirabe ndipo njirayo ikukula, kupuma kaphokoso ndi kovuta kumayamba bwino pang'onopang'ono. Anthu omwe ali ndi tracheomalacia amayenera kuyang'aniridwa akakhala ndi matenda opuma.

Ana obadwa ndi tracheomalacia amatha kukhala ndi zovuta zina zobadwa nazo, monga zopindika mtima, kuchedwa kukula, kapena Reflux ya gastroesophageal.

Chibayo chotulutsa chibayo chimatha kupezeka popumira chakudya m'mapapu kapena pamphepo.

Itanani yemwe akukuthandizani ngati mwana wanu akupuma movutikira kapena akupuma mokweza. Tracheomalacia imatha kukhala yachangu kapena yadzidzidzi.

Lembani 1 tracheomalacia

Wopeza, JD. Bronchomalacia ndi tracheomalacia. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: mutu 416.

Nelson M, Green G, Ohye RG. Zovuta zamatenda a ana. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu & Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: chap 206.

Wolemba SE. Kukula kwachilendo komanso kosazolowereka kwamapapu. Mu: Polin RA, Abman SH, Rowitch DH, Benitz WE, Fox WW, olemba. Physiology ya Fetal ndi Neonatal. 5th ed. Philadelphia, PA: Elsevier; 2017: mutu 61.