Tracheomalacia - yapezeka

Kupeza tracheomalacia ndikufooka komanso kusunthika kwamakoma amphepo (trachea, kapena njira yapaulendo). Zimayamba pambuyo pobadwa.

Congenital tracheomalacia ndi mutu wofananira.

Kupeza tracheomalacia kumakhala kosazolowereka pamisinkhu iliyonse. Zimachitika pamene chichereŵechereŵe chokhazikika pa khoma la payipi chimayamba kuwonongeka.

Mtundu uwu wa tracheomalacia ungachitike:

• Mitsempha ikuluikulu ikapanikizika panjira yapaulendo
• Monga zovuta pambuyo pochitidwa opaleshoni kuti akonze zolakwika zakubadwa mu mphepo yam'mimba ndi kholingo (chubu chomwe chimanyamula chakudya kuchokera mkamwa kupita mmimba)
• Mukakhala ndi chubu chopumira kapena chubu cha trachea (tracheostomy) kwa nthawi yayitali

Zizindikiro za tracheomalacia ndi monga:

• Mavuto akupuma omwe amawonjezereka ndikutsokomola, kulira, kapena matenda opatsirana apamwamba, monga chimfine
• Phokoso lomwe limapuma lomwe limatha kusintha pomwe thupi limasintha, ndikusintha nthawi yogona
• Kupuma kwapamwamba
• Kunjenjemera, mpweya wopuma

Kuyezetsa thupi kumatsimikizira zizindikirozo. X-ray pachifuwa imatha kuwonetsa kuchepa kwa trachea mukamapuma. Ngakhale x-ray ndi yachilendo, pamafunika kuthetsa mavuto ena.

Njira yotchedwa laryngoscopy imagwiritsidwa ntchito pozindikira vutoli. Njirayi imalola otolaryngologist (khutu, mphuno, mmero, kapena ENT) kuti awone momwe ndege imayendera ndikudziwitsa momwe vutoli liliri.

Mayesero ena atha kuphatikizira:

• Njira zoyendera ndege
• Kumeza kwa Barium
• Bronchoscopy
• Kujambula kwa CT
• Kuyesa kwa mapapo
• Kujambula kwa maginito (MRI)

Vutoli limatha kusintha popanda chithandizo. Komabe, anthu omwe ali ndi tracheomalacia ayenera kuyang'aniridwa kwambiri akakhala ndi matenda opuma.

Akuluakulu omwe ali ndi vuto la kupuma angafunike kupitirizabe kuthamanga kwa mpweya (CPAP). Nthawi zambiri, opaleshoni imafunika. Tubhu tating'onoting'ono tomwe timati stent titha kuyikidwa kuti titsegule poyenda.

Chibayo chotulutsa chibayo (matenda am'mapapo) chitha kuchitika chifukwa cha kupuma chakudya.

Akuluakulu omwe amakhala ndi tracheomalacia atakhala pamakina opumira nthawi zambiri amakhala ndi mavuto am'mapapo.

Itanani yemwe akukuthandizani ngati inu kapena mwana wanu mukupuma mwanjira yachilendo. Tracheomalacia imatha kukhala yachangu kapena yadzidzidzi.

Tracheomalacia yachiwiri

• Kuwunika mwachidule

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.

BP yaying'ono. Matenda opatsirana. Mu: Walker CM, Chung JH, eds. Kujambula kwa chifuwa cha Muller. Wachiwiri ed. Philadelphia, PA: Elsevier; 2019: mutu 56.

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.