Tracheomalacia

Zamkati

• Tracheomalacia m'makanda ndi makanda
• Zizindikiro zake ndi ziti?
• Zimayambitsa ndi chiyani?
• Zimapezeka bwanji?
• Njira zothandizira
• Chiwonetsero

Chidule

Tracheomalacia ndichizolowezi chomwe chimakonda kubadwa. Nthawi zambiri, makoma amphepo yanu amakhala olimba. Mu tracheomalacia, khungwa la mphepo silikula bwino mu utero, kuwasiya ofooka komanso opanda pake. Makoma ofooka amatha kugwa ndikupangitsa kutsekeka kwa njira yapaulendo. Izi zimabweretsa mavuto kupuma.

N'zotheka kupeza vutoli m'moyo wina. Izi zimachitika nthawi zambiri munthu akatulutsidwa kwa nthawi yayitali kapena amakhala ndi kutupa kapena matenda a trachea.

Tracheomalacia m'makanda ndi makanda

Tracheomalacia nthawi zambiri imadziwika mwa makanda azaka zapakati pa 4 ndi 8. Nthawi zambiri mwana amabadwa ndi vutoli, koma mpaka atayamba kupuma mpweya wokwanira kupangitsa kuti kupuma kuzindikiridwe.

Nthawi zina vutoli silikhala lovulaza ndipo ana ambiri amadwalapo. Nthawi zina, vutoli limatha kubweretsa zovuta zazikulu komanso zopitilira kukhosomola, kupuma, kupuma, ndi chibayo.

Zizindikiro zake ndi ziti?

Zizindikiro zofala kwambiri za tracheomalacia ndi izi:

• Kupuma komwe sikusintha ndi mankhwala a bronchodilator
• phokoso lachilendo popuma
• kupuma movutikira komwe kumakulirakulira ndi zochitika kapena munthu akamadwala chimfine
• kupuma kwapamwamba
• Zizindikiro zofunikira ngakhale akupuma movutikira
• chibayo chobwereranso
• chifuwa chosatha
• kusiya kupuma kwakanthawi, makamaka akagona (apnea)

Zimayambitsa ndi chiyani?

Tracheomalacia ndiyosowa kwambiri pamsinkhu uliwonse, koma imayamba chifukwa cha kusakhazikika kwamakoma a trachea mu utero. Chifukwa chomwe kusokonekera uku kumachitika sikudziwika bwinobwino.

Ngati tracheomalacia imapangidwa pambuyo pake m'moyo, ndiye kuti imatha kuyambitsidwa ndi mitsempha yayikulu yamagazi yothinana ndi njira yapaulendo, vuto la opareshoni kuti akonze zolakwika m'mimba mwa mphepo kapena kholingo, kapena kukhala ndi chubu chopumira nthawi yayitali.

Zimapezeka bwanji?

Ngati mukuwonetsa zizindikiro za tracheomalacia, dokotala wanu nthawi zambiri amayitanitsa CT scan, pulmonary function test, kutengera zotsatira, bronchoscopy kapena laryngoscopy.

Kawirikawiri bronchoscopy amafunika kuti azindikire tracheomalacia. Uku ndikuwunika mwachindunji mayendedwe apandege pogwiritsa ntchito kamera yosinthasintha. Mayesowa amalola adotolo kuti azindikire mtundu wa tracheomalacia, momwe matendawo aliri owopsa, komanso momwe zimakhudzira kupuma kwanu.

Njira zothandizira

Ana nthawi zambiri amapitilira tracheomalacia akafika zaka zitatu. Chifukwa cha izi, chithandizo champhamvu sichimaganiziridwa mpaka nthawi ino itadutsa, pokhapokha ngati vutoli ndi loopsa kwambiri.

Mwana adzafunika kuyang'aniridwa mosamalitsa ndi gulu lawo lazachipatala ndipo atha kupindula ndi chopangira chinyezi, chithandizo chamankhwala pachifuwa, komanso chida chopitilira mpweya wabwino (CPAP).

Ngati mwanayo sakuchulukirachulukira, kapena ngati ali ndi vuto lalikulu la tracheomalacia, ndiye kuti pali njira zambiri zopangira opaleshoni zomwe zilipo. Mtundu wa opareshoni womwe umaperekedwa utengera mtundu ndi malo a tracheomalacia awo.

Njira zochiritsira achikulire omwe ali ndi tracheomalacia ndizofanana ndi za ana, koma chithandizo sichimayenda bwino kwa akulu.

Chiwonetsero

Tracheomalacia ndizosowa kwambiri m'badwo uliwonse. Kwa ana, nthawi zambiri zimakhala zodalirika momwe zizindikirazo zimachepa pakapita nthawi ndipo nthawi zambiri zimatha ndikakhala mwana wazaka 3. Pali njira zingapo zomwe zingatengeke kuti zithandizire kuchepetsa zizindikilo mpaka nthawi yomwe zimasowa mwachilengedwe.

Nthawi zambiri, pomwe zizindikilo sizikula kapena zovuta, ndiye kuti pamafunika opaleshoni. Kuchita maopaleshoni nthawi izi kumachita bwino kwambiri.

Kwa achikulire, vutoli nthawi zambiri limakhala lovuta kulisamalira, limakhala lovuta, komanso limakhala ndi anthu ambiri omwalira.