So wo ba no rehyia ɔhaw wɔ ahomegye mu? So ne hwene te nka sɛ asiw? Momma yensua Choanal Atresia ho ade

So woahu nsonsonoe ketewaa bi wɔ ɔkwan a wo ba a wɔawo no foforo no home bere a worehwɛ no no mu pɛn? Ebia ɔhome yiye bere a ɔresu no, nanso sɛ wada na ne ho adwo no a, so ɛte sɛ nea ɔhaw kakra wɔ ne hwene mu home mu? Anaasɛ ogyae nufu ma esiane sɛ ɔkɔ so bue n’ano de home nti? Ɛyɛ ade a ɛfata sɛ ɛna anaa agya bɛte ehu nka kakra bere a ohu nneɛma a ɛte sɛɛ no. Ɛnnɛ yɛbɛka tebea bi a wɔde awo obi a ebetumi de sɛnkyerɛnne a ɛte saa ara aba, nanso wonnim no yiye ho asɛm. Ɛno ne `Choanal Atresia`.

Sɛ yɛbɛka no tiawa a, dɛn ne Choanal Atresia?

Choanal Atresia (wɔbɔ no: ko-a-nal atre-sia) yɛ tebea a ɛma wɔwo akokoaa a wɔn hwene akyi asiw, baabi a ɛne wɔn menewa (wɔfrɛ no choana), denam ntini anaa dompe bi so. Fa no sɛ hwene no yɛ adan abien, a apon abien wɔ ɔdan biara akyi a wɔato mu. Saa akwanside yi betumi afi dompe mu aba, anaasɛ dompe ne ntini a ɛyɛ mmerɛw a wɔaka abom.

Saa tebea yi betumi aka akokoaa no hwene mu hwene mu biako pɛ (`Unilateral`) anaa abien no nyinaa (`Bilateral`). Sɛnea ɛyɛ aniberesɛm ne sɛnea ɛho hia sɛ wɔsa no ntɛmntɛm no gyina sɛ ebia nea asiw kwan no wɔ ɔfã biako anaa ɔfã abien no nyinaa, ne baabi a ɛkɔ akyiri no so.

Dɛn ne Choanal Atresia ahorow atitiriw abien no?

Momma yɛnte eyi mu nneɛma atitiriw abien no ase yiye. Sɛ wohwɛ wɔ pon so a, ɛbɛyɛ mmerɛw ama wo.

Choanal atresia ba wɔ awo bɛyɛ 7,000 biara mu 1 mu. Eyinom mu bɛboro 60% yɛ ɔfã biako. Ɛtaa ba mmeawa so sen mmarimaa nso mmɔho abien.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Ɛsono sɛnkyerɛnne ahorow a egyina ahorow abien a yɛadi kan aka ho asɛm no so.

Sɛ hwene no afã abien no nyinaa asiw (Bilateral Choanal Atresia) .

Nnuruyɛfo betumi ahu saa sɛnkyerɛnne ahorow yi bere a wɔawo akokoaa no ara pɛ.

• Ɔhome a ɛyɛ den kɛse: Akokoaa no di apere sɛ ɔbɛhome bere a onsu.
• Blue skin and lips (`Cyanosis`): Akokoaa no honam ani, anofafa, ne ne nsateaa nnadewa fi ase dan bruu efisɛ nipadua no nnya oxygen a ɛdɔɔso.
• Ɔhome bere a ɔresu nkutoo: Esiane sɛ akokoaa no bue n’ano bere a osu nkutoo nti, saa bere no nkutoo na ɔhome, na ne honam ani bruu no so tew na ɛbɛyɛ pink. Sɛ osu no gyae a, ɛbɛyɛ den sɛ ɔbɛhome bio na ɔdan bruu.

Sɛ hwene no fã biako pɛ na asiw (Unilateral Choanal Atresia) .

Esiane sɛ saa sɛnkyerɛnne ahorow yi nna adi saa nti, ebia worenhu kosi sɛ wode wo ba no bɛba fie awie. Ebia worenhu wɔn mpo kosi mfe bi akyi.

• Ahomegye a onni bere a ɔrema nufu no: Ɛsɛ sɛ akokoaa no fa ne hwene mu home bere a ɔrema nufu no. Esiane sɛ ɔfã biako asiw nti, ɛyɛ den sɛ ɔbɛhome na akokoaa no gyae nufu na obue n’ano. Eyi betumi ama akokoaa no ho adwo no kɛse na ontumi nnom nufu yiye.
• Hwene a ɛkɔ so tɔ wɔ ɔfã biako: Sɛ wo ba no hwene kɔ so tu fa ɔfã biako pɛ a ntease biara nnim, a atiridii nnim a, ɛno ne tebea yi ho sɛnkyerɛnne titiriw ne nea ɛtaa ba.
• Sɛ́ wobɛkɔ mu bere a woresu no:Sɛ akokoaa no nsu a, ɛte sɛ nea ne koko kɔhyɛ mu bere a ɔrepere sɛ ɔbɛhome no.
• Sinusitis a enni sabea: Sɛ woanyinyin kakra a, ebia wobɛtaa anya sinusitis a ɛyɛ wo hwene mu yare esiane nsu a ayɛ wo hwene no fã biako nti.

Dɛn nti na eyi rekɔ so? Dɛn nti na ɛte saa?

Wonnya nhuu nea ɛde tebea yi ba ankasa. Nanso, nnuruyɛfo gye di sɛ bere a akokoaa no nyin mfiase wɔ awotwaa mu no, ntini bi wɔ hɔ a ɛtetew hwene ne ano. Mpɛn pii no, saa ntini yi ankasa nwene bere a akokoaa no nyin no. Nanso, wɔ nkokoaa binom mu no, saa ntini yi tra hɔ na ɛkɔ so tra hɔ, a wɔfrɛ no `Choanal Atresia`.

Tebea afoforo a ɛfa ho

Nkokoaa a wɔwɔ Choanal Atresia no mu bɛyɛ fã wɔ awosu mu nyarewa afoforo anaa awo mu nsɛnnennen. Ɛwom sɛ wonnim nea enti a ɛte saa ankasa de, nanso tebea yi taa ne syndrome afoforo bom ba.

Wɔn mu no, nea edidi so yi ne nea ɛho hia sen biara:

• CHARGE syndrome: Nkokoaa a wɔn hwene ayɛ wɔn afã abien no mu bɛyɛ 60% na wɔwɔ CHARGE syndrome.
• `Ɔsisifo Collins yare`
• `Crouzon ɔyare mmoawa`
• `Pfeiffer ɔyare mmoawa`

Wobetumi ahu Choanal Atresia wɔ awosu mu tebea afoforo te sɛ eyi mu. Enti, oduruyɛfo no bɛhwɛ eyi nso.

Sɛ wɔansa a, nsɛnnennen bɛn na ebetumi aba?

Titiriw bere a biribi asiw ɔfã biako no, sɛ wunnim ho asɛm a, ebetumi ama ayaresa no akyɛ. Eyi betumi anya nkɛntɛnso a ɛtra hɔ kyɛ.

• Aso mu yare a ɛtaa ba: Esiane sɛ abusuabɔ bi da hwene ne aso ntam nti, sɛ hwene no fã biako siw bere nyinaa na nsu a ɛyɛ fĩ ahyɛ mu ma a, ebetumi aka aso no na ama aso mu yare ataa.
• Aso a ɛyɛ mmerɛw: Aso mu yare a ɛtra hɔ kyɛ no betumi asɛe aso no, na bere kɔ so no, ɛma obi ntumi te asɛm.
• Aspiration: Asiane wɔ hɔ sɛ wobɛtwe nufusu anaa aduan akɔ mframa kwan no mu, titiriw esiane sɛ ɛyɛ den sɛ wobɛhome bere a ɔrema nufu nti.

Esiane asiane ahorow yi nti, oduruyɛfo no bɛkamfo ayaresa a ɛfata wɔ bere a ɛfata mu.

Ɔkwan bɛn so na wobehu tebea yi?

Wɔtaa hu akokoaa a ne hwene asiw n’afã abien no nyinaa bere a wɔawo no wɔ ayaresabea no. Nanso, sɛ biribi asiw ɔfã biako a, ehia sɛ wɔyɛ nhwehwɛmu na ama wɔahu.

1. Ɔhome mu sɔhwɛ: Oduruyɛfo no bɛkura ahwehwɛ ketewaa bi a ɛbɛn akokoaa no hwene mu na wahwɛ sɛ nsuonwini refi mu anaa. Sɛ nsuonwini mfi ɔfã biako mfi hɔ a, ebetumi akyerɛ sɛ ɔfã no asiw kwan.

2. CT scan a wɔde yɛ:Eyi ne nea ɛma nsonsonoe no ba ankasa. Ɛte sɛ nea woretwa wo hwene mu mfonini wɔ 3D mu. Etumi hu baabi a asiw no wɔ, sɛ́ ɛyɛ dompe anaa ntini, ne sɛnea ɛyɛ duru no pefee.

3. Nasal endoscopy: Saa kwan yi de afiri a wɔde mfoninitwa afiri a ɛyɛ fɛ yiye ahyɛ hwene no mu na ɛma oduruyɛfo no tumi hwɛ hwene no mu tẽẽ wɔ screen so.

Aduruyɛ kuw no hwɛ hu sɛ akokoaa no home yiye wɔ nhwehwɛmu ahorow yi mu, enti asiane biara nni hɔ mma akokoaa no.

Ɔkwan bɛn so na wɔsa?

Choanal Atresia ayaresa biako pɛ a ɛtra hɔ daa ne oprehyɛn.

• Sɛ hwene no afã abien no nyinaa siw a: Ɛho behia sɛ wɔyɛ akokoaa no oprehyɛn ntɛm ara sɛnea ɛbɛyɛ yiye.
• Sɛ hwene no fã biako siw: Gye sɛ akokoaa no home anaa adidi mu haw a emu yɛ den a, ebia oduruyɛfo no besi gyinae sɛ ɔbɛtwe oprehyɛn no akɔ akyiri kosi sɛ akokoaa no benyin kakra.

Sɛɛgyiri

Nea ɛka oprehyɛn ho ne sɛ woyi dompe anaa ntini a asiw no na wɔsan hyehyɛ mframa kwan no sɛnea ɛbɛyɛ a wobetumi akɔ so ahome. Wobetumi afa hwene mu (transnasal) anaasɛ anom (transpalatal) so ayɛ eyi.

Wɔ tebea horow bi mu no, wɔde afiri ketewaa bi (`stent`) fa ɔkwan a wɔabɔ no foforo no mu wɔ oprehyɛn akyi na amma antoto bio. Wɔsan yi saa afiri yi wɔ asram kakraa bi akyi denam oprehyɛn ketewaa bi so. Wɔde aduru a wɔde kum nipadua no nyinaa na ɛyɛ oprehyɛn yi, enti akokoaa no nte ɛyaw biara.

Adwumayɛ sohwɛ wɔ fie

Sɛ wo ba no wɔ ɔfã biako akwanside na oduruyɛfo no si gyinae sɛ ɔbɛtwe oprehyɛn no akɔ akyiri a, ɔbɛma wo akwankyerɛ wɔ sɛnea wubedi yare no ho sɛnkyerɛnne ahorow ho dwuma wɔ fie. Sɛ nhwɛso no, ebia wɔbɛka akyerɛ wo sɛ fa nkyene a wɔde gu mu di dwuma na ama hwene no mu atew.

Nsɛmmisa a ɛsɛ sɛ wubisa wo duruyɛfo

Sɛ wuhu sɛ wo ba no wɔ saa tebea yi a, ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa pii wɔ w’adwenem. Nsuro sɛ wubebisa wo duruyɛfo saa nsɛm yi.

• "Oduruyɛfo, so me ba no hwene asiw ɔfã biako anaa ɔfã abien no nyinaa?"
• "So saa tebea yi ne yare foforo te sɛ `CHARGE syndrome` wɔ abusuabɔ?"
• "Bere bɛn na ɛsɛ sɛ wɔyɛ akokoaa no oprehyɛn?"
• "Oprehyɛn bɛn na oduruyɛfo no kamfo kyerɛ?"
• "Yɛbɛyɛ dɛn ahu no yiye sɛ oprehyɛn no dii yiye?"

Sɛ wuhu sɛ wo ba no wɔ Choanal Atresia, titiriw sɛ ɛyɛ den ma no sɛ ɔbɛhome bere a wɔawo no a, ebetumi ayɛ ehu kɛse ama awofo. Nanso kae sɛ wobetumi de oprehyɛn asa tebea yi yiye. Wɔ oprehyɛn akyi no, nkokoaa dodow no ara ho tɔ wɔn koraa na wɔhome a ɛnyɛ den koraa wɔ wɔn nkwa nna nyinaa mu. Enti, sɛ wunya adwenem naayɛ ketewaa bi mpo sɛ wo ba no wɔ saa sɛnkyerɛnne ahorow yi a, kɔ oduruyɛfo nkyɛn ntɛm ara ma wɔnyɛ no mu nhwehwɛmu.