He ʻano ʻē anei ke ʻano hanu o kāu keiki liʻiliʻi? He maʻi paha ia i kapa ʻia ʻo Bronchomalacia!

Ke hana nei kāu keiki liʻiliʻi i kahi leo ʻē i kona hanu ʻana? A i ʻole ua manaʻo paha ʻoe e paʻakikī ana ʻo ia i ka hanu ʻana? I kekahi manawa, aia paha kekahi kūlana ma hope o kēia mau mea e pono ai ka nānā ʻana. ʻO kekahi kūlana a mākou e kamaʻilio ai i kēia lā ʻo Bronchomalacia. He mea nui paha ka inoa, akā e maʻalahi kākou.

He aha kēia (Bronchomalacia)? I ka ʻōlelo maʻalahi loa...

E noʻonoʻo, i loko o ko kākou mau māmā, he ʻōnaehana o nā paipu nui e lawe ai i ko kākou hanu i loko a i waho. Kāhea mākou i kēia mau paipu he bronchi . Ua pālahalaha ʻia lākou e like me nā lālā o kahi lāʻau. I kēia manawa, ʻaʻole kēia mau bronchi he mau paipu wale nō. A puni lākou, aia nā apo o ke cartilage i ʻoi aku ka ikaika, e like me ke ʻano o ka leka 'C' . Ua like kēia me kahi pā e pale ana i ka bronchi a kōkua i ka wehe ʻana iā lākou. Ke hanu mākou, i ka wā e pehu ai a hoʻohaʻahaʻa ai ko mākou mau māmā, pono e wehe a pani pono ʻia kēia mau bronchi.

ʻO ka Bronchomalacia ka wā ʻaʻole ikaika kēlā mau ʻāpana cartilage, lilo lākou i nāwaliwali. He aha ka mea e hana ai? No ka mea, ʻaʻole lawa ka ikaika o kēia mau cartilages, ʻoiai ke hoʻokuʻu mākou i ka hanu (exhalation), ʻaʻole e wehe pono nā ala ea a lilo i haiki. E like me ka wā e hoʻopaʻa ai ʻoe i kahi paipu wai, lilo ia i mea paʻakikī no ke kahe ʻana o ka wai, a lilo pū ka hanu ʻana i mea paʻakikī.

Pehea ka maʻamau o kēia maʻi? ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana?

ʻO ka Bronchomalacia kahi maʻi i ʻike nui ʻia i nā pēpē hānau hou. He mea maʻamau ia i nā pēpē hānau mua a me nā pēpē me kekahi mau kīnā hānau, e like me Down syndrome. Eia nō naʻe, hiki ke loaʻa i nā keiki makua a me nā pākeke, ʻoiai he mea kakaikahi.

He aha nā hopena e hiki ai i ka Bronchomalacia ke loaʻa i kahi pēpē?

Ke nāwaliwali ke cartilage i loko o nā alaea, lilo lākou i mea haiki a ʻaʻole e wehe pono, hiki ke ālai i ke alaea. ʻO kēia ka mea e paʻakikī ai i ka pēpē ke hanu a pale i ke kino mai ka loaʻa ʻana o ka oxygen e pono ai. I kekahi manawa, inā lilo kēia maʻi i mea koʻikoʻi, hiki ke hoʻoweliweli i ke ola. No laila he mea nui loa ka makaʻala i kēia.

He aha ka Tracheobronchomalacia (TBM)?

I ka manawa pinepine, hiki i kekahi poʻe me (Bronchomalacia), ʻo ia hoʻi ke ʻano i nāwaliwali ai ke cartilage i loko o ka trachea, ke loaʻa pū kekahi ʻano like. ʻO ia hoʻi (Tracheomalacia). ʻO (Trachea) ko mākou ʻōpū hanu nui, ʻo ia ka ʻōmole nui loa e lawe ana i ka ea i nā māmā. ʻO (Tracheomalacia) ka nāwaliwali o nā paia o kēlā ʻōpū hanu nui. Ke hui pū ʻia kēia mau ʻano ʻelua, (Bronchomalacia) a me (Tracheomalacia), kapa mākou iā ia he (Tracheobronchomalacia - TBM) .

E like me ka bronchomalacia, hiki i ka tracheomalacia ke hoʻoulu i nā pilikia hanu a ʻoi aku ka maʻamau i nā pēpē hānau hou. Hiki ke pili pū ʻia ʻo Tracheomalacia me ka esophageal atresia, kahi kīnā hānau kakaikahi kahi i hoʻohaiki ʻia ai ka paipu meaʻai mai ka puʻu a i ka ʻōpū.

He aha nā kumu o (Bronchomalacia)?

ʻO ka Bronchomalacia i nā pēpē hānau hou ua kapa ʻia ʻo ka bronchomalacia mua . ʻO ke kumu nui o ia mea:

• (Maʻi puʻuwai hānau): ʻO ia hoʻi nā kūlana puʻuwai i loaʻa i ka wā hānau.
• ʻO ka hānau mua ʻana paha ke kumu o ka ulu pono ʻole ʻana o ke cartilage i loko o nā māmā: Ke hānau mua ʻia kahi pēpē, ʻaʻole paha i ulu piha kēia mau ʻāpana cartilage o nā māmā.
• (Williams-Campbell syndrome): He ʻano hānau kēia, he ʻano hoʻoilina. Hoʻonāwaliwali ia i ke cartilage i loko o nā alaloa ea.

ʻO ka Bronchomalacia e kū mai ana ma hope o ka hānau ʻana, ma hope o ke ola, ua kapa ʻia ʻo ia he bronchomalacia lua . Hiki ke hana ʻia e:

• Nā ʻeha a i ʻole nā ​​ulia kaʻa: Inā ua hōʻino nui ʻia ka ʻaʻa, e like me kahi ulia kaʻa.
• ʻO ka bronchitis mau loa: ʻO ka mumū lōʻihi o ka bronchi, ʻo ia ke ʻano e pehu ai nā ʻōpū bronchial me ka ʻū mau.
• ʻEmphysema: ʻO kēia ka wā e hōʻino ʻia ai nā ʻeke ea liʻiliʻi (alveoli) i loko o nā māmā a nalowale ko lākou elasticity.
• Lāʻau lapaʻau lōʻihi (ventilator): Ke hoʻopili ʻia ʻoe i nā mīkini kākoʻo hanu hana no ka manawa lōʻihi.
• (Tuberculosis - TB): Maʻi puʻupuʻu.
• Nā puʻupuʻu maʻi kanesa a i ʻole nā ​​​​​​maʻi ʻaʻole maʻi kanesa i loko o nā māmā: Hiki i kēia mau puʻupuʻu ke hoʻopilikia i ke alaloa.

He aha nā hōʻailona o ke ʻano (Bronchomalacia)?

Inā loaʻa iā ʻoe a i ʻole kāu pēpē kēia maʻi (Bronchomalacia), hiki iā ʻoe ke ʻike i kekahi o kēia mau hōʻailona:

• He ʻū ʻaoa me ka ʻole o ka phlegm: He ʻū e like me ke kani ʻana o ka ʻīlio e ʻaoa ana a hoʻopuka iki i ka phlegm.
• Cyanosis: He ʻano polū ke kala o ka ʻili, ʻoiai hoʻi nā lehelehe, ke alelo, a me nā manamana lima. Hōʻike kēia ʻaʻole lawa ka oxygen i ke kino.
• Luhi mau ka manaʻo (Fatigue): Luhi koke ka manaʻo ma hope o ka hana ʻana i kahi hana liʻiliʻi.
• Nā maʻi pinepine: Hiki ke loaʻa pinepine nā maʻi anu, ka maʻi palū, a me nā maʻi māmā (e like me ka niumonia).
• Dyspnea: He manaʻo o ka pilikia a i ʻole ka ʻūmiʻi ʻana i ka wā e hanu ana.
• Stridor: He leo ʻino a haʻalulu e puka mai ana mai ka puʻu i ka wā e hanu ana, ʻoiai i ka wā e hanu ana. Ua kapa pū kekahi poʻe i kēia he "leo whooping."
• Wheezing: He leo hū a me ka nakeke e puka mai ana mai ka umauma mai i ka wā e hanu ana.

He maʻi laha anei ka Bronchomalacia?

ʻAʻole,ʻAʻole he maʻi lele ka Bronchomalacia. ʻAʻole hiki iā ʻoe ke loaʻa mai kekahi mea ʻē aʻe , ʻaʻole hoʻi hiki iā ʻoe ke loaʻa mai kekahi mea ʻē aʻe. ʻAʻole ia i hoʻokumu ʻia e nā maʻi lele e like me ke anu maʻamau a i ʻole ka maʻi palū (flu).

Pehea e ʻike ʻia ai ka Bronchomalacia?

Ke ʻike ʻoe a i ʻole kāu pēpē i ke kauka, e hana mua ʻo ia i kahi hoʻokolokolo kino a hoʻolohe i kou mau māmā. E hoʻolohe ʻo ia i nā leo āu e hana ai i kou hanu ʻana a me nā hōʻailona ʻē aʻe i loko o kou umauma. A laila, inā pono, e paipai ʻo ia i kekahi mau hoʻokolohua ʻē aʻe.

He aha nā hoʻokolohua diagnostics?

Aia nā ʻano hoʻokolohua kiʻi like ʻole e hiki ke nānā i loko o nā māmā. Pono paha ʻoe a i ʻole kāu pēpē e hana i nā hoʻokolohua e like me kēia:

• Bronchoscopy: Pili kēia i ke komo ʻana i kahi ʻōmole lahilahi a palupalu (bronchoscope) ma o ka waha a i ʻole ka ihu a me ka hoʻohana ʻana i kahi kāmela liʻiliʻi ma ka hopena e nānā pololei i loko o nā ala ea. ʻAe kēia i kahi ʻike maopopo o ke cartilage.
• (CT scan - Computed Tomography scan): Hiki i kēia ke hana i nā kiʻi kikoʻī ʻekolu-dimensional, e like me nā ʻāpana kea o nā māmā a me ka umauma.
• (MRI - Magnetic Resonance Imaging): ʻO kēia kekahi hoʻokolohua e lawe i nā kiʻi kikoʻī o nā ʻāpana o loko o ke kino.
• (X-ray): Hiki i kahi X-ray umauma ke hāʻawi i kahi manaʻo o ke kūlana maʻamau o nā māmā.

Pehea e mālama ʻia ai ka Bronchomalacia?

Inā ʻaʻole koʻikoʻi loa ke kūlana o kahi pēpē hānau hou (Bronchomalacia), ʻaʻole paha e pono kekahi lāʻau lapaʻau kūikawā. E haʻi aku ke kauka i ka pēpē e hele pinepine i ke keʻena lapaʻau no nā nānā ʻana . I ka hapanui o nā hihia, e hoʻomaikaʻi kēia kūlana iā ia iho i ka wā e hiki ai ke pēpē i kahi o 6 mahina, i ka wā e ulu ai nā māmā a ikaika aʻe ke cartilage.

Eia nō naʻe, inā haʻahaʻa ka pae oxygen o kāu pēpē ma muli o ka bronchomalacia, hiki i nā kauka ke ʻōlelo aku e hoʻohana i kahi mea i kapa ʻia ʻo CPAP (Continuous Positive Airway Pressure) . Pili kēia i ke kau ʻana i kahi pale maka ma luna o ka ihu a me ka waha o kāu pēpē a hoʻopili iā ia i kahi mīkini. Hāʻawi kēia mīkini i ke kaomi ea mālie a mau i ka pale maka. Kōkua kēia kaomi ea i ka mālama ʻana i nā ala ea e wehe a ʻaʻohe mea e ālai ʻia. Pono paha kāu pēpē e hoʻohana i kēia mea hana no kekahi mau pule, a hiki i ka wā e ulu piha ai ko lākou mau māmā.

Inā koʻikoʻi loa ke kūlana o ka bronchomalacia, ʻo ia hoʻi ke alakaʻi ʻana i ka hemahema o ka hanu ʻana, pono paha e hoʻopili ʻia ke pēpē i kahi ventilator e kōkua i ka wehe ʻana o nā ala ea a me ka hanu ʻana.

ʻO ka lāʻau no ka Bronchomalacia i nā pākeke e pili ana i ke kūlana kumu i hoʻokumu ai. Inā loaʻa iā ʻoe ka emphysema a i ʻole ka bronchitis mau, pono paha ʻoe e lawe i nā lāʻau lapaʻau e kāohi i kāu mau hōʻailona a loaʻa nā nānā maʻamau.Hiki i kahi mīkini CPAP, i hoʻohana ʻia i ka wā hiamoe, ke kōkua no nā pākeke. I nā hihia koʻikoʻi, pono paha ke kākoʻo ventilator.

Hiki ke pale ʻia ka Bronchomalacia?

ʻAʻohe ala maopopo e pale aku ai i kahi maʻi i kapa ʻia ʻo bronchomalacia i nā pēpē hānau hou. ʻAʻole ia i hana ʻia e kekahi mea āu i hana ai i ka wā hāpai. Eia nō naʻe, inā hāpai ʻoe, he mea nui e makaʻala i nā hōʻailona o ka hānau mua ʻana. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻimi koke i ke kōkua lapaʻau. Hiki paha i kēia ke kōkua i ka pale ʻana i kāu pēpē mai ka hānau mua ʻana.

Hoʻokumu pinepine ʻia ka Bronchomalacia i nā pākeke e nā maʻi māmā, no laila ʻo ka mālama pono ʻana i kou mau māmā hiki ke hōʻemi i kou pilikia o ka loaʻa ʻana o kēia maʻi. Hiki i nā pākeke ke hana i kēia mau mea e mālama ai i ko lākou mau māmā i ke olakino:

• E pale i ka puhipaka a me ka vaping. Hoʻonui ka puhipaka a me ka vaping i kou pilikia o ka bronchitis mau loa, emphysema, a me ke kanesa māmā. Inā ʻoe e puhipaka, e kamaʻilio me ke kauka no ke kōkua e haʻalele.
• E nānā i kou home no ke kinoea radon. He kinoea ʻo Radon i hiki ʻole iā mākou ke ʻike a honi paha, akā hiki iā ia ke hana i ka maʻi kanesa o ka māmā.
• E komo i nā lako palekana pilikino (PPE). Inā ʻoe e hana me nā kemika, ka uahi, ka uahi, a i ʻole ka lepo, pono ʻoe e komo i ka respirator, he pale maka kūikawā ia.

Hiki ke ho'ōla loa ʻia ka Bronchomalacia?

Hoʻōla piha ka hapa nui o nā pēpē me ka bronchomalacia a ulu olakino ke ulu piha a hoʻoikaika ʻia ke cartilage i loko o ko lākou mau māmā. Inā hana ʻia ke kūlana e kahi mea keʻakeʻa, e like me ka puʻupuʻu, i loko o nā māmā, hoʻopau pinepine ʻia ka bronchomalacia ke wehe ʻia ke keʻakeʻa.

Eia nō naʻe, inā loaʻa iā ʻoe ka bronchitis mau a i ʻole ka emphysema, pono ia e mālama mau ʻia a me ka hoʻokele ʻana, a ʻaʻole paha e hiki ke ho'ōla loa ʻia. Eia nō naʻe, hiki i kāu kauka ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona a noho olakino.

Āhea ʻoe e ʻike ai i ke kauka?

E ʻike pinepine i kāu kauka no kāu mau nānā olakino maʻamau. Eia kekahi, e kamaʻilio me kāu kauka e pili ana i nā loli i kou olakino. Ma ke ʻano kūikawā, e ʻimi koke i ka mālama ulia pōpilikia inā loaʻa iā ʻoe a i ʻole kāu pēpē kekahi o kēia mau hōʻailona:

• Nā lehelehe polū a ʻili paha.
• Nā huki hou ʻana o ka umauma.
• He ʻano o ka nalowale ʻana o ka ʻike a i ʻole ka hiki ʻole ke ala aʻe.
• Paʻakikī nui ka hanu ʻana a i ʻole ka pōkole o ka hanu.
• Ka hanu mau ʻana a i ʻole ka stridor.

ʻO ka Bronchomalacia kahi pilikia hanu e hoʻopilikia pinepine i nā pēpē hānau hou, ʻoiai nā pēpē preemies a me nā pēpē nona nā māmā i ulu ʻole. Me ka mālama pono ʻana, hoʻōla ka hapa nui o nā pēpē a ulu maikaʻi. I nā pākeke, mālama nā kauka i ke kūlana kumu i hoʻokumu ai. Kuhikuhi lākou i nā lāʻau lapaʻau no nā kūlana e like me ka emphysema a i ʻole ka bronchitis mau. E hoʻomanaʻo, inā ʻoe a i ʻole kekahi o kou ʻohana e pilikia ana i ka hanu ʻana, he mea nui e kamaʻilio me ke kauka e pili ana i ia mea a loaʻa ka ʻōlelo aʻoaʻo a me ka mālama kūpono.

ʻŌlelo Lawe-Home: Nā mea nui e hoʻomanaʻo

ʻAe, no laila, i ka hōʻuluʻulu manaʻo, eia nā mea e hoʻomanaʻo ai e pili ana i ka Bronchomalacia a mākou i kamaʻilio ai:

• ʻO ka Bronchomalacia ka hoʻonāwaliwali ʻia o ke cartilage i loko o nā alaloa, hiki ke paʻakikī ke hanu.
• ʻO kēia ka mea maʻamau i nā pēpē hānau hou, ʻoiai nā mea i hānau mua ʻole ʻia.
• I nā pēpē, hoʻopau pinepine kēia ʻano ma kona iho i ka wā e ulu ai ko lākou mau māmā. Pono paha ka lāʻau e like me CPAP.
• I nā pākeke, hiki ke hana ʻia kēia e nā maʻi māmā ʻē aʻe, e like me ka bronchitis mau a i ʻole ka emphysema. I kēlā hihia , mālama ʻia ka maʻi kumu.
• Inā loaʻa iā ʻoe nā hōʻailona e like me ka paʻakikī o ka hanu ʻana, nā leo ʻē, a i ʻole ka ʻili polū, e ʻike koke i ke kauka.
• ʻAʻole kēia he maʻi lele.

Manaʻolana ua aʻo ʻoe mai kēia ʻike. E ola kino!

Nāwaliwali o ka bronchial, bronchomalacia, maʻi hanu pēpē, pilikia hanu, nāwaliwali o ke cartilage, mālama CPAP, maʻi māmā