Ke hana nei kāu pēpē i kahi leo ʻē i kona hanu ʻana? E aʻo kākou e pili ana i ka Laryngomalacia!

Ke lohe nei ʻoe i kekahi manawa i kahi leo hū haʻahaʻa a i ʻole kahi leo ʻūhū haʻahaʻa ke hanu kāu keiki liʻiliʻi? He mea maʻamau i nā mākua ke hopohopo iki ke ʻike lākou i kēia i nā pēpē hānau hou. Akā i ka hapa nui o ka manawa, ʻaʻohe mea koʻikoʻi . I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi i kapa ʻia ʻo Laryngomalacia, hiki ke hana i kēia, a he mea maʻamau ia i waena o nā pēpē.

He aha ka Laryngomalacia?

I ka ʻōlelo maʻalahi, ʻo Laryngomalacia kahi nāwaliwali iki i loko o ka larynx o ka pahu leo ​​o kā mākou pēpē . Hana ʻia kēia no ka mea he nāwaliwali iki ka ʻiʻo palupalu ma luna o ka pahu leo, a i ka wā e hanu ai ka pēpē, huki koke kēlā ʻiʻo i ka ʻōpū makani. E noʻonoʻo iā ia e like me ka pōpō me ka waha e hāmama iki ana, e hana ana i kahi walaʻau i ka wā e puka ai ka ea. ʻO kēia ke kumu nui e hana ai nā pēpē hānau hou i kahi walaʻau i ka wā e hanu ai lākou.

Kāhea mākou i kēia leo he leo hū kiʻekiʻe (stridor) . Lohe pinepine ʻia kēia leo i ka wā e hanu ai ka pēpē. I ka hapa nui o ka manawa, ʻaʻole kēia he kūlana weliweli. Eia nō naʻe, i kekahi mau hihia koʻikoʻi a kakaikahi , hiki iā ia ke pilikia i ka pēpē i ka hanu ʻana a i ʻole ka pilikia i ka hānai ʻana.

He mea maʻamau kēia?

ʻAe, he mea maʻamau loa kēia ʻano i kapa ʻia ʻo Laryngomalacia i waena o nā pēpē hānau hou. Hiki ke ʻike ʻia kēia ʻano hānau (Congenital Laryngomalacia) ma mua o ka hapalua o nā pēpē hānau hou i loko o ka pule mua o ke ola. I kekahi mau pēpē, hiki ke ʻike ʻia ma waena o ʻelua a ʻehā pule o ka makahiki.

Hiki i nā pākeke ke loaʻa i ka laryngomalacia, akā he mea kākaʻikahi loa ia. Ua kapa ʻia ʻo ia e nā kauka he "laryngomalacia i loaʻa".

He aha nā hōʻailona?

Hiki i nā hōʻailona Laryngomalacia ke ʻano like ʻole mai ka ʻoluʻolu a i ka ʻino . ʻO ka hōʻailona nui he leo nui, hū, a hū paha e kū mai ana i ka wā e hanu ai kahi pēpē. ʻOi aku ka ʻino o kēia leo i nā mahina mua o ke ola a nalowale loa i ka makahiki hoʻokahi a ʻelua paha.

Lohe ka hapa nui o nā pēpē i kēia kani hanu, akā ʻaʻole ia he pilikia me ka hanu ʻana a i ʻole ka hānai waiū ʻana . Eia nō naʻe, ʻike nui ʻia kēia kani i ka wā e moe ana ka pēpē, hiamoe ana, uē ana, a ma hope paha o ka hānai waiū ʻana.

Eia nō naʻe, hiki i nā pēpē me ka laryngomalacia koʻikoʻi ke hōʻike i nā hōʻailona e like me:

• ʻApnea (nā hoʻomaha lōʻihi i ka hanu ʻana )
• Ka hanu ʻana o ka meaʻai a i ʻole nā ​​​​wai i loko o nā māmā
• ʻIli polū (Cyanosis) (ʻoi aku hoʻi a puni nā lehelehe)
• Ka paʻakikī i ka moni ʻana (Dysphagia)
• Ka paʻakikī i ka loaʻa ʻana o ke kaumaha (ʻaʻole e loaʻa ke kaumaha ma hope o ka inu ʻana i ka waiū)
• Manaʻo e like me kou ʻāʻī a i ʻole kou umauma e huki ana i loko ke hanu ʻoe("huki" a "huki i loko")

Inā hōʻike kāu pēpē i kekahi o nā hōʻailona koʻikoʻi i ʻōlelo ʻia ma luna nei, e ʻike koke i kāu pediatrician.

No ke aha e hana ai kēia? He aha nā kumu o ka Laryngomalacia?

ʻAʻole maopopo i nā loea ke kumu e loaʻa ai i kekahi mau pēpē ka laryngomalacia a ʻo kekahi ʻaʻole. Akā aia kekahi mau mea a lākou e manaʻo nei he mea kōkua paha ia:

• Nā ʻano ʻē o ke kūkulu ʻana: ʻOiai e ulu ana ke pēpē i loko o ka ʻōpū, ʻokoʻa a maikaʻi ʻole paha ka ulu ʻana o ke cartilage a i ʻole nā ​​​​ʻiʻo a puni ka pahu leo.
• Nā maʻi neuromuscular: Hiki ke hana ʻia kēia ʻano e kekahi mau maʻi e hoʻopilikia ai i nā aʻalolo a me nā ʻiʻo o ka pahu leo.
• ʻO ka maʻi reflux Gastroesophageal (GERD): I ka ʻōlelo maʻalahi, ʻo ia ka hopena o ka piʻi ʻana o ka waikawa o ka ʻōpū i loko o ka puʻu. Inā hiki kēia waikawa i ka pahu leo, hiki iā ia ke hoʻoulu i ka pehu ma ia wahi. Hiki i kēia ke hoʻonui i nā nāwaliwali o ke kino e hoʻoulu ai i ka laryngomalacia.

Aia kekahi mau ʻano o ka laryngomalacia?

Hoʻokaʻawale nā ​​kauka i ka laryngomalacia i ʻekolu mau ʻano nui e pili ana i ke kumu o ke kūlana:

• ʻAno 1: Ka paʻa ʻana a i ʻole ka pōkole ʻana o nā membrane mucous o ka pahu leo.
• ʻAno 2: ʻO ka ʻiʻo palupalu nui ma ka ʻaoʻao o luna o ka pahu leo.
• ʻAno 3: Hana ʻia ka Laryngomalacia ma muli o kekahi maʻi ʻē aʻe (e laʻa, GERD a i ʻole kahi maʻi neuromuscular).

Pehea ʻoe e ʻike pono ai i kēia?

ʻO ka hoʻāʻo nui i hoʻohana ʻia no ka ʻike ʻana i ka laryngomalacia he nasopharyngolaryngoscopy (NPL) . Ma kēia hoʻāʻo, hoʻokomo kahi loea pepeiao, ihu, a me ka puʻu (loea ENT) i kahi ʻōmole liʻiliʻi i lako me ke kāmela (endoscope) ma o ka puka ihu o ka pēpē a i lalo i ka puʻu e nānā i ka pahu leo. ʻO ka maʻamau, he ʻelua a ʻelima mau minuke ka lōʻihi o kēia hoʻāʻo. ʻAʻole ia he mea ʻeha loa no ka pēpē.

He aha hou kāu e hoʻāʻo nei?

Inā ua hōʻoia ʻia kāu pēpē he laryngomalacia, pono paha kāu kauka e hana i kekahi mau hoʻokolohua hou aʻe e ʻike ai i ka nui o ka pōʻino i hana ʻia. ʻO kēia mau hoʻokolohua:

• ʻO ka fluoroscopy alaea: Hoʻohana kēia i nā kukuna X a me kahi wai kūikawā (mea hoʻohālikelike) e ʻike maopopo i nā wahi i hoʻopilikia ʻia o ke kino o ke pēpē. Hiki ke hoʻohana ʻia e nānā i ke kaʻina hana o ka moni ʻana (kahi `swallow study`).
• ʻŌmole Impedance:Hoʻokomo ʻia kahi ʻōmole liʻiliʻi ma ka ihu o ka pēpē a i loko o ka esophagus e ana i ka nui o ka waikawa o ka ʻōpū e piʻi aʻe ana i loko o ka pahu leo. ʻO nā pēpē i loaʻa i kēia hoʻāʻo e noho maʻamau i ka haukapila no hoʻokahi pō.
• ʻO Microlaryngoscopy a me bronchoscopy (ML&B): Hoʻohana pū kēia i kahi ʻōmole kukui e nānā i ka trachea/windpipe a me ka pahu leo ​​o ka pēpē e hoʻoholo ai i ke kumu o ke kani hanu. Hana ʻia kēia ma lalo o ka anesthesia laulā.
• Nā X-ray ʻāʻī a umauma paha: Hiki i kēia mau kiʻi ke kōkua i ke kauka e ʻike inā he mau kīnā ʻē aʻe e hiki ai ke hoʻoulu i ke kani ʻana o ka pēpē.

Pehea e mālama ʻia ai?

ʻO ka mea nui , ʻo ka hapa nui o ka manawa, e hoʻopau wale ʻia ka Laryngomalacia i loko o hoʻokahi a ʻelua paha makahiki . E emi mālie ana ka walaʻau hanu. I nā hihia akahai, hiki iā ʻoe ke hoʻokele i nā hōʻailona ma ka home. Eia nō naʻe, inā loaʻa i kāu pēpē ka Laryngomalacia koʻikoʻi, pono paha ʻoe i ka lāʻau lapaʻau a i ʻole ke ʻoki kino.

Pehea e mālama ai ma ka home?

Inā loaʻa i kāu pēpē nā hōʻailona maʻamau, hiki iā ʻoe ke nānā pono i kēia mau mea ma ka home. ʻOkoʻa paha ke ʻano o ka mālama ʻana i ka laryngomalacia mai kēlā pēpē a i kēia pēpē:

• Inā pilikia kāu pēpē i ka moni ʻana: Pono paha ʻoe e hānai pinepine e uku no nā calorie a me nā meaola i nalowale. Hiki iā ʻoe ke hoʻāʻo e hoʻomānoanoa iki i ka waiū waiū (hiki iā ʻoe ke hoʻohana i ka cereal pēpē a i ʻole nā ​​mea hoʻomānoanoa ma luna o ke kūʻai). E kōkua kēia i ka hōʻemi ʻana i ka nui o ka meaʻai e hoʻi mai ana i loko o ka puʻu.
• Inā pilikia kāu pēpē i ka hanu ʻana: Hiki i kāu kauka ke aʻo aku iā ʻoe e hoʻomoe i kāu pēpē me ke poʻo o ka moena i hoʻokiʻekiʻe iki ʻia. Hiki paha i kēia ke kōkua i ka wehe ʻana i ke ala ea a maʻalahi ka hanu ʻana.

E nīnau mau i kāu kauka e pili ana i nā ala kikoʻī e mālama ai i nā hōʻailona Laryngomalacia o kāu pēpē.

Aia kekahi lāʻau lapaʻau me ka lāʻau lapaʻau?

Inā loaʻa i kāu pēpē ka GERD (maʻi reflux gastroesophageal) me ka laryngomalacia, hiki i kāu kauka ke kuhikuhi i kahi lāʻau lapaʻau e like me ka proton pump inhibitor (PPI) a i ʻole ka H2 blocker e mālama ai. Hiki i ka GERD ke hoʻonui i ka pehu e pili ana me ka laryngomalacia, no laila he mea nui e kaohi iā ia.

E pono anei ke ʻoki kino?

ʻAʻole koi pinepine ʻia ke ʻoki ʻana (supraglottoplasty) no ka Laryngomalacia. Pili kēia ʻoki ʻana i ka ʻoki ʻana a me ka wehe ʻana i nā ʻiʻo nāwaliwali a palupalu ma luna o ka pahu leo ​​o ka pēpē. Hana ke kauka pepeiao, ihu, a me ka puʻu (ENT) i kēia ʻoki ʻana ma kahi lumi hana, me ka pēpē ma lalo o ka anesthesia laulā. Ma hope o ke ʻoki ʻana, mālama pinepine ʻia ka pēpē i loko o ka haukapila i ka pō no ka nānā ʻana.

ʻEhia ka lōʻihi e hoʻōla ai ma hope o ka lāʻau lapaʻau?

ʻO ka maʻamau, hōʻemi nā lāʻau lapaʻau no GERD i nā hōʻailona i loko o ʻelua pule, akā pono paha kāu pēpē e hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau no kekahi mau pule, a i ʻole nā ​​​​mahina.

Inā ua hana ʻia kāu pēpē i ke ʻoki laryngomalacia, lohe paha lākou i kahi piʻi iki o ko lākou hanu ʻana no nā lā mua . He mea maʻamau kēia. Ma muli kēia o ka pehu ʻana a puni nā kaula leo ma hope o ke ʻoki ʻana. E emi mālie ana kēia walaʻau a e hala ma kahi o ʻelua pule e hoʻōla piha ai.

Hiki ke pale ʻia kēia?

ʻAʻole, ʻaʻohe ala e pale aku ai i ka laryngomalacia. Eia nō naʻe, hiki i ka lāʻau lapaʻau ke kōkua i ka hoʻomalu maikaʻi ʻana i nā hōʻailona o kāu pēpē.

Ma ke ʻano he makua, makemake mau ʻoe e pale i kāu pēpē mai nā pōʻino āpau. Akā, ʻo ka Laryngomalacia kahi mea e hiki koke mai ana i kekahi manawa. ʻAʻole ia he manaʻo ua hana hewa ʻoe. ʻOiai ʻo ke kani a kāu pēpē i ka wā e hanu ai ʻo ia he mea weliweli iki paha i ka wā mua, ʻaʻole pono mau ka lāʻau lapaʻau.

Pono anei ʻoe e makaʻu i kēia?

ʻOiai hiki iā ia ke hana i kahi walaʻau i ka wā e hanu ana, ʻaʻole ia he mea weliweli . Hoʻōla ka hapa nui o nā pēpē mai kēia ʻano ma o lākou iho, akā pono paha kekahi mau pēpē i ke ʻoki ʻana, ʻoiai inā pilikia lākou i ka loaʻa ʻana o ke kaumaha a i ʻole he mau pilikia hanu koʻikoʻi. Inā haʻi aku kāu kauka iā ʻoe ua loaʻa i kāu pēpē kēia ʻano, e wehewehe ʻo ia iā ʻoe i ka mea e manaʻo ai.

Pehea ka lōʻihi o kēia kūlana?

ʻO ka maʻamau , e hoʻomaikaʻi ʻia ka Laryngomalacia ma kāna iho i ka makahiki 1 a 2 paha. Eia nō naʻe, pono ʻoe e makaʻala i nā hōʻailona koʻikoʻi, e like me ka apnea, ʻo ia hoʻi ka pau ʻana o ka hanu ʻana no ka manawa pōkole, a me ke kala polū a puni nā lehelehe. Hiki i kēia ke alakaʻi i nā pilikia koʻikoʻi.

Āhea wau e ʻike ai i ke kauka? / Āhea wau e hele ai i ka lumi pilikia?

Inā hōʻike kāu pēpē i nā hōʻailona o ka laryngomalacia, e like me ke kani ʻana o ka wheezing, he manaʻo maikaʻi e hoʻonohonoho i kahi manawa me kāu kauka. Hiki i ke kauka ke nānā i kāu pēpē, kuhikuhi iā ʻoe i kahi loea pepeiao, ihu, a me ka ʻāʻī (ENT) inā pono, a hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo no ka mālama ʻana i kāu pēpē ma ka home.

Inā loaʻa koke i kāu pēpē nā hōʻailona, ​​a inā he maʻi i kapa ʻia ʻo "GERD" (maʻi reflux gastroesophageal), e kāhea koke aku i kāu kauka.

I kēlā hihia, e hele i ka Emergency Treatment Unit (ETU) kokoke loa:

• Inā ʻaʻole hanu ka pēpē no nā kekona he 10 a ʻoi .
• Inā ʻike ʻia kou ʻāʻī a i ʻole kou umauma e huki ana i loko i kou hanu ʻana.
• Inā e polū ana nā lehelehe .

He aha ka ʻokoʻa ma waena o ka Laryngomalacia a me ka Tracheomalacia?

ʻO Laryngomalacia a me tracheomalacia nā kūlana ʻelua e hoʻopilikia ai i ke alaea. ʻO Laryngomalacia ka nāwaliwali o nā ʻiʻo ma luna o ka pahu leo, ʻoiai ʻo tracheomalacia ka nāwaliwali a i ʻole ke kūlou ʻana o ke cartilage ma lalo ona, i loko o ka windpipe . ʻO Tracheomalacia kahi kūlana i emi iki ma mua o ka laryngomalacia, a ʻoi aku ka koʻikoʻi.

He mau nīnau liʻiliʻi hou aʻe...

Hiki i ka Laryngomalacia ke hoʻonui i ke kaumaha?

ʻAʻole maʻamau. ʻO kaʻoiaʻiʻo, hiki i nā pēpē me ka laryngomalacia koʻikoʻi ke paʻakikī i ka loaʻa ʻana o ke kaumaha .

He aha ka mea e hoʻonui ai i ka maʻi o ka laryngomalacia?

Hiki ke ʻoi aku ka ʻino o nā hōʻailona Laryngomalacia ke moe ana kāu pēpē ma kona kua . Inā ʻike ʻoe ua paʻakikī kāu pēpē i ka hanu ʻana i ka wā e hiamoe ana ma kona kua, e ʻoluʻolu e ʻike i ke kauka.

Eia kekahi, hiki ke hoʻonui ʻia nā hōʻailona ma muli o GERD (gastroesophageal reflux disease), kahi kūlana i maʻamau i waena o nā pēpē me ka laryngomalacia.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai ...

Hiki i kahi maʻi i kapa ʻia ʻo Laryngomalacia ke lilo i mea hopohopo iki, ʻoiai inā he makua hou ʻoe. ʻO ke kani kiʻekiʻe a haʻahaʻa a kāu pēpē e hana ai i ka hanu ʻana hiki ke hoʻoluhi iā ʻoe a waiho iā ʻoe e noʻonoʻo ana, "He mea koʻikoʻi anei kēia?"

Akā e hoʻomanaʻo, i ka hapanui o nā hihia, ʻaʻole weliweli ka Laryngomalacia. Eia nō naʻe, inā he kānalua a hopohopo paha kāu, ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kauka pediatric o kāu pēpē a, inā pono, e noi i kahi kuhikuhi i kahi loea pepeiao, ihu, a me ka puʻu (ENT). Mai hopohopo, eia nā kauka e kōkua!

Laryngomalacia , Laryngomalacia, Hanu ʻana o ka Pēpē, Pahu Leo, Stridor, Paʻakikī Hanu ʻana, Ola Kino o ka Pēpē