Ke pilikia nei kāu pēpē i ka hanu ʻana? E aʻo kākou i nā mea āpau e pili ana i ke ʻoki ʻana o Supraglottoplasty

Ua lohe paha ʻoe i kahi leo ʻē, e like me ka hū ʻana, i ka wā e hanu ai kāu keiki liʻiliʻi, ʻoiai i ka wā e hanu ana? Hopohopo iki kekahi mau mākua no kēia. ʻO kekahi kumu no kēia he maʻi i kapa ʻia ʻo 'Laryngomalacia'. No laila i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻoki kino i kapa ʻia ʻo 'Supraglottoplasty' i hana ʻia ma ke ʻano he hopena no kēia. Mai makaʻu i kou lohe ʻana i kēia, e wehewehe maʻalahi kākou i nā mea āpau e pili ana.

I ka ʻōlelo maʻalahi, he aha ka Supraglottoplasty?

I ka ʻōlelo maʻalahi, he hana ʻoki kino ka `Supraglottoplasty`. Inā he nui nā ʻiʻo i loko o ko kākou larynx, a i ʻole ka 'pahu leo' a kākou e hoʻohana ai i ka wā e ʻōlelo ai kākou, a laila hana ʻia kēia ʻoki kino e maʻalahi ai ka hanu ʻana. E noʻonoʻo, ke hanu ʻoe, huki ʻia kēia ʻiʻo keu i loko a ālai i ke ala ea. A laila lilo ia i mea paʻakikī no ka pēpē ke hanu. No laila, wehe kēia ʻoki kino i kēlā mea ālai a maʻalahi ka hanu ʻana.

ʻOiai ʻo kēia ʻoki kino ka mea pinepine e hana ʻia ma nā keiki ʻōpio, i kekahi manawa hiki ke pono no nā keiki makua a me nā mākua. Paipai wale nā ​​​​kauka i kēia ʻoki kino inā ʻaʻole i holomua nā lāʻau ʻē aʻe, e like me ka lāʻau lapaʻau. Ma keʻano holoʻokoʻa, he ʻoki kino palekana loa, wikiwiki, a holomua. Hiki iā ʻoe (a i ʻole kāu pēpē) ke hoʻi i ke ola maʻamau i loko o ʻelua pule wale nō.

He aha nā kūlana e pono ai kēia ʻoki kino?

Hana pinepine ʻia kēia ʻoki kino ma nā keiki ʻōpio me ke ʻano i kapa ʻia ʻo `Laryngomalacia.` E nānā kākou i ke ʻano o ia mea.

• Laryngomalacia: ʻO kēia ka manawa e lilo ai ke kino a puni ka larynx i 'wehe' loa. A laila, i kēlā me kēia manawa e hanu ai ka pēpē, huki kēia kino wehe i loko a ālai i ke ala ea. ʻO kēia ke kumu o kēlā leo hū a mākou i ʻōlelo ai ma mua. ʻAʻole pono nā pēpē āpau i ke ʻoki ʻana, a e hoʻomaikaʻi ka hapa nui iā lākou iho i ka hala ʻana o ka manawa. Eia nō naʻe, ma kahi o 20% o nā keiki, a i ʻole hoʻokahi o ka ʻelima, e pono paha i kēia ʻoki ʻana.

• ʻO ka Obstructive Sleep Apnea (OSA): Eia kekahi, hana ʻia kēia ʻoki kino i kekahi manawa ma ke ʻano he lāʻau lapaʻau no ka Obstructive Sleep Apnea (OSA) i nā keiki a me nā pākeke.

He aha ka mea e hana ʻia ma mua a i ka wā o ke ʻoki kino?

Hoʻomākaukau ma mua o ke ʻoki kino

ʻAʻole pono ka hoʻomākaukau nui ma mua o ke ʻoki ʻana, akā e aʻo aku kāu kauka iā ʻoe i kekahi mau mea.

• Ka kaohi ʻana i ka waikawa o ka ʻōpū: Inā loaʻa i kāu pēpē kahi pilikia e like me ka gastritis, ʻo ia hoʻi ke piʻi ʻana o ka waikawa o ka ʻōpū i loko o ka puʻu (acid reflux), hiki ke hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e hoʻomaka i kekahi mau lā ma mua o ke ʻoki ʻana. Hiki i kēia ke kōkua i ka pale ʻana i nā pilikia e hiki mai ana ma hope o ke ʻoki ʻana.
• Hoʻāʻo ale ʻana:Hiki ke hana ʻia kahi hoʻokolohua kūikawā (kahi 'swallow study') e ʻike ai inā e ale maʻamau ana ka pēpē.
• Ka hoʻokē ʻai ʻana: Pono ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana no kekahi mau hola ma mua o ke ʻoki kino. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī no kēia.

I ka wā o ke ʻoki kino

He hana ʻoki kino kēia i hana ʻia ma kahi haukapila, ma lalo o ka nānā ʻana a ke kauka anesthesiologist, ma lalo o ka anesthesia laulā. No laila, ʻaʻole ʻeha ka pēpē.

I ka huaʻōlelo maʻalahi, penei ka mea e hana ʻia i ka wā o ke ʻoki ʻana:

1. ʻO ka mea mua, hoʻomaʻemaʻe ke kauka anesthesiologist i ka pēpē.

2. A laila, hoʻohana ke kauka lapaʻau i kahi mea hana kūikawā me ke kāmela (`laryngoscope`) e nānā i ka larynx (`pahu leo`) o ka pēpē.

3. ʻO ke kino keu ma laila, ʻo ia hoʻi, nā pelu aryepiglottic ma nā ʻaoʻao ʻelua o ka larynx, ua wehe ʻia me ka hoʻohana ʻana i nā mea hana liʻiliʻi loa ma o kahi ʻoki liʻiliʻi loa.

4. Hoʻohana ʻia ka gauze e kāohi i ke kahe ʻana o ke koko.

He aha nā pono, nā helu holomua, a me nā pilikia o kēia ʻoki kino?

ʻO ka pōmaikaʻi nui o kēia, ʻo ia ka maʻalahi o ka hanu ʻana. Hiki i nā pēpē me ka `Laryngomalacia` ke ʻai maikaʻi a hiamoe maikaʻi ma hope o kēia ʻoki kino. He mea nui loa kēia mau mea no ka ulu kino, noʻonoʻo a me ka nohona o ka pēpē. Hoʻopau kekahi mau pēpē i nā calorie ma mua o ka maʻamau ma muli o ka paʻakikī i ka hanu ʻana a me ka emi ʻana o ke kaumaha. Hoʻoponopono kēia ʻoki kino i kēlā pilikia.

Ua hōʻike ʻia ka noiʻi ʻana he kiʻekiʻe ka nui o ka holomua o kēia ʻoki kino ma waena o 70% a 100% . ʻO ia hoʻi, ua holomua ia i ka hapa nui o ka manawa.

E like me nā hana ʻoki kino a pau, aia kekahi mau pilikia, akā ʻaʻohe mea e hopohopo ai, no ka mea, ua akahele loa nā kauka e pili ana i ia mea.

Pehea e mālama ai i ke keiki ma hope o ke ʻoki kino?

Hoʻōla hou ʻana

ʻO ka maʻamau, hiki ke ho'ōla piha ʻia i loko o hoʻokahi a ʻelua mau pule . I nā lā mua ma hope o ke ʻoki ʻana, aia paha kekahi pehu a me ka ʻeha ma ka puʻu. ʻO ke kani āu e hana ai i ka wā e hanu ana, ʻoi aku ka leo nui ma mua o ke ʻoki ʻana. Hiki paha iā ʻoe ke hopohopo iki e ʻai. He mea maʻamau kēia a e emi iho i loko o kekahi mau lā. No laila, mai hopohopo. Eia naʻe, inā ʻaʻole e emi kēia mau hōʻailona ma hope o ʻelua pule, a inā e ʻoi aku ka ʻino, e hōʻoia e hoʻomaopopo i kāu kauka.

Mālama ma ka home

E hāʻawi ke kauka iā ʻoe i kahi hoʻonohonoho o nā kuhikuhi no ka mālama ʻana i kāu pēpē ma hope o ke ʻoki ʻana. He mea nui loa ia e hahai pololei iā lākou.

• Nā lāʻau lapaʻau: Hiki ke hāʻawi ʻia nā lāʻau anti-reflux, e like me nā mea pale H2 a i ʻole nā ​​mea pale proton pump, e pale aku i nā maʻi i loko o ka puʻu a me nā ala ea o ka pēpē. Hiki ke kuhikuhi ʻia nā lāʻau lapaʻau e hōʻemi i ka ʻeha.
• Aloha a me ka hoʻomaha: ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke mālama i kāu pēpē me ke aloha nui. E hoʻomaha maikaʻi iā ia a hāʻawi iā ia i kāna lāʻau lapaʻau i ka manawa kūpono. E hoʻomanaʻo, aia kāu kauka ma laila e kōkua iā ʻoe inā loaʻa iā ʻoe kekahi mau pilikia a hopohopo paha.

Hiki i ke ʻoki kino, ʻoiai no kāu keiki liʻiliʻi, ke hopohopo no kekahi makua. Akā, ʻo ka 'Supraglottoplasty' kahi hana holomua e wehe ai i ka ʻōpū hanu o kāu pēpē a kōkua iā lākou e hanu manuahi. Hoʻomākaukau kēia i ke ala no kāu pēpē e loaʻa ai ka hiamoe maikaʻi a me ka meaʻai e pono ai lākou no ko lākou ulu ʻana. E nīnau i kāu kauka i nā nīnau āu e loaʻa ai.