Ke pilikia nei hoʻi ʻoe i ka hanu ʻana? No ka Tracheal Stenosis paha? E ʻike pono kākou!

Ke manaʻo nei ʻoe i kekahi manawa he paʻakikī loa ka hanu ʻana i kou piʻi ʻana i kahi alapiʻi a i ʻole e hele wikiwiki iki? A i ʻole ke lohe nei ʻoe i kahi leo hū i loko o kou puʻu i kou hanu ʻana, ʻoiai ke hanu ʻoe a me ka hoʻokuʻu ʻana i waho? Malia paha e hanu ana kāu pēpē liʻiliʻi a ʻike ʻia he luhi ke inu ʻo ia i ka waiū? Mai hoʻowahāwahā wale i kēia mau mea. No ka mea, aia paha he kumu lapaʻau ma hope o lākou. ʻO ia kekahi o ia mau ʻano a mākou e kamaʻilio ai i kēia lā. ʻO ia ka Tracheal Stenosis .

I ka ʻōlelo maʻalahi, he aha ka Tracheal Stenosis?

Mai hopohopo i kēia inoa. E hoʻomaopopo maʻalahi kākou i kēia. ʻO kou ʻōpū hanu, ʻo ia hoʻi ka ʻāpana a mākou e kapa nei he ʻōpū hanu (ma ka ʻōlelo Pelekania, ʻo `Trachea`), ʻo ia ka ʻāpana e lawe ana i ka ea a mākou e lawe ai mai ko mākou ihu a me ka waha i ko mākou mau māmā. Ua like ia me kahi paipu e lawe ana i ka wai mai kahi pahu wai. I kēia manawa e noʻonoʻo e pili ana, he aha ka mea e hana ai inā lilo kēia paipu i haiki a ālai ʻia paha mai loko mai no kekahi kumu? E emi ana ke kahe o ka wai, ʻeā? Pēlā nō ia.

ʻO ka Tracheal Stenosis ka wā e haiki ai kou ʻōpū makani no kekahi kumu. Hiki ke loaʻa kēia haiki ma muli o kahi maʻi, kahi ʻeha, a i ʻole ka ulu ʻana o nā ʻiʻo ʻeha. Ke haiki ka ʻōpū makani ma kēia ʻano, ʻaʻohe wahi no ka ea e komo ai i loko o nā māmā. ʻO kēia ka manawa e loaʻa ai nā pilikia hanu.

ʻO "Stenosis" kahi huaʻōlelo lapaʻau no ka ʻūmiʻi kūpono ʻole o kahi paipu a i ʻole ke alahele i loko o ke kino. Hiki ke hana kēia ma nā wahi like ʻole o ka puʻu.

• ʻO ka Laryngotracheal Stenosis: Ma kēia, ua emi ka ʻōpū makani (trachea) a me ka pahu leo ​​(larynx).
• ʻO ka Stenosis Subglottic: He ʻano haiki kēia o ka ʻāpana ma lalo o nā kaula leo, akā ma luna aʻe o ka ʻōpū hanu.

ʻElua ala nui e hiki ai i kēia kūlana ke hana ʻia.

Hiki ke hoʻokaʻawale ʻia ka stenosis tracheal i ʻelua mau ʻano nui.

1. ʻO ka maʻi stenosis tracheal i loaʻa: ʻO kēia ke ʻano maʻamau. Hoʻokumu ʻia ia e kahi maʻi, ʻeha, a i ʻole kekahi kumu ʻē aʻe i ko mākou ola. Hiki ke hana i nā pākeke a me nā keiki.

2. Congenital Tracheal Stenosis (CTS): He kūlana kēia i loaʻa i ka wā hānau. He mea kākaʻikahi loa ia. Hoʻopilikia ia ma kahi o hoʻokahi i loko o 64,500 mau pēpē. Eia nō naʻe, he kūlana weliweli loa ia a hoʻoweliweli i ke ola no kahi pēpē liʻiliʻi. ʻO ka hapa nui o ka manawa, ʻike ʻia kēia kūlana i ka wā hānau a i loko o nā mahina mua o ke ola.

No kahi pēpē hānau houHe pilikia kēia. Inā pilikia kāu pēpē i ka hanu ʻana a i ʻole e hōʻike ana i nā hōʻailona o ka pilikia o ka hanu ʻana, e lawe koke iā ia i ka lumi pilikia o ka haukapila (ETU).

Eia nō naʻe, ʻo nā ʻano ʻelua ke kumu o ka paʻakikī o ka hanu ʻana. Hiki iā ia ke loaʻa ka hopena nui i kou ʻano ola. ʻO ia ke kumu he mea nui loa ke ʻike ʻana i ke kauka inā he kānalua iki kou ua loaʻa iā ʻoe a i ʻole kāu keiki kēia maʻi.

He aha nā hōʻailona o ka Tracheal Stenosis?

He mea maʻamau ka nui o kēia mau hōʻailona i nā pākeke a me nā keiki. E nānā kākou i ke ʻano o kēia mau hōʻailona.

Nā ʻano kikoʻī i nā keiki

Ma waho aʻe o nā hōʻailona i luna nei, hiki i nā keiki ke hōʻike i kekahi mau hōʻailona kikoʻī ʻē aʻe.

• Nā pēpē hānau hou: Loaʻa paha iā lākou ka pilikia i ka hānai ʻana mai ka waiū umauma a i ʻole ka ʻōmole. Hiki nō hoʻi ke ʻike ʻia lākou he luhi loa ma hope o ka hānai ʻana.
• Nā keiki makua: Hiki ke ʻūʻū i ka wā e ʻai ana a paʻakikī ke hanu.
• Nā keiki ʻelemakule: Hiki ke ʻike ʻia kahi ʻano polū o ka ʻili a me nā ʻāʻī a puni ka ihu (`cyanosis`). ʻO kēia ma muli o ka loaʻa ʻole o ka oxygen i ke koko.

No ke aha i kū ai kēia kūlana? He aha nā kumu?

Hoʻokumu ʻia nā ʻano ʻelua a mākou i kūkākūkā ai ma mua e nā kumu like ʻole.

Ke kumu o ke kūlana hānau (CTS):

Hana ʻia kēia i ka wā e ulu pono ʻole ai ke cartilage e hana ana i ka ʻōpū hanu o ka pēpē, e lilo ai ka ʻōpū hanu o ka pēpē i ʻoi aku ka haiki ma mua o ka maʻamau i ka wā hānau.

Nā kumu o ke ʻano i ka wā o ke ola:

ʻO ke kumu nui a maʻamau o kēia, ʻo ia ka hoʻolōʻihi ʻana o ka intubation. He aha ka intubation? I nā hihia o ka paʻakikī o ka hanu ʻana, hoʻokomo ʻia kahi paipu i loko o ka ʻōpū makani ma o ka waha a i ʻole ka ihu e kōkua i ka mea maʻi e hanu. He lāʻau lapaʻau ola kēia. Eia nō naʻe, i kekahi manawa, no ka mea aia kēia paipu i loko o ka ʻōpū makani, hiki iā ia ke hōʻino i nā ʻiʻo ma laila, e hana ana i ka ʻeha a me ka haiki o ka ʻōpū makani. Ke hoʻohana ʻia kēia ʻano paipu e hanu i nā keiki i hānau ʻia me nā māmā ʻōpiopio, ʻoi aku ka nui o kēia kūlana e hiki mai ma hope.

Ma waho aʻe o ka intubation, hiki i kekahi mau kumu ʻē aʻe ke hoʻopilikia i kēia:

• Nā maʻi Autoimmune: Nā kūlana e like me Granulomatosis me Polyangiitis (GPA) kahi e hoʻouka ai ka ʻōnaehana pale o ke kino i kāna mau huna ponoʻī.
• Nā kūlana mumū: Nā maʻi e hoʻopilikia ai i nā māmā, e like me ka Pulmonary Sarcoidosis.
• Nā maʻi: Nā maʻi bacteria a viral paha e hoʻopilikia i ka ʻōnaehana hanu, e like me ka maʻi puʻupuʻu.
• Nā Puʻupuʻu: ʻO nā puʻupuʻu he mau ulu ʻaʻai a ʻaʻole paha he ulu ʻaʻai e kaomi ana i ka ʻōpū hanu.
• Ka hanu ʻana i nā mea ʻawahia:Ka hōʻino ʻia ʻana o ka ʻōpū hanu mai ka hanu ʻana i nā kemika a i ʻole nā ​​​​kinoea ʻawahia.
• Lapaʻau Radiation: Ma ke ʻano he hopena ʻaoʻao o ka lāʻau lapaʻau radiation i kuhikuhi ʻia ma ka ʻāʻī a i ʻole ka umauma.
• ʻO ke ʻoki ʻana o ka tracheostomy: Ka ʻeha ma hope o ke ʻoki ʻana e hana i kahi lua ma ka ʻāʻī a hoʻokomo i kahi paipu i loko o ka ʻōpū hanu e kōkua i ka hanu ʻana i ka wā pilikia.

Pehea e ʻike ai ke kauka i kēia maʻi?

Ke hele ʻoe i ke kauka, e hoʻolohe pono ʻo ia i kāu mau hōʻailona a, inā pono, e kuhikuhi iā ʻoe no kekahi mau hoʻokolohua. ʻO nā kauka pepeiao, ihu, a me ka ʻāʻī (ENT) ka poʻe e mālama pinepine i kēia maʻi.

ʻO nā hoʻokolohua nui i hana ʻia:

• Nā Kaʻina Hana Endoscopic: Pili kēia i ka nānā ʻana i loko o ke ala ea me ka hoʻohana ʻana i kahi ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia.
• Bronchoscopy: ʻO kēia ka hoʻāʻo nui i hoʻohana ʻia no ka ʻike ʻana i kēia maʻi. Ma kēia, ua hoʻokomo ʻia kahi paipu i loko o ka ʻōpū hanu e ʻike pono i kahi o ka haiki, kona nui, a me ke kumu.
• Laryngoscopy: Nānā kēia i nā kaula leo a me ka ʻāina a puni lākou.
• Nā Kaʻina Hana Kiʻi:
• CT scan (Computed Tomography scan): Hiki i kahi CT scan o ka ʻāʻī a me ka umauma ke hāʻawi i kahi manaʻo maikaʻi o ka wahi a me ke ʻano o kēia ʻūlū ʻana.
• MRI Scan (Magnetic Resonance Imaging): I kekahi manawa, hiki ke hana ʻia kahi MRI scan e kōkua i ka hoʻolālā ʻana i ka mālama ʻana.
• Hoʻāʻo Hana Puʻuwai: Pili kēia i ke noi ʻana iā ʻoe e hanu a hoʻokuʻu i waho ma nā ʻano like ʻole e ana i ka maikaʻi o ka hana ʻana o kou mau māmā a pehea ka hoʻopilikia ʻana o ka haiki ʻana o kou mau ala ea i kou hanu ʻana.

Eia kekahi, hiki ke hana ʻia nā hoʻokolohua ʻē aʻe e ʻike ai i ke kumu o ka maʻi. No ka laʻana, hiki ke hana ʻia kahi hoʻāʻo koko inā kānalua ʻia kahi maʻi a mumū paha, a i ʻole hiki ke hana ʻia kahi biopsy (lawe ʻana i kahi ʻāpana ʻiʻo e nānā ai) inā he puʻupuʻu ʻē e hoʻoholo ai inā he maʻi kanesa.

He aha nā lāʻau lapaʻau no kēia?

ʻO ke ʻano nui o ka lāʻau lapaʻau no kēia maʻi, ʻo ia ka hoʻonui ʻana i ka ʻōpū hanu i haiki ʻia ma o ke ʻoki ʻana a i ʻole nā ​​ʻano hana ʻē aʻe. E hoʻoholo kāu kauka i ka lāʻau lapaʻau kūpono loa nāu ma muli o nā kumu he nui, me ke koʻikoʻi o kou maʻi a me kahi o ka haiki ʻana.

Aia kekahi mau koho lapaʻau:

• Hoʻonui Tracheal: Ma kēia kaʻina hana, hoʻokomo kāu kauka i kahi pōpō a i ʻole kahi mea kūikawā (he `dilator`) i loko o kou ʻōpū makani, e hoʻolōʻihi mālie ana a hoʻonui i ka wahi i haiki. ʻO kēia ka mea e maʻalahi ai ka hanu ʻana.
• Laser Bronchoscopy: Hoʻokomo ʻia kahi kukuna laser ma o ka bronchoscope e puhi i ka ʻiʻo ʻeha e hana ana i ka poloka, a laila e wehe hou ana i ke alaloa.
• ʻO ke kau ʻana i kahi ʻōmole ea Trachea: Pili kēia i ke kau ʻana i kahi ʻōmole liʻiliʻi e like me ka ʻupena (stent) i hana ʻia me ka palakiko a metala paha i loko o ke ala ea i ālai ʻia. Kōkua ke stent i ka mālama ʻana i ke ala ea e wehe a ʻaʻohe ālai ʻia. Eia naʻe, ʻaʻole hiki kēia no nā maʻi āpau, a pili ia i kahi o ke ālai ʻia.
• ʻO ka ʻoki ʻana a me ke kūkulu hou ʻana o ka trachea: ʻO kēia ke kaʻina hana ʻoki maʻamau no kēia maʻi. Pili ia i ka ʻoki loa ʻana i ka ʻāpana i paʻa ʻia o ka ʻōpū hanu a me ka hoʻopili hou ʻana i nā ʻāpana olakino i koe. Hiki i kēia ke kōkua i ka hoʻihoʻi ʻana i kahi ala ea i pale ʻole ʻia.

He aha kāu e manaʻo ai ma hope o ka lāʻau lapaʻau?

Inā loaʻa iā ʻoe kēia maʻi, pono paha ʻoe i ke ʻoki kino a i ʻole kekahi hana ʻē aʻe. ʻOkoʻa ka manawa hoʻōla a me nā hopena no kēlā me kēia lāʻau lapaʻau.

Eia kekahi laʻana, ʻoi aku ka koʻikoʻi o kahi ʻoki kino i kapa ʻia ʻo 'Tracheal Resection and Reconstruction'. Akā, ʻoi aku ka nui o ka manawa e hoʻoponopono ai i ka pilikia o ka hāiki ʻana i ka wā lōʻihi. ʻOi aku ka liʻiliʻi o ka pōʻino o nā ʻano hana ʻoki ʻole e like me 'Tracheal Dilation'. Pono paha ʻoe e hana i hoʻokahi manawa, a i ʻole pono paha ʻoe e hana hou i ke kaʻina hana i kēlā me kēia manawa.

Pehea e mālama ai iaʻu iho ma ka home ma hope o ka lāʻau lapaʻau?

Ma hope o ke ʻoki kino a i ʻole kekahi hana ʻē aʻe, pono ʻoe e hahai i kekahi mau kuhikuhi kūikawā ma ka home. Hiki ke ʻokoʻa kēia mau kuhikuhi ma muli o ka lāʻau i loaʻa iā ʻoe. E wehewehe kāu kauka i kēia mau mea iā ʻoe. E haʻi pinepine lākou iā ʻoe e makaʻala i nā mea e like me:

• ʻAi a me ka Mea Inu: No nā hola 24 mua, e noi ʻia paha ʻoe e kaupalena i kāu ʻai ʻana i nā wai a i ʻole nā ​​​​meaʻai palupalu e maʻalahi ke ale. ʻOi aku ka maikaʻi o ka ʻai ʻana i nā meaʻai ʻala ʻole i ʻoi aku ka ʻala.
• Hiamoe: No nā lā mua, e noi ʻia paha ʻoe e hiamoe me nā uluna e hoʻokiʻekiʻe iki i kou kino o luna.
• Kaohi ʻeha: Inā pono, hiki iā ʻoe ke lawe i nā lāʻau hoʻopau ʻeha ma luna o ke kūʻai aku a i ʻole nā ​​​​lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka.
• Nā Hana: Ua ʻōlelo ʻia ʻoe e pale i ka hāpai kaumaha a me nā hana luhi no ka pule mua ma hope o ke ʻoki ʻana.

Āhea wau e ʻike hou ai i ke kauka? I nā manawa hea wau e hele ai i ka ETU?

Ma hope o ka lāʻau lapaʻau, e hāʻawi kāu kauka iā ʻoe i nā manawa hoʻopaʻa e nānā i kou holomua. Hiki ke noi ʻia ʻoe e hoʻi mai i kēlā me kēia mau pule i ka wā mua. Inā maikaʻi kāu hana, hiki ke noi ʻia ʻoe e hoʻi mai i kēlā me kēia mau mahina. E nānā ʻia ʻoe a hiki i kou maopopo loa ʻana ʻaʻole i hoʻi hou mai ke ʻano.

E kelepona i kāu kauka i kēlā me kēia manawa āu e paʻakikī ai i ka hanu ʻana . Hiki ke hoʻoweliweli ka hoʻopaneʻe ʻana i ka mālama ʻana i kahi manawa e like me kēia. No laila, he mea nui e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau.

Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU)?

Inā pilikia ʻoe i ka hanu ʻana, a inā paha e hoʻi hou mai nā hōʻailona a mākou i kūkākūkā ai ma mua, he hōʻailona paha ia ua hoʻi mai kou Tracheal Stenosis. I kēlā hihia, e hele koke i kahi ETU.

ʻOi loa aku, inā ʻoe e mālama ana i kahi keiki hānau hou a keiki ʻōpio paha, inā pilikia ke keiki i ka hanu ʻana, e lawe koke iā lākou i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa me ka hoʻokaʻulua ʻole i hoʻokahi minute.