Ke hana nei kāu pēpē i kahi leo ʻē i kona hanu ʻana? He Tracheomalacia paha ia?

Ke kani nei kāu keiki liʻiliʻi i kahi leo ʻē i ka wā e hanu ana? Ke manaʻo nei ʻo ia i kekahi manawa he pōkole iki ka hanu ke inu ʻo ia i ka waiū a uē paha? A i ʻole he pinepine kona ʻū a i ʻole ke anu? He mea maʻamau loa ia no ka makuahine a makua paha ke makaʻu a hopohopo i ka ʻike ʻana i nā mea e like me kēia. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi e hiki ai ke hana i nā hōʻailona e like me kēia, akā ʻaʻole nui ka poʻe i lohe e pili ana iā ia, akā inā ʻike pono ʻia a mālama ʻia, hiki ke ho'ōla ʻia. ʻO ia ka tracheomalacia .

He aha ka Tracheomalacia? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka tracheomalacia kahi maʻi e kū mai ana i ka wā e nāwaliwali ai ke cartilage i loko o ko kākou ʻōpū makani a i ʻole ʻaʻole i ulu pono. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia trachea, cartilage.

E noʻonoʻo i ka trachea e like me kahi paipu e lawe ana i ka ea i nā māmā i ka wā e hanu ai kākou. Hana ʻia nā paia o kēia paipu me nā ʻāpana cartilage ʻano C, ʻano laholio, a palupalu. Mālama kēia cartilage i ka trachea e hāmama, e like me ka paipu wai, me ka ʻole o ka hiolo ʻana.

Eia nō naʻe, i loko o ke kanaka me ka tracheomalacia, ʻoiai he pēpē liʻiliʻi, ʻaʻole ikaika loa kēia mau cartilages. He "floppy" loa lākou. A laila, ke hanu ʻoe, ʻoiai ke hanu nui ʻoe, ke uē ʻoe, ke ʻū ʻoe, kūlou nā paia o kēia trachea i loko, e ālai ana i ke ala ea. Ua like ia me ka pōpō ʻaʻole e pehu, a ke hoʻokuʻu ʻoe i kahi ea liʻiliʻi, e ʻūmiʻi ia. ʻO ia ke kumu e lohe ai ʻoe i kēlā leo ʻē a paʻakikī ke hanu. I kekahi manawa paʻa ka mucus i loko o nā māmā, a paʻakikī ke hoʻopuka i waho.

ʻIke pinepine ʻia kēia ʻano maʻi i nā pēpē hānau hou . Eia nō naʻe, hiki ke loaʻa i kekahi o kēlā me kēia makahiki. Hoʻomaka pinepine nā pēpē e ʻike i nā hōʻailona i ka wā he hoʻokahi a ʻelua mahina ko lākou mau makahiki. ʻO ka mea pōmaikaʻi, i ka wā e ulu nui ai ka hapa nui o nā pēpē, ma kahi o ʻekolu makahiki, e ikaika ana kēia cartilage a emi iho nā hōʻailona. Eia nō naʻe, i kekahi mau hihia koʻikoʻi, pono paha ke ʻoki kino .

Aia kekahi mau ʻano like ʻole o kēia ʻano?

ʻAe, aia ʻelua ʻano nui o ka tracheomalacia:

1. ʻO ka Tracheomalacia hānau

ʻO ke ʻano o "Congenital" ʻo ia hoʻi ke kū mai ka wā hānau. Hana ʻia kēia i ka wā ʻaʻole i ulu pono ke cartilage tracheal o ka pēpē i kona wā i loko o ka ʻōpū o ka makuahine. ʻO ia hoʻi, ua hānau ʻia ka pēpē me kēia pilikia.

2. Loaʻa ʻia ka Tracheomalacia

ʻO ke ʻano o "Loaʻa" ʻo ia hoʻi ke ʻano ma hope o ka hānau ʻana, no kekahi kumu ma hope o ke ola. Hiki ke hana ʻia kēia inā ua hōʻino ʻia ke ala ea, ua ʻeha, ua hana ʻia kekahi mau ʻoki kino, a i ʻole ua pili ʻia i kahi mīkini hanu (mechanical ventilation) no ka manawa lōʻihi. Hiki ke hana ʻia kēia i kēlā me kēia makahiki, akā ʻaʻole ia he mea maʻamau.

Loaʻa paha i kekahi poʻe ka nāwaliwali i nā ʻōmole liʻiliʻi (bronchi) e lālā ana mai ka ʻōpū makani i loko o nā māmā, me ka tracheomalacia. Ua kapa nā kauka i kēia ʻano he tracheobronchomalacia .

Pehea ka maʻamau o ka tracheomalacia?

He maʻi laha ʻole ka congenital tracheomalacia. Eia nō naʻe, ʻo ia ke kīnā congenital maʻamau o ka trachea. Ua manaʻo ʻia e hoʻopilikia ia ma kahi o 1 i loko o 2,100 mau keiki .

He mea kākaʻikahi ka loaʻa ʻana o ka tracheomalacia i loaʻa.

He aha nā hōʻailona o kēia? Ke hopohopo nei hoʻi ʻoe no kēia mau mea?

ʻO ka hōʻailona nui o ka tracheomalacia he leo haʻahaʻa a kiʻekiʻe (stridor) i ka wā e hanu ana. E noʻonoʻo, i ka wā e pau ai kāu pēpē i ka inu ʻana i ka waiū, a i ʻole i kona uē nui ʻana, hana ʻo ia i kahi leo haʻahaʻa, "keen...keen..." i ka wā e hanu ana. Pēlā nō ia.

Aia kekahi mau hōʻailona ʻē aʻe:

• Hoʻonui ʻia ka paʻakikī o ka hanu ʻana i ka wā e hānai ai i ka waiū, e uē ana, a i ʻole e ʻūhā ana.
• I kekahi manawa ua like me ka ʻū ʻana .
• ʻŪhū mau .
• ʻO ka cyanosis kahi e polū ai ka ʻili, nā lehelehe, a me nā kui ma muli o ka nele o ka oxygen. He hōʻailona weliweli iki kēia.
• Paʻakikī ke ale ʻana .
• Ka leo haʻahaʻa .
• Nā maʻi hanu pinepine e like me ka pneumonia a me ka bronchitis .
• Pōkole o ka hanu .
• He leo "rattling" a i ʻole ka wheezing e puka mai ana mai ka umauma mai i ka wā e hanu ana.

Inā loaʻa i kāu pēpē kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.

He aha nā kumu o ka tracheomalacia?

E like me kā mākou i wehewehe ai ma mua, aia ʻelua ʻano kumu:

Nā kumu o ka Congenital Tracheomalacia:

Hana ʻia kēia ke hana pono ʻole ʻia ke aʻalolo i loko o ke ala ea o ka pēpē i ka wā e ulu ana ke pēpē i loko o ka ʻōpū. ʻO ia hoʻi, ma kahi o ka lilo ʻana i ikaika, ulu lākou ma ke ʻano nāwaliwali a palupalu.

Nā kumu o ka Tracheomalacia i loaʻa:

Aia paha kekahi mau kumu no kēia:

• ʻO ka reflux acid reflux (GERD) ka reflux o ka waikawa o ka ʻōpū i loko o ka esophagus.
• Ka hōʻino ʻana i ke alaea. Hiki ke hana ʻia kēia mai ke ʻoki kino a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe.
• Nā maʻi puʻuwai e like me ka emphysema .
• ʻO ka Polychondritis, kahi maʻi mumū o ke cartilage o ka trachea.
• Ma hope o ke ʻoki ʻana e hoʻoponopono i kahi pilina maʻamau ma waena o ka esophagus (paipu meaʻai) a me ka windpipe (tracheoesophageal fistula).
• ʻO ka loaʻa ʻana o kahi tracheostomy (kahi paipu i hoʻokomo ʻia i loko o ka ʻōpū makani ma kahi lua ma ka ʻāʻī) a i ʻole ka loaʻa ʻana o kahi paipu hanu no ka manawa lōʻihi.
• Nā maʻi ʻōpū hanu kiʻekiʻe e like me ka bronchitis .

I kekahi manawa, hiki ke pili ka tracheomalacia me nā kūlana olakino ʻē aʻe. Eia kekahi laʻana:

• Nā lohi o ka hoʻomohala ʻana .
• ʻO ka maʻi ʻo Ehlers-Danlos (he ʻano genetic kēia e hoʻopilikia ai i nā ʻiʻo pili).
• Nā kīnā o ka puʻuwai .

He aha nā pilikia e hiki ai i kēia ke hana?

Inā ʻaʻole mālama pono ʻia ka tracheomalacia, hiki ke loaʻa kekahi mau pilikia. ʻO kēia mau mea:

• Ke ālai ʻia ʻana o ke ala ea . Hiki ke lilo i mea weliweli kēia.
• ʻO ka pneumonia aspiration : He ʻano pneumonia kēia e kū mai ana i ka wā e hanu ʻia ai kekahi mea, e like me ka meaʻai a mea inu paha, i loko o nā māmā ma o nā alaloa.
• Ka lohi o ka ulu ʻana o nā pēpē.
• Nā maʻi pinepine o ka ʻōpū hanu luna e lōʻihi ai ka manawa e ho'ōla ai.

No laila, inā loaʻa iā ʻoe nā hōʻailona, ​​​​he mea nui loa ia e ʻike i ke kauka me ka nānā ʻole ʻana iā lākou.

Pehea ʻoe e ʻike ai i kēia? (Diagnosis)

E hana mua ke kauka i kahi hoʻokolokolo kino iā ʻoe a i ʻole kāu pēpē a nīnau e pili ana i kāu mau hōʻailona. A laila, hiki ke hana ʻia kahi hoʻāʻo kūikawā e nānā i loko o kou ʻōpū hanu. Ua kapa ʻia kēia he laryngoscopy a i ʻole bronchoscopy . Pili kēia i ka hoʻouna ʻana i kahi ʻōmole lahilahi a hoʻomālamalama ʻia me kahi kāmela i hoʻopili ʻia ma kou waha a i ʻole ihu i lalo o kou puʻu e nānā i loko o kou ʻōpū hanu. Hiki i kēia ke kōkua iā ʻoe e ʻike inā nāwaliwali nā paia o kou ʻōpū hanu a inā kūlou lākou i loko ke hanu ʻoe.

Eia kekahi, pono paha ke kauka e hana i kekahi mau hoʻokolohua ʻē aʻe e hōʻoia i ka hōʻailona:

• ʻO ka fluoroscopy alaea : Ua like kēia me kahi X-ray e neʻe ana. Hiki iā ia ke ʻike pehea e hana ai nā alaea i kou hanu ʻana.
• Barium ale / Esophagram : He hoʻāʻo e nānā i nā pilikia me ka paipu meaʻai (esophagus).
• X-ray o ka umauma .
• ʻO ke kiʻi CT .
• Nā hoʻāʻo hana o ka māmā .
• ʻO ke kiʻi MRI .

ʻO kēia mau hoʻokolohua ka mea e hiki ai i ke kauka ke hoʻoholo pololei inā loaʻa ka tracheomalacia a pehea kona koʻikoʻi.

He aha nā lāʻau lapaʻau? Mai hopohopo, aia nā hoʻonā!

Aia kekahi mau koho lapaʻau no ka tracheomalacia. ʻO kekahi he ʻoki ʻole, ʻo kekahi he lāʻau lapaʻau, a i nā hihia koʻikoʻi, pono paha ke ʻoki ʻana. ʻO ka lāʻau lapaʻau maikaʻi loa nou a i ʻole kāu pēpē e hilinaʻi ʻia i ke ʻano a me ke koʻikoʻi o ke kūlana.

Nā lāʻau lapaʻau ʻoki ʻole

Kōkua kēia mau lāʻau lapaʻau i ka wehe ʻana o nā ala ea a hoʻomaʻemaʻe i ka mucus mai nā māmā.

• Ka hanu ʻana i ka ea pulu : ʻO ka hoʻohana ʻana i kahi humidifier ma ka home hiki ke hoʻohui i ka makū i ka lewa, e hoʻomāmā ana i ka mucus a e maʻalahi ai ka hanu ʻana.
• Ka hoʻōla kino o ka umauma : Hiki i ke kauka kino ke aʻo iā ʻoe i nā hoʻomaʻamaʻa hanu kūikawā a me nā ʻano hana e hiki ke kōkua i ka hoʻomaʻemaʻe ʻana i ka mucus mai kou mau māmā.
• Mīkini Hoʻomau i ka Manaʻo Holomua o ke Alanui Holomua (CPAP) : He mīkini kēia i hāʻawi ʻia i ka poʻe paʻakikī i ka hanu ʻana i ka wā hiamoe. Hoʻēmi ia i ke kūlou ʻana o ke ala ea i loko i ka wā hiamoe, e maʻalahi ai ka hanu ʻana.

Nā lāʻau lapaʻau

Hoʻohana nā kauka i nā ʻano lāʻau like ʻole e mālama ai i ka tracheomalacia:

• Inā loaʻa nā maʻi bacteria, mālama ʻia lākou me nā antibiotics .
• ʻO nā Bronchodilators (e like me nā inhalers i hoʻohana ʻia e ka poʻe me ka hānō) e hoʻomaha i nā ʻiʻo e kōkua iā ʻoe e hanu.
• Hoʻemi nā Corticosteroids i ka mumū.
• Nā lāʻau Mucolytic e hoʻomāmā i ka mucus.

ʻoki kino

I nā hihia koʻikoʻi loa o ka tracheomalacia, pono paha ke ʻoki kino. Aia kekahi mau koho no kēia:

• Aortopexy : Ma kēia kaʻina hana, hoʻoneʻe ke kauka lapaʻau i ka aorta, kahi kīʻaha koko nui, mai ka trachea a hoʻopili iā ia i ka iwi umauma. Pale kēia i ka trachea mai ke kūlou ʻana i loko.
• Ke kau ʻana i ka stent : Pili kēia i ke kau ʻana i kahi ʻōmole liʻiliʻi (stent) i loko o ka trachea e mālama iā ia i ka wehe.
• Tracheopexy : ʻO kēia ʻoki kino e pili ana i ka hoʻopili ʻana i kahi ʻāpana o ka trachea i kahi ʻano kokoke (e like me ka iwi umauma a i ʻole kahi ligament ma ke kuamoʻo). Mālama kēia i ka trachea e wehe a pale iā ia mai ka hiolo ʻana i loko.

Hiki ke pale ʻia ka tracheomalacia?

ʻAʻohe mea hiki iā mākou ke hana e hōʻemi i ka pilikia o ka loaʻa ʻana o ka tracheomalacia. No ka mea, ʻaʻole hiki iā mākou ke kaohi i nā kūlana hānau. ʻAʻole hiki ke wānana ʻia nā kumu i loaʻa i kekahi manawa. Eia nō naʻe, me ke kōkua o kāu kauka, hiki ke mālama maikaʻi ʻia kēia kūlana.

E ho'ōla ʻia anei kēia kūlana? Pehea ka manaʻo?

ʻO kēia ka mea nui loa.Hiki i nā poʻe he nui ke ola olakino me ka ʻole o nā pilikia ma hope o ka loaʻa ʻana o ka lāʻau no ka tracheomalacia.

ʻAʻole pono mau ka lāʻau lapaʻau. ʻO ka hapa nui o nā pēpē me ka tracheomalacia hānau e hoʻomaikaʻi iā lākou iho i ka piha ʻana o 3 mau makahiki. ʻO kēia no ka mea e ikaika ana ke cartilage i loko o ka trachea o ka pēpē i ka ulu ʻana o ka pēpē, a hoʻomaikaʻi pinepine nā hōʻailona. Eia nō naʻe, i kekahi mau hihia, pono paha ka pēpē i ka lāʻau lapaʻau a i ʻole ke ʻoki ʻana.

Pono e nānā pono ʻia ka poʻe me ka tracheomalacia, ʻoiai inā loaʻa iā lākou nā maʻi hanu. ʻOiai ke anu iki, hiki i kekahi manawa ke hoʻoulu i nā pilikia. E kuhikuhi kāu kauka i ka lāʻau lapaʻau a i ʻole ka lāʻau lapaʻau e kōkua i ka kaohi ʻana i kāu mau hōʻailona.

Āhea wau e ʻike ai i ke kauka?

Inā manaʻo ʻoe he mau hōʻailona ko kāu pēpē o ka tracheomalacia (e like me ke kuʻi pinepine ʻana, ka hanu ʻana, a i ʻole nā ​​​​maʻi hanu mau), e ʻike koke i ke kauka.

Hiki i ka Tracheomalacia ke hoʻoulu i ka hoʻomanawanui ʻole i ka hoʻoikaika kino a me nā maʻi hanu pinepine i nā pākeke. Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​e haʻi i kāu kauka i hiki iā ia ke nānā i ke kūlana a ʻōlelo i ka lāʻau kūpono.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke ʻike ʻoe ua loaʻa iā ʻoe a i ʻole kāu keiki ka tracheomalacia, eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• Pehea ka ʻino o kēia kūlana?
• He aha ke kumu o kēia maʻi? (He maʻi hānau ʻia a i loaʻa paha?)
• He aha nā lāʻau lapaʻau āu e paipai nei?
• E pono anei ke ʻoki kino?
• He aha kaʻu e hana ai ma ka home e hōʻemi i nā hōʻailona?
• Pehea ka wikiwiki e hoʻomaka ai ka lāʻau lapaʻau?

ʻO ka nīnau ʻana i kēia mau nīnau e kōkua iā ʻoe e hoʻomaopopo maikaʻi i ke kūlana a e ʻike pono i nā hana e hiki mai ana.

Nā kūlana ʻē aʻe e pili ana me ka tracheomalacia

I kekahi manawa hiki ke huikau me nā kūlana ʻē aʻe i loaʻa nā hōʻailona like me ka tracheomalacia. ʻElua mau kūlana nui penei:

• Laryngomalacia : He nāwaliwali kēia o nā ʻiʻo ma luna o ka pahu leo. Aia ka pahu leo ​​ma luna o ka ʻōpū hanu.
• Tracheobronchomalacia : He kūlana kēia kahi i loaʻa ai ka nāwaliwali o ka bronchi, nā ʻōmole e alakaʻi ana mai ka ʻōpū hanu a i nā māmā. Hiki i kekahi poʻe me ka tracheomalacia ke loaʻa i kēia kūlana.

ʻO ke kauka ke hiki ke hoʻokaʻawale pololei ma waena o kēia mau kūlana a hāʻawi i ka hōʻoia pololei.

ʻO ka mea hope loa, ʻo ka mea nui loa (Leka Lawe-Home)

He mea maʻamau ke makaʻu nui i ka wā e ʻike ai ʻoe ua loaʻa i kāu pēpē ka tracheomalacia. Hiki i kou puʻuwai ke holo wikiwiki i kēlā me kēia manawa e uē ai kāu pēpē a ʻū paha. A i ʻole ua loaʻa paha iā ʻoe ke ʻano ma hope o kahi ulia.

Akā e hoʻomanaʻo, ʻaʻole maʻamau ka tracheomalacia he maʻi koʻikoʻi. ʻOiai i nā hihia koʻikoʻi, pane maikaʻi ia i ka lāʻau.

ʻO ka mea nui loa, ʻo ia ke kamaʻilio mau me kāu kauka. Inā loaʻa iā ʻoe kekahi mau hōʻailona hou a i ʻole inā e ʻoi aʻe ka ʻino o kāu mau hōʻailona, ​​e haʻi koke aku i kāu kauka. A laila hiki iā ia ke haʻi iā ʻoe i ke ʻano o ke kūlana a me ke ʻano o ka lāʻau e kōkua ai. Mai hopohopo, hiki iā ʻoe ke lanakila ma luna o kēia kūlana me ka ʻōlelo aʻoaʻo lapaʻau kūpono a me ka lāʻau lapaʻau!

ʻO Tracheomalacia, trachea, nā pilikia hanu, nā maʻi pēpē, stridor, cyanosis, cartilage