Koj tus menyuam puas muaj teeb meem ua pa? Nws lub qhov ntswg puas zoo li txhaws? Cia peb kawm txog Choanal Atresia

Koj puas tau pom qhov txawv me ntsis ntawm txoj kev uas koj tus menyuam mos ua pa thaum koj tab tom ntsia nws? Tej zaum nws ua pa zoo thaum nws quaj, tab sis thaum nws pw tsaug zog thiab nyob twj ywm, nws puas zoo li muaj teeb meem me ntsis ua pa los ntawm nws lub qhov ntswg? Los yog nws puas tsum tsis pub niam mis vim nws pheej qhib nws lub qhov ncauj ua pa? Nws yog ib txwm rau niam lossis txiv yuav ntshai me ntsis thaum lawv pom tej yam zoo li no. Hnub no peb yuav tham txog ib qho mob uas yug los uas tuaj yeem ua rau muaj cov tsos mob zoo sib xws, tab sis tsis paub zoo. Ntawd yog 'Choanal Atresia'.

Hais yooj yim xwb, Choanal Atresia yog dab tsi?

Choanal Atresia (hais tias: ko-a-nal atre-sia) yog ib qho mob uas tus menyuam yug los muaj ib qho kev txhaws hauv qab ntawm lawv lub qhov ntswg, qhov chaw uas nws txuas rau lawv lub caj pas (hu ua choana), los ntawm ib daim ntawm daim nyias nyias lossis pob txha. Xav txog lub qhov ntswg zoo li ob chav, nrog ob lub qhov rooj tom qab ntawm txhua chav raug thaiv. Qhov kev txhaws no tuaj yeem tshwm sim los ntawm pob txha, lossis los ntawm kev sib xyaw ua ke ntawm pob txha thiab cov nqaij mos.

Qhov mob no tsuas yog cuam tshuam rau ib sab ntawm tus menyuam lub qhov ntswg xwb ('Uilateral') lossis ob sab ntawm lub qhov ntswg ('Bilateral'). Nws loj npaum li cas thiab yuav tsum tau kho sai npaum li cas nyob ntawm seb qhov txhaws puas yog nyob rau ib sab lossis ob sab, thiab nws nyob deb npaum li cas.

Ob hom Choanal Atresia tseem ceeb yog dab tsi?

Cia peb nkag siab meej txog ob hom tseem ceeb ntawm qhov no. Nws yuav yooj yim dua rau koj yog tias koj saib nws hauv lub rooj.

Choanal atresia tshwm sim rau kwv yees li 1 ntawm 7,000 tus menyuam yug los. Ntawm cov no, ntau dua 60% yog ib sab ntawm lub cev. Nws kuj tseem muaj ob npaug ntawm cov ntxhais dua li cov tub hluas.

Cov tsos mob ntawm tus mob no yog dab tsi?

Cov tsos mob sib txawv nyob ntawm ob hom uas peb tau tham ua ntej.

Yog tias ob sab ntawm lub qhov ntswg raug thaiv (Bilateral Choanal Atresia)

Cov kws kho mob tuaj yeem pom cov tsos mob no sai li sai tau thaum tus menyuam yug los.

• Ua pa nyuaj heev: Tus me nyuam ua pa nyuaj thaum nws tsis quaj.
• Tawv nqaij thiab daim di ncauj xiav ('Cyanosis'): Tus menyuam daim tawv nqaij, daim di ncauj, thiab cov rau tes pib tig xiav vim tias lub cev tsis tau txais oxygen txaus.
• Ua pa thaum quaj xwb: Vim tias tus me nyuam qhib nws lub qhov ncauj thaum nws quaj xwb, nws tsuas ua pa thaum ntawd xwb, thiab daim tawv nqaij xiav zuj zus thiab hloov mus ua xim liab. Thaum quaj tsis tseg, nws yuav nyuaj rau ua pa dua thiab nws hloov mus ua xim xiav.

Yog tias tsuas yog ib sab ntawm lub qhov ntswg raug thaiv (Unilateral Choanal Atresia)

Vim tias cov tsos mob no tsis pom tseeb heev, koj yuav tsis pom lawv txog thaum koj coj koj tus menyuam los tsev. Tej zaum koj yuav tsis pom lawv txog thaum ntau xyoo tom qab.

• Tsis nyob twj ywm thaum pub niam mis: Tus menyuam yuav tsum ua pa los ntawm nws lub qhov ntswg thaum nws pub niam mis. Vim tias ib sab raug thaiv, nws nyuaj rau ua pa thiab tus menyuam tsis pub niam mis thiab qhib nws lub qhov ncauj. Qhov no tuaj yeem ua rau tus menyuam tsis nyob twj ywm thiab tsis tuaj yeem nqus tau zoo.
• Qhov ntswg ntws tas li ntawm ib sab: Yog tias koj tus menyuam lub qhov ntswg tseem ntws ib sab xwb yam tsis muaj laj thawj pom tseeb, yam tsis muaj mob khaub thuas, qhov ntawd yog cov tsos mob tseem ceeb thiab feem ntau ntawm tus mob no.
• Thaum quaj, nws poob rau hauv lub siab:Thaum tus me nyuam tsis quaj, lub hauv siab zoo li nkag mus rau hauv thaum nws ua pa nyuaj.
• Mob sinusitis ntev: Yog tias koj laus me ntsis, koj yuav muaj mob sinusitis ntau zaus vim muaj cov hnoos qeev nyob rau ib sab ntawm koj lub qhov ntswg.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Qhov ua rau muaj tus mob no tseem tsis tau paub meej. Txawm li cas los xij, cov kws kho mob ntseeg tias thaum lub sijhawm pib ntawm kev loj hlob ntawm tus menyuam hauv plab, muaj ib daim nyias nyias uas cais lub qhov ntswg thiab qhov ncauj. Feem ntau, daim nyias nyias no yaj ntawm nws tus kheej thaum tus menyuam loj hlob. Txawm li cas los xij, rau qee tus menyuam mos, daim nyias nyias no tseem nyob thiab tseem nyob, uas hu ua 'Choanal Atresia'.

Lwm yam mob ntsig txog

Kwv yees li ib nrab ntawm cov menyuam mos uas muaj Choanal Atresia muaj lwm yam kab mob caj ces lossis teeb meem thaum yug los. Txawm hais tias tsis paub meej tias yog vim li cas los xij, qhov mob no feem ntau tshwm sim ua ke nrog lwm yam mob.

Ntawm lawv, cov hauv qab no yog qhov tseem ceeb tshaj plaws:

• Kab mob CHARGE: Kwv yees li 60% ntawm cov menyuam mos uas muaj ob sab qhov ntswg txhaws muaj kab mob CHARGE.
• 'Treacher Collins syndrome'
• 'Crouzon syndrome'
• Pfeiffer syndrome

Choanal Atresia tuaj yeem pom nrog lwm yam mob caj ces zoo li no. Yog li ntawd, tus kws kho mob yuav kuaj xyuas qhov no thiab.

Yog tsis kho ces yuav muaj teeb meem dab tsi tshwm sim?

Tshwj xeeb tshaj yog thaum muaj ib sab pob txha txhaws, yog tsis paub txog qhov ntawd ces yuav ua rau kev kho mob qeeb. Qhov no yuav muaj tej yam tshwm sim mus sij hawm ntev.

• Kab mob pob ntseg ntau zaus: Vim tias muaj kev sib txuas ntawm lub qhov ntswg thiab pob ntseg, thaum ib sab ntawm lub qhov ntswg raug thaiv tas li thiab puv nrog cov hnoos qeev, nws tuaj yeem cuam tshuam rau pob ntseg thiab ua rau muaj kab mob pob ntseg ntau zaus.
• Kev tsis hnov ​​lus: Kev kis kab mob pob ntseg mus sij hawm ntev tuaj yeem ua rau pob ntseg puas tsuaj thiab, dhau sij hawm, ua rau tsis hnov ​​lus.
• Kev Nqus Pa: Muaj kev pheej hmoo ntawm kev nqus mis lossis zaub mov mus rau hauv txoj hlab pa, tshwj xeeb tshaj yog vim ua pa nyuaj thaum pub niam mis.

Vim yog cov kev pheej hmoo no, tus kws kho mob yuav pom zoo kom kho mob rau lub sijhawm tsim nyog tshaj plaws.

Yuav paub qhov mob no li cas?

Feem ntau, thaum yug los, tus menyuam mos uas muaj qhov ntswg txhaws ob sab, yuav kuaj pom tias muaj qhov ntswg txhaws. Txawm li cas los xij, thaum muaj qhov ntswg txhaws ib sab, yuav tsum tau kuaj mob kom paub tseeb tias muaj qhov ntswg txhaws.

1. Kev kuaj ua pa: Tus kws kho mob yuav tuav ib daim iav me me ze ntawm tus menyuam lub qhov ntswg thiab xyuas seb puas muaj pa tawm los ntawm nws. Yog tias pa tsis tawm ntawm ib sab, nws yuav qhia tau tias muaj kev txhaws ntawm sab ntawd.

2. Kev thaij duab CT:Qhov no yog qhov ua rau muaj qhov sib txawv tiag tiag. Zoo li thaij duab 3D ntawm sab hauv koj lub qhov ntswg. Nws tuaj yeem pom tseeb tias qhov txhaws nyob qhov twg, seb nws yog pob txha lossis daim nyias nyias, thiab nws tuab npaum li cas.

3. Kev siv lub tshuab tsom qhov ntswg los soj ntsuam qhov ntswg: Txoj kev no siv ib lub raj uas muaj lub koob yees duab me me ntxig rau hauv lub qhov ntswg thiab cia tus kws kho mob saib sab hauv ntawm lub qhov ntswg ncaj qha rau ntawm lub vijtsam.

Cov kws kho mob ua kom ntseeg tau tias tus menyuam ua pa tau zoo thaum lub sijhawm kuaj mob no, yog li ntawd tsis muaj kev pheej hmoo rau tus menyuam.

Yuav kho li cas?

Tib txoj kev kho mob mus tas li rau Choanal Atresia yog phais.

• Yog tias ob sab ntawm lub qhov ntswg raug thaiv: Tus menyuam yuav tsum tau phais sai li sai tau.
• Yog tias ib sab ntawm lub qhov ntswg raug thaiv: Tshwj tsis yog tias tus menyuam muaj teeb meem ua pa hnyav lossis noj mov tsis tau zoo, tus kws kho mob yuav txiav txim siab ncua qhov kev phais kom txog thaum tus menyuam loj me ntsis.

Kev phais mob

Kev phais mob suav nrog kev tshem tawm cov pob txha lossis daim nyias nyias uas raug thaiv thiab kho txoj hlab pa kom rov ua pa tau. Qhov no tuaj yeem ua tau los ntawm lub qhov ntswg (transnasal) lossis los ntawm lub qhov ncauj (transpalatal).

Muaj tej lub sij hawm, yuav muab ib lub raj me me (lub 'stent') tso rau hauv qhov chaw tshiab uas tau tsim tom qab phais kom nws tsis txhob kaw dua. Lub raj no raug tshem tawm dua tom qab ob peb lub hlis los ntawm kev phais me me. Kev phais no ua tiav nrog kev siv tshuaj loog tag nrho, yog li tus menyuam tsis hnov ​​mob dab tsi.

Kev tswj hwm hauv tsev

Yog tias koj tus menyuam muaj qhov txhaws ib sab thiab tus kws kho mob txiav txim siab ncua kev phais, nws yuav muab cov lus qhia rau koj txog kev tswj cov tsos mob hauv tsev. Piv txwv li, koj yuav raug qhia kom siv cov tshuaj saline kom lub qhov ntswg ntshiab.

Cov lus nug uas yuav tsum nug koj tus kws kho mob

Thaum koj pom tias koj tus menyuam muaj tus mob no, nws yog ib qho ib txwm muaj ntau cov lus nug hauv koj lub siab. Tsis txhob ntshai nug koj tus kws kho mob cov lus nug no.

• "Kws kho mob, kuv tus menyuam lub qhov ntswg puas raug thaiv ib sab lossis ob sab?"
• "Tus mob no puas muaj feem cuam tshuam nrog lwm yam kab mob zoo li 'CHARGE syndrome'?"
• "Thaum twg tus me nyuam yuav tau phais?"
• Tus kws kho mob pom zoo kom phais hom twg?
• "Peb paub tseeb li cas tias qhov kev phais tau ua tiav?"

Kev nrhiav pom tias koj tus menyuam muaj Choanal Atresia, tshwj xeeb tshaj yog tias lawv muaj teeb meem ua pa thaum yug los, tuaj yeem ua rau cov niam txiv ntshai heev. Tab sis nco ntsoov, qhov mob no tuaj yeem kho tau zoo los ntawm kev phais. Tom qab phais, feem ntau cov menyuam mos rov zoo thiab ua pa yam tsis muaj teeb meem thoob plaws lawv lub neej. Yog li ntawd, yog tias koj muaj kev xav tias koj tus menyuam muaj cov tsos mob no, mus ntsib kws kho mob tam sim ntawd kom kuaj xyuas.