Yu pikin gɛt prɔblɛm fɔ blo? Yu tink se in nos de fil lɛk se i dɔn stɔp? Mek wi lan bɔt Choanal Atresia

Yu dɔn ɛva notis smɔl difrɛns pan di we aw yu pikin we yu jɔs bɔn de blo we yu de luk am? Sɔntɛm i kin blo fayn we i de kray, bɔt we i de slip ɛn kol, i kin tan lɛk se i gɛt smɔl prɔblɛm fɔ blo tru in nos? Ɔ i kin stɔp fɔ gi pikin in bɛlɛ bikɔs i kin kɔntinyu fɔ opin in mɔt fɔ blo? Na nɔmal tin fɔ mek mama ɔ papa fred smɔl we dɛn si tin dɛn lɛk dis. Tide wi go tɔk bɔt wan sik we dɛn bɔn wit we kin mek pɔsin gɛt di sem kayn sik, bɔt dɛn nɔ no am bɛtɛ. Dat na `Choanal Atresia`.

Fɔ tɔk am simpul wan, wetin na Choanal Atresia?

Choanal Atresia (dεn kin kכl am: ko-a-nal atre-sia) na wan kכndyushכn we dεn bכn pikin wit blכk na di bak pat na in nos, usay i kin kכnekt to dεn trot (dεn kכl am choana), bay wan pat pan mεmbran כ bon. Tink bɔt di nos lɛk tu chɛmba dɛn, ɛn tu domɔt dɛn de biɛn ɛni chɛmba we dɛn blok. dis blכ k kin kכz fכ bon, כ bay we di bon εn sכft tisu kam togεda.

dis kכndyushכn kin afekt jכs wan pan di pikin in nos (`Unilateral`) כ כl tu di nos dεm (`Bilateral`). Aw i siriɔs ɛn aw dɛn nid tritmɛnt kwik kwik wan de dipen pan if di blɔk de na wan say ɔ ɔl tu di say dɛn, ɛn aw fa i de.

Wetin na di tu men kayn Choanal Atresia?

Lɛ wi ɔndastand klia wan di tu men kayn dis. I go izi fɔ yu if yu luk am na tebul.

Choanal atresia kin apin pan lɛk 1 pan ɛvri 7,000 pikin dɛn we dɛn bɔn. pan dεn wan ya, pas 60% na wan say. I kin apin tu tɛm bak pan gyal pikin dɛn pas bɔy pikin dɛn.

Wetin na di sayn dɛm fɔ dis sik?

Di sayn dɛm kin difrɛn difrɛn wan fɔ di tu kayn wae wi bin dɔn tɔk bɔt.

If di tu say dεm na di nos dכn blכk (Bilateral Choanal Atresia) .

Dɔktɔ dɛn kin si dɛn sayn ya jɔs afta dɛn bɔn di pikin.

• I kin tranga fɔ blo bad bad wan: Di pikin kin strɛs fɔ blo we i nɔ de kray.
• blu skin εn lip dεm (`Cyanosis`): di pikin in skin, lip dεm, εn finga nεl dεm de bigin fכ tכn blu biכs di bכdi nכ de gεt inof כksijεn.
• Fɔ brith nɔmɔ we i de kray: Bikɔs di pikin kin opin in mɔt nɔmɔ we i de kray, na da tɛm de nɔmɔ i kin blo, ɛn di blu we di skin gɛt kin go dɔŋ ɛn i kin bi pink. We di kray stɔp, i kin at fɔ blo bak ɛn i kin tɔn blu.

If na wan say nɔmɔ na di nos dɔn blok (Unilateral Choanal Atresia) .

Bikɔs dɛn sik ya nɔ kin so klia, yu nɔ kin notis dɛn te afta yu briŋ yu pikin kam na os. Yu nɔ go ivin notis dɛn te afta sɔm ia.

• Nɔr de rεst we i de gi in mama in bɛlɛ: Di pikin nid fɔ blo tru in nos we i de gi in mama in bɛlɛ. Bikɔs wan say dɔn blok, i nɔ kin izi fɔ blo ɛn di pikin kin stɔp fɔ gi in bɛlɛ ɛn opin in mɔt. dis kin mek di pikin rili rεst εn i nכ kin ebul fכ sכk fayn fayn wan.
• Kɔntinyu fɔ rɔn na di nos na wan say: If yu pikin in nos kɔntinyu fɔ rɔn na wan say nɔmɔ fɔ no rizin, we nɔ gɛt kol, dat na di men ɛn kɔmɔn sayn fɔ dis sik.
• Fɔ sink insay we yu de kray:We di pikin nɔ de kray, i kin tan lɛk se di chɛst de sink insay as i de tray tranga wan fɔ blo.
• Kronik saynsaytis: If yu dɔn ol smɔl, yu kin gɛt sayn infɛkshɔn bɔku tɛm bikɔs ɔf di mכkus we de bɔku na wan say na yu nos.

Wetin mek dis de apin? Wetin na di rizin?

Dɛn nɔr no yet di rayt tin we kin mek dis sik kam. Bɔt di dɔktɔ dɛn biliv se we di pikin bigin fɔ gro na di bɛlɛ, wan mɛmbran de we de sheb di nos ɛn di mɔt. nכmal wan, dis mεmbran de sכlv insεf we di pikin de gro. כltu, insay sכm pikin dεm, dis mεmbran de stil de εn de stil de, we dεn kכl `Choanal Atresia`.

Ɔda tin dɛn we gɛt fɔ du wit dis

lεk af pan di pikin dεm we gεt Choanal Atresia gεt כda jεnεtik sik dεm כ kכmplikεshכn dεm we dεn bכn. Pan ɔl wae dɛn nɔr no gud gud wan wetin mek, dis sik kin apin bɔrku tɛm togɛda wit ɔda sik dɛm.

Pan dɛn tin ya, dɛn tin ya we impɔtant pas ɔl:

• CHARGE syndrome: Na lɛk 60% pan di pikin dɛn we gɛt baylatarɛl nos ɔbstrɔkshɔn gɛt CHARGE sindrom.
• `Tricha Kɔlins sindrom`
• `Krɔzɔn sindrom`
• `Pfeiffer sindrom`

yu kin si Choanal Atresia wit ɔda jεnεtik kכndishכn dεm lεk dis. So, di dɔktɔ go chɛk fɔ dis bak.

Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?

Ɛspɛshali we blok de na wan say, if yu nɔ no bɔt am, dat kin mek di tritmɛnt delay. Dis kin gɛt ɛfɛkt fɔ lɔng tɛm.

• Infεkshכn na di yes כltεm: Bikɔs kכnεkshכn de bitwin di nos εn di yes, we wan say na di nos de blok כltεm εn fulכp wit mכkus, i kin afekt di yes εn mek yu yes infεkshכn bכku tεm.
• Yu nɔ de yɛri fayn: If yu gɛt infɛkshɔn fɔ lɔng tɛm na yu yes, i kin pwɛl di yes ɛn as tɛm de go, i kin mek yu nɔ yɛri fayn.
• Aspiration: Risk de fɔ mek yu aspir milk ɔ it na di say we yu de blo, mɔ bikɔs i nɔ izi fɔ blo we yu de gi pikin in bɛlɛ.

Bikɔs ɔf dɛn bad tin ya, di dɔktɔ go tɛl yu fɔ trit am di rayt tɛm.

Aw fɔ no dis sik?

di pikin we in nos blok na di tu say, dεn kin no di sik we dεn bכn am na כspitul. Bɔt we wan say blok, dɛn kin nid fɔ du tɛst fɔ no if i gɛt am.

1. Tεst fכ brith: di dכkta go ol wan sכmכl glas nia di pikin in nos εn chεk fכ si if stim de kכmכt pan am. If stim nɔ de kɔmɔt na wan say, i kin sho se da say de dɔn blok.

2. CT skan we dɛn kin du:Dis na wetin rili mek di difrɛns. I tan lɛk se yu tek 3D pikchɔ fɔ di insay pat na yu nos. I kin si klia wan usay di blɔk de, if na bon ɔ mɛmbran, ɛn aw i tik.

3. Nasal endoscopy: Dis we ya de yuz tyub wit wan rili fayn kamɛra we dɛn put insay di nos ɛn mek di dɔktɔ ebul fɔ si di insay pat pan di nos dairekt pan skrin.

di mεdikal tim de mek sכh se di pikin de blo fayn we dεn de du dεn tεst dεm ya, so nכ risk de fכ di pikin.

Aw dɛn kin trit am?

Di wangren tritmɛnt we go de sote go fɔ Choanal Atresia na ɔpreshɔn.

• If di tu say dεm na di nos blכk: di pikin go nid כpεrayshכn kwik kwik wan.
• If wan say na di nos blok: If di pikin nɔ gɛt siriɔs briz ɔ it prɔblɛm, di dɔktɔ kin disayd fɔ put di ɔpreshɔn bifo te di pikin big smɔl.

Ɔpreshɔn

Ɔpreshɔn involv fɔ pul di bon ɔ mɛmbran we dɔn blɔk ɛn alaynɛd ​​di say we di briz de blo bak so dat i go kɔntinyu fɔ blo. dis kin bi tru di nos (transnasal) כ tru di palata (transpalatal).

sכm tεm dεm, dεn kin put sכm sכm tכb (wan `stεnt`) tru di nyu pasεj we dεn kכl afta dεn כpεrayshכn fכ mek i nכ kכloz igen. Dɛn kin pul dis tiub bak afta sɔm mɔnt tru smɔl ɔpreshɔn. Dɛn kin du dis ɔpreshɔn ɔnda ful anestezi, so di pikin nɔ kin fil ɛni pen.

Manejmɛnt na os

If yu pikin gɛt wan say we de ambɔg am ɛn di dɔktɔ disayd fɔ put di ɔpreshɔn bifo tɛm, i go gi yu instrɔkshɔn bɔt aw fɔ kɔntrol di sayn dɛn na os. Fɔ ɛgzampul, dɛn kin tɛl yu fɔ yuz salin drɔp fɔ mek yu nos klia.

Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ

We yu kam fɔ no se yu pikin gɛt dis sik, i nɔmal fɔ mek yu gɛt bɔku kwɛstyɔn dɛn na yu maynd. Nɔ fred fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya.

• "Dɔkta, mi pikin in nos dɔn blok na wan say ɔ ɔl tu di say dɛn?"
• "Dis kɔndishɔn gɛt fɔ du wit ɔda sik lɛk `CHARGE syndrome`?"
• "Ustɛm di pikin go gɛt fɔ gɛt ɔpreshɔn?"
• "Us kayn ɔpreshɔn di dɔktɔ rikɔmɛnd?"
• "Aw wi go no fo sho se di opareshon bin saksesful?"

Fɔ no se yu pikin gɛt Choanal Atresia, mɔ if i nɔ izi fɔ blo we dɛn bɔn am, dat kin mek mama ɛn papa dɛn fred bad bad wan. Bɔt mɛmba se dɛn kin trit dis sik fayn fayn wan if dɛn du ɔpreshɔn pan am. Afta dɛn dɔn du di ɔpreshɔn, bɔku pan di pikin dɛn kin wɛl ɛn dɛn kin blo witout ɛni prɔblɛm ɔlsay na dɛn layf. So, if yu ivin tink se yu pikin gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm fɔ mek dɛn chɛk am.