I nɔ izi fɔ blo ɛn swɛt (Subglottic Stenosis): Lɛ wi tɔk bɔt dis!

Sɔntɛnde, yu smɔl pikin kin mek wispa sawnd we dɛn de blo? Ɔ sɔntɛnde yu kin si se i nɔ kin izi fɔ yu fɔ blo fɔ natin, ɛn yu kin fil lɛk se yu chɛst dɔn kɔnstrikt? Pan ɔl we bɔku pipul dɛn kin tink se dis na nɔmal tin, sɔntɛnde i kin bi sayn fɔ sɔntin we dɛn fɔ wɔri bɔt. Tide wi go tɔk bɔt wan pan dɛn kayn tin ya we nɔ kin apin so ɔltɛm bɔt we rili impɔtant. Dɛn kɔl am Subglottic Stenosis. Pan ɔl we di nem kin tan lɛk se i de mek pɔsin fred smɔl, lɛ wi kip am simpul.

Wetin na Sabglotik Stɛnɔsis?

Fɔ tɔk am simpul wan, Subglottic Stenosis na we di ɔpa pat pan wi winda paip (trachea), we na di brɔnchi . Dis de jɔs dɔŋ wi vɔkal kɔd dɛn. as di nem sho, "Subglottic" min dכn di vokal kכd dεm. "Stenosis" min fɔ smɔl smɔl.

Di bɛst we fɔ ɔndastand dis na wit di ɛgzampul bɔt wan straw we yu de drink. Imajin se yu de drink wata frɔm straw we yu de drink. We di straw opin big wan, yu kin tek wan sip wata izi wan. Bɔt wetin go apin if yu tay di straw smɔl ɛn mek i smɔl? Di wata we de kɔmɔt de go dɔŋ. If yu tayt am mɔ, di wata we de kɔmɔt kin go dɔŋ bad bad wan, ɛn sɔntɛnde di smɔl wata we kin kɔmɔt kin bigin fɔ kɔmɔt wit nɔys. Na dat kin apin na dis sityueshɔn bak. we di say we di briz de blo smɔl, di briz we de go insay di lכng dεm de dכn. Dis kin mek i nɔ izi fɔ blo ɛn mek yu yɛri sawnd.

Yu tink se dis tin we kin apin kin apin?

Nɔ, dis na rili sik we nɔ kin apin so ɔltɛm . I kin afɛkt lɛk wan pan ɛvri fɔr ɔndrɛd tawzin (400,000) pipul dɛm. So bɔku pipul dɛn nɔ go dɔn yɛri bɔt am. Bɔt if yu ɔ yu pikin gɛt dɛn sik ya, i impɔtant fɔ no bɔt am.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Dɛn sayn ya kin bi smɔl, smɔl, ɔr siriɔs, i kin dipen pan aw di say we di briz de blo smɔl. Lɛ wi luk aw dɛn sik ya kin difrɛn pan yɔŋ pikin ɛn big pipul dɛm.

Wetin mek dis de apin? Wetin na di rizin dɛn?

difrεn tin dεm kin de fכ di sכbglot stεnosis. Sɔntɛnde, dɛn nɔ kin ebul fɔ fɛn ɛni rizin.

• Congenital Subglottic Stenosis: dεn kin bכn sכm pikin dεm wit wan sכm sכm we dεn de blo. Bɔrku tɛm dis kin sho sɔm sayn dɛm jɔs afta dɛn bɔn am.

• Acquired Subglottic Stenosis: Dis na di sik we kin apin pas ɔl . I min se di say we di briz de blo kin smɔl afta dɛn bɔn am fɔ sɔm rizin. Dis kin bi bikɔs ɔf:
• Fɔ de pan ventilator fɔ lɔng tɛm: Dɛn kin put intubate pan pɔsin we rili sik ɛn kɔnɛkt am to ventilator fɔ ɛp am fɔ blo. If dɛn gɛt fɔ de na ventilatɔ fɔ pas tu wiks, di tiub kin pwɛl di dilik layn na di say dɛn we dɛn kin blo, ɛn dis kin mek di ska tisu dɛn fɔm ɛn smɔl di say dɛn we dɛn kin blo as dɛn de wɛl.
• Injury to di respiratory tract: If yu wund bad bad wan na yu nɛk ɔ yu chɛst, i kin pwɛl di respiratory tract.
• Sɔm mεdikal kכndyushכn dεm: Di כtoimyun dizכrd dεm we nכ kin bכku כ kכndishכn dεm lεk vaskulεt kin mek yu swel εn ska tisu na di aywe dεm, we kin mek dεn sכmtεm sכmtεm.

• Idiopathic Subglottic Stenosis: Sɔmtɛm, mɔ pan big pipul dɛm, dɛn nɔ kin fɛn klia kɔz fɔ dis sik. I kin mɔna uman dɛn we ol bitwin 30 ɛn 60 ia .

Aw dɔktɔ kin no bɔt dis sik?

We yu tɛl yu dɔktɔ bɔt dɛn sik ya, i go du yu bɔdi ɛgzam. I go aks yu bɔt yu mɛdikal istri ɛn di sayn dɛm we yu gɛt. If dɛn tink se yu gɛt sɔbglotik stenɔsis, i go mɔs bi se i go sɛn yu to spɛshal pɔsin we sabi bɔt yu yes, nos, ɛn trot (ENT spɛshal ɔ otolaryngologist) . Di spɛshal pɔsin kin du sɔm tɛst fɔ no if pɔsin gɛt di sik.

Wetin na di tritmɛnt dɛn?

Bikɔs dis na tin we nɔ kin apin so ɔltɛm, no wan saiz tritmɛnt nɔ de fɔ ɔlman. Di tritmɛnt kin dipen pan tin dɛm lɛk di pɔrsin in ej, aw de sik tranga, ɛn de kɔz.

Fɔ di kɔndishɔn dɛn we nɔ gɛt bɛtɛ trɛnk

If di sik nɔ tu bad, we min se di say we yu de blo dɔn smɔl smɔl, yu dɔktɔ nɔ go trit yu wantɛm wantɛm, bɔt i go kɔntinyu fɔ wach yu . Dis min se yu fɔ de chɛk yu ɔltɛm fɔ si if yu sik de wɔs.

Mɔ advans tritmɛnt dɛn

• Sterɔyd Injɛkshɔn dɛn:Dɛn kin yuz dis as fɔs layn tritmɛnt. insay dis, dεn kin numb di nεk εn di aywe wit lokal anεsthεsia, εn dεn kin gi stεroyd injεkshכn tru di nεk insay di aywe we sכm. Dis kin ɛp fɔ ridyus di swel ɛn ska tisu. Dɛn kin gi dis siriɔs injɛkshɔn ɛvri 4-6 wik.

• Ɔpreshɔn: If di sik bad ɔ ɔda tritmɛnt dɛn nɔ wok, i kin nid fɔ du ɔpreshɔn. Difrɛn we dɛn de fɔ du ɔpreshɔn.
• εndoskopik Dilayshכn: insay dis, dεn de put wan sכmכl balכn insay di εria we sכmtεm we dεn de yuz εndoskop εn inflate am fכ mek di εria big. Bɔt dis nɔto sɔlv we go de sote go bɔku tɛm. Di narrowing kin kam bak as tɛm de go, so di prosidur kin nid fɔ ripit.
• Krikotrakial Risekshɔn: Dis na ɔpreshɔn we kɔmpleks pas ɔl. insay dis, dεn kin kכt di pat we sכm dכn di vכkal kכd dεm kכmplit wan εn pul am, εn di rεst tu pat dεm we gεt hεlth kin kכnεkt bak. Bɔku tɛm dis kin mek pɔsin gɛt mɛrɛsin fɔ ɔltɛm.
• εndoskopik Laryngotracheoplasty: insay dis כpεrayshכn, dεn kin transplant di pat dεm pan di kכtilaj we dεn tek frכm כda pat pan di sikman in bכdi (e.g., wan rib) insay di εria we sכm fכ mek di aywe big. Dɛn kin kɔl dis bak Laryngotracheal Reconstruction.

Wetin kin apin afta dɛn dɔn trit am?

Bɔrku tɛm, if dɛn trit dis sik kwik kwik wan ɛn fayn, dɛn kin kɔntrol dis sik fayn fayn wan, ɛn sɔmtɛm dɛn kin ivin wɛl. Bɔt di tin we impɔtant pas ɔl fɔ mɛmba na dat sɔntɛnde dis sik kin kam bak . If dis kin apin, i rili impɔtant fɔ go to tritmɛnt bak bifo di sik wɔs.

Ustɛm a fɔ go to di dɔktɔ?

If yu ɔ yu pikin dɔn gɛt tritmɛnt fɔ Subglottic Stenosis ɛn yu notis se sɔm sayn dɛm lɛk fɔ blo ɛn fɔ swɛt (stridor) de apin bak, nɔ delay ɛn go to yu dɔktɔ wantɛm wantɛm. If yu no di sik kwik kwik wan, dat kin ɛp fɔ kɔntrol di sik bifo i wɔs. Dɔn bak, if yu fɔs notis dɛn sik ya, i impɔtant fɔ go to dɔktɔ pas fɔ ignore dɛn lɛk aw i nɔmal.