Yu kin gɛt prɔblɛm bak fɔ blo? Na bikɔs ɔf Tracheal Stenosis? Mek wi no fɔ tru!

Sɔntɛnde, yu kin fil se i kin rili at fɔ blo we yu klaym stej ɔ waka fast smɔl? Ɔ yu kin yɛri wisl sawnd na yu trot we yu de blo, mɔ we yu de blo ɛn pul briz? Sɔntɛm yu smɔl pikin de gas fɔ blo ɛn luk taya we i de drink milk? Nɔ jɔs ignore dɛn tin ya. Na bikɔs sɔntɛm na mɛrɛsin rizin de biɛn dɛn. Dat na wan pan dɛn kayn tin dɛn de we wi go tɔk bɔt tide. Dat na di sik we dɛn kɔl Tracheal Stenosis .

Fɔ tɔk am simpul wan, wetin na Tracheal Stenosis?

Nɔ mek yu fred wit dis nem. Lɛ wi ɔndastand dis simpul wan. yu winda paip, dat na di pat we wi de kol windpaip (insay Inglish, `Trachea`), na di pat we de tek di briz we wi de tek insay wi nos εn mכt go na wi lכng. I tan lɛk paip we de kɛr wata kɔmɔt na wata tank. Naw tink bɔt am, wetin go apin if dis paip smɔl ɔ blok frɔm insay fɔ sɔm rizin? Di wata we de flɔ kin go dɔŋ, nɔto so? Na so i bi.

Tracheal Stenosis na we yu winda paip kin smɔl fɔ sɔm rizin. Dis narrowing kin bi bikɔs ɔf infεkshɔn, injuri, ɔr di ska tisu we de gro. We di briz paip smɔl dis we, i nɔ kin gɛt bɛtɛ ples fɔ mek briz go insay di lɔng dɛn. Dis na we i nɔ kin izi fɔ blo.

"Stenosis" na mεdikal tεm fכ wan abnכmal sכm tכb כ pasej na di bכdi. Dis kin apin na difrɛn say dɛn na di trot.

• Laryngotracheal Stenosis: Insay dis, di winda paip (trachea) ɛn di vɔys bɔks (larynx) ɔl tu kin smɔl.
• Subglottic Stenosis: Dis na we di eria we de dכn di vokal kכd dεm, bכt oba di winda paip we de sכmtεm sכmtεm sכmtεm.

Tu men we dɛn de we dis tin kin apin.

di tracheal stenosis kin sheb to tu men tכp dεm.

1. Acquired Tracheal Stenosis: Dis na di kayn we we pipul dεn kin kכmכn pas ɔl. Na sik, wund, ɔ ɔda tin kin kam wit am we wi de liv wi layf. I kin apin to big pipul ɛn pikin dɛn.

2. Congenital Tracheal Stenosis (CTS): Dis na wan sik we de apin we dεn bכn am. I nɔ kin apin so ɔltɛm. I kin afɛkt lɛk wan pan ɛvri 64,500 pikin dɛn. Bɔt, na tin we rili denja ɛn we kin mek smɔl pikin in layf de pan denja. Bɔrku tɛm, dɛn kin no dis sik we dɛn bɔn am ɔr insay di fɔs mɔnt dɛn we i dɔn liv.

Fɔ pikin we dɛn jɔs bɔnDis na imejensi. If yu pikin de strɛs fɔ blo ɔ sho sayn dɛn fɔ se i nɔ izi fɔ blo, kɛr am go na ɔspitul in imejensi rum (ETU) we yu nɔ de te.

Bɔt dɛn tu kayn tin ya kin mek i nɔ izi fɔ blo. I kin gɛt big impak pan yu kwaliti fɔ liv. Na dat mek i rili impɔtant fɔ go to dɔktɔ if yu gɛt ivin smɔl saspek se yu ɔ yu pikin gɛt dis sik.

Wetin na di sayn dɛm fɔ Tracheal Stenosis?

Bɔrku pan dɛn sik ya kin kam pan big pipul ɛn pikin dɛm. Lɛ wi tek wan luk pan wetin na dɛn sayn ya.

Karakta dɛn we spɛshal fɔ pikin dɛn

Apat frɔm di sayn dɛm we wi dɔn tɔk bɔt, pikin dɛn kin sho sɔm ɔda patikyula sayn dɛm.

• Nyu bɔn pikin dɛn: I nɔ kin izi fɔ dɛn fɔ it frɔm dɛn mama in milk ɔ bɔtul. Dɛn kin tan lɛk bak se dɛn taya pasmak afta dɛn dɔn it.
• Pikin dɛn we dɔn big: Dɛn kin chok we dɛn de it ɛn i nɔ kin izi fɔ dɛn fɔ blo.
• Pikin dεm we big: yu kin si blu kכla na di skin εn di gכm dεm we de rawnd di nos (`cyanosis`). Dis kin bi bikɔs di blɔd nɔ de gɛt inof ɔksijɛn.

Wetin mek dis tin kin apin? Wetin na di rizin dɛn?

Di tu kayn dɛn we wi bin dɔn tɔk bɔt, na difrɛn tin dɛn kin mek dɛn gɛt am.

Di tin we kin mek pɔsin gɛt di sik we dɛn bɔn wit (CTS):

dis kin apin we di katilej we mek di pikin in briz paip nכ de divεlכp fayn, we de mek di pikin in winda paip sכmtεm sכmtεm pas aw i nכmal we i bכn.

Di tin dɛm wae kin mek yu gɛt dis sik wae yu de liv:

di men εn mכst kכmכn kכz fכ dis na fכ intubashכn fכ lכng tεm. Wetin na intubation? If i nɔ izi fɔ blo, dɛn kin put wan tiub insay di briz paip tru di mɔt ɔ in nos fɔ ɛp di pɔsin fɔ blo. Dis na tritmɛnt we de sev pɔsin in layf. Bɔt sɔntɛnde, bikɔs dis tiub de insay di winda, i kin pwɛl di tisu dɛn we de de, ɛn dis kin mek di briz paip gɛt skata ɛn smɔl. we dεn yuz dis kayn tiub fכ brith pikin dεm we dεn bכn wit lכng dεm we nכ machכ, dis kכndyushכn kin apin leta.

Apat frɔm intubation, sɔm ɔda tin dɛn kin afɛkt dis:

• כtoimyun sik dεm: kכndishכn dεm lεk Granulomatosis wit Polyangiitis (GPA) we di bכdi in imyun sistεm de atak in כwn sεl dεm.
• Inflammatory conditions: Sik dεm we de afekt di lכng dεm, lεk Pulmonary Sarcoidosis.
• Infεkshכn: Baktri כ vayral infεkshכn we de afekt di rεspiretכri sistεm, lεk TB.
• Tumɔs: Tumɔs na tin dɛn we de gro we gɛt kansa ɔ we nɔ gɛt kansa we de prɛs pan di winda.
• We yu inhal tin dɛn we gɛt pɔyzin:Damej to di winda paip frɔm inhal kemikal ɔ pɔyzin gas.
• Radieshɔn Tɛrapi: As wan sayd ɛfɛkt fɔ redyushɔn tɛrapi we dɛn kin dayrɛkt na di nɛk ɔ chɛst.
• Tracheostomy ɔpreshɔn: Ska afta ɔpreshɔn fɔ mek ol na di nɛk ɛn put tiub insay di winda fɔ ɛp fɔ blo we i gɛt imejensi.

Aw di dɔktɔ kin no bɔt dis sik?

We yu go to dɔktɔ, i go tek tɛm lisin to yu sik dɛn ɛn if nid de, i go rifer yu fɔ mek dɛn du sɔm tɛst dɛn. Bɔrku tɛm, na di dɔktɔ dɛm wae de mɛn yu yes, nos, ɛn trot (ENT) kin trit dis sik.

Di men tɛst dɛn we dɛn kin du na:

• di we aw dεn de du εndoskopik: Dis min se dεn de egzamin insay di say we di briz de blo bay we dεn de yuz wan tint tכb we kin chenj wit kεmεra we dεn tay.
• Bronchoscopy: Dis na di men tɛst we dɛn kin yuz fɔ no dis sik. Insay dis, dɛn kin pas wan tiub insay di briz fɔ si di rayt say we di briz smɔl, di say we i smɔl, ɛn wetin mek i smɔl.
• Laryngoscopy: Dis de egzamin di vokal kɔd ɛn di eria we de rawnd dɛn.
• Di we aw fɔ tek di pikchɔ:
• CT scan (Computed Tomography scan): CT skan na di nɛk ɛn chɛst kin gi gud aidia bɔt di say ɛn di kayn we aw dis smɔl smɔl tin de.
• MRI Scan (Magnetic Resonance Imaging): Sɔntɛnde, dɛn kin du MRI skan fɔ ɛp fɔ plan di tritmɛnt.
• Pulmonary Function Test: Dis min se yu fɔ aks yu fɔ inhal ɛn pul di briz difrɛn we fɔ no aw yu lɔng dɛn de wok fayn ɛn aw di we aw yu de blo smɔl de afɛkt di we aw yu de blo.

Apat frɔm dat, dɛn kin du ɔda tɛst fɔ no wetin mek pɔsin gɛt di sik. Fɔ ɛgzampul, dɛn kin du blɔd tɛst if dɛn tink se i gɛt infekshɔn ɔ inflamɛns, ɔ dɛn kin du bayɔpsi (we dɛn tek wan pat pan di tisu fɔ chɛk) if wan tin we nɔ kɔmɔn de fɔ no if na kansa.

Wetin na di tritmɛnt dɛm fɔ dis?

Di men tritmɛnt fɔ dis sik na fɔ mek di winda paip we dɔn smɔl big tru ɔpreshɔn ɔ ɔda we dɛn. Yu dɔktɔ go disayd di tritmɛnt we go fayn fɔ yu bay bɔku tin dɛn, lɛk aw yu sik tranga ɛn usay di smɔl smɔl tin we yu gɛt.

Bɔku tritmɛnt dɛn de we yu kin pik:

• Tracheal Dilation: Insay dis prosidur, yu dכkta de put balכn כ spεshal divays (a `dilator`) insay yu winda paip, sכmtεm i de strεch εn mek di εria we sכmtεm big. Dis kin mek i izi fɔ yu fɔ blo.
• Laser Bronchoscopy: Dɛn kin pas wan laser bim tru di bronchoscope fɔ bɔn di ska tisu we de mek di blok, so dat di aywe de opin bak.
• Trachea Airway Stent: Dis min se yu fɔ put wan smɔl tiub we tan lɛk mɛsh (stɛnt) we dɛn mek wit plastic ɔ mɛtal insay di aywe we dɔn blok. Di stent de ɛp fɔ mek di say we di briz de blo opin ɛn nɔ blok. Bɔt dis nɔ kin pɔsibul fɔ ɔl di sik pipul dɛn, ɛn i kin dipen pan usay di blɔk de.
• Tracheal Resection and Reconstruction: Dis na di ɔspitul we dɛn kin du mɔ fɔ dis sik. I min fɔ kɔt di pat we dɔn blok na di winda kpatakpata ɛn kɔnɛkt di ɔda pat dɛn we lɛf we gɛt wɛlbɔdi bak. Dis kin ɛp fɔ mek di say we di briz de blo we nɔ gɛt ɛnitin fɔ ambɔg, kam bak.

Wetin yu kin ɛkspɛkt afta yu dɔn gɛt tritmɛnt?

If yu gɛt dis sik, yu kin nid fɔ du ɔpreshɔn ɔ ɔda tin. Di tɛm fɔ wɛl ɛn di rizɔlt fɔ ɛni tritmɛnt kin difrɛn.

fכ egzampl, wan כpεrayshכn we dεn kכl `Tracheal Resection and Reconstruction` na siriכs sכmtεm. Bɔt i gɛt ay chans fɔ sɔlv di prɔblɛm fɔ smɔl smɔl fɔ lɔng tɛm. di mεtכd dεm we nכ de du כspitul lεk `Tracheal Dilation` nכ de du bכku bכku. Yu kin gɛt fɔ mek dɛn du am wan tɛm, ɔ yu kin gɛt fɔ ripit di tin wan wan tɛm.

Aw a kin tek kia ɔf misɛf na os afta a dɔn gɛt tritmɛnt?

Afta yu dɔn du ɔpreshɔn ɔ ɔda tin, yu go nid fɔ fala sɔm spɛshal instrɔkshɔn dɛn na os. Dɛn instrɔkshɔn ya kin difrɛn difrɛn wan bay di tritmɛnt we dɛn gi yu. Yu dɔktɔ go ɛksplen dɛn tin ya to yu. Dɛn go tɛl yu fɔ tek tɛm wit tin dɛn lɛk:

• Fɔ it ɛn drink: Fɔ di fɔs 24 awa, dɛn kin aks yu fɔ stɔp fɔ it wata ɔ sɔft it dɛn we izi fɔ swɛla. I bɛtɛ fɔ it tin dɛn we nɔ gɛt bɔku spays ɛn we nɔ gɛt tu spays.
• Slip: Fɔ di fɔs dez, dɛn kin aks yu fɔ slip wit pilo fɔ mek yu ɔp bɔdi go ɔp smɔl.
• Kɔntrol di pen: If nid de, yu kin tek mɛrɛsin fɔ mek yu nɔ fil pen ɔ mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek.
• Di tin dɛn we yu fɔ du: Dɛn advays yu fɔ avɔyd fɔ es ebi ebi tin ɛn fɔ du tin dɛn we go mek yu strɛs fɔ lɛk di fɔs wik afta dɛn dɔn du di ɔpreshɔn.

Ustɛm a fɔ go to di dɔktɔ bak? Wetin na di tɛm dɛn we a fɔ go na di ETU?

Afta yu dɔn gɛt tritmɛnt, yu dɔktɔ go gi yu fɔ fala yu fɔ chɛk aw yu de go bifo. Dɛn kin aks yu fɔ kam bak ɛvri sɔm wiks fɔs. If yu de du wɛl, dɛn kin aks yu fɔ kam bak ɛvri sɔm mɔnt. Dɛn go de wach yu te yu shɔ se di kɔndishɔn nɔ kam bak.

Kɔl yu dɔktɔ ɛnitɛm we yu fil se i nɔ izi fɔ blo . If yu delay di tritmɛnt na di tɛm lɛk dis, dat kin mek yu denja. So, i rili impɔtant fɔ go to dɔktɔ.

Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU)?

If yu gɛt prɔblɛm fɔ blo, ɔ if di sayn dɛm wae wi bin dɔn tɔk bɔt dɔn kam bak, i kin bi sayn fɔ se yu Tracheal Stenosis dɔn kam bak. If na so i bi, go na ETU wantɛm wantɛm.

Ɛspɛshali, if yu de kia fɔ nyu bɔbɔ ɔ yɔŋ pikin, if di pikin sho se i nɔ izi fɔ blo, kɛr dɛn go na di ɔspitul we de nia yu Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm ɛn nɔ delay ivin wan minit.