Sɔntɛnde, i nɔ kin izi fɔ yu fɔ blo we yu de waka ɔp wan stej ɔ ivin waka fast smɔl? Ɔ yu kin fil lɛk se yu smɔl pikin de gɛt smɔl prɔblɛm fɔ blo we yu de gi in mama in bɛlɛ? Yu kin wɔri bak bɔt tin dɛn lɛk fɔ kɔf ɔltɛm ɔ strenj sawnd we de kɔmɔt insay yu chɛst? Pan ɔl we bɔku tin dɛn de we kin mek dɛn tin ya apin, lɛk asma, tide wi go tɔk bɔt wan sik we nɔbɔdi nɔ yɛri bɔku bɔt, bɔt we kin rili impɔtant. Dat na Tracheobronchomalacia, ɔ TBM fɔ shɔt tɛm.
Fɔ tɔk am simpul wan, wetin na Tracheobronchomalacia (TBM)?
Pan ɔl we dis kin tan lɛk se na lɔng ɛn strenj wɔd, di minin we i gɛt rili simpul. Tracheobronchomalacia (TBM) na wan sik we di wכl dεm na di trakya εn di brכnki, we na tu men pat dεm na wi rεspiretכri sistεm, kin wik, we kin mek dεn tכb dεm ya kin kכnstrikt εn klos we wi de brith, spεshal wan we wi de blo כ kכf.
Imajin se wi winda paip tan lɛk plastic paip we de kɛr wata. If di wɔl dɛn na dis paip strɔng, prɔblɛm nɔ de we di wata de pas. Bɔt if di wɔl dɛn na di paip rili tan ɛn wik, di wata kin stɔp na di paip we i de flɔ kwik kwik wan, nɔto so? Na dat kin apin na TBM. we di strכng pat dεm we dεn kכl kכtilaj na di wכl dεm na di briz paip εn trakya wik, dεn tכb dεm ya kin stכk εn blכk we di briz de muv bak εn go bifo kwik kwik wan. Na da tɛm de i kin at fɔ blo, i kin kɔf, ɛn sawnd kin kɔmɔt na di chɛst.
dis kכndyushכn kin bi we dεn bכn pikin (Congenital TBM) , we min se dεn bכn pikin wit dis wik. Fɔ ɔda pipul dɛn, dɛn kin gɛt am (Acquired TBM), we min se i kin gɛt am we dɛn de liv bikɔs ɔf ɔda sik, tritmɛnt, ɔ ɔda tin dɛn we kɔmɔt na do.
Dis nɔto kɔmɔn sik lɛk asma. Na dat mek sɔm tɛm dɛn kin mis TBM we dɛn de trit tin dɛn lɛk fɔ kɔf ɔltɛm ɛn fɔ swɛt. Bɔt if di diagnosis kɔrɛkt, tritmɛnt dɛn de we dɛn kin du.
Wetin na di sayn dɛm fɔ TBM?
Dɛn sayn ya kin difrɛn smɔl fɔ no if di sik na tin we dɛn bɔn wit ɔ we pɔsin gɛt. Lɛ wi luk di sayn dɛm fɔ dɛn ɔl tu difrɛn wan.
| Peshɛnt | Di kɔmɔn sayn dɛm |
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| di pikin dεm we dεn bכn wit TBM (i kin stat we dεn ol 2-4 mכnt) . |
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| Big pipul ɛn di wan dɛn we dɔn gɛt TBM leta |
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Wetin mek dis TBM sityueshɔn kin apin?
As wi bin dɔn tɔk, wi kin sheb di rizin dɛn we mek dis apin to tu pat.
1. Praymari/Kɔnjɛnital TBM
Bɔku rizin dɛn de we mek dɛn kin bɔn pikin wit dis sik:
- Idiopathic TBM: sכm pikin dεm kin bכn wit wikεd kכtilaj na di trakya fכ nכ rizin.
- Vascular Rings: dis kin apin we di pikin in men bכdi vεsεl (aorta) frכm di at de fכm kכrekt wan εn rap rawnd di trachea. Dis blɔd vesel de prɛs di trakya, ɛn dis kin mek i wik.
- Sɔm sik dɛn we pɔsin kin gɛt we i kam pan jɛnɛtiks: Di tin dɛn we nɔ kin apin so ɔltɛm, we pɔsin kin gɛt frɔm dɛn mama ɛn papa lɛk Hunter syndrome, Hurler syndrome, ɛn Ehlers-Danlos syndrome kin mek di bɔdi in katilej wik. Dis kin afɛkt di say dɛn we di briz de blo bak.
- di pikin we dεn bכn bifo di tεm: di pikin dεm we dεn bכn bifo 37 wik kin gεt bכku risk fכ TBM biכs dεn aywe dεm nכ fulכp divεlכp.
2. TBM we de apin di tεm we i de liv (Sεkכndari/Akwyayz TBM) .
Bɔrku rizin de wae mek dis sik kin apun pan big pɔrsin.
| Kategori fɔ di tin dɛn we kin mek pɔsin gɛt dis sik | Ɛgzampul dɛn |
|---|---|
| Sɔm tin dɛn we kin apin to pɔsin we sik |
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| Sɔm mɛrɛsin dɛn we dɛn kin gi |
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| Fɔ gɛt tin dɛn we gɛt pɔyzin |
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Aw di dɔktɔ kin no dis sik klia wan?
If yu ɔ yu pikin gɛt dɛn sik ya, di bɛst tin fɔ du na fɔ go to dɔktɔ. Di dɔktɔ go chɛk yu gud gud wan ɛn aks yu ɛn yu pikin bɔt yu sik dɛn. Dɛn go aks yu bɔku kwɛstyɔn, lɛk if yu kin gɛt kol ɔltɛm ɛn if yu gɛt ɔda sik dɛn we yu kin gɛt we yu de blo.
Afta dat, dɛn kin du bɔku tɛst fɔ no if dis sik dɔn kam.
- Pulmonary Function Tests: Dis de test aw yu lכng dεm kin tek in εn aut di briz fayn fayn wan.
- Bronchoscopy: Dis na di test we impɔtant pas ɔl ɛn we kɔrɛkt pas ɔl fɔ kɔnfɔm TBM. Insay dis, dɛn kin put wan tint tiub we gɛt kamɛra tru di mɔt ɔ nos fɔ chɛk di insay pat pan di briz ɛn di brɔnchi. Di dɔktɔ kin si aw di briz de blok bay we i aks yu fɔ blo ɛn kɔf.
- CT scan (Computed Tomography Scan): Dis kin tek ditayla pikchɔ dɛn fɔ di chɛst. Dis kin ɛp fɔ no if ɔda tin de mek di TBM ɔ if chenj de na di shep we di say we di briz de blo de.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt we dɛn kin pik kin difrɛn difrɛn wan bay aw TBM dɔn afɛkt yu ɔ yu pikin. Nɔto ɔlman go nid ɔpreshɔn.
1. Mɛrɛsin ɛn sɔpɔt ikwipmɛnt
- Tritmɛnt fɔ infɛkshɔn: If yu pikin gɛt infɛkshɔn na in respirashɔn bɔku tɛm, dɛn kin gi yu mɛrɛsin dɛn lɛk antibayɔtik .
- di tεknik dεm fכ gi pikin bεlε: If yu pikin de gεt tכblεm fכ brith we i de gi in bεlε, yu dכkta כ nכs go tich yu aw fכ chenj in posishכn fכ mek i izi fכ brith.
- Pulmonary Rehabilitation: Dis involv fɔ tich aw fɔ blo fɔ manej di sayn dɛm.
- CPAP ɔ BiPAP® mashin dɛm: Dɛn kin yuz dɛn mashin ya bak fɔ pipul dɛm wae gɛt slip apnea. Dɛn kin gi di briz pan wan patikyula prɛshɔn tru wan mask we fit oba di fes, we kin ɛp fɔ mek di say we di briz de blo opin ɛn nɔ ambɔg am.
- Ekstanshal Pεrkushכn Vεst: I kin tranga fכ kכf mכkus we yu gεt TBM. Dis na divais we yu de wɛr lɛk klos. We dɛn kɔnɛkt am to mashin, i kin shek kwik kwik wan, ɛn i kin mek di mɔk we de na yu chɛst lɔs, ɛn dis kin mek i izi fɔ mek yu kɔf.
- Nebulizer: Na tin we de tɔn likwid mɛrɛsin to fayn fayn mist we yu kin inhal tru mask. Dis kin mek di mɛrɛsin go dairekt to di lɔng dɛn.
2. Ɔpreshɔn
Sɔntɛnde, i kin nid fɔ mek dɛn du ɔpreshɔn pan am.
- Bronchoscopy ɛn stent plesmɛnt: Dɛn kin yuz diagnostik bronchoscopy bak as tritmɛnt. insay dis prosidur, dεn kin put wan sכmכl plastic כ mεtal tכb (stεnt) insay di aywe fכ kip di blכk opin. Bɔku tɛm, dɛn tin ya kin apin fɔ shɔt tɛm nɔmɔ.
- Trakiɔbronkɔplasti: .insay dis prosidכs, dεn de כpכt wan strכkchכ we lεk mεsh na di כdasay na di trakya εn sכm am insay in ples. dis mεsh de gi εkstra trεnk to di trakya, we de ridyus di risk fכ kol.
- Tracheopexy: Dis ɔpreshɔn na fɔ siw di wik bak wɔl na di winda paip to strɔng ligamɛnt dɛn na di spayna. Dis kin mek di pat nɔ fɔdɔm insay we yu de blo.
Bikɔs dɛn ɔpreshɔn ya na big big ɔpreshɔn, prɔblɛm dɛn de lɛk fɔ blɔd pasmak, blɔd kin klot, ɛn wund infekshɔn . If dɛn se yu fɔ du ɔpreshɔn, yu dɔktɔ go ɛksplen ɔl dis to yu gud gud wan.
Aw fɔ liv wit TBM kɔndishɔn?
If pikin gɛt TBM:
As di pikin de big, di katilej we de na di say we di briz de blo de strɔng mɔ ɛn mɔ. So, de sik kin stɔp smɔl smɔl. Bɔt bɔku tɛm, dɛn kin nid dɔktɔ fɔ kia fɔ dɛn ɛn sɔm tritmɛnt dɛn ɔl di tɛm we dɛn smɔl. I rili impɔtant fɔ protɛkt di pikin frɔm di sik dɛn we i kin gɛt we i de blo ɔltɛm.
If big pɔsin gɛt TBM:
TBM na big pipul kin bi wan krεse sik wae kin gεt wεs as tεm . Dɛn kin ebul fɔ kɔntrol di sik dɛn bay we yu de lɔs yu wet ɛn ɔda tin dɛn we yu kin gɛt. Ɔpreshɔn kin wok fayn. Bɔt bɔku pipul dɛn we gɛt TBM kin gɛt ɔda tin dɛn bak, lɛk asma ɛn COPD, so dɛn nid fɔ gɛt pɔsin we sabi bɔt aw fɔ blo fɔ wach dɛn fɔ di res ɔf dɛn layf.
TBM kin gɛt impak we kin mek big pipul dɛn layf de pan denja. Dis na bikɔs TBM insɛf gɛt fɔ du wit ɔda siriɔs mɛdikal kɔndishɔn dɛn. Tɔk bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu wit yu dɔktɔ.
Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?
No we nɔ de fɔ mek dɛn nɔ gɛt TBM we dɛn bɔn wit. Bɔt sɔm tin dɛn de we yu kin du fɔ ridyus di risk fɔ gɛt TBM pan big pipul dɛn.
- Nɔ smok ɛn nɔ de nia pipul dɛn we de smok.
- If yu gɛt tin dɛn lɛk asma, COPD, ɔ GERD, tek di rayt tritmɛnt fɔ dɛn ɛn kɔntrol di sik fayn fayn wan.
- Mek yu gɛt wɛlbɔdi wet.
- If yu wok gɛt fɔ du wit pɔyzin gas, fala di rayt we fɔ mek yu nɔ gɛt prɔblɛm.
If yu gɛt kɔf ɔltɛm ɔ i nɔ izi fɔ yu fɔ blo, nɔ jɔs tink se na kol, bɔt fɔ tru, go to dɔktɔ ɛn chɛk yu. Di kwik we dɛn no di sik, na di mɔ di chans fɔ gɛt gud rizɔlt frɔm tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- Tracheobronchomalacia (TBM) na wan sik we di trakya ɛn di brכnki kin wik, we kin mek i nɔ izi fɔ blo.
- Di men sayn dɛm na fɔ kɔf ɔltɛm, swɛt, swɛt, ɛn fɔ gɛt infekshɔn na di say we yu de blo ɔltɛm.
- dis kכndyushכn kin de frכm we dεn bכn pikin dεm, כ i kin kam leta pan big pipul dεm bikoz fכ כda sik dεm כ kכz dεm.
- If yu ɔ yu pikin gɛt dɛn sik ya, nɔ panik, go to dɔktɔ ɛn no di rayt tin we kin mek yu gɛt dis sik.
- Sɔm tritmɛnt dɛn de we go ɛp dis, lɛk mɛrɛsin, tin dɛn we go ɛp am, ɛn ɔpreshɔn.
- Bikɔs dis kin bi fɔ lɔng tɛm, i rili impɔtant fɔ mek yu kɔntinyu fɔ tɔk to yu dɔktɔ ɔltɛm.
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