Yu pikin de mek wan strenj nɔys we i de blo? Yu tink se na Tracheomalacia?

Yu smɔl pikin kin mek wan strenj sawnd we i de blo? Sɔntɛnde, i kin fil smɔl fɔ blo we i de drink milk ɔ kray? Ɔ bɔku tɛm i kin gɛt kɔf ɔ kol? I rili nɔmal fɔ mek mama ɔ papa fil bad bad wan ɛn wɔri we i de si tin dɛn lɛk dis. Tide wi go tɔk bɔt wan sik we kin mek pɔsin gɛt sayn lɛk dis, bɔt nɔto bɔku pipul dɛn dɔn yɛri bɔt am, bɔt if dɛn no am fayn ɛn trit am fayn, i kin mɛn. Dat na trakiɔmalasia .

Wetin na Trakiɔmalasia? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, tracheomalacia na wan sik we kin apin we di katilej na wi windpaip wik ɔ nɔ de divɛlɔp fayn. Naw yu go de wɔnda wetin na dis trakya, we na di katilej.

Tink bɔt di trakya lɛk tiub we de kɛr briz go na di lɔng dɛn we wi de blo. di wכl dεm fכ dis tכb dεn mek wit C-shep, rכba, fleksibul pat dεm na di katilej. Dis katilej de mek di trakya opin, lɛk wata paip, we nɔ de fɔdɔm.

Bɔt pan pɔsin we gɛt tracheomalacia, mɔ di smɔl pikin, dɛn katilej ya nɔ kin rili strɔng. Dɛn kin rili "floppy". Dɔn, we yu de blo, mɔ we yu de blo tranga wan, we yu de kray, we yu de kɔf, di wɔl dɛn na dis trakya kin bɛn insay, ɛn i kin blok di say we di briz de blo. I tan lɛk balyɔn we nɔ de blo, ɛn we yu lɛf smɔl briz, i kin kɔntrakt. Dis na di rizin we mek yu yɛri da strenj sawnd de ɛn i at fɔ blo. Sɔntɛnde, di mכkus kin stɔp na di lכng, ɛn i nɔ kin izi fɔ pul am.

Dis sik kin mɔs si pan pikin dɛn we dɛn jɔs bɔn . Bɔt, i kin apin to ɛnibɔdi we ol ɛni ej. Bɔku tɛm, pikin dɛn kin bigin fɔ gɛt di sik we dɛn ol wan to tu mɔnt. bכtכm, as bכku pikin dεm de gro, arawnd tri ia, dis kכtilaj de strכng εn di sayn dεm de sכt. Bɔt pan sɔm bad bad tin dɛn, i kin nid fɔ du ɔpreshɔn .

Ɛni kayn tin de fɔ dis sik?

Yɛs, tu men kayn trakiɔmalasia de:

1. Trakiɔmalasia we dɛn bɔn wit

"Congenital" min se i de de frɔm we dɛn bɔn am. dis kin apin we di pikin in trakya kכtilaj nכ de divεlכp fayn we i stil de na di mama in bεlε. Dis min se dɛn bɔn di pikin wit dis prɔblɛm.

2. Trakiɔmalasia we dɛn dɔn gɛt

"Acquired" min se di kכndyushכn de apin afta dεn bכn am, fכ sכm rizin leta na layf. Dis kin apin if di say we di briz de blo dɔn pwɛl, wund, dɛn dɔn du sɔm ɔpreshɔn dɛn, ɔ dɛn kɔnɛkt am to mashin fɔ blo (mɛkanikal ventilashɔn) fɔ lɔng tɛm. Dis kin apin pan ɛni ej, bɔt i nɔ kin rili kɔmɔn.

Sɔm pipul dɛn kin gɛt wikɛdnɛs bak na di smɔl smɔl tiub dɛm (bronchi) we de branch ɔf frɔm di briz paip go na di lכng, wit tracheomalacia. Dɔktɔ dɛn kɔl dis sik tracheobronchomalacia .

Aw kɔmɔn tin na trakiɔmalasia?

Trakiɔmalasia we dɛn bɔn wit na wan sik we nɔ kin apin so ɔltɛm. Bɔt na di prɔblɛm we kin apin we dɛn bɔn am pas ɔl na di trakya. Dɛn se i kin afɛkt lɛk 1 pan ɛvri 2,100 pikin dɛn .

Tracheomalacia we dɛn kin gɛt kin ivin shɔt pas dat.

Wetin na di sayn dɛm fɔ dis? Yu de wɔri bak bɔt dɛn tin ya?

Di men sayn fɔ tracheomalacia na we yu de blo smɔl, ay ay sawnd (stridor) we yu de blo. Imajin, we yu pikin dɔn drink sɔm milk, ɔ we i kray lawd wan, i de mek smɔl, "keen...keen..." sawnd we i de blo. Na so i bi.

Bɔku ɔda sayn dɛn de we kin sho se yu gɛt dis sik:

• I nɔ kin izi fɔ yu fɔ blo we yu de gi pikin in bɛlɛ, we yu de kray, ɔ we yu de kɔf.
• Sɔntɛnde, i kin tan lɛk se yu de chok .
• Kɔf we nɔ de dɔn .
• Saynosis na wan sik we di skin, lip, ɛn finga nel dɛn kin tɔn blu bikɔs ɔf ɔksijɛn we nɔ de. Dis na sayn we denja smɔl.
• I nɔ izi fɔ swɛla .
• Fɔ mek pɔsin ala lawd lawd wan .
• Infεkshכn dεm we de fכm bכku bכku wan lεk nyumonia εn bכnkaytis .
• Di shɔt we aw yu de blo .
• "rattling" ɔ wisɛf sawnd we de kɔmɔt na di chɛst we yu de blo.

If yu pikin gɛt wan ɔ mɔ pan dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ.

Wetin na di tin dɛn we kin mek pɔsin gɛt tracheomalacia?

As wi bin dɔn tɔk bifo tɛm, tu kayn rizin dɛn de:

Di tin dɛn we kin mek pɔsin gɛt trakiɔmalasia we dɛn bɔn wit:

dis kin apin we di kכtilaj we de na di pikin in aywe nכ de fכm fayn fayn wan we di pikin de divεlכp insay di bכdi. Dat min se, insted fo bi strong, dem de divelop fo wik, loose way.

Di tin dɛn we kin mek pɔsin gɛt trakiɔmalasia:

Bɔku rizin dɛn kin de fɔ dis:

• di kronik asid rεfluks (GERD) na di rεfluks we di bεlε asid de kכmכt insay di εsophagus.
• Damej to di we aw di briz de blo. Dis kin apin frɔm ɔpreshɔn ɔ ɔda mɛrɛsin.
• Lung sik dɛn lɛk ɛmfisema .
• Polychondritis, na wan inflammatory kondishכn na di katilej na di trakya.
• afta dεn du di כpεrayshכn fכ rεpair wan abnכmal kכnεkshכn bitwin di εsophagus (fud paip) εn di windpaip (tracheoesophageal fistula).
• Fɔ gɛt tracheostomy (wan tiub we dɛn put insay di winda paip tru wan ol na di nɛk) ɔ fɔ gɛt tiub fɔ blo insay ples fɔ lɔng tɛm.
• Infεkshכn dεm na di כpa respiratory tract lεk bכ nkaytis .

Sɔntɛnde, tracheomalacia kin gɛt fɔ du wit ɔda mɛrɛsin dɛn. Fɔ ɛgzampul:

• Divɛlɔpmɛnt dilɛys dɛn .
• Ehlers-Danlos syndrome (dis na jεnεtik kכndishכn we de afekt kכnektiv tisu).
• Di at we nɔ fayn .

Us prɔblɛm dɛn dis kin mek?

If dɛn nɔ trit tracheomalacia fayn, sɔm prɔblɛm dɛn kin apin. Dɛn tin ya na:

• Di we aw di briz de blo . Dis kin mek pɔsin denja.
• Aspiration pneumonia : Dis na wan kayn nyumonia we kin apin we pɔsin inhal sɔntin lɛk it ɔ drink insay di lɔng dɛn tru di say dɛn we di briz de blo.
• Growth faltering in bebi dɛn.
• Infεkshכn dεm we de fכm כp rεspiretכri trakt b כku tεm we de tek lכng tεm fכ hεl.

So, if yu gɛt sɔm sayn dɛn, i rili impɔtant fɔ go to dɔktɔ ɛn nɔ pe atɛnshɔn to dɛn.

Aw yu kin no bɔt dis? (Diagnosis) .

Dɔktɔ go fɔs du yu ɔ yu pikin in bɔdi ɛn aks am bɔt di sik dɛn we yu gɛt. Dɔn, dɛn kin du spɛshal tɛst fɔ luk insay yu winda paip. Dɛn kɔl dis laryngoscopy ɔ bronchoscopy . Dis min se yu fɔ pas wan tint tiub we gɛt layt wit kamɛra we dɛn tay tru yu mɔt ɔ yu nos dɔŋ yu trot fɔ luk insay yu winda paip. Dis kin ɛp yu fɔ si if di wɔl dɛn na yu windpaip wik ɔ if dɛn bɛn insay we yu de blo.

Apat frɔm dat, di dɔktɔ kin nid fɔ du sɔm ɔda tɛst dɛn fɔ no if i gɛt di sik:

• Airway fluoroscopy : Dis tan lɛk ɛkstrem rayt we de muv. I kin si aw di say dɛn we di briz de blo de wok we yu de blo.
• Barium swallow / Esophagram : Na tεst fכ chεk fכ prכblεm wit di it paip (esophagus).
• Chɛst X-ray .
• CT skan we dɛn kin du .
• Test fɔ di wok we di lɔng dɛn de du .
• MRI skan we dɛn kin du .

Dɛn tɛst ya na dɛn kin mek di dɔktɔ no kɔrɛkt wan if trakiɔmalasia de ɛn aw i bad.

Wetin na di tritmɛnt dɛn? Nɔ wɔri, sɔlv dɛn de!

Bɔku tritmɛnt dɛn de fɔ tracheomalacia. Sɔm nɔto ɔpreshɔn, sɔm na mɛrɛsin, ɛn if i siriɔs, i kin nid fɔ du ɔpreshɔn. Di bɛst tritmɛnt fɔ yu ɔ yu pikin go dipen pan di kayn sik ɛn aw i siriɔs.

Di tritmɛnt dɛn we nɔto ɔpreshɔn

Dɛn tritmɛnt ya kin ɛp fɔ mek di say dɛn we di briz de blo opin ɛn klin di mכkus frɔm di lכng.

• Fɔ brith humidified air : If yu yuz humidifier na os, i kin ad mɔstɔ to di briz, i kin mek di mכkus tan ɛn mek i izi fɔ brith.
• Chɛst fizik tritmɛnt : Fizik thɛrapist kin tich yu spɛshal ɛksesaiz fɔ brith ɛn tɛknik dɛm wae kin ɛp fɔ klin di mכkus na yu lכng.
• Continuous Positive Airway Pressure (CPAP) machine : Dis na mashin we dɛn kin gi pipul dɛn we nɔ kin ebul fɔ blo we dɛn de slip. I de ridyus di we aw di briz de bɛn insay we yu de slip, ɛn dis de mek i izi fɔ blo.

Di mɛrɛsin dɛn we dɛn kin yuz

Dɔktɔ dɛn kin yuz difrɛn kayn mɛrɛsin fɔ mɛn tracheomalacia:

• If baktriyal infɛkshɔn de, dɛn kin trit dɛn wit antibayɔtik .
• Bronchodilators (lɛk inhalers wae pipul dɛm wae gɛt asma kin yuse) fɔ rilaks di mɔsul dɛm wae de ɛp yu fɔ blo.
• Kɔtikosterɔyd dɛn kin ridyus di inflamɛns.
• Mucolytics fɔ mek di mucus tan.

Ɔpreshɔn

If yu gɛt trakiɔmalasia we rili bad, i kin nid fɔ du ɔpreshɔn. Bɔku tin dɛn de we yu kin du fɔ dis:

• Aortopexy : Insay dis prosidur, di ɔspitul de muv di aorta, we na wan big blɔd vesel, kɔmɔt nia di trakya ɛn tay am to di brɔst bon. dis de mek di trachea nכ de bεnd insay.
• Stent : Dis min se yu fɔ put smɔl tiub (stɛnt) insay di trakya fɔ mek i opin.
• Tracheopexy : Dis ɔpreshɔn de involv fɔ atak wan pat pan di trachea to wan strɔkchɔ we de nia (lɛk di brɛstbon ɔ wan ligament na di spayna). Dis kin mek bak di trakya opin ɛn i kin mek i nɔ fɔdɔm insay.

Yu tink se dɛn kin ebul fɔ protɛkt Tracheomalacia?

Natin nɔr de fɔ rili du fɔ ridyus di risk fɔ gɛt tracheomalacia. Na bikɔs di tin dɛn we kin apin we wi bɔn wi nɔ kin ebul fɔ kɔntrol am. Sɔntɛnde, dɛn nɔ kin no wetin fɔ du bak. Bɔt if yu dɔktɔ ɛp yu, yu kin ebul fɔ kɔntrol dis sik fayn fayn wan.

Yu tink se dis tin go wɛl? Wetin na di tin dɛn we wi go si?

Dis na di tin we impɔtant pas ɔl.Bɔrku pipul kin liv wɛl bɔdi layf wae nɔr gɛt ɛni prɔblɛm afta dɛn dɔn gɛt tritmɛnt fɔ tracheomalacia.

Nɔto ɔltɛm i nid fɔ gɛt tritmɛnt. כl di pikin dεm we dεn bכn wit tracheomalacia kin bεt dεm dεn wan we dεn ol 3. Dis na biכs di katilej na di pikin in trachea kin strכng as di pikin de gro, εn di sayn dεm kin bεtε. Bɔt sɔm tɛm dɛn de, di pikin kin nid mɛrɛsin ɔ ɔpreshɔn.

Dɛn fɔ de wach pipul dɛn we gɛt tracheomalacia gud gud wan, mɔ if dɛn gɛt infɛkshɔn na di say we dɛn de blo. Ivin smɔl kol kin mek sɔm tɛm dɛn gɛt prɔblɛm dɛn. Yu dɔktɔ go gi yu tritmɛnt ɔ mɛrɛsin fɔ ɛp fɔ kɔntrol yu sik dɛn.

Ustɛm a fɔ go to dɔktɔ?

If yu tink se yu pikin gɛt sɔm sayn dɛn we gɛt tracheomalacia (lɛk we i de kɔf ɔltɛm, we i de swɛt, ɔ we i de gɛt infekshɔn we i de blo ɔltɛm), go to dɔktɔ wantɛm wantɛm.

Tracheomalacia kin mek big pipul dɛn nɔ ebul fɔ du ɛksɛsayz ɛn i kin gɛt infekshɔn na di we aw dɛn de blo bɔku tɛm. If yu gɛt dɛn sik ya, tɛl yu dɔktɔ so dat i go ebul fɔ no di sik ɛn tɛl yu fɔ gi yu di rayt tritmɛnt.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu no se yu ɔ yu pikin gɛt tracheomalacia, na sɔm kwɛstyɔn dɛn ya yu kin aks yu dɔktɔ:

• Aw bad dis tin de apin?
• Wetin na di kɔz fɔ dis sik? (Na we dɛn bɔn am ɔ na pɔsin we dɛn gɛt?)
• Us tritmɛnt dɛn yu kin advays?
• Yu tink se i go nid fɔ du ɔpreshɔn?
• Wetin a kin du na os fɔ ridyus di sayn dɛm?
• Aw kwik tritmɛnt fɔ bigin?

We yu aks dɛn kwɛstyɔn ya, dat go ɛp yu fɔ ɔndastand di tin we de apin ɛn mek yu no klia wan bɔt di nɛks tin dɛn we yu fɔ du.

Ɔda tin dɛm wae kin gɛt fɔ du wit tracheomalacia

Sɔmtɛm dɛn kin kɔnfyus am wit ɔda sik dɛn we gɛt di sem kayn sayn dɛm lɛk tracheomalacia. Tu men tin dɛn lɛk dis na:

• Laryngomalacia : Dis na we di tisu we de oba di vɔys bɔks wik. Di vɔys bɔks de ɔp di briz paip.
• Tracheobronchomalacia : Dis na wan kכndyushכn we wik de na di brכnki, di tכb dεm we de kכmכt na di briz paip to di lכng. Sɔm pipul dɛm wae gɛt tracheomalacia kin gɛt dis sik bak.

Na di dɔktɔ kin ebul fɔ no difrɛns bitwin dɛn sik ya kɔrɛkt wan ɛn gi di rayt diagnosis.

Fɔ dɔn, di tin we impɔtant pas ɔl (Take-Home Message) .

I nɔmal fɔ fil bad bad wan we yu kam fɔ no se yu pikin gɛt tracheomalacia. Yu at kin rɔsh ɛvri tɛm we yu pikin kray ɔ kɔf. Ɔ yu kin dɔn gɛt dis sik yusɛf afta yu dɔn gɛt aksidɛnt.

Bɔt mɛmba se, bɔku tɛm, tracheomalacia nɔto siriɔs sik. Ivin if i tranga, i kin ansa fayn to tritmɛnt.

Di tin we impɔtant pas ɔl na fɔ kɔntinyu fɔ tɔk to yu dɔktɔ. If yu gɛt ɛni nyu sik ɔ if yu sik de wɔs, mek yu dɔktɔ no wantɛm wantɛm. Dɔn i kin tɛl yu wetin na di sik ɛn us tritmɛnt go ɛp yu. Nɔ wɔri, yu kin ebul fɔ win dis sik wit di rayt mɛrɛsin ɛn tritmɛnt!

` Tracheomalacia, trachea, difεlεns fכ brith, infantil sik dεm, stridor, cyanosis, katilej