I naute ei tur pipe leh thlipui pipe inkarah hian inzawmna mak tak a awm em? (Tracheoesophageal Fistula) chungchang hi i zir vek ang u!

I fate chu bawnghnute a in hnuah emaw, chaw a ei hnuah emaw a khuh thut em? Thâwk harsa emaw, a sen hring emaw niin a lang em? Nu leh pa angin hlauhna leh lungkhamna nasa tak i neih hi thil pangngai tak a ni. A châng chuan, heng symptoms hnung lamah hian, vawiinah hian kan sawi tur, a buaithlak zawk, mahse enkawl theih tur condition a awm thei bawk. Chu chu Tracheoesophageal Fistula , a tawi zawngin TEF, leh a kaihhnawih natna Esophageal Atresia , emaw EA emaw a ni. Ngaihtuah buai suh, awlsam takin i vawng ang u.

Tracheoesophageal Fistula (TEF) hi eng nge ni? A awlsam zawngin i hrethiam ang u!

Okay, tunah chuan he TEF hi eng nge a nih kan en ang. A awlsam zawngin kan rilru atanga kan pum thlenga ei tur phurtu tube hi "esophagus" an ti a. Chutiang bawkin kan thawk chhuah huna kan lung chhunga boruak phurtu tube chu "trachea" an ti a. A tlangpuiin mi hrisel takah chuan heng tube pahnih, esophagus leh trachea te hi a hranin an awm a, inzawmna engmah an nei lo. Kawngpui pahnih ang mai a ni a, pakhat chu ei tur atan leh pakhat chu thawk tur a ni.

Mahse, Tracheoesophageal Fistula (TEF) tih natna nei, a bik takin naute te tak teah chuan ei tur pipe (esophagus) leh thlipui (trachea) inkarah hian thil awm lo, a nih loh leh khur (fistula) a awm a ni. Tui pipe pahnih inkar a leak te tak te ang maiin han ngaihtuah teh. Hemi avang hian eng thil nge thleng? Food pipe atanga pum thlenga kal ai chuan naute ei leh in tur ei leh in te chu chu inzawmna pangngai lo kal tlangin thlipui chhungah a lut tan a, chuta tang chuan lung chhungah a lut tan ta a ni. Hei hi "aspiration" kan ti a ni. Hei hi a hlauhawm deuh a, a chhan chu chaw chu lung chhungah a lut a nih chuan natna hrik a awm thei a ni.

Vawi tam tak chu he TEF dinhmun hi dinhmun dang nen hmuh dun a ni. Chu chu Esophageal Atresia (EA) a ni. EA hi chaw kawng (food pipe) a insiam kim lo va, pum nen a inzawm lo va, a chanve vel a tawp a ni. A châng chuan chaw kawng chu hmun hnih-ah a inṭhen a, a tawp pahnihte chu khar a ni (blind pouches). A laiah pipe tihchhiat ang maiin.

He dinhmun hian tute nge a nghawng ber?

Tracheoesophageal fistula (TEF) hi "pianpui natna" a ni fo thin. Chumi awmzia chu naute chu he natna nen hian an piang tihna a ni. Nausen pum chhunga a la awm laia a than chhoh dan a inthlak danglamna tlemte avanga lo awm a ni. Chuvangin TEF vei tam zawk hi naute pian hnu rei tak, nausen lai, hmuhchhuah leh enkawl a ni.

Mahse, a tlem hle nachungin, puitling pawhin nakin lawkah he TEF natna hi an nei thei bawk. A hming chu "Acquired Tracheoesophageal Fistula" tih a ni. Hei hi chaw kawng cancer, lung cancer, natna khirh tak tak, TB ang chi emaw, damdawi lam thila accident vang emaw a ni thei.

Tracheoesophageal Fistula (TEF) hi engtiang chiahin nge a awm?

United States atanga statistics atanga a lan dan chuan TEF hian naute piang 3,000 atanga 5,000 zinga pakhat vel a nghawng niin an chhut. Tin, TEF emaw EA emaw vei naute 50% vel chuan pianpui natna dang an nei thei bawk. Chumi awmzia chu hmun dangah harsatna a awm thei tihna a ni a, chu chu kal, thinlung emaw, ruh lam emaw a ni thei.

Puitling laia "Acquired TEF" lo awm hi a tam vak lo. Tin, a tlem hle bawk, ​​puitling thenkhat chu TEF neia piang an ni a, nakin lawkah natna lanchhuahna an nei thei bawk. Chumi awmzia chu an pian tirh atangin he natna hi an nei a, mahse a natna lan chhuah dan chu a hnuah a lang chhuak tihna a ni.

Tracheoesophageal Fistula (TEF) chi hrang hrangte chu engte nge ni?

Tunah chuan he TEF condition chi hrang hrangte hi han en ila. Doctor-te chuan chi ngaah an then tlangpui. Hei hi a chipchiar deuh a, mahse hriatthiam tum ila. Esophagus (E) chu tube pakhat a ni a, trachea (T) chu tube dang a ni tih han ngaihtuah teh.

• Type A: Hei hi TEF a ni a, chu chu inzawmna pangngai lo a awm lo tihna a ni. Mahse EA (Esophageal Atresia) a awm a. Chumi awmzia chu chaw kawng chu hmun hnih ah then a ni a, a sir lehlamah a chung leh a hnuai lam zawng zawng chu khar a ni (blind pouches). A laiah pipe a chhe tawh a, a chhe lai tawp pahnih chu khar ang mai a ni. Hei hi "Pure Esophageal Atresia" an ti bawk. TEF/EA vei zawng zawng zinga 8% vel chu he chi hi an ni.

• Type B: Hei hi a tlem hle a, damlo zawng zawng zinga 2% chauh a nghawng. Hetah hian chaw kawng chunglam chu trachea nen a inzawm a (TEF a awm a), mahse chaw kawng hnuai lam chu a tawp khar (blind pouch)-ah a tawp thung.

• Type C: Hei hi a tam ber a ni. Case 85% vel chu he category-ah hian an tel a ni. Heta thil thleng chu chaw kawng chunglam chu a tawp khar (blind pouch)-ah a tawp a, mahse chaw kawng hnuai lam erawh chu trachea (TEF) nen a inzawm thung. Chumi awmzia chu chaw kawng (esophagus) atanga chaw kawng inzawm tur chu trachea nen a inzawm tihna a ni.

• Type D: Hei hi a tlem ber a ni a, 1% aia tlem lovah a awm thin. Hetah hian chaw kawng chunglam leh hnuai lam chu trachea nen a hranin an inzawm a (TEF pahnih a awm).

• Type E: Hetiang chi ah hian chaw kawng (esophagus) chu a lo insiam kim vek a, pum nen a inzawm tlat a ni. Hei hian EA a awm lo tihna a ni. Mahse, esophagus leh trachea inkarah hian abnormal connection (TEF) a awm a. Hei hi H-type fistula an ti \hin a, a chhan chu a inzawmna chu "H" letter ang maia siam theih a nih vang a ni. Damlo zawng zawng zinga 4% vel chu he type-ah hian an tla vek a ni.

He classification hi a buaithlak deuhin lang mahse, doctor-te tan chuan enkawl dan tur ruahmanna siam a pawimawh hle.

Tracheoesophageal Fistula (TEF) natna lan chhuah dan chu engte nge ni?

TEF symptoms hi EA (Esophageal Atresia) pawh a awm leh awm loh leh TEF awm danah a innghat a ni.

Naute TEF chauh nei (entir nan, Type E) EA nei lote chuan an pian tirh lamah symptom an nei lo thei. Mahse, hun kal zelah chuan hetiang hi an hmu thei a ni:

• Lung infection hi a awm fo thin a, a chhan chu ei tur chi hrang hrang thawkna kawngah a tlakbuak vang a ni.
• Nau hnute pek emaw, chaw pek emaw hian an thawk chhuak a, an rilru a buai ang maiin an hria.

Naute Esophageal Atresia (EA) leh Tracheoesophageal Fistula (TEF) (a tam zawk chi, Type C ang chi) nei te hian an pian atanga darkar tlemte chhungin natna lanchhuahna an nei tlangpui. A lan chhuah dan tlangpui chu:

• Khuh fo, a bik takin hnute pek tumnaah.
• Chaw ei tum laiin choking.
• Thâwk lama harsatna a awm.
• Kawng atanga mucous discharge tam lutuk.
• Abdominal distension (a bik takin Type C-ah chuan inhaled air chu TEF kaltlangin pum chhungah a kal lut thin avangin).
• Naute chu hnute a pek laiin a blue (cyanosis) a ni.

Ngaihtuah teh, naute piang thar a awm. Nuin bawnghnute engemaw zat pek a tum veleh naute chu a khuh chhunzawm zel a, a rilru a buai ang maiin a lang a, a chang chuan a hmui vel chu a sen deuh bawk. Kawng atang hian mucus a chhuak nasa hle. Hetiang thil i hmuh chuan damdawi lam thurawn lak nghal a pawimawh hle.

Eng thilin nge Tracheoesophageal Fistula (TEF) hi a thlen?

Hei hi nausen pian lai hian a thleng fo thin a, chu chu nausen pum chhunga a lo thanglian lai a ni. A tlangpuiin naupai atanga kar li atanga kar riat inkar ah chuan chaw kawng leh thlipui inkar ah bang a lo piang a, a tir lamah chuan tube pakhat angin a intan thin. He wall hi a lo insiam tha lo a, emaw, a inthenna a kim lo a nih chuan, he inzawmna pangngai lo, Tracheoesophageal Fistula (TEF) an tih hi a lo awm thin. Hetiang dinhmun hi a chhan dik tak hriat a la ni lo a, mahse genetic leh environmental factors avanga lo awm nia ngaih a ni.

Engtin nge doctor-te hian TEF hi an hriat chhuah?

A tlem hle a, naute pian hmaa ultrasound scan-a thil danglam hmuh a nih avangin doctor chuan TEF a ringhlel thei a ni. Entirnan, naute chhehvelah amniotic fluid a tam lutuk (polyhydramnios), a nih loh leh naute pum chu chiang taka hmuh theih loh a nih chuan doctor chuan a ringhlel thei a ni.

Mahse, a tam zawkah chuan TEF rinhlelhna hi a pian atanga darkar tlemte chhungin a lo awm a, chu chu naute hian a chunga kan sawi tawh ang chi (mucus tam lutuk, thawk harsa, ei theih lohna) a lantir tan thin.

He rinhlelhna hi nemnghet turin medical team chuan test an nei thei a, chungte chu:

• Chest and abdominal X-ray: Hengte hian chaw kawng, lung, leh pum chhungah boruak a awm leh awm loh a enfiah thei a ni. Entirnan, EA vei naute esophagus-a dah tube te tak te (nasogastric tube) chu a pum thleng lovin X-ray chanve velah a tawp thei.
• Endoscopy emaw Bronchoscopy: Heng test-ah hian camera vuah tube te tak te chu hmui emaw hnar emaw hmangin dahin chaw kawng chhungah (endoscopy) emaw thlipui (bronchoscopy) emaw a en nghal a ni. Hei hian inzawmna pangngai lo (fistula) awmna hmun dik tak chu a hriat theih nan a pui thei a ni.

Naute chu TEF emaw EA emaw a vei tih hriat a nih veleh doctor chuan a hmaa kan sawi tawh ang khan piansualna dang a neih leh neih loh enfiah turin test dang neih belh turin a ti fo thin . Entirnan, heart scan (echocardiogram) leh kidney scan te pawh tih theih a ni.

Tracheoesophageal Fistula (TEF) hi engtin nge enkawl a nih?

TEF enkawlna tha awmchhun chu operation a ni. He surgery-ah hian surgeon chuan naute esophagus leh trachea inzawmna pangngai lo chu a paih chhuak a, a khur chu a khar a ni. Tichuan, EA pawh a awm chuan chaw kawng chhe tawh pahnih chu a inzawm khawm a, chu chuan ei tur a paltlang theih nan a pui a ni.

He surgery hi traditional open surgery angin emaw, minimally invasive surgery (thoracoscopic surgery) angin emaw, incision tenau tlemte hmanga tih theih a ni. A hman dan tur chu naute dinhmun, TEF chi hrang hrang, leh surgeon-in a tawn danah a innghat a ni.

He surgery hi a hlauhawmna a awm em?

Surgery dang ang bawkin TEF correction surgery hian harsatna engemaw zat a nei thei a ni. Chung zingah chuan:

• Anastomotic leaks: Hei hian feeding tube anastomosis (connection) atanga tui chhuak a kawk a ni.
• Esophageal strictures: Hei hi hun kal zelah ei tur pipe nena inzawmna a tawi deuh thinna a ni. Hei hian naute tan a ei harsa thei hle.
• Laryngeal nerve tihchhiat: Hei hian naute aw a nghawng thei a ni.
• Fistula lo lang leh: Operation hnuah pawh connection pangngai lo chu a lo lang leh thei lo. Hei hi 3% atanga 14% velin a thleng thin.
• Infection awm thei te.
• Gastroesophageal Reflux Disease (GERD): Hei hi pum acid chu chaw kawng chhungah a luang chho leh a ni. Hei hi TEF surgery hnuah pawh a awm fo thin.

Medical team chuan heng hlauhawmnate hi an sawipui ang che. Ngaihtuah buai suh, heng zawng zawng atan hian doctor te chu an inpeih reng a ni.

TEF enkawl hnuah a dam leh theih nan eng chen nge a duh?

Nausen hrang hrangah dam leh hun chhung hi a inang lo thei. Naute dinhmun a nasat dan te, a zai dan tur te, naute enkawl danah te a innghat a ni. A tam zawkah chuan a dam kim theih nan kar 12 vel, a nih loh leh thla thum vel a ngai thei. Hemi chhung hian naute chu chaw pekna tube bik hmangin chaw pek theih a ni a, zawi zawiin ei tur peknaah pawh dah theih a ni bawk. Heng zawng zawng hi doctor leh nursing staff ten an hrilhfiah ang che.

Tracheoesophageal Fistula (TEF) hi ven theih a ni em?

Tunah hian pianpui TEF, nau piang laia awm thin TEF hi ven theih dan tur a awm lo. Hei hi nausen (fetal stage) lai a lo awm vang a ni. Tin, puitlin huna lo awm thin acquired TEF hi cancer emaw, natna khirh tak emaw avanga lo awm fo a nih avangin, ven dan tur chiang tak a awm lo. Mahse, nunphung hrisel zawm hian cancer leh hri kai lakah a veng thei a ni.

Ka naute hian TEF a neih chuan eng nge ka beisei ang?

I naute chu TEF a vei tih hmuhchhuah a nih chuan medical team chuan operation nghal turin an rawt ang. Hei hi nunna atana hlauhawm tak a nih avangin enkawl vat a pawimawh. Surgery chi hrang hrang hi TEF chi hrang hrangah a innghat.

Naute hian operation hnua harsatna a neih chuan medical team chuan ni engemaw zat damdawi inah an dah ang a, a dinhmun chu uluk takin an enfiah ang. Naute operation hnua harsatna nei hmasa berte chu a hnuah TEF hi a lo lang leh thei zawk a ni. Chuvangin chutiang harsatna a lo awm chuan doctor chuan naute chu a enkawl chhunzawm zel ang (follow-ups).

Hetiang hunah hian nu leh pate angin rilru hahthlak in inhriat mai thei. Hlauhna i nei mai thei. Chu chu thil pangngai a ni. Doctor leh nurse te hnenah i zawhna zawt la, i rinhlelhna te chu tifai rawh. An pui ang che.

Tracheoesophageal Fistula (TEF) hi a dam kim thei em?

Awle! Tracheoesophageal fistula (TEF) hi operation hmanga tihdam vek theih a ni. A pawimawh ber chu hriat hmasak a, enkawl tan nghal a ni a, nunna atana hlauhawm tak a nih theih avangin. Chutianga tih chuan naute chaw kawng leh thlipui inzawmna dik lo chu a siam tha thei a, chaw chu lung chhunga a luh loh nan (aspiration) a ti thei a, naute chu nun hrisel tak neih theihna hun remchang a pe thei bawk.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

I fate hian Tracheoesophageal Fistula (TEF) a vei tih i hriat chuan i rilru a hah lutuk hi thil pangngai a ni. Mahse, hei hi enkawl theih a ni tih hre reng ang che.

• A hmaa hriatchhuah leh enkawl vat hi a pawimawh ber a ni. I naute chu hnute pek lai emaw, ei lai emaw a tap reng a, thawk harsatna nei anga lang emaw, a sen hring emaw a nih chuan damdawi lam pan nghal rawh.
• Chumi atan chuan surgery hi a enkawl ber a ni.Doctor ten i naute enkawl dan tur dik ber an pe ang.
• Surgery hnuah pawh doctor-te thupek zawm a, naute hi a hun taka enkawl tura hruai a pawimawh hle.
• Nangmah chauh i ni lo. I medical team, chhungte leh i thiante thlawpna hi tun dinhmunah chuan a hlu hle. I rilru put hmang sawi hreh suh la, tanpuina dil bawk ang che.

He thu hian he dinhmun khirh tak hi hriatthiamna engemaw chen i neih theih nan a puih ngei kan beisei. I naute chu dam thuai turin duhsakna kan hlan e!

` tracheoesophageal fistula, esophageal atresia, pianpui dinhmun, nau piangsual, naute hriselna, naupang surgery, aspiration