He tangi whiowhio tō tamaiti i ētahi wā ina manawa ana? Kāore rānei, he uaua ki a koe te manawa i ētahi wā, me te mea kei te kikī tō uma? Ahakoa he tokomaha e whakaaro ana he mea noa tēnei, i ētahi wā he tohu pea tēnei mō tētahi mea hei āwangawanga māu. I tēnei rā ka kōrero tātou mō tētahi mate onge engari he tino nui. Ko te ingoa ko te Subglottic Stenosis. Ahakoa he ahua whakamataku te ingoa, kia māmā noa iho.

He aha te Stenosis Subglottic?

Ki te whakarāpopototanga, ko te Subglottic Stenosis he whakawhāiti i te taha o runga o tō tātou puku manawa (trachea), arā, ko te bronchi . Kei raro noa iho i ō tātou taura reo tēnei. E ai ki te ingoa, ko te tikanga o "Subglottic" kei raro i ngā taura reo. Ko te tikanga o "Stenosis" ko te whakawhāiti.

Ko te huarahi pai ki te mārama ki tēnei ko te whakamahi i te tauira o te ngongo inu. Whakaarohia kei te inu wai koe mai i te ngongo inu. Ina tuwhera te ngongo, ka taea e koe te inu wai. Engari he aha te mea ka tupu mēnā ka whakawhāitihia te ngongo, ka whakawhāitihia? Ka iti haere te nui o te wai e puta mai ana. Ki te whakawhāitihia ake, ka tino heke te nui o te wai e puta mai ana, ā, i ētahi wā ka tīmata te wai iti e puta mai ana me te haruru. Koinei anō te mea ka tupu i tēnei āhuatanga. Ina whakawhāitihia te ara manawa, ka iti haere te nui o te hau e uru ana ki ngā pukahukahu. Ka uaua pea te manawa me te tangi whiowhio.

He mea noa tēnei āhuatanga?

Kāo. He tino onge tēnei mate . Tata ki te kotahi i roto i te whā rau mano (400,000) tāngata e pāngia ana. He tokomaha pea kāore anō kia rongo mō tēnei. Engari, ki te mea kei a koe, kei tāu tamaiti rānei ēnei tohu, he mea nui kia mōhio koe ki tēnei.

He aha ngā tohu?

Ka taea e ēnei tohu te ngawari, te āhua whakarara, te kino rānei, i runga i te whaiti o te ara manawa. Me titiro tātou ki ngā rerekētanga o ēnei tohu i waenga i ngā tamariki nohinohi me ngā pakeke.

He aha tēnei e tupu nei? He aha ngā take?

He maha ngā take o te stenosis subglottic. I ētahi wā, kāore e kitea he take.

• Te Stenosis Subglottic Congenital: Ka whānau mai ētahi pēpi me te whaiti o te ara manawa. He maha ngā wā ka kitea ngā tohu i muri tata mai i te whānautanga.

• Te Stenosis Subglottic Acquired: Koinei te mate tino noa . Ko te tikanga ka whaiti te ara manawa i muri i te whānautanga mō tētahi take. Ka puta pea tēnei i:
• Te noho roa i runga i te mīhini manawa: Ka whakauruhia he ngongo ki roto i te tangata tino mate, ka honoa ki te mīhini manawa hei āwhina i a ia ki te manawa. Mēnā me noho ia ki runga i te mīhini manawa mō te neke atu i te rua wiki, ka taea e te ngongo te kino i te arai ngawari o ngā ara manawa, ka puta he kiko whara, ka whakawhāiti hoki i ngā ara manawa i a ia e ora ana.
• Te whara o te ara manawa: Ka taea e te whara kino ki te kaki, ki te uma rānei te kino o te ara manawa.
• Ngā āhuatanga hauora: Ka taea e ngā mate pūnaha ārai mate tino onge, ngā āhuatanga rānei pērā i te vasculitis te pupuhi me te koha o ngā kiko ara manawa, ka whakawhāiti i aua ara.

• Te Stenosis Subglottic Idiopathic: I ētahi wā, inā koa i roto i ngā pakeke, kāore e kitea he tino take mō tēnei āhuatanga. He mea noa tēnei i roto i ngā wāhine i waenga i te 30 me te 60 tau te pakeke .

Me pēhea te tātaritanga a te tākuta i tēnei mate?

Ina kōrero koe ki tō tākuta mō ēnei tohu, ka whakahaerehia e ia he whakamātautau tinana. Ka pātai atu ia ki a koe mō tō hītori hauora me ngā tohu. Mena ka whakapaetia he stenosis subglottic, tera pea ka tukuna koe e ia ki tētahi tohunga taringa, ihu, me te korokoro (tohunga ENT, tohunga otolaryngology rānei) . Tērā pea ka whakahaerehia e te tohunga ētahi whakamātautau hei whakaū i te mate.

He aha ngā maimoatanga?

Nā te mea he mate onge tēnei, kāore he maimoatanga kotahi e tika ana mō te katoa. Ko te maimoatanga e whakawhirinaki ana ki ngā āhuatanga pēnei i te tau o te tūroro, te kaha o te mate, me te take.

Mō ngā āhuatanga ngawari

Mena kāore te āhua i te tino kino, arā, he paku whaiti noa te ara manawa, kāore pea tō tākuta e rongoā tonu i a koe, engari ka tirotirohia tonutia pea koe. Ko te tikanga tēnei me tirotiro tonu koe i a koe kia kite ai mēnā kei te kino haere tō āhua.

Ngā maimoatanga matatau ake

• Ngā Werohanga Steroid:Ka taea tēnei te whakamahi hei maimoatanga tuatahi. I roto i tēnei, ka whakangāwarihia te kaki me te ara manawa mā te rongoā whakamoe ā-rohe, ā, ka werohia he steroid mā te kaki ki roto i te ara manawa whaiti. Ka āwhina tēnei ki te whakaiti i te pupuhi me te kiko koha. Ko tēnei raupapa werohanga ka tukuna i ia 4-6 wiki.

• Pokanga: Mena he kino rawa te mate, he kore rānei e angitu ētahi atu maimoatanga, me pokanga pea. He maha ngā momo pokanga.
• Whakawhanuitanga Endoscopic: I tēnei mahi, ka whakauruhia he poihau iti ki roto i te wāhi whaiti mā te whakamahi i te endoscope, ā, ka pupuhihia hei whakawhānui i te wāhi. Heoi, ehara tēnei i te otinga pumau i te nuinga o te wā. Ka hoki mai anō te whaiti i roto i te wā, nō reira me mahi anō pea te mahi.
• Te Tangohanga Cricotracheal: He pokanga uaua ake tēnei. I roto i tēnei, ka tapahia katoatia te wāhanga whaiti i raro i ngā taura reo, ā, ka honoa anō ngā wāhanga hauora e rua e toe ana. He maha ngā wā ka hua ake he rongoā tuturu.
• Te Whakatō Laryngotracheoplasty Endoscopic: I roto i tēnei pokanga, ka whakatōkia ngā wahi o te kiriuhi mai i tētahi atu wāhanga o te tinana o te tūroro (hei tauira, he rara) ki te wāhi whaiti hei whakawhānui i te ara manawa. Ka kiia hoki tēnei ko te Whakatō Laryngotracheal.

He aha te mea ka tupu i muri i te maimoatanga?

I te nuinga o te wā, mā te maimoatanga tere me te tika, ka taea te whakahaere pai i tēnei mate, ā, i ētahi wā ka ora anō. Heoi, ko te mea nui kia maumahara ko ētahi wā ka hoki anō tēnei mate . Ki te tupu tēnei, he mea tino nui kia rapu maimoatanga anō i mua i te kino haere o ngā tohu.

Āhea ahau me kite i te tākuta?

Mena kua rongoatia koe, tāu tamaiti rānei mō te Subglottic Stenosis, ā, ka kite koe kei te puta anō ngā tohu pēnei i te uaua ki te manawa me te wheezing (stridor), kaua e whakaroa, me toro atu ki tō tākuta tonu. Mā te kitenga wawe ka āwhina i te whakahaere i te āhua i mua i te kino haere. Waihoki, ki te kite tuatahi koe i ēnei tohu, he mea nui kia rapu tohutohu hauora kaua e warewarehia pērā i te mea noa.