Kei te tangi rerekē tāu pēpi i a koe e manawa ana? Tērā pea he Tracheomalacia? | Nirogi Lanka

Kei te kite koe i tētahi tangi rerekē ina manawa tāu tamaiti? Kei te āhua pēhia, kei te herea rānei tōna manawa, inā koa i te wā e whāngai ana, e tangi ana rānei? Kei te pāngia rānei ia e te maremare me te makariri maha, pumau tonu? He mea tino noa mō ngā mātua te manukanuka, te āwangawanga rānei ina kite i ēnei tohu. I tēnei rā, i Nirogi Lanka, e hiahia ana mātou ki te whakamārama i tētahi āhuatanga e puta ai ēnei tohu—he āhuatanga kāore i te mōhiotia e te tini o te tangata, engari he āhuatanga ka taea te whakahaere pai mā te tautuhi tika me te tiaki tika. Kei te kōrero mātou mō Tracheomalacia .

He aha te Tracheomalacia? He Aratohu Māmā mai i Nirogi Lanka

He whakarāpopototanga noa iho, ko te tracheomalacia he āhuatanga e ngoikore ana, e kore rānei e tino whanake te kiriuhi i roto i tō pūkahukahu (trachea) . Tērā pea kei te whakaaro koe he aha tonu te pūkahukahu me tōna kiriuhi.

Whakaarohia tō pūkahukahu he ngongo pakari e kawe ana i te hau ki ō pūkahukahu. Ko ngā pakitara o tēnei ngongo e tautokona ana e ngā mowhiti kiriuhi āhua-C—he kiko pakari, ngāwari hoki e rite ana ki te hanganga rapa i roto i ō taringa. Mā ēnei mowhiti ka noho tuwhera tonu tō pūkahukahu, ka mahi pērā i te ngongo whakapakari e kore e hinga i raro i te pēhanga.

Heoi, mō te tangata e pāngia ana e te tracheomalacia—e kitea pinepine ana i roto i ngā pēpi—kāore i te kaha rawa tēnei kiriuhi. He "ngoikore" rawa. Nō reira, ina manawa koe, inā koa i te wā e manawa hohonu ana, e tangi ana, e maremare ana rānei, ka hinga ngā pakitara o te pūkahukahu ki roto, ka ārai i te ara manawa. He rite tonu tana mahi ki te poihau kāore i pupuhi katoa; i te wā e haere ana te hau, ka hinga wāhanga. Koinei te mea e puta ai taua tangi āhua, ā, e uaua ai te manawa. I ētahi wā, ka mau te hūpē ki roto i ngā pukahukahu nā te mea he uaua ki te whakakore.

Ahakoa e kitea nuitia ana tēnei i roto i ngā pēpi hou , ka taea te puta i ngā tau katoa. I roto i ngā pēpi, ka puta ngā tohu i roto i te marama tuatahi, i ngā marama e rua rānei. Ko te rongo pai, mō te nuinga o ngā pēpi, i a rātou e tipu ana, ka kaha ake te kiriuhi i te toru tau te pakeke, ā, ka memeha haere ngā tohu. Heoi, i roto i ngā take kino rawa atu, me mahi pokanga pea .

He rerekē ngā momo tracheomalacia?

Āe, e rua ngā momo matua:

1. Te Tracheomalacia whānau

Ko te tikanga o te "whanautanga" ko te mea kei te whānau mai anō. I ēnei wā, kāore i tika te whanaketanga o te kiriuhi i roto i te manawa o te pēpi i roto i te kōpū, ko te tikanga kei te whānau mai anō te pēpi.

2. Tracheomalacia i whiwhihia

Ko te tikanga o te "Acquired" ko te whanaketanga o te mate i muri mai i te oranga nā runga i ngā take motuhake. Mena ka pāngia te pūkahukahu e te whara, ētahi pokanga, te whakamahinga roa rānei o te mīhini manawa, ka ngoikore te kiriuhi. Ka taea tēnei te tupu i ngā tau katoa, ahakoa he iti ake te onge.

Tērā pea ka pāngia ētahi tāngata e te ngoikore o ngā ngongo iti e ahu atu ana i te pūkahukahu ki ngā pukahukahu (bronchi). Ka kiia tēnei mate e ngā tākuta ko te tracheobronchomalacia .

He pēhea te noa o tēnei?

E kiia ana he onge te tracheomalacia whānau, ahakoa koinei te hapa whānau tino noa o te puku o te manawa. E kiia ana ka pā tēnei ki te kotahi i roto i te 2,100 tamariki . He onge ake te tracheomalacia kua whiwhihia.

He aha ngā tohu? Āhea koe me rapu āwhina?

Ko te tohu matua o te tracheomalacia he tangi teitei i te manawa, e mōhiotia ana ko te stridor . Tērā pea ka kite koe i tāu tamaiti e tangi ana i te "wheezing" me te "squeaky" rānei, inā koa i muri i te whāngai, i te wā rānei e tangi ana, e pouri ana rānei.

Ko ētahi atu tohu ko:

• Te uaua haere o te manawa i te wā e tangi ana, e whāngai ana, e maremare ana rānei.
• He kare ā-roto o te kōkō .
• He maremare mau tonu .
• Ko te cyanosis , he tae kikorangi ki te kiri, ki ngā ngutu, ki ngā maikuku rānei nā te iti o te hāora. He āhuatanga ohorere nui tēnei—rapuhia he awhina hauora tonu, waea atu rānei ki te 911.
• Te uaua ki te horomi i te kai.
• He reo pākū .
• Ngā mate urutā auau pērā i te niumōnia me te bronchitis .
• Te poto o te manawa .
• He haruru, he wheezing rānei mai i te uma.

Mena kei te whakaatuhia e tāu tamaiti ēnei tohu, me toro atu ki tō tākuta tamariki kia tirohia e te tohunga.

He aha ngā take o te tracheomalacia?

E ai ki te kōrero, e rua ngā momo take matua:

Ngā Take o te Tracheomalacia Kōhungahunga:

Ka puta tēnei ina kore e tika te hanganga o te kiriuhi o te puku i te wā e noho ana te pēpi i roto i te kōpū, ka hua ake he kiko ngohengohe, kāore rānei i tino whanake, kaua he tautoko hanganga pakari.

Ngā Take o te Tracheomalacia i Whiwhi:

He maha ngā āhuatanga ka whai wāhi ki te whanaketanga o tēnei mate i muri mai i te oranga:

• Ko te reflux gastroesophageal mau tonu (GERD) , ka piki te waikawa o te puku ki roto i te korokoro, ka whakapataritari i te ara manawa.
• Te whara ki te puku o te ihu, i puta pea i ngā pokanga, i ngā tikanga hauora rānei.
• Ngā mate pūkahukahu pērā i te emphysema .
• Ko te Polychondritis , he mate mumura e pā ana ki te kiriuhi.
• Ngā raruraru i muri i te pokanga hei whakatika i te fistula tracheoesophageal (he hononga rerekē i waenga i te esophagus me te puha o te korokoro).
• Te whakamahinga roa o te tracheostomyhe ngongo manawa horihori rānei (he pūwero manawa).
• Ngā mate urutā manawa o runga e hokihoki mai ana pērā i te bronchitis .

I ētahi wā, ka honoa pea te tracheomalacia ki ētahi atu mate hauora.

• Ngā whakaroa whanaketanga.
• Te mate Ehlers-Danlos (he mate ira e pā ana ki ngā kiko honohono).
• Ngā hapa o te ngākau.

He aha ngā raruraru pea ka pā mai?

Ki te kore e rongoatia te tracheomalacia, ka ara ake pea he raruraru hauora nui. Kei roto i ēnei ko:

• Te aukati i te ara manawa: Ka taea e tēnei te noho hei āhuatanga ohorere e morearea ai te ora. Mena ka pāngia koe, tō tamaiti rānei e te uauatanga nui ki te manawa, rapua tonutia te awhina hauora i te rūma ohorere tata, waea atu rānei ki te 911.
• Te niumōnia manawa: Ka puta tēnei ina uru te kai, te wai rānei ki roto i ngā ara manawa me ngā pukahukahu, ka pā te mate.
• Te ngoikore o te tipu: Ka pā nui te uaua ki te manawa ki te tipu me te whanaketanga o te tamaiti.
• Ngā mate manawa auau: Ngā mate auau, ngā mate pūmau rānei o te ara manawa o runga.

I te mea ka taea e ēnei tohu te whanake haere, he mea nui kia kōrero koe ki tētahi tohunga hauora i Nirogi Lanka mēnā ka kite koe i tētahi raruraru manawa pumau.

Me pēhea te tautuhi i tōna mate?

Ka tīmata tō tākuta i Nirogi Lanka mā te tirotiro tinana me te arotake taipitopito i tō hītori hauora, i tō tamaiti rānei. Hei tirotiro mārama i te ara manawa, ka whakahaerehia pea e rātou he laryngoscopy , he bronchoscopy rānei. I roto i tēnei tikanga, ka tukuna he ngongo angiangi, ngāwari me te kāmera me te mārama mā te ihu, mā te waha rānei hei tirotiro i te trachea i te wā tonu. Mā tēnei ka taea e te tohunga te kite mēnā he ngoikore, he hinga rānei ngā pakitara ara manawa i te wā e manawa ana.

Hei whakaū i te mate, ka tūtohu pea tō tākuta i ētahi atu whakamātautau:

• Te whakamātautau i te ara manawa: He rangahau hihi-X tonu e whai ana i te nekehanga o tō ara manawa i a koe e manawa ana.
• Te horomitanga o te Barium (Esophagram): Whakamahia hei tirotiro i ngā raruraru o te esophagus.
• X-ray o te uma.
• Matawai CT.
• Ngā whakamātautau mahi a te pūkahukahu.
• Matawai MRI.

He mea nui ēnei tātaritanga hei whakaū i te tautuhi tracheomalacia me te whakatau i te kaha o te mate.

He aha ngā kōwhiringa maimoatanga? Kaua e manukanuka, kei reira ngā otinga!

Ko te rongoā i te tracheomalacia e whakawhirinaki ana ki te kaha o tō mate. Kei roto i ngā kōwhiringa ko ngā maimoatanga kore-pokanga me te rongoā tae atu ki te pokanga mō ngā mate kino. Ka mahi tahi tā mātou tīma i Nirogi Lanka me koe ki te whakarite i tētahi mahere e tutuki ai ō hiahia.

Ngā maimoatanga kore-pokanga

Ko te arotahi o ēnei maimoatanga he pupuri i te ara manawa kia tuwhera me te tango i te hūpē mai i ngā pukahukahu.

• Te manawa i te hau makuku: Mā te whakamahi i te whakamakuku kāinga ka tāpirihia he makuku ki te hau, ka taea te whakamaroke i te hūpē me te whakangāwari ake i te manawa.
• Te whakaora tinana o te uma (CPT): Ka taea e te kaiwhakaora tinana te whakaako i a koe ki ngā mahi manawa me ngā tikanga motuhake hei āwhina i te whakakore i ō pukahukahu.
• CPAP (Te Pēhanga Āhuarangi Pai Tonu): He mea whakamahi noa tēnei mīhini mō te hunga he uaua ki te manawa e pā ana ki te moe, ā, ka āwhina tēnei mīhini ki te pupuri i te ara manawa kia tuwhera tonu i a koe e moe ana.

Ngā rongoā

Ka tohua pea e ngā tākuta ngā momo rongoā hei whakahaere i ngā tohu o te tracheomalacia:

• Ngā rongoā paturopi mō ngā mate kitakita.
• Ngā rongoā whakawhanui i ngā uaua manawa (he rite ki ngā rongoā whakangāwari i te mate huango).
• Ngā corticosteroids hei whakaiti i te mumura.
• Ngā rongoā mucolytic hei whakaiti i te rere o te manawa.

Pokanga

I ngā wā tino kino, ina kore e ranea ngā huarahi kore-pokanga, ka tūtohutia pea te pokanga:

• Aortopexy: Ka nekehia e te taote pokanga tētahi oko toto nui (te aorta) mai i te trachea ka mau ki te wheua uma, hei ārai i te hinganga o te ara manawa.
• Te whakapūngao i te manawa: Ka whakauruhia he taputapu tautoko iti (stent) ki roto i te ara manawa kia noho tuwhera tonu.
• Tracheopexy: He tikanga e herea ai tētahi wāhanga o te trachea ki tētahi hanganga tata, pērā i te uma, i te hononga tuaiwi rānei, kia noho tuwhera tonu ai te ara manawa.

Ka taea te ārai i te tracheomalacia?

Engari, kāore anō kia mōhiotia he huarahi hei ārai i te tracheomalacia, nā te mea ko ngā āhua whānautanga kāore e taea te whakahaere. Heoi, mā te arahi a ngā tohunga i Nirogi Lanka, ka taea te whakahaere me te aroturuki i tēnei mate.

He aha te tirohanga mō te whakaoranga?

Anei ētahi kōrero whakamarie: He tokomaha te hunga whai tracheomalacia e ora hauora ana, e ora kaha ana i muri i te maimoatanga me te whakahaere tika.

Kāore te maimoatanga e roa mō te wā katoa. He maha ngā tamariki i whānau mai me te tracheomalacia whānau ka kite i te whakapai ake i tō rātou āhua i te toru o ngā tau. I te tipu o te tamaiti, ka kaha ake te kiriuhi i roto i te ara manawa, ka whakaiti i ngā tohu. Heoi, i ētahi wā, me tautoko tonu mā te rongoā, mā te pokanga rānei kia ora katoa ai.

Mena kei a koe, kei tāu tamaiti rānei te tracheomalacia, me noho tonu koe i raro i te tirotiro a te rata, inā koa mēnā ka puta he mate manawa. Ahakoa he makariri noa, ka taea e ia te whakaoho i ngā raruraru. Ka tūtohu tō tākuta i ngā maimoatanga, i ngā rongoā rānei hei whakahaere i ō tohumate.

Āhea koe me toro atu ki te tākuta?

Ki te whakapae koe kei tō pēpi ngā tohu o te tracheomalacia—pērā i te maremare roa, te manawa haruru, ngā mate manawa e hokihoki mai ana rānei— me rapu tonu i te awhina hauora.

Tērā pea ka pāngia ngā pakeke e pāngia ana e te tracheomalacia e te kore e manawanui ki te whakakorikori tinana (te poto o te manawa i te wā e mahi ana i te tinana) me ngā mate manawa maha. Mēnā ka kite koe i ēnei tohu, kōrero ki tō kaiwhakarato hauora kia taea ai e rātou te whakaū i te mate me te tūtohu i te maimoatanga tika.

Ngā pātai hei pātai atu ki tō tākuta

Kia whakaūtia te tātaritanga o te tracheomalacia, whakaarohia te pātai atu ki tō tākuta i ēnei pātai e whai ake nei:

• He pēhea te kino o tēnei āhuatanga?
• He aha te pūtake (nō te whānautanga mai, nō te whiwhi rānei)?
• He aha ngā maimoatanga motuhake e taunaki ana koe?
• Me mahi pokanga rānei?
• He aha taku e taea ai te mahi i te kāinga hei āwhina i te whakaiti i ngā tohu?
• Kia pēhea te tere me tīmata ai te maimoatanga?

Mā te pātai i ēnei pātai ka āwhina i a koe kia mārama ake ai ki te āhua o te mate, ā, ka nui ake tō māia ki ō mahi e whai ake nei.

Ngā āhuatanga ka pōhēhē pea ki te Tracheomalacia

I ētahi wā ka pōhēhē te Tracheomalacia ki ētahi atu mate e puta mai ana me ngā tohu rite. Ko ngā tauira matua e rua ko:

• Laryngomalacia: Kei roto i tēnei ko te whakangawari o ngā kiko i runga ake i te pouaka reo (larynx), e noho ana i runga ake i te trachea.
• Tracheobronchomalacia: Kei roto i tēnei ko te ngoikore o te bronchi (ngā ngongo e peka mai ana i te trachea ki ngā pukahukahu). Tērā pea ka pāngia ētahi tāngata whai tracheomalacia e tēnei mate i te wā kotahi.

Ko tō tākuta te tangata pai rawa atu hei wehewehe i waenga i ēnei āhuatanga, hei whakarato hoki i te tautuhi tika.

Te Karere Kawe-ki-te-Kāinga

He mea whakamataku te mōhio kei te pāngia koe, tāu tamaiti rānei e te tracheomalacia, ā, he mea maori te manukanuka ina tangi, ina maremare rānei tāu pēpi, mēnā rānei kei te pāngia koe e tēnei mate i muri i te whara. Heoi, kia mahara:

Ko te tracheomalacia ehara i te mate morearea, ā, ahakoa i ngā wā tino kino, ka pai te urupare ki te rongoā.

Ko te mea nui ko te pupuri i te whakawhitiwhiti kōrero tuwhera ki tō kaiwhakarato hauora. Mēnā ka puta ake he tohu hou, ka kino ake rānei ētahi atu tohu, whakamōhio atu tonu atu. Kia mau ki te whakaaro pai—mā te ārahi me te tiaki hauora tika, ka taea e koe te whakahaere angitu i tēnei mate. Kei konei a Nirogi Lanka hei tautoko i a koe.

Ngā Kupumatua: Tracheomalacia, Trachea, Ngā uauatanga manawa, Hauora tamariki, Stridor, Cyanosis, Cartilage