Kodi kapumidwe ka mwana wanu ndi kachilendo? Ikhoza kukhala matenda otchedwa Bronchomaliacia!

Kodi mwana wanu akupanga phokoso lachilendo akamapuma? Kapena munamvapo ngati akuvutika kupuma? Nthawi zina, pakhoza kukhala vuto kumbuyo kwa zinthu izi lomwe likufunika chisamaliro. Limodzi mwa matenda amenewa lomwe tikambirane lero ndi Bronchomaliacia. Dzinali lingamveke ngati vuto lalikulu, koma tiyeni tisunge zinthu mosavuta.

Kodi ichi ndi chiyani (Bronchomalacia)? Mwachidule...

Tangoganizirani, mkati mwa mapapu athu, tili ndi njira ya machubu akuluakulu omwe amatenga mpweya wathu kulowa ndi kutuluka. Timatcha machubu awa kuti bronchi . Amafalikira ngati nthambi za mtengo. Tsopano, machubu awa si machubu okha. Pozungulira iwo, pali mphete za cartilage zomwe ndi zolimba pang'ono, monga mawonekedwe a chilembo 'C' . Izi zili ngati khola lomwe limateteza bronchi ndikuwathandiza kuti ikhale yotseguka. Tikamapuma, mapapu athu akadzaza ndi mpweya, machubu awa amafunika kutsegulidwa ndi kutsekedwa bwino.

Bronchomalia ndi pamene ziwalo za cartilage sizili zolimba mokwanira, zimakhala zofooka. Ndiye chimachitika ndi chiyani? Chifukwa mphamvu ya cartilage iyi sikokwanira, makamaka tikatulutsa mpweya (kutulutsa mpweya), njira zopumira sizimatseguka bwino ndipo zimakhala zochepa. Monga momwe mumangitsira chitoliro cha madzi, zimakhala zovuta kuti madzi ayende, ndipo kupuma kumakhala kovuta.

Kodi vutoli ndi lofala bwanji? Ndani amene ali ndi mwayi waukulu wolitenga?

Bronchomalia ndi matenda omwe amapezeka kwambiri mwa makanda obadwa msanga. Amafala kwambiri mwa makanda obadwa msanga komanso makanda omwe ali ndi zilema zina zobadwa nazo, monga Down syndrome. Komabe, amathanso kuchitika kwa ana okalamba ndi akuluakulu, ngakhale kuti nthawi zambiri samachitika kawirikawiri.

Kodi Bronchomaliacia ingakhale ndi zotsatirapo zotani pa mwana?

Pamene chipolopolo cha m'mapapo chifooka, chimakhala chopapatiza ndipo sichimatseguka bwino, zomwe zingatseke njira yopitira mpweya. Izi zimapangitsa kuti mwana asamapume bwino ndipo zimalepheretsa thupi kupeza mpweya womwe limafunikira. Nthawi zina, ngati vutoli likula kwambiri, likhoza kukhala pachiwopsezo. Choncho ndikofunikira kwambiri kudziwa izi.

Kodi Tracheobronchomalacia (TBM) ndi chiyani?

Kawirikawiri, anthu ena omwe ali ndi (Bronchomalacia), yomwe ndi vuto lomwe kagayidwe ka m'khosi kamakhala kofooka, angakhalenso ndi vuto lina lofanana. Ndilo (Tracheomalacia). (Trachea) ndiye payipi yathu yayikulu yopitira mpweya, yomwe ndi chubu chachikulu kwambiri chomwe chimanyamula mpweya kupita ku mapapo. (Tracheomalacia) ndi kufooka kwa makoma a payipi yayikulu yopitira mpweya. Pamene matenda onsewa, (Bronchomalacia) ndi (Tracheomalacia), akupezeka pamodzi, timatcha (Tracheobronchomalacia - TBM) .

Monga bronchomalacia, tracheomalacia ingayambitsenso mavuto opuma ndipo imapezeka kwambiri mwa makanda obadwa kumene. Tracheomalacia nthawi zina ingakhalenso yogwirizana ndi esophageal atresia, vuto lobadwa nalo lomwe limakhala losowa kwambiri pomwe njira yotulutsira chakudya kuchokera pakhosi kupita m'mimba imachepa.

Kodi ndi zifukwa ziti za (Bronchomalacia)?

Bronchomaliacia mwa makanda obadwa kumene imatchedwa primary bronchomaliacia . Imayamba chifukwa cha:

• (Matenda a mtima obadwa nawo): Izi zikutanthauza matenda a mtima omwe amapezeka pobadwa.
• Kubadwa msanga kungapangitse kuti chipolopolo cha m'mapapo chisakule bwino: Mwana akabadwa msanga, ziwalo za chipolopolo cha m'mapapozi sizingakhale zitakula mokwanira.
• (Williams-Campbell syndrome): Ichinso ndi vuto lobadwa nalo, la majini. Limapangitsa kuti chipolopolo cha m'njira zopumira chifooke.

Bronchomacia yomwe imayamba kukula pambuyo pobadwa imatchedwa bronchomacia yachiwiri . Ikhoza kuyambitsidwa ndi:

• Kuvulala pachifuwa kapena ngozi: Ngati pachifuwa chawonongeka kwambiri, monga pa ngozi.
• Bronchitis yosatha: Kutupa kwa bronchi kwa nthawi yayitali, komwe ndi vuto lomwe machubu a bronchial amatupa ndi chifuwa chosalekeza.
• Emphysema: Apa ndi pamene timatumba tating'onoting'ono ta mpweya (alveoli) m'mapapo timawonongeka ndipo timataya kulimba kwawo.
• Chithandizo cha nthawi yayitali (chopumulira mpweya): Mukalumikizidwa ndi makina othandizira kupuma opangidwa ndi anthu kwa nthawi yayitali.
• (Chifuwa chachikulu - TB): Chifuwa chachikulu.
• Ziphuphu za khansa kapena zosakhala khansa m'mapapo: Ziphuphu zimenezi zimatha kutsekereza njira yopumira.

Kodi zizindikiro za matendawa (bronchomaliacia) ndi ziti?

Ngati inu kapena mwana wanu muli ndi vutoli (Bronchomalacia), mutha kukhala ndi zizindikiro izi:

• Chifuwa chowuma popanda phlegm: Chifuwa chomwe chimamveka ngati galu akuwuma ndipo chimatulutsa phlegm pang'ono.
• Cyanosis: Kusintha kwa mtundu wabuluu pakhungu, makamaka milomo, lilime, ndi zala. Izi zikusonyeza kuti thupi silikupeza mpweya wokwanira.
• Kumva kutopa nthawi zonse (Kutopa): Kutopa msanga ngakhale mutagwira ntchito pang'ono.
• Matenda ofala: Matenda a chimfine, chimfine, ndi matenda a m'mapapo (monga chibayo) angachitike pafupipafupi.
• Kupuma movutikira: Kumva kuvutika kapena kulephera kupuma bwino.
• Stridor: Phokoso lolimba komanso logwedezeka lomwe limachokera pakhosi popuma, makamaka popuma. Anthu ena amatchanso kuti "phokoso lolira."
• Kupuma movutikira: Phokoso lolira, logwedezeka lochokera pachifuwa popuma.

Kodi Bronchomaliacia ndi yopatsirana?

Ayi,Bronchomalia si matenda opatsirana. Simungawatenge kuchokera kwa wina , komanso simungawatenge kuchokera kwa wina. Sayambitsidwa ndi matenda opatsirana monga chimfine kapena fuluwenza.

Kodi matenda a bronchomatitis amachiritsidwa bwanji?

Inu kapena mwana wanu mukapita kwa dokotala, choyamba adzakuyesani thupi ndikumvetsera mapapu anu. Iye adzamvetsera mawu omwe mumapanga mukamapuma ndi zizindikiro zina pachifuwa panu. Kenako, ngati pakufunika, adzakulangizani mayeso ena.

Kodi mayeso oyezetsa matenda ndi ati?

Pali mayeso osiyanasiyana ojambulira zithunzi omwe angayang'ane mkati mwa mapapo. Inu kapena mwana wanu mungafunike mayeso monga awa:

• Kujambula mapaipi a m'mphuno: Izi zimaphatikizapo kulowetsa chubu chopyapyala komanso chosinthasintha (bronchoscope) kudzera pakamwa kapena mphuno ndikugwiritsa ntchito kamera yaying'ono kumapeto kuti muyang'ane mwachindunji m'njira zopumira. Izi zimathandiza kuti khungu la m'mphuno lizioneka bwino.
• (CT scan - Computed Tomography scan): Izi zitha kupanga zithunzi zatsatanetsatane za magawo atatu, monga magawo a mapapo ndi chifuwa.
• (MRI - Magnetic Resonance Imaging): Iyi ndi njira ina yoyesera yomwe imatenga zithunzi zatsatanetsatane za ziwalo zamkati mwa thupi.
• (X-ray): X-ray ya pachifuwa ingapereke chithunzi cha momwe mapapo alili.

Kodi bronchomaliacia imachiritsidwa bwanji?

Ngati vuto la mwana wakhanda (Bronchomalacia) silili lalikulu kwambiri, silingafunike chithandizo chapadera. Dokotala adzauza mwanayo kuti abwere kuchipatala nthawi zonse kuti akaonedwe . Nthawi zambiri, vutoli limakhala bwino lokha mwana akakwanitsa miyezi 6, pamene mapapu akukula ndipo khungu la m'mimba limakhala lolimba.

Komabe, ngati mpweya wa mwana wanu uli wochepa chifukwa cha matenda a bronchomalacia, madokotala angakulangizeni kugwiritsa ntchito chipangizo chotchedwa CPAP (Continuous Positive Airway Pressure) . Izi zikuphatikizapo kuyika chigoba pamphuno ndi pakamwa pa mwana wanu ndikuchilumikiza ku makina. Makinawa amapereka mpweya wofewa komanso wopitilira ku chigobacho. Mpweya wofewawu umathandiza kuti njira zopumira zitseguke komanso zisamatseguke. Mwana wanu angafunike kugwiritsa ntchito chipangizochi kwa milungu ingapo, kapena mpaka mapapu ake atakula mokwanira.

Ngati vuto la bronchomalia ndi lalikulu kwambiri, zomwe zikutanthauza kuti limapangitsa kuti kupuma kulephere, mwana angafunike kulumikizidwa ndi chopumira kuti mpweya ukhale wotseguka komanso wopuma.

Chithandizo cha Bronchomalia mwa akuluakulu chimadalira vuto lomwe linayambitsa vutoli. Ngati muli ndi emphysema kapena bronchitis yosatha, mungafunike kumwa mankhwala oletsa zizindikiro zanu ndikupita kukayezetsa nthawi zonse.Makina a CPAP, makamaka omwe amagwiritsidwa ntchito pogona, angathandizenso akuluakulu. Pa milandu yovuta kwambiri, chithandizo cha mpweya chingafunike.

Kodi bronchomaliacia ingapewedwe?

Palibe njira yodziwikiratu yopewera matenda otchedwa bronchomalacia mwa makanda obadwa kumene. Sizimachitika chifukwa cha chilichonse chomwe mudachita panthawi ya mimba. Komabe, ngati muli ndi pakati, ndikofunikira kudziwa zizindikiro za kubereka msanga. Ngati muli ndi zizindikiro izi, funsani upangiri wa dokotala nthawi yomweyo. Izi zingathandize kupewa kubadwa msanga kwa mwana wanu.

Matenda a bronchomalia mwa akuluakulu nthawi zambiri amayamba chifukwa cha matenda a m'mapapo, kotero kusamalira bwino mapapu anu kungachepetse chiopsezo chanu chotenga matendawa. Akuluakulu angachite izi kuti mapapu awo akhale athanzi:

• Pewani kusuta fodya ndi kusuta fodya. Kusuta fodya ndi kusuta fodya kumawonjezera chiopsezo chanu cha matenda aakulu a bronchitis, emphysema, ndi khansa ya m'mapapo. Ngati mumasuta fodya, funsani dokotala kuti akuthandizeni kusiya.
• Yang'anani m'nyumba mwanu ngati muli ndi mpweya wa radon. Radon ndi mpweya womwe sitingathe kuuona kapena kuununkhiza, koma ungayambitse khansa ya m'mapapo.
• Valani zida zodzitetezera (PPE). Ngati mukugwiritsa ntchito mankhwala, utsi, utsi, kapena fumbi, muyenera kuvala chopumira, chomwe ndi chophimba nkhope chapadera.

Kodi bronchomalia ingachiritsidwe kwathunthu?

Ana ambiri omwe ali ndi matenda a bronchomalacia amachira bwino ndipo amakula bwino akangoyamba kukula bwino komanso kulimba. Ngati vutoli layamba chifukwa cha kutsekeka kwa mapapo, monga chotupa, m'mapapo, bronchomalacia nthawi zambiri imatha kutsekeka kwa mapapo.

Komabe, ngati muli ndi matenda a bronchitis kapena emphysema osatha, amafunika chithandizo ndi chisamaliro chopitilira, ndipo mwina sangachiritsidwe kwathunthu. Komabe, dokotala wanu angakuthandizeni kuthana ndi zizindikiro zanu ndikukhalabe ndi thanzi labwino.

Kodi muyenera kupita kwa dokotala liti?

Pitani kwa dokotala wanu nthawi zonse kuti mukayezedwe thanzi lanu nthawi zonse. Komanso, lankhulani ndi dokotala wanu za kusintha kulikonse pa thanzi lanu. Makamaka, funani chithandizo chadzidzidzi nthawi yomweyo ngati inu kapena mwana wanu muli ndi zizindikiro zotsatirazi:

• Milomo yabuluu kapena khungu.
• Kubweza chifuwa.
• Kutaya chidziwitso kapena kulephera kudzuka.
• Kuvuta kwambiri kupuma kapena kupuma movutikira.
• Kupuma kosalekeza kapena stridor.

Bronchomaliacia ndi vuto la kupuma lomwe nthawi zambiri limakhudza makanda obadwa kumene, makamaka ana omwe ali ndi ana komanso makanda omwe mapapu awo sanakule bwino. Ndi chithandizo chopambana, makanda ambiri amachira ndikukula bwino. Kwa akuluakulu, madokotala amachiritsa vuto lomwe linayambitsa vutoli. Amalemba mankhwala a matenda monga emphysema kapena bronchitis yosatha. Kumbukirani, ngati inu kapena wina m'banja mwanu mukuvutika kupuma, ndikofunikira kulankhula ndi dokotala za vutoli ndikupeza upangiri woyenera komanso chithandizo.

Uthenga Wopita Nawo Kunyumba: Zinthu Zofunika Kwambiri Zokumbukira

Chabwino, mwachidule, nazi zinthu zofunika kukumbukira zokhudza Bronchomalia zomwe tinakambirana:

• Bronchomacia ndi kufooka kwa minyewa yolumikizana ndi mpweya, zomwe zimapangitsa kuti kupuma kukhale kovuta.
• Izi zimachitika kwambiri mwa makanda obadwa kumene, makamaka omwe amabadwa msanga.
• Kwa makanda, vutoli nthawi zambiri limatha lokha mapapu awo akamakula. Chithandizo monga CPAP chingakhale chofunikira.
• Kwa akuluakulu, izi zitha kuchitika chifukwa cha matenda ena a m'mapapo, monga matenda a bronchitis osatha kapena emphysema. Zikatero , matendawa amayamba chifukwa cha matendawa.
• Ngati muli ndi zizindikiro monga kupuma movutikira, phokoso lachilendo, kapena khungu labuluu, pitani kwa dokotala nthawi yomweyo.
• Iyi si matenda opatsirana.

Ndikukhulupirira kuti mwaphunzira kuchokera ku izi. Khalani ndi thanzi labwino!

Mphumu ya bronchial , bronchomalacia, matenda opumira a ana, mavuto opuma, zilema za cartilage, chithandizo cha CPAP, matenda a m'mapapo