Kodi mwana wanu akupanga phokoso lachilendo akupuma? Kodi ndi Tracheomalacia? | Nirogi Lanka

Kodi mumamva phokoso lachilendo mwana wanu akamapuma? Kodi zimaoneka ngati kupuma kwake kumakhala kovuta kapena koletsedwa, makamaka akamayamwitsa kapena kulira? Kapena mwina amavutika ndi chifuwa ndi chimfine nthawi zonse? Ndizachibadwa kuti makolo azikhala ndi nkhawa kapena nkhawa akamaona zizindikirozi. Masiku ano, ku Nirogi Lanka, tikufuna kufotokoza za vuto lomwe limayambitsa zizindikiro zenizenizi—vuto lomwe anthu ambiri salidziwa bwino, koma lomwe lingathetsedwe bwino ndi matenda olondola komanso chisamaliro choyenera. Tikulankhula za Tracheomalacia .

Kodi Tracheomalacia ndi chiyani? Buku Losavuta Lochokera ku Nirogi Lanka

Mwachidule, tracheomalacia ndi vuto lomwe chipolopolo cha m'mapapo mwanu (trachea) chimakhala chofooka kapena chosakula bwino. Mwina mukudabwa kuti chipolopolo cha m'mapapo ndi chipolopolo chake ndi chiyani kwenikweni.

Ganizirani za payipi yanu yopumira ngati chubu cholimba chomwe chimatenga mpweya kupita ku mapapo anu. Makoma a payipi iyi amathandizidwa ndi mphete zooneka ngati C za cartilage—zinyalala zolimba, zosinthasintha zofanana ndi kapangidwe ka rabara m'makutu mwanu. Mphete izi zimasunga payipi yanu yopumira yotseguka nthawi zonse, ikugwira ntchito ngati payipi yolimbikitsidwa yomwe sigwa ikapanikizika.

Komabe, mwa munthu amene ali ndi tracheomalacia—yomwe nthawi zambiri imapezeka mwa makanda—kachiwalo kameneka sikokwanira. Ndi "kofooka kwambiri." Zotsatira zake, mukapuma, makamaka mukamapuma mozama, kulira, kapena kukhosomola, makoma a payipi ya mphepo amagwa mkati ndikutseka njira yopumira. Imagwira ntchito ngati buluni yomwe siikudzaza mpweya mokwanira; pamene mpweya ukudutsa, umagwa pang'ono. Ichi ndi chomwe chimayambitsa phokoso lamtunduwu ndipo chimapangitsa kupuma kukhala kovuta. Nthawi zina, mamina amatha kugwidwa m'mapapo chifukwa zimakhala zovuta kuchotsa.

Ngakhale izi zimapezeka kwambiri mwa makanda obadwa kumene , zimatha kuchitika pa msinkhu uliwonse. Mwa makanda, zizindikiro nthawi zambiri zimawonekera mkati mwa mwezi woyamba kapena iwiri. Nkhani yabwino ndi yakuti kwa makanda ambiri, akamakula, minyewa imalimba mwachibadwa akafika zaka zitatu, ndipo zizindikiro zimatha. Komabe, pazochitika zoopsa kwambiri, opaleshoni ingafunike.

Kodi pali mitundu yosiyanasiyana ya tracheomalacia?

Inde, pali mitundu iwiri ikuluikulu:

1. Congenital Tracheomalacia

"Congenital" amatanthauza kukhalapo kuyambira kubadwa. Pazochitika izi, chipolopolo cha m'mphuno mwa mwana sichinakule bwino ali m'mimba, zomwe zikutanthauza kuti vutoli limakhalapo kuyambira nthawi yomwe mwana wabadwa.

2. Matenda a Tracheomalacia Omwe Anapezeka

"Kupeza" kumatanthauza kuti vutoli limakula kwambiri chifukwa cha zifukwa zinazake. Ngati chitoliro cha mphepo chawonongeka chifukwa cha kuvulala, maopaleshoni ena, kapena kugwiritsa ntchito makina opumira mpweya kwa nthawi yayitali, nyerere ya mafupa imatha kufooka. Izi zitha kuchitika pa msinkhu uliwonse, ngakhale kuti sizichitika kawirikawiri.

Anthu ena amathanso kufooka m'machubu ang'onoang'ono ochokera ku mphuno kupita ku mapapo (bronchi). Madokotala amatcha vutoli kuti tracheobronchomalacia .

Kodi ndi yofala bwanji?

Matenda a tracheomalacia obadwa nawo amaonedwa kuti ndi osowa kwambiri, ngakhale kuti ndi vuto lofala kwambiri la mkodzo. Akuti amapezeka pafupifupi mwana m'modzi mwa ana 2,100 aliwonse . Matenda a tracheomalacia ndi osowa kwambiri.

Kodi zizindikiro zake ndi ziti? Kodi muyenera kufunafuna thandizo liti?

Chizindikiro chodziwika bwino cha tracheomalacia ndi phokoso lamphamvu kwambiri akamapuma, lotchedwa stridor . Mungaone mwana wanu akupanga phokoso la "kupuma movutikira" kapena "kufuula", makamaka akamaliza kuyamwa kapena akulira kapena kuvutika maganizo.

Zizindikiro zina ndi izi:

• Kuvuta kupuma kwambiri panthawi yolira, kudyetsa, kapena kukokera.
• Kumva ngati munthu wagwidwa mphuno .
• Chifuwa chosatha chosatha .
• Cyanosis , yomwe ndi mtundu wa buluu pakhungu, milomo, kapena misomali yomwe imayamba chifukwa cha mpweya wochepa. Izi ndi zadzidzidzi kwambiri—funani thandizo lachipatala mwachangu kapena imbani 911.
• Kuvuta kumeza chakudya.
• Mawu okweza mawu.
• Matenda opatsirana pafupipafupi monga chibayo kapena bronchitis .
• Kupuma movutikira .
• Phokoso logwedezeka kapena lopuma kuchokera pachifuwa.

Ngati mwana wanu akuwonetsa zizindikiro izi, chonde funsani dokotala wanu wa ana kuti akamuwunikire katswiri.

Kodi n’chiyani chimayambitsa tracheomalacia?

Monga tanenera, pali magulu awiri akuluakulu a zifukwa:

Zifukwa za Congenital Tracheomalacia:

Izi zimachitika pamene chipolopolo cha m'mapapo sichikupangika bwino mwana ali m'mimba, zomwe zimapangitsa kuti minofu yofewa kapena yosakula bwino m'malo mokhala yolimba, yochirikiza kapangidwe ka thupi.

Zifukwa za Tracheomalacia Yopezeka:

Zinthu zingapo zingathandize kuti vutoli lipitirire kukula m'tsogolo:

• Kubwerera m'mbuyo kwa gastroesophageal (GERD) kosatha, komwe asidi m'mimba amakwera kupita kukhosi ndikukwiyitsa njira yopumira.
• Kuvulala kwa mkodzo, mwina chifukwa cha opaleshoni kapena njira zachipatala.
• Matenda a m'mapapo monga emphysema .
• Polychondritis , matenda otupa omwe amakhudza khungu la cartilage.
• Mavuto omwe amabwera chifukwa cha opaleshoni yokonza tracheoesophageal fistula (kulumikizana kosazolowereka pakati pa mmero ndi mphuno).
• Kugwiritsa ntchito tracheostomy kwa nthawi yayitalikapena chubu chopumira chochita kupanga (chopumira mpweya).
• Matenda obwerezabwereza a m'mapapo monga bronchitis .

Tracheomalacia nthawi zina imatha kugwirizanitsidwa ndi matenda ena omwe amabwera chifukwa cha matendawa.

• Kuchedwa kwa chitukuko.
• Matenda a Ehlers-Danlos (matenda a majini omwe amakhudza minofu yolumikizana).
• Zofooka za mtima.

Kodi mavuto omwe angakhalepo ndi ati?

Ngati tracheomalacia sichitha kuchiritsidwa, ikhoza kubweretsa mavuto aakulu azaumoyo. Izi zingaphatikizepo:

• Kutsekeka kwa njira yopumira: Izi zitha kukhala ngozi yoopsa. Ngati inu kapena mwana wanu mukukumana ndi vuto lalikulu lopuma, chonde funsani thandizo lachipatala mwamsanga ku chipinda chapafupi chadzidzidzi kapena imbani 911.
• Chibayo cha mpweya: Izi zimachitika chakudya kapena zakumwa zikalowa m'mapapo ndi m'njira zopumira, zomwe zimapangitsa kuti munthu adwale matenda.
• Kukula kufooka: Kuvuta kupuma kungakhudze kwambiri kukula ndi chitukuko cha mwana.
• Matenda opatsirana m'mapapo obwerezabwereza: Matenda opatsirana pafupipafupi kapena osatha m'mapapo apamwamba.

Popeza zizindikirozi zimatha kupitirira, ndikofunikira kukaonana ndi dokotala ku Nirogi Lanka ngati muwona vuto lililonse la kupuma kosalekeza.

Kodi matendawa amawapeza bwanji?

Dokotala wanu ku Nirogi Lanka adzayamba ndi kufufuza thupi lanu ndikuwunikanso mbiri yanu yachipatala kapena ya mwana wanu. Kuti aone bwino momwe mpweya umayendera, angachite laryngoscopy kapena bronchoscopy . Pa nthawiyi, chubu chopyapyala, chosinthasintha chokhala ndi kamera ndi kuwala chimadutsa m'mphuno kapena pakamwa kuti chione trachea nthawi yomweyo. Izi zimathandiza katswiriyo kuona ngati makoma a mpweya ali ofooka kapena akugwa panthawi yopuma.

Kuti atsimikizire matendawa, dokotala wanu angakulangizeninso mayeso ena:

• Fluoroscopy ya mpweya: Kafukufuku wopitilira wa X-ray womwe umatsatira momwe mpweya wanu umayendera mukapuma.
• Barium swallow (Esophagram): Imagwiritsidwa ntchito pofufuza ngati pali vuto lililonse lomwe limabwera chifukwa cha m'mero.
• X-ray ya pachifuwa.
• Kujambula kwa CT.
• Mayeso a ntchito ya mapapo.
• Kujambula kwa MRI.

Kuzindikira matendawa ndikofunikira kwambiri potsimikizira matenda a tracheomalacia ndikuzindikira kuopsa kwa matendawa.

Kodi njira zochiritsira ndi ziti? Musadandaule, pali njira zothetsera mavuto!

Kuchiza tracheomalacia kumadalira kuopsa kwa vuto lanu. Zosankha zimayambira pa njira zosagwiritsa ntchito opaleshoni ndi mankhwala mpaka opaleshoni ya milandu yoopsa. Gulu lathu ku Nirogi Lanka lidzagwira ntchito nanu kuti mukonze dongosolo lomwe lingakwaniritse zosowa zanu.

Mankhwala osachita opaleshoni

Mankhwalawa amayang'ana kwambiri pakusunga njira yopumira yotseguka komanso kuchotsa mamina m'mapapo.

• Kupuma mpweya wonyowa: Kugwiritsa ntchito chotenthetsera mpweya kunyumba kumawonjezera chinyezi mumlengalenga, zomwe zimachepetsa mamina ndikupangitsa kupuma kukhala kosavuta.
• Chithandizo cha chifuwa (CPT): Katswiri wa zamaganizo angakuphunzitseni masewera olimbitsa thupi apadera komanso njira zopumira kuti muthandize mapapu anu kutuluka magazi.
• CPAP (Continuous Positive Airway Pressure): Makinawa amagwiritsidwa ntchito kwambiri kwa anthu omwe ali ndi vuto lopuma chifukwa cha kugona, ndipo amathandiza kuti mpweya ukhale wotseguka mukagona.

Mankhwala

Madokotala angapereke mankhwala osiyanasiyana kuti athetse zizindikiro za tracheomalacia:

• Maantibayotiki ochizira matenda a bakiteriya.
• Mankhwala ochepetsa kutupa m'mapapo kuti athandize kumasula minofu ya mpweya (monga mankhwala opumira a mphumu).
• Corticosteroids kuti achepetse kutupa.
• Mankhwala ochepetsa mpweya wotuluka m'thupi kuti achepetse kutuluka kwa mpweya m'mapapo.

Opaleshoni

Pa milandu yoopsa pomwe njira zosagwiritsa ntchito opaleshoni sizikwanira, opaleshoni ingalimbikitsidwe:

• Aortopexy: Dokotala wochita opaleshoni amasuntha mtsempha waukulu wamagazi (aorta) kutali ndi trachea ndikuuyika ku fupa la pachifuwa, kuteteza kuti mpweya ugwe.
• Kutsekereza: Chipangizo chaching'ono chothandizira (stent) chimayikidwa mu njira yopumira mpweya kuti chikhale chotseguka.
• Tracheopexy: Njira yomwe gawo la trachea limangiriridwa ku chinthu chapafupi, monga fupa la m'mawere kapena msana, kuti mpweya ukhale wotseguka.

Kodi tracheomalacia ingapewedwe?

Mwatsoka, palibe njira yodziwika yopewera tracheomalacia, chifukwa mitundu yobadwa nayo nthawi zambiri sitingathe kuilamulira. Komabe, motsogozedwa ndi akatswiri ku Nirogi Lanka, vutoli lingathe kuthetsedwa bwino ndikuyang'aniridwa.

Kodi chiyembekezo cha kuchira n'chiyani?

Nkhani yolimbikitsa ndi iyi: Anthu ambiri omwe ali ndi tracheomalacia amapitiliza kukhala ndi moyo wathanzi komanso wokangalika atalandira chithandizo choyenera komanso chithandizo choyenera.

Chithandizo nthawi zambiri sichimakhala cha moyo wonse. Ana ambiri obadwa ndi tracheomalacia yobadwa nayo amaona kuti vuto lawo limakhala bwino okha akafika zaka zitatu. Pamene mwanayo akukula, khungu la m'njira yopumira limalimba mwachibadwa, zomwe zimachepetsa zizindikiro. Komabe, nthawi zina, chithandizo chopitilira kudzera mu mankhwala kapena opaleshoni chimakhala chofunikira kuti munthu achire mokwanira.

Ngati inu kapena mwana wanu muli ndi tracheomalacia, muyenera kuyang'aniridwa ndi dokotala, makamaka ngati matenda opatsirana m'mapapo akuchitika. Ngakhale chimfine chaching'ono nthawi zina chingayambitse mavuto. Dokotala wanu adzakupatsani chithandizo kapena mankhwala enaake kuti muchepetse zizindikiro zanu bwino.

Kodi muyenera kupita kwa dokotala liti?

Ngati mukukayikira kuti mwana wanu ali ndi zizindikiro za tracheomalacia—monga chifuwa chosatha, kupuma mokweza, kapena matenda opatsirana obwerezabwereza —funani thandizo lachipatala nthawi yomweyo.

Akuluakulu omwe ali ndi tracheomalacia angavutike kuchita masewera olimbitsa thupi (kupuma movutikira panthawi yochita masewera olimbitsa thupi) komanso matenda opatsirana pafupipafupi. Ngati muwona zizindikirozi, kambiranani ndi dokotala wanu kuti atsimikizire matendawa ndikukupatsani chithandizo choyenera.

Mafunso oti mufunse dokotala wanu

Mukatsimikizira kuti muli ndi tracheomalacia, funsani dokotala mafunso otsatirawa:

• Kodi vutoli ndi lalikulu bwanji?
• Kodi chifukwa chachikulu ndi chiyani (chobadwa nacho kapena chopezeka)?
• Ndi mankhwala ati enieni omwe mumalimbikitsa?
• Kodi opaleshoni idzakhala yofunikira?
• Kodi ndingachite chiyani kunyumba kuti ndichepetse zizindikiro?
• Kodi tiyenera kuyamba chithandizo mwachangu bwanji?

Kufunsa mafunso awa kudzakuthandizani kumvetsetsa bwino vutoli ndikukhala ndi chidaliro pa zomwe mungachite.

Matenda omwe angasokonezedwe ndi Tracheomalacia

Matenda a tracheomalacia nthawi zina amasokonezedwa ndi matenda ena omwe ali ndi zizindikiro zofanana. Zitsanzo ziwiri zazikulu ndi izi:

• Laryngomalacia: Izi zimaphatikizapo kufewetsa minofu pamwamba pa bokosi la mawu (larynx), lomwe lili pamwamba pa trachea.
• Tracheobronchomalacia: Izi zimaphatikizapo kufooka kwa bronchi (machubu omwe amafalikira kuchokera ku trachea kupita ku mapapo). Anthu ena omwe ali ndi tracheomalacia amathanso kukhala ndi vutoli nthawi imodzi.

Dokotala wanu ndiye munthu wabwino kwambiri wosiyanitsa pakati pa matenda awa ndikupereka matenda olondola.

Uthenga Wopita Nawo Kunyumba

Kudziwa kuti inu kapena mwana wanu ali ndi tracheomalacia kungakhale koopsa, ndipo n'zachibadwa kukhala ndi nkhawa mwana wanu akamalira kapena kutsokomola, kapena ngati mukukumana ndi vutoli mutavulala. Komabe, kumbukirani:

Tracheomalacia nthawi zambiri si matenda oopsa, ndipo ngakhale pakakhala zovuta kwambiri, nthawi zambiri imachira bwino ikalandira chithandizo.

Chofunika kwambiri ndikulankhulana momasuka ndi dokotala wanu. Ngati zizindikiro zatsopano zayamba kapena zomwe zilipo zikuipiraipira, mudziwitseni nthawi yomweyo. Khalani ndi chiyembekezo—ndi malangizo ndi chisamaliro choyenera chachipatala, mutha kuthana ndi vutoli bwino. Nirogi Lanka ali pano kuti akuthandizeni.

Mawu Ofunika: Tracheomalacia, Trachea, Kuvuta kupuma, Thanzi la ana, Stridor, Cyanosis, Cartilage