Ese umwana wawe avuga ijwi ridasanzwe iyo ahumeka? Reka twige kuri Laryngomalacia!

Ese hari igihe wumva ijwi ry'ifirimbi rito cyangwa ijwi ryo kwitotomba ritose iyo umwana wawe ahumeka? Ni ibisanzwe ko ababyeyi bagira impungenge iyo babibonye ku bana bavutse. Ariko akenshi, ntabwo ari ikibazo gikomeye . Uyu munsi, tugiye kuvuga ku ndwara yitwa Laryngomalacia, ishobora kuyitera, kandi ikunze kugaragara mu bana bato.

Laryngomalacia ni iki?

Mu magambo make, Laryngomalacia ni intege nke mu ruhu rw'amajwi rw'umwana wacu . Ibi bibaho kubera ko igice cyoroshye kiri hejuru y'uruhinja kiba gifite intege nke, kandi iyo umwana ahumeka, icyo gice gikurura by'agateganyo yerekeza ku muhogo. Tekereza nk'umupira ufite umunwa ufunguye gato, ugakora urusaku mu gihe umwuka usohoka. Iyi ni yo mpamvu nyamukuru ituma abana bavutse bagira urusaku iyo bahumeka.

Iyi jwi tuyita ijwi ry'umuriri mwinshi (stridor) . Iri jwi rikunze kumvikana iyo umwana ahumeka. Akenshi, iyi si indwara iteje akaga. Ariko, mu bihe bimwe na bimwe bidasanzwe kandi bikomeye , bishobora gutuma umwana agira ikibazo cyo guhumeka cyangwa akagira ibibazo byo kuryoherwa.

Ese ibi ni ibisanzwe?

Yego, iyi ndwara yitwa Laryngomalacia ikunze kugaragara cyane mu bana bavutse. Iyi ndwara ivukanwa (Congenital Laryngomalacia) iboneka ku bana barenga kimwe cya kabiri mu cyumweru cya mbere cy'ubuzima bwabo. Ku bana bamwe, ishobora kugaragara hagati y'ibyumweru bibiri na bine.

Abantu bakuru nabo bashobora kurwara laryngomalacia, ariko ni gake cyane. Abaganga bayita "laryngomalacia yinjijwe".

Ibimenyetso ni ibihe?

Ibimenyetso bya Laryngomalacia bishobora kuva ku byoroheje kugeza ku bikomeye . Ikimenyetso nyamukuru ni urusaku rwinshi, urusaku rw'ifirimbi, cyangwa urusaku rw'ifirimbi rubaho iyo umwana ahumeka. Iri jwi rikunze kwiyongera mu mezi make ya mbere y'ubuzima kandi akenshi rishira burundu ku myaka imwe cyangwa ibiri.

Abana benshi bumva iri jwi ryo guhumeka, ariko si ikibazo cyo guhumeka cyangwa konsa . Ariko, iri jwi rishobora kugaragara cyane iyo umwana aryamye, asinziriye, arira, cyangwa amaze konsa.

Ariko, abana bafite laryngomalacia ikomeye bashobora kugaragaza ibimenyetso nk'ibi:

• Apnea (guhagarara umwanya munini mu guhumeka )
• Gushyira ibiryo cyangwa amazi mu bihaha
• Uruhu rw'ubururu (Cyanosis) (cyane cyane hafi y'iminwa)
• Kugorwa no kumira (Dysphagia)
• Kugorana kwiyongera ibiro (kudashobora kwiyongera ibiro ndetse no nyuma yo kunywa amata)
• Kumva ijosi cyangwa igituza cyawe birimo gukururwa iyo uhumeka("gukurura" cyangwa "gukurura")

Niba umwana wawe agaragaje kimwe mu bimenyetso bikomeye byavuzwe haruguru, hita ubonana na muganga w’abana.

Kuki ibi bibaho? Ni izihe mpamvu zitera Laryngomalacia?

Impuguke ntiziramenya neza impamvu zimwe na zimwe zitera laryngomalacia izindi ntiziyibone. Ariko hari ibintu bike babona ko bishobora kuba biyitera:

• Ibitagenda neza mu miterere y'umubiri: Mu gihe umwana akurira mu nda, imitsi cyangwa imitsi ikikije agasanduku k'ijwi ikura mu buryo butandukanye cyangwa bubi.
• Indwara z'imitsi: Iyi ndwara ishobora no guterwa n'indwara zimwe na zimwe zigira ingaruka ku mitsi n'imitsi yo mu gace k'ijwi.
• Indwara yo kuzura mu gifu (GERD): Muri make, ni ingaruka z'aside yo mu gifu izamuka mu muhogo. Iyo iyi aside igeze mu gasanduku k'ijwi, ishobora gutera kubyimba muri ako gace. Ibi bishobora kongera intege nke z'imiterere y'umubiri zitera laryngomalacia.

Ese hari ubwoko bwa Laryngomalacia?

Abaganga bagabanya laryngomalacia mu moko atatu y'ingenzi hashingiwe ku mpamvu y'iyi ndwara:

• Ubwoko bwa 1: Kugabanya cyangwa kugabanya ururenda rw'amajwi mu gasanduku k'amajwi.
• Ubwoko bwa 2: Uduce tworoshye cyane mu gice cyo hejuru cy'agasanduku k'amajwi.
• Ubwoko bwa 3: Laryngomalacia iterwa n'indi ndwara isanzwe (urugero: GERD cyangwa indwara y'imitsi).

Ubimenya ute neza?

Ikizamini nyamukuru gikoreshwa mu gusuzuma laryngomalacia ni nasopharyngolaryngoscopy (NPL) . Muri iki kizamini, inzobere mu matwi, izuru, n'umuhogo (ENT specialist) ishyiramo umuyoboro muto ufite kamera (endoscope) inyuze mu mazuru y'umwana ikamanuka mu muhogo kugira ngo isuzume agasanduku k'ijwi. Iki kizamini gikunze gufata iminota ibiri kugeza kuri itanu. Ntabwo kibabaza cyane umwana.

Ni iki kindi urimo ugerageza?

Niba byemejwe ko umwana wawe afite laryngomalacia, muganga wawe ashobora gukenera gukora ibindi bipimo kugira ngo amenye ingano y'ibyangiritse byakozwe. Ibi bipimo birimo:

• Fluoroscopy yo mu mwuka: Iyi ikoresha X-rays n'amazi yihariye (ikimenyetso cyo kugereranya) kugira ngo ibone neza ibice by'umubiri w'umwana byagizweho ingaruka. Ishobora kandi gukoreshwa mu kureba uko umuntu amira (inyigo yo kumira).
• Isuzuma ry'impedansi:Umuyoboro muto unyura mu mazuru y'umwana no mu muhogo kugira ngo bapime ingano y'aside yo mu gifu iri mu gasanduku k'amajwi. Abana basanzwe bakora iki kizamini bagomba kumara nibura ijoro rimwe mu bitaro.
• Microlaryngoscopy na bronchoscopy (ML&B): Ibi kandi bikoresha umuyoboro w'amazi ucana kugira ngo usuzume trachea/windroke y'umwana n'agasanduku k'ijwi kugira ngo hamenyekane impamvu y'urusaku rw'umwuka. Ibi bikorwa hifashishijwe anesthesia rusange.
• Imirasire ya X-ray mu ijosi cyangwa mu gituza: Aya mashusho ashobora gufasha muganga kureba niba hari izindi nenge zishobora gutera urusaku rw'umwuka w'umwana.

Ivurwa ite?

Igikuru ni uko akenshi, Laryngomalacia izahita yiyakira mu mwaka umwe cyangwa ibiri . Urusaku rwo guhumeka ruzagenda rugabanuka buhoro buhoro. Mu bihe byoroheje kandi byoroheje, ushobora kwihanganira ibimenyetso uri mu rugo. Ariko, niba umwana wawe afite Laryngomalacia ikomeye, ushobora gukenera imiti cyangwa kubagwa.

Wakwitwara ute mu rugo?

Niba umwana wawe afite ibimenyetso bisanzwe, ushobora gukurikirana ibi bintu uri mu rugo. Uburyo bwo kwita ku ndwara ya laryngomalacia bushobora gutandukana bitewe n'umwana:

• Niba umwana wawe afite ikibazo cyo kumira: Ushobora gukenera kugaburira kenshi kugira ngo wongere indyo yuzuyemo karori n'intungamubiri byatakaye. Ushobora kandi kugerageza kongera ubunini bw'ifu y'ifu (ushobora gukoresha ibinyampeke by'abana cyangwa ibinyampeke bigurishwa ku giciro cya muganga). Ibi bizafasha kugabanya ingano y'ibiryo bigaruka mu muhogo.
• Niba umwana wawe afite ikibazo cyo guhumeka: Muganga wawe ashobora kukugira inama yo kuryama umwana wawe umutwe wa matelas uzamuwe gato. Ibi bishobora gufasha gufungura inzira y'ubuhumekero no koroshya guhumeka.

Buri gihe banza ubaze muganga wawe uburyo bwihariye bwo kwita ku bimenyetso by'umwana wawe bya Laryngomalacia.

Ese hari umuti ukoreshwa mu miti?

Niba umwana wawe afite GERD (indwara yo kuvura indwara yo mu nda) hamwe na laryngomalacia, muganga wawe ashobora kukwandikira umuti nka proton pump inhibitor (PPI) cyangwa H2 blocker kugira ngo umuvure. GERD ishobora kongera kubyimba bijyana na laryngomalacia, bityo ni ngombwa kuyigenzura.

Ese kubagwa bizakenerwa?

Laryngomalacia ntabwo isaba kubagwa (supraglottoplasty). Ubu buryo bwo kubaga bukubiyemo gukata no gukuraho ingingo zidakomeye kandi zirembye hejuru y'agasanduku k'ijwi ry'umwana. Umuganga ubaga amatwi, izuru n'umuhogo (ENT) akora ubu buryo mu cyumba cyo kubaga, umwana akaba ari munsi y'ikinyabutabire rusange. Nyuma yo kubagwa, umwana afungishwa ijoro ryose mu bitaro kugira ngo akurikiranwe.

Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo kuvurwa?

Imiti ivura GERD isanzwe igabanya ibimenyetso mu byumweru bibiri, ariko umwana wawe ashobora gukenera gukomeza gufata imiti mu byumweru byinshi, cyangwa ndetse n'amezi menshi.

Niba umwana wawe yabazwe laryngomalacia, ashobora kumva umwuka we wongera buhoro mu minsi mike ya mbere . Ibi ni ibisanzwe. Ibi biterwa no kubyimba ku mitsi y'ijwi nyuma yo kubagwa. Uru rusaku ruzagenda rugabanuka buhoro buhoro kandi bizafata ibyumweru bibiri kugira ngo akire neza.

Ese ibi bishobora kwirindwa?

Oya, nta buryo bwo kwirinda laryngomalacia buhari. Ariko, kuvura bishobora gufasha ibimenyetso by'umwana wawe kugenzura neza.

Nk'umubyeyi, uhora wifuza kurinda umwana wawe ingaruka zose. Ariko Laryngomalacia ni ikintu rimwe na rimwe kibaho mu buryo butunguranye. Ntibivuze ko hari ikintu kibi wakoze. Nubwo ijwi umwana wawe atanga iyo ahumeka rishobora gutera ubwoba mu ntangiriro, ntabwo buri gihe risaba kuvurwa.

Ese wagombye gutinya ibi?

Nubwo Laryngomalacia ishobora gutera urusaku iyo umuntu ahumeka, ubusanzwe ntabwo ari ikibazo gikomeye . Abana benshi bakira iyi ndwara bonyine, ariko bamwe mu bana bashobora gukenera kubagwa, cyane cyane iyo bagorwa no kongera ibiro cyangwa bafite ibibazo bikomeye byo guhumeka. Muganga wawe nakubwira ko umwana wawe afite iyi ndwara, azagusobanurira icyo ugomba kwitega.

Iki kibazo kizamara igihe kingana iki?

Ubusanzwe indwara ya Laryngomalacia irushaho gukira ubwayo iyo umuntu afite umwaka umwe cyangwa ibiri. Ariko, ugomba kumenya ibimenyetso bikomeye, nko guhumeka nabi, ari byo guhagarika guhumeka by'agateganyo, no guhinduka ibara ry'ubururu ku minwa. Ibi bishobora gutera ingorane zikomeye.

Ni ryari nkwiye kujya kwa muganga? / Ni ryari nkwiye kujya mu cyumba cy’ubutabazi bw’ibanze?

Niba umwana wawe agaragaza ibimenyetso bya laryngomalacia, nko guhumeka cyane, ni byiza gufata gahunda yo kubonana na muganga wawe. Muganga ashobora gusuzuma umwana wawe, akakohereza kwa muganga w’indwara zo mu matwi, izuru n’umuhogo (ENT) niba bibaye ngombwa, akaguha inama z’uko wakwita ku mwana wawe mu rugo.

Niba umwana wawe agize ibimenyetso bitunguranye, cyangwa niba umwana wawe afite indwara ya GERD (gastroesophageal reflux disease), hamagara muganga wawe ako kanya.

Mu gihe nk'icyo, jya mu Ishami rishinzwe Ubuvuzi bwihutirwa (ETU) riri hafi yawe:

• Iyo umwana adahumeka amasegonda arenga 10 .
• Niba ijosi ryawe cyangwa igituza cyawe bisa nkaho bikurura imbere iyo uhumeka.
• Niba iminwa irimo guhinduka ubururu .

Ni irihe tandukaniro riri hagati ya Laryngomalacia na Tracheomalacia?

Laryngomalacia na tracheomalacia byombi ni indwara zigira ingaruka ku miyoboro y'umwuka. Laryngomalacia ni intege nke z'ingingo ziri hejuru y'agasanduku k'ijwi, mu gihe tracheomalacia ari intege nke cyangwa irekuye ku gatsi kari munsi yako, mu muhogo . Tracheomalacia ni indwara idakunze kugaragara cyane nka laryngomalacia, kandi ubusanzwe iba ikomeye gato.

Ibindi bibazo bike bito ...

Ese Laryngomalacia ishobora gutera kwiyongera ibiro?

Akenshi si byo. Mu by’ukuri, abana bafite laryngomalacia ikomeye bashobora kugira ingorane zo kongera ibiro .

Ni iki gituma Laryngomalacia irushaho kuba mbi?

Ibimenyetso bya laryngomalacia bishobora kwiyongera gato iyo umwana wawe aryamye agaramye . Niba ubonye ko umwana wawe afite ikibazo cyo guhumeka mu gihe aryamye agaramye, nyamuneka gana muganga.

Byongeye kandi, ibimenyetso bishobora kwiyongera bitewe na GERD (indwara yo kuzura mu nda), indwara ikunze kugaragara ku bana bafite laryngomalacia.

Amaherezo, ibintu byo kwibuka...

Indwara yitwa Laryngomalacia ishobora gutera impungenge, cyane cyane niba uri umubyeyi mushya. Ijwi rirenga umwana wawe akoresha iyo ahumeka rishobora gutuma ahangayika bigatuma yibaza ati "Ese iki kintu gikomeye kurushaho?"

Ariko wibuke ko akenshi, Laryngomalacia ntabwo ari ikibazo gikomeye. Ariko, niba ufite gushidikanya cyangwa impungenge, ni byiza kujya kwa muganga w'abana w'umwana wawe, kandi nibiba ngombwa, usabe koherezwa kwa muganga w'indwara zo mu matwi, izuru n'umuhogo (ENTs). Ntugahangayike, abaganga bari hano kugufasha!

` Laryngomalacia, Laryngomalacia, Guhumeka kw'uruhinja, Agasanduku k'ijwi, Stridor, Kugorwa no guhumeka, Ubuzima bw'uruhinja