Mwana wako anoita ruzha rusinganzwisisike here paanofema? Ngatidzidzei nezveLaryngomalacia!

Dzimwe nguva unonzwa here ruzha rwemuridzo rwakaderera kana kugomera kwakaderera kana mwana wako achifema? Zvakajairika kuti vabereki vazvidye mwoyo kana vachiona izvi muvana vacheche. Asi kazhinji, hazvina musoro . Nhasi, tichataura nezvechirwere chinonzi Laryngomalacia, chinogona kukonzera izvi, uye chinowanzoitika pakati pevacheche.

Chii chinonzi Laryngomalacia?

Zvichitaurwa zviri nyore, Laryngomalacia kusasimba kudiki mumuromo webhokisi renzwi remwana wedu . Izvi zvinoitika nekuti nyama yakapfava iri pamusoro pebhokisi renzwi haina simba, uye mwana paanofema, nyama iyoyo inokwevera pahuro kwenguva pfupi. Funga nezvayo sebharumu rine muromo wakavhurika zvishoma, zvichiita ruzha apo mweya unobuda. Ichi ndicho chikonzero chikuru chinoita kuti vacheche vanzwe ruzha pavanofema.

Tinoti ruzha urwu ruzha rwemuridzo rwakakwirira (stridor) . Ruzha urwu runowanzonzwika kana mwana achifema. Kazhinji, izvi hazvisi zvinhu zvine njodzi. Zvisinei, mune dzimwe nguva dzisingawanzoitiki , zvinogona kukonzera mwana kufema zvakaoma kana kuti matambudziko ekudya.

Izvi zvakajairika here?

Ehe, chirwere ichi chinonzi Laryngomalacia chinowanzoitika kuvana vacheche. Chirwere ichi chekuzvarwa nacho (Congenital Laryngomalacia) chinogona kuonekwa muvanopfuura hafu yevacheche vacheche mukati mevhiki yekutanga yehupenyu hwavo. Mune vamwe vacheche, chinogona kuonekwa pakati pemavhiki maviri kusvika mana ekuberekwa.

Vanhu vakuru vanogonawo kuwana laryngomalacia, asi hazviwanzoitiki. Vanachiremba vanoti "acquired laryngomalacia".

Zviratidzo zvacho ndezvipi?

Zviratidzo zveLaryngomalacia zvinogona kubva pazvishoma kusvika pazvikuru . Chiratidzo chikuru ruzha rukuru, kuridza muridzo, kana kuridza muridzo runoitika kana mwana achifema. Ruzha urwu runowanzowedzera mumwedzi mishoma yekutanga yehupenyu uye runowanzopera zvachose pazera remakore rimwe kana maviri.

Vacheche vazhinji vanonzwa ruzha urwu rwekufema, asi harisi dambudziko rekufema kana kuyamwisa . Zvisinei, ruzha urwu runogona kuonekwa zvakanyanya kana mwana akarara pasi, akarara, achichema, kana mushure mekuyamwisa.

Zvisinei, vacheche vane laryngomalacia yakanyanya vanogona kuratidza zviratidzo zvakaita se:

• Kumbomira kwenguva refu kufema (apnea)
• Kufemera chikafu kana mvura mumapapu
• Ganda rebhuruu (Cyanosis) (kunyanya rakatenderedza miromo)
• Kuoma kumedza (Dysphagia)
• Kuomerwa nekuwedzera uremu (kusawedzera uremu kunyangwe mushure mekunwa mukaka)
• Kunzwa sekuti mutsipa wako kana chipfuva chako chiri kudhonza mukati paunofema("kudhonza" kana "kudhonza mukati")

Kana mwana wako akaratidza chimwe chezviratidzo zvakakomba zvataurwa pamusoro apa, enda kuna chiremba wevana nekukasika.

Sei izvi zvichiitika? Ndezvipi zvinokonzera Laryngomalacia?

Nyanzvi hadzisati dzaziva kuti nei vamwe vacheche vachikura laryngomalacia uye vamwe vasingadaro. Asi pane zvinhu zvishoma zvavanofunga kuti zvingave zvichikonzera izvi:

• Kusarongeka kwechimiro: Mwana paanenge achikura mudumbu, tsinga kana tsandanyama dzakatenderedza bhokisi renzwi dzinokura zvakasiyana kana kuti zvisina kunaka.
• Matambudziko etsinga dzemutsinga: Dambudziko iri rinogonawo kukonzerwa nemamwe matambudziko anokanganisa tsinga netsandanyama dzebhokisi renzwi.
• Chirwere cheGastroesophageal Reflux Disease (GERD): Zvichitaurwa zviri nyore, zvinokonzerwa neacid yemudumbu inokwira muhuro. Kana acid iyi ikasvika panzwi, inogona kukonzera kuzvimba munzvimbo iyoyo. Izvi zvinogona kuwedzera kusasimba kwechimiro kunokonzera laryngomalacia.

Kune mhando dzeLaryngomalacia here?

Vanachiremba vanopatsanura laryngomalacia mumhando nhatu huru zvichienderana nechikonzero chechirwere ichi:

• Rudzi 1: Kudzikira kana kupfupika kwemukati memucous yebhokisi rezwi.
• Rudzi rwechipiri: Nyama yakapfava zvakanyanya muchikamu chepamusoro chebhokisi rezwi.
• Rudzi rwechitatu: Laryngomalacia inokonzerwa nechimwe chirwere chiripo (semuenzaniso, GERD kana chirwere chetsinga dzemutsinga).

Unozviziva sei izvi chaizvo?

Muedzo mukuru unoshandiswa kuongorora laryngomalacia i nasopharyngolaryngoscopy (NPL) . Muedzo uyu, nyanzvi yezvenzeve, mhino, nehuro (ENT specialist) inoisa chubhu diki ine kamera (endoscope) kuburikidza nemhino yemwana yodzika pasi pehuro kuti iongorore bhokisi rezwi. Muedzo uyu unowanzo tora maminetsi maviri kusvika mashanu. Hazvinyanyi kurwadza mwana.

Chii chimwe chauri kuedza?

Kana mwana wako akaonekwa kuti ane laryngomalacia, chiremba wako angangoda kuita mimwe miedzo kuti aone kuti kukuvara kwacho kwakawanda sei. Miedzo iyi inosanganisira:

• Fluoroscopy yemhepo: Izvi zvinoshandisa X-rays uye mvura chaiyo (contrast agent) kuti ione zvakajeka nzvimbo dzakakanganiswa dzemuviri wemwana. Inogonawo kushandiswa kutarisa maitiro ekumedza ('kudzidza kwekumedza').
• Kuongorora kweImpedance:Kachubhu kadiki kanopinzwa nepamhino yemwana uye mugurokuro kuti zvionekwe kuti acid yakawanda sei iri kubuda mubhokisi renzwi. Vacheche vanoongororwa izvi vanowanzo gara muchipatara kwehusiku humwe chete.
• Microlaryngoscopy uye bronchoscopy (ML&B): Izvi zvinoshandisawo chubhu ine chiedza kuti iongorore trachea/windpipe yemwana uye voice box kuti ione chikonzero cheruzha rwekufema. Izvi zvinoitwa pasi peanesthesia.
• X-ray yemutsipa kana yechipfuva: Mifananidzo iyi inogona kubatsira chiremba kuona kana paine zvimwe zvikanganiso zvemuviri zvinogona kukonzera ruzha rwekufema kwemwana.

Inorapwa sei?

Chinhu chakakosha ndechekuti kazhinji, Laryngomalacia inozopera yoga mukati megore rimwe kana maviri . Ruzha rwekufema ruchadzikira zvishoma nezvishoma. Muzviitiko zvishoma, munogona kudzora zviratidzo kumba. Zvisinei, kana mwana wako aine Laryngomalacia yakanyanya, ungangoda mishonga kana kuvhiyiwa.

Nzira yekuzvibata sei kumba?

Kana mwana wako aine zviratidzo zvinowanzoonekwa, unogona kutarisa zvinhu izvi kumba. Nzira yekurapa laryngomalacia inogona kusiyana kubva pamucheche kuenda kumucheche:

• Kana mwana wako achinetseka nekumedza: Ungangoda kumupa chikafu kakawanda kuti awane macalorie nezvinovaka muviri zvakarasika. Unogona zvakare kuedza kuomesa fomura yacho zvishoma (unogona kushandisa cereal yevana kana thickeners dzinotengeswa kunze kwechitoro). Izvi zvichabatsira kuderedza huwandu hwechikafu chinodzoka muhuro.
• Kana mwana wako achinetseka kufema: Chiremba wako anogona kukukurudzira kuti urare mwana wako musoro wemubhedha wakasimudzwa zvishoma. Izvi zvinogona kubatsira kuvhura nzira yekufema uye kuita kuti kufema kuve nyore.

Gara uchibvunza chiremba wako nezvenzira dzakananga dzekurapa zviratidzo zveLaryngomalacia kumwana wako.

Pane mushonga here unoshandiswa nemishonga?

Kana mwana wako aine chirwere cheGERD (gastroesophageal reflux disease) pamwe chete ne laryngomalacia, chiremba wako anogona kukupa mushonga wakaita seproton pump inhibitor (PPI) kana H2 blocker yekurapa. GERD inogona kuwedzera kuzvimba kunokonzerwa ne laryngomalacia, saka zvakakosha kuidzora.

Kuvhiyiwa kuchadiwa here?

Laryngomalacia haidi kuvhiyiwa (supraglottoplasty). Kuvhiyiwa uku kunosanganisira kucheka nekubvisa nyama isina simba, yakakotama iri pamusoro pebhokisi renzwi remwana. Chiremba wenzeve, mhino, nehuro (ENT) anoita kuvhiyiwa uku muimba yekuvhiyira, mwana ari pasi peanesthesia. Mushure mekuvhiyiwa, mwana anowanzo chengetwa muchipatara husiku hwese kuti aonekwe.

Zvinotora nguva yakareba sei kuti munhu apore mushure mekurapwa?

Mishonga yeGERD inowanzo deredza zviratidzo mukati memavhiki maviri, asi mwana wako angangoda kuramba achitora mushonga kwemavhiki akati wandei, kana kutoti mwedzi.

Kana mwana wako akavhiyiwa laryngomalacia, anogona kunzwa kuwedzera zvishoma kwekufema kwake kwemazuva mashoma ekutanga . Izvi zvakajairika. Izvi zvinokonzerwa nekuzvimba kwakakomberedza tambo dzenzwi mushure mekuvhiyiwa. Ruzha urwu ruchaderera zvishoma nezvishoma uye ruchatora mavhiki maviri kuti runyatsopora.

Izvi zvinogona kudzivirirwa here?

Kwete, hapana nzira yekudzivirira laryngomalacia. Zvisinei, kurapwa kunogona kubatsira kuti zviratidzo zvemwana wako zvidzorerwe zviri nani.

Semubereki, unoda nguva dzose kudzivirira mwana wako kubva mukukuvadzwa kwese. Asi Laryngomalacia chimwe chinhu chinoitika chega. Hazvirevi kuti wakaita chimwe chinhu chisina kunaka. Kunyangwe ruzha runoitwa nemwana wako paanofema ruchigona kutyisa pakutanga, harudi kurapwa nguva dzose.

Unofanira kutya izvi here?

Laryngomalacia, kunyange zvazvo ichigona kuita ruzha kana ichifema, kazhinji haina njodzi . Vana vazhinji vanopora kubva mudambudziko iri vega, asi vamwe vacheche vangada kuvhiyiwa, kunyanya kana vachiomerwa nekuwedzera uremu kana kuti vaine matambudziko makuru ekufema. Kana chiremba wako akakuudza kuti mwana wako ane dambudziko iri, achakutsanangurira zvaunotarisira.

Mamiriro ezvinhu aya acharamba aripo kwenguva yakareba sei?

Laryngomalacia inowanzova nani yoga pazera remakore rimwe kana maviri. Zvisinei, unofanira kuziva zviratidzo zvakakomba, zvakaita sekufema kufema kwenguva pfupi, uye ruvara rwebhuruu rwakakomberedza miromo. Izvi zvinogona kukonzera matambudziko akakomba.

Ndinofanira kuona chiremba rini? / Ndinofanira kuenda kuchipatara rini?

Kana mwana wako achiratidza zviratidzo zve laryngomalacia, zvakaita sekurira kwekufema, zvakanaka kuronga nguva yekusangana nachiremba wako. Chiremba anogona kuongorora mwana wako, kukutumira kuna chiremba wezvenzeve, mhino, nehuro (ENT) kana zvichidikanwa, uye kukupa mazano ekutarisira mwana wako kumba.

Kana mwana wako angoerekana aratidza zviratidzo, kana kuti kana mwana wako aine chirwere cheGERD (gastroesophageal reflux disease), fonera chiremba wako nekukasika.

Kana zvakadaro, enda kuEmergency Treatment Unit (ETU) iri pedyo:

• Kana mwana asingafeme kwenguva inopfuura masekondi gumi .
• Kana mutsipa wako kana chipfuva chako zvichiita sezviri kudhonza mukati paunofema.
• Kana miromo yava kuita bhuruu .

Chii chiri musiyano uripo pakati peLaryngomalacia neTracheomalacia?

Laryngomalacia netracheomalacia zvirwere zvose zvinokanganisa nzira yekufema. Laryngomalacia kushaikwa kwenyama iri pamusoro pebhokisi renzwi, nepo tracheomalacia kushaikwa kwekatsi iri pasi payo, mupaipi yemhepo . Tracheomalacia chirwere chisingawanzoitiki selaryngomalacia, uye kazhinji kacho chakakomba zvishoma.

Mimwe mibvunzo midiki mishoma...

Ko Laryngomalacia inogona kukonzera kuwedzera uremu here?

Kazhinji hazviwanzoitiki. Kutaura zvazviri, vacheche vane laryngomalacia yakanyanya vanogona kunetseka kuwedzera huremu .

Chii chinoita kuti Laryngomalacia iwedzere kuipa?

Zviratidzo zveLaryngomalacia zvinogona kuwedzera zvishoma kana mwana wako akarara nemusana wake . Kana ukaona kuti mwana wako ari kunetseka kufema akarara nemusana wake, ndapota ona chiremba.

Pamusoro pezvo, zviratidzo zvinogona kuwedzera nekuda kweGERD (gastroesophageal reflux disease), chirwere chinowanzoitika kuvana vane laryngomalacia.

Pakupedzisira, zvinhu zvekurangarira...

Chirwere chinonzi Laryngomalacia chinogona kukunetsa, kunyanya kana uri mubereki mutsva. Ruzha rwakanyanya, rwakaderera runoitwa nemwana wako paanofema runogona kukunetsa uye kukusiya uchifunga kuti, "Ichi chimwe chinhu chakakomba here?"

Asi yeukai, kazhinji, Laryngomalacia haina njodzi. Zvisinei, kana muine kusava nechokwadi kana zvinokunetsai, zvakanaka nguva dzose kuona chiremba wevana wemwana wenyu uye, kana zvichidikanwa, kumbirai kuti muendeswe kuna chiremba wezvenzeve, mhino, nehuro (ENT). Musazvidya mwoyo, vanachiremba varipo kuti vakubatsirei!

` Laryngomalacia, Laryngomalacia, Kufema Kwemwana, Bhokisi Renzwi, Stridor, Kuoma Kwekufema, Hutano Hwemwana