Mwana wako ari kuita ruzha rusinganzwisisike here paanofema? Ingava Tracheomalacia here?

Mwana wako mudiki anoita ruzha rusinganzwisisike here paanenge achifema? Dzimwe nguva anonzwa kushaya mweya zvakanyanya paanonwa mukaka kana kuchema here? Kana kuti anowanzo kukosora kana dzihwa? Zvakajairika kuti amai kana baba vanzwe kutya uye kunetseka zvikuru pavanoona zvinhu zvakadai. Nhasi tichataura nezvechirwere chinogona kukonzera zviratidzo zvakaita seizvi, asi vanhu vazhinji havasati vambonzwa nezvazvo, asi kana chikaonekwa zvakanaka uye chikarapwa, chinogona kurapwa. Ndiwo maronda emudumbu .

Chii chinonzi Tracheomalacia? Ngatinzwisise zviri nyore!

Zvichitaurwa zviri nyore, tracheomalacia chirwere chinoitika kana shwashwa iri mupaipi yedu yemhepo ikasasimba kana kuti ikasakura zvakanaka. Iye zvino ungave uchishamisika kuti shwashwa iyi chii.

Funga nezve trachea sechubhu inotakura mweya kuenda kumapapu patinofema. Madziro echubhu iyi akaumbwa nezvidimbu zvecartilage zvakaita seC, zvakaita serabha, uye zvinochinjika. Cartilage iyi inoita kuti trachea irambe yakavhurika, sepombi yemvura, isingaputsike.

Zvisinei, mumunhu ane tracheomalacia, kunyanya mwana mudiki, maronda aya haana kusimba zvakanyanya. "Anodonha" zvakanyanya. Zvadaro, paunofema, kunyanya paunofema nesimba, paunochema, paunokosora, madziro etrachea iyi anokotama mukati, achivhara nzira yekufema. Zvakafanana nebharumu risingaputi, uye paunoburitsa mweya mudiki, rinogumira. Ndokusaka uchinzwa ruzha irworwo rwusinganzwisisike uye zvichinetsa kufema. Dzimwe nguva madzihwa anonamira mumapapu, uye zvinonetsa kuaburitsa.

Dambudziko iri rinowanzoonekwa muvana vachangoberekwa . Zvisinei, rinogona kuitika kune chero ani zvake wezera ripi zvaro. Vacheche vanowanzotanga kuona zviratidzo pavanenge vava nemwedzi mumwe kusvika miviri. Nerombo rakanaka, sezvo vacheche vazhinji vanokura, pazera remakore matatu, mapfupa aya anowedzera kusimba uye zviratidzo zvinodzikira. Zvisinei, mune dzimwe nguva dzakakomba, kuvhiyiwa kunogona kudiwa.

Pane mhando dzechirwere ichi here?

Ehe, kune mhando mbiri huru dze tracheomalacia:

1. Congenital Tracheomalacia

"Congenital" zvinoreva kuti inovapo kubva pakuzvarwa. Izvi zvinoitika kana tracheal cartilage yemwana isingakure zvakanaka achiri mudumbu raamai. Izvi zvinoreva kuti mwana anozvarwa aine dambudziko iri.

2. Tracheomalacia Yakawanikwa

"Acquired" zvinoreva kuti chirwere ichi chinoitika mushure mekuzvarwa, nekuda kwechimwe chikonzero gare gare muhupenyu. Izvi zvinogona kuitika kana nzira yekufema ikakuvara, yakakuvara, yakavhiyiwa, kana kuti yakabatana nemuchina wekufema (mechanical ventilation) kwenguva yakareba. Izvi zvinogona kuitika chero pazera ripi zvaro, asi hazviwanzoitiki.

Vamwe vanhu vanogonawo kunge vaine kusasimba mumachubhu madiki (bronchi) anobuda kubva papombi yemhepo achienda kumapapu, pamwe chete netracheomalacia. Vanachiremba vanodana chirwere ichi kuti tracheobronchomalacia .

Tracheomalacia yakajairika zvakadii?

Chirwere chetracheomalacia chinowanzoitika panguva yekuzvarwa. Zvisinei, ndicho chirwere chinowanzoonekwa mutrachea. Zvinofungidzirwa kuti chinokanganisa mwana mumwe chete pavana 2,100 .

Kuwana chirwere chetracheomalacia kwava kushoma.

Ndezvipi zviratidzo zveizvi? Iwewo unonetseka nazvo here?

Chiratidzo chikuru chetracheomalacia ruzha rwakaderera, rwakakwirira (stridor) paanenge achifema. Fungidzira, mwana wako paanopedza kunwa mukaka, kana paanochema zvikuru, anoita ruzha rwakaderera, "keen...keen..." paanenge achifema. Zvakafanana.

Kune zvimwe zviratidzo zvakawanda:

• Kuoma kwekufema kunowedzera panguva yekuyamwisa, kuchema, kana kukosora.
• Dzimwe nguva zvinoita sekunge uri kudzipwa .
• Kukosora kwenguva refu .
• Cyanosis chirwere apo ganda, miromo, nenzara zvinoshanduka kuita bhuruu nekuda kwekushaikwa kweokisijeni. Ichi chiratidzo chine njodzi.
• Kuoma kumedza .
• Kushoshoma .
• Zvirwere zvekufema zvinowanzo itika zvakaita sepneumonia nebronchitis .
• Kushaya mweya .
• Ruzha rwe "kukwenya" kana kufemera kubva muchipfuva kana munhu achifema.

Kana mwana wako aine chimwe chezviratidzo izvi kana kupfuura, zvakanaka kuti utsvage rubatsiro kubva kuna chiremba.

Ndezvipi zvikonzero zve tracheomalacia?

Sezvatakambotaura kare, kune mhando mbiri dzezvikonzero:

Zvikonzero zveCongenital Tracheomalacia:

Izvi zvinoitika kana shwashwa iri muhuro memwana isingaumbike zvakanaka sezvo mwana achikura mudumbu. Kureva kuti, panzvimbo pekuti arambe akasimba, anokura asina simba uye asina kusimba.

Zvikonzero zveTracheomalacia:

Panogona kunge paine zvikonzero zvakasiyana-siyana zveizvi:

• Chronic acid reflux (GERD) zvinoreva kudonha kweacid yemudumbu ichipinda mugumbo.
• Kukuvadzwa kwenzira yekufema. Izvi zvinogona kuitika nekuda kwekuvhiyiwa kana kumwe kurapwa.
• Zvirwere zvemapapu zvakaita se emphysema .
• Polychondritis, chirwere chekuzvimba kwegwara remudumbu.
• Mushure mekuvhiyiwa kugadzirisa kubatana kusina kujairika pakati pegurokuro (pombi yechikafu) nepaipi yemhepo (tracheoesophageal fistula).
• Kuva ne tracheostomy (chubhu inopinzwa mupaipi yemhepo ichipinda nepaburi riri mumutsipa) kana kuva nechubhu yekufema kwenguva yakareba.
• Zvirwere zvemudumbu zvakaita sebronchitis .

Dzimwe nguva, tracheomalacia inogona kusanganiswa nezvimwe zvirwere. Semuenzaniso:

• Kunonoka kukura kwemwana .
• Ehlers-Danlos syndrome (iri idambudziko remajini rinokanganisa nhengo dzemuviri).
• Zvikanganiso zvemwoyo .

Ndezvipi zvinetso zvinogona kukonzera izvi?

Kana tracheomalacia ikasarapwa nemazvo, mamwe matambudziko anogona kuitika. Izvi zvinosanganisira:

• Kuvharika kwenzira yekufema . Izvi zvinogona kuva nengozi.
• Chibayo chekufema : Iyi imhando yepneumonia inoitika kana chimwe chinhu, senge chikafu kana chinwiwa, chikafemerwa mumapapu kuburikidza nenzira dzekufema.
• Kukura kuri kudzikira muvana vacheche.
• Kurwara kunowanzoitika muzvikamu zvekufema zvinotora nguva yakareba kuti zvipore.

Saka, kana uine zviratidzo, zvakakosha kuona chiremba usingazviregeredze.

Unoona sei izvi? (Kuongororwa)

Chiremba achatanga aita bvunzo yemuviri pauri kana pamwana wako uye obvunza nezvezviratidzo zvako. Zvadaro, bvunzo yakakosha inogona kuitwa kuti utarise mukati memupombi yako yemhepo. Izvi zvinonzi laryngoscopy kana bronchoscopy . Izvi zvinosanganisira kupinza chubhu yakatetepa, ine chiedza ine kamera yakasungirirwa nemuromo wako kana mumhino yako pasi pehuro kuti utarise mukati memupombi yako yemhepo. Izvi zvinogona kukubatsira kuona kana madziro emupombi yako yemhepo asina kusimba kana kuti kana akakotama mukati paunofema.

Uye zvakare, chiremba angada kuita mimwe miedzo yakati wandei kuti asimbise chirwere ichi:

• Fluoroscopy yemhepo : Izvi zvakafanana neX-ray inofamba. Inogona kuona mashandiro anoita nzira dzemhepo paunofema.
• Barium swallow / Esophagram : Muedzo wekutarisa matambudziko ari mupombi yechikafu (esophagus).
• X-ray yechipfuva .
• Kuongororwa kweCT .
• Kuongororwa kwebasa remapapu .
• Kuongororwa kweMRI .

Miedzo iyi ndiyo inobvumira chiremba kuona nemazvo kana tracheomalacia iripo uye kuti yakanyanya sei.

Mishonga yacho ndeipi? Usazvidya moyo, kune mhinduro!

Kune nzira dzakasiyana-siyana dzekurapa tracheomalacia. Dzimwe hadzisi dzekuvhiya, dzimwe dzine mushonga, uye kana dzanyanya, kuvhiyiwa kunogona kudiwa. Kurapa kwakanakisa kwauri kana kumwana wako kunoenderana nehunhu uye kuoma kwechirwere chacho.

Kurapa kusiri kwekuvhiya

Kurapa uku kunobatsira kuchengetedza nzira dzekufema dzakavhurika uye kubvisa madzihwa kubva mumapapu.

• Kufema mhepo ine hunyoro : Kushandisa hunyoro kumba kunogona kuwedzera hunyoro mumhepo, kuderedza manyoka uye kuita kuti zvive nyore kufema.
• Kurapa chipfuva : Nyanzvi yekurapa chipfuva inogona kukudzidzisa maekisesaizi ekufema akakosha uye matekiniki anogona kubatsira kubvisa madzihwa mumapapu ako.
• Muchina weContinuous Positive Airway Pressure (CPAP) : Uyu muchina unopiwa vanhu vanonetseka kufema panguva yekurara. Unoderedza kukotama kwemukati memhepo panguva yekurara, zvichiita kuti kufema kuve nyore.

Mishonga

Vanachiremba vanoshandisa mhando dzakasiyana dzemishonga kurapa tracheomalacia:

• Kana paine hutachiona hwebhakitiriya, hunorapwa nemishonga inorwisa mabhakitiriya .
• Mishonga yeBronchodilator (senge mishonga yekufemera inoshandiswa nevanhu vane asthma) yekurerutsa tsandanyama dzinokubatsira kufema.
• Corticosteroids inoderedza kuzvimba.
• Mucolytics yekutetepa kwehutsi.

Kuvhiya

Muzviitiko zvakakomba zve tracheomalacia, kuvhiyiwa kunogona kudiwa. Pane nzira dzakasiyana siyana dzekuita izvi:

• Aortopexy : Mukuita uku, chiremba anobvisa aorta, tsinga huru yeropa, kubva patrachea oibatanidza nepfupa rechipfuva. Izvi zvinodzivirira trachea kuti isakotame mukati.
• Kuisa stent : Izvi zvinosanganisira kuisa chubhu diki (stent) mukati me trachea kuti irambe yakavhurika.
• Tracheopexy : Kuvhiyiwa uku kunosanganisira kubatanidza chikamu chetrachea kune chimwe chinhu chiri pedyo (senge pfupa repachipfuva kana tsinga yemusana). Izvi zvinochengetedzawo trachea yakavhurika uye zvinoidzivirira kuti isadonhe mukati.

Tracheomalacia inogona kudzivirirwa here?

Hapana chatingaita kuderedza njodzi yekubatwa netracheomalacia. Nekuti matambudziko ekuzvarwa nawo haagone kudzorwa nesu. Zvikonzero zvinoonekwa dzimwe nguva hazvigone kufungidzirwa. Zvisinei, nerubatsiro rwachiremba wako, chirwere ichi chinogona kugadziriswa zvakanaka.

Ko mamiriro ezvinhu aya achagadziriswa here? Ndeipi tarisiro?

Ichi ndicho chinhu chinonyanya kukosha.Vanhu vazhinji vanogona kurarama hupenyu hune hutano pasina matambudziko mushure mekurapwa tracheomalacia.

Kurapwa hakusi chinhu chinodiwa nguva dzose. Vana vazhinji vane chirwere chetracheomalacia vanopora vega pavanosvika makore matatu. Izvi zvinodaro nekuti shwashwa iri mutrachea yemwana inosimba sezvo mwana achikura, uye zviratidzo zvinowanzovandudzika. Zvisinei, mune dzimwe nguva, mwana angada mishonga kana kuvhiyiwa.

Vanhu vane tracheomalacia vanofanira kutariswa zvakanyanya, kunyanya kana vaine hutachiona hwekufema. Kunyangwe dzihwa diki rinogona kukonzera matambudziko. Chiremba wako achakupa mushonga kana mishonga yekubatsira kudzora zviratidzo zvako.

Ndinofanira kuona chiremba rini?

Kana uchifunga kuti mwana wako ane zviratidzo zvetracheomalacia (zvakadai sekukosora nguva dzose, kufemera, kana hutachiona hwekufema hunogara huripo), enda kuna chiremba nekukasika.

Tracheomalacia inogona kukonzera kusakwanisa kuita maekisesaizi uye hutachiona hwekufema kakawanda kuvanhu vakuru. Kana uine zviratidzo izvi, udza chiremba wako kuitira kuti aone chirwere chacho uye akurudzire kurapwa kwakakodzera.

Mibvunzo ipi yaunofanira kubvunza chiremba?

Kana wangoziva kuti iwe kana mwana wako ane tracheomalacia, heano mimwe mibvunzo yaunogona kubvunza chiremba wako:

• Mamiriro ezvinhu aya akaipa zvakadii?
• Chii chinokonzera chirwere ichi? (Chinhu chekuzvarwa nacho here kana kuti chinotorwa?)
• Ndeapi marapirwo amunokurudzira?
• Kuvhiyiwa kuchadiwa here?
• Ndingaitei kumba kuti ndideredze zviratidzo?
• Kurapwa kunofanira kutanga riini?

Kubvunza mibvunzo iyi kuchakubatsira kunzwisisa zviri nani mamiriro ezvinhu uye kujekesa matanho anotevera.

Zvimwe zvirwere zvinogona kukonzerwa ne tracheomalacia

Dzimwe nguva zvinogona kuvhiringidzwa nezvimwe zvirwere zvine zviratidzo zvakafanana netracheomalacia. Zvirwere zvikuru zviviri zvakadaro ndeizvi:

• Laryngomalacia : Uku kushomeka kwenyama iri pamusoro pebhokisi rezwi. Bhokisi rezwi riri pamusoro pepombi yemhepo.
• Tracheobronchomalacia : Ichi chirwere chinoratidza kusasimba kwebronchi, machubhu anobva papombi yemhepo achienda kumapapu. Vamwe vanhu vane tracheomalacia vanogonawo kuva nechirwere ichi.

Chiremba ndiye anogona kusiyanisa zvirwere izvi nemazvo uye kupa chirwere chakakodzera.

Chekupedzisira, chinhu chinonyanya kukosha (Mharidzo Yekuenda Kumba)

Zvakajairika kuti unzwe kutya zvikuru paunoona kuti mwana wako ane tracheomalacia. Mwoyo wako unogona kurova pese painochema kana kukosora mwana wako. Kana kuti iwe pachako ungave wakava nechirwere ichi mushure metsaona.

Asi yeuka, tracheomalacia kazhinji haisi chirwere chakakomba. Kunyangwe kana chiri chakanyanya, chinopindura zvakanaka kana charapwa.

Chinhu chinonyanya kukosha ndechekugara uchitaura nachiremba wako. Kana ukaona zviratidzo zvitsva kana zviratidzo zvako zvikawedzera, zivisa chiremba wako nekukasika. Iye anogona kukuudza kuti chirwere chacho chii uye kuti kurapwa kupi kungabatsira. Usazvidya mwoyo, unogona kukunda chirwere ichi nemazano akakodzera echiremba uye kurapwa!

Tracheomalacia , trachea, matambudziko ekufema, zvirwere zvevacheche, stridor, cyanosis, cartilage