Ngaba umntwana wakho omncinci ngamanye amaxesha wenza isandi sokukhala xa ephefumla? Okanye ngamanye amaxesha uzifumana unengxaki yokuphefumla ngaphandle kwesizathu esicacileyo, uzive ngathi isifuba sakho sixinene? Nangona abantu abaninzi becinga ukuba oku kuqhelekile, ngamanye amaxesha kunokuba luphawu lwento ekufuneka ixhalatyelwe. Namhlanje siza kuthetha ngemeko enye engaqhelekanga kodwa ebaluleke kakhulu. Ibizwa ngokuba yi-Subglottic Stenosis. Nangona igama lisenokuvakala lisoyikisa kancinci, masiligcine lilula.
Yintoni i-Subglottic Stenosis?
Ngamafutshane, i-Subglottic Stenosis kukuncitshiswa kwenxalenye ephezulu yomphimbo wethu (i-trachea), eyi -bronchi . Oku kufumaneka ngaphantsi nje kwee-vocal cords zethu. Njengoko igama lisitsho, igama elithi "Subglottic" lithetha ngaphantsi kwee-vocal cords. Igama elithi "Stenosis" lithetha ukuncitshiswa.
Eyona ndlela ilungileyo yokuqonda oku kukusebenzisa umzekelo wengca yokusela. Khawuthelekelele usela amanzi kwingca yokusela. Xa ingca ivulekile, ungasela amanzi ngokulula. Kodwa kwenzeka ntoni ukuba uyiqinisa kancinci ingca uze uyenze ibe ncinci? Ubungakanani bamanzi aphumayo buyancipha. Ukuba uyiqinisa nangakumbi, ubungakanani bamanzi aphumayo buyancipha kakhulu, kwaye ngamanye amaxesha amanzi amancinci aphumayo aqala ukuphuma ngengxolo. Yiloo nto eyenzekayo nakule meko. Xa indlela yomoya incipha, ubungakanani bomoya ongena emaphashini buyancipha. Oku kunokubangela ubunzima bokuphefumla kunye nesandi somlozi.
Ingaba le meko ixhaphakile?
Hayi. Esi sisifo esingaqhelekanga ngokwenene. Sichaphazela umntu omnye kumakhulu amane amawaka (400,000). Abantu abaninzi basenokuba abakayiva loo nto. Kodwa ukuba wena okanye umntwana wakho unezi mpawu, kubalulekile ukuba uqaphele.
Zithini iimpawu?
Ezi mpawu zinokuba ncinci, zibe phakathi, okanye zibe nzima, kuxhomekeke ekubeni indlela yomoya incinci kangakanani na. Makhe sijonge indlela ezi mpawu ezahluka ngayo kubantwana abancinci nakubantu abadala.
| Isigulana | Iimpawu ezinokubonwa |
|---|---|
| Abantwana abancinci/Iintsana |
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| Abantu abadala kunye nabantwana abadala |
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Kutheni oku kusenzeka? Zithini izizathu?
Zininzi izizathu ze-subglottic stenosis. Ngamanye amaxesha, akukho sizathu sifumanekayo.
- I-Congenital Subglottic Stenosis: Abanye abantwana bazalwa benendlela yokuphefumla enciphileyo. Oku kudla ngokubonisa iimpawu emva nje kokuzalwa.
- I-Acquired Subglottic Stenosis: Le yeyona meko ixhaphakileyo . Oku kuthetha ukuba indlela yomoya iyancitshiswa emva kokuzalwa ngesizathu esithile. Oku kunokubangelwa zezi:
- Ukuba usebenzisa i-ventilator ixesha elide: Umntu ogula kakhulu ufakwa ityhubhu aze adityaniswe ne-ventilator ukuze amncede aphefumle. Ukuba kufuneka ahlale kwi-ventilator ixesha elingaphezu kweeveki ezimbini, ityhubhu inokonakalisa ulwelo oluthambileyo lweendlela zomoya, nto leyo ebangela ukuba izicubu ezibomvu zikhule kwaye zinciphise iindlela zomoya njengoko ziphola.
- Ukulimala kwindlela yokuphefumla: Ukulimala okukhulu entanyeni okanye esifubeni kunokonakalisa indlela yokuphefumla.
- Iimeko ezithile zempilo: Iingxaki ezingaqhelekanga zokuzikhusela komzimba okanye iimeko ezifana ne-vasculitis zinokubangela ukudumba kunye nezicubu ezibomvu kwindlela yomoya, zinciphise.
- I-Idiopathic Subglottic Stenosis: Ngamanye amaxesha, ingakumbi kubantu abadala, akukho sizathu sicacileyo sifumanekayo sale meko. Ixhaphake kakhulu kubasetyhini abaphakathi kweminyaka engama-30 ukuya kwengama-60 .
Ugqirha uyixilonga njani le meko?
Xa uxelela ugqirha wakho ngezi mpawu, uza kwenza uvavanyo lomzimba. Uza kukubuza ngembali yakho yezonyango kunye neempawu zakho. Ukuba kukho i-subglottic stenosis erhanelekayo, uza kukuthumela kwingcali yendlebe, impumlo, kunye nomqala (ingcali ye-ENT okanye i-otolaryngologist) . Ingcali ingenza iimvavanyo ezininzi ukuqinisekisa imeko.
| Uvavanyo | Kalula nje... |
|---|---|
| I-Laryngoscopy eguquguqukayo | Kule nto, ityhubhu encinci, eguquguqukayo enekhamera encinci ekupheleni idluliselwa emphinjeni ukuze ihlole ingaphakathi le-larynx kunye ne-windpipe. |
| Uvavanyo lweMisebenzi yePulmonary | Uvavanyo olulinganisa ukuba ungakanani umoya onokuwuphefumlela uphume ubuye ukhawuleze kangakanani. Ukuba umoya uyancipha, luphawu lokuncitshiswa kweendlela zomoya. |
| Iskeni yeComputed Tomography (CT) | I-CT scan ingenziwa ukuze kubonwe ngokucacileyo ulwakhiwo lwendlela yomoya, apho ukuncitshiswa kukhoyo, kunye nobubanzi bayo. |
Zithini iindlela zonyango?
Ngenxa yokuba esi sisifo esingaqhelekanga, akukho nyango lufanayo. Unyango luxhomekeke kwizinto ezifana nobudala besigulana, ubukhali besifo, kunye nesizathu.
Kwiimeko ezithambileyo
Ukuba imeko ayinzima kakhulu, oko kuthetha ukuba indlela yomoya inciphile kancinci, ugqirha wakho usenokungakunyangi kwangoko, kodwa angakubeka phantsi kweliso elibukhali . Oku kuthetha ukukujonga rhoqo ukuze abone ukuba imeko yakho iya isiba mandundu na.
Unyango oluphambili ngakumbi
- Iinaliti zeSteroid:Oku kungasetyenziswa njengonyango lokuqala. Kule meko, intamo kunye nendlela yomoya ziyavalwa nge-anesthesia yendawo, kwaye kufakwa inaliti ye-steroid entanyeni iye kwindlela yomoya encitshisiweyo. Oku kunokunceda ekunciphiseni ukudumba kunye nezicubu ezibuhlungu. Olu luhlu lwezitofu ludla ngokunikezelwa rhoqo kwiiveki ezi-4-6.
- Utyando: Ukuba imeko imbi kakhulu okanye ezinye iindlela zonyango aziphumelelanga, utyando lunokufuneka. Kukho iindlela ezahlukeneyo zotyando.
- Ukwanda kwe-Endoscopic: Kule nto, kufakwa ibhaluni encinci kwindawo encitshisiweyo kusetyenziswa i-endoscope ize ivuthelwe umoya ukuze yandise indawo. Nangona kunjalo, oku akusosisombululo esihlala sihleli kwiimeko ezininzi. Ukuncipha kunokubuya ngokuhamba kwexesha, ngoko ke inkqubo inokufuneka iphindwe.
- Ukususwa kweCricotracheal: Olu lutyando olunzima ngakumbi. Kule meko, inxalenye encinci engaphantsi kwemithambo yelizwi iyasikwa ize isuswe ngokupheleleyo, kwaye ezinye iindawo ezimbini eziphilileyo ziyaxhunyaniswa kwakhona. Oku kunokubangela unyango oluhlala luhleli.
- I-Endoscopic Laryngotracheoplasty: Kolu tyando, iziqwenga ze-cartilage ezithathwe kwenye inxalenye yomzimba wesigulana (umz., ubambo) zityalwa kwindawo encinci ukuze kwandiswe indlela yokungena komoya. Oku kukwabizwa ngokuba yiLaryngotracheal Reconstruction.
Kuqhelekile ukuba noloyiko xa ufunda ngale meko. Kodwa khumbula, kukho unyango olusebenzayo loku. Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha ngexesha elifanelekileyo.
Kwenzeka ntoni emva konyango?
Kwiimeko ezininzi, ngonyango olukhawulezileyo nolufanelekileyo, le meko inokulawulwa kakuhle, kwaye ngamanye amaxesha ide inyangeke. Nangona kunjalo, eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba ngamanye amaxesha le meko inokuphinda ivele . Ukuba oku kuyenzeka, kubaluleke kakhulu ukufuna unyango kwakhona ngaphambi kokuba iimpawu zibe mandundu.
Ndifanele ndimbone nini ugqirha?
Ukuba wena okanye umntwana wakho unyangelwe i-Subglottic Stenosis kwaye uqaphela ukuba iimpawu ezinje ngobunzima bokuphefumla kunye nokuphefumla (stridor) ziyavela kwakhona, musa ukulibazisa kwaye ubone ugqirha wakho ngoko nangoko. Ukufunyaniswa kwangoko kunokunceda ukulawula imeko ngaphambi kokuba ibe mandundu. Kwakhona, ukuba uqala ukuqaphela ezi mpawu, kubalulekile ukufuna ingcebiso kagqirha kunokuba ungayinaki njengesiqhelo.
Umyalezo Wokuya Ekhaya
- I-subglottic stenosis yimeko engaqhelekanga ebangelwa kukuncitshiswa kwenxalenye ephezulu yombhobho womoya.
- Iimpawu eziphambili zisandi somlozi (stridor) kunye nobunzima bokuphefumla.
- Le meko inokwenzeka nakubani na, ukususela kwiintsana ezisandul’ ukuzalwa ukuya kubantu abadala.
- Ukuba umntwana wakho okanye wena unezinye zezi mpawu, musa ukuzityeshela kwaye ubone ugqirha ngokukhawuleza.
- Kukho unyango olusebenzayo koku, kodwa kubalulekile ukuqaphela iimpawu, njengoko imeko inokuphinda ivele ngamanye amaxesha nasemva konyango.
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