Ingabe ingane yakho yenza umsindo ongavamile uma iphefumula? Ake sifunde nge-Laryngomalacia!

Ingabe ngezinye izikhathi uzwa umsindo wokukhala ophansi noma umsindo wokububula ophansi lapho ingane yakho encane iphefumula? Kuvamile ngabazali ukukhathazeka kancane uma bebona lokhu ezinganeni ezisanda kuzalwa. Kodwa isikhathi esiningi, akuyona into embi kangako . Namuhla, sizokhuluma ngesimo esibizwa ngokuthi i-Laryngomalacia, esingabangela lokhu, futhi esivamile ezinganeni.

Iyini i-Laryngomalacia?

Kalula nje, i-Laryngomalacia iwubuthakathaka obuncane emphinjeni webhokisi lezwi lomntwana wethu . Lokhu kwenzeka ngoba izicubu ezithambile ezingaphezulu kwebhokisi lezwi zibuthakathaka kancane, futhi lapho umntwana ephefumula, lezo zicubu zidonsela okwesikhashana emphinjeni womoya. Cabanga ngakho njengebhaluni elinomlomo ovulekile kancane, okwenza umsindo njengoba umoya uphuma. Lesi yisona sizathu esiyinhloko esenza izinsana ezisanda kuzalwa zenze umsindo lapho ziphefumula.

Sibiza lo msindo ngokuthi umsindo wokushaya ikhwela ophakeme (i-stridor) . Lo msindo uvame ukuzwakala lapho umntwana ephefumula. Esikhathini esiningi, lokhu akuyona inkinga eyingozi. Kodwa-ke, kwezinye izimo ezingavamile nezinzima , kungabangela umntwana ukuba abe nobunzima bokuphefumula noma abe nezinkinga zokondla.

Ingabe lokhu kuvamile?

Yebo, lesi simo esibizwa ngokuthi i-Laryngomalacia sivame kakhulu ezinsaneni ezisanda kuzalwa. Lesi simo sokuzalwa (i-Congenital Laryngomalacia) singabonakala ezinganeni ezingaphezu kwengxenye ngesonto lokuqala lokuphila. Kwabanye abantwana, singabonakala phakathi kwamasonto amabili kuya kwamane ubudala.

Abantu abadala nabo bangaba ne-laryngomalacia, kodwa ayivamile kakhulu. Odokotela bayibiza ngokuthi "i-acquired laryngomalacia".

Ziyini izimpawu?

Izimpawu ze-Laryngomalacia zingasukela kwezincane kuya kwezinzima kakhulu . Uphawu oluyinhloko umsindo omkhulu, wokushaya ikhwela, noma wokushaya ikhwela owenzeka lapho umntwana ephefumula. Lo msindo uvame ukuba mubi kakhulu ezinyangeni zokuqala zokuphila futhi uvame ukunyamalala ngokuphelele lapho eneminyaka eyodwa noma emibili.

Iningi lezingane liyawuzwa lo msindo wokuphefumula, kodwa akuyona inkinga ngokuphefumula noma ukuncelisa . Kodwa-ke, lo msindo ungase ubonakale kakhulu lapho umntwana elele phansi, elele, ekhala, noma ngemva kokuncelisa.

Kodwa-ke, izingane ezine-laryngomalacia enzima zingase zibonise izimpawu ezifana nalezi:

• I-Apnea (ukuphumula isikhathi eside ekuphefumuleni )
• Ukuphefumulela ukudla noma uketshezi emaphashini
• Isikhumba esiluhlaza okwesibhakabhaka (i-Cyanosis) (ikakhulukazi eduze kwezindebe)
• Ubunzima bokugwinya (i-Dysphagia)
• Ubunzima bokukhuluphala (ukungakhuluphala ngisho nangemva kokuphuza ubisi)
• Ukuzwa sengathi intamo noma isifuba sakho siyadonsa uma uphefumula("ukudonsa" noma "ukudonsa ngaphakathi")

Uma ingane yakho ibonisa noma yiziphi izimpawu ezinzima ezishiwo ngenhla, bheka udokotela wezingane ngokushesha.

Kungani lokhu kwenzeka? Yiziphi izimbangela ze-Laryngomalacia?

Ochwepheshe abakakazi kahle ukuthi kungani ezinye izingane ziba ne-laryngomalacia kanti ezinye azinayo. Kodwa kunezinto ezimbalwa abacabanga ukuthi zingaba nomthelela kulokhu:

• Ukukhubazeka kwesakhiwo: Ngesikhathi umntwana ekhula esibelethweni, i-cartilage noma imisipha ezungeze ibhokisi lezwi ikhula ngendlela ehlukile noma kabi.
• Izinkinga ze-neuromuscular: Lesi simo singabangelwa nayizinkinga ezithile ezithinta imizwa nemisipha yebhokisi lezwi.
• Isifo se-Gastroesophageal Reflux (GERD): Kalula nje, siwumphumela we-asidi yesisu ekhuphukela emphinjeni. Uma le-asidi ifika ebhokisini lezwi, ingabangela ukuvuvukala kuleyo ndawo. Lokhu kungenza ubuthakathaka besakhiwo bube bubi kakhulu obubangela i-laryngomalacia.

Ingabe zikhona izinhlobo ze-Laryngomalacia?

Odokotela bahlukanisa i-laryngomalacia ngezinhlobo ezintathu eziyinhloko ngokusekelwe kumbangela yalesi simo:

• Uhlobo 1: Ukuminyana noma ukufinyezwa kolwelwesi lwamafinyila lwebhokisi lezwi.
• Uhlobo 2: Izicubu ezithambile kakhulu engxenyeni engenhla yebhokisi lezwi.
• Uhlobo 3: I-Laryngomalacia yenzeka ngenxa yesinye isimo esiyisisekelo (isb., i-GERD noma isifo sezinzwa).

Ukubona kanjani lokhu ngqo?

Ukuhlolwa okuyinhloko okusetshenziselwa ukuxilonga i-laryngomalacia yi -nasopharyngolaryngoscopy (NPL) . Kulokhu kuhlolwa, uchwepheshe wezindlebe, impumulo, nomphimbo (uchwepheshe we-ENT) ufaka ithubhu elincane elifakwe ikhamera (i-endoscope) ngekhala lomntwana bese wehla emphinjeni ukuze ahlole ibhokisi lezwi. Lokhu kuhlolwa kuvame ukuthatha imizuzu emibili kuya kwemihlanu. Akubuhlungu kakhulu enganeni.

Yini enye oyihlolayo?

Uma ingane yakho iqinisekisiwe ukuthi ine-laryngomalacia, udokotela wakho kungadingeka enze ezinye izivivinyo ukuze athole ukuthi umonakalo ongakanani owenzekile. Lezi zivivinyo zifaka:

• I-fluoroscopy yomoya: Lokhu kusebenzisa i-X-ray kanye noketshezi olukhethekile (i-ejenti yokuqhathanisa) ukuze kubonakale ngokucacile izindawo ezithintekile zomzimba womntwana. Kungasetshenziswa futhi ukubuka inqubo yokugwinya ('ucwaningo lokugwinya').
• Uphenyo lwe-Impedance:Kufakwa ithubhu elincane ngekhala lomntwana bese lingena emhubheni ukuze kulinganiswe ukuthi ingakanani i-asidi yesisu ephuma ebhokisini lezwi. Izingane ezithola lokhu kuhlolwa ngokuvamile kufanele zihlale esibhedlela okungenani ubusuku obubodwa.
• I-Microlaryngoscopy kanye ne-bronchoscopy (ML&B): Lokhu kusebenzisa nepayipi elikhanyisiwe ukuhlola umphimbo/umphimbo womoya wengane kanye nebhokisi lezwi ukuze kutholakale imbangela yomsindo wokuphefumula. Lokhu kwenziwa ngaphansi kwe-anesthesia ejwayelekile.
• Ama-X-ray entanyeni noma esifubeni: Lezi zithombe zingasiza udokotela ukuthi abone ukuthi kukhona yini ezinye izinkinga zesakhiwo ezingase zibangele imisindo yokuphefumula kwengane.

Iphathwa kanjani?

Into ebalulekile ukuthi esikhathini esiningi, i-Laryngomalacia izophela yodwa phakathi nonyaka noma emibili . Umsindo wokuphefumula uzoncipha kancane kancane. Ezimweni ezincane nezincane, ungakwazi ukulawula izimpawu ekhaya. Kodwa-ke, uma ingane yakho ine-Laryngomalacia enzima, ungadinga imithi noma ukuhlinzwa.

Indlela yokuphatha ekhaya?

Uma ingane yakho inezimpawu ezivamile, ungaziqapha lezi zinto ekhaya. Indlela yokuphatha i-laryngomalacia ingahluka kuye ngosana:

• Uma ingane yakho inenkinga yokugwinya: Kungase kudingeke uyincelise kaningi ukuze ikhokhele amakhalori nezakhamzimba ezilahlekile. Ungazama futhi ukwenza ifomula ibe nkulu kancane (ungasebenzisa i-cereal yezingane noma izithambisi ezithengiswa ngaphandle kwe-counter). Lokhu kuzosiza ukunciphisa inani lokudla okubuyela emphinjeni.
• Uma ingane yakho inenkinga yokuphefumula: Udokotela wakho angase akucebise ukuthi ulale ingane yakho ikhanda lomatilasi liphakeme kancane. Lokhu kungasiza ukuvula indlela yokuphefumula futhi kwenze ukuphefumula kube lula.

Buza udokotela wakho njalo ngezindlela ezithile zokuphatha izimpawu ze-Laryngomalacia zengane yakho.

Ingabe ikhona ikhambi elisebenzisa umuthi?

Uma ingane yakho nayo ine-GERD (isifo se-gastroesophageal reflux) kanye ne-laryngomalacia, udokotela wakho angase akunike umuthi onjenge -proton pump inhibitor (PPI) noma i-H2 blocker ukuze uyelaphe. I-GERD ingandisa ukuvuvukala okuhlobene ne-laryngomalacia, ngakho-ke kubalulekile ukuyilawula.

Ingabe ukuhlinzwa kuzodingeka?

I-Laryngomalacia ayidingi ukuhlinzwa (i-supraglottoplasty). Lokhu kuhlinzwa kuhilela ukusika nokususa izicubu ezibuthakathaka, ezigobile ngaphezu kwebhokisi lezwi lomntwana. Udokotela ohlinzayo wezindlebe, impumulo, nomphimbo (ENT) wenza lokhu kuhlinzwa egumbini lokuhlinza, ingane ingaphansi kwe-anesthesia ejwayelekile. Ngemva kokuhlinzwa, umntwana uvame ukugcinwa esibhedlela ubusuku bonke ukuze abhekwe.

Kuthatha isikhathi esingakanani ukululama ngemva kokwelashwa?

Imithi ye-GERD ivame ukunciphisa izimpawu zingakapheli amasonto amabili, kodwa ingane yakho ingadinga ukuqhubeka ithatha imithi amasonto amaningana, noma ngisho nezinyanga.

Uma ingane yakho ike yahlinzwa i-laryngomalacia, ingase izwe ukwanda okuncane kokuphefumula kwayo ezinsukwini ezimbalwa zokuqala . Lokhu kuvamile. Lokhu kungenxa yokuvuvukala okuzungeze izintambo zezwi ngemva kokuhlinzwa. Lo msindo uzoncipha kancane kancane futhi kuzothatha cishe amasonto amabili ukululama ngokuphelele.

Ingabe lokhu kungavinjelwa?

Cha, ayikho indlela yokuvimbela i-laryngomalacia. Kodwa-ke, ukwelashwa kungasiza izimpawu zengane yakho ukuthi zilawulwe kangcono.

Njengomzali, uhlale ufuna ukuvikela ingane yakho kuzo zonke izinkinga. Kodwa i-Laryngomalacia yinto eyenzeka ngokuzenzekelayo ngezinye izikhathi. Akusho ukuthi wenze noma yini engalungile. Nakuba umsindo wengane yakho lapho iphefumula ungaba yingozi ekuqaleni, awudingi ukwelashwa njalo.

Ingabe kufanele wesabe lokhu?

I-Laryngomalacia, nakuba ingenza umsindo lapho iphefumula, ngokuvamile ayiyona ingozi . Iningi lezingane liyalulama kulesi simo ngokwalo, kodwa ezinye izingane zingadinga ukuhlinzwa, ikakhulukazi uma zinobunzima bokuthola isisindo noma zinezinkinga ezinkulu zokuphefumula. Uma udokotela wakho ekutshela ukuthi ingane yakho inalesi simo, uzochaza ukuthi yini ongayilindela.

Lesi simo sizohlala isikhathi esingakanani?

I-Laryngomalacia ivame ukuba ngcono ngokwayo lapho ineminyaka engu-1 noma engu-2. Kodwa-ke, kufanele uqaphele izimpawu ezingathi sína kakhulu, njenge-apnea, okuwukuphela kokuphefumula okwesikhashana, kanye nokushintsha kombala okuluhlaza okwesibhakabhaka okuzungeze izindebe. Lokhu kungaholela ezinkingeni ezinkulu.

Kufanele ngimbone nini udokotela? / Kufanele ngiye nini egumbini lezimo eziphuthumayo?

Uma ingane yakho ibonisa izimpawu ze-laryngomalacia, njengomsindo wokukhala komoya, kungumqondo omuhle ukwenza i-aphoyintimenti nodokotela wakho. Udokotela angakuhlola ingane yakho, akuthumele kudokotela wezindlebe, impumulo, nomphimbo (ENT) uma kudingeka, futhi akunike iseluleko sendlela yokunakekela ingane yakho ekhaya.

Uma ingane yakho ivele ibe nezimpawu ngokuzumayo, noma uma ingane yakho inesimo esibizwa ngokuthi "GERD" (isifo se-gastroesophageal reflux), shayela udokotela wakho ngokushesha.

Esimweni esinjalo, iya e-Emergency Treatment Unit (ETU) eseduze:

• Uma ingane ingaphefumuli isikhathi esingaphezu kwemizuzwana eyi-10 .
• Uma intamo noma isifuba sakho sibonakala sengathi siyadonsela ngaphakathi uma uphefumula.
• Uma izindebe ziphenduka zibe luhlaza okwesibhakabhaka .

Uyini umehluko phakathi kweLaryngomalacia neTracheomalacia?

I-Laryngomalacia kanye ne-tracheomalacia zombili izimo ezithinta indlela yokuphefumula. I-Laryngomalacia iwukuba buthaka kwezicubu ezingaphezu kwebhokisi lezwi, kuyilapho i-tracheomalacia iwukuba buthaka noma ukugoba kwe-cartilage engaphansi kwayo, embhobheni womoya . I-Tracheomalacia yisimo esingavamile kakhulu kune-laryngomalacia, futhi ngokuvamile sibi kakhulu.

Eminye imibuzo emincane embalwa...

Ingabe i-Laryngomalacia ingadala ukukhuluphala?

Ngokuvamile akunjalo. Eqinisweni, izingane ezine-laryngomalacia enzima zingase zibe nobunzima bokuthola isisindo .

Yini eyenza i-Laryngomalacia ibe yimbi kakhulu?

Izimpawu ze-laryngomalacia zingase zibe zimbi kakhulu uma ingane yakho ilele ngomhlane . Uma ubona ukuthi ingane yakho inenkinga yokuphefumula ngenkathi ilele ngomhlane, sicela ubone udokotela.

Ngaphezu kwalokho, izimpawu zingaba zimbi kakhulu ngenxa ye-GERD (isifo se-gastroesophageal reflux), isimo esivame kakhulu ezinganeni ezine-laryngomalacia.

Okokugcina, izinto okufanele uzikhumbule...

Isimo esibizwa ngokuthi i-Laryngomalacia singaba yinto ekhathazayo kancane, ikakhulukazi uma ungumzali omusha. Umsindo ophakeme nophansi owenziwa yingane yakho lapho iphefumula ungakwenza ukhathazeke futhi uzibuze, "Ingabe lokhu kuyinto engathi sína kakhulu?"

Kodwa khumbula, ezimweni eziningi, i-Laryngomalacia ayiyona ingozi. Kodwa-ke, uma unemibuzo noma ukukhathazeka, kungcono ngaso sonke isikhathi ukubona udokotela wezingane wengane yakho, futhi uma kudingeka, cela ukudluliselwa kuchwepheshe wezindlebe, impumulo, nomphimbo (ENT). Ungakhathazeki, odokotela balapha ukuzokusiza!

I- Laryngomalacia, i-Laryngomalacia, Ukuphefumula Kwengane, Ibhokisi Lezwi, I-Stridor, Ubunzima Bokuphefumula, Impilo Yengane