Tracheomalacia - ukuzalwa

I-tracheomalacia ye-Congenital bubuthathaka kunye nokuqina kweendonga zomoya (i-trachea). Ukuzalwa kuthetha ukuba ikhona ekuzalweni. Ukufumana i-tracheomalacia sisihloko esihambelana noko.

I-Tracheomalacia kusana olusandula kuzalwa lwenzeka xa intlala kwi-windpipe ingakhuli kakuhle. Endaweni yokuba ziqinile, iindonga zetrachea ziyi-floppy. Ngenxa yokuba i-windpipe iyindlela ehamba phambili yomoya, iingxaki zokuphefumula ziqala ngokukhawuleza emva kokuzalwa.

I-tracheomalacia yokuzalwa ayiqhelekanga kakhulu.

Iimpawu zinokuthamba ukusuka kubumnene ukuya kubunzima. Iimpawu zingabandakanya:

• Imisindo yokuphefumla enokuthi itshintshe kwindawo kwaye iphucule xa ulele
• Iingxaki zokuphefumla eziba zimbi ngokukhohlela, ukulila, ukondla, okanye usulelo oluphezulu lokuphefumla (njengokubanda)
• Ukuphefumla okuphezulu
• Ukungxola okanye ukuphefumla okunengxolo

Uvavanyo lomzimba luqinisekisa iimpawu. I-x-ray yesifuba iya kwenziwa ukulawula ezinye iingxaki. I-x-ray ingabonisa ukunciphisa i-trachea xa uphefumla.

Inkqubo ebizwa ngokuba yi-laryngoscopy ibonelela ngoxilongo oluthembekileyo. Kule nkqubo, i-otolaryngologist (indlebe, impumlo, kunye nogqirha womqala, okanye i-ENT) iya kujonga indlela yomoya kwaye ichonge ukuba inzima kangakanani na ingxaki.

Olunye uvavanyo lunokubandakanya:

• I-airway fluoroscopy -uhlobo lwe-x-ray ebonisa imifanekiso kwiscreen
• Ukuginya kweBarium
• Bronchoscopy - ikhamera ezantsi emqaleni ukubona umoya kunye nemiphunga
• Ukuskena i-CT
• Uvavanyo lomsebenzi wemiphunga
• Imagnetic resonance imaging (iMRI)

Uninzi lweentsana luphendula kakuhle kumoya ofumileyo, ukutyiswa ngononophelo, kunye namayeza okubulala iintsholongwane. Iintsana ezine-tracheomalacia kufuneka zijongwe ngononophelo xa zinesifo sokuphefumla.

Rhoqo, iimpawu zetracheomalacia ziyaphucuka njengoko usana lukhula.

Ngokuqhelekileyo, utyando luyafuneka.

I-tracheomalacia ye-Congenital ihlala ihamba yedwa iinyanga ezili-18 ukuya kwezi-24. Njengoko intlala iya isomelela kwaye itrachea ikhula, ukuphefumla okunengxolo kunye nobunzima kuyaphucuka. Abantu abane-tracheomalacia kufuneka babekwe esweni xa benesifo sokuphefumla.

Iintsana ezizalwe zine-tracheomalacia zinokunye ukungaqheleki kokuzalwa, njengokukhubazeka kwentliziyo, ukulibaziseka kophuhliso, okanye i-reflux yesisu.

Ukuphefumla inyumoniya kunokuvela ngokusezela ukutya kwimiphunga okanye kumbhobho womoya.

Fowunela umboneleli wakho wezempilo ukuba umntwana wakho unobunzima bokuphefumla okanye ukuphefumla okunengxolo. I-Tracheomalacia inokuba yimeko engxamisekileyo okanye engxamisekileyo.

Uhlobo lwe-1 tracheomalacia

Umfumani, JD. Bronchomalacia kunye netracheomalacia. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 416.

UNelson M, uGreen G, u-Ohye RG. Ukungaqheleki kwetracheal tracheal. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 206.

WSE SE. Ngokwesiqhelo kunye nokungaqhelekanga kokukhula komphunga. Ku: Polin RA, Abman SH, Rowitch DH, Benitz WE, Fox WW, ii-eds. I-Physology yoSana kunye neNzalo. Umhla we-5. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 61.