I-Tracheomalacia-ifunyenwe

I-tracheomalacia efumanekayo bubuthathaka kunye nokuqina kweendonga zomoya (itrachea, okanye indlela yomoya). Ikhula emva kokuzalwa.

I-tracheomalacia ye-Congenital sisihloko esinxulumene noko.

I-tracheomalacia efunyenweyo ayiqhelekanga nakweyiphi na iminyaka. Kwenzeka xa intlala eqhelekileyo kudonga lombhobho womoya iqalisa ukonakala.

Olu hlobo lwe-tracheomalacia lunokubangela:

• Xa imithambo yegazi emikhulu ibeka uxinzelelo kwindlela yomoya
• Njengengxaki emva kotyando ukulungisa iziphene zokuzalwa kwi-windpipe kunye ne-esophagus (ityhubhu ehambisa ukutya ukusuka emlonyeni ukuya esiswini)
• Emva kokuba nombhobho wokuphefumla okanye ityhubhu yetrachea (tracheostomy) ixesha elide

Iimpawu zetracheomalacia zibandakanya:

• Iingxaki zokuphefumla eziba mandundu ngokukhohlela, ukulila, okanye usulelo oluphezulu lokuphefumla, njengokubanda
• Imisindo yokuphefumla enokutshintsha xa imeko yomzimba itshintsha, kwaye iphucule xa ulele
• Ukuphefumla okuphezulu
• Ukungxola, ukuphefumla okunengxolo

Uvavanyo lomzimba luqinisekisa iimpawu. I-x-ray yesifuba ingabonisa ukunciphisa i-trachea xa uphefumla. Nokuba i-x-ray iqhelekile, iyafuneka ukukhupha ezinye iingxaki.

Inkqubo ebizwa ngokuba yi-laryngoscopy isetyenziselwa ukufumanisa imeko. Le nkqubo ivumela i-otolaryngologist (indlebe, impumlo, kunye nogqirha womqala, okanye i-ENT) ukuba ibone ubume bendlela yomoya kwaye ichonge ukuba inzima kangakanani na ingxaki.

Olunye uvavanyo lunokubandakanya:

• Ifluoroscopy yomoya
• Ukuginya kweBarium
• Bronchoscopy
• Ukuskena i-CT
• Uvavanyo lomsebenzi wemiphunga
• Imagnetic resonance imaging (iMRI)

Le meko inokuphucuka ngaphandle konyango. Nangona kunjalo, abantu abane-tracheomalacia kufuneka bajongwe ngononophelo xa benesifo sokuphefumla.

Abantu abadala abaneengxaki zokuphefumla banokufuna uxinzelelo oluqinisekileyo lokuhamba ngomoya (CPAP). Ngokuqhelekileyo, utyando luyafuneka. Umbhobho ongenanto obizwa ngokuba yi-stent unokufakwa ukuze ubambe indlela evulekileyo yomoya.

I-pneumonia yokuphefumla (usulelo lwemiphunga) lunokwenzeka ngokuphefumla ekutyeni.

Abantu abadala abaphuhlisa i-tracheomalacia emva kokuba bekumatshini wokuphefumla bahlala beneengxaki ezinkulu zemiphunga.

Fowunela umboneleli wakho wezempilo ukuba wena okanye umntwana wakho uphefumla ngendlela engaqhelekanga. I-Tracheomalacia inokuba yimeko engxamisekileyo okanye engxamisekileyo.

I-tracheomalacia yesibini

• Isishwankathelo senkqubo yokuphefumla

Isifumanisi 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.

IBP encinci. Izifo zetracheal. Ku: Walker CM, Chung JH, ii-eds. Ukulinganisa kukaMuller kwesifuba. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; I-2019: isahluko 56.

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.