Tracheomalacia

Umxholo

• I-Tracheomalacia kwiintsana nakwiintsana
• Ziintoni iimpawu?
• Yintoni unobangela?
• Ifunyaniswa njani?
• Izinketho zonyango
• Imbonakalo

Ushwankathelo

I-Tracheomalacia yimeko enqabileyo edla ngokubakho xa kuzalwa. Ngokuqhelekileyo, iindonga kwi-windpipe yakho ziqinile. Kwi-tracheomalacia, intlala ye-windpipe ayikhuli kakuhle kwisibeleko, ibashiya bebuthathaka kwaye be-flaccid. Iindonga ezibuthathaka zinokuthi ziwe kwaye zibangele ukuphazamiseka kwendlela yomoya. Oku kukhokelela kwiingxaki zokuphefumla.

Kuyenzeka ukuba ufumane imeko kamva ebomini. Oku kudla ngokwenzeka xa umntu ene-intubated ixesha elide okanye ebenokudumba okuphindaphindiweyo okanye usulelo lwetrachea.

I-Tracheomalacia kwiintsana nakwiintsana

I-Tracheomalacia ihlala ifunyanwa kwiintsana eziphakathi kweminyaka emi-4 ukuya kwezi-8. Rhoqo umntwana uzelwe enale meko, kodwa kude kube yilapho beqala ukuphefumla umoya owoneleyo ukuze babangele ivili ukuba imeko iqatshelwe.

Ngamanye amaxesha imeko ayinabungozi kwaye abantwana abaninzi bayayikhupha. Ngamanye amaxesha, imeko inokubangela iingxaki ezinzima neziqhubekayo ngokukhohlela, ukuvutha, ukuphefumula, kunye nenyumoniya.

Ziintoni iimpawu?

Iimpawu eziqhelekileyo zetracheomalacia zezi:

• ukuvutha okungaphuculiyo ngonyango lwe-bronchodilator
• izandi ezingaqhelekanga xa uphefumla
• ubunzima bokuphefumla obuba mandundu ngomsebenzi okanye xa umntu egodola
• ukuphefumla okuphezulu
• Iimpawu eziqhelekileyo ezibalulekileyo ngaphandle kwengxaki yokuphefumla
• inyumoniya ephindayo
• ukukhohlela okungapheliyo
• ukuyeka ukuphefumla okwethutyana, ngakumbi ngexesha lokulala (i-apnea)

Yintoni unobangela?

I-Tracheomalacia inqabile kakhulu nakweyiphi na iminyaka, kodwa ixhaphake kakhulu ngenxa yokungalunganga kweendonga zetrachea kwi-utero. Kutheni le nto kwenzeka gwenxa nje ayaziwa ngokuchanekileyo.

Ukuba i-tracheomalacia iphuculwe kamva ebomini, isenokubangelwa yimithambo yegazi emikhulu ebeka uxinzelelo kwindlela yomoya, ingxaki yotyando ukulungisa iziphene zokuzalwa kwi-windpipe okanye esophagus, okanye ekubeni ube netyhubhu yokuphefumla endaweni ixesha elide.

Ifunyaniswa njani?

Ukuba ubonakalisa iimpawu zetracheomalacia, ugqirha wakho uhlala e-odola i-CT scan, iimvavanyo zomsebenzi we-pulmonary, kwaye kuxhomekeke kwiziphumo, i-bronchoscopy okanye i-laryngoscopy.

I-bronchoscopy ihlala ifuneka ukuze ichonge i-tracheomalacia. Olu luvavanyo ngqo lweendlela zomoya usebenzisa ikhamera eguquguqukayo. Olu vavanyo luvumela ugqirha ukuba abhaqe uhlobo lwe-tracheomalacia, ukuba lukhulu kangakanani na imeko, kwaye unefuthe elingakanani ekuphefumleni kwakho.

Izinketho zonyango

Abantwana bahlala bephuma kwi-tracheomalacia xa beneminyaka emi-3 ubudala. Ngenxa yoku, unyango olungenelelayo aluqwalaselwa de kube eli xesha lidlulile, ngaphandle kokuba imeko inzima kakhulu.

Umntwana uya kufuna ukubekwa esweni ngokusondeleyo liqela labo lonyango kwaye unokuxhamla kwisichumisi, unyango lwesifuba, kunye noxinzelelo oluqinisekileyo lokuhamba komoya (CPAP).

Ukuba umntwana akayigqithisi imeko, okanye ukuba unesifo esibi se-tracheomalacia, ngoko kukho iindlela ezininzi zokuhlinzwa ezikhoyo. Uhlobo loqhaqho olunikezelwayo luya kuxhomekeka kuhlobo kunye nendawo yetracheomalacia yabo.

Iinketho zonyango kubantu abadala abane-tracheomalacia ziyafana nezo zabantwana, kodwa unyango aluphumeleli kangako kubantu abadala.

Imbonakalo

I-Tracheomalacia yimeko enqabileyo kakhulu kulo naliphi na iqela leminyaka. Kubantwana, ihlala iyimeko elawulekayo apho iimpawu ziyancipha ngokuhamba kwexesha kwaye zihlala zipheliswa ngokupheleleyo xa umntwana eneminyaka eyi-3. Kukho amanyathelo aliqela anokuthathwa ukunceda ukunciphisa iimpawu kude kube lixesha lokuba zinyamalale ngokwendalo.

Kwiimeko ezinqabileyo, apho iimpawu zingaphuculanga okanye zinzima, kunokufuneka kwenziwe utyando. Ugqirha kwezi meko lunenqanaba eliphezulu lempumelelo.

Kubantu abadala, imeko ihlala kunzima ukuyilawula, kunokwenzeka ukuba ibe qatha, kwaye inezinga eliphezulu lokufa kwabantu.