Tracheomalacia - kuberekwa

Congenital tracheomalacia kushaya simba uye kusagadzikana kwemadziro emhepo (trachea). Kuberekwa kunoreva kuti iripo pakuzvarwa. Yakawana tracheomalacia inyaya inowirirana.

Tracheomalacia mumwana achangozvarwa inoitika kana shwashwa muhombodo isina kukura zvakanaka. Panzvimbo pekuomarara, madziro eiyo trachea ari floppy. Nekuti peipi yemhepo ndiyo nzira huru yemhepo, matambudziko ekufema anotanga achangoberekwa.

Congenital tracheomalacia haina kujairika.

Zviratidzo zvinogona kubva pane zvinyoro kusvika kune zvakanyanya. Zviratidzo zvinogona kusanganisira:

• Mheremhere yekufema iyo inogona kuchinja nechinzvimbo uye kugadzirisa mukati mekurara
• Matambudziko ekufema anowedzera nekukosora, kuchema, kufudza, kana hutachiona hwepamusoro hwekufema (senge kutonhora)
• Kufema kwepamusoro-soro
• Kutinhira kana kufema kune ruzha

Kuongorora kwepanyama kunosimbisa zviratidzo. Chifuva x-ray chichaitwa kutonga kunze mamwe matambudziko. Iyo x-ray inogona kuratidza kudzikira kwetirachea kana uchifemera mukati.

Iyo nzira inonzi laryngoscopy inopa yakanyanya kuvimbika kuongororwa. Mune maitiro aya, otolaryngologist (nzeve, mhino, uye huro chiremba, kana ENT) ichatarisa chimiro cheiyo nzira yemhepo uye nekuona kuti dambudziko rakanyanya sei.

Mimwe bvunzo inogona kusanganisira:

• Airway fluoroscopy - rudzi rwe x-ray inoratidza mifananidzo pachiratidziri
• Barium kumedza
• Bronchoscopy - kamera pasi pehuro kuti uone mafafitera nemapapu
• CT scan
• Lung basa bvunzo
• Magnetic resonance imaging (MRI)

Vazhinji vacheche vanopindura zvakanaka kune humidified mweya, kunyatso chengetedza, uye maantibhakitiriya ehutachiona. Vacheche vane tracheomalacia vanofanirwa kuongororwa zvakanyanya kana vaine chirwere chekufema.

Kazhinji, zviratidzo zve tracheomalacia zvinovandudzika apo mucheche anokura.

Kazhinji, kuvhiya kunodiwa.

Congenital tracheomalacia inowanzoenda yega pazera remwedzi gumi nemasere kusvika makumi maviri nemana. Shwashwa painowedzera kusimba uye trachea inokura, kufema kune ruzha uye kwakaoma kunowedzera zvishoma nezvishoma. Vanhu vane tracheomalacia vanofanirwa kuongororwa padhuze kana vaine chirwere chekufema.

Vacheche vanozvarwa vaine tracheomalacia vanogona kunge vaine zvimwe zvisina kujairika, sekuremara kwemoyo, kunonoka kukura, kana gastroesophageal reflux.

Aspiration pneumonia inogona kuitika kubva mukufemera chikafu mumapapu kana mupombi yemhepo.

Fonera wako mupi wezvehutano kana mwana wako achinetseka kufema kana ruzha kufema. Tracheomalacia inogona kuve inokurumidza kana yechimbichimbi mamiriro.

Tora 1 tracheomalacia

Tsvaga, JD. Bronchomalacia uye tracheomalacia. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 416.

Nelson M, Green G, Ohye RG. Chiremba tracheal anomalies. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro & Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 206.

Wert SE. Yakajairwa uye isina kujairika mamiriro ekuvandudza emapapu. Mune: Polin RA, Abman SH, Rowitch DH, Benitz WE, Fox WW, eds. Fetal uye Neonatal Physiology. 5 ed. Philadelphia, PA: Elsevier; 2017: chits. 61.