Choanal atresia

Choanal atresia kutetepa kana kuvhara kwenzira yemumhepo netishu. Icho chiitiko chekuzvarwa, zvichireva kuti chiripo pakuzvarwa.

Chikonzero che choanal atresia hachizivikanwe. Izvo zvinofungidzirwa kuti zvinoitika kana hutete hutete hunoparadzanisa mhino nemuromo nzvimbo panguva yekukura kwechi fetus inosara mushure mekuzvarwa.

Mamiriro acho ndiwo akajairika emhino mumacheche achangozvarwa. Vakadzi vanowana mamiriro aya zvakapetwa kaviri zvakapetwa sevarume. Inopfuura hafu yevacheche vanobatwa vane mamwe matambudziko ekuberekwa.

Choanal atresia inowanzoonekwa ichangobva kuberekwa mwana achiri muchipatara.

Vacheche vanowanzo sarudza kufema nemumhino. Kazhinji, vacheche vanongofema nemiromo yavo pavanochema. Vacheche vane choanal atresia vanonetseka kufema kunze kwekunge vari kuchema.

Choanal atresia inogona kukanganisa rimwe kana mativi ese eanal airway. Choanal atresia inovharira mativi ese emhino inokonzeresa matambudziko ekufema nekuita bhuruu uye kutadza kufema. Vacheche vakadaro vangangoda kumutswa pavanosununguka. Inopfuura hafu yehafu yevacheche vane kuvharika parutivi rumwe chete, izvo zvinokonzeresa matambudziko mashoma.

Zviratidzo zvinosanganisira:

• Chipfuva chinodzokera kunze kwekunge mwana ari kufema nemuromo kana kuchema.
• Kuoma kufema kunotevera kuberekwa, izvo zvinogona kukonzera cyanosis (bluish discoloration), kunze kwekunge mucheche ari kuchema.
• Kutadza kuyamwisa nekufema panguva imwe chete.
• Kusakwanisa kupfuudza catheter kuburikidza neese mativi emhino kupinda muhuro.
• Kuramba kune-mativi emhino kuvhara kana kubuda.

Kuongorora kwepanyama kunogona kuratidza kuvharirwa kwemhino.

Miedzo inogona kuitwa inosanganisira:

• CT scan
• Endoscopy yemhino
• Sinus x-ray

Iko kunetseka kuri ipapo kumutsidzira mwana kana zvichidikanwa. Nzira yemhepo inogona kuda kuiswa kuitira kuti mucheche agone kufema. Mune zvimwe zviitiko, intubation kana tracheostomy inogona kudikanwa.

Mwana mucheche anogona kudzidza kufema nemuromo, izvo zvinogona kunonoka kudiwa kwekuvhiyiwa nekukurumidza.

Kuvhiya kubvisa kuvharirwa kunorapa dambudziko. Kuvhiya kunogona kunonoka kana mucheche achikwanisa kutsungirira kufema kwemuromo. Kuvhiya kwacho kunogona kuitwa kuburikidza nemhino (transnasal) kana kuburikidza nemuromo (transpalatal).

Kupora kwakazara kunotarisirwa.

Zvinogona kuitika zvinosanganisira:

• Kufuridzira uchidya uye kuyedza kufema nemumuromo
• Kufema kusungwa
• Kugadzirisazve nzvimbo yacho mushure mekuvhiyiwa

Choanal atresia, kunyanya painobata mativi ese, inowanzoonekwa ichangobarwa mwana achiri muchipatara. One-sided atresia inogona kusakonzera zviratidzo, uye mucheche anogona kutumirwa kumba asina kuongororwa.

Kana mwana wako ane chero dambudziko rakanyorwa pano, bvunza wako mupi wezvehutano. Mwana angangoda kuongororwa nenzeve, mhino, nehuro (ENT) nyanzvi.

Iko hakuna kunozivikanwa kudzivirira.

Elluru RG. Kuberekwa kusagadzikana kwemhino uye nasopharynx. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 189.

Haddad J, Dodhia SN. Kuberekwa kusagadzikana kwemhino. 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 404.

Otteson TD, Wang T. Kumusoro maronda emumhepo ari mudiki. Mune: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff naMartin's Neonatal-Perinatal Mushonga. 11th ed. Philadelphia, PA: Elsevier; 2020: chitsama 68.