Tracheomalacia - yakawanikwa

Yakawanikwa tracheomalacia kushaya simba uye kusagadzikana kwemadziro emhepo (trachea, kana nzira yemhepo). Inokura mushure mekuzvarwa.

Congenital tracheomalacia inyaya inoenderana.

Yakawanikwa tracheomalacia haina kujairika pazera ripi zvaro. Zvinoitika apo shwashwa chairo mumadziro epaipi inotanga kuputsa.

Iyi fomu yetracheomalacia inogona kukonzeresa:

• Kana tsinga huru dzeropa dzikaisa pressure panzira yekufema
• Sechinetso mushure mekuvhiyiwa kugadzirisa kuremara kwekuzvarwa mupombi uye esophagus (iyo chubhu inotakura chikafu kubva pamuromo kuenda mudumbu)
• Mushure mekuve nekufema chubhu kana trachea chubhu (tracheostomy) kwenguva yakareba

Zviratidzo zve tracheomalacia zvinosanganisira:

• Matambudziko ekufema anowedzera kukosora, kuchema, kana hutachiona hwepamusoro hwekufema, senge chando
• Mheremhere yekufema iyo inogona kuchinja kana chinzvimbo chemuviri zvachinja, uye kugadzirisa mukati mekurara
• Kufema kwepamusoro-soro
• Kutinhira, kufema kune ruzha

Kuongorora kwepanyama kunosimbisa zviratidzo. Chifuva x-ray chingaratidza kudzikira kwetirachea kana uchifema kunze. Kunyangwe iyo x-ray yakajairwa, inodikanwa kutonga kunze mamwe matambudziko.

Maitiro anonzi laryngoscopy anoshandiswa kuongorora mamiriro acho. Maitiro aya anotendera otolaryngologist (nzeve, mhino, uye huro chiremba, kana ENT) kuti aone chimiro cheiyo nzira yemhepo uye kuona kuti rakanyanya sei dambudziko iri.

Mimwe bvunzo inogona kusanganisira:

• Mhepo inoyerera fluoroscopy
• Barium kumedza
• Bronchoscopy
• CT scan
• Lung basa bvunzo
• Magnetic resonance imaging (MRI)

Mamiriro acho anogona kuvandudza pasina kurapwa. Zvisinei, vanhu vane tracheomalacia vanofanira kuongororwa zvakanyanya pavanenge vane zvirwere zvekufema.

Vakuru vane matambudziko ekufema vangangoda kuenderera kwakanaka mweya yekumanikidza (CPAP). Kazhinji, kuvhiya kunodiwa. Chubhu ine mhango inonzi stent inogona kuiswa kuti igadzire nzira yemhepo yakavhurika.

Aspiration pneumonia (chirwere chemapapu) chinogona kuitika kubva mukufema muchikafu.

Vakuru vanokudziridza tracheomalacia mushure mekuve pamushini wekufema kazhinji vane matambudziko akakomba emapapu.

Fonera wako mupi wezvehutano kana iwe kana mwana wako uchifema nenzira isina kujairika. Tracheomalacia inogona kuve inokurumidza kana yechimbichimbi mamiriro.

Sekondari tracheomalacia

• Kufuridzira system kuongorora

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.

BP diki. Zvirwere zveTracheal. Mune: Walker CM, Chung JH, eds. Kufungidzira kwaMuller kweChipfuva. 2nd ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 56.

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.