Tracheomalacia - azalwe naso

I-tracheomalacia yokuzalwa iwubuthakathaka nokuqina kwezindonga zensimbi yomoya (i-trachea). I-Congenital isho ukuthi ikhona lapho izalwa. I-tracheomalacia etholakalayo iyisihloko esihlobene.

I-Tracheomalacia enganeni esanda kuzalwa yenzeka lapho uqwanga ku-windpipe lungakakhuli kahle. Esikhundleni sokuba ziqinile, izindonga zetrachea ziyi-floppy. Ngenxa yokuthi i-windpipe iyindlela ehamba phambili yomoya, izinkinga zokuphefumula ziqala ngokushesha ngemuva kokuzalwa.

I-tracheomalacia yokuzalwa ayivamile kakhulu.

Izimpawu zingahluka kusuka kumnene kuya kokubi. Izimpawu zingafaka:

• Imisindo yokuphefumula engashintsha ngesikhundla futhi ithuthuke ngesikhathi sokulala
• Izinkinga zokuphefumula eziba zimbi kakhulu ngokukhwehlela, ukukhala, ukondla, noma izifo eziphezulu zokuphefumula (njengokubandayo)
• Ukuphefumula okuphezulu
• Ukuphefumula okukhwaza noma okunomsindo

Ukuhlolwa komzimba kuqinisekisa izimpawu. Kuzokwenziwa i-x-ray yesifuba ukukhipha ezinye izinkinga. I-x-ray ingakhombisa ukuncipha kwetreachea lapho uphefumulela kuyo.

Inqubo ebizwa ngokuthi i-laryngoscopy inikeza ukuxilongwa okuthembekile kakhulu. Kule nqubo, i-otolaryngologist (indlebe, impumulo, nodokotela womphimbo, noma i-ENT) izobheka ukwakheka kwe-airway bese inquma ukuthi inkinga inzima kangakanani.

Ezinye izivivinyo zingafaka:

• I-Airway fluoroscopy - uhlobo lwe-x-ray ekhombisa izithombe esibukweni
• Ukugwinya kwe-Barium
• I-Bronchoscopy - ikhamera ezansi nomphimbo ukubona izindlela zomoya namaphaphu
• Iskena se-CT
• Ukuhlolwa kwemisebenzi yamaphaphu
• Ukucabanga kwe-Magnetic resonance (MRI)

Iningi lezinsana liphendula kahle emoyeni oswakanyisiwe, ukuphakelwa ngokucophelela, kanye nemithi elwa namagciwane yezifo. Izingane ezine-tracheomalacia kufanele zihlolwe kakhulu lapho zinezifo zokuphefumula.

Imvamisa, izimpawu zetracheomalacia ziyathuthuka njengoba usana lukhula.

Akuvamile, ukuhlinzwa kuyadingeka.

I-tracheomalacia yokuzalwa ivame ukuzihambela yodwa ineminyaka eyi-18 kuye kwezingu-24. Njengoba uqwanga luqina futhi uqhoqhoqho lukhula, ukuphefumula okunomsindo nokunzima kuyathuthuka kancane kancane. Abantu abane-tracheomalacia kumele babhekwe ngeso elibukhali uma benezifo zokuphefumula.

Izingane ezizalwe zine-tracheomalacia zingaba nokunye okungajwayelekile kokuzalwa, njengokukhubazeka kwenhliziyo, ukubambezeleka kokukhula, noma i-reflux ye-gastroesophageal.

Ukuphefumula i-pneumonia kungenzeka kusukela ekudonseleni ukudla kungene emaphashini noma ku-windpipe.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma ingane yakho inezinkinga zokuphefumula noma ukuphefumula okunomsindo. I-Tracheomalacia ingaba isimo esiphuthumayo noma esiphuthumayo.

Thayipha i-tracheomalacia 1

Isitholi, i-JD. I-Bronchomalacia ne-tracheomalacia. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 416.

UNelson M, uGreen G, u-Ohye RG. Izinkinga zokuhlukunyezwa kwezingane. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 206.

I-Wert SE. Ukukhula okujwayelekile nokungajwayelekile kwesakhiwo samaphaphu. Ku: Polin RA, Abman SH, Rowitch DH, Benitz WE, Fox WW, ama-eds. I-Fetal ne-Neonatal Physiology. Umhlaka 5. IPhiladelphia, PA: Elsevier; I-2017: isahluko 61.