I-Tracheomalacia

-Delile

• I-Tracheomalacia ezinganeni nasezinsaneni ezisanda kuzalwa
• Ziyini izimpawu?
• Ziyini izimbangela?
• Kutholakala kanjani?
• Izinketho zokwelashwa
• Umbono

Ukubuka konke

I-Tracheomalacia yisimo esingajwayelekile esivame ukuvela lapho kuzalwa. Imvamisa, izindonga ku-windpipe yakho ziqinile. Ku-tracheomalacia, uqwanga lwe-windpipe alukhuli kahle esibelethweni, lubashiye bebuthakathaka futhi be-flaccid. Izindonga ezibuthakathaka kungenzeka ziwe futhi zidale ukuphazamiseka kwendlela yomoya. Lokhu kuholela ezinkingeni zokuphefumula.

Kungenzeka ukuthola lesi simo kamuva empilweni. Lokhu kuvame ukwenzeka lapho umuntu efakwe intubhu isikhathi eside noma enesifo esivela njalo sokuvuvukala noma ukutheleleka koqhoqhoqho.

I-Tracheomalacia ezinganeni nasezinsaneni ezisanda kuzalwa

I-Tracheomalacia ivame ukutholwa ezinganeni eziphakathi kweminyaka engama-4 nengama-8 amasonto. Imvamisa ingane izalwe inaleso simo, kodwa kuze kube yilapho iqala ukuphefumula umoya owenele ukudala ukushaya kwesimo lapho isimo siyaqashelwa.

Kwesinye isikhathi lesi simo asiyona ingozi futhi izingane eziningi ziyasidlula. Ngezinye izikhathi, lesi simo singadala izinkinga ezinzima futhi eziqhubekayo ngokukhwehlela, ukuphefumula, i-apnea, ne-pneumonia.

Ziyini izimpawu?

Izimpawu ezivame kakhulu ze-tracheomalacia yilezi:

• ukuvutha okungathuthuki ngokwelashwa kwe-bronchodilator
• imisindo engajwayelekile lapho uphefumula
• ubunzima bokuphefumula obuba nzima ngomsebenzi noma lapho umuntu ephethwe umkhuhlane
• ukuphefumula okuphezulu
• izimpawu ezijwayelekile ezibalulekile naphezu kwezinkinga ezibonakalayo zokuphefumula
• inyumoniya ephindayo
• ukukhwehlela okuphikelelayo
• ukuyeka ukuphefumula okwesikhashana, ikakhulukazi ngesikhathi sokulala (i-apnea)

Ziyini izimbangela?

I-Tracheomalacia ayivamile ngokwedlulele kunoma yisiphi isikhathi, kepha ivame ukubangelwa ukungalungi kwezindonga zetrachea esibelethweni. Kungani lokhu kungalungi kwenzeka kungaziwa kahle.

Uma i-tracheomalacia ithuthukiswa ngokuhamba kwesikhathi empilweni, khona-ke kungabangelwa yimithambo yegazi emikhulu ebeka ingcindezi emoyeni, inkinga yokuhlinzwa ukulungisa ukukhubazeka kokuzalwa ku-windpipe noma esophagus, noma ekutholeni ipayipi lokuphefumula isikhathi eside.

Kutholakala kanjani?

Uma wethula ngezimpawu ze-tracheomalacia, udokotela wakho uvame uku-oda ukuhlolwa kwe-CT, ukuhlolwa komsebenzi wamaphaphu, futhi kuya ngemiphumela, i-bronchoscopy noma i-laryngoscopy.

I-bronchoscopy ivame ukudingeka ukuxilonga i-tracheomalacia. Lokhu kuhlolwa okuqondile kwezindlela zomoya usebenzisa ikhamera eguquguqukayo. Lokhu kuhlolwa kuvumela udokotela ukuthi ahlolisise uhlobo lwe-tracheomalacia, ukuthi isimo sinzima kangakanani, nokuthi sinamthelela muni emandleni akho okuphefumula.

Izinketho zokwelashwa

Izingane zivame ukudlula i-tracheomalacia lapho zineminyaka emithathu ubudala. Ngenxa yalokhu, ukwelashwa okuhlaselayo akuvamile ukubhekwa kuze kudlule lesi sikhathi, ngaphandle kwalapho isimo sinzima kakhulu.

Ingane izodinga ukuqashwa ngeso lokhozi yithimba lazo lezokwelapha futhi ingase izuze kusihluthulelo, ekwelashweni ngokomzimba kwesifuba, futhi mhlawumbe nakwingcindezi eqhubekayo yomoya (CPAP).

Uma ingane ingasidluli lesi simo, noma uma inecala elibi le-tracheomalacia, khona-ke kunezindlela eziningi zokuhlinzwa ezitholakalayo. Uhlobo lokuhlinzwa olunikezwayo luzoncika ohlotsheni nasendaweni ye-tracheomalacia yabo.

Izinketho zokwelashwa zabantu abadala abane-tracheomalacia ziyefana nezengane, kepha ukwelashwa akuphumeleli kangako kubantu abadala.

Umbono

I-Tracheomalacia yisimo esingajwayelekile kakhulu kunoma iliphi iqembu lobudala. Ezinganeni, imvamisa kuyisimo esilawulekayo lapho izimpawu zehla khona ngokuhamba kwesikhathi futhi zivame ukuqedwa ngokuphelele lapho ingane ineminyaka engu-3. Kunezinyathelo eziningi ezingathathwa ukusiza ukunciphisa izimpawu kuze kube yisikhathi lapho zinyamalala khona ngokwemvelo.

Ezimweni ezingavamile, lapho izimpawu zingathuthuki noma zinzima, kungadingeka ukuhlinzwa. Ukuhlinzwa kulezi zimo kunenani eliphezulu lokuphumelela.

Kubantu abadala, lesi simo kuvame ukuba nzima ukusisingatha, kungenzeka sibe nzima, futhi sinezinga eliphezulu lokufa kwabantu.