Tracheomalacia - hānau hānau

ʻO ka tracheomalacia Congenital ka nāwaliwali a me ka floppiness o nā paia o ka windpipe (trachea). ʻO ka manaʻo ʻo Congenital aia ia ma ka wā hānau. He kumuhana pili ka tracheomalacia i loaʻa.

Tracheomalacia i loko o kahi hānau hou ke hana ʻole ke cartilage i ka windpipe i kūpono. Ma kahi o ka paʻakikī, floppy nā paia o ka trachea. Ma muli o ke ala makani ka ala nui, hoʻomaka koke nā pilikia hanu ma hope koke o ka hānau ʻana.

ʻO ka tracheomalacia congenital kahi mea maʻamau ʻole.

Hiki ke kau ʻia nā ʻōuli mai ke akahai a i ke koʻikoʻi. Pākuʻi ʻia paha nā ʻōuli:

• Nā leo hanu e loli me ke kūlana a hoʻomaikaʻi i ka wā hiamoe
• Nā pilikia hanu e ʻoi aku ka maikaʻi me ka puʻe, uē, hānai ʻana, a i ʻole nā ​​maʻi hanu kiʻekiʻe (e like me ke anuanu)
• Ka hanu kiʻekiʻe ʻana
• Hānā a hanu walaʻau paha

Hōʻoia kahi hōʻike kino i nā ʻōuli. E hana ʻia kahi ray x e pale ai i nā pilikia ʻē aʻe. Hōʻike ka x-ray i ka liʻiliʻi o ka trachea ke hanu i loko.

Hāʻawi kahi kaʻina hana i kapa ʻia ʻo laryngoscopy i ka hōʻoia pono loa. I kēia kaʻina hana, kahi otolaryngologist (pepeiao, ihu, a kauka puʻu, a ENT) e nānā i ke ʻano o ke ala ea a hoʻoholo i ka nui o ka pilikia.

Hiki i nā hoʻokolohua ʻē aʻe ke:

• Fluoroscopy Airway - kahi ʻano x-ray e hōʻike ana i nā kiʻi ma ka pakuhi
• E ale ʻo Barium
• ʻO Bronchoscopy - kāmela i lalo i ka ʻāʻī e ʻike i nā alaloa a me nā akemāmā
• CT scan
• Nā hoʻāʻo hana lung
• Mākēneki resonance kiʻi (MRI)

ʻO ka hapa nui o nā pēpē e pane maikaʻi i ka lewa i hoʻoheheʻe ʻia, ka hānai pono ʻana, a me nā lāʻau ʻaloʻalo no nā maʻi. Pono e nānā pono ʻia nā pēpē me tracheomalacia ke loaʻa iā lākou nā maʻi hanu.

ʻO ka pinepine, hoʻomaikaʻi nā ʻōuli o tracheomalacia i ka ulu ʻana o ke pēpē.

Kākaʻikahi, pono ka ʻoki kino.

Hele pinepine ʻo Congenital tracheomalacia nona iho ma ka makahiki 18 a 24 mau mahina. Ke hele a ikaika ka cartilage a ulu ka trachea, hoʻomaikaʻi mālie ka walaʻau a me ka paʻakikī paʻakikī. Pono e nānā pono ʻia ka poʻe me tracheomalacia ke loaʻa iā lākou nā maʻi hanu.

Loaʻa i nā pēpē i hānau ʻia me tracheomalacia nā mea ʻē aʻe i hānau ʻia, e like me nā kīnā o ka puʻuwai, hoʻolohi hoʻomohala, a me reflux gastroesophageal.

Hiki i ka pneumonia aspiration ke puka mai ka hanu ʻana i ka meaʻai i loko o nā akemāmā a i ʻole ka makani.

Kāhea i kāu kahu mālama ola inā loaʻa i kāu keiki nā pilikia hanu a me ka hanu nui ʻana. Hiki i Tracheomalacia ke lilo i kūlana koʻikoʻi a i ʻole pilikia.

ʻAno 1 tracheomalacia

Mea loaʻa, JD. ʻO Bronchomalacia a me tracheomalacia. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 416.

ʻO Nelson M, Green G, ʻOyeye RG. Nā anomal tracheal pēpē. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 206.

ʻO Wert SE. ʻO ka ulu maʻamau a kūpono ʻole o ka māmā. I: Polin RA, Abman SH, Rowitch DH, Benitz WE, Fox WW, eds. ʻO Fetal and Neonatal Physiology. 5th lā. Piladelapia, PA: Elsevier; 2017: chap 61.