Tracheomalacia - loaʻa

ʻO ka tracheomalacia i loaʻa he nāwaliwali a me ka floppiness o nā paia o ka pehu (trachea, a i ʻole ke alaloa). Hoʻolālā ia ma hope o ka hānau ʻana.

He kumuhana pili i ka Congenital tracheomalacia.

ʻO ka tracheomalacia loaʻa pinepine ʻole ʻia i kēlā me kēia makahiki. Kū i ka wā e hoʻomaka ai ka haki ʻana o ka cartilage maʻamau i ka paia o ka puka makani.

Hiki ke hopena kēia ʻano tracheomalacia:

• Ke hoʻokau nā kīʻaha koko nui i ke alaloa
• Ma ke ʻano he pilikia ma hope o ke kaha ʻana e hoʻoponopono i nā kīnā o ka hānau ʻana i ka windpipe a me ka esophagus (ka paipu e hāpai ana i ka meaʻai mai ka waha a ka ʻōpū)
• Ma hope o ka loaʻa ʻana o kahi ʻōpū hanu a i ʻole trachea Tube (tracheostomy) no kahi manawa lōʻihi

Nā ʻōuli o tracheomalacia:

• Nā pilikia hanu e ʻoi aku ka maikaʻi me ka puʻe, uē, a i ʻole nā ​​maʻi hanu kiʻekiʻe, e like me ke anuanu
• Hiki ke hoʻololi i nā kani hanu ke hoʻololi ke kūlana o ke kino, a hoʻomaikaʻi i ka wā hiamoe
• Ka hanu kiʻekiʻe ʻana
• Pāhoʻi, hanu walaʻau

Hōʻoia kahi hōʻike kino i nā ʻōuli. Hiki i kahi x-ray ke hōʻike i ka liʻiliʻi o ka trachea ke hanu. ʻOiai he maʻamau ka x-ray, pono e kāpae i nā pilikia ʻē aʻe.

Hoʻohana ʻia kahi hana i kapa ʻia he laryngoscopy e ʻike pono ai i ke ʻano. Hāʻawi kēia kaʻina hana i ka otolaryngologist (pepeiao, ihu, a me ka ʻāʻī puʻukū, a i ʻole ENT) e ʻike i ke ʻano o ke ala ea a hoʻoholo i ka nui o ka pilikia.

Hiki i nā hoʻokolohua ʻē aʻe ke:

• ʻO fluoroscopy Airway
• E ale ʻo Barium
• ʻO Bronchoscopy
• CT scan
• Nā hoʻāʻo hana lung
• Mākēneki resonance kiʻi (MRI)

Hiki ke hoʻomaikaʻi ke ʻano me ka ʻole o ka lapaʻau. Eia nō naʻe, pono e nānā pono ʻia ka poʻe me tracheomalacia ke loaʻa iā lākou nā maʻi hanu.

Pono paha nā mākua me nā pilikia hanu e hoʻomau i ke kaomi ʻūlū maikaʻi (CPAP). Kākaʻikahi, pono ka ʻoki kino. Hoʻokomo ʻia kahi puha hollow i kapa ʻia i ka stent e hāmama i ke ala ākea.

Hiki i ka pulumonia ʻuhū (kahi maʻi pūpū) ke hana mai ka hanu ʻana i ka meaʻai.

ʻO nā mākua e hoʻomohala i ka tracheomalacia ma hope o ka noho ʻana i ka mīkini hanu e loaʻa pinepine i nā pilikia puʻupuʻu koʻikoʻi.

Kāhea i kāu kahu mālama ola inā ʻoe a i ʻole kāu keiki e hanu i kahi ala maʻamau ʻole. Hiki i Tracheomalacia ke lilo i kūlana koʻikoʻi a i ʻole pilikia.

Tracheomalacia lua

• Nānā ʻōnaehana Respiratory

Mea loaʻa iā 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 BP liʻiliʻi. Nā maʻi Tracheal. I: Walker CM, Chung JH, hua. ʻO Muller's Imaging o ka umauma. ʻElua ed. Piladelapia, PA: Elsevier; 2019: chap 56.

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.