Laryngomalacia

Anter

• Hōʻike Overview
• He aha nā hōʻailona o ka laryngomalacia?
• He aha ke kumu o ka laryngomalacia?
• Pehea e ʻike ʻia ai ka laryngomalacia?
• Pehea e mālama ʻia ai ka laryngomalacia?
• Nā loli hiki iā ʻoe ke hana ma ka home
• Hiki ke pale ʻia?
• He aha ke kuanaʻike?

Hōʻike Overview

ʻO Laryngomalacia kahi kūlana maʻamau i nā pēpē ʻōpio. He mea maʻamau ʻole ia ma nā mea ma luna pono o nā kaula leo e palupalu ai. Kuhi kēia palupalu iā ia e lele i ke ala ea ke lawe i ka hanu. Kēia hiki i hapa blockage o ke ala ea, hiki i ka walaʻau hanu, keu hoʻi ke keiki ma ko lākou kua.

ʻO nā kaula leo he mau pā i ka larynx, a ʻo ka pahu leo ​​kekahi i ʻike ʻia. ʻAe ka larynx i ka ea e komo i loko o nā akemāmā, a kōkua pū ia i nā kani leo. Aia ka larynx i ka epiglottis, e hana nei me ke koena o ka larynx e mālama ai i ka meaʻai a i ʻole nā ​​wai i ke komo ʻana i nā akemāmā.

ʻO Laryngomalacia kahi kūlana hānau, ʻo ia hoʻi he mea hānau ʻia nā pēpē, ma mua o kahi kūlana a maʻi paha e ulu ana ma hope. Ma kahi o 90 pākēneka o nā hihia laryngomalacia hoʻonā me ka ʻole o kahi lapaʻau. Akā no kekahi mau keiki, pono paha ka lāʻau a lāʻau paha.

He aha nā hōʻailona o ka laryngomalacia?

ʻO ka ʻōuli nui o ka laryngomalacia ka hanu walaʻau, a ʻo ka stridor kekahi e ʻike ʻia. He kani kani kiʻekiʻe ke lohe ʻia i ka wā e hanu ai kāu keiki. No kahi keiki i hānau ʻia me laryngomalacia, maopopo leʻa ka stridor i ka wā hānau. Ma ka awelika, ʻike mua ʻia ke ʻano i ka piha ʻana o nā pēpē i ʻelua mau pule. E māhuahua paha ka pilikia ke hoʻi ke keiki ma ko lākou kua a i ka wā huhū a uē paha. Hoʻonui ka hanu nui i nā mahina mua ma hope o ka hānau ʻana. Hiki i nā pēpē me ka laryngomalacia ke huki i loko o ka ʻāʻī a i ʻole ka umauma ke hanu (i kapa ʻia he retractions).

ʻO kahi ʻano pili pili like ka gastroesophageal reflux maʻi (GERD), kahi e hiki ai i kahi keiki ʻōpio ke kaumaha nui. ʻO GERD, hiki ke hoʻopili i kekahi me nā makahiki āpau, ke hana ʻia i ka neʻe ʻana o ka acid acid mai ka ʻōpū i loko o ka esophagus e ʻeha ai. ʻO ka wela, hoʻonāukiuki ka mea i ʻike pinepine ʻia ma ke ʻano he heartburn. Hoʻokumu paha ʻo GERD i kahi keiki e ala hou a luaʻi a loaʻa ka pilikia i ka loaʻa ʻana o ke kaumaha.

ʻO nā ʻōuli ʻē aʻe o ka laryngomalacia ʻoi aku ka nui:

• pilikia hānai a hānai hānai paha
• lohi ka loaʻa ʻana o ke kaupaona, a i ʻole ka pohō kaumaha
• ʻalalā i ka ale ʻana
• makemake nui (ke komo ka meaʻai a wai paha i loko o nā māmā)
• hoʻomaha iki ana i ka hanu ʻana, ʻo ka apnea kekahi i ʻike ʻia
• huli polū, ai ʻole cyanosis (i hoʻokumu ʻia e nā pae oxygen haʻahaʻa i ke koko)

Inā ʻoe e ʻike i nā ʻōuli o ka cyanosis a i ʻole ke kū ʻana o kāu keiki i ka hanu ma mua o 10 kekona i ka manawa, e hele koke i kahi haukapila. Eia kekahi, inā ʻike ʻoe i kāu keiki e neʻe nei i ka hanu - no ka laʻana, e huki ana i loko o ko lākou umauma a me ka ʻāʻī - e mālama i ke kūlana me ka wikiwiki a me ke kōkua. Inā loaʻa nā ʻōuli ʻē aʻe, e hoʻopaʻa i kāu manawa me ke kauka kauka o kāu keiki.

He aha ke kumu o ka laryngomalacia?

ʻAʻole maopopo leʻa ke kumu e hoʻomohala ai kekahi mau keiki i ka laryngomalacia. Manaʻo ʻia ke ʻano he ulu kūpono ʻole o ka cartilage o ka larynx a i ʻole kekahi ʻāpana o ka pahu leo. ʻO ia paha ka hopena o ke ʻano neurological e hoʻopili ana i nā aʻalolo o nā kaula leo. Inā aia ʻo GERD, hana paha ia i ka hanu walaʻau o ka laryngomalacia.

He ʻano hoʻoilina paha ʻo Laryngomalacia, ʻoiai ʻaʻole ikaika ka hōʻike no kēia kumumanaʻo. Hoʻohui ʻia ʻo Laryngomalacia i kekahi manawa me kekahi ʻano hoʻoilina, e like me ka gonadal dysgenesis a me Costello syndrome, a me nā mea ʻē aʻe. Eia nō naʻe, ʻaʻole pono nā lālā ʻohana i loaʻa i kahi maʻi kikoʻī i nā ʻōuli like, ʻaʻole hoʻi iā lākou āpau ka laryngomalacia.

Pehea e ʻike ʻia ai ka laryngomalacia?

Ke ʻike nei i nā ʻōuli, e like me ke stridor, a me ka hoʻomaopopo ʻana ke hiki ke kōkua i ke kauka o kāu keiki e hana i kahi hōʻailona. I nā hihia maʻalahi, ʻo ka hoʻokolokolo a me ka ukali kokoke paha ka mea e pono ai. No nā pēpē me nā ʻōuli hou aʻe, koi ʻia paha kekahi mau hoʻokolohua e hōʻike kūhelu i ke ʻano.

ʻO ka ho'āʻo mua no ka laryngomalacia kahi nasopharyngolaryngoscopy (NPL). Hoʻohana kahi NPL i kahi laulā lahilahi i hoʻokau ʻia me kahi kāmela liʻiliʻi. Alakaʻi mālie ʻia ka laulā i lalo i kekahi o nā puka ihu o kāu keiki i ka ʻāʻī. Hiki i ke kauka ke nānā pono i ke olakino a me ke ʻano o ka larynx.

Inā loaʻa i kāu keiki ka laryngomalacia, kauoha paha ke kauka i nā hoʻokolohua ʻē aʻe, e like me ka ʻāʻī a me ka umauma X-kukuna a me kahi hōʻike ʻē aʻe e hoʻohana ana i kahi ākea lahilahi, i kapa ʻia ʻo fluoroscopy airway. ʻO kahi hōʻike ʻē aʻe, i kapa ʻia he loiloi endoscopic hana o ka ale (FEES), hana ʻia i kekahi manawa inā nui nā pilikia e ale pū me ka ʻiʻini.

Hiki ke ʻike ʻia ʻo Laryngomalacia me ke akahai, ke akahai, a me ke koʻikoʻi. Ma kahi o 99 pākēneka o nā pēpē i hānau ʻia me ka laryngomalacia he mau ʻano akahai a akahai paha. Pili ka laryngomalacia liʻiliʻi i ka hanu walaʻau, akā ʻaʻohe pilikia olakino ʻē aʻe. Hoʻonui pinepine ʻia i loko o 18 mau mahina. ʻO ka laryngomalacia maʻamau ka manaʻo he nui kekahi mau pilikia me ka hānai ʻana, regurgitation, GERD, a me nā retract umauma akahai a haʻahaʻa paha. Hiki i ka laryngomalacia koʻikoʻi ke hoʻopili i ka hānai pilikia, a me ka apnea a me ka cyanosis.

Pehea e mālama ʻia ai ka laryngomalacia?

ʻOi aku ka nui o nā keiki ma mua o ka laryngomalacia me ka ʻole o ka lapaʻau ma mua o ko lākou lā hānau lua, e like me ka Halemai Kamaliʻi o Piladelapia.

Eia nō naʻe, inā ʻo ka laryngomalacia o kāu keiki ke kumu nei i nā pilikia hānai e pale ana i ka loaʻa ʻana o ke kaumaha a i ʻole inā kū mai ka cyanosis, koi ʻia paha ke ʻoki. Hoʻomaka pinepine ka hoʻomaʻamaʻa lāʻau maʻamau me kahi hana i kapa ʻia he laryngoscopy pololei a me ka bronchoscopy. Hana ʻia ia i loko o ke keʻena hana a pili i ke kauka me ka hoʻohana ʻana i nā kaola kūikawā e hāʻawi i kahi nānā kokoke i ka larynx a me ka trachea. ʻO ka hana aʻe kahi hana i kapa ʻia he supraglottoplasty. Hiki iā ia ke hana ʻia me ka ʻāpala a i ʻole ka laser a i ʻole kekahi o nā ʻano ʻē aʻe. Hoʻopili ke kīʻaha i ka hoʻokaʻawale ʻana i ka cartilage o ka larynx a me ka epiglottis, ka mea i loko o ka puʻu e uhi ana i ka puka makani ke ʻai ʻoe. Pili pū ka hana me ka hoʻēmi iki ʻana i ka nui o nā mea ma luna pono o nā kaula leo.

Inā he pilikia ʻo GERD, hiki i kāu kauka ke kuhikuhi i kahi lāʻau reflux e kōkua i ka mālama ʻana i ka hana ʻana o ka ʻōpū o ka ʻōpū.

Nā loli hiki iā ʻoe ke hana ma ka home

I nā hihia maʻalahi a kaulike paha o ka laryngomalacia, ʻaʻole pono ʻoe a me kāu keiki e hoʻololi i ka hānai ʻana, ka hiamoe ʻana, a i ʻole kekahi hana ʻē aʻe. Pono ʻoe e nānā pono i kāu keiki e ʻike pono ke hānai maikaʻi nei lākou me ka ʻike ʻole i nā hōʻailona koʻikoʻi o ka laryngomalacia. Inā he pilikia ka hānai ʻana, pono ʻoe e hana pinepine aku, ʻoiai ʻaʻole paha e loaʻa ana i kāu keiki nā calorie a me nā mea momona me kēlā me kēia hānai ʻana.

Pono paha ʻoe e hoʻāla i ke poʻo o ka moena o kāu pēpē e kōkua iki iā lākou e hanu maʻalahi i ka pō. ʻOiai ʻo laryngomalacia, ʻoi aku ka palekana o nā pēpē e hiamoe ana ma ko lākou kua inā ʻaʻole koi ʻia e kāu kauka lapaʻau.

Hiki ke pale ʻia?

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i ka laryngomalacia, hiki paha iā ʻoe ke pale aku i nā ulia pōpilikia e pili ana i ke ʻano. E noʻonoʻo i nā papahana aʻe:

• E ʻike i nā hōʻailona e nānā ai inā pili i ka hānai ʻana, ka loaʻa ʻana o ke kaumaha, a me ka hanu ʻana.
• I ka hihia maʻamau i loaʻa i kāu pēpē ka huikau e pili pū ana me kā lākou laryngomalacia, e kamaʻilio me kāu kauka pediatrician e pili ana i ka hoʻohana ʻana i ka hoʻomau ʻana i ka hoʻoikaika ʻana i ke alaloa maikaʻi (CPAP) a i ʻole nā ​​lāʻau lapaʻau ʻē aʻe no ka pāheʻe.
• Inā hiki i ka laryngomalacia o kāu pēpē ke hana nei i nā hōʻailona e hōʻoia paha i ka lāʻau, e ʻike i kahi loea me ka ʻike e mālama ana i ka laryngomalacia. Pono paha ʻoe e hele i ka pūnaewele e ʻike i nā pūʻulu kākoʻo e hiki ke kōkua a hoʻāʻo paha i kahi kula kauka o kahi kulanui kokoke. ʻO kahi loea e noho mamao aku ana iā ʻoe e hiki ke kūkākūkā me kāu kauka kauka mamao.

He aha ke kuanaʻike?

A hiki i ka larynx ʻana o kāu keiki a nalowale ka pilikia, pono ʻoe e makaʻala i nā loli i ke olakino o kāu keiki. ʻOiai ʻoi aku ka nui o nā keiki ma waho o ka laryngomalacia, koi nā mea ʻē aʻe i ke ʻoki ʻana, a hana pinepine ʻia ia ma mua o ka lā hānau mua o kahi keiki. Hiki i ka Apnea a me ka cyanosis ke hoʻoweliweli i ke ola, no laila mai hoʻokaʻulua e kāhea iā 911 inā pilikia kāu keiki.

ʻO ka mea pōmaikaʻi, ʻo ka hapa nui o nā hihia o ka laryngomalacia ʻaʻole koi i ke ʻoki a i ʻole nā ​​mea ʻē aʻe ma mua o ke ahonui a me ka mālama nui ʻana i kāu keiki. Hiki i ka hanu leo ​​nui ke hoʻonāukiuki a hoʻonāukiuki a hiki i kou ʻike ʻana i ka mea e hana nei, akā ʻo ka ʻike ʻana i ka pilikia e hoʻonā iā ia iho e maʻalahi paha ia.