Tracheomalacia

Anter

• ʻO Tracheomalacia i nā pēpē a me nā keiki hānau hou
• He aha nā hōʻailona?
• He aha nā kumu?
• Pehea ka ʻike?
• Nā koho lapaʻau
• Outlook

Hōʻike Overview

ʻO Tracheomalacia kahi kūlana maʻamau i hōʻike mau ʻia i ka wā hānau. ʻO ka maʻamau, ʻoʻoleʻa nā paia o kāu puka makani. I ka tracheomalacia, ʻaʻole e ulu pono ka cartilage o ka puhi ohe ma utero, e waiho ana iā lākou nāwaliwali a palupalu. E hiolo paha nā paia nāwaliwali a hana i kahi ālai o ke ala ea. Kuhi kēia i nā pilikia hanu.

Hiki ke loaʻa ke kūlana ma hope o ke ola. Kū pinepine kēia i ka manawa i hoʻopili ʻia ai kahi kanaka no ka manawa lōʻihi a i ʻole ke kū hou ʻana o ka mumū a i ʻole ka maʻi maʻi o ka trachea.

ʻO Tracheomalacia i nā pēpē a me nā keiki hānau hou

ʻIke pinepine ʻia ʻo Tracheomalacia i nā pēpē ma waena o nā makahiki o 4 a me 8 mau pule. ʻO ka manawa pinepine ua hānau ʻia ka pēpē me ke ʻano, akā ʻaʻole ia a hiki i ka wā e hoʻomaka ai e hanu i ka ea lawa e hana i ka wheezing e ʻike ʻia ke ʻano.

I kekahi manawa ʻaʻole ʻino ke ʻano a nui aʻe nā keiki i waho. I nā manawa ʻē aʻe, hiki i ke ʻano ke hoʻopilikia i nā pilikia nui a me ka hoʻomau ʻana me ka puʻu ʻana, ka hū ʻana, ka apnea, a me ka niumonia.

He aha nā hōʻailona?

ʻO nā ʻōuli maʻamau o tracheomalacia:

• wheezing ʻaʻole hoʻomaikaʻi me ka bronchodilator therapy
• kani kani ʻole ke hanu
• hanu paʻakikī e hoʻonui i ka hana a i ʻole ke anu ke kanaka
• hanu kiʻekiʻe kiʻekiʻe
• nā hōʻailona koʻikoʻi maʻamau a ʻike ʻia nā pilikia hanu
• maʻi puluma hou
• ʻū mau
• ka hoʻomaha iki ʻana o ka hanu ʻana, keu hoʻi i ka hiamoe (apnea)

He aha nā kumu?

Kākaʻikahi loa ʻo Tracheomalacia i kēlā me kēia makahiki, akā pinepine ia e ka malformation o nā paia trachea i ka utero. No ke aha e ʻike ʻole ʻia ai kēia malformation.

Inā hoʻomohala ʻia ka tracheomalacia ma hope o ke ola, a laila hopena ʻia e nā kīʻaha koko nui e kaomi ana i ke ala ākea, kahi pilikia o ke kaha ʻana e hoʻoponopono ai i nā kīnā hānau i ka pehu a i ʻole ka esophagus, a i ʻole ka loaʻa ʻana o kahi pūnao hanu i kahi no ka manawa lōʻihi.

Pehea ka ʻike?

Inā ʻoe e hōʻike me nā ʻōuli o tracheomalacia, e kauoha maʻamau kāu kauka i kahi scan CT, nā hoʻokolohua hana pulmonary, a kaukaʻi ʻia i nā hopena, kahi bronchoscopy a i ʻole laryngoscopy.

Pono ʻia kahi bronchoscopy e kuhikuhi pinepine i ka tracheomalacia. ʻO kēia kahi loiloi pololei o nā kahawai e hoʻohana ana i kahi kāmela maʻalahi. ʻAe kēia hōʻike i ke kauka e hōʻoia i ke ʻano o ka tracheomalacia, pehea ke koʻikoʻi o ke ʻano, a he aha ka hopena e loaʻa ai i kou hiki ke hanu.

Nā koho lapaʻau

Hoʻonui pinepine nā keiki i ka tracheomalacia i ka manawa o 3 mau makahiki. Ma muli o kēia, ʻaʻole noʻonoʻo pinepine ʻia nā hana hoʻomāinoino a hala kēia manawa, ke ʻole ʻoi loa ke ʻano.

Pono e kiaʻi pono ʻia kahi keiki e kā lākou hui kauka a e pōmaikaʻi paha ia mai kahi humidifier, ka lāʻau hoʻoikaika kino umauma, a malia paha he mea ʻoi mau ke ala uila (CPAP) mau.

Inā ʻaʻole piʻi nui ke keiki i ke ʻano, a inā loaʻa iā lākou kahi hihia koʻikoʻi o tracheomalacia, a laila nui nā koho ʻoki i loaʻa. ʻO ke ʻano o ke kaha ʻana i hāʻawi ʻia e kaukaʻi ʻia i ke ʻano a me ka wahi o kā lākou tracheomalacia.

ʻO nā koho lapaʻau no nā mākua me tracheomalacia ka mea like me nā keiki, akā ʻoi aku ka maikaʻi o ka mālama ʻana i ka poʻe mākua.

Outlook

ʻO Tracheomalacia kahi kūlana laha ʻole i kēlā me kēia makahiki. I nā keiki, he maʻa mau ke ʻano o ka mālama ʻana i kahi e hoʻēmi ai nā hōʻailona ma ka manawa o ka manawa a hoʻopau loa ʻia e ka manawa o ke keiki 3. He nui nā ana i hiki ke lawe ʻia e kōkua i ka hōʻoluʻolu i nā hōʻailona a hiki i ka manawa e nalowale maoli ai lākou.

I nā hihia maʻamau, kahi e hoʻomaikaʻi ʻole ai nā ʻōuli a koʻikoʻi paha, a laila koi ʻia ke ʻoki. ʻO ke kaha keʻoki kino i kēia mau hanana he pae kiʻekiʻe kiʻekiʻe.

I nā mākua, paʻakikī pinepine ke ʻano o ka mālama ʻana, ʻoi aku paha ke koʻikoʻi, a he nui ka helu make.