Tracheomalacia - tsoalo

Congenital tracheomalacia ke bofokoli le mabota a phepheng ea moea (trachea). Congenital e bolela hore e teng nakong ea tsoalo. Tracheomalacia e fumanoeng ke sehlooho se amanang.

Tracheomalacia ho lesea le sa tsoa tsoaloa e hlaha ha lefufuru le lephakeng le e-so ho hlahe hantle. Ho fapana le ho ba thata, mabota a trachea ke floppy. Hobane phaephe ea moea ke tsela e ka sehloohong ea moea, mathata a ho hema a qala hang kamora ho hlaha.

Congenital tracheomalacia e tloaelehile haholo.

Matšoao a ka tloha bobeng ho ea bohlokong. Matšoao a ka kenyelletsa:

• Melumo ea ho hema e ka fetohang ka boemo le ho ntlafala nakong ea boroko
• Mathata a phefumolohang a mpefalang ka ho khohlela, ho lla, ho fepa kapa tšoaetso e phahameng ea ho hema (joalo ka serame)
• Ho hema ka mokhoa o phahameng
• Ho hema ka bohale kapa lerata

Tlhahlobo ea 'mele e tiisa matšoao. X-ray ea sefuba e tla etsoa ho felisa mathata a mang. X-ray e ka bonts'a ho fokotseha ha trachea ha u phefumoloha.

Tsamaiso e bitsoang laryngoscopy e fana ka tlhahlobo e tšepahalang ka ho fetisisa. Ts'ebetsong ena, ngaka ea otolaryngologist (tsebe, nko le 'metso, kapa ENT) e tla sheba sebopeho sa tsela ea moea mme e tsebe hore na bothata bo boima hakae.

Liteko tse ling li ka kenyelletsa:

• Airway fluoroscopy - mofuta oa x-ray o bonts'ang litšoantšo skrineng
• Engole ea Barium
• Bronchoscopy - kh'amera ho ea 'metsong ho bona moea le matšoafo
• CT scan
• Liteko tsa mosebetsi oa matšoafo
• Litšoantšo tsa Magnetic resonance (MRI)

Masea a mangata a arabela hantle moeeng o khutsitseng, ho fepa ka hloko le lithibela-mafu bakeng sa tšoaetso. Masea a nang le tracheomalacia a tlameha ho beoa leihlo leihlo ha a na le tšoaetso ea phefumoloho.

Hangata, matšoao a tracheomalacia a ntlafala ha lesea le ntse le hola.

Hangata, ho hlokahala opereishene.

Congenital tracheomalacia hangata e tloha e le 'ngoe ha e le likhoeli tse 18 ho isa ho tse 24. Ha lefufuru le ntse le e-ba matla le 'mila o ntse o hola, ho phefumoloha ho lerata le ho ba thata ho ntlafala butle. Batho ba nang le tracheomalacia ba tlameha ho behwa leihlo ha ba na le tshwaetso ya ho hema.

Masea a hlahileng a na le tracheomalacia a ka ba le mathata a mang a tsoalo, joalo ka bofokoli ba pelo, ho lieha ho hola, kapa reflux ea gastroesophageal.

Moferefere oa pneumonia o ka hlaha ka lebaka la ho hema lijo ho kena matšoafong kapa sepakapakeng.

Bitsa mofani oa tlhokomelo ea bophelo haeba ngoana oa hau a na le mathata a ho hema kapa a phefumoloha ka lerata. Tracheomalacia e ka fetoha boemo bo potlakileng kapa ba tšohanyetso.

Mofuta oa 1 tracheomalacia

Sebatli, JD. Bronchomalacia le tracheomalacia. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 416.

Nelson M, Green G, Ohye RG. Mathata a bakoang ke bana. Ka: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Phekolo ea Hlooho le Nko. La 6th. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 206.

WER SE. Nts'etsopele e tloaelehileng le e sa tloaelehang ea matšoafo. Ka: Polin RA, Abman SH, Rowitch DH, Benitz WE, Fox WW, bangoli. Physiology ea Fetal le ea Neonatal. La 5th. Philadelphia, PA: Elsevier; 2017: khaolo ea 61.