Tracheomalacia - e fumanoe

Tracheomalacia e fumanoeng ke bofokoli le mabota a phepheng ea moea (trachea, kapa tsela ea moea). E hlaha ka morao ho tsoalo.

Congenital tracheomalacia ke sehlooho se amanang.

Tracheomalacia e fumanoeng e tloaelehile haholo ka lilemo tsohle. E etsahala ha lefufuru le tloaelehileng leboteng la sekhahla sa moea le qala ho senyeha.

Mofuta ona oa tracheomalacia o ka fella ka:

• Ha methapo e meholo ea mali e beha khatello moeeng
• E le qaka kamora ho buuoa ho lokisa litšitiso tsa pelehi ka sefefo le 'metso (tube e isang lijo ho tloha molomong ho ea ka mpeng)
• Kamora ho ba le tube ea ho hema kapa ea trachea (tracheostomy) nako e telele

Matšoao a tracheomalacia a kenyelletsa:

• Mathata a phefumolohang a mpefalang ka ho khohlela, ho lla kapa tšoaetso e holimo ea ho hema, joalo ka sefuba
• Melumo ea ho hema e ka fetohang ha boemo ba mmele bo fetoha, mme ea ntlafala nakong ea boroko
• Ho hema ka mokhoa o phahameng
• Ho honotha, ho phefumoloha ha lerata

Tlhahlobo ea 'mele e tiisa matšoao. X-ray ea sefuba e ka bontša ho fokola ha trachea ha e hema. Le ha x-ray e tloaelehile, ho hlokahala ho tlosa mathata a mang.

Mokhoa o bitsoang laryngoscopy o sebelisetsoa ho hlahloba boemo. Ts'ebetso ena e lumella setsebi sa otolaryngologist (tsebe, nko le 'metso, kapa ENT) ho bona sebopeho sa tsela ea moea le ho tseba hore na bothata bo boima hakae.

Liteko tse ling li ka kenyelletsa:

• Fluoroscopy ea moea
• Engole ea Barium
• Bronchoscopy
• CT scan
• Liteko tsa mosebetsi oa matšoafo
• Litšoantšo tsa Magnetic resonance (MRI)

Boemo bo ka ntlafala ntle le kalafo. Leha ho le joalo, batho ba nang le tracheomalacia ba tlameha ho beoa leihlo haufi-ufi ha ba na le tšoaetso ea phefumoloho.

Batho ba baholo ba nang le mathata a ho hema ba ka hloka khatello e ntle ea moea (CPAP). Hangata, ho hlokahala opereishene. Phala e sekoti e bitsoang stent e ka beoa ho ts'oara tsela e bulehileng.

Phallo ea pneumonia (tšoaetso ea matšoafo) e ka hlaha ka ho hema lijong.

Batho ba baholo ba hlahisang tracheomalacia kamora ho ba mochining oa ho hema hangata ba na le mathata a tebileng a matšoafo.

Bitsa mofani oa tlhokomelo ea bophelo haeba uena kapa ngoana oa hao a hema ka tsela e sa tloaelehang. Tracheomalacia e ka fetoha boemo bo potlakileng kapa ba tšohanyetso.

Tracheomalacia ea bobeli

• Kakaretso ea sistimi ea ho hema

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.

BP e nyane. Maloetse a mesifa. Ka: Walker CM, Chung JH, li-eds. Ho Nahana ha Sefubeng sa Muller. Lekhetlo la bobeli. Philadelphia, PA: Elsevier; 2019: khaolo ea 56.

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.