Tracheomalacia - dhalasho

Cudurka 'tracheomalacia' ee ku dhasha waa daciifnimo iyo qulqulka darbiyada hawo-mareenka (trachea). Dhalasho macnaheedu waa inay jirto dhalashada. Helitaanka tracheomalacia waa mowduuc la xiriira.

Tracheomalacia ee dhallaanka cusubi waxay dhacdaa markii carjawda ku dhex jirta mashiinka dabayshu si hagaagsan u horumarin. Halkii laga adkaan lahaa, darbiyada hawo-mareenka way jilicsan yihiin. Sababta oo ah mashiinka dabayshu waa marin-haweedka ugu weyn, dhibaatooyinka neefsigu waxay bilaabmaan isla dhalashada ka dib.

Dhalmada tracheomalacia waa wax aan caadi ahayn.

Calaamaduhu waxay u dhexeeyaan mid fudud ama daran. Calaamadaha waxaa ka mid noqon kara:

• Sawaxanka neefsashada ee isku beddeli kara booska isla markaana hagaajin kara xilliga hurdada
• Dhibaatooyinka neefsashada oo ka sii daraya qufaca, oohinta, quudinta, ama infekshannada neef mareenka ee sare (sida hargabka)
• Neefsashada sare
• Neefsasho ama neefsasho buuq badan

Baadhitaan jireed ayaa xaqiijinaya astaamaha. Raajo xabadka ah ayaa lagaa qaadi doonaa si meesha looga saaro dhibaatooyinka kale. Raajada ayaa laga yaabaa inay muujiso cidhiidhiga neef-mareenka markay neefsanayso.

Nidaam la yiraahdo laryngoscopy ayaa bixiya ogaanshaha ugu kalsoonida badan. Nidaamkan, dhakhtarka otolaryngologist (dhakhtarka dhegaha, sanka, iyo cunaha, ama ENT) ayaa eegi doona qaab-dhismeedka marin-haweedka oo uu go'aamin doonaa inta ay le'eg tahay dhibaatadu.

Tijaabooyinka kale waxaa ka mid noqon kara:

• Airway fluoroscopy - nooc raajo ah oo muujinaya sawirada shaashadda
• Barium liqid
• Bronchoscopy - kamarad hoos u dhig cunaha si ay u aragto marinnada hawada iyo sambabaha
• CT iskaanka
• Imtixaanada shaqada sanbabada
• Sawir-qaadista magnetic (MRI)

Dhallaanka badankood waxay si wanaagsan uga jawaabaan hawada qoyan, quudinta taxaddar leh, iyo antibiyootikada cudurada. Ilmaha qaba tracheomalacia waa in si dhaw loola socdaa markay qabaan infekshannada neefsashada.

Badanaa, astaamaha tracheomalacia waxay hagaagaan marka ilmuhu korayo.

Marar dhif ah, qalliin ayaa loo baahan yahay.

Cudurka dhalmada ee 'tracheomalacia' badanaa wuxuu kaligiis iskaga tagaa da'da 18 ilaa 24 bilood. Markuu carjawdu sii xoogaystaan ​​oo neef-mareenku sii kordho, buuqa iyo neefsashada adag ayaa si tartiib tartiib ah u soo hagaagaya. Dadka qaba tracheomalacia waa in si dhaw loola socdaa markay qabaan infekshannada neef-mareenka.

Carruurta ku dhasha tracheomalacia waxaa laga yaabaa inay yeeshaan cilladaha kale ee lagu dhasho, sida cilladaha wadnaha, dib u dhaca koritaanka, ama dib-u-dhaca caloosha.

Oof-wareenka oof-wareenku wuxuu ka imaan karaa neefsashada cuntada ee sambabaha ama hawo-mareenka.

Wac daryeel caafimaad bixiyahaaga haddii cunugaaga dhibaato ka haysato xagga neefsashada ama neefsashada buuqa badan. Tracheomalacia waxay noqon kartaa xaalad degdeg ah ama xaalad degdeg ah.

Nooca 1 tracheomalacia

Finder, JD. Bronchomalacia iyo tracheomalacia. Gudaha: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Buugga Buugga Caafimaadka Caruurta. 21aad ed. Philadelphia, PA: Elsevier; 2020: baab 416.

Nelson M, Green G, Ohye RG. Dhibaatooyinka tracheal trachial. Gudaha: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Qalliinka Madaxa & Qoorta. 6aad ed. Philadelphia, PA: Elsevier Saunders; 2015: cutubka 206.

Wert SE. Qaab dhismeedka caadiga ah ee aan caadiga ahayn ee sanbabada. Gudaha: Polin RA, Abman SH, Rowitch DH, Benitz WE, Fox WW, eds. Physiology uurjiifka iyo dhalaanka. 5aad. Philadelphia, PA: Elsevier; 2017: cutubka 61.