Tracheomalacia - waa la helay

Qaadashada tracheomalacia waa daciifnimo iyo xoqitaan darbiyada darbiga hawo-mareenka (trachea, ama hawo-mareenka). Wuxuu kobcayaa dhalashada kadib.

Isugeynta tracheomalacia waa mowduuc la xiriira.

Qaadashada tracheomalacia waa wax aan caadi ahayn da 'kasta. Waxay dhacdaa markii carjawda caadiga ah ee darbiga mashiinka dabayshu bilaabmo inay jabto.

Foomkan tracheomalacia wuxuu keeni karaa:

• Marka xididdada dhiigga ee waaweyni cadaadis saaraan marin-haweedka
• Dhibaato ka dib qalitaanka si loo hagaajiyo cilladaha dhalashada ee hawo-mareenka iyo hunguriga (tubada cuntada ka qaadda afka ilaa caloosha)
• Kadib markaad yeelatay tuubo neefsasho ama tubbo-mareenka (tracheostomy) muddo dheer

Calaamadaha tracheomalacia waxaa ka mid ah:

• Dhibaatooyinka neefsashada oo ka sii daraya qufaca, oohinta, ama infekshannada neef mareenka sare, sida hargabka
• Sawaxanka neefsashada ee isbeddeli kara marka booska jirku is beddelo, oo hagaajiyo xilliga hurdada
• Neefsashada sare
• Rattling, neefsasho buuq badan

Baadhitaan jireed ayaa xaqiijinaya astaamaha. Raajada feeraha ayaa laga yaabaa inay muujiso cidhiidhiga neef-mareenka markay neefsanayaan. Xitaa haddii raajada ay caadi tahay, waxaa loo baahan yahay in meesha laga saaro dhibaatooyinka kale.

Nidaam la yiraahdo laryngoscopy ayaa loo isticmaalaa in lagu baaro xaaladda. Nidaamkani wuxuu u oggolaanayaa dhakhtarka otolaryngologist (dhakhtarka dhegaha, sanka, iyo cunaha, ama ENT) inuu arko qaab-dhismeedka marin-haweedka oo uu go'aamiyo inta ay le'eg tahay dhibaatadu.

Tijaabooyinka kale waxaa ka mid noqon kara:

• Airways fluoroscopy
• Barium liqid
• Bronchoscopy
• CT iskaanka
• Imtixaanada shaqada sanbabada
• Sawir-qaadista magnetic (MRI)

Xaaladda ayaa laga yaabaa inay soo fiicnaato daaweyn la'aan. Si kastaba ha noqotee, dadka qaba tracheomalacia waa in si dhaw loola socdaa markay qabaan infekshannada neefsashada.

Dadka qaangaarka ah ee leh dhibaatooyinka neefsashada waxay u baahan karaan cadaadis hawo-mareen oo joogto ah (CPAP). Marar dhif ah, qalliin ayaa loo baahan yahay. Tuubo godan oo loo yaqaan "stent" ayaa la dhigi karaa si hawo-mareenku u furmo.

Oof-wareenka oof-wareen (infekshinka sambabka) wuxuu ku imaan karaa neefsashada cuntada.

Dadka qaangaarka ah ee ku dhaca tracheomalacia ka dib markay saaran yihiin mashiinka neefsashada badanaa waxay leeyihiin dhibaatooyin daran oo sambabaha ah.

Wac daryeel caafimaad bixiyahaaga haddii adiga ama ilmahaagu aad u neefsataan si aan caadi ahayn. Tracheomalacia waxay noqon kartaa xaalad degdeg ah ama xaalad degdeg ah.

Tracheomalacia Secondary

• Dulmarka guud ee nidaamka neefsashada

Raadiyaha 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.

Yar BP. Cudurada ku dhaca xiidmaha. Gudaha: Walker CM, Chung JH, eds. Sawirka Muller ee Laabta. 2aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 56.

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.