The article was written by Resident Doctor Duong Van Sy – Pediatric Resident Doctor, Pediatrics – Newborn Department – Share99 Hai Phong International Health Hub.
Softening of the cartilage of the remlyment is a congenital abnormality of the cartilage of the remlyment used to describe the case of tissue supporting the anoperical structures above the lumarosic system including the cap of the lum and the ment funnel cartilage that has not yet developed in time, causing these structures to fall into the child's airways to create wheezing.
1. What is softening the cartilage of the remlys?
Softening of the cartilage of the rye is the most common congenital defect in the area of the bar and the urye, accounting for about 60% of the congenital abnormalities of the rememance. The disease causes clinical hissing, male children 2 times more than female children.
The softening of the lumnthlumne cartilage mainly occurs in the cap cartilage area of the remable, funnel cartilage or in both of the upper structures. Rye cartilage softness is rare, accounting for only 0.01% of general o nasopharyngeal diseases.
2. Symptoms of softening of the cartilage of the remilaginous cartilage
- Children with tenderness of the cartilage of the remand are usually detected at 4-6 weeks of age due to the on beginning of wheezing, sometimes earlier or later than 2 months (children under this age breathing air flow is not strong enough for the stick to wheezing).
- Intermittent wheezing when inhaled. Wheezing is easily mistaken for a child with a nasal congestion, however it is prolonged and there is no mucus in the child's nose. The sound of a child's wheezing can be as high as a hiss.
Wheezing increases when the child is lying on his back, when he breaks down crying, or when there is inflammation of the upper respiratory tract attached. Many cases wheezing during and after the baby sucks. (when placing the child on his back, under the effect of force will make the bar cap fall more into the airways and make the child wheezing more.)
+ Except when there is combined dermatitis, children generally still play and suck as usual.
Up to 80-100% of MSTQ children have gastroesophagealreflux: due to partial blockage of the inhalation of the inhalation, and when the child tries to inhale, it increases the negative pressure in the chest excessively, making the food in the stomach in the abdominal cavity prone to reflux on the pod (the gastrointestinal part is located in the chest).
In contrast, children with severe gastroesophageal reflux will have structural changes in pathology similar to softening of the lim cartilage, especially swelling and enlargement of funnel cartilage.
Other symptoms that may be accompanied by
- Slow to gain weight
- Hard feeding
- Vomiting milk
- Milk choke
- Chest shrinkage when inhaled
- Vomiting sourdough in the stomach
Symptoms will worsen within the first few months, usually between 4-8 months of age. Most children with cartilage softening will run out of symptoms at 12-18 months.
- Endoscopy of the otoscope with a soft otoscope diagnoses whether the child has softened the cartilage of the re managed system.
- Chest XQ: Abnormal reviews such as soft cartilage in the ungus, vascular rings.. Many children with softened cartilage in the remand may have other causes of wheezing. X-rays can screen for other underlying causes of wheezing in the upper respiratory tract, in the udder, chest and lungs.
- Abdominal chest SA: RGO evaluation (often used clinically)
- There is a strong connection between soft cartilage of the remand and gastric reflux – ovum. All babies can hiccup and drink milk, but they have softened their cartilage or vomited more than other children. Acid from the stomach refluxes into the rye and the area of the resophasophatacence can cause further inflammation of the tissues that have been affected by softening of the purulent cartilage.
3. Level classification
Wheezing is inhaled without serious airway obstruction complications, does not affect the baby suckling and does not have other symptoms attached.
These babies often harass their nanny but have no other problems affecting their health and usually self-help after 12-18 months of age. If the child has mild fulness of cartilage, it is still necessary to monitor for signs and symptoms of bad progress in order to promptly bring the child to a medical facility.
Children are classified in this category when they have the following symptoms:
- Wheezing when inhaled
- Vomiting milk
- Obstruction of the airways (due to soft intestary)
- Breastfeeding is difficult but does not affect the regular weight gain of the child
- Have a history of repeated hospitalizations due to airway obstruction
- Gastroesophageal reflux (vomiting acidic juice in the stomach)
- These babies also self-mesenten after 12-18 months of age but may need to be treated for gastroesophageal reflux. Even if the child is classified as a moderate patient, it is still necessary to pay attention to monitor for signs and symptoms of bad progress in order to promptly bring the child to a medical facility.
Children of this category may often need surgery to treat them. Doctors will recommend surgery if the child has any of the following symptoms:
- Life-threatening shortness of breath
- There are re-severe bouts of cyanosis
- Heavy chest and neck contractions when breathing
- Need to breathe oxygen
- Cardi lung disease caused by prolonged hypoxia
- Can't gain weight because suckling is difficult
Clinical and laparoscopy of the inge
5. Risk factors of soft cartilage in the remlys
- Premature babies
- Respiratory damage is accompanied by: soft cartilage in the inspiision, narrowing of the lower bar …
6. Treatment & Care
6.1 Internal medicine
- Over 99% will gradually cure themselves without treatment, most will run out of wheezing at the age of 2 years. Wheezing will increase in the first 6 months after birth because the amount of gas the child breathes will increase with age. After that age the wheezing does not increase anymore and gradually decreases and then disappears.
- In many cases, the symptoms disappear but the patho patholy characteristics persist until large, and the child may wheezing again with exertion or occasionally when infected with respiratory viruses.
- Health Hubization: It is not necessary unless the child shows signs of hypoxia or apnea. If the blood oxygen saturation is higher than 90%, then there is no need to breathe oxygen Without
specific therapeutic drugs, vitamin D and calcium can be added. Usually treated when there is gastroesophageal reflux (according to the regimen) and accompanying respiratory infections
- When the child is severely deprived of oxygen, it is necessary to be hospitalized to measure blood oxygen levels. If blood oxygen levels during rest <90% thì trẻ sẽ được cho thở oxy.
- If the baby can still feed, play, gain weight normally, only wheezing in the first 2 months after birth, there is no need to handle anything further. Tenderness of the cartilage of the remlys is a common diagnosis and the doctor will reassure the parents of the child about the nature of this form of the disease.
- Outpatient treatment:
No additional medication is required for the child.
if you still vaccinate your child normally like other children
For cases of severe cartilage in the remlys that make it difficult for the child to feed, less weight gain and development, surgery can be used.
- The surgery is simply to shape the supporting structures around the cover of the remlyment, taking away the excess tissue that causes a blockage of the air.
- It is very rare to apply surgery to treat the softness of the cartilage of the remlys. If the child has already had surgery, it is still advisable to continue treatment for gastroesophageal reflux and parents still need to monitor for signs of bad changes to promptly take the child to a medical facility.
- Limit your child's lying on the back because under the effects of force, the more the layer of cartilage tissue falls into the child's airways, the more wheezing he or she is. For babies, you should put them on their side, sometimes return themselves to them to help with fatigue, and for older children, they will lie in a position where they feel most easy to breathe.
- Some babies with softened cartilage in the u minh will be very difficult to feed. Therefore, mothers need to be awake when breastfeeding to adjust the amount of milk that fits the baby's feeding power, avoiding the phenomenon of very dangerous milk choking.
- Before going to bed, remember to clean your baby's nose with a physiological saline solution so that his nose is ventilated, helping him breathe more easily. Children with softened cartilage or breathing through the mouth when sleeping, you should apply lip balm to avoid dry, cracked lips, breastfeeding will be very difficult.
- Minimize respiratory diseases because children with softened cartilage in the u minh area breathe even more wheezing when suffering from these diseases. When children enter the age of eating miles, parents should add foods containing vitamin C to enhance their resistance and prevent common respiratory diseases.
- Check and monitor your child's health periodically. If the child has softened cartilage in the remly management leading to weight loss, apnea, breastfeeding,… must take the child to medical centers for timely assistance.
- Eating: No need to abstain from any food.
- Physical activity: There is no need to restrict the physical activity of the child.
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