So wo ba ketewa no wɔ akuru bi a ɛyɛ nwonwa wɔ wɔn menewa akyi? Momma yensua saa (Retropharyngeal Abscess) yi ho ade!

So wo ba kumaa no menewam yɛ no yaw, ɛyɛ den sɛ ɔbɛmene, anaa ne kɔn mu yɛ no yaw? Ɛtɔ da bi a, ɛnyɛ atiridii anaa atiridii kɛkɛ. Ɛnnɛ yɛbɛka tebea bi a ebetumi aka mmofra nkumaa, nanso ɛnyɛ nea abu so kɛse, nanso ɛyɛ biribi a ɛsɛ sɛ ɛhaw yɛn ho ho asɛm. Eyi ne nea nnuruyɛfo frɛ no ``Retropharyngeal Abscess''.

Dɛn ne akyi berɛmo mu akisikuru?

Sɛ yɛbɛka no tiawa a, eyi kyerɛ sɛ ɔfasu bi wɔ yɛn menewa akyi, na saa ɔfasu no akyi, kyerɛ sɛ, kɔn mu no, akisikuru anaa akisikuru bi ba. Ɛte sɛ akisikuru wɔ yɛn honam ani, nanso eyi wɔ menewa no mu tɔnn. Eyi nyɛ yare a ɛtaa ba abofra biara so. Nanso sɛ ɛba a, wɔtaa hu wɔ mmofra a wonnii mfe 5. Enti sɛ wo ba no sua a, eye sɛ wubehu eyi kakra.

Dɛn nti na eyi `(Retropharyngeal Abscess)` ba? Dɛn na ɛde ba?

Okay, afei momma yɛnhwɛ nea enti a eyi ba. Ebia nneɛma atitiriw pii nti na eyi ba.

Nyarewa bi a ɛba ntini a ɛma mogya tu no mu

Ntini nketenkete bi wɔ yɛn menewa akyi. Yɛfrɛ eyinom `(Lymph Nodes)` anaasɛ lymph nodes. Eyinom te sɛ awɛmfo nketewa a wɔwɔ yɛn nipadua mu. Saa `(Lymph Nodes)` yi boa ma wɔkyere na wɔsɛe mmoawa a wɔhyɛn nipadua no mu na wɔsiw nyarewa ano.

Nanso, ɛtɔ da bi a, sɛ mmoawa dodow a wɔhyɛn saa `(Lymph Nodes)` yi mu no kɔ soro, anaasɛ sɛ mmoawa no mu yɛ den yiye a, saa awɛmfo yi mpo ntumi nni nkonim wɔ ɔko no mu. Ɛno ne bere a mmoawa no, kyerɛ sɛ, `(Bacteria)`, fi ase nyin na ɛyɛ hyew wɔ saa `(Lymph Nodes)` no mu. Saa aduru a ɛma ɛyɛ hyew yi ne nea yɛfrɛ no `(Retropharyngeal Abscess)`.

Wɔ ɔyare mmoawa afoforo akyi

Ade foforo a ɛtaa ma tebea yi ba ne sɛ ebia na wo ba no anya ɔyare bi a ɛte sɛɛ kan na afei ne ho atɔ no:

• Aso mu yare
• Menewa mu yare (Pharyngitis) .
• Sinus yare mmoawa (Sinusitis) .

Mmoawa a aka fi saa nyarewa yi mu no bi tumi kɔ ntini a ɛwɔ menewa no akyi no mu na ɛde ɔfe ba wɔ hɔ. Ɛno nti na nnuruyɛfo ka sɛ sɛ mmofra nkumaa nya atiridiinini anaa atiridiinini mpo a, ɛsɛ sɛ wɔhwɛ wɔn kosi sɛ wɔn ho bɛtɔ wɔn.

Apirakuru a ɛba menewa anaa kɔn mu

Ade foforo nso ne sɛ, ɛtɔ mmere bi a sɛ opira bi wɔ kɔn anaa menewa mu a, saa tebea yi betumi aba. Fa no sɛ, sɛ abofra ketewa bi redi agoru, ɔretu mmirika anaa ɔrehuruw, na ɔde biribi a ano yɛ nnam hyɛ n’ano na ɛkyere wɔn menewa mu, anaasɛ sɛ wɔbɔ wɔn kɔn denneennen wɔ baabi a, mmoawa betumi afa saa opira no mu akɔ mu na ama akisikuru a ɛte sɛɛ aba.

Dɛn ne `(Retropharyngeal Abscess)` tebea yi ho sɛnkyerɛnne? Woyɛ dɛn hu no?

Mfiase no, ebia sɛnkyerɛnne no bɛyɛ te sɛ nea ɛyɛ menewa mu yaw a ɛfata, enti ebia worensusuw ntɛm ara sɛ ɛyɛ ``Retropharyngeal Abscess''.

Nsɛnkyerɛnne a edi kan no betumi ayɛ:

• Menemkuro
• Atiridiinini a obi wɔ
• Ebia ntini a ɛwɔ kɔn no mu no bɛyɛ yaw sɛ wobɛka a, na ebetumi ate nka sɛ ɛho ahonhon kakra.

Nanso sɛ wɔansa saa sɛnkyerɛnne ahorow yi yiye a, nkakrankakra ebetumi ayɛ den kɛse. Hwɛ wo ba no yiye wɔ nea edidi so yi mu biara ho:

• Nsu a ɛtɔ: Nea enti a ɛte saa ne sɛ ɛnyɛ aduan nko na ɛyɛ den sɛ wobɛmene na mmom nnompe a efi anom esiane menewa a ɛyɛ yaw nti no nso.
• Pow a wobɛpow sɛ wubedidi anaa wobɛnom: Ebia wo ba no rentumi nnidi anaa ɔnom esiane ɛyaw a emu yɛ den bere a ɔremene nti. Sɛ abofra kumaa pow sɛ obedidi a, ɔhaw bi wɔ hɔ.
• Wɔkura kɔn mu te sɛ nea ɛhaw, na ɛmpɛ sɛ ɛbɛdan: Eyi fi ɛyaw a ɛwɔ kɔn mu. Ɛte sɛ kɔn a abubu .
• Kɔn no ahonhon, anaasɛ ɛte sɛ nea ntini a ɛwɔ kɔn no mu no ahonhon.
• Wɔrekura wɔn ano mu.
• Ɛnne no abɛyɛ dede, anaasɛ asakra ayɛ nne a ano yɛ den.
• Ɔhome a ɛyɛ den, ahome a ɛyɛ dede: Eyi yɛ sɛnkyerɛnne a asiane wom kɛse. Sɛ eyi ba a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara.
• Ka a wɔbɛka sɛ wɔn koko yɛ wɔn yaw: Mmofra nkumaa ntaa nka sɛ wɔn koko yɛ wɔn yaw, nanso sɛ ɛte saa a, hwɛ yiye.

Fa no sɛ, sɛ wo ba a ɔtaa yɛ ɔkwasea no pow sɛ obedidi mpofirim, ɔdan ne kɔn kɔ ɔfã biako, na ɛte sɛ nea ne nne asesa bere a ɔrekasa a, mmu no sɛ atiridii kɛkɛ.

Ɔkwan bɛn so na oduruyɛfo hu saa tebea yi (Retropharyngeal Abscess) pɛpɛɛpɛ?

Sɛ wode wo ba no kɔ oduruyɛfo nkyɛn a, ade a edi kan a oduruyɛfo anaa ɔyarehwɛfo no bɛyɛ ne sɛ obebisa wo wo ba no yare no ho sɛnkyerɛnne. Ka biribiara a wubehu kyerɛ oduruyɛfo no . Afei wɔbɛhwɛ wo ba no ano, ne menewa, ne ne kɔn mu yiye.

Sɛ wo duruyɛfo susuw sɛ wowɔ ``Retropharyngeal Abscess'' a, ɛda adi kɛse sɛ ɔde wo bɛkɔ oduruyɛfo titiriw nkyɛn. Ɛno yɛ ``Aso, Hwene, ne Menewa Ho Ɔbenfo'' (ENT Oduruyɛfo).

Nea ɛka ho no, ebia ebehia sɛ woyɛ nhwehwɛmu pii na ama woahu sɛ woahu:

• Mogya mu nhwehwɛmu: Hwɛ sɛ ɔyare mmoawa bi wɔ nipadua no mu ne sɛnea emu yɛ den.
• X-ray: Sɛ wɔyɛ kɔn no nkyɛnkyɛn X-ray a, ebetumi ama woahu baabi a akisikuru no wɔ ne sɛnea ɛsõ.
• CT scan: Eyi betumi ama woahu faako a akisikuru no wɔ, ne kɛse, ne sɛ ebia atrɛw akɔ mmeae a atwa ho ahyia anaa.

Nanso, ɛnyɛ nhwehwɛmu yi nyinaa na ɛho behia ama akokoaa biara. Wo duruyɛfo na obesi nhwehwɛmu ahorow a ɛfata na ɛho hia ma wo ba no ho gyinae.

Dɛn ne ayaresa ahorow a wɔde sa eyi? So ɛyɛ biribi a ɛsɛ sɛ yesuro?

Sɛ wɔsi so dua sɛ ``Retropharyngeal Abscess'' bi wɔ hɔ a, ɛsɛ sɛ wɔde akokoaa no kɔ ayaresabea na wɔsa no yareɛ. Ɛyɛ den sɛ wɔbɛsa eyi wɔ fie, efisɛ eyi betumi ayɛ tebea a emu yɛ den.

Akwan a wɔfa so sa yare

• IV Antibiotics: Nnuruyɛfo befi ase ama wo IV antibiotics, a wɔde fa ntini bi mu de ma. Eyinom kɔ mogya no mu tẽẽ, enti wotumi ko tia mmoawa no ntɛm na wodi ɔyare mmoawa no so.
• Oprehyɛn mu Nsu a Wɔde Ma: Ɛtɔ mmere bi a, oprehyɛn ketewaa bi a wɔfrɛ no drain ho hia na ama wɔayi akisikuru a ayɛ kɛse no afi hɔ. Ɛnyɛ obiara na ɛsɛ sɛ wɔyɛ no oprehyɛn. Nnuruyɛfo betumi asi gyinae sɛ wɔbɛyɛ oprehyɛn wɔ nsɛm a edidi so yi mu:
• Sɛ ɛyɛ den ma akokoaa no sɛ ɔbɛhome a.
• Sɛ saa akisikuru no sõ yiye a.
• Sɛ nkɔso biara amma wɔ sɛnkyerɛnne ahorow mu bere a wɔde nnuru a ekum ɔyare mmoawa anom da koro anaa nnanu akyi a.
• Ahome afiri: Sɛ ɛyɛ den ma wo ba no sɛ ɔbɛhome a, nnuruyɛfo betumi de afiri titiriw bi a wɔfrɛ no ahome afiri ahyɛ mu ansa na wɔreyɛ no oprehyɛn anaa bere a wɔreyɛ no oprehyɛn no na aboa no ma wahome. Eyi ma mframa kwan no bue na ɛma akokoaa no nya mframa pa a ohia.

Bere a wɔde nnuru a wɔde fa IV mu nna kakraa bi akyi no, sɛ akokoaa no tebea no tu mpɔn a, mpɛn pii no wubetumi adan akɔ nnuru a wɔde kum ɔyare mmoawa a wɔnom so. Ɛno akyi no, ɛsɛ sɛ wokɔ so ma aduru no wɔ fie, bere ano, nna dodow a wo duruyɛfo bɛka akyerɛ wo no. Ɛho hia yiye sɛ wuwie nnuru a wɔde ma no.

Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea saa ayaresa ahorow yi yɛ hu kakra de, nanso sɛ wɔsa no yiye na wɔyɛ no bere ano a, wobetumi asa tebea yi koraa. Enti mma ɛnhaw wo a ɛho nhia. Ma nnuruyɛfo no nyɛ wɔn adwuma.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm?

Sɛ wo ba no menewa mu yɛ no yaw na ne ho yɛ hyew a, mmu w’ani ngu so kɛkɛ na akyinnye biara nni ho sɛ fa no kɔ oduruyɛfo nkyɛn, titiriw sɛ ɔyɛ abofra kumaa a.

Nanso sɛ wowɔ saa sɛnkyerɛnne yi bi a, ɛsɛ sɛ wode kɔ ayaresabea a ɛbɛn wo a wontwentwɛn wo nan ase:

• Sɛ wowɔ atiridiinini kɛse (tebea a ɛnkɔ fam yiye bere a woanom nnuru a ɛtew atiridii so mpo akyi).
• Sɛ wowɔ nnompe a ɛboro so wɔ w’anom a , te sɛ nea wuntumi nmene biribiara.
• Sɛ wɔakyinkyim kɔn no akɔ ɔfã biako na wontumi nsan (Stiff neck).
• Sɛ ɛte sɛ nea ɛyɛ den ma wo sɛ wobɛhome, anaasɛ woreyɛ dede a ɛyɛ nwonwa bere a worehome a.

At a time like this , ntwɛn kɛkɛ na hwɛ, mɛfa no ɔkyena anɔpa. Aduruyɛ mu afotu a wobɛhwehwɛ ntɛm ara no ne ade a eye sen biara a wubetumi ayɛ ama wo ba.

Enti, nneɛma bɛn na ɛho hia sen biara a ɛsɛ sɛ yɛkae fi nea yɛaka ho asɛm no mu?

Enti, yɛaka saa tebea yi a wɔfrɛ no `(Retropharyngeal Abscess)` ho asɛm pii. Ɛbɛyɛ sɛ na ɛyɛ hu kakra sɛ mɛte. NansoEyi yɛ yare a wotumi sa koraa sɛ wohu no ntɛm na wɔsa no ntɛm a. Ɛno ne ade a ɛho hia sen biara.

• Sɛ wo ba kumaa no menewam yɛ no yaw, ne ho yɛ no yaw, ɛyɛ den sɛ ɔbɛmene, na ne kɔn mu yɛ no yaw nna pii a ɛtoatoa so a, nsusuw sɛ ɛyɛ atiridii kɛkɛ. Susuw ho mprenu, titiriw sɛ wo ba no nni mfe 5 a.
• Kɔ oduruyɛfo nkyɛn ntɛm ara na nya afotu. Mma nsɔ wo ho aduru nhwɛ.
• Sɛ wowɔ sɛnkyerɛnne ahorow a emu yɛ den te sɛ ahome a ɛyɛ den, nnompe a ɛtwetwe dodo, ɛyaw a ɛmma wuntumi dannan wo kɔn, anaasɛ wo nne sesa a, fa wo ba no kɔ ayaresabea ntɛm ara.
• Di ayaresa a nnuruyɛfo no de ma no akyi sɛnea wɔka no pɛpɛɛpɛ. Titiriw `(Antibiotics)` aduru, ma no bere a ɛfata ne dodow a ɛfata. Nnyae kwan no fã.
• Sɛ wowɔ nsɛmmisa foforo bi fa tebea yi ho a, bisa wo duruyɛfo.

Awiei koraa no, sɛ́ ɛna anaa agya no, wo dwensɔtwaa mu nkate ho hia sen wo nyansa. Sɛ wuhu nsakrae bi a ɛyɛ soronko wɔ wo ba no nneyɛe anaa n’akwahosan mu a, ma ɛnhaw wo. Sɛ woyɛ ho biribi ntɛm a, ebetumi agye wo ba afi ɔhaw pii mu.

` Retropharyngeal Abscess, Menewa mu Nyarewa, Mmofra, Menewa mu Yare, Ɔhome a Ɛyɛ Den, Nnuru a Ekum ɔyare mmoawa, ENT Oduruyɛfo