Loaʻa i kāu keiki liʻiliʻi ka ʻāʻī ʻeha, ka paʻakikī i ka moni ʻana, a i ʻole ka ʻāʻī ʻeha? I kekahi manawa, ʻaʻole ia he anu a he maʻi palū wale nō. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi e hiki ke hoʻopilikia i nā keiki ʻōpio, akā ʻaʻole maʻamau loa, akā he mea ia e hopohopo ai. ʻO kēia ka mea a nā kauka e kapa nei he "Retropharyngeal Abscess".
He aha ka ʻōpū retropharyngeal?
I ka ʻōlelo maʻalahi, ʻo ia hoʻi, aia kahi pā ma hope o ko kākou puʻu, a ma hope o kēlā pā, ʻo ia hoʻi, i loko o ka ʻāʻī, e hana ʻia ana kahi puʻu pus, a i ʻole kahi paila. Ua like ia me kahi paila ma ko kākou ʻili, akā aia kēia i loko o ka puʻu. ʻAʻole kēia he maʻi maʻamau e kū mai ana i kēlā me kēia keiki. Akā inā kū mai ia, ʻike pinepine ʻia ia i nā keiki ma lalo o 5 mau makahiki. No laila, inā he liʻiliʻi kāu pēpē, he mea maikaʻi ke ʻike iki i kēia.
No ke aha i hana ʻia ai kēia ʻōpū ʻeha (Retropharyngeal Abscess)? He aha nā kumu?
ʻAe, e nānā kākou i ke kumu o kēia. Aia paha kekahi mau kumu nui no kēia.
ʻO ka maʻi o nā lymph nodes
Aia nā ʻōpū liʻiliʻi ma ke kua o ko kākou puʻu. Kāhea mākou i kēia mau mea he '(Lymph Nodes)' a i ʻole nā lymph nodes. Ua like kēia me nā kiaʻi palekana liʻiliʻi i loko o ko kākou kino. Kōkua kēia mau '(Lymph Nodes)' i ka hopu a luku ʻana i nā germs e komo i loko o ke kino a pale i nā maʻi.
Eia nō naʻe, i kekahi manawa ke piʻi aʻe ka nui o nā germs e komo ana i kēia mau `(Lymph Nodes)`, a i ʻole ke ikaika loa nā germs, ʻaʻole hiki i kēia mau kiaʻi ke lanakila i ke kaua. ʻO ia ka manawa e hoʻomaka ai nā germs, ʻo ia hoʻi, `(Bacteria)`, e ulu a hoʻoulu i loko o kēlā mau `(Lymph Nodes)`. ʻO kēia hoʻoulu ʻana ka mea a mākou e kapa nei he `(Retropharyngeal Abscess)`.
Ma hope o nā maʻi ʻē aʻe
ʻO kekahi kumu maʻamau no kēia ʻano, ʻo ia ka loaʻa ʻana o kāu pēpē i kahi maʻi e like me kēia a laila ua ola hou mai ia mea:
- Maʻi pepeiao
- Ka maʻi ʻāʻī (Pharyngitis)
- ʻO ka maʻi sinus (Sinusitis)
Hiki i kekahi o nā germs i koe mai kēia mau maʻi ke hele i nā lymph nodes ma ke kua o ka puʻu a hoʻoulu i ka mumū ma laila. ʻO ia ke kumu e ʻōlelo ai nā kauka inā loaʻa i nā keiki liʻiliʻi ke kuni a i ʻole ke anu, pono e mālama ʻia a hiki i ko lākou hoʻōla ʻana.
Nā ʻeha i ka ʻāʻī a i ʻole ka ʻāʻī
ʻO kekahi mea ʻē aʻe, i kekahi manawa inā he ʻeha ma ka ʻāʻī a i ʻole ka puʻu, hiki ke loaʻa kēia ʻano. E noʻonoʻo, inā e pāʻani ana kekahi keiki liʻiliʻi, e holo ana a e lele ana paha, a hoʻokomo i kahi mea ʻoi i loko o ko lākou waha a paʻa i loko o ko lākou puʻu, a inā paha e pā ʻia ko lākou ʻāʻī ma kekahi wahi, hiki i nā germs ke komo ma o kēlā ʻeha a hana i kahi abscess e like me kēia.
He aha nā hōʻailona o kēia maʻi `(Retropharyngeal Abscess)`? Pehea ʻoe e ʻike ai?
I ka wā mua, ʻike ʻia paha nā hōʻailona e like me ka ʻāʻī ʻeha maʻamau, no laila ʻaʻole paha ʻoe e manaʻo koke he "Retropharyngeal Abscess" ia.
ʻO nā hōʻailona mua paha:
- ʻeha ka ʻāʻī
- Loaʻa i ke kuni
- Hiki ke ʻeha nā lymph node ma ka ʻāʻī ke hoʻopā a hiki ke pehu iki.
Akā inā ʻaʻole i mālama pono ʻia, hiki i kēia mau hōʻailona ke lilo mālie i mea ʻino. E nānā pono i kāu pēpē no kekahi o kēia mau mea:
- Kahe ʻana o ka wai: ʻO kēia no ka mea he paʻakikī ke ale ʻaʻole wale i ka meaʻai akā i ka lawai hoʻi, ka mea e puka mai ana mai ka waha ma muli o ka ʻeha o ka puʻu.
- Ke hōʻole ʻana e ʻai a inu paha: ʻAʻole hiki i kāu pēpē ke ʻai a inu paha ma muli o ka ʻeha nui i ka moni ʻana. Inā hōʻole kahi keiki ʻōpio e ʻai, aia kahi pilikia.
- Ua paʻa ka ʻāʻī me he mea lā ua huhū, a ua kānalua e huli: ʻO kēia ma muli o ka ʻeha o ka ʻāʻī. Ua like ia me ka ʻāʻī i ʻeha .
- Ua pehu ka ʻāʻī, a i ʻole ua pehu nā kelepaʻi ma ka ʻāʻī.
- Ke pani nei lākou i ko lākou mau waha.
- Ua lilo ka leo i palahalaha, a ua loli paha i leo palupalu.
- Paʻakikī ka hanu ʻana, walaʻau ka hanu ʻana: He hōʻailona weliweli loa kēia. Inā hana ʻia kēia, pono ʻoe e ʻike koke i ke kauka.
- Ke ʻōlelo nei he ʻeha ko lākou umauma: ʻAʻole pinepine ka ʻōlelo ʻana o nā keiki ʻōpio he ʻeha ko lākou umauma, akā e makaʻala inā loaʻa.
E noʻonoʻo, inā hōʻole koke kāu pēpē kolohe i ka ʻai, huli i kona ʻāʻī i kekahi ʻaoʻao, a me he mea lā ua loli kona leo ke kamaʻilio ʻo ia, mai hoʻowahāwahā wale ʻoe he anu.
Pehea e hiki ai i ke kauka ke ʻike pololei i kēia maʻi (Retropharyngeal Abscess)?
Ke lawe ʻoe i kāu pēpē i ke kauka, ʻo ka mea mua a ke kauka a kahu maʻi paha e hana ai, ʻo ia ke nīnau iā ʻoe e pili ana i nā hōʻailona o kāu pēpē. E haʻi i ke kauka i nā mea āpau āu e ʻike ai. A laila e nānā pono lākou i ka waha, ka ʻāʻī, a me ka ʻāʻī o kāu pēpē.
Inā kānalua kāu kauka he "Retropharyngeal Abscess" kou, e kuhikuhi paha ʻo ia iā ʻoe i kahi loea. ʻO ia hoʻi he "Loea Pepeiao, Ihu, a me ka Puʻu" (Loea ENT).
Eia kekahi, pono paha ʻoe e hana i kekahi mau hoʻokolohua e hōʻoia i ka maʻi:
- Nā hoʻāʻo koko: E nānā e ʻike inā he maʻi i loko o ke kino a pehea kona koʻikoʻi.
- Nā kukuna X: Hiki i kahi kukuna X o ka ʻaoʻao o ka ʻāʻī ke hāʻawi i kahi manaʻo maʻamau o kahi o ka abscess a pehea kona nui.
- CT scan: Hiki i kēia ke hāʻawi i kahi kiʻi maopopo loa a kikoʻī o kahi o ka abscess, kona nui, a inā ua pālahalaha aku i nā wahi a puni.
Eia naʻe, ʻaʻole pono kēia mau hoʻokolohua āpau no kēlā me kēia pēpē. Na kāu kauka e hoʻoholo i nā hoʻokolohua kūpono loa a pono no kāu pēpē.
He aha nā lāʻau lapaʻau no kēia? He mea anei ia e makaʻu ai?
Inā ua hōʻoia ʻia aia kahi "Retropharyngeal Abscess", pono e lawe ʻia ka pēpē i ka haukapila a mālama ʻia. He mea paʻakikī ke mālama i kēia ma ka home, no ka mea, he maʻi koʻikoʻi kēia.
Nā ʻano lapaʻau
- Nā lāʻau lapaʻau IV: E hoʻomaka nā kauka iā ʻoe ma nā lāʻau lapaʻau IV, i hāʻawi ʻia ma o kahi aʻa. Hele pololei kēia mau mea i loko o ke kahe koko, i hiki iā lākou ke hakakā koke i nā germs a kāohi i ka maʻi.
- Hoʻokahe Wai: I kekahi manawa, pono kahi hana ʻoki liʻiliʻi i kapa ʻia he drain e wehe i ka pus i hōʻiliʻili ʻia. ʻAʻole pono nā kānaka a pau i ke ʻoki ʻana. Hiki i nā kauka ke hoʻoholo e hana i ke ʻoki ʻana i nā hihia aʻe:
- Inā pilikia ka pēpē i ka hanu ʻana.
- Inā nui loa kēlā ʻōpū.
- Inā ʻaʻohe hoʻomaikaʻi ʻana o nā hōʻailona ma hope o hoʻokahi a ʻelua paha lā o nā antibiotics.
- ʻŌmole hanu: Inā paʻakikī kāu pēpē i ka hanu ʻana, hiki i nā kauka ke hoʻokomo i kahi ʻōmole kūikawā i kapa ʻia he ʻōmole hanu ma mua a i ka wā o ke ʻoki ʻana e kōkua iā lākou e hanu. Mālama kēia i ke ala ea e wehe a hiki i ka pēpē ke loaʻa ka oxygen a lākou e pono ai.
Ma hope o kekahi mau lā o ka lāʻau IV, ke hoʻomaikaʻi ke kūlana o ka pēpē, hiki iā ʻoe ke hoʻololi pinepine i nā antibiotic waha. Ma hope o kēlā, pono ʻoe e hoʻomau i ka hāʻawi ʻana i ka lāʻau ma ka home, i ka manawa kūpono, no nā lā he nui e like me ka ʻōlelo a kāu kauka iā ʻoe. He mea nui loa ka hoʻopau ʻana i ka papa o ka lāʻau.
ʻOiai paha he mea weliweli iki kēia mau lāʻau lapaʻau, inā mālama pono ʻia a i ka manawa kūpono, hiki ke ho'ōla loa ʻia kēia maʻi. No laila, mai hopohopo pono ʻole. E ʻae i nā kauka e hana i kā lākou hana.
Āhea ka manawa mua loa e ʻike ai i ke kauka?
Inā ʻeha ka ʻāʻī o kāu pēpē a me ke kuni, mai hoʻowahāwahā wale ʻoe a e lawe pono iā ia i ke kauka, ʻoiai inā he keiki ʻōpiopio ia.
Akā inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, pono ʻoe e lawe iā lākou i ka haukapila kokoke loa me ka hoʻokaʻulua ʻole:
- Inā loaʻa iā ʻoe ke kuni kiʻekiʻe (kahi maʻi i emi pono ʻole ma hope o ka lawe ʻana i ka lāʻau hoʻohaʻahaʻa kuni).
- Inā he nui ka salivation i loko o kou waha , me he mea lā ʻaʻole hiki iā ʻoe ke ale i kekahi mea.
- Inā ua wili ʻia ka ʻāʻī i kekahi ʻaoʻao a ʻaʻole hiki ke hoʻohuli ʻia (ʻĀʻī paʻakikī).
- Inā ʻike ʻia ʻoe e pilikia ana i ka hanu ʻana, a inā paha ʻoe e hana ana i nā leo ʻē i ka wā e hanu ana.
I ka manawa e like me kēia , mai kali wale a ʻike, e lawe wau iā ia i ke kakahiaka ʻapōpō. ʻO ka ʻimi ʻana i ke aʻo lapaʻau i ka wā hikiwawe loa ka mea maikaʻi loa hiki iā ʻoe ke hana no kāu pēpē.
No laila, he aha nā mea nui e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai?
No laila, ua kamaʻilio nui mākou e pili ana i kēia maʻi i kapa ʻia ʻo `(Retropharyngeal Abscess)`. He mea hopohopo iki paha ia i ka lohe ʻana. Akā,He maʻi hiki ke ho'ōla loa ʻia kēia inā ʻike koke ʻia a mālama koke ʻia. ʻO ia ka mea nui loa.
- Inā ʻeha ka puʻu o kāu keiki liʻiliʻi, ke kuni, ka paʻakikī i ka moni ʻana, a me ka ʻeha o ka ʻāʻī no kekahi mau lā i ka lālani, mai manaʻo wale he anu. E noʻonoʻo pono, ʻoiai inā ʻaʻole i piha kāu keiki i 5 mau makahiki.
- E ʻike koke i ke kauka a loaʻa ka ʻōlelo aʻo. Mai ho'āʻo e lāʻau ponoʻī.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka paʻakikī o ka hanu ʻana, ka nui o ka salivation, ka ʻeha e hiki ʻole ai ke hoʻohuli i kou ʻāʻī, a i ʻole kahi loli i kou leo, e lawe koke i kāu keiki i ka haukapila.
- E hahai pono i ka lāʻau lapaʻau i hāʻawi ʻia e nā kauka e like me kā lākou ʻōlelo. ʻOi aku hoʻi ka lāʻau lapaʻau '(Antibiotics)', e hāʻawi iā ia no ka manawa kūpono a me ka nui kūpono. Mai hoʻōki i ka hapalua.
- Inā he mau nīnau hou aku kāu e pili ana i kēia maʻi, e nīnau i kāu kauka.
ʻO ka mea hope loa, ma ke ʻano he makuahine a makua paha, ʻoi aku ka nui o kou manaʻo ma mua o kou akamai. Inā ʻike ʻoe i kekahi mau loli ʻē i ke ʻano a i ʻole ke olakino o kāu pēpē, e hopohopo. ʻO ka hana wikiwiki ʻana hiki ke hoʻopakele i kāu keiki mai ka nui o nā pilikia.
ʻO ka ʻōpū Retropharyngeal, ka maʻi ʻāʻī, Pediatrics, ka maʻi ʻāʻī, ka paʻakikī o ka hanu ʻana, nā lāʻau antibiotics, loea ENT
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