Ua loaʻa anei i kāu keiki liʻiliʻi ke kuni a me ka ʻāʻī ʻeha no kekahi mau lā? Ke uē nei ʻo ia, "ʻEha" ʻoiai ke hoʻāʻo nei ʻo ia e ʻai a inu paha? Ua huli anei ʻo ia i kona ʻāʻī i kekahi ʻaoʻao, a ua ʻike anei ʻo ia i ka kuha e kahe ana mai kona waha? Inā manaʻo ʻoe he ʻoi aku ka koʻikoʻi o kēia ma mua o ka ʻāʻī ʻeha maʻamau, mai lawe māmā. He maʻi weliweli paha kēia ma ka hohonu o ke kua o ka ʻāʻī, hiki ke lilo i abscess piha i ka pus. E kamaʻilio kākou e pili ana i kēia i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka abscess retropharyngeal?
He ʻano lapaʻau kēia, akā maʻalahi loa ke hoʻomaopopo. ʻO ka abscess retropharyngeal kahi puʻupuʻu e hana ʻia ma ka paia hope o ko kākou puʻu, ʻo ia ka ʻāpana i ʻike ʻia i ka wā e hāmama ai ko kākou waha. ʻO ka ʻōlelo pololei, he pilikia olakino kēia hiki ke hoʻoweliweli i ke ola.
E noʻonoʻo i ko kākou kino e like me kahi pā kaua. Ke komo mai nā germs (bacteria), e hakakā nā koa o kā kākou ʻōnaehana pale, i kapa ʻia he mau keʻokeʻo koko , iā lākou. I loko o kēia hakakā, e hui pū nā germs make, nā keʻokeʻo koko, a me nā ʻiʻo i hōʻino ʻia e hana i ka "pus." Ke hōʻiliʻili kēia pus ma kahi hoʻokahi a hana i puʻupuʻu, kapa mākou ia he "abscess." Ke hana ʻia kēia ma kahi hohonu ma ke kua o ka puʻu (retropharyngeal space), kapa mākou ia he Retropharyngeal Abscess.
ʻO wai ka mea e loaʻa pinepine ana i kēia?
He mea kākaʻikahi loa kēia maʻi. Eia nō naʻe, ʻoi aku ka maʻamau o ia i nā keiki ʻōpio ma waena o nā makahiki 1 a me 8. He mea kākaʻikahi loa ia i nā pākeke.
"No ke aha lā e loaʻa hou ai i kēlā mau keiki liʻiliʻi?" e noʻonoʻo ana paha ʻoe. ʻO ke kumu, he mau lymph node ko kākou ma ke kua o ko kākou puʻu, ʻo ia hoʻi nā mea a kākou e kapa nei he "swallows" i loko o ko kākou waha. Kōkua kēia mau mea i ka hoʻomalu ʻana i nā maʻi ma nā wahi e like me ko kākou ihu, pepeiao, a me ka puʻu. Akā i ka piha ʻana o 5 makahiki, emi maoli kēia mau lymph node a nalowale. No laila, no ka mea, aia lākou ma laila i ko kākou wā ʻōpiopio, i ka wā e loaʻa ai iā kākou kahi maʻi i ko kākou puʻu a i ʻole ka pepeiao, ʻoi aku ka nui o ka laha ʻana i kēia mau lymph node, a e hana ʻia kahi abscess ma laila.
He aha ke kumu o kēia kūlana?
Aia kekahi mau kumu nui e hiki ai ke ulu aʻe kahi puʻu e like me kēia ma ke kua o ka puʻu.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Nā maʻi ʻōpū hanu kiʻekiʻe | Hoʻokomo pū kēia i nā mea e like me ke anu, ka ʻeha o ka puʻu, a me nā maʻi sinus. Ke ʻoi aku ka ʻino o kahi maʻi e like me kēia, hiki i ka bacteria ke hele i ke kua o ka puʻu a hana i kahi abscess. ʻO kēia ke kumu o ka hapalua o nā hihia āpau o ka abscess retropharyngeal. |
| Nā maʻi pepeiao | He mea maʻamau nā maʻi pepeiao i nā keiki ʻōpio. Ma muli o ka pili loa o ka pepeiao i ka puʻu, hiki i ka maʻi pepeiao ke laha maʻalahi i ke kua o ka puʻu. |
| Nā maʻi ʻāʻī | Hiki ke hana ʻia kēia maʻi e nā maʻi bacteria a viral paha, e like me ka tonsillitis. |
| ʻEha i ka puʻu | E noʻonoʻo i kahi keiki e pāʻani ana me kahi mea e like me ka peni a penikala paha i loko o ko lākou waha a hāʻule. Inā hana ʻia kēlā, hiki ke hana ʻia kahi ʻeha liʻiliʻi ma ke kua o ka puʻu, e ʻae ana i nā germs e komo a hoʻoulu i kahi maʻi. Hiki nō hoʻi kēia ke hana inā paʻa kahi mea e like me ka iwi iʻa. |
He aha nā hōʻailona e pono ai ʻoe e makaʻala?
He pilikia kēia, no laila he mea nui e makaʻala i nā hōʻailona. Hiki ke ʻokoʻa iki nā hōʻailona ma waena o nā keiki ʻōpio a me nā pākeke.
Nā hōʻailona e ʻike ʻia i nā keiki liʻiliʻi
ʻOiai ʻaʻole hiki i nā keiki ʻōpio ke ʻōlelo pololei ua "ʻeha" lākou, pono mākou e makaʻala nui i kēia mau loli.
E noʻonoʻo, inā loaʻa i kāu keiki ke kuni, hōʻole e ʻai, ʻaʻole e hoʻohuli i kona ʻāʻī i kekahi ʻaoʻao, a ke kahe nei ke kahe, he kūlana ia e pono ai ka nānā ʻana.
| Hōʻailona | Wehewehena |
|---|---|
| Ka hōʻole ʻana e ʻai/inu | Ua hōʻole loa ke keiki e ʻai a inu paha ma muli o ka ʻeha nui i ka wā e moni ai. |
| Ka waimaka | Puka mai ka lawai mai loko mai o ka waha no ka mea, he ʻeha loa ia a hiki ʻole ke ale iki. He hōʻailona koʻikoʻi loa kēia. |
| ʻĀʻī ʻoʻoleʻa | Ua pehu nā ʻiʻo o ka ʻāʻī a ua kānalua ke keiki e hoʻoneʻe i kona ʻāʻī ma muli o ka ʻeha. |
| Ka paʻakikī o ka hanu ʻana a me nā leo ʻē | I ka ulu ʻana o ka cyst, hiki iā ia ke ālai i ke ala ea a hana i ke kani ʻūhū i ka wā e hanu ana. |
| Hoʻololi leo | Hiki ke lohe ʻia kahi leo haʻalulu a kaumaha i kapa ʻia ʻo "leo ʻuala wela", me he mea lā ua paʻa kekahi mea i ka puʻu. |
| Kūlana ʻē | Hiki iā ʻoe ke hoʻāʻo e hoʻokiʻekiʻe i ka ʻāʻī o ke keiki i hope a hāpai ʻia ka ʻauwae e maʻalahi ai ka hanu ʻana. |
I nā mākua, ʻo nā hōʻailona nui e like me ka paʻakikī i ke ale ʻana, ke kuni, ka ʻeha o ka ʻāʻī, a me ka pehu ʻana.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke lawe ʻoe i kāu keiki i ka haukapila me kēia mau hōʻailona, ʻo ka mea mua a ke kauka e hana ai, ʻo ia ke nānā pono i ke keiki. A laila e hana lākou i kekahi mau hoʻokolohua e hōʻoia i ka maʻi.
- ʻO ke kiʻi X-ray ʻāʻī ʻaoʻao: ʻO kēia ka hoʻāʻo maʻamau. ʻO kēia kiʻi X-ray, i lawe ʻia mai ka ʻaoʻao o ka ʻāʻī, e hiki ai i ke kauka ke ʻike inā ua pehu ka ʻiʻo ma ke kua o ka ʻāʻī a i ʻole he puʻupuʻu.
- CT scan: I kekahi manawa, inā ʻaʻole maopopo ka X-ray, hiki ke hana ʻia kahi CT scan e hoʻoholo ai i ka nui a me kahi o ka abscess.
- Nā hoʻāʻo koko:Hana ʻia nā hoʻāʻo koko e nānā i ka maʻi i loko o ke kino. Akā inā ʻoluʻolu ʻole ke keiki, hiki ke hoʻopanee iki ʻia kēia.
Pehea e mālama ʻia ai? He mea weliweli anei kēia?
ʻAe, he pilikia kēia e pono ai ka mālama koke ʻana. No laila, inā loaʻa kēia mau hōʻailona, pono e lawe koke ʻia ke keiki i ka Emergency Treatment Unit (ETU) o ka haukapila, me ka ʻole o ke kali ʻana ma ka home.
Aia kekahi mau koho lapaʻau ma hope o ke komo ʻana i ka haukapila.
1. Nā lāʻau antibiotic intravenous: Ke komo koke ʻoe i ka haukapila, e hoʻomaka ʻoe e loaʻa i nā lāʻau antibiotic ikaika ma o ka intravenous e kāohi i ka maʻi.
2. Hoʻokahe Wai: Inā nui ka ʻōpū, paʻakikī ke hanu, a ʻaʻole paha e emi me nā lāʻau antibiotic wale nō, e hana ke kauka i ka anesthesia a hana i kahi hana liʻiliʻi ma ka waha e hoʻokahe i ka pus.
3. Ke hoʻopaʻa ʻana i ke ala ea: I kekahi manawa, inā ua ālai nui ʻia ke ala ea e ka abscess, pono paha kahi paipu manawa pōkole (intubation) e kōkua i ke keiki e hanu.
Ma hope o ke ʻoki ʻana, mālama ʻia ke keiki i loko o ka ʻāpana mālama koʻikoʻi (ICU) a nānā pono ʻia. Ke hōʻoia ʻia ʻaʻohe pilikia hanu, hoʻoneʻe ʻia ʻo ia i ka lumi maʻi nui. ʻOiai ma hope o ka hoʻi ʻana mai ka haukapila mai, pono e hāʻawi ʻia nā lāʻau antibiotic waha e like me ke kauoha a ke kauka no ka manawa holoʻokoʻa.
ʻO ka mea nui, ʻoiai he maʻi kakaikahi kēia, kiʻekiʻe loa ka pilikia o ka make inā ʻaʻole mālama ʻia. No laila he mea nui e ʻimi koke i ke kōkua lapaʻau i ka wā e ʻike ʻia ai nā hōʻailona. Me ka mālama koke ʻana, hiki ke ho'ōla loa ʻia.
Leka Lawe-Home
- ʻO ka retropharyngeal abscess kahi hōʻiliʻili o ka pus ma loko o ke kua o ka puʻu. He pilikia olakino ia.
- ʻIke pinepine ʻia kēia i nā keiki ʻōpio ma waena o nā makahiki 1 a me 8 .
- Inā loaʻa i kāu keiki nā hōʻailona e like me ke kuni, ka paʻakikī nui i ka moni ʻana, ka wai kahe, ka ʻoʻoleʻa o ka ʻāʻī, a me ka paʻakikī i ka hanu ʻana , e ʻimi koke i ke kōkua.
- Inā ʻike ʻoe i kēia mau hōʻailona, e lawe koke i kāu keiki i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa me ka ʻole o ka mālama ʻana iā lākou ma ka home.
- Hiki ke ho'ōla loa ʻia kēia maʻi me ka hoʻokipa mua ʻana i ka haukapila a me ka mālama ʻana, akā hiki i ka lohi ke alakaʻi i nā pilikia koʻikoʻi. E hilinaʻi i kāu kauka a e hahai i kāna mau kuhikuhi.
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