Puas muaj kab mob tob tob nyob tom qab koj lub caj pas? Cia peb kawm txog qhov 'Retropharyngeal Abscess' no!

Koj lossis koj tus me nyuam puas nyuaj nqos zaub mov? Koj puas mob caj pas heev, tej zaum ua pa nyuaj me ntsis? Yog li, qhov no yog hais txog ib qho mob uas peb yuav tsum ceev faj tshwj xeeb rau lub sijhawm zoo li no, uas tuaj yeem ua rau mob hnyav me ntsis, tab sis tuaj yeem kho tau yog tias paub thiab kho thaum ntxov. Hnub no peb yuav tham txog qee yam hu ua 'Retropharyngeal Abscess' .

Qhov 'Retropharyngeal Abscess' no yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, 'retropharyngeal abscess' yog cov kua qaub ncaug uas sib sau ua ke tob hauv koj lub caj pas, ze ntawm phab ntsa tom qab ntawm koj lub caj pas. Yog hais kom meej, nws tshwm sim thaum muaj kab mob nkag mus rau hauv cov qog ntshav hauv koj lub caj pas. Koj puas paub tias cov qog ntshav no yog ib feem ntawm koj lub cev tiv thaiv kab mob? Lawv pab tua cov kab mob. Yog li, thaum koj muaj kab mob, cov qog ntshav no tuaj yeem o, mob, thiab qee zaum cov kua qaub ncaug tuaj yeem tsim tau.

Qhov no tsis yog tsuas yog mob caj pas yooj yim xwb, nws yog ib qho mob hnyav uas yuav tsum tau kho mob tam sim ntawd . Txawm hais tias nws feem ntau tshwm sim rau cov menyuam yaus, nws tuaj yeem cuam tshuam rau txhua tus neeg txhua lub hnub nyoog.

Leej twg raug kev cuam tshuam ntau tshaj plaws los ntawm qhov xwm txheej no? Cov menyuam yaus?

Yog lawm, qhov mob no hu ua 'retropharyngeal abscess' feem ntau pom muaj rau cov menyuam yaus hnub nyoog ntawm 2 thiab 4 xyoos. Qhov laj thawj rau qhov no yog vim tias thaum muaj hnub nyoog li no, cov qog ntshav hauv caj pas ntawm cov menyuam yaus loj dua. Yog li ntawd, lawv yooj yim kis kab mob dua. Thaum peb laus zuj zus, cov qog ntshav no maj mam me me. Tom qab ntawd qhov kev pheej hmoo ntawm kev mob abscesses txo qis.

Lwm yam yog tias lawv hais tias tus mob no feem ntau tshwm sim ntawm cov tub hluas dua li cov ntxhais.

Kab mob 'retropharyngeal abscess' muaj ntau npaum li cas? Vim li cas nws thiaj li nce ntxiv?

Qhov no tsis yog ib qho mob uas pom ntau heev. Txawm li cas los xij, dhau li ntawm 20 xyoo dhau los no, muaj kev nce ntxiv me ntsis ntawm cov menyuam yaus thiab cov neeg laus. Qee qhov kev tshawb fawb qhia tias qhov no yuav cuam tshuam nrog kev nce ntxiv ntawm cov neeg mob tonsillitis , uas yog kev kis kab mob ntawm cov tonsils hauv caj pas. Cov tonsils yog ob lub nqaij nyob rau ob sab ntawm caj pas.

Lwm qhov laj thawj yog xav tias yog qhov nce ntxiv ntawm cov kab mob MRSA , ib hom kab mob uas tiv taus qee cov tshuaj tua kab mob.

Cov tsos mob ntawm qhov no yog dab tsi? Koj paub nws li cas?

Cov tsos mob feem ntau ntawm tus mob no yog qhov nyuaj nqos zaub mov thiab dej haus thiab mob caj pas . Tsis tas li ntawd, tej zaum yuav muaj lwm cov tsos mob xws li:

• Mob caj pas hnyav: Zoo li mob caj pas.
• Lub txiv mis o: Ob sab ntawm lub caj dab yuav zoo li pob thaum kov.
• Ua pa nyuaj:Koj yuav ua suab nrov thaum ua pa, thiab koj yuav xav tias tsis muaj pa txaus.
• Nyuaj hais lus: Koj lub suab yuav hloov thiab koj yuav muaj teeb meem hais lus.
• Ua suab nrov thaum ua pa: zoo li lub suab snoring.
• Mob taub hau hnyav heev.
• Caj dab nruj, nyuaj rau tig caj dab.
• Hnoos.
• Ua npaws.

Yog ib tug me nyuam yaus muaj tus mob no, lawv yuav tsis nyob twj ywm thiab chim siab heev . Lawv yuav txawm tias ntws qaub ncaug vim lawv tsis tuaj yeem nqos zaub mov. Yog tias tus me nyuam tuav lawv lub caj dab rau hauv qhov chaw tsis zoo (zoo li ua kom yooj yim dua rau kev ua pa), nws txhais tau tias lawv tsis tau txais cua txaus los ua pa.

Yog koj muaj ib lossis ntau yam ntawm cov tsos mob no, koj yuav tsum mus ntsib kws kho mob tam sim ntawd . Qhov no tsis yog qhov xwm txheej zoo uas yuav tsum nyob hauv tsev.

Yog tsis kho ces yuav muaj teeb meem dab tsi tshwm sim? Qhov no puas txaus ntshai?

Yog, qhov mob qog nqaij hlav retropharyngeal yog ib qho mob hnyav heev . Qhov laj thawj tseem ceeb rau qhov no yog qhov chaw ntawm qhov mob qog nqaij hlav. Yog tias tsis kho kom zoo, qhov mob qog nqaij hlav tuaj yeem loj hlob thiab thaiv koj txoj kev ua pa , ua rau nws nyuaj heev rau kev ua pa. Tsis tas li ntawd, tus kab mob tuaj yeem kis mus rau cov ntshav thiab lwm yam kab mob nyob ze, ua rau muaj teeb meem txaus ntshai rau lub neej.

Tej teeb meem xws li cov no tuaj yeem tshwm sim:

• Kev thaiv txoj hlab pa.
• Kab mob ntsws los ntawm kev nqus pa: Kab mob ntsws los ntawm kev nqus pa uas muaj kua qaub los yog lwm yam tshuaj mus rau hauv txoj hlab pa .
• O thiab o ntawm lub hauv siab.
• Cov ntshav txhaws hauv cov leeg ntshav tseem ceeb ntawm lub caj dab (tshwj xeeb tshaj yog cov leeg ntshav jugular).
• Kev kis tus kab mob mus rau cov nqaij thiab cov kabmob ib puag ncig, xws li lub ntsws.
• Septic shock yog ib qho mob uas tshwm sim los ntawm kev kis tus kab mob mus rau hauv cov ntshav.

Yog vim li ntawd peb thiaj hais kom tsis txhob xav tias qhov no yooj yim thiab nrhiav kev kho mob sai sai.

Ua cas ho muaj 'retropharyngeal abscess'? Puas txawv rau cov menyuam yaus thiab cov neeg laus?

Cov pob khaus no tshwm sim thaum muaj kab mob nkag mus rau hauv cov qog sebaceous hauv caj pas. Tom qab ntawd, cov qog ntawd o, maj mam tawg, thiab kua qaub sib sau ua ke, ua rau cov 'mob' no. Txawm li cas los xij, qhov ua rau qhov no txawv me ntsis rau cov menyuam yaus thiab cov neeg laus.

• Cov menyuam yaus: Feem ntau tus mob no tshwm sim rau cov menyuam yaus tom qab muaj kab mob ntawm txoj hlab pa sab saud. Piv txwv li, kab mob ntawm qhov ntswg uas hnyav zuj zus tom qab mob khaub thuas lossis mob pob ntseg. Tus kab mob pib no kis mus rau cov tonsils tom qab caj pas, ua rau mob o.
• Xav txog tias koj tus me nyuam me tau mob khaub thuas thiab mob pob ntseg tau ob peb hnub lawm. Yog tias tus kab mob tsis kho kom zoo, nws tuaj yeem nkag mus tob rau hauv caj pas thiab ua rau muaj qee yam zoo li no. Yog li nws yog ib qho tseem ceeb uas yuav tsum saib xyuas cov me nyuam txawm tias lawv mob khaub thuas los xij.

• Cov Neeg Laus: Qhov ua rau qhov no tseem ceeb rau cov neeg laus yog raug mob rau sab nraub qaum ntawm caj pas. Qhov kev raug mob no tuaj yeem tshwm sim thaum ib yam dab tsi zoo li pob txha ntses lossis pob txha qaib daig hauv caj pas thaum noj mov. Lossis nws kuj tuaj yeem tshwm sim ua ib qho kev phiv ntawm tej yam xws li raug mob rau sab nraub qaum ntawm caj pas thaum kho hniav, rho hniav, endoscopy, lossis intubation.

Qhov no puas yog los ntawm tus kab mob los yog cov kab mob me me?

Feem ntau tus kab mob no yog los ntawm kev sib xyaw ua ke ntawm cov kab mob me me, tsis yog ib qho xwb . Qee cov kab mob me me uas ua rau mob qog hauv qhov ncauj muaj xws li:

• Streptococcus pyogenes
• 'Staphylococcus aureus' (qhov no kuj suav nrog cov kab mob uas tiv taus tshuaj tua kab mob hu ua 'MRSA')
• Cov kab mob Bacteroides
• Cov kab mob Fusobacteria
• Peptostreptococcus
• Cov kab mob Porphyromonas
• `Prevotella`
• `Veillonella`
• Haemophilus influenzae

Qhov no nyuaj me ntsis, tab sis nws yog ib qho tseem ceeb rau cov kws kho mob xaiv txoj kev kho mob zoo.

Cov kws kho mob kuaj mob li cas?

Thaum koj mus ntsib kws kho mob, nws yuav xub mloog koj cov tsos mob kom zoo zoo, tom qab ntawd kuaj koj lub cev. Nws yuav kuaj koj lub caj pas thiab caj dab.

Tsis tas li ntawd xwb, kev kuaj duab tuaj yeem ua tau los saib seb qhov 'qog' no puas muaj thiab nws loj npaum li cas.

• Piv txwv li, yuav tau thaij duab X-ray lossis CT scan . CT scan yuav qhia tau qhov o ntawm lub qhov txhab kom meej heev.

Tsis tas li ntawd, kev kuaj ntshav kuj ua tiav.

• Kev suav cov ntshav tag nrho (CBC) yuav qhia tias muaj cov qe ntshav dawb ntau ntxiv yog tias muaj kab mob hauv lub cev.
• Qee zaum yuav siv daim ntaub so ntswg los ntawm caj pas los kuaj seb puas muaj kab mob . Qhov no yuav pab txiav txim seb hom kab mob twg ua rau muaj kab mob.

Feem ntau koj yuav raug xa mus rau tus kws kho mob pob ntseg, qhov ntswg, thiab caj pas (ENT specialist) kom kuaj mob thiab kho.

Cov kev kho mob rau 'retropharyngeal abscess' yog dab tsi? (Kev Kho Mob)

Vim tias qhov no yog ib qho kev kis mob hnyav, feem ntau nws raug kho hauv tsev kho mob . Kev kho mob muaj ob lub hom phiaj tseem ceeb: tswj kev kis mob thiab, qee zaum, tshem tawm cov qaws.

Cov kev kho mob no yog cov hauv qab no:

• Cov tshuaj tua kab mob:Yuav kom tiv thaiv tau tus kab mob, cov tshuaj tua kab mob muaj zog yuav raug muab rau hauv cov hlab ntsha. Cov no tej zaum yuav yog 'broad-spectrum antibiotics', uas txhais tau tias lawv ua haujlwm tawm tsam ntau hom kab mob sib txawv. Yog tias pom ib hom kab mob tshwj xeeb hauv kev kuaj kab mob, cov tshuaj tua kab mob tshwj xeeb yuav raug muab los kho nws.
• Phais Mob: Tsis yog txhua tus neeg yuav tsum tau phais mob. Txawm li cas los xij, yog tias lub qhov txhab loj thiab ua rau koj ua tsis taus pa, koj tus kws kho mob yuav txiav txim siab phais mob kom tshem lub qhov txhab tawm. Thaum lub sijhawm phais mob no, yuav muab ib txoj raj ua pa tso rau hauv kom pab koj ua pa. Tom qab ntawd, yuav muab lub qhov txhab txiav qhib thiab cov kua qaub sab hauv yuav raug ntws tawm.

Nyob ntawm seb qhov mob o tuaj yeem thaiv koj txoj kev ua pa npaum li cas, koj yuav tau txais oxygen thaum koj nyob hauv tsev kho mob. Yog tias koj muaj teeb meem nqos, koj yuav tau txais saline (cov kua IV) kom tiv thaiv kev qhuav dej.

Txawm tias tom qab koj tawm hauv tsev kho mob lawm los, koj yuav tsum tau noj tshuaj tua kab mob ntxiv rau ob peb hnub kom paub tseeb tias tus kab mob zoo tag nrho thiab tsis rov qab los dua.

Cov tshuaj tua kab mob uas feem ntau siv yog dab tsi?

Qee cov tshuaj tua kab mob siv los kho cov kab mob retropharyngeal abscess yog:

• Ampicillin sulbactam
• Clindamycin
• Vancomycin (tshwj xeeb tshaj yog rau cov kab mob xws li MRSA)
• Linezolid
• Amoxicillin-clavulanate

Cov no yog cov tshuaj uas tus kws kho mob sau ntawv kom noj.

Peb ua tau dab tsi los tiv thaiv peb tus kheej ntawm qhov xwm txheej no? (Kev tiv thaiv)

Txawm hais tias tsis muaj txoj hauv kev los tiv thaiv nws tag nrho los xij, muaj tej yam koj ua tau los txo qhov kev pheej hmoo.

• Yog koj tus menyuam mob, tshwj xeeb yog tias lawv muaj kab mob ua pa sab saud (xws li mob khaub thuas, mob pob ntseg, mob ntsws), tsis txhob ncua sijhawm nrhiav kev kho mob . Nrhiav kev pab kho mob tam sim ntawd.
• Thaum koj pom cov tsos mob ntawm tus mob retropharyngeal abscess (hauv koj tus kheej lossis koj tus menyuam) , ua tib zoo saib xyuas lawv thiab mus ntsib kws kho mob tam sim ntawd . Qhov no tuaj yeem pab tiv thaiv cov teeb meem.

Yog koj muaj ib qho 'retropharyngeal abscess', yuav ua li cas? Nws puas yuav zoo?

Yog kho kom zoo, tus nqi rov zoo yuav siab heev. Kev kis kab mob tuaj yeem kho tau tag nrho los ntawm kev muab tshuaj tua kab mob thiab, yog tias tsim nyog, rho cov kua qaub tawm.

Txawm li cas los xij, tsis tshua muaj (muaj li ntawm 1% - 5% ntawm cov neeg mob) uas lub qog no yuav rov qab los dua. Yog li ntawd, txawm tias tom qab kho tas lawm los xij, ceev faj yog tias cov tsos mob saum toj no rov tshwm sim dua. Yog tias koj xav li no, mus ntsib kws kho mob tam sim ntawd.

Qhov no puas yuav ua rau muaj kev phom sij rau lub neej? Qhov no puas yog xwm txheej ceev?

Yog, qhov no tuaj yeem ua rau tuag taus yog tias tsis kho kom zoo. Yog vim li ntawd peb thiaj hais kom nrhiav kev kho mob sai li sai tau thaum cov tsos mob pib.

Tseeb tiag, 'retropharyngeal abscess' yog qhov xwm txheej ceev hauv kev kho mob.Vim qhov no tuaj yeem thaiv koj lub caj pas thiab txiav koj cov pa oxygen. Tsis txhob tos txog thaum koj mus txog qhov ntawd, mus ntsib kws kho mob tam sim ntawd.

Kuv yuav saib xyuas kuv tus kheej li cas? (Kev saib xyuas tus kheej tom qab kev kho mob)

Noj tag nrho cov tshuaj tua kab mob uas koj tus kws kho mob tau sau tseg, raws li tau sau tseg, rau tag nrho cov tshuaj . Txawm tias koj xav tias zoo dua me ntsis los xij, noj tag nrho cov tshuaj. Cov kab mob retropharyngeal abscesses tuaj yeem rov tshwm sim dua, yog li noj koj cov tshuaj kom raug tuaj yeem txo qhov kev pheej hmoo.

Qhov txawv ntawm 'retropharyngeal abscess' thiab 'peritonsillar abscess' yog dab tsi?

Ob qho no yog cov abscesses uas tsim nyob rau hauv caj pas, tab sis muaj qhov sib txawv me ntsis.

• Kab mob Retropharyngeal abscess: Qhov no tshwm sim hauv thaj chaw tob ze ntawm phab ntsa tom qab ntawm lub caj pas.
• Peritonsillar abscess: Qhov no tshwm sim ze ntawm tonsils.

Ob qho tib si yog tshwm sim los ntawm kev kis kab mob, thiab cov txheej txheem kho mob feem ntau zoo ib yam - uas yog, muab tshuaj tua kab mob thiab, yog tias tsim nyog, rho cov kua qaub tawm.

Thaum kawg, qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Qhia Coj Mus Tsev)

Kab mob 'retropharyngeal abscess' yog ib qho kua qaub uas sib sau ua ke tob hauv caj pas. Qhov no tsis yog ib qho kab mob uas feem ntau kho tau hauv tsev . Nws suav tias yog ib qho xwm txheej ceev hauv kev kho mob vim nws tuaj yeem thaiv txoj hlab pa thiab kis tus kab mob mus rau lwm yam kabmob.

Yog li ntawd, yog tias koj lossis koj tus menyuam muaj cov tsos mob no, thov tsis txhob ncua sijhawm nrhiav kev kho mob . Nrhiav kev pab tswv yim kho mob sai li sai tau. Thaum koj pib siv tshuaj tua kab mob sai npaum li cas, koj yuav muaj feem ntau dua los tshem tawm cov qhov txhab, tiv thaiv cov teeb meem loj, thiab rov zoo sai.

Kab Mob Qog Hauv Qhov Ncauj, Kab Mob Qog Hauv Qhov Ncauj, Kab Mob Qog Hauv Qhov Ncauj, Kab Mob Hauv Qhov Ncauj, Kab Mob Me Nyuam, Ua Pa Tsis Tau Zoo, Nqos Tsis Tau Zoo