Koj tus me nyuam puas tau kub taub hau thiab mob caj pas tau ob peb hnub lawm? Nws puas quaj tias, "Mob heev" txawm tias nws sim noj mov lossis haus dej? Nws puas tau tig nws lub caj dab mus rau ib sab, thiab nws puas tau pom cov qaub ncaug ntws tawm ntawm nws lub qhov ncauj? Yog tias koj xav tias qhov no loj dua li mob caj pas yooj yim, tsis txhob xav tias nws yooj yim. Qhov no yuav yog kev kis kab mob txaus ntshai tob hauv qab caj pas, uas yuav yog ib qho kua paug uas puv nrog kua paug. Cia peb tham txog qhov no hnub no.
Hais yooj yim xwb, qhov mob retropharyngeal abscess yog dab tsi?
Qhov no yog ib lo lus kho mob me ntsis, tab sis nws yooj yim to taub heev. Kab mob retropharyngeal abscess yog ib lub pob uas tsim nyob rau hauv phab ntsa tom qab ntawm peb lub caj pas, uas yog qhov uas pom tau thaum peb qhib peb lub qhov ncauj. Hais kom meej, qhov no yog xwm txheej ceev kho mob uas tuaj yeem ua rau tuag taus.
Xav txog peb lub cev zoo li ib lub chaw ruaj khov. Thaum cov kab mob (cov kab mob me me) nkag mus, cov tub rog ntawm peb lub cev tiv thaiv kab mob, hu ua cov qe ntshav dawb , tawm tsam lawv. Hauv kev sib ntaus sib tua no, cov kab mob tuag, cov qe ntshav dawb, thiab cov nqaij puas tsuaj los ua ke los ua "kua paug." Thaum cov kua paug no sib sau ua ke hauv ib qho chaw thiab ua ib lub pob, peb hu nws ua "mob o." Thaum qhov no tsim nyob rau hauv qhov chaw tob ntawm tom qab ntawm caj pas (retropharyngeal space), peb hu nws ua Retropharyngeal Abscess.
Leej twg tau qhov no feem ntau?
Qhov mob no yeej tsis tshua muaj. Txawm li cas los xij, feem ntau nws tshwm sim rau cov menyuam yaus hnub nyoog ntawm 1 thiab 8 xyoo. Nws tsis tshua muaj rau cov neeg laus.
"Vim li cas tsuas yog cov menyuam yaus me me thiaj li tau txais ntau dua?" tej zaum koj yuav xav tsis thoob. Qhov laj thawj yog vim peb muaj cov qog ntshav hauv qab peb lub caj pas, uas yog qhov peb hu ua "nqos" hauv peb lub qhov ncauj. Cov no pab tswj kev kis kab mob hauv qhov chaw xws li peb lub qhov ntswg, pob ntseg, thiab caj pas. Tab sis thaum muaj hnub nyoog 5 xyoos, cov qog ntshav no yuav ntsws thiab ploj mus. Yog li, vim tias lawv nyob ntawd thaum peb tseem hluas, thaum peb tau txais kev kis kab mob hauv peb lub caj pas lossis pob ntseg, nws yuav kis mus rau cov qog ntshav no, thiab yuav muaj ib qho abscess nyob ntawd.
Dab tsi ua rau muaj qhov xwm txheej no?
Muaj ntau yam laj thawj tseem ceeb uas ua rau lub qog zoo li no tshwm sim hauv qab caj pas.
| Vim li cas | Piav qhia yooj yim |
|---|---|
| Kab mob ntawm txoj hlab pa sab saud | Qhov no suav nrog tej yam xws li mob khaub thuas, mob caj pas, thiab mob ntsws. Thaum muaj kev kis kab mob zoo li no hnyav zuj zus, cov kab mob tuaj yeem mus rau tom qab caj pas thiab ua rau muaj o. Qhov no yog qhov ua rau kwv yees li ib nrab ntawm txhua tus neeg mob uas muaj o retropharyngeal. |
| Kab mob pob ntseg | Kab mob pob ntseg feem ntau tshwm sim rau cov menyuam yaus. Vim tias pob ntseg nyob ze rau lub caj pas, kab mob pob ntseg tuaj yeem kis mus rau tom qab caj pas tau yooj yim. |
| Kab mob caj pas | Tus mob no kuj tseem tuaj yeem tshwm sim los ntawm cov kab mob bacterial lossis viral, xws li tonsillitis. |
| Kev raug mob rau lub caj pas | Xav txog ib tug me nyuam yaus ua si nrog ib yam dab tsi zoo li cwj mem lossis cwj mem hauv lawv lub qhov ncauj thiab poob. Yog tias qhov ntawd tshwm sim, ib qho qhov txhab me me tuaj yeem tsim nyob rau tom qab ntawm lub caj pas, cia cov kab mob nkag mus thiab ua rau muaj kev kis kab mob. Qhov no kuj tuaj yeem tshwm sim yog tias ib yam dab tsi zoo li pob txha ntses daig. |
Koj yuav tsum ceev faj txog cov tsos mob twg?
Qhov no yog ib qho xwm txheej ceev, yog li nws tseem ceeb heev uas yuav tsum paub txog cov tsos mob. Cov tsos mob yuav txawv me ntsis ntawm cov menyuam yaus thiab cov neeg laus.
Cov tsos mob uas pom tau rau cov menyuam yaus
Vim tias cov menyuam yaus tsis tuaj yeem hais tias lawv "raug mob," peb yuav tsum tau ua tib zoo saib xyuas cov kev hloov pauv no.
Xav txog seb, yog tias koj tus menyuam kub taub hau, tsis kam noj mov, tsis kam tig nws lub caj dab mus rau ib sab, thiab ntws qaub ncaug, qhov no yog qhov teeb meem uas xav tau kev saib xyuas.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Tsis kam noj/haus | Tus me nyuam tsis kam noj mov lossis haus dej kiag li vim nws mob heev thaum nqos. |
| Qaug dej ntws | Cov qaub ncaug tawm hauv qhov ncauj vim nws mob heev ua rau nws tsis tuaj yeem nqos me ntsis. Qhov no yog ib qho tsos mob tseem ceeb heev. |
| Caj dab tawv | Cov leeg ntawm caj dab o thiab tus me nyuam tsis kam txav nws caj dab vim mob. |
| Ua pa nyuaj thiab muaj suab txawv txawv | Thaum lub cyst loj hlob tuaj, nws tuaj yeem thaiv txoj hlab pa thiab ua suab snoring thaum ua pa. |
| Kev hloov suab | Tej zaum yuav muaj lub suab qis qis, hnyav hu ua "hot potato voice" tshwm sim, zoo li muaj ib yam dab tsi daig hauv caj pas. |
| Tus cwj pwm txawv txawv | Koj sim ua kom tus menyuam lub caj dab tig rov qab thiab tsa lub puab tsaig kom ua pa tau yooj yim dua. |
Rau cov neeg laus, cov tsos mob xws li nyuaj nqos, kub taub hau, mob caj dab, thiab o yog cov tsos mob tseem ceeb.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj coj koj tus menyuam mus rau tsev kho mob nrog cov tsos mob no, thawj qhov uas tus kws kho mob yuav ua yog kuaj xyuas tus menyuam kom zoo zoo. Tom qab ntawd lawv yuav ua ntau qhov kev kuaj mob kom paub meej tias muaj tus kab mob.
- Duab X-ray ntawm lub caj dab sab: Qhov no yog qhov kev kuaj mob feem ntau. Daim duab X-ray no, uas thaij los ntawm sab caj dab, cia tus kws kho mob pom seb cov nqaij ntawm tom qab caj pas puas o lossis zoo li pob.
- Kev ntsuas CT: Qee zaum, yog tias daim duab X-ray tsis meej, kev ntsuas CT tuaj yeem ua tau los txiav txim qhov loj me thiab qhov chaw ntawm lub qhov txhab.
- Kev kuaj ntshav:Kev kuaj ntshav yog ua los xyuas seb puas muaj kab mob hauv lub cev. Tab sis yog tias tus me nyuam tsis xis nyob heev, qhov no yuav raug ncua me ntsis.
Yuav kho li cas? Qhov no puas txaus ntshai?
Yog, qhov no yog ib qho xwm txheej ceev uas xav tau kev kho mob tam sim ntawd. Yog li ntawd, yog tias muaj cov tsos mob no, tus menyuam yuav tsum raug coj mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd, tsis tas tos hauv tsev.
Muaj ntau txoj kev xaiv kho mob tom qab nkag mus rau hauv tsev kho mob.
1. Cov Tshuaj Tua Kab Mob Hauv Cov Kab Mob: Thaum koj raug coj mus pw hauv tsev kho mob, koj yuav pib tau txais cov tshuaj tua kab mob muaj zog hauv cov kab mob kom tswj tau qhov kev kis kab mob.
2. Kev Phais Dej Nqus: Yog tias lub qhov txhab loj, ua rau nws nyuaj rau ua pa, lossis tsis ploj mus nrog cov tshuaj tua kab mob xwb, tus kws kho mob yuav ua tshuaj loog thiab ua ib qho kev phais me me los ntawm qhov ncauj kom ntws cov kua qaub.
3. Kev Ruaj Ntseg Txoj Hau Pa: Qee zaum, yog tias txoj hau pa raug txhaws hnyav los ntawm cov qog, tej zaum yuav xav tau ib lub raj me me (intubation) los pab tus menyuam ua pa.
Tom qab phais tas, tus menyuam yuav raug khaws cia rau hauv chav saib xyuas mob hnyav (ICU) thiab saib xyuas zoo. Thaum paub tseeb tias tsis muaj teeb meem ua pa, nws yuav raug xa mus rau chav kho mob dav dav. Txawm tias tom qab rov qab los tsev los ntawm tsev kho mob, cov tshuaj tua kab mob hauv qhov ncauj yuav tsum tau muab raws li tus kws kho mob tau hais rau tag nrho lub sijhawm.
Qhov tseem ceeb yog tias, txawm hais tias qhov no yog ib qho mob tsis tshua muaj, tab sis qhov kev pheej hmoo ntawm kev tuag yog siab heev yog tias tsis kho. Yog vim li ntawd nws thiaj li tseem ceeb heev uas yuav tsum nrhiav kev kho mob tam sim ntawd thaum cov tsos mob tshwm sim. Yog tias kho sai sai, nws tuaj yeem kho tau tag nrho.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob qog hauv qhov ncauj yog ib qho kua qaub uas sib sau ua ke tob rau tom qab caj pas. Nws yog ib qho xwm txheej ceev hauv kev kho mob.
- Qhov no feem ntau pom muaj nyob rau hauv cov menyuam yaus hnub nyoog ntawm 1 thiab 8 .
- Yog tias koj tus menyuam muaj cov tsos mob xws li kub taub hau, nqos nyuaj heev, ntuav, caj dab nruj, thiab ua pa nyuaj , nrhiav kev kho mob tam sim ntawd.
- Yog koj pom cov tsos mob no, tam sim ntawd coj koj tus menyuam mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ze tshaj plaws yam tsis tas kho lawv hauv tsev.
- Tus mob no kho tau zoo tag nrho yog tias mus pw hauv tsev kho mob thiab kho mob thaum ntxov, tab sis kev ncua sij hawm tuaj yeem ua rau muaj teeb meem loj heev. Ntseeg koj tus kws kho mob thiab ua raws li nws cov lus qhia.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus