Dip infekshɔn de na di bak pat na yu trot? Lɛ wi lan bɔt dis ‘Retropharyngeal Abscess’!

Yu ɔ yu smɔl pikin kin si am se i nɔ kin izi fɔ swɛla it? Yu trot kin at bad bad wan, sɔntɛm i kin ivin at fɔ blo smɔl? So, dis na bɔt wan kɔndishɔn we wi fɔ tek tɛm mɔ bɔt dɛn kayn tɛm ya, we kin siriɔs smɔl, bɔt i kin mɛn if dɛn no am ɛn trit am kwik. Tide wi go tɔk bɔt sɔntin we dɛn kɔl ‘Retropharyngeal Abscess’ .

Wetin na dis ‘Retropharyngeal Abscess’? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, ‘retropharyngeal abscess’ na wan kɔlekɛshɔn fɔ di pus we de dip insay yu trot, nia di bak wɔl na yu trot. Fɔ tɔk di kɔrɛkt tin, i kin apin we baktriyal infɛkshɔn go insay di limf no dɛm na yu trot. Yu no se dɛn limf no dɛm ya na pat pan yu bɔdi in imyun sistɛm? Dɛn kin ɛp fɔ fɛt infɛkshɔn. So, we yu gɛt infεkshכn, dεn no dεm ya kin swεla, pen, εn sכmtεm pus kin fכm.

Dis nɔto jɔs wan simpul trot we de at, na siriɔs sik we nid fɔ go to dɔktɔ wantɛm wantɛm . Pan ɔl we i kin apin mɔ pan yɔŋ pikin dɛn, i kin rili afɛkt ɛnibɔdi we ol ɛni ej.

Udat dis tin kin afɛkt mɔ? Di smɔl wan dɛn?

yes, dis kכndyushכn we dεn kכl ‘rεtropharyngeal abscess’ dεn kin si am mכst pan yכŋ pikin dεm we ol bitwin 2 εn 4. di rizin fכ dis na dat na dis ej, di limf no dεm na di pikin dεm trot kin big. So, dɛn kin gɛt infɛkshɔn mɔ. As wi de ol, dɛn limf no dɛn ya kin smɔl smɔl. Dɔn di risk fɔ gɛt dɛn kayn abses ya kin stɔp.

Wan ɔda tin na dat dɛn kin se dis sik kin bɔku smɔl pan bɔy pikin dɛn pas gyal pikin dɛn.

Aw kכmכn na ‘rεtropharyngeal abscess’? Wetin mek i de bɔku?

Dis na rili kɔmɔn sik. Bɔt insay di las 20 ia ɔ so, di nɔmba fɔ di wan dɛn we gɛt di sik dɔn go ɔp smɔl pan yɔŋ pikin dɛn ɛn big pipul dɛn. Sɔm stɔdi dɛn dɔn sho se dis kin gɛt fɔ du wit di bɔku bɔku pipul dɛn we gɛt tonsilaytis , we na infɛkshɔn na di tɔnsil dɛn na di trot. di tכnsil dεm na tu tisu dεm we de na di tu say dεm na di trot.

Dɛn tink se wan ɔda rizin na di bɔku bɔku MRSA infɛkshɔn, we na wan kayn baktri we nɔ kin ebul fɔ tek sɔm antibayɔtiks.

Wetin na di sayn dɛm fɔ dis? Aw yu no am?

Di sayn dɛm wae kin kam pan dis sik na wae yu nɔr kin izi fɔ swɛla it ɛn drink ɛn yu trot kin at . Apat frɔm dat, ɔda sayn dɛn kin de lɛk:

• Trot we de at bad bad wan: Lɛk trot we de at.
• Nipl dεm we swεla: Di sayd dεm na di nεk kin fil lεk lumps we dεn tכch am.
• I nɔ kin izi fɔ yu fɔ blo:Yu kin mek nɔys we yu de blo, ɛn yu kin fil lɛk se yu dɔn swɛla.
• I nɔ izi fɔ tɔk: Yu vɔys kin chenj ɛn i nɔ kin izi fɔ yu fɔ tɔk.
• Fɔ mek nɔys we yu de blo: lɛk sawnd we yu de snor.
• Di ed we de at bad bad wan.
• Stiff nek, difikulti fɔ tɔn di nɛk.
• Kɔf.
• Fiva.

If yɔŋ pikin gɛt dis sik, dɛn kin rili nɔ rɛst ɛn vɛks . Dɛn kin ivin drɔl bikɔs dɛn nɔ ebul fɔ swɛla it. If di pikin de ol dɛn nɛk na say we nɔ fayn (lɛk se i de mek i izi fɔ blo), dat min se dɛn nɔ de gɛt inof briz fɔ blo.

If yu gɛt wan ɔ mɔ pan dɛn sik ya, yu fɔ rili go to dɔktɔ wantɛm wantɛm . Dis nɔto fayn tin fɔ kip na os.

Us prɔblɛm dɛn kin apin if dɛn nɔ trit am? Yu tink se dis denja?

Yɛs, we pɔsin gɛt bɔdi we de na di bɔdi we de na di bɔdi na siriɔs sik . di men rizin fכ dis na di say we di absεs de. If dɛn nɔ trit am fayn, di abses kin gro ɛn blok yu aywe , we kin mek i nɔ izi fɔ blo. Dɔn bak, di sik kin go na di blɔd ɛn ɔda pat dɛn we de nia am, ɛn dis kin mek i gɛt prɔblɛm dɛn we kin mek i day.

Kɔmplikɛshɔn dɛn lɛk dis kin apin:

• Di we aw di briz de blo.
• Aspiration pneumonia: Nyumonia we kin kam we yu inhal pus ɔ ɔda tin dɛn insay di say we yu de blo .
• Swel ɛn inflamɛns na di chɛst.
• di bכdi de kכlכt na di men vein dεm na di nεk (especially di jugular veins dεm).
• di infεkshכn de spre to di tisu dεm εn כgan dεm we de rawnd, lεk di lכng dεm.
• Sɛptik shɔk na wan sik we kin kam bikɔs di infekshɔn de skata na di blɔd.

Na dat mek wi se nɔ tek dis layt ɛn go fɛn tritmɛnt kwik.

Wetin na di tin dɛm we kin mek pɔsin gɛt ‘rɛtrofarin absεs’? Yu tink se i difrɛn fɔ pikin dɛn ɛn big pipul dɛn?

dis absεs de fכm we infεkshכn go insay di sεba gland dεm na di trot. afta dat, dεn gland dεm de swel, sכmtεm dεn de rכp, εn di pus de kכlekt, fכ mek dis ‘absεs’. Bɔt di tin dɛn we kin mek dis apin kin difrɛn smɔl fɔ yɔŋ pikin dɛn ɛn big pipul dɛn.

• Yכŋ pikin dεm: Dis kכndyushכn kin kam pan pikin dεm afta dεn gεt infεkshכn na di כp rεspiretכri trakt. Fɔ ɛgzampul, sayn infεkshɔn we kin wɔs afta kol ɔr infεkshɔn na yu yes. dis fכs infεkshכn de spre to di tכnsil dεm na di bak pat na di trot, we de fכm wan abses.
• Imajin se yu smɔl pikin dɔn gɛt kol ɛn in yes de at fɔ sɔm dez. If dɛn nɔ trit di infekshɔn fayn, i kin go dip insay di trot ɛn mek sɔntin lɛk dis. So i impɔtant fɔ kia fɔ smɔl pikin dɛn ilɛksɛf dɛn gɛt kol.

• Big pipul: Di men tin we kin mek dis apin to big pipul na we i wund na di bak pat na di trot. Dis injury kin apin we sɔntin lɛk fish bon ɔ chukchuk bon kin stɔp na yu trot we yu de it. Ɔ i kin apin bak as sayd ɛfɛkt fɔ tin dɛn lɛk injuri na di bak pat na di trot we yu de wok fɔ yu tit, pul yu tut, ɛndoskopi, ɔ intubation.

Na vayrɔs ɔ baktri de mek dis?

Dis infεkshכn kin kכmכt frכm wan kכmbayn baktri dεm, nכ to jכs wan . Sɔm pan di baktri dɛm we kin mek pɔsin gɛt rεtrofarin absεs na:

• `Strεptokɔk payojɛn`
• `Staphylococcus aureus` (dis inklud bak di antibaytik-resistant strayn we dɛn kɔl `MRSA`)
• `Bakteriɔyd dɛn`
• `Fusobakteria`
• `Pɛptostreptokɔkɔs`
• `Pɔfyromonas`
• `Prεvכtεla`
• `Vɛlɔnɛla`
• `Ɛmofilis inflɔɛnsa`

Dis kin kɔmplikt smɔl, bɔt i impɔtant fɔ mek dɔktɔ dɛn pik di rayt tritmɛnt.

Aw dɔktɔ dɛn kin no bɔt dis?

We yu go to dɔktɔ, i go tek tɛm lisin to yu sik dɛn fɔs, dɔn i go chɛk yu bɔdi. I go chɛk yu trot ɛn yu nɛk.

pan tap dat, dεn kin du imej tεst fכ si εksεkt if dis ‘absεs’ de εn aw i big.

• Fɔ ɛgzampul, dɛn kin du ɛkstrem rayt ɔ CT skan . CT skan kin sho di abses klia wan.

Dɔn bak, dɛn kin du blɔd tɛst .

• If yu kɔnt di blɔd kɔmplit wan (CBC) i go sho se di wayt blɔd sɛl dɛn go bɔku if infɛkshɔn de na di bɔdi.
• Sɔntɛnde dɛn kin du baktri kɔlchɔ tɛst bay we dɛn de yuz swab we dɛn tek frɔm di trot. Dis kin ɛp fɔ no ustɛm di bɔdi gɛt di sik.

Bɔku tɛm dɛn go sɛn yu to spɛshal pɔsin we sabi bɔt yu yes, nos, ɛn trot (ENT spɛshal pɔsin) fɔ no if yu gɛt di sik ɛn fɔ mek dɛn trit yu.

Wetin na di tritmɛnt dɛm fɔ ‘retropharyngeal abscess’? (Tritmɛnt)

Bikɔs dis na siriɔs infekshɔn, dɛn kin trit am na ɔspitul . Di tritmɛnt gɛt tu men gol: fɔ kɔntrol di infekshɔn ɛn, sɔm tɛm, fɔ pul di abses.

Dɛn tritmɛnt ya na dɛn tritmɛnt ya:

• Antibayɔtik dɛn:Fɔ fɛt di infekshɔn, dɛn kin gi dɛn strɔng antibayɔtiks insay dɛn bɛlɛ. dis kin bi ‘broad-spectrum antibiotics’, we min se dεn de wok agens plεnti difrεn kayn baktri dεm. If dɛn no wan patikyula kayn baktri we dɛn de du baktriyal kɔlchɔ tɛst, dɛn kin gi wan patikyula antibayɔtik fɔ trit am.
• Ɔpreshɔn: Nɔto ɔlman nid ɔpreshɔn. Bɔt if di abses big ɛn i de mek yu nɔ ebul fɔ blo, yu dɔktɔ kin disayd fɔ du ɔpreshɔn fɔ pul di abses. We dɛn de du dis ɔpreshɔn, dɛn kin put wan tiub fɔ mek yu ebul fɔ blo. Dɔn, dɛn kin kɔt di abses opin ɛn pul di pus we de insay.

Dipen pan aw di abses dɔn blok yu aywe, dɛn kin gi yu ɔksijɛn we yu de na ɔspitul. If i nɔ izi fɔ swɛla, dɛn kin gi yu salin (IV fluid) fɔ mek yu nɔ gɛt wata na yu bɔdi.

Ivin afta yu dɔn kɔmɔt na ɔspitul, yu go nid fɔ kɔntinyu fɔ tek antibayɔtik we yu de it fɔ sɔm dez fɔ mek shɔ se di sik dɔn wɛl ɔl ɛn i nɔ go kam bak.

Wetin na di antibayɔtiks we dɛn kin gi?

Sɔm pan di antibayɔtik dɛm we dɛn kin yuz fɔ trit di retropharyngeal abscess na:

• `Ampisilin sulbaktam`
• `Klindamaysin`
• Vancomycin (especially fכ infεkshכn lεk MRSA) .
• `Linezolid`
• `Amoksisilin-klavulεnat`

Dis na mɛrɛsin dɛn we di dɔktɔ gi yu.

Wetin wi go du fɔ protɛkt wisɛf frɔm dis kayn tin? (Prɛvenshɔn) .

Pan ɔl we no we nɔ de fɔ mek yu nɔ gɛt am kpatakpata, tin dɛn de we yu kin du fɔ ridyus di prɔblɛm.

• If yu pikin sik, mɔ if i gɛt infekshɔn na di ɔpa respiratɔri (lɛk kol, in yes we de at, saynsaytis), nɔ delay fɔ go to tritmɛnt . Go to dɔktɔ wantɛm wantɛm.
• As yu notis di sayn dɛm fɔ wan retropharyngeal abscess (insay yusɛf ɔ yu pikin) , tek dɛm siriɔs wan ɛn go to dɔktɔ wantɛm wantɛm . Dis kin ɛp fɔ mek yu nɔ gɛt prɔblɛm dɛn.

Wetin kin apin if yu gɛt ‘retropharyngeal abscess’? Yu tink se i go wɛl?

If yu gɛt di rayt tritmɛnt, di rit we pɔsin kin wɛl kin rili bɔku. Di infεkshכn kin kכmplit bay we dεn gi am antibaytik εn if nid de, dεn dεn dεn di pus.

כltu, rεli rεli (dεn ripot insay 1% - 5% pan di kes dεm) dis sist kin kam bak. So, ivin afta yu dɔn wɛl, tek tɛm if di sayn dɛn we wi bin dɔn tɔk bɔt kam bak. If yu fil ɛnitin lɛk dis, go to dɔktɔ wantɛm wantɛm.

Yu tink se dis kin mek pɔsin in layf de pan denja? Dis na imejensi?

Yɛs, dis kin mek pɔsin in layf de pan denja if dɛn nɔ trit am fayn. Na dat mek wi se fɔ go to tritmɛnt jɔs lɛk aw di sik bigin.

Fɔ tru, ‘retropharyngeal abscess’ na mɛdikal imejensi.Bikɔs dis kin blok yu trot kpatakpata ɛn kɔt di ɔksijɛn we yu de gi yu. Nɔ wet te yu rich da say de, go to dɔktɔ wantɛm wantɛm.

Aw a kin kia fɔ misɛf? (Fɔ kia fɔ yusɛf afta yu dɔn trit yu)

Tek ɔl di antibayɔtik dɛn we yu dɔktɔ tɛl yu fɔ tek, jɔs lɛk aw dɛn tɛl yu fɔ tek, fɔ di ful kɔs . Ivin if yu fil fayn smɔl, tek di ful kɔs fɔ di mɛrɛsin. Retropharyngeal abscesses kin kam bak, so if yu tek yu mɛrɛsin kɔrɛkt wan i kin ridyus di risk.

wetin na di difrεns bitwin ‘rεtrofarin absεs’ εn ‘pεritonsil absεs’?

Dɛn tu tin ya na abses we de fɔm na di trot, bɔt smɔl difrɛns de.

• Retropharyngeal abscess: Dis kin divεlכ p na dip εria nia di bak wכl na di trot.
• di pεritonsil absεs: Dis de divεlכp nia di tכnsil dεm.

Dɛn tu kin kam bikɔs ɔf infɛkshɔn, ɛn di we aw dɛn kin trit am bɔku pan dɛn na di sem – dat na fɔ gi antibayɔtik ɛn, if nid de, fɔ pul di pus.

Fɔ dɔn, di tin we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

‘rεtropharyngeal abscess’ na wan kכlekshכn fכ pus we de dip insay di trot. Dis nɔto kɔmɔn infɛkshɔn we dɛn kin trit na os . Dɛn kin tek am as mɛdikal imejensi bikɔs i kin blok di say we di briz de blo ɛn spre di infekshɔn to ɔda ɔgan dɛn.

So, if yu ɔ yu pikin gɛt dɛn sik ya, duya nɔ de te fɔ go to tritmɛnt . Go to dɔktɔ kwik kwik wan. Di kwik we yu bigin fɔ tek antibayɔtik, na di mɔ yu go gɛt chans fɔ pul di abs, fɔ mek yu nɔ gɛt siriɔs prɔblɛm dɛn, ɛn fɔ mek yu wɛl kwik kwik wan.

` Retropharyngeal Abscess, Retropharyngeal Abscess, Trot abscess, Trot infεkshכn, Pikin sik dεm, I nɔ kin izi fɔ blo, I nɔ kin izi fɔ swɛla