I rilru hnung lamah natna thuk tak a awm em? He 'Retropharyngeal Abscess' chungchang hi i zir dawn teh ang!

Nang emaw, i fate emaw hian chaw ei harsa i ti em? I rilru natna nasa tak i nei em, thawk harsa tlemte pawh a ni mai thei? Chuvangin, hei hi chutiang huna kan fimkhur bik tur dinhmun chungchang a ni a, chu chu a pawi deuh thei a, mahse hriat hmasak leh enkawl hmasak a nih chuan tihdam theih a ni. Vawiin hian thil pakhat ‘Retropharyngeal Abscess’ tih kan sawi dawn a ni.

He ‘Retropharyngeal Abscess’ hi eng nge ni? A awlsam zawngin...

A awlsam zawngin sawi ila, ‘retropharyngeal abscess’ chu i rilru chhung thuk tak, i kawr hnunglam bang bula pus awmkhawm a ni. A dik tak chuan i rilru chhunga lymph node-a bacteria infection a luh hian a thleng thin. Heng lymph node te hi i taksa immune system-a tel ve an ni tih i hria em? Infection dona kawngah an pui thin. Chuvangin, infection i neih chuan heng node te hi a lo hring thei a, a na thei a, a chang chuan pus a lo awm thei bawk.

Hei hi rilru natna mai mai a ni lo va, natna khirh tak a ni a, damdawi lam pan nghal ngai a ni . Naupang tê têah a tam zâwk mah se, a takah chuan kum eng pawh ni se a nghawng thei a ni.

Hetiang dinhmun hian tute nge a nghawng nasa ber? Tlemte te kha?

Ni e, he natna ‘retropharyngeal abscess’ an tih hi naupang kum 2 leh 4 inkar ah hmuh tur a tam ber a, a chhan chu hetiang kum ah hian naupang rilru chhunga lymph node te hi a lian zawk a ni. Chuvang chuan natna hrik an kai awlsam zawk. Kan lo upat deuh deuh chuan heng lymph node te hi a lo tlem zauh zauh thin. Tichuan chutiang abscesses lo awm theihna chu a tlahniam ta a ni.

Thil dang pakhat chu he natna hi hmeichhia aiin mipa zingah a tam zawk niin an sawi bawk.

‘Retropharyngeal abscess’ hi engtiang chiahin nge a awm? Engvangin nge a pung zel?

Hei hi a takah chuan thil awm dan tlangpui a ni lo. Mahse, kum 20 vel kalta chhung khan naupang leh puitling zingah hri kai hmuhchhuah zat hi a pung tlem hle. Zirna thenkhat chuan hei hi tonsillitis , rilru chhunga tonsils natna vei tamna nen a inzawm thei niin an sawi. Tonsils hi tissue pahnih, ril sir lehlamah awm a ni.

A chhan dang chu MRSA infection a pun vang nia ngaih a ni a, hei hi bacteria chi khat, antibiotics thenkhat laka inven theih a ni.

Hei hi eng symptoms nge ni? Engtin nge i hriat chian?

Hetiang natna lan chhuah dan tlangpui chu ei leh in ei harsa leh rilru na a ni . Tin, natna lan chhuah dan dang pawh a awm thei bawk a, chungte chu:

• Kawng na na tak: Kawr na ang mai a ni.
• Nipples swollen: Kawr sir lam chu khawih chuan lump ang maiin a lang thei.
• Thâwk harsa: .Thâwk i thawh laiin thawm i siam thei a, i thawk a hah hle bawk.
• Thusawi harsa: I aw a danglam thei a, tawng harsa i nei thei bawk.
• Thâwk chhuah laiin thawm siam: bengchheng ri ang mai.
• Lu na na tak.
• Kawngkhar khauh, kawr hawi harsa.
• Khuh.
• Khawsik.

Naupang têin he natna hi a neih chuan an rilru a buai hle thei a, an thinrim hle thei bawk . Chaw an ei theih loh avangin an drool pawh a ni thei. Naupangin an kawr chu awkward position-a (thâwk awlsam zawka siam ang maia) a vawn chuan thawk tur boruak an hmu tlem tihna a ni.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor i pan nghal tur a ni . Hei hi in lama vawn reng tur dinhmun tha a ni lo.

Enkawl loh chuan eng harsatna nge awm thei? Hei hi a hlauhawm em?

Ni e, retropharyngeal abscess hi natna khirh tak a ni . Hei hi a chhan ber chu abscess awmna hmun a ni. Enkawl that loh chuan, abscess chu a lo thang lian thei a, i thawkna kawng a tikhawlo thei a , chu chuan thawk a ti harsa hle. Tin, he natna hi thisen leh a bul hnaia taksa peng dangteah a darh thei a, nunna atana hlauhawm harsatna a thlen thei bawk.

Hetiang ang harsatna hi a awm thei a ni:

• Thli kawng a tikhawlo.
• Aspiration pneumonia: Thlawhna kawng chhunga hnim emaw thil dang emaw inhnim luh avanga pneumonia lo awm.
• A rilru a na a, a hring bawk.
• Kawr vein lian (a bik takin jugular veins) ah thisen a chhuak thin.
• Infection hi a chhehvel tissue leh organs, lung ang chi hrang hranga darh zel.
• Septic shock hi thisenah natna hrik darh zel avanga lo awm a ni.

Chuvang chuan hei hi ngaihthah suh la, enkawlna zawng vat rawh kan ti a ni.

‘Retropharyngeal abscess’ awm chhante chu engte nge ni? Naupang leh puitling tan a danglam em?

He abscess hi infection pakhatin rilru chhunga sebaceous glands a luh chuan a lo awm thin. Tichuan, chu glands te chu an lo hring chhuak a, zawi zawiin an inthen a, pus a lo awm khawm a, he ‘abscess’ hi a siam ta a ni. Amaherawhchu, naupang tê tê leh puitlingte tân chuan hei hi a chhan chu a inang lo deuh a ni.

• Naupang tê: Hetiang natna hi naupangte chu thawkna kawng chunglam natna (upper respiratory tract infection) an neih hnuah a lo awm tlangpui. Entirnan, sinus infection, khawsik emaw, beng infection emaw hnua a zual zel. He natna hmasa ber hi rilru hnung lama tonsils-ah a darh a, abscess a siam thin.
• I fate chu ni engemaw zat chhung chu khawsik leh beng na a nei tawh ang tih han ngaihtuah teh. Infection hi uluk taka enkawl a nih loh chuan kawr chhung thuk takah a lut a, hetiang thil hi a thlen thei a ni. Chuvangin naupang tête chu khawsik an nei a nih pawhin enkawl a pawimawh.

• Puitling: Puitlingah chuan hei hi a chhan ber chu kawr hnunglam hliam vang a ni. He hliam hi chaw ei laiin sangha ruh emaw vawk ruh emaw ang chi thil pakhat chu a rilruah a tlakbuak hian a thleng thei a ni. A nih loh leh ha enkawlna, ha lak chhuah, endoscopy, intubation tih laiin rilru hnunglam hliam ang chi thila side effect angin a awm thei bawk.

Hei hi virus vang nge bacteria vang nge?

He natna hi bacteria inzawmkhawm vang a ni tlangpui a, pakhat chauh ni lovin . Retropharyngeal abscess thlen thei bacteria thenkhat chu:

• `Streptococcus pyogenes` tih hi a ni
• `Staphylococcus aureus` (hei hian antibiotic laka invenna chi `MRSA` an tih pawh a huam tel bawk)
• `Bacteroides` tih a ni
• `Fusobacteria` tih a ni
• `Peptostreptococcus tih hi a awm a ni
• `Porphyromonas` tih a ni
• `Prevotella` tih a ni
• `Veillonella` tih a ni
• `Haemophilus influenzae` tih hi a ni

Hei hi a buaithlak deuh a, mahse doctor-te tan chuan enkawlna dik thlan a pawimawh hle.

Engtin nge doctor-te hian hei hi an hriat chian?

Doctor i hmuh hunah i natna lan chhuah dan chu ngun takin a ngaithla hmasa ang a, chumi hnuah taksa enfiahna a nei leh ang. I kawr leh i kawr a enfiah ang.

Hei bakah hian he ‘abscess’ hi a awm em tih leh engzat nge a lian tih chiang taka hriat theih nan imaging test pawh tih theih a ni bawk.

• Entirnan, X-ray emaw CT scan emaw pawh tih theih a ni. CT scan hian abscess chu chiang takin a lang thei.

Tin, thisen test te pawh tih a ni bawk.

• Full blood count (CBC) chuan taksaah natna hrik a awm chuan thisen var (white blood cell count) a pung tih a lantir ang.
• A chang chuan bacteria culture test hi kawr atanga swab lak hmangin an ti thin. Hei hian eng bacteria chi nge natna thlentu tih chiang taka hriat theih nan a pui thei a ni.

I beng, hnar leh kawr lam specialist (ENT specialist) hnenah i natna hriat leh enkawl turin refer i ni fo ang.

‘Retropharyngeal abscess’ tih hi eng enkawlna nge ni? (Tihdamna)

Hei hi natna khirh tak a nih avangin damdawi inah enkawl a ni tlangpui . Enkawlna hian thil tum lian tak pahnih a nei a, chungte chu natna hrik control leh, a then phei chuan abscess draining te an ni.

A hnuaia enkawlnate hi a ni:

• Antibiotics damdawi: 1.1.Infection do turin antibiotics chak tak chu thisenah pek thin a ni. Hengte hi ‘broad-spectrum antibiotics’ an ni thei a, chu chu bacteria chi hrang hrang tam tak lakah hna an thawk tihna a ni. Bacteria culture test-a bacteria chi khat hmuhchhuah a nih chuan, chu chu enkawl nan antibiotic bik pek theih a ni.
• Surgery: Mi zawng zawng hian surgery an mamawh vek lo. Mahse, a hliam chu a lian a, i thawk a tikhawtlai a nih chuan i doctor chuan a hliam chu paih chhuah nan operation neih a tum mai thei. He surgery neih chhung hian thawkna tur (breathing tube) an dah a, chu chuan thawk turin a pui a ni. Tichuan, abscess chu an tan a, a chhunga zun chu a chhuak ta a ni.

Abscess hian i thawkna kawng a block nasat dan azirin damdawi ina i awm chhung hian oxygen pek i ni thei bawk. I ei harsat chuan tui tlakchham loh nan saline (IV fluids) pek i ni thei bawk.

Damdawi in chhuahsan hnuah pawh ni engemaw zat chu oral antibiotics i ei chhunzawm a ngai dawn a, chutiang chuan natna chu a dam vek tawh ang a, a lo lang leh tawh lo ang.

Antibiotics pek chhuah tlangpui chu engte nge ni?

Retropharyngeal abscess enkawlna atana antibiotics hman thenkhat chu:

• `Ampicillin sulbactam` tih a ni
• `Clindamycin` tih a ni
• Vancomycin (a bik takin MRSA ang chi natna hrik tan) .
• `Linezolid` tih a ni
• `Amoxicillin-clavulanate` tih a ni

Hengte hi Doctor-in a pek damdawi a ni.

Hetiang dinhmun laka inven nan eng nge kan tih theih ang? (Invenna) 1.1.

A pumpelh vek theih dan tur awm lo mahse, a hlauhawmna tihziaawmna tur thil i tih theih a awm.

• I fa chu a damlo a nih chuan, a bik takin thawkna lam natna (upper respiratory infection) (khawsik, beng na, sinusitis ang chi) a neih chuan , enkawlna zawng chu tihkhawtlai suh Damdawi lam thurawn zawng nghal rawh.
• Retropharyngeal abscess (nangmah emaw i fate emaw) symptoms i hriat veleh , serious takin la la, doctor pan nghal rawh Hei hian harsatna awm lo turin a pui thei a ni.

‘Retropharyngeal abscess’ i neih chuan eng nge thleng? A dam dawn em ni?

Enkawlna dik tak a awm chuan dam lehna rate a sang hle. Infection hi antibiotics pek a, a tul chuan a zung (ps) chhuah tir a, a dam vek theih a ni.

Mahse, a tlem hle (reported in 1% - 5% of cases) he cyst hi a lo lang leh thei. Chuvangin, a dam hnuah pawh a chunga kan sawi tak symptoms te hi a lo lang leh a nih chuan fimkhur hle ang che. Hetiang thil i hriat chuan Doctor pan nghal rawh.

Hei hi nunna atana hlauhawm a ni thei ang em? Hei hi emergency a ni em?

Ni e, hei hi uluk taka enkawl loh chuan nunna atana hlauhawm tak a ni thei. Chuvang chuan symptoms a intan veleh enkawlna zawng nghal tur kan ti a ni.

Dik tak chuan ‘retropharyngeal abscess’ hi medical emergency a ni.A chhan chu hei hian i rilru a tikhawlo vek thei a, i oxygen supply pawh a titawp thei bawk. Chutiang dinhmun i thlen hma chu nghak suh, doctor hmu nghal rawh.

Engtin nge ka in enkawl ang? (Enkawl hnua mahni in enkawl) .

I doctor-in antibiotics a pek zawng zawng, a pek ang chiah khan ei vek la, a course kimchang chu ei rawh . Tlemin i rilru a hahdam a nih pawhin damdawi ei tur zawng zawng ei la. Retropharyngeal abscesses hi a lo lang leh thei a, chuvangin i damdawi ei dik chuan a hlauhawmna a ti tlem thei a ni.

‘Retropharyngeal abscess’ leh ‘peritonsillar abscess’ hi eng nge an danglamna?

Heng pahnih hi rilru chhunga hliam (abscesses) lo awm thin an ni a, mahse a danglamna tlem a awm thung.

• Retropharyngeal abscess: Hei hi rilru hnunglam bang bula hmun thuk takah a lo awm thin.
• Peritonsillar abscess: Hei hi tonsils bulah a lo awm thin.

An pahnih hian natna hrik avanga lo awm an ni a, enkawl dan pawh a tam zawk chu a inang vek a ni – chu chu antibiotics pek leh a tul chuan zun chhuah tir tihna a ni.

A tawp berah chuan hriat reng tur pawimawh ber (Take-Home Message) .

‘Retropharyngeal abscess’ chu kawchhung thuk tak chhunga hnim hring awmkhawm a ni. Hei hi in lama enkawl theih tur natna tlanglawn tak a ni lo . Thlawhna kawng a tikhawlo thei a, taksa peng dangah hri kai a darh thei a, a chhan chu medical emergency anga ngaih a ni .

Chuvângin, nangmah emaw, i fa emaw hian heng chhinchhiahnate hi i neih chuan, khawngaihin enkawlna zawng chu tihkhawtlai suh . A rang thei ang bera damdawi lam thurawn zawng rawh. Antibiotics i ei tan hma chuan i hliam chu i paih chhuak thei a, harsatna lian tak tak i veng thei a, i dam thuai thei bawk.

` Retropharyngeal Abscess, Retropharyngeal Abscess, Throat abscess, Throat infection, Naupang natna, Thâwk harsa, Chaw ei harsa