I fa te hian ni engemaw zat chhung chu khawsik leh rilru na a nei tawh em? Ei leh in a tum pawhin "A na" tiin a au chhuak em? A kawr chu a sir khatah a hawitir a, a hmui atanga hmui a rawn luang chhuak tih a hmu em? Hei hi rilru natna pangngai aiin a pawi zawk nia i ngaih chuan ngaihthah suh. Hei hi rilru hnunglam thuk takah natna hlauhawm tak a ni thei a, chu chu zun (pus-filled abscess) a ni thei bawk. Hemi chungchang hi vawiin hian han sawi ila.
A awlsam zawngin, retropharyngeal abscess tih hi eng nge ni?
Hei hi medical term deuh a ni a, mahse hriatthiam a awlsam hle. Retropharyngeal abscess chu kan hmui hnunglam bang a lo awm a, chu chu kan hmui kan hawn hian a lang thei a ni. Strict takin sawi ila, hei hi medical emergency a ni a, nunna atana hlauhawm pawh a ni thei.
Kan taksa hi kulhpui angin han ngaihtuah teh. Hriselna (bacteria) a luh chuan kan taksa hriselna (immune system) sipaite, thisen var (white blood cells ) an tih te chuan an do thin. He indonaah hian hrik thi, thisen var leh tissue chhia te chu an inzawm khawm a, "pus" an siam ta a ni. He pus hi hmun khatah a inzawm khawm a, lump a siam chuan "abscess" kan ti thin. Hei hi rilru hnung lama hmun thuk takah (retropharyngeal space) a lo awm chuan Retropharyngeal Abscess kan ti a.
He thil hi tuin nge dawng tam ber?
Hetiang dinhmun hi a takah chuan a tlem hle. Mahse, naupang kum 1 leh 8 inkarah a tam ber a, puitlingah chuan a tlem hle.
"Engvangin nge chu naupang te te chauh hian an hmuh tam zawk?" i ngaihtuah mai thei. A chhan chu kan hmui hnung lamah lymph node kan nei a, chu chu kan ka chhunga "swallows" kan tih ang chi hi a ni. Chungte chuan kan hnar, beng leh kan kawr ang chi hmuna natna hrik awmte chu a thunun thei a ni. Mahse kum 5 an tlin chuan heng lymph node te hi an pianphungah an lo tlem a, an bo vek thin. Chuvangin, kan naupan laia an awm avangin, kan rilru emaw, kan beng emawa natna kan neih chuan heng lymph node-ah te hian a darh zau zawk a, chutah chuan abscess a lo awm ang.
Eng thilin nge hetiang dinhmun hi a thlen?
Hetiang lump hi rilru hnung lamah a lo awm theih chhan lian tak tak a awm a.
| Chhan | Hrilhfiahna awlsam tak |
|---|---|
| Upper respiratory tract natna a awm thei | Hei hian khawsik, ril na, leh sinus infection te a huam a ni. Hetiang natna hi a na zual chuan bacteria te chu kawchhung hnung lamah a kal thei a, abscess a siam thei a ni. Hei hi retropharyngeal abscess vei zawng zawng zinga a chanve vel awm chhan a ni. |
| Beng natna a awm | Beng natna hi naupang tê têah a tam hle. Beng hi kawr nen a inzawm tlat avangin beng natna chu awlsam takin kawr hnung lamah a darh thei a ni. |
| Thlarau natna hrik awm | Hetiang dinhmun hi bacteria emaw virus emaw infection, tonsillitis ang chi vang pawh a ni thei. |
| Kawngkhar a hliam | Naupang pakhatin pen emaw pencil emaw ang chi thil pakhat a hmuiah a khelhpui a, a tlu ang tih han mitthla teh. Chutiang a nih chuan kawr hnung lamah hliam te tak te a lo awm thei a, chu chuan natna hrik a luh tir thei a, natna hrik a thlen thei a ni. Hei hi sangha ruh ang chi thil a tlakbuak chuan a thleng thei bawk. |
Eng symptom nge i fimkhur tur?
Hei hi emergency a nih avangin a natna lan chhuah dan hriat a pawimawh hle. Naupang tê leh puitlingah hian natna lan chhuah dan a inang lo deuh thei.
Naupang tê têa hmuh theih symptoms
Naupang tête chuan "hliam" an ti chiang thei lo a, heng inthlâk danglamnate hi kan ngaihven bîk a ngai a ni.
Ngaihtuah teh, i fa hian khawsik a nei a, ei a duh lo va, a kawr pawh a hawitir lo ang a, a lu a chhuak a nih chuan ngaihven ngai dinhmun a ni ngei ang.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Ei/in duh lo | Naupang chuan a ei laiin a natna nasa tak avangin ei leh in a duh lo vek a ni. |
| Drooling a awm | Ka chhung atangin hmui a chhuak a, a chhan chu a na em em a, tlemte pawh hi ei theih loh a ni. Hei hi symptom pawimawh tak a ni. |
| Kawngkhar khauh tak | Kawng ruhte chu a lo hring a, naupang chuan a nat avangin a kawng a sawn duh lo. |
| Thâwk harsa leh thawm mak tak tak | Cyst a lo lian chhoh zel chuan thawkna kawng a tikhawlo thei a, thawk laiin bengchheng ri a siam thei bawk. |
| Aw inthlak danglamna | "Hot potato voice" tia koh aw ri bengchheng tak, rit tak a awm thei a, chu chu rilruah thil a inkhung ang maiin a awm thei. |
| Posture danglam tak | Naupang kawr chu hnunglam hawiin, a hmui chu chawi sangin thawk awlsam zawk nan i bei thei bawk. |
Puitlingah chuan ei harsa, khawsik, kawr na, leh hrual te ang chi natna lanchhuahna ber a ni.
Engtin nge hei hi i hmuh theih, Doctor?
Heng symptoms neia i fa hi damdawi inah i hruai dawn chuan Doctor-in a tih hmasak ber tur chu uluk taka naupang enfiah hi a ni. Tichuan an natna hriat chian nan test eng emaw zat an kalpui ang.
- Lateral neck X-ray: Hei hi test tam ber a ni. He X-ray hi kawr sir atanga lak a ni a, doctor chuan kawr hnunglam tissue chu a hring em tih emaw, lump ang maia lang emaw a en thei a ni.
- CT scan: A chang chuan X-ray a chiang lo a nih chuan CT scan hmangin abscess lian tham tak leh a awmna hmun dik tak hriat theih a ni.
- Thisen test dan: 1.1.Thisen test hi taksaah natna hrik a awm leh awm loh enfiah thin a ni. Mahse naupang chu a nuam lo hle a nih chuan hei hi a sawn hla deuh mai thei.
Engtin nge enkawl a nih? Hei hi a hlauhawm em?
Ni e, hei hi emergency a ni a, enkawl vat a ngai a ni. Chuvangin heng symptoms te hi a awm chuan naupang chu damdawi in Emergency Treatment Unit (ETU)-ah hruai nghal tur a ni a, in lama nghah ngai lovin.
Damdawi ina admission hnuah enkawlna kawng hrang hrang a awm.
1. Intravenous Antibiotics: Damdawi inah i admit veleh infection control nan antibiotics chak tak intravenous in i dawng tan ang.
2. Surgical Drainage: A hnah chu a lian a, thawk a harsat a, antibiotics chauh hmanga a reh loh chuan doctor chuan anesthesia a ti ang a, ka chhungah operation tenau tak a ti ang a, chu chuan pus chu a chhuah tir ang.
3. Thlawhna kawng nghet taka siam: A châng chuan, thawkna kawng chu a hnah (abscess)-in nasa taka a tihkhawtlai chuan, naupang thawk tûra ṭanpui tûrin temporary tube (intubation) a ngai mai thei.
Surgery zawhah naupang chu intensive care unit (ICU)-ah dahin uluk taka enkawl a ni. Thâwk lama harsatna a awm lo tih finfiah a nih hnuah general ward-ah sawn a ni. Damdawi in atanga an haw hnuah pawh oral antibiotics chu doctor-in a pek ang chiah chiah chu a hun chhung zawngin pek a ngai a ni.
Thil pawimawh tak chu, hei hi thil awm lo tak ni mahse, enkawl loh chuan thihna hlauhawmna a sang hle. Chuvang chuan natna lanchhuahna a lan veleh damdawi lam pan vat a pawimawh hle. Enkawl vat chuan a dam vek thei a ni.
Take-Home Thuchah a ni
- Retropharyngeal abscess chu rilru hnunglam thuk takah chuan zun (pus) awmkhawm a ni. Damdawi lam emergency a ni.
- Hei hi naupang kum 1 leh 8 inkar ah hmuh tur a tam ber a ni .
- I fain natna lan chhuahna a neih chuan khawsik, ei harsatna nasa tak, tui chhuak, kawng khauh, leh thawk harsa tih ang chi a neih chuan enkawl nghal rawh.
- Heng symptoms te hi i hriat chuan i fa chu in lama enkawl ngai lovin damdawi in hnai ber Emergency Treatment Unit (ETU)-ah hruai nghal rawh.
- He natna hi damdawi ina dah hmasak leh enkawl hmasak chuan a dam vek thei a, mahse tihkhawtlai hian harsatna lian tak a thlen thei a ni. I doctor ring la, a thupek zawm rawh.
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