Mwana wako agara aine fivha uye pahuro panorwadza kwemazuva mashoma here? Anochema here achiti, "Zvinorwadza" kunyangwe paanoedza kudya kana kunwa? Akatendeudza mutsipa wake kurutivi, uye akaona mate achidonha mumuromo make here? Kana uchifunga kuti izvi zvakakomba kupfuura pahuro panorwadza, usazvitore sezvisina basa. Izvi zvinogona kunge zviri chirwere chine njodzi mukati mehuro, chinogona kunge chiri dumbu rakazara nematumbu. Ngatitaurei nezvazvo nhasi.
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Zvichitaurwa zviri nyore, chii chinonzi retropharyngeal abscess?
Iri izwi rezvekurapa, asi zviri nyore kunzwisisa. Chipundu chemudumbu chinonzi retropharyngeal bundu rinoumbwa kumadziro ekumashure kwehuro yedu, iro chikamu chinoonekwa patinovhura miromo yedu. Kutaura chokwadi, iyi idambudziko rehutano rinogona kutoisa hupenyu panjodzi.
Funga nezvemuviri wedu senhare. Kana utachiona (mabhakitiriya) apinda, masoja emuviri wedu wekudzivirira muviri, anonzi masero machena eropa , anorwisa. Mukurwa uku, utachiona hwakafa, masero machena eropa, uye nyama yakakuvara zvinobatana kuti zvigadzire "pus." Kana urwa uhwu hukaungana panzvimbo imwe chete hwoita bundu, tinohuti "pundu." Kana hurwa uhwu hukaumbwa munzvimbo yakadzika iri kumashure kwehuro (nzvimbo ye retropharyngeal), tinohuti Retropharyngeal Abscess.
Ndiani anowanzo sangana neizvi?
Dambudziko iri hariwanzoitiki. Zvisinei, rinonyanya kuitika kuvana vadiki vari pakati pemakore 1 ne8. Hariwanzoitiki kuvanhu vakuru.
"Sei vana vadiki ivavo chete vachiwana zvakawanda?" ungave uchishamisika. Chikonzero ndechekuti tine ma lymph nodes kumashure kwehuro dzedu, ayo atinodaidza kuti "kumedza" mumuromo medu. Izvi zvinobatsira kudzora hutachiona munzvimbo dzakadai semhino dzedu, nzeve, nepahuro. Asi panosvika makore mashanu, ma lymph nodes aya anongoerekana aderera uye anyangarika. Saka, nekuti anenge aripo patinenge tiri vadiki, patinowana hutachiona muhuro kana munzeve dzedu, zvingangopararira kune aya ma lymph nodes, uye tupukanana tunozovapo ipapo.
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Check Availability →Chii chinokonzera mamiriro ezvinhu aya?
Pane zvikonzero zvikuru zvakawanda zvinoita kuti bundu rakadai ribude kumashure kwehuro.
| Chikonzero | Tsananguro iri nyore |
|---|---|
| Utachiona hwemudumbu hwepamusoro | Izvi zvinosanganisira zvinhu zvakaita sedzihwa, pahuro, uye hutachiona hwesinus. Kana hutachiona hwakadai hukanyanya kuipa, mabhakitiriya anogona kufamba achienda kumashure kwehuro ogadzira tupukanana. Ichi ndicho chikonzero cheinenge hafu yezvirwere zvese zve retropharyngeal abscess. |
| Utachiona hwenzeve | Utachiona hwenzeve hunowanzoitika kuvana vadiki. Nekuti nzeve dzakabatana zvakanyanya nehuro, hutachiona hwenzeve hunogona kupararira zviri nyore kusvika kumashure kwehuro. |
| Utachiona hwehuro | Dambudziko iri rinogonawo kukonzerwa nehutachiona hwemabhakitiriya kana hwemavhairasi, hwakadai se tonsillitis. |
| Kukuvara pahuro | Fungidzira mwana achitamba nechinhu chakaita sepeni kana penzura mumuromo make obva adonha. Kana izvozvo zvikaitika, ronda diki rinogona kuumbwa kumashure kwehuro, zvichiita kuti utachiona hupinde uye hukonzere hutachiona. Izvi zvinogonawo kuitika kana chimwe chinhu chakaita sepfupa rehove chikanamatira. |
Ndezvipi zviratidzo zvaunofanira kungwarira?
Izvi zvinokonzeresa emergency, saka zvakakosha kuziva zviratidzo zvacho. Zviratidzo zvinogona kusiyana zvishoma pakati pevana vadiki nevakuru.
Zviratidzo zvinogona kuonekwa muvana vadiki
Sezvo vana vadiki vasingagoni kutaura kuti "vakarwadziwa," tinofanira kunyatsoteerera shanduko idzi.
Fungidzira, kana mwana wako aine fivha, achiramba kudya, asingatombotendeutsi mutsipa wake kurutivi, uye achibuda mate, inyaya inoda kugadziriswa.
| Chiratidzo | Tsananguro |
|---|---|
| Kuramba kudya/kunwa | Mwana anoramba zvachose kudya kana kunwa nekuda kwekurwadziwa kwakanyanya paanomedza. |
| Kudonhedza madonhwe | Mate anobuda mumuromo nekuti anorwadza zvekuti hazvigoneke kumedza kunyangwe zvishoma. Ichi chiratidzo chakakosha. |
| Mutsipa wakaoma | Tsandanyama dzemutsipa dzakazvimba uye mwana haadi kufambisa mutsipa wake nekuda kwekurwadziwa. |
| Kuoma kufema uye ruzha rusinganzwisisike | Sezvo cyst ichikura, inogona kuvhara nzira yekufema uye kuita ruzha rwekukosora kana uchifema. |
| Kuchinja kwezwi | Izwi rinorema, rakashoshoma rinonzi "hot potato voice" rinogona kuitika, sekunge pane chinhu chakanamira pahuro. |
| Chimiro chisina kujairika | Unogona kuedza kuchengetedza mutsipa wemwana wakakotama uye chirebvu chake chakasimudzwa kuti zvive nyore kufema. |
Muvanhu vakuru, zviratidzo zvakaita sekuoma kumedza, fivha, kurwadziwa kwemutsipa, uye kuzvimba ndizvo zviratidzo zvikuru.
Unoona sei izvi, Chiremba?
Kana ukaenda nemwana wako kuchipatara aine zviratidzo izvi, chinhu chekutanga chinoitwa nachiremba ndechekumuongorora nokungwarira. Zvadaro vanozoita bvunzo dzakawanda kuti vaone kuti chirwere chacho chakamira sei.
- X-ray yemutsipa wepadivi: Iyi ndiyo bvunzo inonyanya kushandiswa. X-ray iyi, inotorwa kubva kurutivi rwemutsipa, inobvumira chiremba kuona kana nyama iri kumashure kwehuro yakazvimba kana kuti yakaita sebundu.
- CT scan: Dzimwe nguva, kana X-ray isina kujeka, CT scan inogona kuitwa kuti ione saizi chaiyo nenzvimbo yebundu.
- Kuongororwa kweropa:Kuongororwa kweropa kunoitwa kuti vaone kana mwana asina hutachiona mumuviri. Asi kana mwana wacho asinganyatsonzwa zvakanaka, izvi zvinogona kumbomiswa zvishoma.
Inorapwa sei? Izvi zvine njodzi here?
Ehe, iyi idambudziko rinoda kurapwa nekukasika. Saka, kana zviratidzo izvi zvikaonekwa, mwana anofanira kuendeswa kuchipatara kuEmergency Treatment Unit (ETU) nekukasika, asingamiriri kumba.
Kune nzira dzakasiyana siyana dzekurapa mushure mekupinda muchipatara.
1. Mishonga Inorwisa Mabhakitiriya Inopinda Mutsinga: Paunongopinda muchipatara, uchatanga kupiwa mishonga inorwisa mabhakitiriya yakasimba netsinga kuti udzore hutachiona.
2. Kubuda Kwemvura Pakuvhiyiwa: Kana dumbu riri guru, richiomera kufema, kana kuti risingaderedzi nemishonga inorwisa mabhakitiriya chete, chiremba achaita anesthesia uye oparesheni diki nemuromo kuti abudise hurwa.
3. Kuchengetedza nzira yekufema: Dzimwe nguva, kana nzira yekufema yakavharika zvakanyanya nebundu, chubhu yenguva pfupi (intubation) ingadiwa kubatsira mwana kufema.
Mushure mekuvhiyiwa, mwana anochengetwa mukamuri rekutarisirwa zvakanyanya (ICU) uye anotariswa zvakanaka. Kana zvangoonekwa kuti hapana matambudziko ekufema, anotamisirwa muwadhi yeruzhinji. Kunyangwe mushure mekudzokera kumba kubva kuchipatara, mishonga inorwisa mabhakitiriya inofanira kupiwa sezvakarairwa nachiremba kwenguva yese.
Chinhu chakakosha ndechekuti, kunyangwe ichi chiri chirwere chisingawanzoitiki, njodzi yekufa yakakura kana ikasarapwa. Ndosaka zvichikosha kutsvaga rubatsiro rwechiremba nekukasika kana zviratidzo zvangoonekwa. Nekurapwa nekukasika, chinogona kurapwa zvachose.
Mharidzo Yekuenda Nayo Kumba
- Chipundu chemudumbu chinonzi retropharyngeal bundu rinowanikwa mukati mehuro. Izvi zvinoda kurapwa nekukurumidza.
- Izvi zvinonyanya kuonekwa muvana vadiki vari pakati pemakore 1 ne8 .
- Kana mwana wako aine zviratidzo zvakaita sefivha, kuoma kukuru kumedza, kudonha mate, kuoma kwemutsipa, uye kuoma kufema , tsvaga rubatsiro nekukurumidza.
- Kana mukaona zviratidzo izvi, kurumidzai kuenda nemwana wenyu kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo musingamurapi kumba.
- Dambudziko iri rinogona kurapwa zvachose nekukasika uye kurapwa, asi kunonoka kunogona kukonzera matambudziko akakomba. Vimba nachiremba wako uye tevera mirairo yake.
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