Ingaba umntwana wakho unesilonda esingaqhelekanga ngasemva komqala wakhe? Masifunde ngale (Retropharyngeal Abscess)!

Ngaba umntwana wakho omncinci unesifo somqala esibuhlungu, kunzima ukuginya, okanye intamo yakhe ibuhlungu? Ngamanye amaxesha asikokubanda okanye umkhuhlane nje kuphela. Namhlanje siza kuthetha ngemeko enokuchaphazela abantwana abancinci, kodwa ayixhaphakanga kangako, kodwa yinto ekufuneka ixhalatyelwe. Oku kubizwa ngoogqirha ngokuba yi-"Retropharyngeal Abscess".

Yintoni ithumba elingaphantsi kwamanzi (retropharyngeal abscess)?

Ngamafutshane, oku kuthetha ukuba kukho udonga emva komqala wethu, kwaye emva kolo donga, oko kukuthi, ngaphakathi entanyeni, kuvela iqhubu lobomvu, okanye ithumba. Kufana nethumba eluswini lwethu, kodwa oku kungaphakathi emqaleni. Esi asisifo siqhelekileyo esenzeka kumntwana ngamnye. Kodwa ukuba siyenzeka, sibonakala kakhulu kubantwana abangaphantsi kweminyaka emi-5 ubudala. Ngoko ke ukuba umntwana wakho mncinci, kulungile ukuba uqaphele oku.

Kutheni le nto `(Ithumba le-Retropharyngeal)` lenzeka? Zithini izizathu?

Kulungile, masibone ukuba kutheni oku kusenzeka. Kusenokuba nezizathu ezininzi eziphambili zoku.

Usulelo lwee-lymph nodes

Kukho amadlala amancinci ngasemva komqala wethu. Siwabiza ngokuba yi-`(Lymph Nodes)` okanye ii-lymph nodes. La madlala afana nabagcini bokhuseleko abancinci emizimbeni yethu. La madlala `(Lymph Nodes)` anceda ekubambeni nasekutshabalaliseni iintsholongwane ezingena emzimbeni nasekuthinteleni izifo.

Nangona kunjalo, ngamanye amaxesha xa inani leentsholongwane ezingena kwezi `(Lymph Nodes)` lisanda, okanye xa iintsholongwane ziba namandla kakhulu, kwanaba balindi abanakuphumelela idabi. Kulapho ke iintsholongwane, oko kukuthi, `(Iintsholongwane)`, ziqala ukukhula kwaye zivunde ngaphakathi kwezo `(Lymph Nodes)`. Oku kuvunda yinto esiyibiza ngokuba yi `(Retropharyngeal Abscess)`.

Emva kwezinye izifo

Esinye isizathu esiqhelekileyo sokuba le meko yenzeke kukuba umntwana wakho usenokuba wayekhe wanesifo esifana nesi ngaphambili waza waphila kuso:

• Usulelo lwendlebe
• Usulelo lomphimbo (Pharyngitis)
• Usulelo lweSinus (iSinusitis)

Ezinye zeentsholongwane ezishiyekileyo kwezi zifo zinokuhamba ziye kwiindawo ze-lymph ezingasemva komqala zize zibangele ukudumba apho. Yiyo loo nto oogqirha besithi nokuba abantwana abancinane banomkhuhlane okanye umkhuhlane, kufuneka banyanyekelwe de baphile.

Ukwenzakala emqaleni okanye entanyeni

Enye into kukuba, ngamanye amaxesha ukuba kukho ukwenzakala entanyeni okanye emqaleni, le meko inokwenzeka. Khawucinge nje, ukuba umntwana omncinci udlala, ubaleka okanye utsiba, aze afake into ebukhali emlonyeni wakhe aze abhajwe emqaleni, okanye ukuba intamo yakhe ibethwe kakhulu ndaweni ithile, iintsholongwane zingangena kuloo ngozi zibangele ithumba elinje.

Zithini iimpawu zale meko `(Retropharyngeal Abscess)`? Uyibona njani ?

Ekuqaleni, iimpawu zinokubonakala ngathi zibuhlungu bomqala oqhelekileyo, ngoko ke usenokungacingi kwangoko ukuba yi-"Retropharyngeal Abscess".

Iimpawu zokuqala zinokuba zezi:

• Umqala obuhkungu
• Ukuba nomkhuhlane
• Amaqhuqhuva entanyeni anokuba buhlungu xa uwachukumisa kwaye asenokuvakala ngathi avuvukile kancinci.

Kodwa ukuba azinyangwa, ezi mpawu zinokuba nzima kancinci kancinci. Mjonge umntwana wakho ngenyameko nakweyiphi na kwezi zilandelayo:

• Ukuvuza amathe: Oku kungenxa yokuba kunzima ukuginya kungekuphela nje ukutya kodwa namathe, aphuma emlonyeni ngenxa yomphimbo obuhlungu.
• Ukwala ukutya okanye ukusela: Umntwana wakho usenokungakwazi ukutya okanye ukusela ngenxa yentlungu enzima xa eginya. Ukuba umntwana omncinci akafuni ukutya, kukho ingxaki.
• Intamo ibanjwe ngokungathi iphazamisekile, kwaye ayifuni ukujika: Oku kungenxa yentlungu entanyeni. Ifana nentamo ekrwitshiweyo .
• Intamo idumbile, okanye amadlala entanyeni abonakala edumbile.
• Bavala imilomo yabo.
• Ilizwi liye latsho ngelizwi elirhabaxa, okanye litshintshe laba lilizwi elingavakaliyo.
• Ubunzima bokuphefumla, ukuphefumla okunomsindo: Olu luphawu oluyingozi kakhulu. Ukuba oku kuyenzeka, kufuneka ubone ugqirha ngokukhawuleza.
• Ukuthi baneentlungu zesifuba: Abantwana abancinci abanakufane bathi baneentlungu zesifuba, kodwa lumka ukuba banazo.

Khawucinge nje, ukuba umntwana wakho oqhele ukuba nenkani ngequbuliso akafuni ukutya, ajike intamo yakhe aye ecaleni, kwaye ilizwi lakhe libonakala ngathi litshintshile xa ethetha, musa ukuyithatha njengento ebandayo.

Ugqirha uyixilonga njani ngokuchanekileyo le meko (i-Retropharyngeal Abscess)?

Xa usisa umntwana wakho kugqirha, into yokuqala ugqirha okanye umongikazi aza kuyenza kukubuza ngeempawu zomntwana wakho. Xelela ugqirha yonke into oyibonayo. Emva koko baza kuhlola ngononophelo umlomo, umphimbo, kunye nentamo yomntwana wakho.

Ukuba ugqirha wakho ukrokrela ukuba une-"Retropharyngeal Abscess", mhlawumbi uza kukuthumela kwingcali. Loo ngcali yi-"Ear, Nose, and Throat Specialist" (ENT Specialist).

Ukongeza, kunokufuneka ukuba wenze iimvavanyo ezininzi ukuqinisekisa ukuxilongwa:

• Uvavanyo lwegazi: Jonga ukuba kukho usulelo emzimbeni na kwaye lunzima kangakanani.
• Ii-X-reyi: I-X-reyi yecala lentamo inokunika umbono ocacileyo wokuba ithumba likuphi kwaye likhulu kangakanani.
• I-CT scan: Oku kunokubonelela ngomfanekiso ocacileyo noneenkcukacha wendawo elikuyo ithumba, ubungakanani balo, nokuba lisasazeke na kwiindawo ezikufutshane.

Nangona kunjalo, ayizizo zonke ezi mvavanyo eziya kuba yimfuneko kumntwana ngamnye. Ugqirha wakho uya kugqiba ukuba zeziphi iimvavanyo ezifanelekileyo nezifunekayo kumntwana wakho.

Zithini iindlela zokunyanga oku? Ngaba yinto ekufuneka uyoyike?

Ukuba kuqinisekisiwe ukuba kukho "i-Retropharyngeal Abscess", umntwana kuya kufuneka alaliswe esibhedlele aze anyangwe. Kunzima ukunyanga oku ekhaya, kuba oku kunokuba yimeko enzima.

Iindlela zonyango

• Ii-antibiotics ze-IV: Oogqirha baza kukuqalisa ngee-antibiotics ze-IV, ezinikwa ngemithambo yegazi. Ezi zingena ngqo egazini, ukuze zikwazi ukulwa ngokukhawuleza neentsholongwane kwaye zilawule usulelo.
• Utyando Lokukhupha Amanzi: Ngamanye amaxesha, kufuneka inkqubo encinci yotyando ebizwa ngokuba yi-drain ukuze kususwe ubovu obuqokeleleneyo. Asinguye wonke umntu odinga utyando. Oogqirha banokugqiba ekubeni benze utyando kwiimeko ezilandelayo:
• Ukuba umntwana unengxaki yokuphefumla.
• Ukuba elo thumba likhulu kakhulu.
• Ukuba akukho tshintsho kwiimpawu emva kosuku okanye ezimbini zokusebenzisa amayeza okubulala iintsholongwane.
• Ityhubhu yokuphefumla: Ukuba umntwana wakho unengxaki yokuphefumla, oogqirha banokufaka ityhubhu ekhethekileyo ebizwa ngokuba yityhubhu yokuphefumla ngaphambi okanye ngexesha lotyando ukuze incede umntwana aphefumle. Oku kugcina indlela yomoya ivulekile kwaye kuvumela umntwana ukuba afumane ioksijini ayidingayo.

Emva kweentsuku ezimbalwa usebenzisa amayeza e-IV, xa imeko yomntwana iphucuka, ungatshintsha uye kwi-antibiotics yomlomo. Emva koko, kufuneka uqhubeke nokunika amayeza ekhaya, ngexesha, kangangeentsuku ezininzi njengoko ugqirha wakho ekuxelela. Kubaluleke kakhulu ukugqiba ikhosi yamayeza.

Nangona olu nyango lunokubonakala luyoyikisa kancinci, ukuba lunyangwa ngokufanelekileyo nangexesha elifanelekileyo, le meko inokunyangeka ngokupheleleyo. Ngoko ke ungakhathazeki ngokungeyomfuneko. Vumela oogqirha benze umsebenzi wabo.

Liliphi ixesha lokuqala lokubonana nogqirha?

Ukuba umntwana wakho unesifo somqala esibuhlungu kunye nomkhuhlane, musa ukungayinaki loo nto kwaye ngokuqinisekileyo mse kugqirha, ingakumbi ukuba ungumntwana omncinci.

Kodwa ukuba unayo nayiphi na kwezi mpawu, kufuneka uzise esibhedlele esikufutshane ngokukhawuleza:

• Ukuba unomkhuhlane ophezulu (imeko engehli kakuhle nasemva kokuba usele amayeza okunciphisa umkhuhlane).
• Ukuba unamathe amaninzi emlonyeni wakho , ngokungathi awukwazi ukuginya nantoni na.
• Ukuba intamo ijijekile kwicala elinye kwaye ayinakujikwa (Intamo eqinileyo).
• Ukuba ubonakala unengxaki yokuphefumla, okanye ukuba wenza ingxolo engaqhelekanga ngelixa uphefumla.

Ngexesha elinje , ungalindi nje ubone, ndiza kumthatha ngomso kusasa. Ukufuna ingcebiso kagqirha ngokukhawuleza yeyona nto ilungileyo onokuyenza kumntwana wakho.

Ngoko ke, zeziphi izinto ezibalulekileyo ekufuneka sizikhumbule kwizinto esithethe ngazo?

Ngoko ke, sithethe kakhulu ngale meko ibizwa ngokuba yi-`(Retropharyngeal Abscess)`. Kumele ukuba yayisoyikisa kancinci ukuva. KodwaEsi sisifo esinokunyangeka ngokupheleleyo ukuba sifunyenwe kwangethuba kwaye sinyangwa kwangethuba. Yiyo loo nto ibalulekileyo.

• Ukuba umntwana wakho unesihlungu somqala, umkhuhlane, kunzima ukuginya, kunye nentlungu yentamo kangangeentsuku ezininzi zilandelelana, musa ukucinga nje ukuba ngumkhuhlane. Cinga kabini, ingakumbi ukuba umntwana wakho ungaphantsi kweminyaka emi-5 ubudala.
• Bona ugqirha ngokukhawuleza uze ufumane ingcebiso. Musa ukuzama ukuzinyanga.
• Ukuba uneempawu ezinzima ezifana nobunzima bokuphefumla, ukuvuza amathe kakhulu, iintlungu ezenza kube nzima ukujika intamo yakho, okanye ukutshintsha kwelizwi lakho, thatha umntwana wakho umse esibhedlele ngoko nangoko.
• Landela unyango olunikwa ngoogqirha kanye njengoko betshilo. Ingakumbi amayeza e-`(Antibiotics)`, yinike ngexesha elifanelekileyo nangedosi efanelekileyo. Musa ukuyeka phakathi.
• Ukuba unemibuzo engaphezulu malunga nale meko, buza ugqirha wakho.

Okokugqibela, njengomama okanye utata, iimvakalelo zakho zamathumbu zibaluleke ngaphezu kobukrelekrele bakho. Ukuba ubona naluphi na utshintsho olungaqhelekanga kwindlela umntwana wakho aziphethe ngayo okanye aphila ngayo, xhalaba. Ukuthatha amanyathelo ngokukhawuleza kunokusindisa umntwana wakho kwiingxaki ezininzi.

Ithumba le -Retropharyngeal, Usulelo loMqala, Unyango lwabantwana, Usulelo loMqala, Ubunzima bokuphefumla, Ii-Antibiotics, Ingcali ye-ENT