Ingaba kukho usulelo olunzulu ngasemva komqala wakho? Masifunde ngale 'Retropharyngeal Abscess'!

Ngaba wena okanye umntwana wakho omncinci nikufumanisa kunzima ukuginya ukutya? Ngaba unesifo somqala esibuhlungu kakhulu, mhlawumbi nobunzima bokuphefumla? Ngoko ke, oku kumalunga nemeko ekufuneka siyilumkele ngakumbi ngamaxesha anjalo, enokuba yingozi kancinci, kodwa inokunyangeka ukuba iqatshelwe kwaye inyangwe kwangethuba. Namhlanje siza kuthetha ngento ebizwa ngokuba yi -'Retropharyngeal Abscess' .

Yintoni le 'Retropharyngeal Abscess'? Ngamafutshane...

Ngamafutshane, 'ithumba le-retropharyngeal' yingqokelela yobofu obungaphakathi emqaleni wakho, kufutshane nodonga olungasemva lomqala wakho. Ngokuchanekileyo, kwenzeka xa usulelo lwebhaktheriya lungena kwii-lymph nodes emqaleni wakho. Ubusazi na ukuba ezi lymph nodes ziyinxalenye yenkqubo yomzimba wakho yokuzikhusela? Zinceda ekulweni nosulelo. Ngoko ke, xa une-infection, ezi nodes zinokudumba, zibe buhlungu, kwaye ngamanye amaxesha ubofu bunokwakheka.

Oku akusiyo nje intlungu nje ebuhlungu, yimeko enzima efuna unyango olukhawulezileyo . Nangona ixhaphake kakhulu ebantwaneni abancinci, inokuchaphazela nabani na wanoma yiphi na iminyaka.

Ngoobani abachaphazeleka kakhulu yile meko? Ngabancinci?

Ewe, le meko ibizwa ngokuba yi-'retropharyngeal abscess' idla ngokubonakala kubantwana abancinci abaphakathi kweminyaka emi-2 ne-4 ubudala. Isizathu soku kukuba kule minyaka, ii-lymph nodes emqaleni wabantwana zikhulu. Ngenxa yoko, zisengozini enkulu yosulelo. Njengoko sikhula, ezi lymph nodes ziyancipha kancinci kancinci. Emva koko umngcipheko wokufumana ezi thumba uyancipha.

Enye into kukuba kuthiwa le meko ixhaphake kancinci phakathi kwabafana kunamantombazana.

Ixhaphake kangakanani 'i-retropharyngeal abscess'? Kutheni isanda?

Oku akuyonto ixhaphakileyo. Nangona kunjalo, kwiminyaka engama-20 edlulileyo okanye ngaphezulu, kubekho ukwanda okuncinci kwinani lamatyala abikiweyo phakathi kwabantwana abancinci kunye nabantu abadala. Ezinye izifundo zibonisa ukuba oku kusenokunxulunyaniswa nokwanda kwamatyala e- tonsillitis , usulelo lwee-tonsil emqaleni. Ii-tonsil ziithishu ezimbini ezikumacala omabini omqala.

Esinye isizathu kucingelwa ukuba kukwanda kosulelo lwe -MRSA , uhlobo lwebhaktheriya enganyangekiyo kwii-antibiotics ezithile.

Zithini iimpawu zoku? Uzibona njani?

Iimpawu eziqhelekileyo zale meko kubunzima bokuginya ukutya nesiselo kunye nomphimbo obuhlungu . Ukongeza, kunokubakho nezinye iimpawu ezifana nezi:

• Umphimbo obuhlungu kakhulu: Njengomphimbo obuhlungu.
• Iingono ezidumbileyo: Amacala entamo asenokuvakala ngathi ngamaqhuma xa echukunyiswa.
• Ubunzima bokuphefumla:Ungenza ingxolo xa uphefumla, kwaye ungaziva ufuthanisekile.
• Ubunzima bokuthetha: Ilizwi lakho lisenokutshintsha kwaye unokuba nobunzima bokuthetha.
• Ukwenza ingxolo xa uphefumla: njengesandi sokurhona.
• Intloko ebuhlungu kakhulu.
• Intamo iqinile, kunzima ukujika intamo.
• Ukukhwehlela.
• Ifiva.

Ukuba umntwana omncinci unale meko, usenokuba novalo kakhulu aze abe nomsindo . Usenokude avuza amathe kuba engakwazi ukuginya ukutya. Ukuba umntwana ubambe intamo yakhe ngendlela engaqhelekanga (njengokungathi ukwenza kube lula ukuphefumla), oko kuthetha ukuba akafumani moya waneleyo wokuphefumla.

Ukuba unenye okanye ngaphezulu kwezi mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha ngoko nangoko . Le ayisiyomeko ilungileyo ukuyigcina ekhaya.

Zeziphi iingxaki ezinokubakho ukuba azinyangwa? Ingaba oku kuyingozi?

Ewe, ithumba eliphuma emqolo liyingxaki enkulu . Isizathu esiphambili soku yindawo elikuyo ithumba. Ukuba alinyangwa kakuhle, ithumba linokukhula livale indlela yakho yomoya , nto leyo eyenza kube nzima kakhulu ukuphefumla. Kwakhona, usulelo lunokusasazeka luye egazini nakwamanye amalungu akufutshane, nto leyo ebangela iingxaki ezisongela ubomi.

Iingxaki ezinjalo zinokwenzeka:

• Ukuvaleka kwendlela yomoya.
• I-Aspiration pneumonia: I-pneumonia ebangelwa kukuphefumla kobofu okanye ezinye izinto kwindlela yokuphefumla .
• Ukudumba kunye nokuvuvukala kwesifuba.
• Amahlwili egazi kwimithambo ephambili yentamo (ingakumbi imithambo ye-jugular).
• Ukusasazeka kosulelo kwizicwili nakwizitho ezingqongileyo, njengemiphunga.
• Ukothuka kweSeptic yimeko ebangelwa kukwanda kosulelo egazini.

Yiyo loo nto sithi musa ukuyithatha lula le nto, funa unyango ngokukhawuleza.

Zithini izizathu ze-'retropharyngeal abscess'? Ingaba yahlukile kubantwana nakubantu abadala?

Eli thumba lenziwa xa usulelo lungena kumadlala amdaka emqaleni. Emva koko, loo madlala avuvukala, aqhekeke kancinci kancinci, aze ubovu buqokeleleke, nto leyo eyenza eli 'thumba'. Nangona kunjalo, izizathu zoku zahlukile kancinci kubantwana abancinci nakubantu abadala.

• Abantwana abancinci: Le meko idla ngokukhula ebantwaneni emva kokuba benosulelo lwendlela yokuphefumla ephezulu. Umzekelo, usulelo lwe-sinus oluya lusiba mandundu emva kokuba nosulelo lomkhuhlane okanye lwendlebe. Olu sulelo lokuqala lusasazeka kwiitoni ezingasemva komqala, lwenze ithumba.
• Khawuthelekelele ukuba umntwana wakho ebenomkhuhlane kunye nentlungu yendlebe kangangeentsuku ezimbalwa. Ukuba usulelo alunyangwa kakuhle, lunokungena nzulu emqaleni luze lubangele into efana nale. Ngoko ke kubalulekile ukubanyamekela abantwana nokuba banomkhuhlane.

• Abantu abadala: Eyona nto ibangela oku kubantu abadala kukwenzakala ngasemva komphimbo. Oku kwenzakala kunokwenzeka xa into efana nethambo lentlanzi okanye ithambo lenkukhu inamathela emqaleni ngelixa isitya. Okanye ingenzeka njengesiphumo sezinto ezifana nokwenzakala ngasemva komphimbo ngexesha lomsebenzi wamazinyo, ukukhutshwa kwamazinyo, i-endoscopy, okanye ukufakwa kwetyhubhu.

Ingaba oku kubangelwa yintsholongwane okanye yibhaktiriya?

Olu sulelo ludla ngokubangelwa yindibaniselwano yeebhaktheriya, hayi enye kuphela . Ezinye zebhaktheriya ezinokubangela ithumba le-retropharyngeal ziquka:

• `I-Streptococcus pyogenes`
• `Staphylococcus aureus` (oku kuquka uhlobo olumelana namayeza okubulala iintsholongwane olubizwa ngokuba yi`MRSA`)
• `Iintsholongwane`
• `Iintsholongwane zeFusobacteria`
• `I-Peptostreptococcus`
• `IiPorphyromonas`
• `Prevotella`
• `IVeillonella`
• `Umkhuhlane weHaemophilus`

Oku kunzima kancinci, kodwa kubalulekile ukuba oogqirha bakhethe unyango olufanelekileyo.

Oogqirha bayixilonga njani le nto?

Xa ubona ugqirha, uya kuqala akuphulaphule ngononophelo iimpawu zakho, aze emva koko akuhlole umzimba. Uya kuhlola umqala nentamo yakho.

Ukongeza, uvavanyo lokujonga imifanekiso lunokwenziwa ukuze kubonwe ukuba eli 'thumba' likhona na kwaye likhulu kangakanani.

• Umzekelo, i-X-ray okanye i-CT scan ingenziwa. I-CT scan ingabonisa ithumba ngokucacileyo.

Kwakhona, kwenziwa uvavanyo lwegazi .

• Xa kwenziwa ubalo lwegazi olupheleleyo (CBC) , ukuba kukho usulelo emzimbeni, ubalo lweeseli ezimhlophe zegazi luya kunyuka.
• Ngamanye amaxesha uvavanyo lokukhulisa iintsholongwane lwenziwa kusetyenziswa i-swab ethathwe emqaleni. Oku kunokunceda ekuqinisekiseni ukuba loluphi uhlobo lwentsholongwane olubangela usulelo.

Uya kuthunyelwa rhoqo kwingcali yendlebe, impumlo, nomqala (ingcali ye-ENT) ukuze ufumane uxilongo kunye nonyango.

Ziziphi iindlela zonyango 'ze-retropharyngeal abscess'? (Unyango)

Ngenxa yokuba olu luhlobo losulelo olunzima, ludla ngonyango esibhedlele . Unyango luneenjongo ezimbini eziphambili: ukulawula usulelo, kwaye kwezinye iimeko, ukukhupha amanzi kwithumba.

Nazi iindlela zonyango:

• Amayeza okubulala iintsholongwane:Ukulwa nosulelo, ii-antibiotics ezinamandla zinikwa ngemithambo yegazi. Ezi zisenokuba 'zii-antibiotics ze-broad-spectrum', oko kuthetha ukuba zisebenza ngokuchasene neentlobo ezahlukeneyo zeebhaktheriya. Ukuba uhlobo oluthile lwebhaktheriya luchongiwe kuvavanyo lwenkcubeko yeebhaktheriya, i-antibiotic ethile inokunikwa ukuyinyanga.
• Utyando: Asinguye wonke umntu odinga utyando. Nangona kunjalo, ukuba ithumba likhulu kwaye lithintela ukuphefumla kwakho, ugqirha wakho unokugqiba ekubeni enze utyando lokususa ithumba. Ngexesha lotyando, kufakwa umbhobho wokuphefumla ukuze ukuncede uphefumle. Emva koko, ithumba liyasikwa livuleke kwaye ubovu obungaphakathi bukhutshwe amanzi.

Ngokuxhomekeke ekubeni ithumba livale kangakanani indlela yakho yomoya, unganikwa ioksijini ngexesha lokuhlala kwakho esibhedlele. Ukuba unengxaki yokuginya, unganikwa i-saline (IV fluids) ukuthintela ukuphelelwa ngamanzi emzimbeni.

Nokuba uphumile esibhedlele, kuya kufuneka uqhubeke usela amayeza okubulala iintsholongwane kangangeentsuku ezimbalwa ukuqinisekisa ukuba usulelo luphelile ngokupheleleyo kwaye aluphindi lubuye.

Ziziphi ii-antibiotics ezichazwe rhoqo?

Amanye amayeza okubulala iintsholongwane asetyenziswa ukunyanga ithumba elingaphantsi komhlaba nantsi:

• `I-Ampicillin sulbactam`
• `I-Clindamycin`
• I-Vancomycin (ingakumbi kwizifo ezifana ne-MRSA)
• `I-Linezolid`
• `I-Amoxicillin-clavulanate`

La ngamayeza abhalwe ngugqirha.

Singenza ntoni ukuze sizikhusele kule meko? (Ukuthintela)

Nangona kungekho ndlela yokukuthintela ngokupheleleyo, kukho izinto onokuzenza ukunciphisa umngcipheko.

• Ukuba umntwana wakho uyagula, ingakumbi ukuba une-upper breath infection (njengomkhuhlane, iintlungu zendlebe, i-sinusitis), musa ukulibazisa ukufuna unyango . Funa ingcebiso kagqirha ngoko nangoko.
• Wakuba nje uqaphela iimpawu zethumba eliphuma emqolo (kuwe okanye kumntwana wakho) , zithathe nzulu uze ubone ugqirha ngoko nangoko . Oku kunokunceda ukuthintela iingxaki.

Kuza kwenzeka ntoni ukuba unesifo 'se-retropharyngeal abscess'? Ngaba siya kuphola?

Ngonyango olufanelekileyo, izinga lokuchacha liphezulu kakhulu. Usulelo lunokunyangeka ngokupheleleyo ngokunika amayeza okubulala iintsholongwane, kwaye ukuba kuyimfuneko, ukukhupha ubovu.

Nangona kunjalo, kunqabile kakhulu (kwi-1% - 5% yamatyala) le cyst inokuphinda ivele. Ke ngoko, nokuba sele iphiliswe, lumka ukuba ezi mpawu zikhankanyiweyo ziyavela kwakhona. Ukuba uziva into efana nale, bona ugqirha ngokukhawuleza.

Ngaba oku kungabeka ubomi esichengeni? Ngaba le yimeko engxamisekileyo?

Ewe, oku kungabeka ubomi esichengeni ukuba akunyangwa ngendlela efanelekileyo. Yiyo loo nto sisithi masifune unyango kwangoko nje xa iimpawu ziqala.

Ngokuqinisekileyo, 'ithumba eliphuma emqolo' yingxamiseko yezonyango.Kuba oku kungayivala ngokupheleleyo intamo yakho kwaye kuthintele ukuhanjiswa kweoksijini. Musa ukulinda ude ufikelele kwelo nqanaba, bonana nogqirha ngoko nangoko.

Ndingazinyamekela njani? (Ukuzinyamekela emva konyango)

Sela onke amayeza okubulala iintsholongwane amiselwe ngugqirha wakho, kanye njengoko eyalelwe, de ufikelele kwinqanaba lokugqibela . Nokuba uzive ungcono kancinci, sela lonke ixesha lonyango. Amathumba e-Retropharyngeal anokuphinda avele, ngoko ke ukuthatha amayeza akho ngokuchanekileyo kunokunciphisa umngcipheko.

Yintoni umahluko phakathi kwe-'retropharyngeal abscess' kunye ne-'peritonsillar abscess'?

Zombini ezi zizilonda ezithi zivele emqaleni, kodwa kukho umahluko omncinci.

• Ithumba eliphuma emqolo: Eli thumba likhula kwindawo enzulu kufutshane nodonga olungasemva lomqala.
• Ithumba elingaphakathi kwesisu: Oku kuvela kufutshane neetoni.

Zombini zibangelwa zizifo, kwaye unyango lufana kakhulu - oko kukuthi, ukunika amayeza okubulala iintsholongwane, kwaye ukuba kuyimfuneko, ukukhupha ubovu.

Okokugqibela, eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

'Ithumba eliphuma emqolo' yingqokelela yobovu obungaphakathi emqaleni. Olu ayilosulelo luqhelekileyo olunokunyangeka ekhaya . Luthathwa njengengxamiseko yezonyango kuba lunokuvala indlela yomoya kwaye lusasaze usulelo kwamanye amalungu omzimba.

Ngoko ke, ukuba wena okanye umntwana wakho ninezi mpawu, nceda ungalibazisi ukufuna unyango . Funa ingcebiso kagqirha ngokukhawuleza. Okukhona uqala amayeza okubulala iintsholongwane ngokukhawuleza, kokukhona amathuba akho okususa ithumba, ukuthintela iingxaki ezinkulu, kunye nokuphola ngokukhawuleza.

Ithumba le - Retropharyngeal, Ithumba le-Retropharyngeal, Ithumba lomphimbo, Ukosuleleka komphimbo, Izifo zabantwana, Ubunzima bokuphefumla, Ubunzima bokuginya