Ingabe ingane yakho inesifo esingajwayelekile ngemuva komphimbo wayo? Ake sifunde ngalesi sihloko esithi (Retropharyngeal Abscess)!

Ingabe ingane yakho encane inomphimbo obuhlungu, kunzima ukugwinya, noma intamo ebuhlungu? Ngezinye izikhathi akuyona nje umkhuhlane noma umkhuhlane. Namuhla sizokhuluma ngesimo esingathinta izingane ezincane, kodwa esingavamile kakhulu, kodwa kuyinto okufanele sikhathazeke ngayo. Yilokhu odokotela abakubiza ngokuthi "i-Retropharyngeal Abscess".

Iyini ithumba le-retropharyngeal?

Kalula nje, lokhu kusho ukuthi kukhona udonga ngemuva komphimbo wethu, futhi ngemuva kwalolo donga, okungukuthi, ngaphakathi entanyeni, kwakheka iqhubu lobomvu, noma ithumba. Kufana nethumba esikhumbeni sethu, kodwa lokhu kungaphakathi emphinjeni. Lesi akusona isifo esivamile esenzeka kuwo wonke umntwana. Kodwa uma kwenzeka, sivame ukubonakala ezinganeni ezingaphansi kweminyaka emi-5. Ngakho-ke uma ingane yakho incane, kuhle ukuqaphela lokhu kancane.

Kungani kwakheka leli `(i-Retropharyngeal Abscess)`? Ziyini izimbangela?

Kulungile, manje ake sibone ukuthi kungani lokhu kwenzeka. Kungaba nezizathu eziningana eziyinhloko zalokhu.

Ukutheleleka kwama-lymph node

Kunezindlala ezincane ngemuva kwemiphimbo yethu. Sizibiza ngokuthi `(Lymph Nodes)` noma ama-lymph node. Lawa afana nonogada abancane emizimbeni yethu. Lawa `(Lymph Nodes)` asiza ukubamba nokubhubhisa amagciwane angena emzimbeni futhi avimbele izifo.

Kodwa-ke, ngezinye izikhathi lapho inani lamagciwane angena kulezi `(Ama-Lymph Node)` landa, noma lapho amagciwane eba namandla kakhulu, ngisho nalaba balindi abakwazi ukunqoba impi. Yilapho amagciwane, okungukuthi, `(Amabhaktheriya)`, eqala ukukhula futhi avunde ngaphakathi kwalawo `(Ama-Lymph Node)`. Lokhu kubila yilokho esikubiza ngokuthi `(I-Retropharyngeal Abscess)`.

Ngemva kwezinye izifo

Esinye isizathu esivamile sokuba lesi simo senzeke ukuthi ingane yakho kungenzeka ukuthi yayike yaba nokutheleleka okufana nalokhu ngaphambili yabe isilulama kukho:

• Ukutheleleka kwendlebe
• Ukutheleleka komphimbo (Pharyngitis)
• Ukutheleleka kwe-Sinus (i-Sinusitis)

Amanye amagciwane asele kulezi zifo angahamba aye kuma-lymph node ngemuva komphimbo futhi abangele ukuvuvukala lapho. Yingakho odokotela bethi noma izingane ezincane zinomkhuhlane noma umkhuhlane, kufanele zinakekelwe zize ziphole.

Ukulimala emphinjeni noma entanyeni

Enye into ukuthi, ngezinye izikhathi uma kukhona ukulimala entanyeni noma emphinjeni, lesi simo singavela. Cabanga nje, uma ingane encane idlala, igijima noma igxuma, bese ifaka into ebukhali emlonyeni wayo bese inamathela emphinjeni wayo, noma uma intamo yayo ishayeka kakhulu ndawana thize, amagciwane angangena ngaleyo ngozi futhi abangele ithumba elinjengaleli.

Yiziphi izimpawu zalesi simo `(Retropharyngeal Abscess)`? Uyibona kanjani ?

Ekuqaleni, izimpawu zingase zibonakale njengobuhlungu obujwayelekile bomphimbo, ngakho-ke ungase ungacabangi ngokushesha ukuthi "yi-Retropharyngeal Abscess".

Izimpawu zokuqala zingaba:

• Umphimbo obuhlungu
• Ukuba nomkhuhlane
• Ama-lymph node entanyeni angase abe buhlungu uma uwathinta futhi angase azwakale evuvukele kancane.

Kodwa uma zingelashwa, lezi zimpawu zingaba zimbi kakhulu kancane kancane. Qapha ingane yakho eduze nganoma yikuphi kwalokhu okulandelayo:

• Ukuvuza amathe: Lokhu kungenxa yokuthi kunzima ukugwinya hhayi ukudla kuphela kodwa namathe, aphuma emlonyeni ngenxa yomphimbo obuhlungu.
• Ukwenqaba ukudla noma ukuphuza: Ingane yakho ingase ingakwazi ukudla noma ukuphuza ngenxa yobuhlungu obukhulu lapho igwinya. Uma ingane encane yenqaba ukudla, kunenkinga.
• Intamo ibanjwa sengathi iphazamisekile, futhi ayithandi ukuphenduka: Lokhu kungenxa yobuhlungu entanyeni. Kufana nentamo ephukile .
• Intamo ivuvukile, noma izindlala entanyeni zibonakala zivuvukile.
• Bavala imilomo yabo.
• Izwi selihoshozile, noma selishintshe laba yizwi elithule.
• Ubunzima bokuphefumula, ukuphefumula okunomsindo: Lokhu kuyisibonakaliso esiyingozi kakhulu. Uma lokhu kwenzeka, kufanele ubonane nodokotela ngokushesha.
• Ukuthi banesihlungu sesifuba: Izingane ezincane azivamile ukusho ukuthi banesihlungu sesifuba, kodwa qaphela uma kunjalo.

Cabanga nje, uma ingane yakho evame ukuba nenkani ingazelelwe yenqaba ukudla, iphendule intamo yayo eceleni, futhi izwi layo libonakala sengathi lishintshile lapho ikhuluma, ungamane uyithathe njengento ebandayo.

Udokotela usithola kanjani lesi simo ngokunembile (i-Retropharyngeal Abscess)?

Uma uyisa ingane yakho kudokotela, into yokuqala udokotela noma umhlengikazi azokwenza ukukubuza ngezimpawu zengane yakho. Tshela udokotela konke okubonayo. Ngemuva kwalokho bazohlola ngokucophelela umlomo, umphimbo kanye nentamo yengane yakho.

Uma udokotela wakho esola ukuthi une-"Retropharyngeal Abscess", cishe uzokudlulisela kuchwepheshe. Lowo nguchwepheshe we-"Ear, Nose, and Throat" (ENT Specialist).

Ngaphezu kwalokho, kungadingeka ukuthi kwenziwe izivivinyo eziningana ukuqinisekisa ukuxilongwa:

• Ukuhlolwa kwegazi: Hlola ukuthi kukhona yini ukutheleleka emzimbeni nokuthi kuyingozi kangakanani.
• Ama-X-ray: I-X-ray yohlangothi lwentamo inganikeza umbono oqondile wokuthi ithumba likuphi nokuthi likhulu kangakanani.
• I-CT scan: Lokhu kunganikeza isithombe esicacile nesiningiliziwe sendawo lapho ithumba likhona, ubukhulu balo, nokuthi ngabe selisakazekele yini ezindaweni ezizungezile.

Kodwa-ke, akuzona zonke lezi zivivinyo ezizodingeka kuwo wonke umntwana. Udokotela wakho uzonquma ukuthi yiziphi izivivinyo ezifanele futhi ezidingekayo kakhulu kumntwana wakho.

Yiziphi izindlela zokwelapha lokhu? Ingabe kuyinto okufanele uyesabe?

Uma kuqinisekiswa ukuthi kukhona "i-Retropharyngeal Abscess", umntwana kuzodingeka alaliswe esibhedlela futhi aphathwe. Kunzima ukwelapha lokhu ekhaya, njengoba lokhu kungaba yisimo esibi kakhulu.

Izindlela zokwelapha

• Ama-antibiotic e-IV: Odokotela bazokuqala ngama-antibiotic e-IV, anikezwa ngemithambo yegazi. Lawa angena ngqo egazini, ukuze akwazi ukulwa namagciwane ngokushesha futhi alawule ukutheleleka.
• Ukukhipha Amanzi Ngokuhlinzwa: Ngezinye izikhathi, kudingeka inqubo encane yokuhlinzwa ebizwa ngokuthi i-drain ukuze kususwe ubomvu obuqongelelekile. Akuwona wonke umuntu odinga ukuhlinzwa. Odokotela bangase banqume ukwenza ukuhlinzwa ezimweni ezilandelayo:
• Uma ingane inenkinga yokuphefumula.
• Uma lelo thumba likhulu kakhulu.
• Uma kungekho ukuthuthuka kwezimpawu ngemva kosuku noma ezimbili zokusebenzisa ama-antibiotic.
• Ipayipi lokuphefumula: Uma ingane yakho inenkinga yokuphefumula, odokotela bangafaka ipayipi elikhethekile elibizwa ngokuthi ipayipi lokuphefumula ngaphambi noma ngesikhathi sokuhlinzwa ukuze liyisize iphefumule. Lokhu kugcina indlela yokuphefumula ivulekile futhi kuvumela ingane ukuthi ithole umoya-mpilo eyidingayo.

Ngemva kwezinsuku ezimbalwa zokusebenzisa imithi ye-IV, lapho isimo somntwana sithuthuka, ungashintsha usebenzise ama-antibiotic omlomo. Ngemva kwalokho, kufanele uqhubeke nokunikeza imithi ekhaya, ngesikhathi, izinsuku eziningi njengoba udokotela wakho ekutshelile. Kubaluleke kakhulu ukuqedela inkambo yemithi.

Nakuba lokhu kwelashwa kungase kubonakale kuyesabisa kancane, uma kwelashwa kahle nangesikhathi, lesi simo singalapheka ngokuphelele. Ngakho ungakhathazeki ngokungadingekile. Vumela odokotela benze umsebenzi wabo.

Isikhathi sokuqala sokubonana nodokotela sinini?

Uma ingane yakho inomphimbo obuhlungu kanye nomkhuhlane, ungamane nje ungayinaki futhi ngokuqinisekile uyiyise kudokotela, ikakhulukazi uma iyingane encane.

Kodwa uma unezinye zalezi zimpawu, kufanele uziyise esibhedlela esiseduze ngokushesha:

• Uma unomkhuhlane ophezulu (isimo esinganciphi kahle ngisho nangemva kokuthatha umuthi wokwehlisa umkhuhlane).
• Uma unamathe amaningi emlonyeni wakho , njengokungathi awukwazi ukugwinya lutho.
• Uma intamo ijijekile ohlangothini olulodwa futhi ingenakuphendulwa (Intamo eqinile).
• Uma kubonakala sengathi unenkinga yokuphefumula, noma uma wenza imisindo engavamile ngenkathi uphefumula.

Ngesikhathi esinjengalesi , ungalindi nje ubone, ngizomthatha kusasa ekuseni. Ukufuna iseluleko sezokwelapha ngokushesha okukhulu kuyinto engcono kakhulu ongayenza ngengane yakho.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okufanele uzikhumbule kulokho esikhulume ngakho?

Ngakho-ke, sikhulume kakhulu ngalesi simo esibizwa ngokuthi `(Retropharyngeal Abscess)`. Kumelwe ukuba kwakuthusa kancane ukuzwa. KodwaLesi yisifo esingelapheka ngokuphelele uma sitholakale kusenesikhathi futhi selashwa ngokushesha. Yilokho okubaluleke kakhulu.

• Uma ingane yakho encane inomphimbo obuhlungu, umkhuhlane, ubunzima bokugwinya, kanye nobuhlungu bentamo izinsuku eziningana zilandelana, ungacabangi nje ukuthi umkhuhlane. Cabanga kabili, ikakhulukazi uma ingane yakho ingaphansi kweminyaka emi-5 ubudala.
• Bonana nodokotela ngokushesha bese uthola iseluleko. Ungazami ukuzelapha.
• Uma unezimpawu ezinzima njengobunzima bokuphefumula, ukuqunjelwa amathe ngokweqile, ubuhlungu obenza kube nzima ukujika intamo yakho, noma ukushintsha kwezwi lakho, yisa ingane yakho esibhedlela ngokushesha.
• Landela ukwelashwa okunikezwa odokotela njengoba besho. Ikakhulukazi umuthi we-`(Antibiotics)`, unikeze ngesikhathi esifanele nangesilinganiso esifanele. Ungayeki phakathi nendawo.
• Uma uneminye imibuzo mayelana nalesi simo, buza udokotela wakho.

Okokugcina, njengomama noma ubaba, umuzwa wakho wamathumbu ubaluleke kakhulu kunokuhlakanipha kwakho. Uma ubona noma yiziphi izinguquko ezingavamile ekuziphatheni noma empilweni yengane yakho, khathazeka. Ukuthatha isinyathelo esisheshayo kungasindisa ingane yakho ezinkingeni eziningi.

Ithumba le -Retropharyngeal, Ukutheleleka Komphimbo, Ukwelashwa Kwezingane, Ukutheleleka Komphimbo, Ubunzima Bokuphefumula, Ama-antibiotic, Uchwepheshe We-ENT