Ingabe kukhona ukutheleleka okujulile ngemuva komphimbo wakho? Ake sifunde ngaleli 'thumba le-Retropharyngeal'!

Ingabe wena noma ingane yakho encane ikuthola kunzima ukugwinya ukudla? Ingabe unesifo somphimbo esibuhlungu kakhulu, mhlawumbe ngisho nobunzima bokuphefumula? Ngakho-ke, lokhu kumayelana nesimo okufanele sisiqaphele kakhulu ngezikhathi ezinjalo, esingaba sibi kakhulu, kodwa esingelapheka uma siqashelwa futhi selashwa kusenesikhathi. Namuhla sizokhuluma ngento ebizwa ngokuthi 'i-Retropharyngeal Abscess' .

Iyini le 'Retropharyngeal Abscess'? Kalula nje...

Kalula nje, 'ithumba le-retropharyngeal' liqoqo lobomvu obujulile emphinjeni wakho, eduze kodonga lwangemuva lomphimbo wakho. Uma sikhuluma iqiniso, kwenzeka lapho ukutheleleka ngamagciwane kungena kuma-lymph node emphinjeni wakho. Ubuwazi ukuthi la ma-lymph node ayingxenye yesimiso somzimba wakho sokuzivikela? Asiza ekulweni nokutheleleka. Ngakho-ke, uma unegciwane, la ma-node angavuvukala, abe buhlungu, futhi ngezinye izikhathi ubomvu bungakheka.

Lokhu akuyona nje inkinga yomphimbo nje, kuyisimo esibucayi esidinga usizo lwezokwelapha ngokushesha . Nakuba kuvame kakhulu ezinganeni ezincane, empeleni kungathinta noma ubani wanoma yimuphi ubudala.

Obani abathinteka kakhulu yilesi simo? Abancane?

Yebo, lesi simo esibizwa ngokuthi 'i-retropharyngeal abscess' sivame ukubonakala ezinganeni ezincane eziphakathi kweminyaka emi-2 nengu-4. Isizathu salokhu ukuthi kule minyaka, ama-lymph node emphinjeni wezingane makhulu. Ngakho-ke, asengozini enkulu yokutheleleka. Njengoba sikhula, la ma-lymph node ayancipha kancane kancane. Bese ingozi yokuthola ama-abscesses anjalo iyancipha.

Okunye ukuthi kuthiwa lesi simo sivame kakhulu kubafana kunamantombazane.

Ivame kangakanani 'ithumba le-retropharyngeal'? Kungani likhula?

Empeleni lesi akusona isimo esivamile kakhulu. Kodwa-ke, eminyakeni engama-20 edlule noma ngaphezulu, kube nokwanda okuncane kwenani lamacala abikiwe phakathi kwezingane ezincane kanye nabantu abadala. Ezinye izifundo ziphakamisa ukuthi lokhu kungase kuhlobane nokwanda kwamacala e- tonsillitis , ukutheleleka kwama-tonsil emphinjeni. Ama-tonsil ayizicubu ezimbili ezitholakala nhlangothi zombili zomphimbo.

Esinye isizathu kucatshangwa ukuthi ukwanda kokutheleleka kwe -MRSA , uhlobo lwebhaktheriya elingamelani nama-antibiotic athile.

Ziyini izimpawu zalokhu? Ukubona kanjani?

Izimpawu ezivame kakhulu zalesi simo ubunzima bokugwinya ukudla nokuphuza kanye nomphimbo obuhlungu . Ngaphezu kwalokho, kungase kube nezinye izimpawu ezifana nalezi:

• Umphimbo obuhlungu kakhulu: Njengomphimbo obuhlungu.
• Ama-nipples avuvukele: Izinhlangothi zentamo zingase zizwakale njengezigaxa uma zithintwa.
• Ubunzima bokuphefumula:Ungase uzwakale umsindo lapho uphefumula, futhi ungase uzizwe ucindezekile.
• Ubunzima bokukhuluma: Izwi lakho lingashintsha futhi ungase ube nobunzima bokukhuluma.
• Ukwenza umsindo lapho uphefumula: njengomsindo wokuhona.
• Ikhanda elibuhlungu kakhulu.
• Intamo eqinile, ubunzima bokujika intamo.
• Ukukhwehlela.
• Imfiva.

Uma ingane encane inalesi simo, ingase ingabi nakuthula futhi ithukuthele . Ingase ikhiphe amathe ngoba ayikwazi ukugwinya ukudla. Uma ingane ibambe intamo yayo ngendlela engavamile (njengokungathi yenza kube lula ukuphefumula), kusho ukuthi ayitholi umoya owanele wokuphefumula.

Uma unesinye noma ngaphezulu salezi zimpawu, kufanele nakanjani ubone udokotela ngokushesha . Lesi akusona isimo esihle sokuhlala ekhaya.

Yiziphi izinkinga ezingaba khona uma zingelashwa? Ingabe lokhu kuyingozi?

Yebo, ithumba le-retropharyngeal liyisimo esibi kakhulu . Isizathu esiyinhloko salokhu indawo lapho ithumba likhona. Uma lingelashwa kahle, ithumba lingakhula futhi livale indlela yakho yokuphefumula , okwenza kube nzima kakhulu ukuphefumula. Futhi, ukutheleleka kungasakazekela egazini nakwezinye izitho eziseduze, okubangela izinkinga ezisongela ukuphila.

Izinkinga ezinjalo zingaba khona:

• Ukuvaleka komoya.
• I-Aspiration pneumonia: I-pneumonia ebangelwa ukuhogela ubomvu noma ezinye izinto emgudwini wokuphefumula .
• Ukuvuvukala nokuvuvukala kwesifuba.
• Amahlule egazi emithanjeni eyinhloko yentamo (ikakhulukazi imithambo ye-jugular).
• Ukusabalala kokutheleleka ezicutshini nasezithweni ezizungezile, njengamaphaphu.
• Ukushaqeka kwe-Septic yisimo esibangelwa ukusabalala kokutheleleka egazini.

Yingakho sithi ungakuthathi kalula lokhu bese ucela ukwelashwa ngokushesha.

Yiziphi izimbangela 'ze-retropharyngeal abscess'? Ingabe ihlukile ezinganeni nakubantu abadala?

Leli thumba lakhiwa lapho ukutheleleka kungena ezindlaleni ze-sebaceous emphinjeni. Bese kuthi lezo zindlala zivuvuke, ziqhume kancane kancane, bese ubomvu buqoqana, bakhe leli 'thumba'. Kodwa-ke, izimbangela zalokhu zihlukile kancane ezinganeni ezincane nakubantu abadala.

• Izingane ezincane: Lesi simo sivame ukuvela ezinganeni ngemva kokutheleleka komgudu wokuphefumula ophezulu. Isibonelo, ukutheleleka kwe-sinus okuba kubi kakhulu ngemva kokutheleleka komkhuhlane noma indlebe. Lokhu kutheleleka kokuqala kusakazekela emathonyeni ngemuva komphimbo, kwakha ithumba.
• Cabanga ukuthi ingane yakho ibilokhu inomkhuhlane kanye nobuhlungu bendlebe izinsuku ezimbalwa. Uma ukutheleleka kungelashwa kahle, kungangena shí emphinjeni bese kubangela into efana nale. Ngakho-ke kubalulekile ukunakekela izingane ezincane noma ngabe zinomkhuhlane.

• Abantu abadala: Imbangela enkulu yalokhu kubantu abadala ukulimala ngemuva komphimbo. Lokhu kulimala kungenzeka lapho into efana nethambo lenhlanzi noma ithambo lenkukhu inamathela emphinjeni ngesikhathi idla. Noma kungase kwenzeke njengomphumela wezinto ezifana nokulimala ngemuva komphimbo ngesikhathi sokuhlinzwa kwamazinyo, ukukhishwa kwamazinyo, i-endoscopy, noma ukufakwa kwepayipi.

Ingabe lokhu kubangelwa yigciwane noma igciwane?

Lokhu kutheleleka kuvame ukubangelwa inhlanganisela yamagciwane, hhayi elilodwa kuphela . Amanye amagciwane angabangela ithumba le-retropharyngeal afaka:

• `I-Streptococcus pyogenes`
• `I-Staphylococcus aureus` (lokhu kufaka phakathi uhlobo olumelana namagciwane olubizwa ngokuthi `i-MRSA`)
• `Ama-bacteriide`
• `Ama-Fusobacteria`
• `I-Peptostreptococcus`
• `Ama-Porphyromonas`
• `I-Prevotella`
• `I-Veillonella`
• `Umkhuhlane we-Haemophilus`

Lokhu kuyinkimbinkimbi kancane, kodwa kubalulekile ukuthi odokotela bakhethe ukwelashwa okufanele.

Odokotela bakuthola kanjani lokhu?

Uma ubona udokotela, uzoqala alalele ngokucophelela izimpawu zakho, bese ekwenza ukuhlolwa ngokomzimba. Uzokuhlola umphimbo nentamo yakho.

Ngaphezu kwalokho, ukuhlolwa kwezithombe kungenziwa ukuze kubonakale ukuthi leli 'thumba' likhona yini nokuthi likhulu kangakanani.

• Isibonelo, kungenziwa i-X-ray noma i-CT scan . I-CT scan ingabonisa ithumba ngokucacile.

Futhi, kwenziwa ukuhlolwa kwegazi .

• Uma kwenziwa ukubalwa kwegazi okuphelele (i-CBC) , uma kukhona ukutheleleka emzimbeni, inani lamaseli amhlophe egazi lizokhuphuka.
• Ngezinye izikhathi ukuhlolwa kokukhuliswa kwamagciwane kwenziwa kusetshenziswa ama-swab omphimbo ukuze kutholakale ukuthi hlobo luni lwegciwane olubangela ukutheleleka.

Uzovame ukuthunyelwa kuchwepheshe wezindlebe, impumulo, nomphimbo (uchwepheshe we-ENT) ukuze axilongwe futhi aphathwe.

Yiziphi izindlela zokwelapha 'i-retropharyngeal abscess'? (Ukwelashwa)

Ngenxa yokuthi lokhu kuyisifo esibi kakhulu, kuvame ukwelashwa esibhedlela . Ukwelashwa kunemigomo emibili eyinhloko: ukulawula ukutheleleka, futhi kwezinye izimo, ukukhipha amanzi esikhumbeni.

Okulandelayo yizindlela zokwelapha:

• Ama-antibiotic:Ukuze kulwiwe nokutheleleka, ama-antibiotic anamandla anikezwa ngemithambo yegazi. Lawa angaba 'ama-antibiotic e-broad-spectrum', okusho ukuthi asebenza ngokumelene nezinhlobo eziningi ezahlukene zamabhaktheriya. Uma uhlobo oluthile lwamabhaktheriya lutholakala ekuhlolweni kokukhuliswa kwamabhaktheriya, i-antibiotic ethile inganikezwa ukuze yelashwe.
• Ukuhlinzwa: Akuwona wonke umuntu odinga ukuhlinzwa. Kodwa-ke, uma ithumba likhulu futhi likuvimba ukuphefumula, udokotela wakho angase anqume ukwenza ukuhlinzwa ukuze kususwe ithumba. Phakathi nalokhu kuhlinzwa, kufakwa ipayipi lokuphefumula ukuze likusize uphefumule. Ngemuva kwalokho, ithumba liyasikwa bese ubomvu obungaphakathi bukhishwa amanzi.

Kuye ngokuthi ithumba livale kangakanani indlela yakho yokuphefumula, ungase unikezwe umoya-mpilo ngesikhathi usesibhedlela. Uma unenkinga yokugwinya, ungase unikezwe usawoti (i-IV fluids) ukuze uvimbele ukuphelelwa amanzi emzimbeni.

Ngisho nangemva kokuphuma esibhedlela, kuzodingeka uqhubeke nokuthatha ama-antibiotic omlomo izinsuku ezimbalwa ukuqinisekisa ukuthi ukutheleleka kwelapheka ngokuphelele futhi akuphinde kubuye.

Yimaphi ama-antibiotic avame ukunqunywa?

Amanye ama-antibiotic asetshenziswa ukwelapha i-retropharyngeal abscess yile:

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

Lena imithi enqunywe udokotela.

Yini esingayenza ukuze sizivikele kulesi simo? (Ukuvimbela)

Nakuba kungekho ndlela yokukuvimbela ngokuphelele, kunezinto ongazenza ukuze unciphise ingozi.

• Uma ingane yakho igula, ikakhulukazi uma inegciwane lokuphefumula eliphezulu (njengomkhuhlane, ubuhlungu bendlebe, i-sinusitis), ungalibali ukufuna ukwelashwa . Funa iseluleko sikadokotela ngokushesha.
• Uma nje ubona izimpawu ze-retropharyngeal abscess (kuwe noma enganeni yakho) , zithathe ngokungathi sína bese ubona udokotela ngokushesha . Lokhu kungasiza ekuvimbeleni izinkinga.

Kwenzekani uma unesifo 'sokuphuka kwesisu'? Ingabe sizophola?

Uma ukwelashwa okufanele, izinga lokululama liphezulu kakhulu. Ukutheleleka kungelapheka ngokuphelele ngokunikeza ama-antibiotics, futhi uma kudingeka, ukukhipha ubomvu.

Kodwa-ke, akuvamile kakhulu (kubikwa ukuthi ku-1% - 5% wamacala) lesi simila singaphinde sibuye. Ngakho-ke, ngisho nangemva kokuphulukiswa, qaphela uma izimpawu ezibalwe ngenhla ziphinde zivele. Uma uzizwa kanje, bona udokotela ngokushesha.

Ingabe lokhu kungaba yingozi empilweni? Ingabe lokhu kuyisimo esiphuthumayo?

Yebo, lokhu kungaba yingozi empilweni uma kungelashwa ngendlela efanele. Yingakho sithi kufanele ufune ukwelashwa ngokushesha nje lapho izimpawu ziqala.

Ngokuqinisekile, 'ithumba le-retropharyngeal' liyisimo esiphuthumayo sezokwelapha.Ngoba lokhu kungavimba umphimbo wakho ngokuphelele futhi kuqede ukutholakala komoya-mpilo. Ungalindi uze ufike kulelo qophelo, bona udokotela ngokushesha.

Ngizinakekela kanjani? (Ukuzinakekela ngemva kokwelashwa)

Thatha wonke ama-antibiotic owanikezwe udokotela wakho, njengoba nje uyalelwe, kuze kube yilapho usuqedile . Ngisho noma uzizwa ungcono kancane, thatha yonke imithi. Amathumba e-retropharyngeal angaphinde avele, ngakho-ke ukuthatha imithi yakho ngendlela efanele kunganciphisa ingozi.

Uyini umehluko phakathi 'kwe-retropharyngeal abscess' kanye 'ne-peritonsillar abscess'?

Zombili lezi zithumba ezakheka emphinjeni, kodwa kunomehluko omncane.

• Ithumba le-retropharyngeal: Lokhu kuvela endaweni ejulile eduze kodonga lwangemuva lomphimbo.
• Ithumba le-peritonsillar: Lokhu kuvela eduze kwama-tonsils.

Kokubili kubangelwa ukutheleleka, futhi izindlela zokwelapha ziyafana kakhulu - okungukuthi, ukunikeza ama-antibiotics, futhi uma kudingeka, ukukhipha ubomvu.

Okokugcina, into ebaluleke kakhulu okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

'Ithumba le-retropharyngeal' liqoqo lobomvu obujulile emphinjeni. Lokhu akuyona isifo esivamile esingelashwa ekhaya . Sibhekwa njengesimo esiphuthumayo sezokwelapha ngoba singavimba indlela yokuphefumula futhi sisakaze lesi sifo kwezinye izitho zomzimba.

Ngakho-ke, uma wena noma ingane yakho ninalezi zimpawu, sicela ningalibali ukufuna ukwelashwa . Funa iseluleko sezokwelapha ngokushesha okukhulu. Uma uqala ngokushesha ama-antibiotic, amathuba akho okuqeda ithumba, ukuvimbela izinkinga ezinkulu, nokululama ngokushesha ayanda.

Ithumba le - Retropharyngeal, Ithumba le-Retropharyngeal, Ithumba lomphimbo, Ukutheleleka komphimbo, Izifo zezingane, Ubunzima bokuphefumula, Ubunzima bokugwinya