Retropharyngeal abscess: Zizindikiro ndi Njira Chithandizo

Abscess - ndi yotupa ndondomeko, amene anatsagana ndi mapangidwe a filimu pa purulent zimakhala. Retropharyngeal abscess chomwecho ndi matenda a mwanabele, chifukwa chitukuko cha ndondomeko yotupa mu izi ndipo kudzikundikira mafinya. Iwo angayambe monga matenda osiyana, ndipo ngati vuto la matenda ena monga fever, chikuku kapena chimfine HIV. Nthumwi causative likulowerera mu mfundo za lymph mwa ziwalo ENT (khutu, pakhosi, mphuno ndi sinuses).

Malinga ndi kafukufuku, retropharyngeal abscess nthawi zambiri imagwira ana mu m'badwo wa gulu mpaka zaka 5. chifukwa mwina kuti matenda yapita tizilombo kapena matenda, komanso kuwononga makina a m'mphako ya. Abscess zambiri amapezeka pa nsana wa pakhosi, ndi mlingo wa chitukuko cha masiku angapo.

Retropharyngeal abscess akufotokozera mofulumira, zambiri mwa sabata kwathunthu anapanga kutupa m'malo anapanga mafinya. Kuti atsitse wonse symptomatic chithunzi popanda kugwiritsa ntchito mankhwala, ndiye mofulumira kupanga matenda kungakhale kovuta kwambiri. Ngati chifukwa cha kutupa anatumikira laryngeal zoopsa, chitukuko cha matenda kungakhale kwa miyezi isanu ndi umodzi. Iwo ananenanso njira pang'onopang'ono kwa matenda chitukuko cha matenda venereal monga chindoko; mawu awa anati, TB. Pali milandu pamene nthawi sanathe wapezeka retropharyngeal abscess. Palibe mankhwala kumabweretsa chotupa cha purulent M'mimbamo, ndipo izi zimachitika mwadzidzidzi, ndi mafinya akhoza ikuyenda m'kamwa, mphuno kapena makutu.

zizindikiro

Retropharyngeal abscess amakhala ndi kupuma yosamveka limodzi ndi wheezing. Pankhaniyi, wodwalayo akuti "mphuno", ndiye mawu amakhala mawu, koma kukwaniritsa imfa zake zonse. Kukula kwambiri akulandira abscess, mphamvu za ululu. Kuti atsogolere woyenera wa wodwalayo kuti mapendekeredwe mutu pang'ono oposa ndi chammbali. Wake akunjenjemera kuzizira, lakuthwa auka kutentha, nthawi zina madigiri 40.

Ana ndi laryngeal kutupa kudya Mwamsanga, monga iwo kumva ululu woopsa pamene Pomeza. Lakuthwa ululu kutengeka amachititsa khoma pakhosi kuti kuotcha, kotero chakudya mukhoza kupeza m'mphunomo. Monga ulamuliro, nthumwi causative kutupa ndi mabakiteriya anaerobic ndi thupi, nthawi zambiri amapezeka ndi HIV ndi chifuwa chachikulu. Kunyalanyaza zizindikiro za abscess ndi kungachititse kuti zotsatira zoipa monga mantha septic, asphyxia ndipo ngakhale carotid mtsempha wamagazi chophukacho. N'chifukwa chake Ulendo kwa dokotala, simuyenera kumangitsa.

chithandizo

Retropharyngeal abscess katswiri akhoza oterewa pamaziko a X-ray chifaniziro cha mtima anapanga kuika osiyana. Kupeza chithunzi zonse wodwalayo ayenera kupereka mbali ya mafano m'phuno, komanso wina akapuma ndi exhaling. Ngati yankho lomveka ku deta zilipo sungagulire, ndiye ntchito kompyuta tomography. Phunziro lino amapereka zotsatira zolondola ngakhale mu zinthu zovuta kwambiri.

Retropharyngeal abscess kukula ang'onoang'ono angathe kuchizidwa ndi mankhwala chikhalidwe ndi kupereka mankhwala. Nthawi zambiri, mtundu wa mankhwala analandira mwa ana osaposa zaka 8. Komabe, abscesses kwambiri asonyezedwa opaleshoni, pamene masiku awiri pamaso pa opaleshoni m'pofunika endotracheal intubation.

Monga zowonjezerazo chithandizo zikuluzikulu, mungathe kugwiritsa ntchito maphikidwe kwa mankhwala. Mwachitsanzo, pofuna phindu nembanemba mucous kummero ali uchi. M'pofunika kuchepetsa supuni awiri uchi mu tambula ya madzi ofunda ndi gargle ndi njira kangapo patsiku. Honey ali ndi ululu ndi kuwachiritsa.