Ithumba le-Retropharyngeal

I-retropharyngeal abscess iqoqo lobofu ezicutshini ezingemuva komphimbo. Kungaba yisimo sezempilo esisongela impilo.

Ithumba le-Retropharyngeal livame ukuthinta izingane ezingaphansi kweminyaka engu-5, kepha kungenzeka nganoma yisiphi isikhathi.

Izinto ezithelelekile (ubomvu) zakha esikhaleni esizungeze izicubu ezingemuva komphimbo. Lokhu kungenzeka ngesikhathi noma ngokushesha kakhulu ngemuva kokutheleleka komphimbo.

Izimpawu zifaka:

• Ubunzima bokuphefumula
• Kunzima ukugwinya
• Ukumunca amathe
• Umkhuhlane omkhulu
• Umsindo ophakeme uma uhogela (i-stridor)
• Imisipha ephakathi kwezimbambo iyangena lapho iphefumula (ukuhlehlisa okungaphakathi kwe-intercostal)
• Ubuhlungu obukhulu bomphimbo
• Kunzima ukuguqula ikhanda

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba futhi abheke ngaphakathi emphinjeni. Umhlinzeki angahlikihla ngobumnene emuva komphimbo nge-swab kakotini. Lokhu ukuthatha isampula lezicubu ukulihlola eduze. Ibizwa ngokuthi isiko lomphimbo.

Ezinye izivivinyo zingafaka:

• Qedela ukubalwa kwegazi (CBC)
• I-CT scan entanyeni
• I-X-ray entanyeni
• I-fiber optic endoscopy

Ukuhlinzwa kuyadingeka ukukhipha indawo enegciwane. Ama-Corticosteroids kwesinye isikhathi anikezwa ukunciphisa ukuvuvukala komoya. Ama-antibiotic anomthamo omkhulu anikezwa ngomthambo (ngemithambo yegazi) ukwelapha ukutheleleka.

I-airway izovikeleka ukuze ingavinjelwa ngokuphelele ukuvuvukala.

Kubalulekile ukuthola usizo lwezokwelapha ngokushesha. Lesi simo singaholela ekuvinjweni kwendlela yomoya. Lokhu kusongela impilo. Ngokulashwa ngokushesha, ukululama okugcwele kulindeleke.

Izinkinga zingafaka:

• Ukuvinjelwa komoya
• Ukuphefumula
• I-Mediastinitis
• I-Osteomyelitis

Shayela umhlinzeki wakho uma wena noma ingane yakho iba nomkhuhlane omkhulu onobuhlungu obukhulu bomphimbo.

Thola usizo lwezokwelapha ngokushesha uma une:

• Inkinga yokuphefumula
• Imisindo yokuphefumula ephezulu (i-stridor)
• Ukuhoxa kwemisipha phakathi kwezimbambo lapho uphefumula
• Kunzima ukuguqula ikhanda
• Kunzima ukugwinya

Ukuxilongwa nokwelashwa ngokushesha komphimbo obuhlungu noma ukutheleleka okuphezulu okuphefumula kungavimbela le nkinga.

• Ukwakheka komphimbo
• I-Oropharynx

I-Melio FR. Izifo ezingenhla zokuphefumula. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 65.

Meyer A. Izifo ezithathelwanayo ezinganeni. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 197.

UPappas DE, uHendley JO. Ithumba le-Retropharyngeal, i-lateral pharyngeal (parapharyngeal) abscess, ne-peritonsillar cellulitis / ithumba. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 382.