Ithumba lePeritonsillar

Ithumba lePeritonsillar iqoqo lezinto ezithelelekile endaweni ezungeze amalaka.

Ithumba lePeritonsillar liyinkinga yamathansela. Kuvame ukubangelwa uhlobo lwama-bacteria abizwa ngokuthi yi-group A beta-hemolytic streptococcus.

Ithumba lePeritonsillar livame ukwenzeka ezinganeni ezindala, ebusheni nasebancane. Isimo asivamile manje ngoba ama-antibiotic asetshenziselwa ukwelapha i-tonsillitis.

Ithoni elilodwa noma womabili atheleleka. Ukutheleleka kuvame ukusakazeka kuzungeze i-tonsil. Ingasakazeka iye entanyeni nasesifubeni. Izicubu ezivuvukile zingavimba indlela yomoya. Lesi yisimo esiphuthumayo esisongela impilo.

Ithumba lingagqashuka livuleke emqaleni. Okuqukethwe kwethumba kungangena emaphashini futhi kubangele inyumoniya.

Izimpawu zamathumba e-peritonsillar zifaka:

• Umkhuhlane namakhaza
• Ubuhlungu obukhulu bomphimbo obuvame ukuba ohlangothini olulodwa
• Ubuhlungu bendlebe ohlangothini lwethumba
• Kunzima ukuvula umlomo, nobuhlungu ngokuvula umlomo
• Izinkinga zokugwinya
• Ukukhipha noma ukwehluleka ukugwinya amathe
• Ukuvuvukala kobuso noma kwentamo
• Imfiva
• Ubuhlungu bekhanda
• Izwi eliminyene
• Izindlala zamathenda zomhlathi nomphimbo

Ukuhlolwa komphimbo kuvame ukukhombisa ukuvuvukala kolunye uhlangothi nasophahleni lomlomo.

I-uvula ngemuva komphimbo ingahle isuswe kude nokuvuvukala. Intamo nomphimbo kungenzeka ubomvu futhi uvuvukele kolunye noma ezinhlangothini zombili.

Ukuhlolwa okulandelayo kungenziwa:

• Ukufuthwa kwethumba usebenzisa inaliti
• Iskena se-CT
• I-fiber optic endoscopy ukubheka ukuthi umgwaqo uvaliwe yini

Ukutheleleka kungaphathwa ngama-antibiotic uma kusheshe kwabanjwa. Uma ithumba selithuthukile, kuzodingeka likhishwe ngenaliti noma ngokulisika livuleke. Uzonikezwa umuthi wezinhlungu ngaphambi kokuba lokhu kwenziwe.

Uma ukutheleleka kunzima kakhulu, amalaka azosuswa ngasikhathi sinye ithumba likhishwa, kepha lokhu akuvamile. Kulokhu, uzoba ne-anesthesia ejwayelekile ngakho-ke uzobe ulele futhi ungenazinhlungu.

Ithumba lePeritonsillar liyaphela nokwelashwa ezimweni eziningi. Ukutheleleka kungabuya ngokuzayo.

Izinkinga zingafaka:

• Ukuvinjelwa komoya
• I-cellulitis yomhlathi, intamo, noma isifuba
• I-Endocarditis (engavamile)
• Uketshezi oluzungeze amaphaphu (i-pleural effusion)
• Ukuvuvukala okuzungeze inhliziyo (i-pericarditis)
• Inyumoniya
• I-Sepsis (ukutheleleka egazini)

Shayela umhlinzeki wakho wezempilo ngokushesha uma uke waba ne-tonsillitis futhi uba nezimpawu zethumba le-peritonsillar.

Shayela umhlinzeki wakho uma une:

• Izinkinga zokuphefumula
• Inkinga yokugwinya
• Ubuhlungu esifubeni
• Umkhuhlane oqhubekayo
• Izimpawu eziba zimbi kakhulu

Ukwelashwa okusheshayo kwe-tonsillitis, ikakhulukazi uma kubangelwa amagciwane, kungasiza ukuvimbela lesi simo.

Quinsy; Ithumba - peritonsillar; Amathumba - ithumba

• Uhlelo lweLymphatic
• Ukwakheka komphimbo

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.