I-Retropharyngeal Abscess: Okudingeka Ukwazi

-Delile

• Ziyini izimpawu?
• Yini ebangela ithumba le-retropharyngeal?
• Ubani osengozini?
• Litholwa kanjani ithumba le-retropharyngeal?
• Izinketho zokwelashwa
• Ingabe zikhona izinkinga ezingaba khona?
• Uyini umbono?
• Ungalivikela kanjani ithumba le-retropharyngeal

Ingabe lokhu kuvamile?

Ithumba le-retropharyngeal yisifo esibi kakhulu entanyeni, esivame ukutholakala endaweni engemuva komqala. Ezinganeni, imvamisa iqala kuma-lymph node emphinjeni.

Ithumba le-retropharyngeal alivamile. Ngokuvamile kwenzeka ezinganeni ezingaphansi kweminyaka eyisishiyagalombili, noma kungathinta nezingane ezindala nabantu abadala.

Lokhu kutheleleka kungavela ngokushesha, futhi kungaholela ezinkingeni ezinkulu. Ezimweni ezinzima, i-retropharyngeal abscess ingaholela ekufeni.

Ziyini izimpawu?

Lokhu ukutheleleka okungavamile okungaba nzima ukukuthola.

Izimpawu zamathumba e-retropharyngeal zifaka:

• ubunzima noma ukuphefumula okunomsindo
• ubunzima bokugwinya
• ubuhlungu lapho ugwinya
• ukumunca amathe
• imfiva
• ukukhwehlela
• ubuhlungu obukhulu bomphimbo
• ukuqina kwentamo noma ukuvuvukala
• imisipha entanyeni

Uma uhlangabezana nenye yalezi zimpawu, noma uzibona enganeni yakho, thintana nodokotela wakho. Funa usizo lwezokwelapha ngokushesha uma unenkinga yokuphefumula noma ukugwinya.

Yini ebangela ithumba le-retropharyngeal?

Ezinganeni, izifo eziphezulu zokuphefumula zivame ukwenzeka ngaphambi kokuqala kwethumba le-retropharyngeal. Isibonelo, ingane yakho ingaqala ukuzwa ukutheleleka okuphakathi kwendlebe noma kwesono.

Ezinganeni ezindala nakubantu abadala, ithumba le-retropharyngeal livame ukwenzeka ngemuva kohlobo oluthile lokuhlukumezeka endaweni. Lokhu kungafaka ukulimala, inqubo yezokwelapha, noma umsebenzi wamazinyo.

Amagciwane ahlukile angadala ithumba lakho le-retropharyngeal. Kuvamile ukuthi kube khona uhlobo olungaphezu kolulodwa lwama-bacteria.

Ezinganeni, amagciwane ajwayelekile kakhulu ekuthelelekeni yiStreptococcus, iStaphylococcus, nezinye izinhlobo zebhaktheriya zokuphefumula. Okunye ukutheleleka, njenge-HIV kanye nesifo sofuba nakho kungadala ithumba le-retropharyngeal.

Abanye baxhumanise ukukhuphuka kwamacala ethumba le-retropharyngeal nokwanda kwamuva kwe-MRSA, ukutheleleka kwe-staph anti-antibiotic.

Ubani osengozini?

Ithumba le-Retropharyngeal livela kakhulu ezinganeni ezineminyaka ephakathi kwemibili kuya kwemine.

Izingane ezincane zisengozini yokungenwa yileli gciwane ngoba zinama-lymph node emphinjeni angatheleleka. Njengoba ingane encane ikhula, la ma-lymph node aqala ukwehla. Ama-lymph node ajwayelekile kakhulu lapho ingane ineminyaka eyisishiyagalombili ubudala.

Ithumba le-Retropharyngeal nalo livame kakhulu kwabesilisa.

Abantu abadala abanamasosha omzimba abuthakathaka noma abanesifo esingelapheki nabo basengozini eyengeziwe yalesi sifo. Lezi zimo zifaka:

• ukuphuza ngokweqile
• isifo sikashukela
• umdlavuza
• Ingculaza

Litholwa kanjani ithumba le-retropharyngeal?

Ukuze wenze ukuxilongwa, udokotela wakho uzokubuza ngezimpawu zakho kanye nomlando wezokwelapha osheshayo.

Ngemuva kokwenza ukuhlolwa komzimba, udokotela wakho angalawula ukuhlolwa kwe-imaging. Ukuhlolwa kungafaka i-X-ray noma i-CT scan.

Ngaphezu kokuhlolwa kwe-imaging, udokotela wakho angaphinde a-oda ukubalwa kwegazi okuphelele (i-CBC), kanye nesiko legazi. Lezi zivivinyo zizosiza udokotela wakho ukuthi anqume ubukhulu nezimbangela zokutheleleka, futhi anqande ezinye izimbangela zezimpawu zakho.

Udokotela wakho angabonisana nodokotela wezindlebe, ikhala, nomphimbo (ENT) noma omunye uchwepheshe ukuze akusize ngokuxilongwa nokwelashwa kwakho.

Izinketho zokwelashwa

Lezi zifo zivame ukwelashwa esibhedlela. Uma wena noma ingane yakho unenkinga yokuphefumula, udokotela wakho angakunikeza umoya-mpilo.

Ezimweni ezinzima, intubation kungadingeka. Ngale nqubo, udokotela wakho uzofaka ithubhu ku-windpipe yakho ngomlomo noma ngamakhala ukuze ikusize uphefumule. Lokhu kudingekile kuphela uze ukwazi ukuqhubeka nokuphefumula wedwa.

Ngalesi sikhathi, udokotela wakho uzokuphatha nokutheleleka ngemithambo ngemithi elwa namagciwane ebanzi. Ama-antibiotic e-wide-spectrum asebenza ngokumelene nezinto eziningi ezihlukene ngasikhathi sinye. Udokotela wakho cishe uzonikeza i-ceftriaxone noma i-clindamycin yalolu lwazi.

Ngenxa yokuthi ukugwinya kwehliswa ngethumba le-retropharyngeal, uketshezi olufakwa emithanjeni nakho kuyingxenye yokwelashwa.

Ukuhlinzwa ukukhipha ithumba, ikakhulukazi uma umoya uvaliwe, kungadingeka futhi.

Ingabe zikhona izinkinga ezingaba khona?

Uma ishiywe ingalashwa, lesi sifo singasakazekela nakwezinye izingxenye zomzimba. Uma ukutheleleka kusakazeka egazini lakho, kungahle kube nokushaqeka kweseptic nokuhluleka komzimba. Ithumba lingaphinde livimbe indlela yakho yomoya, engaholela ekucindezelekeni kokuphefumula.

Ezinye izinkinga zingafaka:

• inyumoniya
• amahlule egazi emthanjeni wejugular
• i-mediastinitis, noma ukuvuvukala noma ukutheleleka esifubeni ngaphandle kwamaphaphu
• i-osteomyelitis, noma ukutheleleka kwethambo

Uyini umbono?

Ngokwelashwa okufanele, wena noma ingane yakho ungalindela ukululama okugcwele kusuka kuthumba le-retropharyngeal.

Ngokuya ngobukhulu bethumba, ungaba semithini elwa namagciwane amasonto amabili noma ngaphezulu. Kubalulekile ukubuka ukuphindeka kwanoma yiziphi izimpawu. Uma izimpawu zibuya, funa ukunakekelwa kwezokwelapha ngokushesha ukuze unciphise ubungozi bezinkinga.

Ithumba le-Retropharyngeal liphindaphinda kubantu abalinganiselwa ku-1 kuya ku-5%. Abantu abane-abscess ye-retropharyngeal banamathuba angama-40 kuya kwangu-50 amathuba okufa ngenxa yezinkinga ezihlobene nethumba. Ukufa kuvame kakhulu kubantu abadala abathintekile kunezingane.

Ungalivikela kanjani ithumba le-retropharyngeal

Ukwelashwa okusheshayo kwanoma yikuphi ukutheleleka okuphezulu okuphefumulayo kuzosiza ukuvimbela ukuthuthukiswa kwethumba le-retropharyngeal. Qiniseka ukuthi uqeda inkambo ephelele yanoma imiphi imiyalo yama-antibiotic ukuze uqiniseke ukuthi ukutheleleka kwakho kwelashwa ngokuphelele.

Thatha kuphela ama-antibiotic uma unqunywe udokotela. Lokhu kungasiza ekuvimbeleni izifo ezingamelana nemithi elwa namagciwane njenge-MRSA.

Uma wena noma ingane yakho nihlukumezekile endaweni yokutheleleka, qiniseka ukuthi ulandela yonke imiyalo yokwelashwa. Kubalulekile ukubika noma yiziphi izinkinga kudokotela wakho futhi uye kukho konke ukuqokwa okulandelwayo.