Kutupa kwapadera

Abscess Retropharyngeal ndi mndandanda wa mafinya mu zimakhala kumbuyo kwa mmero. Zitha kukhala zoopsa pangozi zamankhwala.

Thumba la retropharyngeal nthawi zambiri limakhudza ana osakwana zaka 5, koma limatha kuchitika msinkhu uliwonse.

Matenda opatsirana (mafinya) amamangika pamalo ozungulira minyewa kumbuyo kwa mmero. Izi zimatha kuchitika nthawi yayitali kapena patangopita nthawi yochepa kuchokera pakhosi.

Zizindikiro zake ndi izi:

• Kupuma kovuta
• Zovuta kumeza
• Kutsetsereka
• Kutentha kwakukulu
• Phokoso lamphamvu kwambiri mukamakoka mpweya (stridor)
• Minofu pakati pa nthiti imakoka mukamapuma (intercostal retriers)
• Kupweteka kwapakhosi
• Zovuta kutembenuza mutu

Wopereka chithandizo chamankhwala ayesa thupi ndikuyang'ana m'khosi. Wothandizirayo atha kusisita pakhosi pake ndi swab ya thonje. Izi ndikutenga nyemba kuti muwone bwino. Amatchedwa chikhalidwe cha mmero.

Mayesero ena atha kuphatikizira:

• Kuwerengera kwathunthu kwa magazi (CBC)
• Kujambula kwa CT kwa khosi
• X-ray ya m'khosi
• CHIKWANGWANI chamawonedwe endoscopy

Kuchita opaleshoni kumafunika kukhetsa malo omwe ali ndi kachilomboka. Ma Corticosteroids nthawi zina amaperekedwa kuti achepetse kutupa kwa panjanji. Maantibayotiki amtundu wapamwamba amaperekedwa kudzera mumitsempha (intravenous) yothandizira matendawa.

Njirayo itetezedwa kuti isamadzimitse kwathunthu ndikutupa.

Ndikofunika kupeza chithandizo chamankhwala nthawi yomweyo. Vutoli limatha kubweretsa kutsekeka kwa njira yapaulendo. Izi zikuwopseza moyo. Mukalandira chithandizo mwachangu, mukuyembekezeredwa kuchira kwathunthu.

Zovuta zingaphatikizepo:

• Kutsekeka kwa ndege
• Kutulutsa
• Mediastinitis
• Osteomyelitis

Itanani omwe akukuthandizani ngati inu kapena mwana wanu mukudwala malungo akulu ndikumva kupweteka kwapakhosi.

Pezani chithandizo chamankhwala nthawi yomweyo ngati muli:

• Vuto lakupuma
• Phokoso lakumapumira kwambiri (stridor)
• Kuchotsa minofu pakati pa nthiti popuma
• Zovuta kutembenuza mutu
• Zovuta kumeza

Kuzindikira msanga komanso kuchiza pakhosi kapena matenda opuma opuma kumatha kuteteza vutoli.

• Kutupa kwa pakhosi
• Oropharynx

Melio FR. Matenda opatsirana apamwamba. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 65.

Meyer A. Matenda opatsirana a ana. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: mutu 197.

Pappas DE, Hendley JO. Thumba la retropharyngeal abscess, lateral pharyngeal (parapharyngeal) abscess, ndi peritonsillar cellulitis / abscess. Mu: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 20th. Philadelphia, PA: Elsevier; 2016: chap 382.