Kuphulika kwa peritonsillar

Phulusa la Peritonsillar ndi mndandanda wa zinthu zomwe zili ndi kachilombo m'dera lozungulira ma tonsils.

Phulusa la peritonsillar ndi vuto la zilonda zapakhosi. Nthawi zambiri amayamba chifukwa cha mtundu wa mabakiteriya otchedwa gulu A beta-hemolytic streptococcus.

Phulusa la peritonsillar limapezeka kwambiri mwa ana okulirapo, achinyamata, komanso achikulire. Vutoli silikupezeka tsopano pomwe maantibayotiki amagwiritsidwa ntchito pochiza zilonda zapakhosi.

Matani amodzi kapena onse awiri amatenga kachilomboka. Matendawa nthawi zambiri amafalikira kuzungulira tonsil. Itha kufalikira mpaka m'khosi ndi pachifuwa. Matenda otupa amatha kutseka panjira. Izi ndi ngozi zoopsa zachipatala.

Thumba limatha kutseguka pakhosi. Zomwe zili mu abscess zimatha kuyenda m'mapapo ndikupangitsa chibayo.

Zizindikiro za peritonsillar abscess ndi monga:

• Malungo ndi kuzizira
• Kupweteka kwapakhosi komwe kumakhala mbali imodzi
• Kumva khutu kumbali ya abscess
• Zovuta kutsegula pakamwa, ndi ululu ndikatsegula pakamwa
• Kumeza mavuto
• Kuthira kapena kulephera kumeza malovu
• Kutupa nkhope kapena khosi
• Malungo
• Mutu
• Mawu omangika
• Zofewa za nsagwada ndi mmero

Kupima pakhosi nthawi zambiri kumawonetsa kutupa mbali imodzi komanso padenga pakamwa.

Uvula kumbuyo kwa mmero ikhoza kusunthira kutali ndi kutupa. Khosi ndi pakhosi zitha kukhala zofiira komanso zotupa mbali imodzi kapena mbali zonse ziwiri.

Mayesero otsatirawa akhoza kuchitika:

• Kutulutsa kwa abscess pogwiritsa ntchito singano
• Kujambula kwa CT
• CHIKWANGWANI chamawonedwe endoscopy kuti muwone ngati njira yapaulendo ndiyotsekedwa

Matendawa amatha kulandira mankhwala opha tizilombo ngati agwidwa msanga. Ngati chithupsa chatuluka, chimafunika kuthiridwa ndi singano kapena kuchidula. Mudzapatsidwa mankhwala opweteka izi zisanachitike.

Ngati matendawa ndi owopsa, ma tonsils amachotsedwa nthawi yomweyo abscess imakhetsa, koma izi ndizochepa. Pachifukwa ichi, mudzakhala ndi anesthesia ambiri kotero kuti mudzakhala mukugona komanso osamva ululu.

Phulusa la Peritonsillar limatha ndi chithandizo nthawi zambiri. Matendawa amatha kubwerera mtsogolo.

Zovuta zingaphatikizepo:

• Kutsekeka kwa ndege
• Cellulitis wa nsagwada, khosi, kapena chifuwa
• Endocarditis (kawirikawiri)
• Madzi ozungulira mapapo (pleural effusion)
• Kutupa mozungulira mtima (pericarditis)
• Chibayo
• Sepsis (matenda m'magazi)

Itanani nthawi yomweyo wothandizira zaumoyo wanu ngati mwadwala zilonda zapakhosi ndipo mumayamba kukhala ndi zizindikilo za peritonsillar abscess.

Itanani omwe akukuthandizani ngati muli ndi:

• Mavuto opumira
• Vuto kumeza
• Ululu pachifuwa
• Malungo osatha
• Zizindikiro zomwe zimaipiraipira

Kuchiza msanga kwa zilonda zapakhosi, makamaka ngati zimayambitsidwa ndi mabakiteriya, kungathandize kupewa vutoli.

Quinsy; Abscess - peritonsillar; Zilonda zapakhosi - abscess

• Makina amitsempha
• Kutupa kwa pakhosi

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.