Abscess Retropharyngeal

ʻO ka abscess Retropharyngeal kahi hōʻiliʻili o ka pā i nā mea i loko o ka hope o ka ʻāʻī. Hiki iā ia ke lilo i ke ola olakino hoʻoweliweli.

Hoʻopili pinepine ka abscess Retropharyngeal i nā keiki ma lalo o ka makahiki 5, akā hiki ke hana i kēlā me kēia makahiki.

Kūkulu nā mea maʻi (pus) i kahi ākea e pili ana i nā aʻa ma ka hope o ka ʻāʻī. Hiki i kēia ke hana ma kahi a ma hope koke paha o ka maʻi o ka puʻu.

ʻO nā hōʻailona me:

• Pilikia hanu
• Pilikia i ka ale ʻana
• Drooling
• Wela wela
• Kani kani kiʻekiʻe ke hanu ʻia (stridor)
• Huki nā mākala ma waena o nā iwi ʻaoʻao i ka hanu ʻana (intercostal retractions)
• ʻEha puʻu ʻino
• Ka paʻakikī e hoʻohuli i ke poʻo

E hana ka mea mālama ola i kahi hoʻokolohua kino a nānā i loko o ka puʻu. E ʻānai mālie ka mea hāʻawi i ka hope o ka puʻu me ka pulupulu. Lawe kēia i kahi laʻana o nāʻaʻaʻa e nānā pono iā ia. Kapa ʻia ka moʻomeheu ʻāʻī.

Hiki i nā hoʻokolohua ʻē aʻe ke:

• Helu piha koko (CBC)
• CT scan o ka ʻāʻī
• X-ray o ka ʻāʻī
• Puluniu optic endoscopy

Pono ka ʻoki kino e hoʻokahe i ka wahi i loaʻa i ka maʻi. Hāʻawi ʻia ʻo Corticosteroids i kekahi manawa e hōʻemi i ka pehu o ke ala. Hāʻawi ʻia nā lāʻau antibiotic lāʻau kiʻekiʻe ma o kahi aa (intravenous) e mālama ai i ka maʻi.

Pale ʻia ke ala ākea i ʻole ia e ālai piha ʻia e ka pehu.

He mea nui e kiʻi koke i ke kōkua lapaʻau. Hiki i kēia ʻano ke alakaʻi i ka blockage o ke alaloa. Hoʻoweliweli kēia ola. Me ka mālama koke ʻana, manaʻo ʻia kahi ola hou.

Komo pū nā pilikia:

• Pāpale alanui
• Aspiration
• Mediastinitis
• Osteomyelitis

Kāhea i kāu mea hāʻawi inā loaʻa ʻoe a i ʻole paha i kāu keiki i kahi fiva kiʻekiʻe me ka ʻeha nui o ka ʻāʻī.

E kiʻi i ke kōkua lapaʻau inā loaʻa iā ʻoe:

• Hoʻopilikia hanu
• Kani hanu kiʻekiʻe (stridor)
• Ka hoʻihoʻi ʻana o nā mākala ma waena o nā iwi ʻaoʻao i ka hanu ʻana
• Ka paʻakikī e hoʻohuli i ke poʻo
• Pilikia i ka ale ʻana

ʻO ka hōʻoia koke ʻana a me ka mālama ʻana i kahi ʻāʻī ʻeha a i ʻole maʻi maʻi hanu luna hiki ke pale i kēia pilikia.

• Anatomia kuʻi
• Oropharynx

Melio FR. ʻO nā maʻi maʻi hanu luna. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 65.

Meyer A. maʻi maʻi maʻi Pediatric. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 197.

ʻO Pappas DE, ʻo Hendley JO. Abscess Retropharyngeal, absent pharyngeal (parapharyngeal) abscess, a me peritonsillar cellulitis / abscess. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 382.