Naloʻa ʻo Peritonsillar

Peritonsillar abscess kahi hōʻiliʻili o nā mea maʻi i loko o ka wahi a puni nā tonsils.

Peritonsillar abscess kahi pilikia o ka tonsillitis. Hoʻokumu pinepine ʻia ia e kekahi ʻano bacteria i kapa ʻia he hui A beta-hemolytic streptococcus.

Hana pinepine ʻia ka abscess Peritonsillar i nā keiki makua, nā ʻōpio, a me nā ʻōpio makua. Kākaʻikahi ke ʻano i kēia manawa e hoʻohana ʻia nā antibiotic e mālama ai i ka tonsillitis.

Hoʻokomo ʻia i hoʻokahi a i ʻole nā ​​tonsil ʻelua. Hoʻolahalaha pinepine ka maʻi maʻi a puni ka tonsil. Hiki iā ia ke hohola i lalo i ka ʻāʻī a me ka umauma. Hiki i nā mākū pehu ke ālai i ke alaloa. He pilikia olakino weliweli kēia.

Hiki i ka abscess ke haki hāmama (haki) i ka ʻāʻī. Hiki i nā ʻike o ke abscess ke hele i loko o nā māmā a hana i ka maʻi ponia.

Nā ʻōuli o ka peritonsillar abscess:

• Fiva a me nā anuanu
• ʻO ka ʻeha puʻu ʻeha ka mea maʻa mau ma kekahi ʻaoʻao
• ʻEha ʻeha ma ka ʻaoʻao o ka abscess
• ʻO ka paʻakikī e wehe i ka waha, a ʻeha me ka wehe ʻana o ka waha
• Pilikia i nā pilikia
• Drooling a i ʻole hiki ʻole ke ale i ka lihi
• ʻO ka pehu helehelena a i ʻole ʻāʻī
• Fiva
• ʻEha poʻo
• Leo Muffled
• ʻO ka momona o ka iwi ā a me ka ʻāʻī

Hōʻike pinepine kahi hōʻike o ka ʻāʻī i ka pehu ma kekahi ʻaoʻao a ma luna o ka waha.

Hiki ke hoʻoneʻe ʻia ka uvula ma ka hope o ka ʻāʻī mai ka pehu. ʻUlaʻula a ʻāʻī ka ʻāʻī a pehu a ʻā ma nā ʻaoʻao ʻelua a ʻelua paha.

E hana ʻia paha kēia mau hoʻāʻo:

• Aspiration o ka abscess e hoʻohana ana i ka nila
• CT scan
• Fibre optic endoscopy e nānā inā pale ʻia ke ala ākea

Hiki ke mālama ʻia ka maʻi me nā lāʻau ʻalopika inā e hopu mua ʻia ia. Inā ua ulu kahi abscess, pono e ninini ʻia me kahi nila a i ʻole ʻoki ʻana hāmama. E hāʻawi ʻia ʻoe i ka lāʻau ʻeha ma mua o ka pau ʻana o kēia.

Inā koʻikoʻi loa ka maʻi, e hemo nā tonsil i ka manawa like e hoʻokahe ʻia ai ka abscess, akā he kakaikahi kēia. I kēia hihia, e loaʻa ʻoe i ka anesthesia laulā no laila hiamoe ʻoe a ʻaʻohe ʻeha.

Hele aku ʻo Peritonsillar abscess me ka mālama ʻana i ka hapanui o nā hihia. E hoʻi paha ka maʻi i ka wā e hiki mai ana.

Komo pū nā pilikia:

• Pāpale alanui
• Cellulitis o ka iwi ā, ʻāʻī, a i ʻole ka umauma
• Endocarditis (kākaʻikahi)
• Fluid a puni nā māmā (pleural effusion)
• ʻO ka huhū a puni ka puʻuwai (pericarditis)
• Pulumonia
• Sepsis (maʻi i ke koko)

Kāhea koke aku i kāu kahu mālama ola inā ua loaʻa iā ʻoe ka tonsillitis a hoʻomōhala ʻoe i nā ʻōuli o ka abscess peritonsillar.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Nā pilikia hanu
• Pilikia i ka ale ʻana
• ʻEha ma ka umauma
• Ke kuni hoʻomau
• Nā hōʻailona e ʻoi aku ka maikaʻi

ʻO ka mālama wikiwiki ʻana i nā tonsillitis, keu hoʻi ia e hopena ʻia e ka bacteria, hiki ke kōkua i ke pale ʻana i kēia ʻano.

Quinsy; Loaʻa ʻole - peritonsillar; Tonsillitis - abscess

• ʻŌnaehana Lymphatic
• Anatomia kuʻi

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.