Loaʻa i ka Retropharyngeal: He aha kāu e ʻike ai

Anter

• He aha nā hōʻailona?
• He aha ke kumu o ka abscess retropharyngeal?
• ʻO wai ka pilikia?
• Pehea e ʻike ʻia ai ka abscess retropharyngeal?
• Nā koho lapaʻau
• Aia kekahi pilikia kūpono?
• He aha ke kuanaʻike?
• Pehea e pale ai i ka abscess retropharyngeal

He mea maʻamau kēia?

ʻO kahi abscess retropharyngeal kahi maʻi nui i loko o ka ʻāʻī, aia ma ka wahi ma hope o ka ʻāʻī. I nā keiki, hoʻomaka pinepine ia i nā lymph node i ka puʻu.

Kākaʻikahi kahi abscess retropharyngeal. Hana ʻia ia i nā keiki ma lalo o ka makahiki ʻewalu, ʻoiai hiki ke hoʻopili i nā keiki nui a me nā mākua.

Hiki koke mai kēia maʻi, a hiki ke alakaʻi i nā pilikia koʻikoʻi. I nā hanana koʻikoʻi, hiki i kahi abscess retropharyngeal ke alakaʻi i ka make.

He aha nā hōʻailona?

He maʻi ʻokoʻa kēia i hiki ke paʻakikī e kuhikuhi.

ʻO nā ʻōuli o ka abscess retropharyngeal pū me:

• pilikia a walaʻau nui paha
• paʻakikī i ka ale ʻana
• ʻeha ke ale ʻana
• paheʻe
• fiva
• ʻūhā
• ʻeha puʻu ʻeha
• ʻoʻoleʻa o ka ʻāʻī a ʻōhū paha
• spasms Muscle i ka ʻāʻī

Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, a nānā iā lākou i kāu keiki, e nīnau me kāu kauka. E ʻimi koke i ka lāʻau lapaʻau inā pilikia ʻoe i ka hanu ʻana a i ʻole ke ale ʻana.

He aha ke kumu o ka abscess retropharyngeal?

I nā keiki, hana pinepine nā maʻi hanu luna ma mua o ka hoʻomaka ʻana o kahi abscess retropharyngeal. ʻO kahi laʻana, ʻike paha kāu keiki i ka pepeiao waena a i ʻole ka maʻi sinus.

I nā keiki nui a me nā mākua, hana pinepine ʻia kahi abscess retropharyngeal ma hope o kekahi ʻano o ka trauma i ia wahi. Pākuʻi paha kēia i kahi ʻeha, hana olakino, a hana niho paha.

Hiki i nā bacteria ʻokoʻa ke kumu i kahi abscess o kou retropharyngeal. ʻO ka maʻamau no ka ʻoi aku o hoʻokahi ʻano bacteria i kēia manawa.

I nā keiki, ʻo ka maʻi bacteria maʻamau i ka maʻi ka Streptococcus, Staphylococcus, a me kekahi mau ʻano koʻohona hanu ʻē aʻe. ʻO nā maʻi ʻē aʻe, e like me, HIV a me ka tuberculosis i kumu pū kekahi i ka abscess retropharyngeal.

Ua hoʻohui kekahi i ka piʻi ʻana o nā hihia o abscess retropharyngeal i ka hoʻonui hou ʻana o MRSA, ka maʻi staphic-resistant staph.

ʻO wai ka pilikia?

Hana pinepine ʻia ʻo abscess Retropharyngeal i nā keiki ma waena o nā makahiki o ʻelua a ʻehā.

ʻOi aku ka maʻalahi o nā keiki ʻōpio i kēia maʻi no ka mea he lymph node ko lākou i ka puʻu e hiki ai ke maʻi. I ke oʻo ʻana o kahi keiki ʻōpio, hoʻomaka kēia e emi i kēia mau lymph node. ʻOi aku ka liʻiliʻi o nā lymph nodes i ka manawa o ke keiki ʻewalu mau makahiki.

ʻOi aku ka maʻamau o ka abscess Retropharyngeal i nā kāne.

ʻO nā mākua i loaʻa ka nāwaliwali o nā ʻōnaehana pale maʻi a i ʻole kahi maʻi mau i ka hoʻonui ʻia o ka makaʻu no kēia maʻi. Loaʻa kēia mau ʻano:

• ʻalekohola
• diabetes
• maʻi ʻaʻai
• AIDS

Pehea e ʻike ʻia ai ka abscess retropharyngeal?

I mea e hoʻoholo ai, e nīnau aku kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino koke.

Ma hope o ka hana ʻana i kahi hoʻokolohua kino, hiki i kāu kauka ke kauoha i nā hoʻokolohua kiʻi. Hiki i nā hoʻokolohua ke hoʻopili i kahi X-ray a i ʻole he scan CT.

Ma waho aʻe o nā hōʻike kiʻi, hiki i kāu kauka ke kauoha i kahi helu piha o ke koko (CBC), a me kahi moʻomeheu koko. E kōkua kēia mau hōʻoia i kāu kauka e hoʻoholo i ka nui a me ke kumu o ka maʻi, a pale i nā kumu ʻē aʻe o kāu mau hōʻailona.

E kūkākūkā paha kāu kauka me kahi kauka pepeiao, ihu, a ʻāʻī (ENT) a i ʻole kahi loea ʻē aʻe e kōkua me kāu ʻike a me kāu lāʻau.

Nā koho lapaʻau

Lapaʻau maʻamau kēia mau maʻi i ka haukapila. Inā pilikia paha ʻoe a me kāu keiki i ka hanu ʻana, hāʻawi paha kāu kauka i ka oxygen.

I nā kūlana koʻikoʻi, pono ka intubation. No kēia kaʻina hana, e hoʻokomo kāu kauka i kahi paipu i loko o kāu puka makani ma o kou waha a ihu paha e kōkua ai iā ʻoe e hanu. Pono wale kēia a hiki i kou hiki ke hoʻomaka hou i ka hanu ʻana iā ʻoe iho.

I kēia manawa, e mālama pū kāu kauka i ka maʻi me ka lāʻau antibiotic ākea. Hana nā antibiotic ākea ākea ākea e kūʻē i nā meaola like ʻole i ka manawa like. E lawelawe paha kāu kauka i ceftriaxone a i ʻole clindamycin no kēia lāʻau.

No ka mea ua hoʻopilikia ʻia ka ale ʻana me kahi abscess retropharyngeal, ʻo nā wai pūpū kekahi o ka lāʻau.

ʻO ke ʻoki e hoʻokahe i ka abscess, keu hoʻi inā pale ʻia ke ala ākea, pono paha.

Aia kekahi pilikia kūpono?

Inā haʻalele ʻole ʻia, hiki ke pālahalaha ʻia kēia maʻi i nā ʻāpana ʻē aʻe o ke kino. Inā pālahalaha ka maʻi i kou kahe o ke koko, hiki i ka hopena i ka haʻalulu septic a me ka maikaʻi ʻole o ka ʻōpū. Hiki paha i ka abscess ke ālai i kou alaloa, i hiki ai ke alakaʻi i ka hanu pilikia.

Hiki i nā pilikia ʻē aʻe ke:

• pulumonia
• nā huʻa koko i ka aa jugular
• ka mediastinitis, a i ʻole ka mumū a i ʻole ka maʻi i ka lua o ka umauma ma waho o nā ake māmā
• osteomyelitis, a i ʻole ka maʻi iwi

He aha ke kuanaʻike?

Me ka lapaʻau kūpono, hiki iā ʻoe a me kāu keiki ke kali i kahi ola hou loa mai kahi abscess retropharyngeal.

Kaukaʻi ʻia i ke koʻikoʻi o ka abscess, hiki paha ʻoe i nā antibiotic no ʻelua a ʻoi mau pule. He mea nui e nānā no ka hoʻi hou ʻana o kekahi o nā ʻōuli. Inā hoʻi hou nā ʻōuli, e ʻimi koke i ka lāʻau lapaʻau i mea e hōʻemi ai i kāu pilikia o nā pilikia.

Hōʻea hou ka abscess Retropharyngeal i kahi 1 i ka 5 pakeneka o ka poʻe. ʻO ka poʻe me ka abscess retropharyngeal he 40 a 50 pakeneka e make paha ma muli o nā pilikia e pili ana i ka abscess. ʻOi aku ka laha o ka make i nā mākua i hoʻopili ʻia ma mua o nā keiki.

Pehea e pale ai i ka abscess retropharyngeal

ʻO ka mālama olakino wikiwiki ʻana o nā maʻi hanu luna e kōkua i ka pale ʻana i ka ulu ʻana o kahi abscess retropharyngeal. E ʻike pono e hoʻopiha i ka papa piha o nā kauka antibiotic e ʻike pono e mālama pono ʻia kāu maʻi.

Lawe wale i nā antibiotic ke kuhikuhi ʻia e ke kauka. Hiki i kēia ke kōkua i ke pale ʻana i nā maʻi kūpikipiki e like me MRSA.

Inā ua ʻeha a ʻeha paha kāu keiki i kahi o ka maʻi, e mālama pono i nā ʻōlelo mālama a pau. He mea nui e hōʻike i nā pilikia i kāu kauka a e hele i nā koho hope āpau.