Retropharyngeal abscess

Retropharyngeal abscess ke pokello ea boladu liseleng tse ka morao tsa 'metso. E ka ba boemo ba bongaka bo sokelang bophelo.

Hangata abscess ea retropharyngeal e ama bana ba ka tlase ho lilemo tse 5, empa e ka etsahala ka nako efe kapa efe.

Lintho tse nang le tšoaetso (boladu) li aha sebakeng se potileng lisele tse ka morao ho 'metso. Sena se ka etsahala nakong ea kapele kapa kapele haholo kamora tšoaetso ea 'metso.

Matšoao a kenyelletsa:

• Bothata ba ho hema
• Ho thata ho koenya
• Ho rotha ka metsi
• Feberu e phahameng
• Modumo o phahameng haholo ha o hema (stridor)
• Mesifa e lipakeng tsa likhopo e hula ha e hema (intercostal retract)
• Bohloko bo boholo ba 'metso
• Bothata ba ho phethola hlooho

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele mme a shebe kahare ho' metso. Mofani oa thepa a ka 'na a silila mokokotlo oa mokokotlo ka bonolo ka swab ea k'hothone. Sena ke ho nka sampole ea lisele ho e hlahloba haufi-ufi. E bitsoa moetlo oa 'metso.

Liteko tse ling li ka kenyelletsa:

• Palo e felletseng ea mali (CBC)
• Tlhatlhobo ea CT ea molala
• X-ray ea molala
• Endoscopy ea fiber optic

Ho hlokahala ho buuoa ho tsoa sebakeng se nang le ts'oaetso. Ka linako tse ling li-corticosteroids li fuoa ho fokotsa ho ruruha ha moea. Lithibela-mafu tse phahameng li fanoa ka methapo (methapo) ho alafa tšoaetso.

Tsela ea moea e tla sirelletsoa hore e se ke ea koaloa ka botlalo ke ho ruruha.

Ho bohlokoa ho fumana thuso ea bongaka hang-hang. Boemo bona bo ka lebisa ho koaloa ha tsela ea moea. Sena se beha bophelo kotsing. Ka kalafo e potlakileng, ho lebelletsoe ho fola ka botlalo.

Mathata a ka kenyelletsa:

• Tšitiso ea sefofane
• Ho hloloheloa
• Mediastinitis
• Osteomyelitis

Bitsa mofani oa hau haeba uena kapa ngoana oa hau a ba le feberu e matla e nang le bohloko bo bohloko ba 'metso.

Fumana thuso ea bongaka hang-hang haeba u na le:

• Mathata a ho hema
• Melumo e phahameng ea ho hema (stridor)
• Ho hula mesifa pakeng tsa likhopo ha ho hema
• Bothata ba ho phethola hlooho
• Ho thata ho koenya

Ho hlahlojoa kapele le kalafo ea 'metso kapa tšoaetso e phahameng ea phefumoloho ho ka thibela bothata bona.

• Anatomy ea 'metso
• Oropharynx

Melio FR. Matšoao a kaholimo a phefumoloho. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 65.

Meyer A. Mafu a tšoaetsanoang a bana. Ka: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ho Buuoa Hlooho le Nko. La 6th. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 197.

Pappas DE, Hendley JO. Setulo sa retropharyngeal, lateral pharyngeal (parapharyngeal) abscess, le peritonsillar cellulitis / abscess. Ka: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, bahlophisi. Buka ea Nelson ea Pediatrics. 20th, ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 382.