Ithumba lokubuyela emva

Ithumba le-Retropharyngeal yingqokelela yobofu kwizicubu zomqolo womqala. Ingaba yimeko yempilo esongela ubomi.

Ithumba le-Retropharyngeal lidla ngokuchaphazela abantwana abangaphantsi kweminyaka emi-5, kodwa kunokwenzeka nanini na.

Izinto ezosulelekileyo (ubofu) zakha kwisithuba esijikeleze izicwili ngasemva komqala. Oku kunokwenzeka ngexesha okanye kungekudala emva kosulelo lomqala.

Iimpawu zibandakanya:

• Ukuphefumla ubunzima
• Kunzima ukugwinya
• Ukutsala amathe
• Umkhuhlane ophezulu
• Isandi esiphakamileyo xa utsala inhaling (stridor)
• Imisipha phakathi kweembambo iyangena xa iphefumla (intercostal retitions)
• Intlungu ebuhlungu yomqala
• Kunzima ukuguqula intloko

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye ajonge ngaphakathi emqaleni. Umboneleli unokuthambisa ngobunono umva womqala nge-swab yomqhaphu. Oku kukuthatha isampulu yethishu ukuyijonga ngokusondeleyo. Ibizwa ngokuba yinkcubeko yomqala.

Olunye uvavanyo lunokubandakanya:

• Gcwalisa ubalo lwegazi (CBC)
• Ukuvavanywa kwe-CT entanyeni
• X-reyi yentamo
• Ifayibha optic endoscopy

Utyando luyafuneka ukukhupha indawo enesifo. Ngamanye amaxesha iiCorticosteroids zinikwa ukunciphisa ukudumba komoya. Amayeza e-antibiotics aphezulu anikezelwa nge-vein (intravenous) ukunyanga isifo.

Indlela yomoya iya kukhuselwa ukuze ingabhloki ngokupheleleyo kukudumba.

Kubalulekile ukufumana uncedo lwezonyango kwangoko. Le meko inokukhokelela ekuvaleni kwendlela yomoya. Oku kusongela ubomi. Ngonyango olukhawulezileyo kulindeleke ukuba uchache ngokupheleleyo.

Iingxaki zinokubandakanya:

• Ukuphazamiseka komoya
• Umnqweno
• Mediastinitis
• Osteomyelitis

Shayela umnikezeli wakho ukuba wena okanye umntwana wakho uvelisa umkhuhlane ophezulu kunye neentlungu zomqala.

Fumana uncedo lwezonyango ngokukhawuleza ukuba unayo:

• Ingxaki yokuphefumla
• Izandi zokuphefumla eziphezulu (stridor)
• Ukurhoxiswa kwezihlunu phakathi kweembambo xa uphefumla
• Kunzima ukuguqula intloko
• Kunzima ukugwinya

Ukuxilongwa ngokukhawuleza nokunyangwa komqala obuhlungu okanye usulelo oluphezulu lokuphefumla kunokuyithintela le ngxaki.

• Umqala womzimba
• I-Oropharynx

IMelio FR. Usulelo oluphezulu lokuphefumula. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: Iikhonsepthi kunye nokuziqhelanisa neKlinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 65.

Meyer A. Izifo ezosulelayo zabantwana. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahl. 197.

IPappas DE, uHendley JO. Ithumba le-Retropharyngeal, i-lateral pharyngeal (parapharyngeal) ithumba, kunye ne-peritonsillar cellulitis / ithumba. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla we-20. IPhiladelphia, PA: Elsevier; I-2016: isahluko 382.