Ithumba lePeritonsillar

Ithumba lePeritonsillar yingqokelela yezinto ezosulelekileyo kwindawo ejikeleze iitoni.

Ithumba lePeritonsillar sisisombululo seetonsillitis. Idla ngokubangelwa luhlobo lwebacteria ebizwa ngokuba liqela A beta-hemolytic streptococcus.

Ithumba le Peritonsillar lidla ngokwenzeka kubantwana abadala, nakwishumi elivisayo nakubantu abadala abancinci. Imeko inqabile ngoku ukuba ii-antibiotics zisetyenziselwa ukunyanga i-tonsillitis.

Enye okanye zombini iitoni zosuleleka. Usulelo luhlala lusasazeka ukujikeleza iitoni. Ingasasazeka iye entanyeni nasesifubeni. Izicubu ezidumbileyo zinokuthintela indlela yomoya. Olu lonyango olusongela ubomi.

Ithumba linokuqhekeka livuleke emqaleni. Umxholo wethumba unokuhamba uye emiphungeni kwaye ubangele inyumoniya.

Iimpawu ze-peritonsillar abscess zibandakanya:

• Umkhuhlane kunye nokubanda
• Intlungu ebuhlungu yomqala edla ngokuba kwicala elinye
• Intlungu yeendlebe ecaleni kwethumba
• Kunzima ukuvula umlomo, kunye neentlungu ngokuvula umlomo
• Ukuginya iingxaki
• Ukutsala okanye ukungakwazi ukuginya amathe
• Ukudumba kobuso okanye kwentamo
• Ifiva
• Intloko ebuhlungu
• Ilizwi elingqushiweyo
• Amadlala ethenda emihlathini nasemqaleni

Uvavanyo lomqala luhlala lubonisa ukudumba kwicala elinye nakuphahla lomlomo.

Ukuvula ngasemva komqala kungasuswa kude nokudumba. Intamo nomqala kunokuba bomvu kwaye zidumbile kwelinye okanye macala omabini.

Olu vavanyo lulandelayo lunokwenziwa:

• Ukuphefumla kwethumba usebenzisa inaliti
• Ukuskena i-CT
• Ifayibha optic endoscopy ukukhangela ukuba umoya uvaliwe na

Usulelo lunokunyangwa ngamayeza okubulala iintsholongwane ukuba lubanjwe kwangethuba. Ukuba kuye kwavela ithumba, kuya kufuneka ukuba likhutshwe ngenaliti okanye lisikwe. Uya kunikwa amayeza eentlungu ngaphambi kokuba kwenziwe oku.

Ukuba usulelo lukhulu kakhulu, iitoni ziya kususwa ngaxeshanye ithumba lichithekile, kodwa oku kunqabile. Kule meko, uya kuba ne-anesthesia ngokubanzi ukuze ulale kwaye ungabi nazintlungu.

Ithumba lePeritonsillar limka nonyango kwiimeko ezininzi. Usulelo lunokubuyela kwikamva.

Iingxaki zinokubandakanya:

• Ukuphazamiseka komoya
• I-cellulitis yomhlathi, intamo, okanye isifuba
• I-Endocarditis (inqabile)
• Ulwelo olujikeleze imiphunga (ukungxola)
• Ukudumba okujikeleze intliziyo (pericarditis)
• Ukukrala kwemiphunga
• Sepsis (usulelo egazini)

Shayela umboneleli wakho wezempilo ngokukhawuleza ukuba unayo i-tonsillitis kwaye uhlakulele iimpawu ze-peritonsillar abscess.

Fowunela umnikezeli wakho ukuba unayo:

• Iingxaki zokuphefumla
• Ingxaki yokuginya
• Ubuhlungu esifubeni
• Umkhuhlane oqhubekayo
• Iimpawu ziba nzima

Unyango olukhawulezayo lwetonillitis, ngakumbi ukuba lubangelwa ziibhaktheriya, lunokunceda ukuthintela le meko.

Quinsy; Ithumba - peritonsillar; Tonsils - ithumba

• Inkqubo yeLymphatic
• Umqala womzimba

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.