Ithumba leRetropharyngeal: Into ekufuneka uyazi

Umxholo

• Ziintoni iimpawu?
• Yintoni ebangela ukuba ithumba libuyeke kwakhona?
• Ngubani osemngciphekweni?
• I-retropharyngeal abscess ifunyaniswa njani?
• Izinketho zonyango
• Ngaba zikhona iingxaki ezinokubakho?
• Yintoni imbonakalo?
• Ungawathintela njani amathumba abuyayo

Ngaba oku kuqhelekile?

I-retropharyngeal abscess sisifo esinzulu entanyeni, esihlala kwindawo esemva komqala. Kubantwana, ihlala iqala kwii-lymph node emqaleni.

Ithumba le-retropharyngeal linqabile. Oku kwenzeka kakhulu kubantwana abangaphantsi kweminyaka esibhozo, nangona inokuchaphazela nabantwana abadala kunye nabantu abadala.

Olu suleleko lunokuza ngokukhawuleza, kwaye lunokukhokelela kwiingxaki ezinkulu. Kwiimeko ezinzima, i-retropharyngeal abscess ingakhokelela ekufeni.

Ziintoni iimpawu?

Olu lusulelo olungaqhelekanga olunokuba nzima ukulufumanisa.

Iimpawu ze-retropharyngeal abscess zibandakanya:

• ubunzima okanye ukuphefumla okunengxolo
• kunzima ukugwinya
• intlungu xa uginya
• ukuvuza amathe
• ifiva
• ukukhohlela
• intlungu emqaleni
• ukuqina kwentamo okanye ukudumba
• ukuphazamiseka kwemisipha entanyeni

Ukuba unazo naziphi na kwezi mpawu, okanye uziqwalasele emntwaneni wakho, nxibelelana nogqirha wakho. Funa unyango kwangoko ukuba unengxaki yokuphefumla okanye yokuginya.

Yintoni ebangela ukuba ithumba libuyeke kwakhona?

Kubantwana, usulelo oluphezulu lokuphefumla ludla ngokwenzeka ngaphambi kokuqala kwethumba le-retropharyngeal. Umzekelo, umntwana wakho unokuqala ukufumana indlebe ephakathi okanye isifo sesono.

Kubantwana abadala nakubantu abadala, i-retropharyngeal abscess ivela emva kohlobo oluthile lwengozi kwindawo leyo. Oku kunokubandakanya ukwenzakala, inkqubo yezonyango, okanye umsebenzi wamazinyo.

Iibhaktheriya ezahlukeneyo zingabangela i-retropharyngeal abscess. Kuqhelekile ukuba ngaphezu kolunye uhlobo lweebhaktheriya.

Kubantwana, ezona bhakteriya zixhaphakileyo kusulelo ziStreptococcus, iStaphylococcus, kunye nezinye iintlobo zebacteria zokuphefumla. Olunye usulelo, njenge-HIV kunye nesifo sephepha kunokubangela ithumba le-retropharyngeal.

Abanye baye badibanisa ukunyuka kwamatyala e-retropharyngeal abscess kunyuko lwamva nje lwe-MRSA, usulelo lwe-staph losulelo olunganyangekiyo.

Ngubani osemngciphekweni?

Ithumba le-Retropharyngeal livela ikakhulu kubantwana abaphakathi kweminyaka emibini ukuya kwemine.

Abantwana abancinci bachaphazeleka lula kolu suleleko kuba bane-lymph node emqaleni ezinokosuleleka. Njengokukhula komntwana omncinci, ezi lymph node ziqala ukuncipha. Ii-lymph node zihlala zincinci kakhulu xa umntwana eneminyaka esibhozo ubudala.

I-Retropharyngeal abscess nayo ixhaphake kakhulu kwindoda.

Abantu abadala abanamajoni omzimba abuthathaka okanye isifo esinganyangekiyo basemngciphekweni owandayo wosulelo. Ezi meko zibandakanya:

• utywala
• isifo seswekile
• umhlaza
• UGawulayo

I-retropharyngeal abscess ifunyaniswa njani?

Ukuze ufumane ukuxilongwa, ugqirha wakho uya kukubuza malunga neempawu zakho kunye nembali yonyango kwangoko.

Emva kokwenza uvavanyo lomzimba, ugqirha unokuyalela iimvavanyo zokucinga. Olu vavanyo lunokubandakanya i-X-ray okanye i-CT scan.

Ukongeza kwiimvavanyo zokucinga, ugqirha wakho unokuyalela inani elipheleleyo legazi (CBC), kunye nenkcubeko yegazi. Olu vavanyo luya kunceda ugqirha wakho ukuba abone ubungakanani kunye nonobangela wosulelo, kwaye akhuphe ezinye izizathu ezinokubangela iimpawu zakho.

Ugqirha wakho unokubonisana nendlebe, impumlo, nomqala (ENT) ugqirha okanye enye ingcali ukukunceda ekufumaneni isifo kunye nonyango.

Izinketho zonyango

Ezi zifo zihlala ziphathwa esibhedlele. Ukuba wena okanye umntwana wakho unengxaki yokuphefumla, ugqirha wakho unokubonelela ngeoksijini.

Kwiimeko ezinzima, i-intubation ingafuneka. Kule nkqubo, ugqirha wakho uya kufaka ityhubhu kumbhobho wakho womoya ngomlomo okanye ngempumlo ukukunceda uphefumle. Oku kuyimfuneko kuphela de ube ukwazi ukuqhubeka nokuphefumla wedwa.

Ngeli xesha, ugqirha wakho uya kunyanga usulelo ngaphakathi ngaphakathi kunye ne-antibiotics ebanzi. I-antibiotics ebanzi isebenza ngokuchasene nezinto ezininzi ezahlukeneyo ngaxeshanye. Ugqirha wakho uya kulawula i-ceftriaxone okanye i-clindamycin kule nyango.

Ngenxa yokuba ukuginya kusengozini kunye nethumba elibuyayo, ulwelo olufakwa ngaphakathi luyinxalenye yonyango.

Utyando lokukhupha ithumba, ngakumbi ukuba indlela yomoya ivaliwe, kunokuba yimfuneko.

Ngaba zikhona iingxaki ezinokubakho?

Ukuba ngaba luyekwanga lunganyangwa, olu sulelo lunokusasazeka kwamanye amalungu omzimba. Ukuba usulelo lusasazeka kwigazi lakho, kunokubangela ukothuka kwe-septic kunye nokusilela komzimba. Ithumba linokuthintela nendlela yakho yomoya, enokubangela uxinzelelo lokuphefumla.

Ezinye iingxaki zinokubandakanya:

• ukukrala kwemiphunga
• amahlwili egazi kwimithambo yegazi
• i-mediastinitis, okanye ukudumba okanye usulelo esifubeni ngaphandle kwemiphunga
• osteomyelitis, okanye usulelo lwethambo

Yintoni imbonakalo?

Ngonyango olufanelekileyo, wena okanye umntwana wakho unokulindela ukubuyiswa ngokupheleleyo kwi-retropharyngeal abscess.

Kuxhomekeka kubukhali bethumba, unokuba kwii-antibiotics iiveki ezimbini okanye ngaphezulu. Kubalulekile ukujonga ukuphindeka kwayo nayiphi na impawu. Ukuba iimpawu ziphindaphinda, khangela unyango ngokukhawuleza ukuze unciphise umngcipheko weengxaki.

Amathumba e-retropharyngeal aphindaphindiweyo kuqikelelo lwe-1 ukuya kwi-5 yepesenti yabantu. Abantu abane-absropharyngeal abscess banama-40 ukuya kuma-50 ekhulwini amathuba okufa ngenxa yeengxaki ezinxulumene ne-abscess. Ukufa kuxhaphake kakhulu kubantu abadala abachaphazelekayo kunabantwana.

Ungawathintela njani amathumba abuyayo

Unyango olukhawulezayo kunyango lwalo naluphi na usulelo oluphezulu lokuphefumla luyakunceda ukuthintela ukukhula kwethumba le-retropharyngeal. Qiniseka ukuba ugqibezela ikhosi epheleleyo yayo nayiphi na imigqaliselo yentsholongwane ukuqinisekisa ukuba usulelo lwakho lunyangwa ngokupheleleyo.

Thatha i-antibiotics kuphela xa umiselwe ngugqirha. Oku kunokunceda ukuthintela usulelo olunganyangekiyo njenge-MRSA.

Ukuba wena okanye umntwana wakho wenzakele kwindawo yosulelo, qiniseka ukuba ulandela yonke imiyalelo yonyango. Kubalulekile ukuxela naziphi na iingxaki kugqirha wakho kwaye uye kuzo zonke iindibano zokulandelwa.