I-Peritonsillar abscess (PTA), okanye i-quinsy, iyintsholongwane yebhaktheriya ebangela ukuba i-pus iqokelele ecaleni kweetoni kunye ne-pharynx emva emqaleni. Ngokuqhelekileyo kwenzeka kuphela emva kweyinye yeetoni zakho kwaye ngokuqhelekileyo iqhubela phambili ukusuka kwi-cellulitis ukuya kwi-abscess. Ngokuqhelekileyo, iifotumillar abscesses zithatha iintsuku ezi-2 ukuya kwii-8 zenze kwaye zivame ukubangelwa yi- Staphylococcus aureus (isifo se-staph), i- Haemophilus influenzae (i-pneumonia kunye ne-meningitis) kunye neqela le-hemolytic streptococci (i-GAS; efana ne- strep throat okanye pharyngitis) ibhaktheriya.
I-absitillar abscess ixutywa phakathi kwe-tonsil ye-palatine kunye ne-muscular constrictor (esetyenziswe kwinkqubo yokugwinya ukutya) emva komqala. Kukho "amaqumrhu" amathathu apho i-abscess, okanye ipus, ehlala kuyo. Indawo ephezulu kakhulu, ebizwa ngokuba yongamileyo, apho apho amaninzi amatyala e-absentillar abscess ayenzeka khona; obangelwa malunga nama-41-70 ekhulwini kweziganeko. Zonke ezinye zenzeke phakathi kwinqanaba eliphakathi okanye eliphantsi phakathi kweetoni kunye nemisipha.
Ubuninzi kunye neengozi zePeritonsillar Abscess
Iiperitonillar abscesses zizathu eziqhelekileyo zokufuna uncedo lwe- otolaryngologist (ugqirha onguchwepheshe bokukhathazeka kweendlebe, impumlo, nomqala) ngokukhawuleza. Unalo malunga ne-30 kwi-100,000 ithuba lokufumana i-PTA kwaye oku kungaphakamileyo ngenxa yeengcinezelo ezinqandekiyo ze-bacteria.
Uya kuba yingozi ekwandiseni i-absitillar abscess phantsi kweemeko eziwa phantsi:
- i-tonsillitis (i-akhawunti malunga neepesenti ezingama-36 zamatyala)
- tonsillitis engapheliyo kwaye ephindaphindiweyo
- ukutshaya
- izifo zokuphefumula
- kulwa buthathaka
- Umsebenzi wamazinyo wakutshanje
Unokuthi ube neengozi yokwandisa i-absentillar abscesses ukuba utywala kakubi okanye usebenzise iziyobisi ezingekho mthethweni njenge cocaine. Ezinye iziyobisi kunye neminye imikhwa engahambisani nokusetyenziswa kwezidakamizwa ezingekho mthethweni kuya kunciphisa impilo yakho kwaye iyancipha amandla omzimba wakho okwenza ukuba ube neengxaki zokuzikhusela.
Ukuba ubandakanyeka naziphi na ezi zinto, khangela uncedo ngokukhawuleza.
Iimpawu zePeritonsillar Abscess
Ukumisela i-absitillar abscess, umqala wesifo esinye sezikhalazo eziqhelekileyo. Kwezinye iimeko, i-strep throat ayiyi kubanjwa yenkcubeko okanye uvavanyo olukhawulezayo lwe-strep kwaye luba nzima ngakumbi ukuba yi-absitillar abscess. Kule meko, i-absitillar abscess ibangela intlungu embi kakhulu kunokuba xa uvele ube ne-strep throat. Ezinye iimpawu ziquka:
- umkhuhlane
- "ilizwi elizityayo"
- ukuphosa
- ukuphefumula okubi ( halitosis )
- i-trismus (ubunzima bokuvula umlomo) ihlala ikhona kodwa ingahlukahluka
- u kugwinya (odynophagia)
- ubunzima bokugwinya (dysphagia)
- intlungu
Ukuchonga i-Peritonsillar Abscess
Iimvavanyo ziya kwenziwa ukwenzela ukuchonga ukuba ngaba unayo i-absitillar abscess. Imbali yakho yempilo iyindawo ebalulekileyo ekuqaliseni ukuba ngaba unayo i-absitillar abscess, okanye ugqirha wakho uza kwenza iimvavanyo ezongezelelweyo ukuze enze ukuzimisela okunzulu. Iimvavanyo eziqhelekileyo ezinokuthi zenziwe ziquka ukuhlolwa kwemiboniselo yomqala wakho, i-CT scan, kunye / okanye i-ultrasound. I-ultrasound yakho yomqala iya kuba yindume kakhulu njengoko amacebo e-ultrasound ayafumaneka ngokulula. I-ultrasound nayo inenzuzo eyongezelelweyo yokungabi nifuni imitha.
Nangona kunjalo, akuzona zonke izibhedlele okanye iiklinikhi eziza kuba neenkcukacha ezifanelekileyo ze-ultrasound ukwenza uvavanyo olwaneleyo. Kule meko, i-CT iyona ekhethekileyo yokukhetha.
Ezinye iimvavanyo ezinokuthi zenzeke ziquka uvavanyo lwe-mono, ukubala kwegazi, iinkcubeko zomphetho kunye ne-pus. Ezi mvavanyo ziya kwenziwa ukwenzela ukuncedisa ukuba ngaba unayo enye ingxaki ekufuneka iqwalaselwe. Izizwe ziya kunceda ekufumaneni unyango oluqhubekayo oluqhubekayo.
I-ultrasound, i-CT, i-labor lab, okanye i-endoscopy ingasetyenziselwa ukulawula ukuxilongwa okufanayo:
- epiglottitis
- ipasapharyalial abscess
- i-absropharyngeal abscesses
- i-mononucleosis
- i-diphtheria
Unyango lwePeritonsillar Abscess
Ukulawulwa kwebhondi ye-peritonsillar kungabandakanya ukulaliswa kwezibhedlele kubantwana abancinci ukuba kukho ukungcola. Nangona kunjalo, kwiimeko ezininzi, ukubhedlelelwa esibhedlele akusayi ku funeka. Ii-antibiotics ziya kuba ziyimfuneko yokuphatha isifo sosulelo kwaye enye yeenkqubo ezilandelayo kuya kufuneka zenziwe:
- ukufakwa kunye nokucinywa kwamanzi
- Inaliti isifiso (ukuhoxisa ngenaliti) yepus
- tonyilomyomy
I-tonsillectomy ayifanelekanga ukuba yenziwe kwaye i-pus isuswe kwaye i-antibiotics iqhubeke iintsuku ezili-10 ukuya kwezi-14 zaqala ukunyanga isifo sakho.
Imithombo
Cherry, JD Harrison, GJ, Kaplan, SL, Steinbach, WJ & Hotez, PJ (2014). I-Feigin neCherry's Bookbook ye-Pediatric Infectious Diseases. 7 th . I-Peritonsillar, i-Retropharyngeal kunye ne-Parapharyngeal Absesses. Kufumaneka ngomhla wesi-2/29/2016 kwi-http: //www.clinicalkey.com (Ubhaliso olufunekayo)
Elsevier, BV (2015). I-Peritonsillar abscess. Kufumaneka ngomhla wesi-2/29/2016 kwi-http: //www.clinicalkey.com (Ubhaliso olufunekayo)
Shah, UK & Meyers, AD (2015). I-tonsillitis kunye nePeritonsillar Abscess Presentation Presentation. Kufike ngomhla wesi-2/29/2016 ukusuka kwi-http://emedicine.medscape.com/article/871977-clinical