Peritonsillar abscess (PTA), kana kuti quinsy, utachiona hwehutachiona hunoita kuti pus itunganidze pedyo nematoni uye pharynx kumucheto kwehuro. Inowanzoitika bedzi kune imwe yematoni ako uye kazhinji inopfuurira kubva ku cellulitis kuenda kubasa. Nenzira yakawanda, zvipfeko zvinotora maawa anenge maviri kusvika ku8 kuti zvigadzire uye zvinowanzokonzerwa neStaplanlococcus aureus (staph utachiona), Haemophilus influenzae (pneumonia and meningitis) neboka A hemolytic streptococci (GAS; inowanzoitirwa strep throat kana pharyngitis) mabhakitiriya.
Nhengo yepisitoni inoshandiswa inowanzoputika pakati pemakumbo emapapiro uye musimba wepamusoro wechine (iyo inoshandiswa mukugadzira kudya) mushure mehuro. Kune matatu "makamuri" ayo avhavha, kana pus, anowanzopinda mawo. Nzvimbo yepamusoro-soro, inonzi yakakwirira, ndiyo inowanzoita mazamu evhaponi yeparitonsillar; izvo zvinokonzera munenge 41-70 muzana yezviitiko. Izvo zvose zvinowanikwa mukati kana pakati nepakati pezasi pakati pematoni uye musuru.
Kuwanda uye Njodzi Zviitiko zvePeritonsillar Abscess
Peritonsillar abscesses inowanzokonzera kutsvaga rubatsiro rwewatolaryngologist (chiremba anonyanya kugadzirisa nzeve, mhino, nehuro) nokukurumidza. Iwe unenge anenge 30 mu100,000 mukana wokuwana PTA uye izvi zvinogona kunge zvakakwirira nekuda kwemishonga inorwisa mabhakitiriya.
Iwe unenge uri pangozi yakakura yekusimudza pfuti yeparitonsillar pasi pemamiriro ezvinhu akawira:
- tonsillitis (nharo dzinoda kusvika 36 muzana yematambudziko)
- tonsillitis asingagumi uye achidzokorora
- kusvuta
- kuporesa zvirwere
- kuora simba mumuviri wesimba
- basa razvino remazino
Iwe unogonawo kuva nehuwandu hwekuwedzera hupfumi hwemhando yepamusoro kana ukashandisa zvinodhakwa zvinodhaka kana zvinodhaka zvisina kukodzera sequcaine. Iyi mishonga pamwe chete nemimwe miitiro inogona kuendesa kushandiswa kwemishonga isina kukodzera mvumo inogona kuderedza hutano hwako uye kuderedza simba rako rekudzivirira zvirwere kuti uwedzere kunetseka kuvhara ropa.
Kana iwe unobatanidzwa mune chimwe chezvinhu izvi, tsvaka rubatsiro pakarepo.
Zviratidzo zvePeritonsillar Abscess
Kugadzira pfuti yemapurisa, chirwere chinorwadza ndechimwe chekunyunyuta kwakajairika. Mune zvimwe zviitiko, strep throat haigoni kubatwa netsika kana kuti nokukurumidza strep test uye zvakanyanya kuwedzera kuva chikwata chekutengesa. Muzviitiko izvi, chipfuti cheperioni chinokonzera chirwere chakaipisisa kupfuura apo iwe waingova ne-strep throat. Zvimwe zviratidzo zvinosanganisira:
- fever
- "zvinotyisa" izwi
- drooling
- mhepo yakaipa ( halitosis )
- trismus (kuoma kushamisa muromo) nguva dzose iripo asi inogona kusiyanisa zvakasimba
- kumedza kunorwadza (odynophagia)
- kuoma kunomedza (dysphagia)
- nzeve yekunzwa
Kuongororwa Peritonsillar Abscess
Miedzo ichaitwa kuti ibatsire kuziva kana iwe hauna kunyanya kubhadhara. Nhoroondo yehutano hwako chikamu chakakosha chekugadza kana kuti hausi iwe unogona kuva nechikwata chekutengesa, asi chiremba wako achaitawo zvimwe zviedzo kuti aite chisarudzo chakasimba. Miedzo yakajairika inogona kuitwa inosanganisira kuongorora kuonekwa kwehuro wako, CT scan, uye / kana ultrasound. An ultrasound yehuro yako iri kuve yakakurumbira sezvo michina ye ultrasound iri kuwedzerwa nyore nyore. Ultrasound inewo huwandu hwakawedzerwa hwekusaida mihizha.
Zvisinei, havasi zvipatara zvose kana makiriniki achave nezvikwata zvakakodzera zvechidimbu kuti aite kuongororwa kwakakwana. Munyaya iyi, CT scan ndiyo inotevera yakasarudzwa.
Mimwe miedzo inogona kuitika inosanganisira mono test test, kuverenga ropa, tsika dzehuro uye pus. Iyi miedzo ichaitwa kuti ibatsire kuziva kana iwe usina chimwe chinetso chinofanira kufungwa. Nzvimbo dzichakubatsirawo kutsanangura yakanakisisa kurapwa kurapwa kwako.
Ultrasound, CT scan, labor lab, kana endoscopy inogona kushandiswa kutonga kunze kwezvirwere zvakadai se:
- epiglottitis
- parapharyngeal abscess
- retropharyngeal abscesses
- infectious mononucleosis
- diphtheria
Kurapa kwePeritonsillar Abscess
Kutungamirirwa kwepisitini yepisitoni inogona kusanganisira kuparidzirwa muvana vaduku kana kushaya mvura kunenge kuripo. Zvisinei, mumamiriro ezvinhu akawanda, kupararira hakuzodiwi. Mishonga inorwisa mabhakitiriya ichave yakakodzera kurapa chinokonzera utachiona uye chimwe chezvinhu zvinotevera zvinoda kuitwa:
- incision uye kukwira kwepus
- Nyorera aspiration (kubvisa kuburikidza nesingano) ye pus
- tonsillectomy
Izvo zvisiri izvo zvinodiwa kuti zviitwe uye pus inongobva yabviswa uye maantibiotics akaenderera mberi kwemazuva gumi kusvika ku14 akatanga kutora utachiona hwako.
Sources
Cherry, JD Harrison, GJ, Kaplan, SL, Steinbach, WJ & Hotez, PJ (2014). Feigin uye Cherry's Textbook yeAIDS inotapukisa zvirwere. 7 th ed. Peritonsillar, Retropharyngeal, uye Parapharyngeal Abscesses. Yakasvika 2/29/2016 kubva pawww.www.linterkey.com (Kubhadharwa Kunodiwa)
Elsevier, BV (2015). Peritonsillar abscess. Yakasvika 2/29/2016 kubva pawww.www.linterkey.com (Kubhadharwa Kunodiwa)
Shah, UK & Meyers, AD (2015). Tonsillitis uye Peritonsillar Abscess Clinical Presentation. Yakasvika musi we2/29/2016 kubva pa http://emedicine.medscape.com/article/871977-clinical