Retropharyngeal pute

Retropharyngeal abscess muunganidzwa wepus mumatukisi ari kumashure kwehuro. Iyo inogona kuve inotyisidzira hupenyu mamiriro ekurapa.

Retropharyngeal abscess inowanzo bata vana vari pasi pemakore mashanu, asi inogona kuitika chero pazera.

Zvinhu zvinotapukirwa (pus) zvinovaka munzvimbo inokomberedza zvinyama kumashure kwehuro. Izvi zvinogona kuitika panguva kana nekukurumidza kwazvo mushure mehutachiona hwehuro.

Zviratidzo zvinosanganisira:

• Kufema kunetseka
• Zvakaoma kumedza
• Kudonhedza mvura
• Kupisa zvakanyanya
• Yakakwira-yakadzika ruzha kana uchifema (stridor)
• Tsandanyama pakati pembabvu inodhonzera mukati kana uchifema (intercostal retitions)
• Kurwadziwa kwehuro kwakanyanya
• Zvakaoma kutendeuka musoro

Anopa hutano anoita bvunzo dzepanyama uye otarisa mukati mehuro. Mupiki anogona kukwiza zvinyoronyoro kumashure kwehuro neshinda yekotoni. Uku kutora mienzaniso yetissue kuti uongorore zvakanyanya. Inonzi huro tsika.

Mimwe bvunzo inogona kusanganisira:

• Yakazara kuverenga ropa (CBC)
• CT scan yemutsipa
• X-ray yemutsipa
• Fiber optic endoscopy

Kuvhiya kunodiwa kubvisa nzvimbo ine hutachiona. Corticosteroids dzimwe nguva inopihwa kudzora mweya kuzvimba. Yepamusoro-dose maantibayoti anopiwa kuburikidza nevevine (intravenous) kurapa hutachiona

Iyo nzira yemhepo inodzivirirwa kuitira kuti irege kuvharwa zvachose nekuzvimba.

Zvakakosha kuwana rubatsiro rwechiremba pakarepo. Aya mamiriro anogona kutungamira kuvharika kwenzira yemhepo. Uku ndiko kutyisidzira hupenyu. Nokurapwa nekukurumidza, kupora kwakazara kunotarisirwa.

Zvinetso zvinogona kusanganisira:

• Kuvharika kwemumhepo
• Kukurudzira
• Mediastinitis
• Osteomyelitis

Fonera mupiki wako kana iwe kana mwana wako achirwara nefivha yakakura ine kurwadziwa kwakanyanya kwehuro.

Wana rubatsiro rwechiremba ipapo kana uine:

• Dambudziko rekufema
• Yakakwira-yakadzika kufema kurira (stridor)
• Kudzoserwa kwetsandanyama pakati pembabvu kana uchifema
• Zvakaoma kutendeuka musoro
• Zvakaoma kumedza

Kukurumidza kuongororwa uye kurapwa kwehuro huro kana hutachiona hwepamusoro hwekufema kunogona kudzivirira dambudziko iri.

• Huro anatomi
• Oropharynx

Melio FR. Epamusoro mweya wekufema. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 65.

Meyer A. Chirwere chinotapukira chevana. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 197.

Pappas DE, Hendley JO. Retropharyngeal abscess, lateral pharyngeal (parapharyngeal) abscess, uye peritonsillar cellulitis / pute. Mune: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Chinyorwa chePediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 382.