Peritonsillar pute

Peritonsillar abscess muunganidzwa wezvinhu zvine hutachiona munzvimbo yakatenderedza matoni.

Peritonsillar abscess chinetso chetonillitis. Iyo inowanzo kukonzerwa nerudzi rwehutachiona hunodaidzwa kuti boka A beta-hemolytic streptococcus.

Peritonsillar abscess inowanzoitika muvana vakura, vachiri kuyaruka, uye vechidiki vakuru. Mamiriro acho haawanzo kuitika iye zvino maantibayoti anoshandiswa kurapa tonsillitis.

Imwe kana maviri matoni anotapukirwa. Hutachiona hwacho hunowanzopararira hwakatenderedza toni. Inogona kubva yapararira pasi mumutsipa uye muchipfuva. Kuzvimba matishu anogona kuvhara nzira yemhepo. Iyi ndiyo inotyisa hupenyu hunotyisa.

Iyo pute inogona kuvhurika (kuputika) kupinda muhuro. Izvo zvirimo zvebundu zvinogona kufamba mumapapu uye zvichikonzera mabayo.

Zviratidzo zve peritonsillar abscess zvinosanganisira:

• Fivha uye kutonhora
• Kurwadziwa kwehuro kwakanyanya kunowanzo kuve kune rumwe rutivi
• Nzeve kurwadziwa panhengo yebundu
• Zvakaoma kuvhura muromo, uye kurwadziwa nekuvhura muromo
• Kumedza matambudziko
• Kudonhedza mvura kana kutadza kumedza mate
• Kumeso kana mutsipa kuzvimba
• Kupindwa nechando
• Kutemwa nemusoro
• Izwi rakamonyororwa
• Zvinyoro zvinyoro zveshaya nehuro

Kuongorora kwehuro kunowanzo kuratidza kuzvimba kune rimwe divi uye padenga remuromo.

Iko kuvhura mumashure kwehuro kunogona kuchinjirwa kure nekuzvimba. Mutsipa nehuro zvinogona kunge zvakatsvuka uye kuzvimba kune rimwe kana mativi ese.

Iyi bvunzo inotevera inogona kuitwa:

• Kufemerwa kwebutiro uchishandisa tsono
• CT scan
• Fiber optic endoscopy kutarisa kana nzira yemumhepo yakavharika

Utachiona hunogona kurapwa nemishonga inorwisa mabhakitiriya kana ikabatwa nekukurumidza. Kana bundu rakwira, rinofanira kukwezwa netsono kana nekucheka rakavhurika. Unozopihwa mushonga wekurwadziwa izvi zvisati zvaitwa.

Kana hutachiona hwakanyanya kwazvo, matoni acho achabviswa panguva imwechete iyo bundu rinodhonzwa, asi izvi hazviwanzo. Mune ino kesi, iwe unenge uine general anesthesia saka unenge wakarara uye usina kurwadziwa.

Peritonsillar abscess inoenda nekurapwa mune dzakawanda zviitiko. Utachiona hunogona kudzoka mune ramangwana.

Zvinetso zvinogona kusanganisira:

• Kuvharika kwemumhepo
• Cellulitis yeshaya, mutsipa, kana chipfuva
• Endocarditis (isingawanzo)
• Fluid yakatenderedza mapapu (pleural effusion)
• Kuzvimba kwakatenderedza moyo (pericarditis)
• Chirwere chemabayo
• Sepsis (hutachiona muropa)

Fonera wako mupi wezvehutano ipapo kana iwe uine tonsillitis uye iwe ukaita zviratidzo zve peritonsillar abscess.

Fonera mupiki wako kana iwe uine:

• Matambudziko ekufema
• Dambudziko kumedza
• Marwadzo mubhokisi
• Kuramba uine fivha
• Zviratidzo zvinowedzera kuwedzera

Kurapa nekukurumidza kwetonillitis, kunyanya kana kuchikonzerwa nehutachiona, kunogona kubatsira kudzivirira mamiriro aya.

Quinsy; Pute - peritonsillar; Tonsillitis - pute

• Lymphatic maitiro
• Huro anatomi

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.