Retropharyngeal etuto

Retropharyngeal etuto bụ nchịkọta nke abu na anụ ahụ dị na azụ nke akpịrị. O nwere ike ịbụ ọnọdụ ahụike na-eyi ndụ egwu.

Ọrịa retropharyngeal na-emetụtakarị ụmụaka na-erubeghị afọ 5, mana ọ nwere ike ime n'oge ọ bụla.

Ihe na-ebute oria (pus) na-etolite na oghere gburugburu anụ ahụ dị na azụ akpịrị. Nke a nwere ike ime n'oge ma ọ bụ n'oge na-adịghị anya mgbe ọrịa akpịrị gasịrị.

Mgbaàmà gụnyere:

• Nsogbu iku ume
• Nsogbu ilo
• Iwe
• Ahụ ọkụ
• Akwa-ada ụda mgbe inhaling (stridor)
• Akwara n'etiti ọgịrịga na-adọta mgbe iku ume (intercostal retractions)
• Oké mgbu mgbu
• O siri ike ịtụgharị isi

Onye nlekọta ahụike ga-eme nyocha anụ ahụ ma lee anya n'ime akpịrị. Onye na-eweta ya nwere ike jiri nwayọ jiri aka na-ete azụ akpịrị jiri nwayọ ete. Nke a bụ ịlele otu anụ ahụ iji lelee ya nke ọma. A na-akpọ ya omenala akpịrị.

Ule ndị ọzọ nwere ike ịgụnye:

• Ọnụọgụ ọbara zuru ezu (CBC)
• Nyocha CT nke olu
• X-ray n'olu
• Eriri optic endoscopy

Iswa ahụ dị mkpa iji kpochapụ mpaghara ọrịa ahụ. Mgbe ụfọdụ, a na - enye ndị nwere corticosteroids iji belata ọzịza nke ikuku. A na-enye ọgwụ mgbochi oke site na akwara (intravenous) iji gwọọ ọrịa ahụ.

A ga-echebe ikuku ahụ ka ọ ghara igbochi ya site na ọzịza.

Ọ dị mkpa ịnweta enyemaka ahụike ozugbo. Ọnọdụ a nwere ike ibute mkpọchi nke ikuku. Nke a na-eyi ndụ egwu. Na ọgwụgwọ ozugbo, a na-atụ anya mgbake zuru oke.

Nsogbu nwere ike ịgụnye:

• Ihe mgbochi ikuku
• Ọchịchọ
• Mediastinitis
• Osteomyelitis

Kpọọ onye na-eweta ọrụ gị ma ọ bụrụ na gị ma ọ bụ nwa gị amalite ịrịa oke ọkụ na nnukwu mgbu akpịrị.

Nweta enyemaka ahụike ozugbo ma ọ bụrụ na ịnwee:

• Na-eku ume nsogbu
• Akwa ume ume na-ada (stridor)
• Iweghachite akwara n'etiti ọgịrịga mgbe ị na-eku ume
• O siri ike ịgbanye isi
• Nsogbu ilo

Ngwa ngwa nchoputa na ọgwụgwọ nke akpịrị mgbu ma ọ bụ ọrịa iku ume nke elu nwere ike igbochi nsogbu a.

• Ọkpụkpụ akpịrị
• Oropharynx

Melio FR. Ọrịa iku ume iku ume dị n’elu Na: Mgbidi RM, Hockberger RS, Gausche-Hill M, eds. Ngwọta Mberede nke Rosen: Echiche na usoro ọgwụgwọ. Agba nke 9. Philadelphia, PA: Elsevier; 2018: isi 65.

Meyer A. Ọrịa na-efe efe ụmụaka. Na: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Headwa Ahụ na olu. Nke isii. Philadelphia, PA: Elsevier Saunders; 2015: isi 197.

Pappas DE, Hendley JO. Retropharyngeal etuto, mpụta pharyngeal (parapharyngeal) etuto, na peritonsillar cellulitis / etuto. Na: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. Agba nke 20. Philadelphia, PA: Elsevier; 2016: isi 382.