I-Peritonsillar abscess (PTA), noma i-quinsy, isifo sobhaktheriya esibangela ukuba i-pus iqoqe eduze kwamathoni kanye ne-pharynx emhlane. Ngokuvamile livela eceleni kweyodwa yamathoni akho futhi ngokuvamile iqhubekela phambili kusuka ku-cellulitis kuya kwi-abscess. Ngokuvamile, ama-abscesses ama-peritonsillar athatha izinsuku ezingaba ngu-2 kuya kwezingu-8 ukuba ayenze futhi avame ukubangelwa yi- Staphylococcus aureus (ukutheleleka kwe-staph), i- Haemophilus influenzae (i-pneumonia ne-meningitis) ne-Group A hemolytic streptococci (i-GAS; ejwayelekile ye- strep throat noma pharyngitis) amabhaktheriya.
I-abscessillar abscess ijwajiwe phakathi kwe-tonsil ye-palatine kanye nesisindo esiphezulu se-constrictor (esisetshenziselwa ukugwinya ukudla) ngemuva komphimbo. Kukhona "amakamelo" amathathu lapho i-abscess, noma i-pus, ingena khona. Indawo ephezulu kunazo zonke, ebizwa ngokuthi iphakeme, yilapho iningi lamacala e-absentillar abscess ekhona; okuholela emaphesenti angaba ngu-41-70 ezenzekile. Okunye okunye kwenzeka phakathi kwesigaba esiphakathi noma esiphansi phakathi kwe-tonsil ne-muscle.
Ukuqapha kanye nezingozi zePeritonsillar Abscess
I-peritonsillar abscesses yimbangela evamile yokufuna usizo lwe- otolaryngologist (udokotela onguchwepheshe wezindlebe, impumu, nomphimbo) ngokushesha. Unamathuba angama-30 ku-100,000 okuthola i-PTA futhi lokhu kungaba ngaphezulu ngenxa yemithi ephikisana nemithi yama-antibiotic.
Uzobe usengozini enkulu yokwenza i-abscessillar abscess ngaphansi kwezimo eziwela:
- i-tonsillitis (ama-akhawunti angama-36 amaphesenti)
- i-tonsillitis engapheli futhi ephindaphindiwe
- ukubhema
- izifo zokuphefumula
- isisindo somzimba esibuthakathaka
- Umsebenzi wamuva wamazinyo
Kungenzeka futhi ukuthi usengozini enkulu yokwenza amakhemikhali e-peritonsillar uma usebenzisa kabi izidakamizwa noma izidakamizwa ezingekho emthethweni njenge-cocaine. Lezi zidakamizwa kanye neminye imikhuba engase ihambisane nokusetshenziswa kwezidakamizwa ezingekho emthethweni cishe kuyokwehlisa impilo yakho futhi ifinyelele isimiso sakho somzimba sokuzivikela emzimbeni ukuze sikwazi ukubhebhetheka kakhulu emathunjini omzimba.
Uma uhilelekile kunoma iyiphi yalezi zinto, funa usizo ngokushesha.
Izimpawu Ze-Peritonsillar Abscess
Ukulungiselela i-abscessillar abscess, isisu somzimba ingenye yezikhalazo ezivame kakhulu. Kwezinye izimo, umgogodla we-strep ngeke ubanjwe isiko noma ukuhlolwa okusheshayo kwe-strep futhi kubi nakakhulu ekubeni yi-abscessillar abscess. Kulezi zimo, i-absentillar abscess ibangela umphimbo obi kakhulu kunakho lapho usuvele unesifo somugqa. Ezinye izimpawu zifaka:
- umkhuhlane
- "amazambane ashisa" izwi
- ukwehla
- umoya omubi ( halitosis )
- i-trismus (kunzima ukuvula umlomo) ihlale ikhona kodwa ingahluka ngokukhululeka
- ukugwinya okubuhlungu (odynophagia)
- ubunzima bokugwinya (dysphagia)
- ubuhlungu bezindlebe
Ukuthola i-Peritonsillar Abscess
Izivivinyo zizokwenziwa ukuze kusize ukuthi unayo yini ngempela i-abscessillar abscess noma cha. Umlando wakho wezempilo yingxenye ebaluleke kakhulu yokunquma ukuthi noma ngabe unayo yini i-absentillar abscess, noma udokotela wakho uzokwenza ezinye izivivinyo ezengeziwe ukuze enze ukuzimisela okuqinile. Ukuhlolwa okuvamile okungenziwa kwenziwa kubandakanya ukuhlolwa okubukwayo komphimbo wakho, i-CT scan, kanye / noma i-ultrasound. I-ultrasound yomphimbo wakho iyaziwa kakhulu njengoba amadivaysi e-ultrasound asheshe atholakale kalula. I-Ultrasound nayo inenzuzo eyengeziwe yokungadingi imisebe.
Kodwa-ke, akuzona zonke izibhedlela noma imitholampilo ezoba nezinamathiselo ezifanele ze-ultrasound ukwenza ukuhlolwa okwanele. Kulesi simo, i-CT scan iyona enhle kakhulu okukhethwa kukho.
Ezinye izivivinyo ezingase zenziwe zibandakanya ukuhlolwa kwe-mono, ukubala kwegazi, amasiko emphimbo kanye ne-pus. Lezi zivivinyo zizokwenziwa ukuze kusize ukuthi unayo yini enye inkinga okufanele uyihlolwe noma cha. Amasiko azosiza ekunqumeni ukwelashwa okuqhubekayo okuqhubekayo kuwe.
I-Ultrasound, i-CT scan, umsebenzi webhu, noma i-endoscopy ingasetshenziswa ukulawula ukuxilongwa okufana nalokhu:
- i-epiglottitis
- i-abscess parapharyngeal
- ama-abscpharyngeal abscesses
- i-mononucleosis esithathelwanayo
- i-diphtheria
Ukwelashwa kwe-Peritonsillar Abscess
Ukuphathwa kwe-absentillar abscess kungabandakanya ukunakekelwa esibhedlela ezinganeni ezincane uma kutholakala amanzi emzimbeni. Kodwa-ke, ezimweni eziningi, ukunakekelwa esibhedlela ngeke kudingeke. Ama-antibiotic azoyadingeka ukuphatha imbangela yokutheleleka futhi enye yezinqubo ezilandelayo kuzodingeka zenziwe:
- ukucubungula nokugeleza kwamanzi
- Isifiso se-needle (ukuhoxisa ngenaliti) ye-pus
- tonsillectomy
I-tonsillectomy ayidingi isidingo sokwenziwa futhi i-pus isuswe kalula futhi imithi elwa namagciwane iqhubeka izinsuku ezingu-10 kuya kwezingu-14 iqala ukuphatha ukutheleleka kwakho.
Imithombo
Cherry, JD Harrison, GJ, Kaplan, SL, Steinbach, WJ & Hotez, PJ (2014). I-Feigin ne-Cherry's Bookbook ye-Infedious Diseases. 7 th . Ama-Peritonsillar, Retropharyngeal, nama-Parapharyngeal Abscesses. Kufinyelelwe ngo-2/29/2016 kusuka ku-http: //www.clinicalkey.com (Okubhaliselwe Kudingeka)
I-Elsevier, i-BV (2015). I-Peritonsillar abscess. Kufinyelelwe ngo-2/29/2016 kusuka ku-http: //www.clinicalkey.com (Okubhaliselwe Kudingeka)
Shah, UK & Meyers, AD (2015). I-tonsillitis ne-Peritonsillar Abscess Presentation Clinical. Ifinyelele ngomhla ka-2/29/2016 kusuka ku-http://emedicine.medscape.com/article/871977-clinical