Kupuma kwa patala (PTA), kapena quinsy, ndi matenda a bakiteriya omwe amachititsa kuti puseni kusonkhanitsa pafupi ndi tonsils ndi pharynx kumbuyo kwa mmero. Kaŵirikaŵiri amapezeka pafupi ndi imodzi ya matani anu ndipo nthawi zambiri amapita kuchokera ku cellulitis kupita ku abscess. Kawirikawiri, ziphuphu zimatha kutenga masiku awiri mpaka 8 kuti zizipanga ndipo zimayambitsa Staphylococcus aureus (matenda a staph), Haemophilus influenzae (chibayo ndi meningitis) ndi Gulu A hemolytic streptococci (GAS; omwe amagwiritsidwa ntchito ndi strep throat kapena pharyngitis) mabakiteriya.
Pulogalamu ya absitillar isapangidwe pakati pa matani a palatine ndi minofu yapamwamba yomwe imagwiritsidwa ntchito pakumeza chakudya kumbuyo kwa mmero. Pali "zipinda" zitatu zomwe abscess, kapena pus, imalowa mkati. Malo apamwamba kwambiri, otchedwa apamwamba, ndipamene mavoti ochulukirapo amapezeka; zomwe zimachititsa pafupifupi 41-70 peresenti ya zochitikazo. Zina zonse zimachitika pakati kapena pamunsi pakati pa matani ndi minofu.
Zowopsa ndi Zowopsya za Peritonsillar Abscess
Mafupa amadzimadzi amachititsa kuti apeze thandizo la otolaryngologist (dokotala wodziwika bwino pa makutu, mphuno, ndi mmero) mwadzidzidzi. Muli ndi mwayi woposa 30,000 wokhala ndi PTA ndipo izi zikhoza kukhala zazikulu chifukwa cha mabakiteriya omwe sagonjetsedwa.
Mudzakhala ndi chiopsezo chowonjezereka chokhala ndi abscessillarlar abscess pamene mukugwa:
- matonillitis (pafupifupi 36 peresenti ya milandu)
- matronillitis osapitirira nthawi ndi nthawi
- Kusuta
- matenda opuma
- kufooketsa chitetezo cha mthupi
- ntchito yam'mawa yatsopano
Mwinanso mumakhala ndi chiopsezo chowonjezereka chokhala ndi abambo omvera ngati mumamwa mowa kapena mankhwala osokoneza bongo monga cocaine. Mankhwalawa pamodzi ndi zizoloŵezi zina zomwe zingagwirizane ndi kugwiritsa ntchito mankhwala osokoneza bongo zingathe kuchepetsa thanzi lanu ndi kufooketsa chitetezo chanu cha mthupi kuti chikhale chowopsa kwambiri.
Ngati muli nawo mbali iliyonse ya zinthu izi, funsani thandizo mwamsanga.
Zizindikiro za Peritonsillar Abscess
Kukonzekera kupuma kwa abambo, kupweteka kwa pakhosi ndi chimodzi mwa zodandaula zambiri. Nthawi zina, msempha wamtsempha sungagwidwe ndi chikhalidwe kapena kuyesedwa kofulumira kwazomwe zimakhala zovuta kwambiri kuti zikhale abscessillarlar abscess. Pazochitikazi, abscess yamatumbo imayambitsa kupweteka kwambiri mmimba kuposa pamene mutangokhala ndi mzere. Zizindikiro zina ndizo:
- malungo
- "mbatata yotentha" mawu
- kudumpha
- mpweya woipa ( halitosis )
- trismus (zovuta kutsegula pakamwa) nthawi zonse zilipo koma zimakhala zosiyana
- kumeza kumvetsa (odynophagia)
- vuto lomeza (dysphagia)
- kumva ululu
Kusanthula Kuperewera kwa Peritonsillar
Mayesero adzachitidwa kuti athandizidwe kudziwa ngati muli ndi abscess. Mbiri yanu yaumoyo ndi mbali yofunikira kwambiri yodziwa ngati muli ndi abscess yokugonjetsa kapena ayi, koma dokotala wanu adzachitanso mayeso ena kuti atsimikizire. Mayesero omwe angagwiritsidwe ntchito akuphatikizapo zithunzi zoyang'ana mmero, CT scan, ndi / kapena ultrasound. Khosi lanu la ultrasound likukhala lotchuka kwambiri ngati zipangizo za ultrasound zikupezeka mosavuta. Ultrasound imakhalanso ndi phindu linalake losafuna ma radiation.
Komabe, si zipatala zonse kapena zipatala zomwe zidzakhala ndi ma attachments abwino omwe angapange bwinobwino. Pachifukwa ichi, CT ndiyo njira yabwino yotsatira.
Mayesero ena omwe angakhale opangidwa ndi monga mono test test, kuwerengera magazi, zikhalidwe za mmero ndi pus. Mayesero awa adzachitidwa kuti athandizidwe kudziwa ngati muli ndi vuto lina limene muyenera kuliganizira. Mitundu idzathandizanso kupeza njira yabwino yoperekera mankhwala.
Ultrasound, CT scans, ntchito ya labu, kapena endoscopy ingagwiritsidwe ntchito pofuna kutulutsa matenda ofanana monga:
- epiglottitis
- parapharyngeal abscess
- mapiritsi a retropharyngeal
- matenda opatsirana a mononucleosis
- diphtheria
Kuchiza kwa Kuperewera kwa Peritonsillar
Kutha kwa abscessillar abscess kungaphatikizepo kuchipatala kwa ana aang'ono ngati kutaya madzi m'thupi. Komabe, nthawi zambiri, kuchipatala sikofunikira. Mankhwala opha tizilombo adzakhala oyenera kuthandizira chifukwa cha matendawa ndipo imodzi mwa njira zotsatirazi iyenera kuchitidwa:
- kupaka ndi kukhetsa pus
- Chosowa chosowa (kuchoka kupyola singano) ya pus
- tonsillectomy
Mtundu wa tonsillectomy suyenera kuchitidwa ndipo mafinya amatanganidwa ndi mankhwala omwe amatha masiku 10 mpaka 14 anayamba kuthana ndi matenda anu.
Zotsatira
Cherry, JD Harrison, GJ, Kaplan, SL, Steinbach, WJ & Hotez, PJ (2014). Feigin ndi Cherry's Bookbook ya Matenda Ochepetsa Matenda. 7 th . Mavitamini, Retropharyngeal, ndi Amphaka a Parapharyngeal. Inapezeka pa 2/29/2016 kuchokera ku http://www.clinicalkey.com (Kulembetsa Kuyenera)
Elsevier, BV (2015). Kuperekera kwa abscessillar abscess. Inapezeka pa 2/29/2016 kuchokera ku http://www.clinicalkey.com (Kulembetsa Kuyenera)
Shah, UK & Meyers, AD (2015). Kuchotsa matayironi ndi ma Puloteni Osaphatikizapo Pachipatala. Inapezeka pa 2/29/2016 kuchokera ku http://emedicine.medscape.com/article/871977-clinical