Peritonsillar abscess (PTA), ko ƙwaƙwalwa, shi ne kamuwa da cuta na kwayoyin cuta wanda ke haifar da ƙwaƙwalwa a kusa da tonsils da pharynx zuwa baya na makogwaro. Yawanci yana faruwa ne kawai kusa da ɗaya daga cikin tonsils kuma yawanci ci gaba daga cellulitis zuwa ƙananan ƙwayoyi. Bugu da ƙari, ƙwayoyin ƙwayoyin ƙwayoyin ƙwayar jiki suna ɗaukar kimanin kwanaki 2 zuwa 8 don su samo asali da Staphylococcus aureus (kamuwa da cuta), Haemophilus influenzae (ciwon huhu da meningitis) da kuma streptococci na jini na rukuni na GAS (GAP), kwayoyin cutar strep ko pharyngitis).
Cikin haɗin ƙin ƙwayar jiki shine yawanci sandwiched tsakanin fadin palatine da kuma tsokawar ƙwayar tsoka (wanda aka yi amfani da shi wajen cinye abincin) a baya na makogwaro. Akwai "matakan" uku da cewa ƙwayar ƙwayar ƙwayar, ko turawa, yawanci tana ganowa a ciki. Yankin mafi girma, wanda ake kira mai girma, shine inda yawancin lokuta na ƙwayar cututtuka ke ciki; sakamakon haka game da kashi 41-70 na abubuwan da suka faru. Sauran suna faruwa a tsakiya ko ƙananan sashi tsakanin tonsil da tsoka.
Yanayi da yawa da haɗari don Faɗar Peritonsillar Abscess
Abun ƙananan halayen peritonsillar wani abu ne na dalili na neman taimako daga wani malami (mai kula da ilimin likita) a cikin kwatsam, hanci, da wuya). Kuna da kimanin 30 cikin 100,000 damar samun PTA kuma wannan zai iya zama mafi girma saboda maganin cututtukan kwayoyin cuta.
Za ku kasance cikin haɗari mai ƙari don bunkasa ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta a cikin yanayin fadowa:
- tonsillitis (asusun kimanin kashi 36 cikin dari)
- ci gaba da tonsillitis
- shan taba
- cututtuka na numfashi
- ya raunana tsarin rigakafi
- aikin likitancin kwanan nan
Kuna iya samun haɗarin haɗari na haɓaka ƙananan ƙwayoyin cuta idan kun yi barazanar shan barasa ko magungunan ƙwayoyi irin su cocaine. Wadannan kwayoyi tare da wasu halaye masu ɓarna da zasu iya biyo bayan amfani da magungunan ƙwayoyin magungunan ƙila za su rage lafiyarka kuma su raunana tsarinka na rigakafin da zai sa ku zama mai saukin kamuwa ga ƙananan abscesses.
Idan kun kasance cikin cikin waɗannan abubuwa, nemi taimako nan da nan.
Bayyanar cututtuka na Peritonsillar Abscess
Kafin ƙaddarar ƙwayar ƙwayar cuta, ciwon makogwaro yana daya daga cikin gunaguni na yau da kullum. A wasu lokuta, ƙwayar strep ba za ta kama ta al'ada ba ko gwajin gwaji mai saurin gaske kuma ya kara tsanantawa wajen zama ƙwayar ƙwayar cuta. A cikin wadannan lokuta, ƙwaƙwalwar ƙwayar ƙwayar cuta zai haifar da mummunar makogwaro fiye da lokacin da kawai ka samu gwargwado. Sauran cututtuka sun haɗa da:
- zazzabi
- "murya mai zafi"
- drooling
- mummunan numfashi ( halittawa )
- trismus (wahalar bude bakin) yana koyaushe amma yana iya bambanta da tsananin
- haɗiya mai raɗaɗi (odynophagia)
- wahala a haɗiye (dysphagia)
- jin zafi
Diagnosing Peritonsillar Abscess
Za a yi gwaje-gwaje don taimakawa wajen gano ko a'a kana da wani ƙwayar ƙwayar cuta. Tarihin lafiyarka yana da muhimmiyar mahimmanci na sanin ko zaka iya samun ƙwayar ƙwayar ƙwayar cuta, amma likitanka zai yi wasu ƙarin gwaje-gwajen don tabbatar da karfi. Gwaje-gwaje na yau da kullum da za a iya yi sun hada da dubawa na gani na bakin ka, CT scan, da / ko duban dan tayi. Kwanan dan tayi na karbarka ya zama mafi shahara yayin da na'urori masu tarin lantarki suna samun samuwa sosai. Duban dan tayi yana da ƙarin amfanar da ba'a bukatar radiation.
Duk da haka, ba asibitoci ko asibitoci ba zasu sami cikakkun duban dan tayi da za a iya gwada su. A wannan yanayin, CT scan shine zabi mafi kyau na gaba.
Sauran gwaje-gwaje da za a yi sun haɗa da ƙwararrun gwaji, ƙididdiga jini, al'adu na bakin ciki da turawa. Wadannan gwaje-gwajen za a yi domin taimakawa wajen ƙayyade ko a'a kana da wani matsala da ya kamata a yi la'akari. Ƙungiyoyin zai taimaka wajen ƙayyade mafi mahimmancin magani a gare ku.
Duban dan tayi, CT scans, Lab aiki, ko endoscopy za a iya amfani da su mulkin fitar da irin wannan diagnoses kamar:
- epiglottitis
- parapharyngeal ƙurji
- retropharyngeal abscesses
- miconucleosis mai cututtuka
- diphtheria
Jiyya na Peritonsillar Abscess
Gudanar da ƙwayar ƙwayar cututtuka na iya haɗawa da asibiti a cikin yara ƙanana idan jin dadi ba ya kasance. Duk da haka, a mafi yawan lokuta, asibiti bazai zama dole ba. Magungunan rigakafi zai zama dole don magance matsalar kamuwa da cuta kuma daya daga cikin hanyoyin da ake biyowa za a buƙaci:
- incision da magudi na tura
- Bukatar buƙata (janyewa ta hanyar allura) na turawa
- tonsillectomy
Ba'a da wuya a yi amfani da kayan aiki ba tare da an cire kullun ba kuma maganin maganin rigakafin ya ci gaba na kwanaki 10 zuwa 14 da za a fara magance ka.
Sources
Cherry, JD Harrison, GJ, Kaplan, SL, Steinbach, WJ & Hotez, PJ (2014). Lafiya da Cherry's Textbook na Pediatric Infectious Diseases. 7 th ed. Peritonsillar, Retropharyngeal, da kuma Parapharyngeal Abscesses. Samun damar shiga ranar 2/29/2016 daga http://www.clinicalkey.com (Abubuwan da ake bukata)
Elsevier, BV (2015). Peritonsillar ƙurji. Samun damar shiga ranar 2/29/2016 daga http://www.clinicalkey.com (Abubuwan da ake bukata)
Shah, Birtaniya & Meyers, AD (2015). Tonsillitis da Peritonsillar Abscess Clinical Presentation. Samun damar shiga ranar 2/29/2016 daga http://emedicine.medscape.com/article/871977-clinical