Retropharyngeal rwj

Retropharyngeal abscess yog qhov sau ntawm pus hauv cov nqaij hauv qab caj pas. Nws tuaj yeem yog ib qho kev mob tuag taus.

Retropharyngeal abscess feem ntau ua rau cov menyuam yaus hnub nyoog qis dua 5 xyoos, tab sis nws tuaj yeem tshwm sim rau txhua lub hnub nyoog.

Cov khoom siv uas kis tau tus mob (pus) txhim kho nyob rau hauv qhov chaw ib ncig ntawm cov nqaij hauv qab caj pas. Qhov no tuaj yeem tshwm sim thaum lossis sai sai tom qab muaj mob qa.

Cov tsos mob muaj xws li:

• Ua tsis taus pa nyuaj
• Nyuaj nqos nyuaj
• Ncau
• Ua npaws kub siab
• High-pitched suab thaum nqus tau (stridor)
• Cov leeg ntawm cov tav rub tawm thaum ua pa (intercostal kev tawm tsam)
• Mob caj pas ntau heev
• Nyuaj dhau tig lub taub hau

Tus kws kho mob yuav kuaj nws lub cev thiab saib hauv caj pas. Tus kws kho mob yuav maj mam txhuam cov sab nraum qab ntawm lub caj pas nrog txoj phuam qhwv caj dab. Qhov no yog coj tus qauv ntawm cov ntaub so ntswg los kuaj xyuas nws dua. Nws hu ua caj pas kab lis kev cai.

Lwm yam kev ntsuam xyuas yuav suav nrog:

• Ua kom tiav cov ntshav suav (CBC)
• CT scan ntawm caj dab
• Xoo hluav taws xob ntawm caj dab
• Fiber ntau optic endoscopy

Kev phais mob yog xav tau los txhawm rau tshem thaj chaw muaj kab mob. Corticosteroids qee zaum muab rau txo qis hauv txoj hlab pa. Cov tshuaj tiv thaiv ntau dua yog muab los ntawm txoj hlab ntshav (leeg ntshav) los kho tus mob.

Cov hlab cua yuav tiv thaiv kom nws tsis txhob ua kom tiav los ntawm kev o.

Nws yog ib qho tseem ceeb kom tau txais kev pab kho mob tam sim ntawd. Tus mob no tuaj yeem ua rau txhaws ntawm txoj hlab pa. Qhov no yog lub neej hem. Nrog txoj kev kho mob kom sai, txoj kev cia siab yuav rov qab zoo.

Teeb meem yuav suav nrog:

• Thaiv ob leeg
• Kev cia siab
• Mediastinitis
• Osteomyelitis

Hu rau koj tus kws khomob yog koj lossis koj tus menyuam muaj mob kub taub hau heev uas mob caj pas ntau heev.

Nrhiav kev pab kho mob sai li sai tau yog tias koj muaj:

• Ua pa teeb meem
• Lub suab sib sib zog nqus pa (stridor)
• Kev rov qab ntawm cov leeg ntawm tus tav thaum ua pa
• Nyuaj dhau tig lub taub hau
• Nyuaj nqos nyuaj

Kev kuaj mob sai thiab kho mob qa lossis ua pa sab sauv tuaj yeem tiv thaiv cov teeb meem no.

• Caj dab anatomy
• Oropharynx

Melio FR. Cov pa ua pa sab saud. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv Tshuaj. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 65.

Meyer A. Kab mob kis rau menyuam yaus. Hauv: Flint PW, Haughey BH, Lund V, li al, eds. Cummings Otolaryngology: Taub Hau Thiab Caj DabCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2015: chap 197.

Pappas DE, Hendley JO. Retropharyngeal abscess, lateral pharyngeal (parapharyngeal) mob rwj, thiab mob peritonsillar cellulitis / rwj. Hauv: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Phau Ntawv ntawm PediatricsCov. 20 tus ed. Philadelphia, PA: Elsevier; 2016: cha 382.