Peritonsillar rwj
Peritonsillar abscess yog qhov sau los ntawm cov khoom kis mob hauv thaj chaw ib ncig ntawm cov tonsil.
Peritonsillar abscess yog ib qho kev cuam tshuam ntawm tonsillitis. Nws feem ntau tshwm sim los ntawm hom kab mob hu ua pawg A beta-hemolytic streptococcus.
Peritonsillar abscess feem ntau tshwm sim hauv cov menyuam loj dua, cov hluas, thiab cov neeg laus hluas. Qhov mob yog muaj tsawg tam sim no siv tshuaj tua kab mob los kho tonsillitis.
Ib lossis ob qho tonsils kis tau tus kab mob. Tus kab mob feem ntau kis rau ib ncig ntawm tonsil. Nws tuaj yeem kis mus rau sab caj dab thiab hauv siab. Cov nqaij o tuaj yeem thaiv txoj hlab pa. Nov yog kev phom sij kub ntxhov rau neeg.
Lub rwj tuaj yeem qhib qhib (ua paug) mus rau hauv caj pas. Cov ntsiab lus ntawm lub zeem muag tuaj yeem nkag mus rau hauv lub ntsws thiab ua rau mob ntsws.
Cov tsos mob ntawm tus mob hnoos qeev suav nrog:
- Ua npaws thiab ua daus no
- Kev mob caj pas heev uas feem ntau nyob ntawm ib sab
- Ntsej ntawm ib sab ntawm lub vias
- Kev nyuaj qhib lub qhov ncauj, thiab mob nrog qhib lub qhov ncauj
- Nqos teeb meem
- Kev haus dej lossis tsis tuaj yeem nqos kua qaub ncaug
- Lub ntsej muag lossis caj dab o
- Ua npaws
- Mob taub hau
- Muffled lub suab
- Cov qog txha mos ntawm lub puab tsaig thiab caj pas
Kev kuaj mob caj pas feem ntau pom tias o ntawm ib sab thiab ntawm lub ru tsev ntawm lub qhov ncauj.
Tus uvula hauv qab caj pas yuav txav mus deb ntawm qhov o o. Lub caj dab thiab caj pas tuaj yeem ua xim liab thiab o tuaj rau ntawm ib qho lossis ob tog.
Cov kev xeem hauv qab no tuaj yeem ua:
- Kev xav ntawm qhov qog siv rab koob
- Iav scan
- Fiber optic endoscopy txhawm rau txhawm rau saib seb puas txoj hlab pa thaiv
Tus kab mob tuaj yeem kho nrog tshuaj tua kab mob yog tias nws tau ntxov. Yog tias qhov voos tau tsim, nws yuav raug txhawm nrog rab koob lossis los ntawm kev txiav nws qhib. Koj yuav muab cov tshuaj mob ua ntej ua qhov no.
Yog tias qhov mob hnyav heev, tus qog yuav tshem tawm tib lub sij hawm qhov rwj yuav hno, tab sis qhov no tsis tshua muaj. Hauv qhov no, koj yuav muaj kev loog tshwj xeeb kom koj yuav tsaug zog thiab tsis hnov mob.
Peritonsillar rwj ploj mus nrog kev kho mob feem ntau. Cov kis tau rov qab los rau yav tom ntej.
Teeb meem yuav suav nrog:
- Thaiv ob leeg
- Cellulitis ntawm lub puab tsaig, caj dab, lossis hauv siab
- Endocarditis (tsawg)
- Kua ncig lub ntsws (pleural effusion)
- O ncig lub plawv (mob pericarditis)
- Mob ntsws o
- Sepsis (mob hauv cov ntshav)
Hu rau koj tus neeg saib xyuas kev noj qab haus huv yog tias koj muaj mob tonsillillitis thiab koj tus mob txhaus qog.
Hu rau koj tus kws khomob yog koj muaj:
- Cov teeb meem ua pa
- Teeb meem nqos
- Mob hauv siab
- Ntev kub taub hau
- Cov tsos mob uas mob heev dua
Kev kho mob sai ntawm tonsillitis, tshwj xeeb tshaj yog tias nws tshwm sim los ntawm cov kab mob, tuaj yeem pab tiv thaiv tus mob no.
Ntshuam; Quav - peritonsillar; Mob Tonsillitis - mob rwj
- Lymphatic system
- Caj dab anatomy
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.