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ʻO ke ʻano nui o ka mālama ʻana i kahi paratonsillar a i ʻole retropharyngeal abscess e kū nei i loko o ka pharynx ʻo ka wehe ʻana o kahi hoʻokumu purulent e ka ʻoki. Hōʻike ʻia ia no nā mea maʻi o kēlā me kēia makahiki, e noʻonoʻo ana i nā contraindications. Manaʻo ka ʻenehana o ka hana ʻokiʻoki e hana i ka hana 4-5 mau lā ma hope o ka hoʻomaka ʻana o ka hana abscess. ʻO ka hahai ʻole ʻana i kēia ʻōlelo aʻoaʻo hiki ke alakaʻi i ka ʻoiaʻiʻo ua hana ʻia ka hana i ke kakahiaka nui, i ka wā ʻaʻole i hoʻokumu ʻia ka lua abscess. I kēia hihia, ua paʻa nā microorganism pathogenic a puni ka tonsil, akā ʻaʻole i hoʻomaka ka pae o ka hoʻoheheʻe ʻana o ka ʻiʻo adenoid. No ka hoʻomaʻamaʻa ʻana i ke ʻano o ka purulent inflammation, hana ʻia kahi diagnostic puncture.
ʻO ke ʻano no ka ʻike ʻana i ka mākaukau o ka abscess no ka wehe ʻana, ʻo ia ka hou ʻana i ka piko o nā ʻiʻo pehu kokoke i ka tonsil pili. Makemake ʻia e hoʻokō i kahi puncture ma lalo o ka mana o kahi roentgenoscope a i ʻole ultrasound. Ma hope o ke kuʻi ʻana i ka wahi abscess, huki ke kauka i kāna mea i loko o kahi syringe sterile.
Hiki ke koho:
ʻO ka hele ʻana o ka pus i loko o ka pahu syringe he hōʻailona ia o kahi abscess i hana ʻia, kahi hōʻailona no kahi hana.
ʻO ka hele ʻana o ka hui ʻana o ka lymph a me ke koko me ka pus i loko o ka syringe he hōʻailona ia o kahi abscess unformed, i ka wā e hiki ai i ka lāʻau antibiotic kūpono ke pale i ka hana.
Nā hōʻailona no ka wehe ʻana i kahi abscess
Nā hōʻailona no ka hōʻoia ʻana o ka abscess ma ka puncture:
ʻO kahi hōʻailona ʻeha i ʻōlelo ʻia, hoʻonui ʻia e ka hoʻohuli ʻana i ke poʻo, ʻai, hoʻāʻo e kamaʻilio;
Hyperthermia ma luna o 39°c;
ʻOi aku ka lōʻihi o ka angina ma mua o 5 mau lā;
Hypertrophy o hoʻokahi tonsil (kakaʻikahi ʻelua);
ka hoʻonui ʻana o hoʻokahi a ʻoi aku paha nā lymph nodes;
Nā hōʻailona o ka ʻona - ʻeha ʻiʻo, luhi, nāwaliwali, poʻo;
Tachycardia, palpitations.
Inā hana ʻia ka puncture diagnostic ma lalo o ke alakaʻi ultrasound a i ʻole X-ray, hiki ke wehe ʻia ka hapa nui o ka pus i ke kaʻina hana. Eia naʻe, ʻaʻole e hoʻopau loa kēia i ka pilikia, pono ʻoe e wehe i ka abscess.
Nā kumu no ka ʻoki ʻana:
Ma hope o ka hoʻomaʻemaʻe ʻana i ka lua abscess, nalowale nā kūlana no ka laha ʻana o ka pus;
I ka wā o ke kaʻa ʻana, mālama ʻia ka lua me nā antiseptics, ʻaʻole hiki ke hana i ka wā o kahi puncture;
Inā liʻiliʻi ka abscess, wehe ʻia me ka capsule me ka wehe ʻole ʻana;
Ma hope o ka wehe ʻana i ka pus, hoʻomaikaʻi ke kūlana maʻamau, nalowale ka ʻeha, nalowale nā hōʻailona o ka ʻona, emi ka mahana;
ʻOiai ʻo nā microorganisms e hoʻoulu ai i ka ʻāʻī purulent ua aneane e hoʻopau ʻia, ʻoi aku ka liʻiliʻi o ka hoʻi hou ʻana;
I kekahi mau hihia, me ka wehe ʻana o ka abscess cavity, wehe ʻia nā tonsils, e kōkua ana i ka hoʻopau ʻana i ka manaʻo o ka mumū a hoʻemi i ka hopena o ka hoʻi hou ʻana o ka maʻi.
Hana ʻia ka ʻoki ʻana no ka wehe ʻana i kahi abscess ma ka ʻāʻī ma kahi maʻi maʻi waho. He kaʻina hana i hoʻokumu maikaʻi ʻia ʻaʻole e hoʻopilikia i nā pilikia. Ma hope o ka wehe ʻana o ka abscess, hoʻouna ʻia ka mea maʻi no ka mālama ʻana ma ka home, hele mai no ka nānā ʻana ma hope o 4-5 mau lā.
Nā hōʻailona no ka mālama maʻi maʻi o ka paratonsillar abscess:
ʻO nā makahiki o nā keiki (ua hoʻopaʻa ʻia nā keiki preschoolers me ko lākou mau mākua);
Nā wahine hāpai;
ʻO nā maʻi me nā maʻi somatic a i ʻole ka emi ʻana o ka pale ʻana;
ʻO nā maʻi me ka pilikia nui o ka hoʻopiʻi postoperative (sepsis, phlegmon);
ʻO nā maʻi me kahi abscess unformed e mālama i kona hoʻokumu ʻana.
Ma mua o kahi hana i hoʻolālā ʻia, e hoʻonāwaliwali i nā microorganism pathogenic a pale i kā lākou hoʻolaha ʻana, ua kuhikuhi ʻia ka mea maʻi i nā antibiotics. Hana ʻia ka hana ʻokiʻoki ma lalo o ka anesthesia kūloko. Inā wikiwiki ka hihia, ʻae ʻia e wehe i ka abscess me ka ʻole o ka anesthesia.
Nā pae o ka wehe ʻana i kahi abscess
Hana ʻia kahi ʻoki me ka hohonu ʻaʻole iʻoi aku ma mua o 1-1,5 cm ma ke kiʻekiʻe kiʻekiʻe o ka hoʻokumu purulent, no ka mea aia ma laila kahi ʻāpana ʻoi loa o ka ʻiʻo, a kokoke loa ka abscess i ka ʻili. Hoʻoholo ʻia ka hohonu o ka ʻoki ʻia e ka pōʻino o nā aʻalolo kokoke a me nā kīʻaha koko.
Hoʻokuʻu ʻia ka Pus mai ka lua.
Ke hoʻohana nei ke kauka lapaʻau i kahi mea hana pōpō, hoʻopau i nā ʻāpana hiki i loko o ka lua e hoʻomaikaʻi i ka puka ʻana o ka pus a pale i kona stagnation.
Hoʻomaʻamaʻa i ka lua abscess me kahi hopena antiseptic no ka disinfection.
humuhumu ʻeha.
No ka pale ʻana i ka hoʻi hou ʻana, ua kuhikuhi ʻia kahi papa o ka lāʻau antibiotic. I ka wehe ʻana i kahi abscess, ʻike ʻia ʻaʻole ʻo ka pus i loko o ka capsule, ua pālahalaha ma waena o nā ʻiʻo o ka ʻāʻī. Inā loaʻa kēia pilikia e nā microbes anaerobic e ulu ana me ka loaʻa ʻole o ka oxygen, hana ʻia ka hoʻoheheʻe ʻana ma o nā ʻoki hou ma ka ʻili o ka ʻāʻī e lawe mai i ka ea a wehe i ka pus. Inā hoʻopau ʻia ka pilikia o ka hoʻihoʻi hou ʻana, hoʻopaʻa ʻia nā ʻoki wai.
Nā rula o ka hana ma hope o ka ʻoki ʻana e wehe i nā abscesses:
I mea e pale aku ai i ka pehu a me ka lohi i ka hana hou ʻana, pāpā ʻia ka hoʻomaʻamaʻa ʻana i ka ʻāʻī;
No ka hoʻohaʻahaʻa i ka hopena o ka vasoconstriction a i ʻole dilation, ʻae ʻia e inu i nā mea inu wale nō ma ka lumi wela;
Paipai ʻia ka hoʻohana ʻana i ka meaʻai wai;
Pono e hoʻokō i ka pāpā ʻana i ka waiʻona a me ka puhi paka;
I mea e pale ai i ka hoʻihoʻi hou ʻana, pono ia e hana i kahi papa o ka mālama ʻana me nā lāʻau antibacterial a me nā anti-inflammatory, e hoʻohana i nā mea paʻakikī o ka vitamina a me ka mineral;
4-5 mau lā ma hope o ke kaʻina hana, nānā ke kauka i ka mea maʻi, e nānā ana i ka pilikia o nā hoʻopiʻi hiki, ke kaʻina hana hou.
I ka nui o na hihia, he kakaikahi loa ka hana hou ana mahope o ka hana. Ma hope o hoʻokahi pule i hāʻawi ʻia no ka manawa hoʻoponopono, hiki ke ʻōlelo ʻia ka mea maʻi i ka regimen maʻamau.