Retropharyngeal leai se aoga

Retropharyngeal abscess o se faʻaputuga o pus i maso i tua o le faʻaʻi. E mafai ona avea ma faʻafitauli tau soifua maloloina.

Retropharyngeal abscess masani ona afaina ai tamaiti i lalo ole 5 tausaga, ae mafai ona tupu i soʻo se tausaga.

O faʻamaʻi pipisi (pus) e faʻaputuputu i le avanoa o loʻo i tua o le faʻaʻai. Lenei mafai tupu i le taimi po o se taimi lata mai ina ua uma le siama siama.

Faʻailoga aofia ai:

• Manava manava
• Faigata faʻaumatia
• Faʻalo
• Fiva maualuga
• Leo maualuga-leo pe a manava (stridor)
• Musika i le va o ivi asoaso toso i totonu pe a manava (intercostal retracks)
• Paʻu tiga o le faaʻi
• Faigata liliu le ulu

O le tausi soifua maloloina o le a faia se faʻataʻitaʻiga tino ma tilotilo i totonu o le faʻaʻi. E mafai e le tagata tuʻuina atu ona milimili lemu le tua o le faʻaʻi i se pulupulu. Lenei e tatau ona ave se faʻataʻitaʻiga o aano e siaki ia sili atu vavalalata. E taʻua ole aganuu faʻaʻai.

O isi suʻega ono aofia ai:

• Faitau atoa le toto (CBC)
• CT faʻataʻitaʻi le ua
• X-ray o le ua
• Alava optic endoscopy

E manaʻomia se taotoga e sasaʻa ai le vaega ua pisia. O Corticosteroids e avatua i nisi taimi e faʻaititia ai le fulafula o ala. O fualaʻau-maualuga fualaʻau e avatua i le alatoto (totonu) e togafitia ai le faʻamaʻi.

O le auala ea o le a puipuia ina ia mafai ona le atoa poloka e le fulafula.

E taua le vave maua o fesoasoani faʻafomaʻi. O lenei tulaga e mafai ona taitai atu ai i le poloka o auala alatele. O lenei le ola lamatia. Faatasi ai ma le vave togafitiga, o se atoa le toe faaleleia ua faamoemoeina.

Faʻafitauli e ono aofia ai:

• Faalavelave i le alatele
• Naunauga
• Mediastinitis
• Osteomyelitis

Valaʻau lau tautua pe a fai o oe poʻo lau tama ua maua i le fiva maualuga ma le tiga o le faʻaʻi o le faʻaʻi.

Maua vave fesoasoani faʻafomaʻi pe a fai oe:

• Faʻalavelave manava
• O leo maualuga e manava (stridor)
• Aveʻesea o maso i le va o ivi asoaso pe a manava
• Faigata liliu le ulu
• Faigata faʻaumatia

O le vave maua mai ma faʻataʻitaʻia le tiga o le faʻaʻi poʻo le faʻamaʻi manava i luga e mafai ona puipuia ai lenei faʻafitauli.

• Anatomia
• Oropharynx

Melio FR. Maualuga afaina auala respiratory. I: Puipui RM, Hockberger RS, Gausche-Hill M, eds. Togafitiga Faʻafuaseʻi a Rosen: Faʻataʻitaʻiga ma Togafitiga Faʻafomaʻi. 9th ed. Filatelefia, PA: Elsevier; 2018: mata 65.

Meyer A. Pediatric faʻamaʻi pipisi. I le: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Taʻavale ma le ua. 6th ed. Filatelefaia, PA: Elsevier Saunders; 2015: chap 197

Pappas DE, Hendley JO. Retropharyngeal abscess, tuaala pharyngeal (parapharyngeal) abscess, ma peritonsillar cellulitis / abscess. I: Kliegman RM, Stanton BF, St.Geme JW, Schor NF, eds. Nelson Tusitusiga o Pediatrics. 20 ed. Filatelefia, PA: Elsevier; 2016: mata 382