Ludwig angina

I-Ludwig angina sisifo somgangatho womlomo phantsi kolwimi. Kungenxa yosulelo lwebacteria emazinyweni okanye emhlathini.

I-Ludwig angina luhlobo losulelo lwebacteria olwenzeka kumgangatho womlomo, phantsi kolwimi. Ihlala ikhula emva kosulelo lweengcambu zamazinyo (ezinjengamathumba emazinyo) okanye ukwenzakala emlonyeni.

Le meko ayiqhelekanga ebantwaneni.

Indawo eyosulelekileyo idumba ngokukhawuleza. Oku kunokuthintela indlela yomoya okanye kukuthintele ungaginye amathe.

Iimpawu zibandakanya:

• Ukuphefumla ubunzima
• Kunzima ukugwinya
• Ukutsala amathe
• Intetho engaqhelekanga (kuvakala ngathi umntu "unezambane elishushu" emlonyeni)
• Ukudumba kolwimi okanye ukuphuma kolwimi emlonyeni
• Ifiva
• Intlungu yomqala
• Ukudumba kwentamo
• Ububomvu entanyeni

Ezinye iimpawu ezinokuthi zenzeke kwesi sifo:

• Ubuthathaka, ukudinwa, ukudinwa okungaphezulu
• Ukudideka okanye olunye utshintsho lwengqondo
• Ubuhlungu bendlebe

Umboneleli wakho wezempilo uya kwenza uvavanyo lwentamo yakho kunye nentloko ukukhangela ubomvu kunye nokudumba kwentamo ephezulu, phantsi kwesilevu.

Ukudumba kunokufikelela kumgangatho womlomo. Ulwimi lwakho lunokudumba okanye lutyhalelwe phezulu emlonyeni wakho.

Unokufuna i-CT scan.

Isampulu yolwelo olusuka kwizicubu lungathunyelwa kwilebhu ukuvavanya ibacteria.

Ukuba ukudumba kuthintela indlela yomoya, kuya kufuneka ufumane uncedo olukhawulezileyo lwezonyango. Umbhobho wokuphefumla ungafuneka ubekwe emlonyeni wakho okanye empumlweni nasemiphungeni ukubuyisela ukuphefumla. Kuya kufuneka wenze utyando olubizwa ngokuba yi-tracheostomy olwenza ukuba kuvuleke intamo uye kwi-windpipe.

Amayeza okubulala iintsholongwane anikezelwa ukulwa usulelo. Zihlala zinikwa ngomthambo de iimpawu zihambe. Amayeza okubulala iintsholongwane athathwe ngomlomo anokuqhubeka de kuvavanyo lubonise ukuba intsholongwane ihambile.

Unyango lwamazinyo lunokufuneka kusulelo lwamazinyo olubangela uLudwig angina.

Utyando lunokufuneka ukukhupha ulwelo olubangela ukudumba.

U-Ludwig angina usongela ubomi. Iyanyangeka ngokufumana unyango ukugcina iindlela zomoya zivulekile kwaye uthatha amayeza okubulala iintsholongwane.

Iingxaki zinokubandakanya:

• Ukuvalwa komoya
• Usulelo ngokubanzi (sepsis)
• Ukutshatyalaliswa kwe-Septic

Ubunzima bokuphefumla yimeko engxamisekileyo. Yiya kwigumbi likaxakeka okanye fowunela inombolo yongxamiseko yendawo yakho (enje nge-911) ngoko nangoko.

Fowunela umboneleli wakho ukuba uneempawu zeli meko, okanye ukuba iimpawu azibangcono emva konyango.

Ndwendwela ugqirha wamazinyo uyokuhlola rhoqo.

Phatha iimpawu zomlomo okanye usuleleko lwamazinyo kwangoko.

Usulelo lwendawo engaphantsi; Usulelo lwendawo encinci

• I-Oropharynx

UChristian JM, uGoddard AC, uGillespie MB. Intamo enzulu kunye nosulelo lwe-odontogenic. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 10.

IHupp WS. Izifo zomlomo. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2019. IPhiladelphia, PA: Elsevier; Ngo-2019: 969-975.

IMelio FR. Usulelo oluphezulu lokuphefumula. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 65.