Yintoni i-ludwig's angina, iimpawu eziphambili kunye nendlela lonyango ngayo

Umxholo

• Iimpawu eziphambili
• Unobangela we-angud ka-ludwig
• Iingxaki ezinokwenzeka
• Unyango kufuneka lube njani

I-angina kaLudwig yimeko enokwenzeka emva kweenkqubo zamazinyo, njengokukhutshwa kwamazinyo, umzekelo, ngakumbi kubantu abanamajoni omzimba abuthathaka, abangelwa ikakhulu ziibhaktheriya ezinokufikelela ngokulula kwigazi kwaye zonyuse umngcipheko weengxaki, ezinje ngokuphefumla kunye ne-sepsis.

Iimpawu ze-ludwig's angina zingavela kwiiyure emva kwenkqubo, zibonakaliswe ngokwanda kwemveliso yamathe, umkhuhlane omkhulu, iintlungu kunye nobunzima bokuvula umlomo nokuginya. Kubalulekile ukuba uxilongo lwenziwe kwakamsinya emva kokuvela kweempawu zokuqala, njengoko kunokwenzeka ukuba uqale unyango kwangoko emva koko, okuhlala kubandakanya ukusetyenziswa kwee-antibiotics.

Iimpawu eziphambili

Iimpawu kunye neempawu ze-ludwig's angina zinokuvela kwiiyure emva kwenkqubo yamazinyo, kwaye kunokubakho:

• Ukwanda kwemveliso yamathe;
• Ubunzima kunye nentlungu yokuginya;
• Umkhuhlane ophezulu;
• Ukuhla ukusinda;
• Ukutshintsha kwelizwi;
• Ukuphakama kolwimi, okunokubangela imvakalelo yokuxinana;
• Ubukho bemfihlo ngegazi kunye nephunga elinamandla;
• Kunzima ukuvula umlomo wakho ngokuchanekileyo;
• Ukudumba kwindawo yenkqubo.

I-angina kaLudwig ixhaphake kakhulu kubantu abanezinto ezinobungozi, ezinjengokusela kakhulu iziselo ezinxilisayo, isifo seswekile, iingxaki zezintso, ukusetyenziswa kweziyobisi ezikhuselayo, izifo ezinciphisa amajoni omzimba, ubukho bolwimi, ukugqobhoza i-anemia okanye i-neoplasms emlonyeni kwisisu.

Ukuchongwa kolu hlobo lwe-angina kubaluleke kakhulu, kuba esi sifo sinokuvela ngokukhawuleza kwaye sinokudityaniswa neengxaki ezininzi. Ke, kubalulekile ukuba uxilongo lwenziwe kwakamsinya nje emva kokuvela kweempawu kunye neempawu zokuqala, kwaye ukusebenza kwe-radiografi kunye ne-computed tomography kuhlala kubonisiwe.

Ukongeza, iimvavanyo zaselebhu ezifana nokubalwa kwegazi, iimvavanyo ezivavanya ukusebenza kwezintso, kunye nenkcubeko ye-microbial elandelwa yi-antibiotiki nayo inokucetyiswa ukuba ichonge i-arhente eyosulelayo kunye neyona ntsholongwane ilungileyo yokulwa nayo.

Unobangela we-angud ka-ludwig

Uninzi lweziganeko ze-ludwig's angina zinxulumene nosulelo lwebhaktiriya emva kokukhutshwa kwamazinyo, ngakumbi kubantu abanamajoni omzimba abuthathaka, kunye neebhaktiriya ezihlala zihambelana nemeko. I-Streptococcus viridans, IStaphylococcus aureus kwayePrevotella melaninogenica. Ezi bhaktheriya ziyakwazi ukwanda kwindawo kwaye zisasazeka ngokuhamba kwegazi ngokukhawuleza, oko kwandisa umngcipheko weengxaki.

Nangona kunjalo, ukongeza kusulelo, i-angina ye-ludwig inokuvela ngenxa yokuqhekeka emhlathini, ithumba kwi-amygdala, ukusikeka kwi-mucosa yomlomo, ubukho bamalungu angaphandle emlonyeni, ii-cysts okanye amathumba kwindawo leyo okanye i-sialolithiasis, apho incinci amatye ayenziwa amathe akhokelela kwintlungu, ukudumba kunye nobunzima ekuginyeni, umzekelo. Jonga ukuba yintoni i-sialolithiasis kunye nendlela yokuyichonga.

Iingxaki ezinokwenzeka

Iingxaki ze-angina ye-ludwig zihambelana namandla e-bacteria okukhula nokusasazeka ngokukhawuleza ngegazi, ukufikelela kwamanye amalungu. Ke, inokufikelela kwi-mediastinum, engomnye wemingxunya yesifuba, ekhuthaza uxinzelelo lwentliziyo kunye nokufikelela kwimiphunga, enokuthi ikhokelele ekusileleni okuphefumlayo.

Ukongeza, ngenxa yokusasazeka kwe-microorganism egazini, kunokubakho i-sepsis, imeko enzulu kwaye inokukhokelela nasekufeni, kuba ikhuthaza utshintsho ekusebenzeni kwamalungu. Funda indlela yokuchonga i-sepsis.

Unyango kufuneka lube njani

Unyango lwe-angina ye-ludwig kufuneka luqalwe kwakamsinya emva kokuxilongwa ukunciphisa umngcipheko weengxaki, kunye nezibulala ntsholongwane zihlala ziboniswa ukuba zilwe ne-microorganism ejongene nosulelo, ukunciphisa izinga lokuphindaphinda kunye nokunciphisa iimpawu.

Ukongeza, umjelo kunye nokususwa kokugxila ekusulelekeni kuhlala kwenziwa ngenjongo yokuphelisa ngokupheleleyo ibhaktheriya ebandakanyeka kwi-angina, kwaye ke, ukunqanda ukubonakala kweengxaki. Kukwacetyiswa ukuba kugcinwe oomoya, bakhuthaze umgangatho wobomi bomntu. Kwiimeko ezinzima kakhulu, i-tracheostomy ingabonakaliswa.