Ludwig angina

I-Ludwig angina ukutheleleka komlomo phansi kolimi. Kungenxa yokutheleleka kwamagciwane emazinyweni noma emhlathini.

ILudwig angina wuhlobo lokutheleleka ngamagciwane olwenzeka phansi emlonyeni, ngaphansi kolimi. Kuvame ukukhula ngemuva kokutheleleka kwezimpande zamazinyo (njenge-abscess yamazinyo) noma ukulimala komlomo.

Lesi simo asijwayelekile ezinganeni.

Indawo enalesi sifo igcwala ngokushesha. Lokhu kungavimba indlela yomoya noma kukuvimbe ekugwinyeni amathe.

Izimpawu zifaka:

• Ubunzima bokuphefumula
• Kunzima ukugwinya
• Ukumunca amathe
• Inkulumo engajwayelekile (kuzwakala sengathi umuntu "unamazambane ashisayo" emlonyeni)
• Ukuvuvukala kolimi noma ukuphuma kolimi emlonyeni
• Imfiva
• Ubuhlungu bentamo
• Ukuvuvukala kwentamo
• Ukubomvu kwentamo

Ezinye izimpawu ezingase zivele ngalesi sifo:

• Ubuthakathaka, ukukhathala, ukukhathala ngokweqile
• Ukudideka noma ezinye izinguquko zengqondo
• Ubuhlungu bendlebe

Umhlinzeki wakho wokunakekelwa kwezempilo uzokuhlolela intamo nekhanda lakho ukubheka ububomvu nokuvuvukala kwentamo engenhla, ngaphansi kwesilevu.

Ukuvuvukala kungafinyelela phansi emlonyeni. Ulimi lwakho lungahle luvuvuke noma luphushelwe phezulu emlonyeni wakho.

Ungadinga i-CT scan.

Isampula loketshezi olusuka ezicutshini lungathunyelwa ebhodini lokuhlola amabhaktheriya.

Uma ukuvuvukala kuvimbela indlela yomoya, udinga ukuthola usizo oluphuthumayo lwezokwelapha ngokushesha. Ishubhu lokuphefumula kungadingeka ukuthi lifakwe emlonyeni noma ekhaleni lakho nasemaphashini ukubuyisa ukuphefumula. Ungadinga ukuthi uhlinzwe okuthiwa i-tracheostomy edala ukuvuleka entanyeni ungene ku-windpipe.

Ama-antibiotic anikezwa ukulwa negciwane. Zivame ukunikezwa ngomthambo kuze kuphele izimpawu. Ama-antibiotic athathwe ngomlomo angaqhutshwa kuze kube yilapho ukuhlolwa kubonisa ukuthi amabhaktheriya asephelile.

Ukwelashwa kwamazinyo kungadingeka kwizifo zamazinyo ezibangela uLudwig angina.

Kungadingeka ukwelashwa ukukhipha uketshezi olubangela ukuvuvukala.

ULudwig angina angabeka impilo yakho engcupheni. Kungalapheka ngokuthola ukwelashwa ukugcina imigwaqo yomoya ivulekile nokuthatha imithi elwa namagciwane.

Izinkinga zingafaka:

• Ukuvinjelwa komoya
• Ukutheleleka okujwayelekile (sepsis)
• Ukushaqeka kwe-Septic

Ubunzima bokuphefumula yisimo esiphuthumayo. Iya egumbini lezimo eziphuthumayo noma shayela inombolo yakho yendawo ephuthumayo (njenge-911) khona manjalo.

Shayela umhlinzeki wakho uma unezimpawu zalesi simo, noma uma izimpawu zingabi ngcono ngemuva kokwelashwa.

Vakashela udokotela wamazinyo ukuyohlolwa njalo.

Phatha izimpawu zokutheleleka ngomlomo noma ngamazinyo khona manjalo.

Ukutheleleka kwesikhala esingaphansi; Ukutheleleka kwesikhala esincane

• I-Oropharynx

UChristian JM, uGoddard AC, uGillespie MB. Intamo ejulile nokutheleleka kwe-odontogenic. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 10.

IHupp WS. Izifo zomlomo. Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kwe-Conn 2019. IPhiladelphia, PA: Elsevier; 2019: 969-975.

I-Melio FR. Izifo ezingenhla zokuphefumula. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 65.