Yini i-angina ka-ludwig, izimpawu eziyinhloko nokuthi kunjani ukwelashwa

-Delile

• Izimpawu eziyinhloko
• Izimbangela ze-angina ka-ludwig
• Izinkinga ezingenzeka
• Ukwelashwa kufanele kube kanjani

I-angina kaLudwig yisimo esingenzeka ngemuva kwezinqubo zamazinyo, njengokukhishwa kwamazinyo, ngokwesibonelo, ikakhulukazi kubantu abanamasosha omzimba abuthakathaka, abangelwa ikakhulu ngamagciwane angafinyelela kalula egazini futhi andise ubungozi bezinkinga, njengokuhluleka ukuphefumula futhi sepsis.

Izimpawu ze-angina ka-ludwig zingavela emahoreni ambalwa ngemuva kwenqubo, zibonakala ngokwanda kokukhiqizwa kwamathe, umkhuhlane omkhulu, ubuhlungu kanye nobunzima bokuvula umlomo nokugwinya. Kubalulekile ukuthi ukuxilongwa kwenziwe ngokushesha lapho kuqala ukuvela izimpawu zokuqala, ngoba kungenzeka ukuthi kuqale ukwelashwa ngokushesha ngemuva kwalokho, okuvame ukufaka ukusetshenziswa kwama-antibiotic.

Izimpawu eziyinhloko

Izimpawu nezimpawu ze-angina ka-ludwig zingavela emahoreni ngemuva kwenqubo yamazinyo, futhi kungahle kube khona:

• Ukukhiqizwa kwamathe okwandisiwe;
• Ubunzima nobuhlungu ukugwinya;
• Umkhuhlane omkhulu;
• Ukwehla kwesisindo;
• Ukushintshwa kwezwi;
• Ukuphakama kolimi, okungadala umuzwa wokufinywa;
• Ubukhona bemfihlo ngegazi nephunga elinamandla;
• Kunzima ukuvula umlomo wakho kahle;
• Ukuvuvukala endaweni yenqubo.

I-angina kaLudwig ivame kakhulu kubantu abanezinye zezici eziyingozi, njengokuphuza ngokweqile iziphuzo ezidakayo, isifo sikashukela, izinkinga zezinso, ukusetshenziswa kwezidakamizwa zokuzivikela, izifo ezinciphisa ukuzivikela komzimba, ukutholakala kolimi ukubhoboza, i-aplastic anemia noma i-neoplasms emlonyeni umgodi.

Ukuxilongwa kwalolu hlobo lwe-angina kubaluleke kakhulu, ngoba lesi sifo sinokuvela okusheshayo futhi singahlotshaniswa nezinkinga eziningana. Ngakho-ke, kubalulekile ukuthi ukuxilongwa kwenziwe ngokushesha lapho kuvela izimpawu nezimpawu zokuqala, futhi ukusebenza kwe-radiography kanye ne-computed tomography kuvame ukukhonjiswa.

Ngaphezu kwalokho, ukuhlolwa kwelabhorethri okufana nokubalwa kwegazi, ukuhlolwa okuhlola ukusebenza kwezinso, kanye namasiko ama-microbial alandelwa yi-antibiotic nakho kunganconywa ukukhomba i-ejenti elithathelwanayo kanye ne-antibiotic engcono kakhulu yokulwa nayo.

Izimbangela ze-angina ka-ludwig

Izimo eziningi ze-angina ka-ludwig zihlobene nokutheleleka ngamagciwane ngemuva kokukhishwa kwamazinyo, ikakhulukazi kubantu abanamasosha omzimba abuthakathaka, amabhaktheriya ahlobene kakhulu nalesi simo. I-Streptococcus viridans, I-Staphylococcus aureus futhiPrevotella melaninogenica. Lawa mabhaktheriya ayakwazi ukwanda esizeni futhi asabalale egazini ngokushesha, okwandisa ubungozi bezinkinga.

Kodwa-ke, ngaphezu kokutheleleka, i-angina ka-ludwig ingavela ngenxa yokuqhekeka emhlathini, ithumba ku-amygdala, ukusikeka kumlomo womlomo, ukuba khona kwezidumbu zangaphandle emlonyeni, ama-cysts noma izimila esizeni noma i-sialolithiasis, lapho kuncane khona amatshe akhiwa amathe aholela ezinhlungwini, ukuvuvukala nobunzima bokugwinya, ngokwesibonelo. Bona ukuthi yini i-sialolithiasis nokuthi ungayikhomba kanjani.

Izinkinga ezingenzeka

Izinkinga ze-angina ka-ludwig zihlobene nekhono lamagciwane lokwanda nokusabalala ngokushesha emgudwini wegazi, lifinyelela kwezinye izitho. Ngakho-ke, ingafinyelela kwi-mediastinum, engenye yezimbotshana zesifuba, ikhuthaza ukucinana kwenhliziyo futhi ifinyelele emaphashini, okungaholela ekwehlulekeni okukhulu kokuphefumula.

Ngaphezu kwalokho, ngenxa yokusabalala kwegciwane elincane egazini, kungahle kube ne-sepsis, okuyisimo esibi futhi esingaholela nasekufeni, ngoba ithuthukisa izinguquko ekusebenzeni kwezitho. Funda ukuthi ungayibona kanjani i-sepsis.

Ukwelashwa kufanele kube kanjani

Ukwelashwa kwe-angina ka-ludwig kufanele kuqalwe ngemuva nje kokuxilongwa ukunciphisa ubungozi bezinkinga, ngama-antibiotic ngokuvamile akhonjiswa ekuqaleni ukulwa ne-microorganism ebhekene nokutheleleka, ukunciphisa izinga layo lokuphindaphinda nokuqeda izimpawu.

Ngaphezu kwalokho, ukudonswa nokususwa kokugxila kokutheleleka kuvame ukwenziwa ngenhloso yokuqeda ngokuphelele amabhaktheriya abandakanyeka ne-angina futhi, ngaleyo ndlela, kugwenywe ukubukeka kwezinkinga. Kunconywa nokuthi kugcinwe izindiza, kuthuthukiswe izinga lomuntu lokuphila. Ezimweni ezinzima kakhulu, i-tracheostomy ingakhonjiswa.