I-Angina kaLudwig

-Delile

• Izimpawu ze-angina kaLudwig
• Izimbangela ze-angina kaLudwig
• Ukuhlonza i-angina kaLudwig
• Ukwelashwa kwe-angina kaLudwig
• Sula indlela yomoya
• Khama uketshezi oluningi
• Yilwa nokutheleleka
• Thola ukwelashwa okwengeziwe
• Uyini umbono wesikhathi eside?
• Ungayivimbela kanjani i-angina kaLudwig
• Imithombo ye-athikili

Yini i-angina kaLudwig?

I-angina kaLudwig isifo esingajwayelekile sesikhumba esenzeka phansi komlomo, ngaphansi kolimi. Lokhu kutheleleka kwamagciwane kuvame ukuvela ngemuva kwethumba lezinyo, okuyiqoqo lobovu maphakathi nezinyo. Ingalandela nezinye izifo zomlomo noma ukulimala. Lokhu ukutheleleka kuvame kakhulu kubantu abadala kunezingane. Imvamisa, abantu abathola ukwelashwa ngokushesha balulama ngokuphelele.

Izimpawu ze-angina kaLudwig

Izimpawu zibandakanya ukuvuvukala kolimi, ubuhlungu bentamo, nezinkinga zokuphefumula.

I-angina kaLudwig ivame ukulandela ukutheleleka kwamazinyo noma okunye ukutheleleka noma ukulimala emlonyeni. Izimpawu zifaka:

• ubuhlungu noma isisa phansi komlomo wakho, okungaphansi kolimi lwakho
• ubunzima bokugwinya
• ukumunca amathe
• izinkinga ngokukhuluma
• ubuhlungu bentamo
• ukuvuvukala kwentamo
• ububomvu entanyeni
• ubuthakathaka
• ukukhathala
• ubuhlungu bendlebe
• ukuvuvukala kolimi okwenza ulimi lwakho lududule ulwanga lwakho
• umkhuhlane
• Ukugodola
• ukudideka

Shayela udokotela wakho uma unezimpawu ze-angina kaLudwig. Njengoba ukutheleleka kuqhubeka, ungahle ube nenkinga yokuphefumula nobuhlungu besifuba. Kungadala izinkinga ezinkulu, njengokuvinjelwa komoya noma i-sepsis, okuyimpendulo evuthayo yokuvuvukala kumagciwane. Lezi zinkinga zingasongela impilo.

Udinga usizo lwezokwelashwa olusheshayo uma unomoya ovalekile. Kufanele uye egumbini lezimo eziphuthumayo noma ushayele ku-911 uma lokhu kwenzeka.

Izimbangela ze-angina kaLudwig

I-angina kaLudwig iyisifo esibangelwa amagciwane. Amagciwane I-Streptococcus futhi I-Staphylococcus izimbangela ezivamile. Imvamisa kulandela ukulimala komlomo noma ukutheleleka, okufana nethumba lamazinyo. Okulandelayo kungasiza futhi ekuthuthukiseni i-angina kaLudwig:

• inhlanzeko yamazinyo empofu
• ukuhlukumezeka noma ukusikeka emlonyeni
• ukukhishwa kwamazinyo kwakamuva

Ukuhlonza i-angina kaLudwig

Udokotela wakho angaxilonga lesi simo ngokwenza ukuhlolwa komzimba, amasiko we-fluid, nokuhlolwa kwe-imaging.

Ukuphawula kukadokotela kwalezi zimpawu ezilandelayo kuvame ukuba yisisekelo sokuxilongwa kwe-angina kaLudwig:

• Ikhanda lakho, intamo nolimi lwakho kungabonakala kubomvu futhi kuvuvukile.
• Ungaba nokuvuvukala okufinyelela phansi emlonyeni wakho.
• Ulimi lwakho lungakhukhumala ngokweqile.
• Ulimi lwakho kungenzeka alukho endaweni.

Uma udokotela wakho engakwazi ukukuxilonga ngokuhlolwa okubonakalayo nje, bangasebenzisa ezinye izivivinyo. Izithombe ezithuthukisiwe ze-MRI noma ze-CT zingaqinisekisa ukuvuvukala phansi komlomo. Udokotela wakho futhi angahlola amasiko amanzi avela endaweni ethintekile ukukhomba ibhaktheriya elithile elibanga ukutheleleka.

Ukwelashwa kwe-angina kaLudwig

Sula indlela yomoya

Uma ukuvuvukala kuphazamisa ukuphefumula kwakho, inhloso yokuqala yokwelashwa ukusula indlela ohamba ngayo. Udokotela wakho angafaka ishubhu lokuphefumula ngamakhala akho noma ngomlomo nangamaphaphu akho. Kwezinye izimo, badinga ukudala ukuvula entanyeni yakho ku-windpipe yakho. Le nqubo ibizwa ngokuthi i-tracheotomy. Odokotela bakwenza ezimweni eziphuthumayo.

Khama uketshezi oluningi

Ukutheleleka kwe-angina ne-deep neck kaLudwig kubucayi futhi kungadala i-edema, ukuphazamiseka, nokuphazamiseka kwendlela yomoya. Ukuhlinzwa kwesinye isikhathi kuyadingeka ukukhipha uketshezi oluningi olubangela ukuvuvukala emlonyeni womlomo.

Yilwa nokutheleleka

Kungenzeka ukuthi uzodinga ama-antibiotic ngomthambo wakho kuze kube yilapho izimpawu ziphela. Ngemuva kwalokho, uzobe uqhubeka namagciwane ngomlomo kuze kube yilapho ukuhlolwa kubonisa ukuthi amabhaktheriya ahambile. Uzodinga ukuthola ukwelashwa kwanoma yikuphi ukutheleleka kwamazinyo okungeziwe futhi.

Thola ukwelashwa okwengeziwe

Ungadinga ukwelashwa okuqhubekayo kwamazinyo uma ukutheleleka kwamazinyo kudale i-angina kaLudwig. Uma uqhubeka nokuba nezinkinga ngokuvuvukala, ungadinga ukuhlinzwa ukuze ukhiphe uketshezi olwenza indawo ivuvuke.

Uyini umbono wesikhathi eside?

Umbono wakho uncike ebucayi bokutheleleka nokuthi ukufuna ngokushesha kangakanani ukwelashwa. Ukwelashwa okubambezelekile kukhulisa ubungozi bakho bezinkinga ezisongela impilo, njenge:

• indlela evaliwe yomoya
• sepsis, okuyindlela esabela kakhulu kuma-bacteria noma amanye amagciwane
• ukushaqeka okubangelwa isifo septic, okuwukutheleleka okuholela ekucindezelekeni kwegazi okuphansi okuyingozi

Ngokwelashwa okufanele, abantu abaningi bayalulama ngokugcwele.

Ungayivimbela kanjani i-angina kaLudwig

Unganciphisa ubungozi bokuthuthukisa i-angina kaLudwig ngo:

• ukuzijwayeza ukuhlanzeka ngomlomo okuhle
• ukuhlolwa njalo kwamazinyo
• ukufuna ukwelashwa ngokushesha kokutheleleka kwamazinyo nomlomo

Uma uhlela ukuthola ukubhoboza ulimi, qiniseka ukuthi kunompetha usebenzisa amathuluzi ahlanzekile, angenabungozi. Bona udokotela wakho ngokushesha uma uphuma ngokweqile noma ukuvuvukala akwehli.

Kufanele uxubha amazinyo akho kabili ngosuku futhi usebenzise i-mouthwash ne-liquid antiseptic kanye ngosuku. Ungalokothi ungabunaki noma yibuphi ubuhlungu ezinsinini noma emazinyweni akho. Kufanele ubone udokotela wamazinyo wakho uma ubona iphunga elibi livela emlonyeni wakho noma uma wopha olimini lwakho, ezinsinini noma emazinyweni.

Bhekisisa zonke izinkinga ezisendaweni yomlomo wakho. Bona udokotela wakho masisha uma unesistimu yomzimba yokuvikela noma usanda kuba nohlobo oluthile lokuhlukumezeka emlonyeni wakho, kufaka phakathi ukubhoboza ulimi. Uma ulimele emlonyeni, qiniseka ukuthi ubonana nodokotela wakho ukuze bakwazi ukuqinisekisa ukuthi selashwa kahle.

Imithombo ye-athikili

• ICandamourty, R., Venkatachalam, S., Babu, M. R. R., & Kumar, G. S. (2012). I-angina kaLudwig - Isimo esiphuthumayo: Umbiko wecala ngokubuyekezwa kwezincwadi. Ijenali yeSayensi Yemvelo, iBiology kanye neMithi, 3(2), 206-208. Ibuyiswe kusuka ku-
• UMcKellop, J., & Mukherji, S. (ng). I-radiology yekhanda eliphuthumayo nentamo: ukutheleleka kwentamo. Ibuyiswe kusuka ku-http: //www.appliedradiology.com/articles/emergency-head-and-neck-radiology-neck-infections
• USasaki, C. (2014, Novemba). Ukutheleleka kwesikhala esingaphansi. Kubuyiswe kusuka ku-http: //www.merckmanuals.com/professional/ear_nose_and_throat_disorders/oral_and_pharyngeal_disorders/submandibular_space_infection.html