Ludwig angina

Ludwig angina ndi matenda apansi pakamwa pansi pa lilime. Ndi chifukwa cha matenda a bakiteriya a mano kapena nsagwada.

Ludwig angina ndi mtundu wa matenda a bakiteriya omwe amapezeka pansi pakamwa, pansi pa lilime. Nthawi zambiri zimachitika pambuyo poti matenda amayamba chifukwa cha mizu ya mano (monga chotupa cha mano) kapena kuvulala mkamwa.

Izi sizachilendo kwa ana.

Malo omwe ali ndi kachilomboka amatupa msanga. Izi zitha kutsekereza poyenda kapena kukulepheretsani kumeza malovu.

Zizindikiro zake ndi izi:

• Kupuma kovuta
• Zovuta kumeza
• Kutsetsereka
• Zachilendo mawu (zimamveka ngati munthuyo ali ndi "mbatata yotentha" mkamwa)
• Kutupa kwa lilime kapena kufalikira kwa lilime pakamwa
• Malungo
• Kupweteka kwa khosi
• Kutupa khosi
• Kufiira kwa khosi

Zizindikiro zina zomwe zingachitike ndi matendawa:

• Kufooka, kutopa, kutopa kwambiri
• Kusokonezeka kapena kusintha kwina kwamaganizidwe
• Kumva khutu

Wothandizira zaumoyo wanu adzakuyesani pakhosi ndi kumutu kuti muwone kufiira ndi kutupa kwa khosi lakumtunda, pansi pa chibwano.

Kutupa kumatha kufikira pansi pakamwa. Lilime lanu litha kutupa kapena kukankhidwira kumtunda kwa pakamwa panu.

Mungafunike CT scan.

Chitsanzo cha madzimadzi ochokera munyama atha kutumizidwa ku labu kukayesa mabakiteriya.

Ngati kutupa kumatseka panjira, muyenera kupeza chithandizo chadzidzidzi nthawi yomweyo. Chitoliro chopumira chingafunike kuyikidwa kudzera mkamwa kapena mphuno ndi m'mapapo kuti mubwezeretse kupuma. Mungafunike kuchitidwa opareshoni yotchedwa tracheostomy yomwe imatsegula khosi kudzera pamphepo.

Maantibayotiki amaperekedwa kuti athane ndi matendawa. Nthawi zambiri amaperekedwa kudzera mumitsempha mpaka zizindikiritso zitatha. Maantibayotiki omwe amamwa pakamwa amatha kupitilizidwa mpaka mayeso atasonyeza kuti mabakiteriya apita.

Chithandizo chamazinyo chitha kufunikira pamatenda amano omwe amayambitsa Ludwig angina.

Kuchita opaleshoni kungafunike kukhetsa madzi omwe akuyambitsa kutupa.

Ludwig angina atha kukhala pangozi. Itha kuchiritsidwa ndikulandila chithandizo kuti mayendedwe apansi atseguke ndikumwa mankhwala a maantibayotiki.

Zovuta zingaphatikizepo:

• Kutseka kwa ndege
• Matenda opatsirana (sepsis)
• Kusokonezeka

Vuto la kupuma ndi vuto ladzidzidzi. Pitani kuchipinda chodzidzimutsa kapena itanani nambala yanu yadzidzidzi (monga 911) nthawi yomweyo.

Itanani omwe akukuthandizani ngati muli ndi zizindikilo za matendawa, kapena ngati zizindikiritso sizikhala bwino mutalandira chithandizo.

Pitani kwa dokotala wa mano kuti mukapimidwe pafupipafupi.

Chitani zizindikiro zakumwa pakamwa kapena mano nthawi yomweyo.

Matenda a Submandibular space; Matenda opatsirana ang'onoang'ono

• Oropharynx

Christian JM, Goddard AC, Gillespie MB. Khosi lakuya ndi matenda odontogenic. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: mutu 10.

Hupp WS. Matenda am'kamwa. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2019. Philadelphia, PA: Elsevier; 2019: 969-975.

Melio FR. Matenda opatsirana apamwamba. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 65.