Kodi angina a ludwig, zizindikiro zazikulu ndi momwe mankhwala amathandizira

Zamkati

• Zizindikiro zazikulu
• Zomwe zimayambitsa angina wa ludwig
• Zovuta zotheka
• Momwe mankhwala ayenera kukhalira

Angina a Ludwig ndizomwe zimatha kuchitika pambuyo pochita mano, monga kutulutsa mano, mwachitsanzo, makamaka kwa anthu omwe ali ndi chitetezo chamthupi chofooka, chomwe chimayambitsidwa makamaka ndi mabakiteriya omwe amatha kufikira magazi mosavuta ndikuwonjezera chiopsezo cha zovuta, monga kupuma ndi sepsis.

Zizindikiro za angina a ludwig zitha kuwoneka patadutsa maola ambiri chitatha, kudziwika ndi kuchuluka kwa malovu, malungo, kupweteka komanso kuvutika kutsegula pakamwa ndikumeza. Ndikofunika kuti matendawa apangidwe akangoyamba kuwonekera, chifukwa ndizotheka kuyamba kumwa mankhwala pambuyo pake, zomwe nthawi zambiri zimaphatikizapo kugwiritsa ntchito maantibayotiki.

Zizindikiro zazikulu

Zizindikiro za angina a ludwig zitha kuwonekera patadutsa maola angapo kuchokera pamene mano amathandizira, ndipo pakhoza kukhala:

• Kuchulukitsa kupanga malovu;
• Zovuta ndi zowawa kumeza;
• Kutentha thupi;
• Kuwonda;
• Kusintha kwa mawu;
• Kukwera kwa lilime, komwe kumatha kubweretsa kudzimva kokwanira;
• Kukhalapo kwachinsinsi ndi magazi ndi fungo lamphamvu;
• Zovuta kutsegula pakamwa panu molondola;
• Kutupa pamalo opangira ndondomekoyi.

Angina a Ludwig ndiofala kwambiri kwa anthu omwe ali ndi zoopsa zina, monga kumwa mowa mopitirira muyeso, matenda ashuga, mavuto a impso, kugwiritsa ntchito mankhwala osokoneza bongo, matenda omwe amachepetsa chitetezo chamthupi, kupezeka kwa kuboola lilime, kuphulika kwa magazi m'thupi kapena zotupa m'mimba zibowo.

Kuzindikira mtundu wa angina ndikofunikira kwambiri, chifukwa matendawa amasintha mwachangu ndipo amatha kukhala ndi zovuta zingapo. Chifukwa chake, ndikofunikira kuti matendawa apangidwe akangoyamba kuwonekera, ndikuwonetsa magwiridwe antchito a radiography ndi computed tomography.

Kuphatikiza apo, kuyezetsa labotale monga kuchuluka kwa magazi, mayeso omwe amayesa kugwira ntchito kwa impso, komanso chikhalidwe cha tizilombo tating'onoting'ono totsatiridwa ndi ma antibiotic nawonso angalimbikitsidwe kuti azindikire wothandizirayo komanso maantibayotiki abwino kwambiri olimbana nawo.

Zomwe zimayambitsa angina wa ludwig

Matenda ambiri a angina a ludwig amakhudzana ndi matenda a bakiteriya atachotsedwa mano, makamaka kwa anthu omwe ali ndi chitetezo chamthupi chokhazikika, mabakiteriya amakhala okhudzana kwambiri ndi izi. Achinyamata a Streptococcus, Staphylococcus aureus ndipoPrevotella melaninogenica. Mabakiteriyawa amatha kufalikira pamalowo ndikufalikira kudzera m'magazi mwachangu, zomwe zimawonjezera mavuto.

Komabe, kuwonjezera pa matendawa, angina ya ludwig imatha kuchitika chifukwa cha kuphulika kwa nsagwada, abscess mu amygdala, kudula m'matumbo am'kamwa, kupezeka kwa matupi akunja pakamwa, zotupa kapena zotupa patsamba lino kapena sialolithiasis, momwe ang'onoang'ono miyala amapangidwa malovu omwe amatsogolera ku zowawa, kutupa ndi kuvutika kumeza, mwachitsanzo. Onani chomwe sialolithiasis ndi momwe mungazindikire.

Zovuta zotheka

Zovuta za angina ya ludwig ndizokhudzana ndi kuthekera kwa mabakiteriya kufalikira ndikufalikira mwachangu kudzera m'magazi, kufikira ziwalo zina. Chifukwa chake imatha kufikira mediastinum, yomwe ndi imodzi mwazitsulo za pachifuwa, yolimbikitsa kupsinjika kwa mtima ndikufika m'mapapu, zomwe zimatha kubweretsa kupuma koopsa.

Kuphatikiza apo, chifukwa chakufalikira kwa tizilombo tating'onoting'ono m'magazi, pakhoza kukhalanso sepsis, yomwe ndi vuto lalikulu ndipo itha kubweretsanso imfa, chifukwa imalimbikitsa kusintha kwa ziwalo. Phunzirani momwe mungadziwire sepsis.

Momwe mankhwala ayenera kukhalira

Chithandizo cha angina cha ludwig chiyenera kuyambika patangotsala pang'ono kuti athetse vutoli, pomwe maantibayotiki nthawi zambiri amawonetsedwa kuti amalimbana ndi tizilombo tating'onoting'ono tomwe timayambitsa matendawa, kuchepetsa kuchuluka kwake ndikuchepetsa zizindikiritso.

Kuphatikiza apo, ngalande ndikuchotsa komwe kumayambitsidwaku kumachitika nthawi zambiri ndi cholinga chothetsa mabakiteriya omwe amapezeka ndi angina, motero, kupewa zovuta. Tikulimbikitsidwanso kuti maulendo apandege asungidwe, ndikupititsa patsogolo moyo wamunthuyo. Nthawi zovuta kwambiri, tracheostomy imatha kuwonetsedwa.