Kawng hnuaiah a hring chhuak nghal em? He Ludwig-a Angina hlauhawm tak hi i zir dawn teh ang!

I kâ chhungah, a bîk takin i lei hnuaiah, i hmuiah emaw, i kawr chung lamah emaw, thawk harsa tak tak, rang takin a hring chhuak tawh ngai em? I lei chu a hring nasa lutuk a, i tawng thei lo va, chaw pawh i ei thei lo mai thei. Hetiang thil hi a thleng a nih chuan ngaihthah tur a ni lo. I ngaihtuah aia rang zawka darh thei leh nunna atana hlauhawm thei natna khirh tak a ni thei . Chutiang dinhmun pakhat, emergency medical attention mamawh chu Ludwig-a Angina a ni a, vawiin hian kan sawi dawn a ni.

Ludwig-a Angina chu eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin, Ludwig’s Angina hi bacteria infection na tak, rang taka darh thei, i hmui hnuai lama awm a ni. A dik tak chuan vun leh a hnuaia tissue awmte cellulitis infection chi khat a ni. Thil thleng chu natna hrik hian i hmui, i lei leh i rilru hnuai lam a ti na rang hle. He hliam hi a nasat em avangin i thawkna kawng pawh a tikhawlo thei a, thawk pawh a ti harsa thei bawk. Chu chu a hlauhawm zia chu han ngaihtuah teh!

Hetiang dinhmun hi hmui hliam hnuah a awm tlangpui. Mahse, a tam zawkah chuan a chhan ber chu ha hring (abscessed tooth) a ni a, chu chu ha natna hrik kai, hnim hring (pus) nei a ni.

A pawimawh ber chu Ludwig-a Angina hi medical emergency a ni. Chuvangin heng symptoms te hi i hriat chuan enkawl nghal vat a pawimawh. Enkawl loh chuan thihna a thlen thei. Amaherawhchu, he natna hi hriatchhuah a, enkawl vat a nih chuan he natna hi a dam kim thei a ni.

German doctor Wilhelm Friedrich von Ludwig hming chawiin "Ludwig's angina" tih a ni a, ani hian kum 1836 khan he natna hi a sawi hmasa ber a, "angina" tih thumal hian a tlangpuiin taksa hmun dangah natna nasa tak a kawk a ni.

Heng symptoms te hi engte nge ni? Anmahni chu hre vat rawh!

Ludwig’s Angina symptoms hi a lo lang nghal thei a, a na nghal vat thei bawk. Chuvangin heng symptoms te hi hriat chian a pawimawh hle.

• Thâwk harsa: Hei hi a chhinchhiahna hlauhawm ber a ni. A hring hian thawkna kawng a tikhawlo thei a ni.
• Chaw ei harsatna emaw, chil emaw: Kawr a hring hian chaw ei a ti harsa thin.
• Drooling: Ei harsat hian ka chhung atangin hmui a chhuak thei.
• Khawsik emaw, khawsik emaw: Khawsik hi infection vang a ni thei.
• Jaw area-a na emaw, a hring emaw: Jaw hnuai leh kawr chunglam chu a hring thei.
• Kawng na, a hring, emaw vun rawng inthlak danglam:A kawng chu a sen emaw, a sen emaw a ni thei.
• Lei hring emaw, lo chhuak emaw: Lei chu a lian a, ka atang pawhin a chhuak thei bawk.
• Slurred speech: Lei a hring a nih chuan chiang taka sawi a harsa hle.
• Lei na emaw, lei hnuaia na emaw: I lei i khawih hian na i nei thei bawk.
• Ha na: Hei hi ha na atang hian a intan thei a, a bik takin ha natna hnuai lam atanga tan a ni.

Pawimawh: Heng symptoms te hi a na nghal vat thei a, chuvangin pakhat emaw a aia tam emaw i neih chuan doctor thurawn la nghal mai chu a finthlak hle.

Thu lawmawm tak chu Ludwig-a Angina hi a kai thei lo tih hi a ni. I nei a nih pawhin midang hnenah i theh darh thei lo.

Engvangin nge Ludwig-a Angina hi a lo awm? A chhante chu engte nge ni?

Ludwig-a Angina thlentu ber chu ha hnuai lam ha, a bik takin ha hring (molar tooth) abscessed vang a ni. Damlo 90% aia tam ah chuan he natna hi ha lam harsatna avanga lo awm a ni. Ha natna tenau anga kan ngaihthah thil chu eng ang taka pawi nge a nih theih tih han ngaihtuah teh!

Chu bâkah, a chhan dang engemaw zât a awm thei bawk:

• Kawng chhunga hliam: A bik takin hmui hnuai lam hnung lama hliam.
• Oral surgery hnua harsatna awm thei.
• Pericoronitis hi wisdom tooth chhehvela gums natna a ni.

He natna thlentu bacteria chi hrang hrang te chu `(Streptococcus)`, `(Staphylococcus)`, leh `(Bacteroides)` te an ni.

Tute nge hetiang hi vei theihna hlauhawm zawk?

Mi thenkhat chu Ludwig’s Angina vei theihna chance a sang deuh hlek a ni. Tute nge an nih hi han thlir ila:

• Mite taksa chakna (immune system) chak lo (compromised immune system): Hei hian taksain natna a do theihna a tlahniam tihna a ni.
• Zu in hmansualna.
• Cavities nei te: Ha tihfai that loh chuan ha a lo awm thei a, natna hrik a thlen thei bawk.
• Zunthlum vei: Zunthlum vangin natna hrik kai an awlsam phah hle.
• Ei leh in lama harsatna nei te.
• Oral cancer vei te.
• Kawng faina tha lo nei te: Ha sil lo emaw, hmui thianghlim lo emaw tan chuan he hlauhawmna hi a sang zawk.

Enkawl loh chuan eng harsatna lian tak tak nge thleng thei?

Ludwig-a Angina hi enkawl vat loh chuan harsatna na tak tak, nunna atana hlauhawm tak pawh a thlen thei a ni. Chuvang chuan emergency anga ngaih a ni.

• Asphyxiation tih hi: 1.1.Chu chu oxygen tel lova kal tihna a ni. A hring hian thawkna kawng a tikhawlo thei vek a ni.
• Aspiration pneumonia: Ei harsat hian lungah chil ang chi thil a lut thei a, chu chuan natna a thlen thei a ni .
• Thli kawng a block.
• Mediastinitis: He natna hi rilruah a darh thei.
• Sepsis: Hei hi taksain natna hrik a tawh chuan a chhanna nasa tak, nunna atana hlauhawm tak a ni.
• Septic shock: Hei hi sepsis stage hnuhnung ber a ni a, thisen sang chu hlauhawm takin a tlahniam a ni.

Heng complication te hi hriat a hlauhawm hle a ni lawm ni? Chuvang chuan natna lanchhuahna tenau ber pawh i hriat chuan Doctor pan nghal tur a ni an ti.

Engtin nge doctor-te hian hei hi dik taka an hriat theih? (Diagnosis) tih a ni.

Doctor-te chuan Ludwig-a angina hi enfiahin an hmuchhuak tlangpui. (Taksa enfiahna). I kawr hmalam leh i hmui hnuaiah hliam an zawng ang. Tin, i lei lian leh i hmui hnuai lama hring leh hring a awm leh awm loh an enfiah bawk ang.

A châng chuan, hetiang test dang hi tih theih a ni a, hei hi finfiah theih a ni:

• Bacterial culture test: Hei hian natna hrik chu i thisenah a darh tawh em tih a enfiah thin. Hei hian i thisen sample lak a huam a ni.
• CT scan: He imaging test hian natna kai nasat dan leh abscesses a lo awm leh awm loh hriat theih nan a pui thei a ni. Amaherawhchu, hei hi thaw hahdamna enkawl a nih hnuah chauh tih a ni.
• Ultrasound: Hei hian thisen zam, infection, leh natna chu ruh thlenga darh tawh leh darh loh hriat theih a ni.

Ludwig-a Angina enkawl dan tur chu engte nge ni?

Ludwig-a Angina enkawlna tum ber chu i thawkna kawng hawn a, oxygen pek a, thawk dan pangngaia thawk leh theihna tur a ni.

• Thlawhna kawng hawn: Doctor-te chuan tube te tak te, flexible tak (nasal cannula) an hmang fo thin a, chu chu hnar kaltlangin leh kawchhung chhungah an dah thin. A nasat deuh deuhah chuan a kawngah hian incision te tak te siam theih a ni a, thawk lakna atana pui turin tube (tracheostomy) dah theih a ni bawk.
• Damdawi: I thawkna kawng a thianghlim tawh chuan i doctor chuan IV line hmangin antibiotics a pe tan ang che. Hengte hi bacteria infection control nan pek thin a ni. Tin, damdawi corticosteroid an tih te pawh an pe thei che a, hei hian a hring chhuak tihziaawmna a tidam thei bawk.
• Surgery: A nasat deuh deuhah chuan a natna hmun atanga zun chhuah chhuah nan operation neih a ngai mai thei. Ludwig’s Angina hi ha natna avanga lo awm a nih chuan ha chu lakchhuah leh lakchhuah a ngai mai thei.

Hetiang thil thleng lo turin eng nge kan tih theih ang?

Ludwig-a Angina hi ven theih reng ni lo mah se, a hlauhawmna tihziaawmna tur thil kan tih theih a awm.

• Kawng hriselna tha vawng reng rawh: Ni khatah vawi hnih ha sil la, ha inkarah floss hmang bawk ang che.
• Ha enkawltu hnenah check-up leh ha silfai turin en fo ang che: Kum khatah vawi khat tal doctor hnena ha enfiah tir a pawimawh hle.
• Ha natna enkawlna zawng nghal rawh: Ha na emaw, ha hring emaw hi ngaihthah suh, ha natna hi Ludwig’s Angina thlentu ber a nih avangin.

Ludwig-a Angina atang hian ka dam leh dawn em ni? (A dam leh theih beisei) .

Tunlai hian antibiotics a awm tawh avangin Ludwig’s Angina vei tam zawk chu an dam chhuak vek thei tawh a ni. Amaherawhchu, natna hi hriat hmasak a, enkawl tan vat a pawimawh hle. Enkawlna i dawn hma poh leh i dam theihna chance a sang zawk.

Tunah chuan Ludwig-a Angina avanga thihna hi a tlem hle. Mahse, thil theih loh a ni lo. He natna vei zinga 8% vel chu a hring leh oxygen tlakchham vangin an thi thei niin an sawi. Chuvangin hei hi engtikah mah ngaihthah tur a ni lo.

Engtikah nge doctor pan vat a ngaih? (Rikrum!)

Heng symptoms te hi i neih chuan hospital emergency department hnai ber pan nghal la, a nih loh leh 1990 ah call rawh.

• Thâwk harsa emaw, thil ei emaw a harsat chuan.
• Natna tuar theih loh a awm a, a natna chu a pung zauh zauh a nih chuan.
• A kawngah emaw, a hmui hnuaiah emaw a hring lian tak a awm chuan.

Hetiang hunah hian in lamah nghak suh. Second khat pawh khawhral suh. A tha ber chu damdawi in pan vat hi a ni.

Doctor hnenah eng zawhna nge i zawh tur?

Ludwig-a Angina enkawlna i dawn hnuah i doctor hnenah hetiang zawhna hi i zawt mai thei:

• Engvangin nge Ludwig-a Angina chu ka neih?
• Hetiang natna kai leh theihna tur hian eng nge ka tih ang?
• Engzat nge ka ha check tir tur?

Hêng zawhnate chhânna hriatna hian nakin lawkah hetiang dinhmun laka invênhimna kawngah a ṭanpui ang che.

A tawp berah chuan hriat reng tur pawimawh ber ber (Take-Home Message) .

Thâwk chhuah theih loh anga inhriatna tluka thil hlauhawm a awm lo mai thei. Ludwig-a Angina hi natna hlauhawm tak a ni a, a lo thleng nghal thei a, a darh chak hle bawk. I rilru natna, hnar luang, leh khawsik ang chi symptoms i neih tan nia i hriat chuan ngaihthah suh. Doctor hnenah hrilh nghal rawh.

Enkawl vat chuan he natna hi a dam vek thei a, i hrisel leh thei bawk. Chuvangin i taksa enkawl la, a natna lan chhuah dan fimkhur la, a tul hunah damdawi lam thurawn lak pawh tihkhawtlai suh. Kawng faina tha neih hi chutiang natna khirh tak laka invenna kawngah pawh a pui hle bawk.

` Ludwig-a angina, hmui natna, ril a na, thawk harsa, ha leh hah natna, hmui hriselna, bacteria infection