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.

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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.