He pupuhi ohorere i raro i te waha? Me ako tātou mō tēnei Ludwig's Angina morearea!

Kua pāngia koe e te pupuhi ohorere, nui i roto i tō waha, inā koa i raro i tō arero, i roto i tō kauae, i runga rānei i tō kaki o runga, e uaua ai te manawa? Tērā pea ka pupuhi rawa tō arero, ā, kāore e taea e koe te kōrero, te horomi kai rānei. Mēnā ka puta he mea pēnei, kaua e whakahawea. Tērā pea he mate kino ka horapa tere atu i tō whakaaro, ā, ka morearea pea te ora . Ko tētahi o ngā mate e hiahia ana ki te awhina hauora ohorere ko te Ludwig's Angina, ka kōrerohia e tātou i tēnei rā.

He aha te Angina a Ludwig? Kia mārama tātou!

He kupu ngāwari noa iho, ko te Ludwig's Angina he mate kitakita nui, he tere te horapa, e puta ana i te papa o tō waha. Hei whakamārama, he momo mate cellulitis o te kiri me ngā kiko i raro iho. Ko te mea ka tupu, ka pupuhi tere te papa o tō waha, o tō arero, me tō korokoro i te mate. Ka tino kino tēnei pupuhi, ā, ka ārai i ō ara manawa, ka uaua hoki te manawa. Whakaarohia te whakamataku o tēnā!

Ka puta tēnei āhuatanga i muri i te whara o te waha. Heoi, i roto i te nuinga o ngā wā, ko te take matua he niho kua pupuhi, arā, he niho pangia kua puta he pūkahukahu.

Ko te mea nui ko te mate Ludwig's Angina he āhuatanga ohorere hauora. Nō reira, he mea nui kia rapua tonutia he maimoatanga mēnā ka kite koe i ēnei tohu. Ki te kore e rongoatia, ka mate pea. Heoi, ki te kitea te mate, ā, ka tere te rongoā, ka taea te whakaora katoa i tēnei mate.

Ko te ingoa o tēnei mate ko "Ludwig's angina" i muri i te rata Tiamana a Wilhelm Friedrich von Ludwig, nāna i whakaahua tuatahi te mate i te tau 1836. Ko te kupu "angina" e pā ana ki te mamae nui e pā ana ki tētahi wāhi o te tinana.

He aha ēnei tohu? Kia tere te mōhio ki a rātou!

Ka puta ohorere mai ngā tohu o te Ludwig's Angina, ā, ka tere tonu te kino. Nō reira, he mea nui kia mōhio koe ki ēnei tohu.

• Te uaua ki te manawa: Koinei te tohu tino morearea. Ka ārai pea te ara manawa i te pupuhi.
• Te uaua ki te horomi kai, ki te huware rānei: Ka uaua te horomi kai nā te pupuhi o te korokoro.
• Te huka: Ka puta pea te huware i te waha mēnā he uaua ki te horomi.
• Te kirika, te makariri rānei: Ka puta pea te kirika i te mate urutā.
• Te mamae, te pupuhi rānei i te kauae: Tērā pea ka pupuhi te wāhi i raro i te kauae me te kaki o runga.
• Te mamae o te kaki, te pupuhi, te huri rānei o te tae o te kiri:Tērā pea ka whero, ka kikorangi rānei te kaki.
• Te pupuhi o te arero, te puta rānei o te arero: Ka nui haere te arero, ā, ka puta pea i waho o te waha.
• Kōrero pōturi: He uaua ki te kōrero mārama ina pupuhi te arero.
• Te mamae o te arero, te mamae rānei i raro i te arero: Tērā pea ka mamae anō koe ina pā atu koe ki tō arero.
• Niho mamae: Ka tīmata pea tēnei me te niho mamae, inā koa ki te kauae o raro.

He mea nui: Ka tere te kino o ēnei tohu, nō reira he mea whakaaro nui kia rapu tohutohu hauora tonu atu mēnā kei a koe tētahi, neke atu rānei o ēnei.

Ko te rongo pai, kāore te Angina a Ludwig e horapa. Ahakoa kei a koe, e kore e taea e koe te hora atu ki tētahi atu.

He aha te take e puta ai te angina a Ludwig? He aha ngā take?

Ko te tino take o te mate Angina a Ludwig ko te niho niho o raro kua pupuhi, inā koa ko te niho niho. Neke atu i te 90% o ngā tūroro, ko te take o tēnei mate he raruraru niho. Whakaarohia te kino o tētahi mea ka warewarehia e tātou hei mamae niho iti!

Hei tāpiritanga, tera pea ētahi atu take:

• He patunga i roto i te waha: Ina koa he patunga i muri i te kauae o raro.
• Ngā raruraru i muri i te pokanga ā-waha.
• Ko te pericoronitis he mate pāwera o ngā kapia e karapoti ana i te niho whakaaro nui.

Ko ngā momo huakita matua ka puta ai tēnei mate ko te `(Streptococcus)`, `(Staphylococcus)`, me te `(Bacteroides)`.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei?

He nui ake te tūponotanga o ētahi tāngata ki te pāngia e te Angina a Ludwig. Me titiro tātou ko wai rātou:

• Ngā tāngata he ngoikore te pūnaha ārai mate: Ko te tikanga tēnei kua heke te kaha o te tinana ki te whawhai ki ngā mate.
• Te mate whakamahi waipiro.
• Ngā tāngata whai poka niho: Ki te kore e horoia tika ngā niho, ka pirau pea ngā niho, ā, ka pāngia rātou e ngā mate.
• Ngā tāngata whai mate huka: Ka ngawari ake te pāngia e ngā mate urutā e te mate huka.
• Ngā tāngata e kore e kai pai.
• Ngā tāngata e pāngia ana e te mate pukupuku waha.
• Te hunga kāore e pai te akuaku o te waha: Ko te hunga kāore e parai i ō rātou niho, e kore hoki e pupuri i ō rātou waha kia ma, he nui ake te mōrearea.

He aha ngā raruraru kino ka pā mai mēnā kāore e rongoatia?

Ka taea e te mate Angina a Ludwig te arahi ki ngā raruraru tino kino, tae atu ki te mate morearea, ki te kore e rongoatia wawetia. Koia i kiia ai he āhuatanga ohorere.

• Te whakamomori:Arā, me haere koe me te kore hāora. Ka taea e te pupuhi te aukati katoa i te ara manawa.
• Te niumōnia manawa: Ka taea e te uaua ki te horomi te uru atu o ngā mea pēnei i te huware ki roto i ngā pukahukahu, ka puta he mate.
• Āraia te ara manawa.
• Mediastinitis: Ka horapa te mate ki te uma.
• Sepsis: He urupare tino kino tēnei, he tino morearea hoki ki te ora o te tinana ki tētahi mate.
• Te ohorere toto: Koinei te wāhanga whakamutunga o te sepsis, ka tino heke te toto toto ki raro rawa.

He whakamataku te whakarongo ki ēnei raruraru, kāore? Koia te take i kīia ai, ki te kite koe i tētahi tohu iti noa iho, me toro atu koe ki te tākuta tonu.

Me pēhea te tātaritanga tika a ngā tākuta i tēnei? (Tauātanga)

Ko te tikanga, ka tātaritatia e ngā tākuta te angina o Ludwig mā te tirotiro i a koe. (Whakamātautau tinana). Ka tirohia e rātou te pupuhi i mua o tō kaki me raro i tō kauae. Ka tirohia hoki e rātou te arero kua nui haere me te pupuhi i te papa o tō waha.

I ētahi wā, ka taea te whakahaere i ētahi atu whakamātautau hei whakaū i te mate:

• Whakamātautau ahurea huakita: Ka tirohia tēnei mēnā kua horapa te mate ki roto i ō toto. Ko te tikanga o tēnei ko te tango tauira o ō toto.
• Matawai CT: Ka taea e tēnei whakamātautau whakaahua te āwhina ki te whakatau i te kaha o te mate me te mea kua puta he whewhe. Heoi, ka mahia tēnei i muri i te rongoā o te poto o te manawa.
• Ultrasound: Ka taea e tēnei te kite i ngā toto totoka, te mate, me te kite mēnā kua horapa te mate ki ngā wheua.

He aha ngā maimoatanga mō te angina a Ludwig?

Ko te whāinga matua o te rongoā i te Angina a Ludwig he whakatuwhera i tō ara manawa, he whakarato hāora, ā, kia taea ai e koe te manawa anō i te āhua noa.

• Te whakatuwhera i te ara manawa: He maha ngā wā ka whakamahia e ngā tākuta he ngongo angiangi, ngāwari (nasal cannula) ka whakaurua mā te ihu ki roto i te korokoro. I ētahi wā tino kino, ka mahia pea he tapahi iti ki te kaki, ā, ka whakaurua pea he ngongo (tracheostomy) hei āwhina i te manawa.
• Ngā Rongoā: Kia wātea tō ara manawa, ka tīmata tō tākuta ki te hoatu i ngā paturopi mā te raina IV. Ka hoatu ēnei hei whakahaere i te mate kitakita. Tērā pea ka hoatu hoki e rātou he rongoā e kīia nei ko ngā corticosteroids hei whakaiti i te pupuhi.
• Pokanga: I ētahi wā tino kino, me pokanga pea hei tango i te waikura mai i te wāhi pangia. Mena he niho pangia te take o te Ludwig's Angina, me tango pea te niho.

He aha tā tātou e taea ai te ārai i tēnei mea kei tupu?

Ahakoa e kore e taea te ārai i te Angina a Ludwig i ngā wā katoa, tera ētahi mea ka taea e tātou te mahi hei whakaiti i te mōrearea.

• Kia mau ki te hauora o te waha: Paraia ō niho kia rua i te rā, ka mirohia hoki ki te miro i waenganui i ō niho.
• Tirohia te tākuta niho i ia wā, i ia wā, mō te tirotiro me te horoi i ō niho: He mea tino nui kia tirohia ō niho e te tākuta i te iti rawa i te kotahi i te tau.
• Rapua he rongoā tonu mō ngā mate niho: Kaua e warewarehia te mamae niho, te pupuhi rānei o ngā kapia, nā te mea ko ngā mate niho te tino take o te Ludwig's Angina.

Ka ora ahau i te Angina a Ludwig? (Te tumanako mō te ora)

I ēnei rā, nā te wātea mai o ngā paturopi, ka taea e te nuinga o te hunga e pāngia ana e te Ludwig's Angina te ora katoa. Heoi, he mea nui kia mōhio wawe koe ki te mate, kia tīmata wawe hoki te maimoatanga. Ko te wawe o te whiwhi maimoatanga, ko te nui ake o te tūponotanga ka ora koe.

He tino onge ngā mate o te mate Angina a Ludwig i ēnei rā. Heoi, ehara i te mea kāore e taea. E ai ki ngā pūrongo, tata ki te 8% o te hunga e pāngia ana e te mate ka mate pea i te pupuhi me te kore o te hāora. Nō reira, kaua rawa tēnei e whakaarohia he mea ngāwari.

Āhea koe me toro atu ki te tākuta i te wā ohorere? (Āwhina!)

Mena kei a koe tētahi o ēnei tohu, haere tonu ki te wāhanga ohorere o te hōhipera tata, waea atu rānei ki te 1990.

• Mena he uaua ki te manawa, ki te horomia rānei tetahi mea.
• Mena he mamae e kore e taea te whakamanawanui, ā, ka piki haere te mamae.
• Mena he pupuhi nui kei te kaki, kei raro rānei i te kauae.

Kaua e tatari ki te kāinga i tēnei wā. Kaua e moumou tetahi hēkona. Ko te mea pai ko te haere wawe ki te hōhipera.

He aha ngā pātai me pātai atu koe ki te tākuta?

I muri i tō whiwhinga maimoatanga mō te Angina a Ludwig, me pātai atu pea koe ki tō tākuta i ēnei pātai:

• He aha ahau i pāngia ai e te Angina a Ludwig?
• Me aha ahau hei whakaiti i te tūponotanga o te pangia anō e tēnei momo mate?
• Kia hia ngā wā me tirotiro ōku niho?

Mā te mōhio ki ngā whakautu ki ēnei pātai ka āwhina i a koe ki te tiaki i a koe anō i ngā āhuatanga pēnei ā muri ake nei.

Hei whakamutunga, ko ngā mea tino nui hei maumahara (Karere hei tango ki te kāinga)

Kāore pea he mea whakamataku atu i te kore e taea te manawa. He mate morearea te Ludwig's Angina ka pā mai, ka horapa tere. Ki te mea kei te tīmata koe ki te pāngia e ngā tohu pēnei i te korokoro mamae, te ihu pupuhi, me te kirika, kaua e warewarehia. Kōrero tonu atu ki te tākuta.

Mā te maimoatanga tere, ka taea te whakaora katoa i tēnei mate, ā, ka taea e koe te ora anō. Nō reira, tiakina tō tinana, kia tūpato ki ngā tohu, kaua hoki e whakaroa ki te rapu tohutohu hauora ina hiahiatia. He āwhina nui anō hoki te pupuri i te akuaku pai o te waha hei tiaki i a koe mai i ēnei mate kino.

Te angina o Ludwig, te mate waha, te pupuhi o te korokoro, te uaua ki te manawa, te mate niho me te kapia, te hauora o te waha, te mate kitakita