Ukudumba ngequbuliso phantsi komlomo? Masifunde ngale Angina kaLudwig iyingozi!

Ngaba wakha wadumba ngequbuliso, ngamandla emlonyeni wakho, ingakumbi phantsi kolwimi lwakho, emhlathini wakho, okanye entanyeni yakho engentla, nto leyo eyenza kube nzima ukuphefumla? Ulwimi lwakho lunokudumba kangangokuba awukwazi nokuthetha okanye ukuginya ukutya. Ukuba kwenzeka into efana nale, akufanele uyithathe lula. Isenokuba lusulelo olukhulu olunokusasazeka ngokukhawuleza kunokuba ucinga kwaye lunokuba yingozi ebomini . Enye imeko enjalo efuna unyango olungxamisekileyo yiLudwig's Angina, esiza kuthetha ngayo namhlanje.

Yintoni i-Angina kaLudwig? Masiyiqonde ngokulula!

Ngamafutshane, i-Ludwig's Angina lusulelo olukhulu nolusasazeka ngokukhawuleza oluvela kumgangatho womlomo wakho. Ngokuchanekileyo, luhlobo losulelo lwe-cellulitis lolusu kunye nezicubu ezingaphantsi. Okwenzekayo kukuba usulelo lubangela ukuba umgangatho womlomo wakho, ulwimi, kunye nomqala uvuvuke ngokukhawuleza. Oku kudumba kunokuba nzima kangangokuba kunokuvala neendlela zakho zomoya kwaye kwenze kube nzima ukuphefumla. Khawuthelekelele indlela okoyikisa ngayo!

Le meko idla ngokuvela emva kokwenzakala emlonyeni. Nangona kunjalo, kwiimeko ezininzi, imbangela ephambili lizinyo eliphumileyo, eli lizinyo elinentsholongwane eliye laphuma ubomvu.

Eyona nto ibalulekileyo kukuba i-Ludwig's Angina yingxaki yezonyango. Ngoko ke, kubalulekile ukufuna unyango ngokukhawuleza ukuba ubona ezi mpawu. Ukuba ayinyangwa, ingabulala. Nangona kunjalo, ukuba isifo siqatshelwa kwaye sinyangwa ngokukhawuleza, esi sifo sinokunyangeka ngokupheleleyo.

Ibizwa ngokuba yi "Ludwig's angina" emva kogqirha waseJamani uWilhelm Friedrich von Ludwig, owaqala ukuchaza le meko ngo-1836. Igama elithi "angina" lidla ngokubhekisa kwintlungu enzima eyenzeka ndaweni ithile emzimbeni.

Zithini ezi mpawu? Ziqaphele ngokukhawuleza!

Iimpawu ze-Ludwig's Angina zinokuvela ngequbuliso kwaye zibe qatha ngokukhawuleza. Ngoko ke kubalulekile ukuba uzazi ezi mpawu.

• Ubunzima bokuphefumla: Olu lolona phawu luyingozi kakhulu. Ukudumba kunokubangela ukuba indlela yomoya ivaleke.
• Ubunzima bokuginya ukutya okanye amathe: Ukudumba emqaleni kwenza kube nzima ukuginya ukutya.
• Ukuvuza amathe: Ubunzima bokuginya bunokubangela ukuba amathe aphume emlonyeni.
• Umkhuhlane okanye ukubanda: Umkhuhlane unokubangelwa lusulelo.
• Intlungu okanye ukudumba kwindawo yomhlathi: Indawo engaphantsi komhlathi nentamo engentla inokudumba.
• Intlungu yentamo, ukudumba, okanye utshintsho lombala wolusu:Intamo inokuba bomvu okanye iluhlaza okwesibhakabhaka.
• Ulwimi oludumbileyo okanye oluphumayo: Ulwimi luyakhula kwaye lusenokuphuma emlonyeni.
• Intetho engacacanga: Kunzima ukuthetha ngokucacileyo xa ulwimi ludumbile.
• Intlungu yolwimi okanye intlungu phantsi kolwimi: Usenokuziva iintlungu xa uchukumisa ulwimi lwakho.
• Intlungu Yamazinyo: Oku kungaqala ngentlungu yamazinyo, ingakumbi kumhlathi ongezantsi.

Kubalulekile: Ezi mpawu zinokuba nzima ngokukhawuleza, ngoko ke kububulumko ukufuna ingcebiso kagqirha ngokukhawuleza ukuba unayo enye okanye ezingaphezulu.

Iindaba ezimnandi zezokuba i-Angina kaLudwig ayosuleli. Nokuba unayo, awunakuyisasaza komnye umntu.

Kutheni i-Angina kaLudwig isenzeka? Zithini izizathu?

Eyona nto ibangela i-Ludwig's Angina lizinyo elisezantsi elinomqala ophumileyo, ingakumbi izinyo eliphantsi elinomqolo. Kwizigulana ezingaphezu kwama-90%, le meko ibangelwa yingxaki yamazinyo. Khawuthelekelele indlela enokuba yingozi ngayo into esiyityeshelayo njengentlungu yamazinyo encinci!

Ukongeza, kunokubakho ezinye izizathu ezininzi:

• Inxeba elingaphakathi emlonyeni: Ingakumbi inxeba elingasemva komhlathi ongezantsi.
• Iingxaki emva kotyando lomlomo.
• I-Pericoronitis sisifo esichaphazela iintsini ezijikeleze izinyo lobulumko.

Iintlobo eziphambili zeebhaktheriya ezinokubangela olu sulelo yi `(Streptococcus)`, `(Staphylococcus)`, kunye `(Bacteroides)`.

Ngubani osengozini enkulu yokuphuhlisa oku?

Abanye abantu basengozini enkulu yokuhlaselwa yi-Angina kaLudwig. Makhe sijonge ukuba bangoobani:

• Abantu abanenkqubo yomzimba yokuzikhusela ebuthathaka: Oku kuthetha ukuba amandla omzimba okulwa nezifo ayancipha.
• Ingxaki yokusebenzisa utywala.
• Abantu abanemingxuma: Ukuba amazinyo awacocwanga kakuhle, ukubola kwamazinyo kunokukhokelela kwiintsholongwane.
• Abantu abanesifo seswekile: Isifo seswekile sibenza babe sesichengeni sosulelo.
• Abantu abangondlekanga kakuhle.
• Abantu abanomhlaza womlomo.
• Abantu abangakwaziyo ukuhlambulula umlomo: Lo mngcipheko uphezulu kubantu abangahlambi amazinyo abo okanye abangagcini umlomo wabo ucocekile.

Zeziphi iingxaki ezinkulu ezinokubakho ukuba azinyangwa?

I-Angina kaLudwig ingakhokelela kwiingxaki ezinzulu kakhulu, ezisongela ubomi, ukuba ayinyangwa ngokukhawuleza. Yiyo loo nto ithathwa njengengxamiseko.

• Ukufuthaniseka:Oko kuthetha ukuba ungabi nayo ioksijini. Ukudumba kungayivala ngokupheleleyo indlela yomoya.
• I-pneumonia yokuphefumla: Ubunzima bokuginya bunokubangela ukuba izinto ezifana namathe zingene emiphungeni, nto leyo ebangela usulelo.
• Indlela yomoya evalekileyo.
• I-Mediastinitis: Usulelo lunokusasazeka luye esifubeni.
• I-Sepsis: Le yindlela umzimba osabela ngayo kwisifo esiyingozi kakhulu.
• Ukothuka kweSeptic: Eli linqanaba lokugqibela le-sepsis, apho uxinzelelo lwegazi luhla ngokuyingozi.

Ezi ngxaki ziyoyikisa ukuva, akunjalo? Yiyo loo nto kuthiwa ukuba ubona neyona mpawu incinci, kufuneka ubone ugqirha ngoko nangoko.

Oogqirha bayixilonga njani le nto ngokuchanekileyo? (Ukuxilongwa)

Oogqirha badla ngokuxilonga i-angina kaLudwig ngokukuxilonga. (Uvavanyo lomzimba). Baza kukhangela ukudumba ngaphambili entanyeni yakho nangaphantsi komhlathi wakho. Baza kujonga nolwimi olukhulu kunye nokudumba kumgangatho womlomo wakho.

Ngamanye amaxesha, iimvavanyo ezongezelelweyo ezifana nezi zinokwenziwa ukuqinisekisa:

• Uvavanyo lokukhulisa iintsholongwane: Olu vavanyo lujonga ukuba usulelo lusasazeke na egazini lakho. Oku kuquka ukuthatha isampuli yegazi lakho.
• I-CT scan: Olu vavanyo lokujonga imifanekiso lunokunceda ekufumaneni ubunzulu bosulelo kunye nokuba amathumba akhekile na. Nangona kunjalo, oku kwenziwa kuphela emva kokuba ukuphefumla okufutshane kunyangiwe.
• I-Ultrasound: Oku kungafumanisa amahlwili egazi, usulelo, nokuba usulelo lusasazeke na emathanjeni.

Ziziphi iindlela zonyango lwe-Angina kaLudwig?

Injongo ephambili yokunyanga i-Angina kaLudwig kukuvula indlela yakho yomoya, ukubonelela ngeoksijini, kwaye ikuvumele ukuba uphefumle ngendlela eqhelekileyo kwakhona.

• Ukuvula indlela yokungena komoya: Oogqirha badla ngokusebenzisa ityhubhu ebhityileyo neguquguqukayo (i-nasal cannula) efakwa ngempumlo nasemqaleni. Kwezinye iimeko ezinzima, kunokwenziwa umngxuma omncinci entanyeni kwaye kufakwe ityhubhu (tracheostomy) ukunceda ekuphefumleni.
• Amayeza: Nje ukuba umoya wakho ucoceke, ugqirha wakho uya kuqala ukukunika amayeza okubulala iintsholongwane nge-IV line. La mayeza anikwa ukulawula usulelo lwebhaktheriya. Angakunika namayeza abizwa ngokuba yi-corticosteroids ukunciphisa ukudumba.
• Utyando: Kwezinye iimeko ezinzima, utyando lunokufuneka ukuze kukhutshwe ubovu kwindawo enesifo. Ukuba i-Angina kaLudwig ibangelwa lizinyo elinesifo, kusenokufuneka ukuba likhutshwe lize lisuswe.

Singenza ntoni ukuthintela oku ukuba kungenzeki?

Nangona i-Angina kaLudwig ingenakuthintelwa rhoqo, kukho izinto esinokuzenza ukunciphisa umngcipheko.

• Gcina umlomo wakho usempilweni: Hlamba amazinyo akho kabini ngemini uze ufake i-floss phakathi kwamazinyo akho.
• Bona ugqirha wamazinyo rhoqo ukuze uhlolwe kwaye ucoce amazinyo: Kubaluleke kakhulu ukuba ugqirha ahlole amazinyo akho ubuncinane kanye ngonyaka.
• Funa unyango olukhawulezileyo lwezifo zamazinyo: Musa ukuyityeshela intlungu yamazinyo okanye iintsini ezivuvukileyo, njengoko izifo zamazinyo zezona zibangela i-Angina kaLudwig.

Ngaba ndiza kuphila kwi-Angina kaLudwig? (Ukulindela ukuchacha)

Kule mihla, ngenxa yokufumaneka kwee-antibiotics, uninzi lwabantu abanesifo sikaLudwig's Angina banokuphila ngokupheleleyo. Nangona kunjalo, kubalulekile ukuqaphela esi sifo kwangethuba kwaye uqale unyango ngokukhawuleza. Okukhona ufumana unyango ngokukhawuleza, kokukhona amathuba akho okuphila ngcono.

Ukufa ngenxa ye-Angina kaLudwig ngoku kunqabile kakhulu. Nangona kunjalo, akunakwenzeka. Kubikwa ukuba malunga ne-8% yabo bafumana usulelo banokufa ngenxa yokudumba kunye nokunqongophala komoya-mpilo. Ngoko ke oku akufanele kuthathwe lula.

Kufuneka nini ubonane nogqirha ngokukhawuleza? (Ingxamiseko!)

Ukuba unayo nayiphi na kwezi mpawu, yiya kwicandelo lezonyango elikufutshane nawe ngokukhawuleza, okanye utsalele umnxeba ku-1990.

• Ukuba kunzima ukuphefumla okanye ukuginya into ethile.
• Ukuba kukho intlungu enganyamezelekiyo, kwaye intlungu iyanda kancinci kancinci.
• Ukuba kukho ukudumba okukhulu entanyeni okanye phantsi kwesilevu.

Musa ukulinda ekhaya ngexesha elinje. Musa ukuchitha nomzuzwana omnye. Eyona nto ilungileyo onokuyenza kukufika esibhedlele ngokukhawuleza.

Yeyiphi imibuzo omele uyibuze ugqirha?

Emva kokuba ufumene unyango lwe-Ludwig's Angina, ungabuza ugqirha wakho imibuzo efana nale:

• Kutheni ndifumene i-Angina kaLudwig?
• Ndingenza ntoni ukunciphisa umngcipheko wokufumana olu hlobo losulelo kwakhona?
• Ndifanele ndihlolwe amazinyo kangaphi?

Ukwazi iimpendulo zale mibuzo kuya kukunceda uzikhusele kwiimeko ezinje kwixesha elizayo.

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Mhlawumbi akukho nto yoyikisayo ngaphezu kokuvakalelwa kukuba awukwazi ukuphefumla. I-Ludwig's Angina yimeko eyingozi enokuthi ivele ngequbuliso ize isasazeke ngokukhawuleza. Ukuba uziva ngathi uqala ukuba neempawu ezifana nomphimbo obuhlungu, impumlo egobhozayo, kunye nomkhuhlane, nceda ungawutyesheli loo nto. Xelela ugqirha ngoko nangoko.

Ngonyango olukhawulezileyo, olu sulelo lunokunyangeka ngokupheleleyo kwaye ungaphila kwakhona. Ngoko ke, khathalela umzimba wakho, uqaphele iimpawu, kwaye ungalibazisi ukufuna iingcebiso zonyango xa kuyimfuneko. Ukugcina ucoceko lomlomo kukwaluncedo olukhulu ekuzikhuseleni kwiintsholongwane ezinzulu kangaka.

I - angina kaLudwig, usulelo lomlomo, ukudumba komphimbo, ubunzima bokuphefumla, isifo samazinyo neentsini, impilo yomlomo, usulelo lweebhaktheriya