Ukuvuvukala okungazelelwe ngaphansi komlomo? Ake sifunde ngale Angina kaLudwig eyingozi!

Wake wabhekana nokuvuvukala okungazelelwe, okukhulu emlonyeni wakho, ikakhulukazi ngaphansi kolimi lwakho, emhlathini wakho, noma entanyeni yakho engaphezulu, okwenza kube nzima ukuphefumula? Ulimi lwakho lungase luvuvuke kangangokuthi awukwazi ngisho nokukhuluma noma ukugwinya ukudla. Uma kwenzeka into efana nale, akufanele uyithathe kalula. Kungaba ukutheleleka okukhulu okungasakazeka ngokushesha kunalokho okucabangayo futhi okungaba yingozi empilweni . Esinye isimo esinjalo esidinga ukunakekelwa kwezokwelapha okuphuthumayo yi-Ludwig's Angina, esizokhuluma ngayo namuhla.

Iyini i-Angina kaLudwig? Masiyiqonde kalula!

Kalula nje, i-Ludwig's Angina iwukutheleleka okungathi sína, okusakazeka ngokushesha kwebhaktheriya okwenzeka phansi komlomo wakho. Uma sikhuluma iqiniso, uhlobo lokutheleleka kwe-cellulitis kwesikhumba kanye nezicubu ezingaphansi. Okwenzekayo ukuthi ukutheleleka kubangela ukuthi phansi komlomo wakho, ulimi, kanye nomphimbo wakho kuvuvuke ngokushesha okukhulu. Lokhu kuvuvukala kungaba kubi kakhulu kangangokuthi kungavimba ngisho nemigudu yakho yokuphefumula futhi kwenze kube nzima ukuphefumula. Cabanga ukuthi lokho kuyesabeka kangakanani!

Lesi simo sivame ukwenzeka ngemva kokulimala emlonyeni. Kodwa-ke, ezimweni eziningi, imbangela eyinhloko izinyo eliphumile, okuyizinyo elinegciwane eliye laqala ukuba nobomvu.

Into ebaluleke kakhulu ukuthi i-Ludwig's Angina iyisimo esiphuthumayo sezokwelapha. Ngakho-ke, kubalulekile ukufuna ukwelashwa ngokushesha uma ubona lezi zimpawu. Uma zingalashwa, zingabulala. Kodwa-ke, uma lesi sifo sibonakala futhi selashwa ngokushesha, lesi sifo singalapheka ngokuphelele.

Ibizwa ngokuthi "i-angina kaLudwig" ngemuva kukadokotela waseJalimane uWilhelm Friedrich von Ludwig, owaqala ukuchaza lesi simo ngo-1836. Igama elithi "angina" ngokuvamile libhekisela ebuhlungwini obukhulu obuvela ndawana thile emzimbeni.

Ziyini lezi zimpawu? Zibone ngokushesha!

Izimpawu ze-Ludwig's Angina zingavela ngokuzumayo futhi zingaba zimbi kakhulu ngokushesha okukhulu. Ngakho-ke kubalulekile ukuqaphela lezi zimpawu.

• Ubunzima bokuphefumula: Lolu uphawu oluyingozi kakhulu. Ukuvuvukala kungabangela ukuthi indlela yokuphefumula ivaleke.
• Ubunzima bokugwinya ukudla noma amathe: Ukuvuvukala emphinjeni kwenza kube nzima ukugwinya ukudla.
• Ukuvuza amathe: Ubunzima bokugwinya bungabangela ukuba amathe aphume emlonyeni.
• Umkhuhlane noma ukubanda: Umkhuhlane ungabangelwa ukutheleleka.
• Ubuhlungu noma ukuvuvukala endaweni yomhlathi: Indawo engaphansi komhlathi nentamo engenhla ingase ivuvuke.
• Ubuhlungu bentamo, ukuvuvukala, noma ukushintsha kombala wesikhumba:Intamo ingase ibe bomvu noma ibe luhlaza okwesibhakabhaka.
• Ukuvuvukala kolimi noma ukuvela kolimi: Ulimi luyakhula futhi lungaze luphume emlonyeni.
• Inkulumo engacacile: Kunzima ukukhuluma kahle uma ulimi luvuvukele.
• Ubuhlungu bolimi noma ubuhlungu ngaphansi kolimi: Ungase uzwe ubuhlungu nalapho uthinta ulimi lwakho.
• Ubuhlungu bamazinyo: Lokhu kungaqala ngobuhlungu bamazinyo, ikakhulukazi emhlathini ongezansi.

Okubalulekile: Lezi zimpawu zingaba zimbi kakhulu ngokushesha, ngakho-ke kuwukuhlakanipha ukufuna iseluleko sezokwelapha ngokushesha uma unesinye noma ngaphezulu sazo.

Izindaba ezinhle ukuthi i-Angina kaLudwig ayithelelani. Ngisho noma unayo, awukwazi ukuyidlulisela komunye umuntu.

Kungani kwenzeka i-Angina kaLudwig? Ziyini izimbangela?

Imbangela eyinhloko ye-Ludwig's Angina yizinyo eliphansi elinobuthi, ikakhulukazi izinyo le-molar. Ezigulini ezingaphezu kuka-90%, lesi simo sibangelwa inkinga yamazinyo. Cabanga ukuthi into esingayinaki njengobuhlungu obuncane bamazinyo ingaba yingozi kangakanani!

Ngaphezu kwalokho, kungase kube nezinye izizathu eziningana:

• Inxeba elingaphakathi emlonyeni: Ikakhulukazi inxeba elingemuva komhlathi ongezansi.
• Izinkinga ngemva kokuhlinzwa ngomlomo.
• I-Pericoronitis ukutheleleka kwezinsini ezizungeze izinyo lokuhlakanipha.

Izinhlobo eziyinhloko zamagciwane angabangela lokhu kutheleleka yi-`(Streptococcus)`, `(Staphylococcus)`, kanye ne-`(Bacteroides)`.

Ubani osengozini enkulu yokuthuthukisa lokhu?

Abanye abantu basengozini enkulu kancane yokuthola i-Ludwig's Angina. Ake sibheke ukuthi bangobani:

• Abantu abanesimiso somzimba sokuzivikela esibuthakathaka: Lokhu kusho ukuthi amandla omzimba okulwa nezifo ayancipha.
• Inkinga yokusebenzisa utshwala.
• Abantu abanezimbobo: Uma amazinyo engahlanzwa kahle, ukubola kwamazinyo kungavela futhi kuholele ekuthelelekeni.
• Abantu abanesifo sikashukela: Isifo sikashukela sibenza babe sengozini enkulu yokutheleleka ngezifo.
• Abantu abanesifo sokungondleki kahle.
• Abantu abanomdlavuza womlomo.
• Abantu abanokuhlanzeka komlomo okungekuhle: Abantu abangaxubhi amazinyo abo noma abangagcini imilomo yabo ihlanzekile basengozini enkulu.

Yiziphi izinkinga ezinkulu ezingaba khona uma zingelashwa?

I-Angina kaLudwig ingaholela ezinkingeni ezinkulu kakhulu, ngisho nezisongela ukuphila, uma ingelashwa ngokushesha. Yingakho ibhekwa njengesimo esiphuthumayo.

• Ukuphelelwa umoya:Lokho kusho ukuthi ungabi nomoya-mpilo. Ukuvuvukala kungavimba ngokuphelele indlela yokuphefumula.
• I-pneumonia yokuphefumula: Ubunzima bokugwinya bungabangela izinto ezifana namathe ukuba zingene emaphashini, okubangela ukutheleleka.
• Indlela yokuphefumula evinjiwe.
• I-Mediastinitis: Ukutheleleka kungasakazekela esifubeni.
• I-Sepsis: Lokhu kuyimpendulo eyingozi kakhulu, esongela ukuphila yomzimba ekuthelelekeni.
• Ukushaqeka kwe-Septic: Lesi yisigaba sokugcina se-sepsis, lapho umfutho wegazi wehla khona ngendlela eyingozi.

Lezi zinkinga ziyesabeka ukuzwa, akunjalo? Yingakho kuthiwa uma ubona ngisho nophawu oluncane kakhulu, kufanele ubonane nodokotela ngokushesha.

Odokotela bakuthola kanjani lokhu ngokunembile? (Ukuxilongwa)

Odokotela bavame ukuxilonga i-angina kaLudwig ngokukuhlola. (Ukuhlolwa ngokomzimba). Bazobheka ukuvuvukala ngaphambili kwentamo yakho nangaphansi komhlathi wakho. Bazohlola nolimi olukhulu kanye nokuvuvukala phansi komlomo wakho.

Ngezinye izikhathi, ukuhlolwa okwengeziwe okufana nalokhu kungenziwa ukuqinisekisa:

• Ukuhlolwa kokukhuliswa kwamagciwane: Lokhu kuhlola ukuthi ukutheleleka sekusakazekele egazini lakho yini. Lokhu kuhilela ukuthatha isampula yegazi lakho.
• I-CT scan: Lokhu kuhlolwa kwezithombe kungasiza ekutholeni ubucayi bokutheleleka nokuthi ngabe amathumba akhekile yini. Kodwa-ke, lokhu kwenziwa kuphela ngemva kokuba ukuphefumula okuncane sekulashwe.
• I-Ultrasound: Lokhu kungabona amahlule egazi, ukutheleleka, nokuthi ukutheleleka kusakazekele emathanjeni yini.

Yiziphi izindlela zokwelapha i-angina kaLudwig?

Umgomo oyinhloko wokwelapha i-Ludwig's Angina ukuvula indlela yakho yokuphefumula, ukukunikeza umoya-mpilo, nokukuvumela ukuthi uphefumule ngendlela evamile futhi.

• Ukuvula indlela yokuphefumula: Odokotela bavame ukusebenzisa ipayipi elincane neliguquguqukayo (i-nasal cannula) elifakwa ngekhala nasemphinjeni. Kwezinye izimo ezinzima, kungase kwenziwe ukusikwa okuncane entanyeni bese kufakwa ipayipi (i-tracheostomy) ukusiza ekuphefumuleni.
• Imithi: Uma umoya wakho usuhlanzekile, udokotela wakho uzoqala ukukunikeza ama-antibiotic ngokusebenzisa umugqa we-IV. Lawa anikezwa ukulawula ukutheleleka kwamagciwane. Bangase bakunike nemithi ebizwa ngokuthi ama-corticosteroids ukunciphisa ukuvuvukala.
• Ukuhlinzwa: Kwezinye izimo ezinzima, kungase kudingeke ukuhlinzwa ukuze kukhishwe ubomvu endaweni ethelelekile. Uma i-Ludwig's Angina ibangelwa izinyo elithelelekile, kungase kudingeke likhishwe futhi lisuswe.

Yini esingayenza ukuze sivimbele lokhu ukuthi kungenzeki?

Nakuba i-Angina kaLudwig ingenakuvinjelwa ngaso sonke isikhathi, kunezinto esingazenza ukuze sinciphise ingozi.

• Gcina impilo yomlomo iphilile: Hlanza amazinyo akho kabili ngosuku bese ufaka i-floss phakathi kwamazinyo akho.
• Bona udokotela wamazinyo njalo ukuze uhlolwe futhi uhlanzwe amazinyo: Kubaluleke kakhulu ukuthi udokotela ahlole amazinyo akho okungenani kanye ngonyaka.
• Funa ukwelashwa okusheshayo kwezifo zamazinyo: Ungakushayi indiva ubuhlungu bezinyo noma izinsini ezivuvukele, njengoba izifo zamazinyo ziyimbangela eyinhloko ye-Ludwig's Angina.

Ingabe ngizolulama ku-Angina kaLudwig? (Ukulindela ukululama)

Namuhla, njengoba kutholakala ama-antibiotic, abantu abaningi abathola i-Ludwig's Angina bangalulama ngokuphelele. Kodwa-ke, kubalulekile ukuqaphela lesi sifo kusenesikhathi bese uqala ukwelashwa ngokushesha. Uma uthola ukwelashwa ngokushesha, amathuba akho okululama ayanda.

Ukufa okubangelwa yi-Ludwig's Angina manje sekuyivelakancane kakhulu. Kodwa-ke, akuyona into engenakwenzeka. Kubikwa ukuthi cishe u-8% walabo abathola lesi sifo bangafa ngenxa yokuvuvukala kanye nokuntuleka komoya-mpilo. Ngakho-ke lokhu akufanele kuthathwe kalula.

Kunini lapho udinga ukubonana nodokotela ngokushesha? (Isimo esiphuthumayo!)

Uma unezinye zalezi zimpawu, iya emnyangweni wezimo eziphuthumayo esibhedlela esiseduze ngokushesha, noma ushayele u-1990.

• Uma kunzima ukuphefumula noma ukugwinya okuthile.
• Uma kukhona ubuhlungu obungabekezeleleki, futhi ubuhlungu buyanda kancane kancane.
• Uma kukhona ukuvuvukala okukhulu entanyeni noma ngaphansi kwesilevu.

Ungalindi ekhaya ngesikhathi esinjengalesi. Ungachithi ngisho nomzuzwana. Into engcono kakhulu ongayenza ukufika esibhedlela ngokushesha.

Yimiphi imibuzo okufanele uyibuze udokotela?

Ngemva kokuthola ukwelashwa kwe-Ludwig's Angina, ungase ufune ukubuza udokotela wakho imibuzo efana nale:

• Kungani ngithole i-Angina kaLudwig?
• Yini okufanele ngiyenze ukuze nginciphise ingozi yokuthola lolu hlobo lokutheleleka futhi?
• Kufanele ngihlolwe amazinyo ami kangaki?

Ukwazi izimpendulo zale mibuzo kuzokusiza ukuthi uzivikele ezimweni ezinjengalezi esikhathini esizayo.

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Cishe akukho okwesabisayo ngaphezu komuzwa wokungakwazi ukuphefumula. I-Ludwig's Angina yisimo esiyingozi esingavela ngokuzumayo futhi sisakazeke ngokushesha okukhulu. Uma uzizwa sengathi uqala ukuzwa izimpawu ezifana nomphimbo obuhlungu, impumulo egobhozayo, kanye nomkhuhlane, sicela ungakushayi indiva. Tshela udokotela ngokushesha.

Ngokwelashwa okusheshayo, lokhu kutheleleka kungalapheka ngokuphelele futhi ungaphinde ube nempilo enhle. Ngakho-ke, nakekela umzimba wakho, uqaphele izimpawu, futhi ungalibali ukufuna iseluleko sezokwelapha uma kudingeka. Ukugcina inhlanzeko yomlomo nakho kuwusizo olukhulu ekuzivikeleni ezifweni ezinjalo ezingathi sína.

I- angina kaLudwig, ukutheleleka komlomo, ukuvuvukala komphimbo, ubunzima bokuphefumula, isifo samazinyo nezinsini, impilo yomlomo, ukutheleleka ngamagciwane