Ludwig angina

Ludwig angina chirwere chepasi pemuromo pasi perurimi. Izvo zvinokonzerwa nehutachiona hutachiona hwemeno kana shaya.

Ludwig angina imhando yehutachiona hutachiona hunoitika pasi pemuromo, pasi perurimi. Inowanzo kukura mushure mekutapukirwa kwemidzi yemeno (senge ziso rezino) kana kukuvara kwemuromo.

Aya mamiriro haana kujairika muvana.

Nzvimbo inotapukirwa inokura nekukurumidza. Izvi zvinogona kuvhara nzira yekufema kana kukutadzisa kubva kumedza mate.

Zviratidzo zvinosanganisira:

• Kufema kunetseka
• Zvakaoma kumedza
• Kudonhedza mvura
• Kutaura kusingajairike (zvinoita sekunge munhu ane "mbatatisi inopisa" mumuromo)
• Kurira kwerurimi kana kubuda kwerurimi kubva mumuromo
• Kupindwa nechando
• Neck kurwadziwa
• Neck kuzvimba
• Kutsvuka kwemutsipa

Zvimwe zviratidzo zvinogona kuitika nechirwere ichi:

• Kushaya simba, kuneta, kuneta zvakanyanya
• Kuvhiringidzika kana kumwe kuchinja kwepfungwa
• Earache

Anokuchengetedza hutano achaita ongororo yemutsipa wako nemusoro kutsvaga kutsvuka uye kuzvimba kwemutsipa wepamusoro, pasi pechirebvu.

Kuzvimba kwacho kunogona kusvika pasi pemuromo. Rurimi rwako runogona kunge ruchizvimba kana kusundidzirwa kumusoro kwemuromo wako.

Ungangoda CT scan.

Muenzaniso wemvura kubva munyama inogona kutumirwa kubazi kuyedza mabhakitiriya.

Kana iko kuzvimba kuchivhara nzira yemhepo, iwe unofanirwa kuwana rubatsiro rwechimbichimbi kurapwa. Pombi yekufema ingangoda kuiswa kuburikidza nemuromo wako kana mhino uye mumapapu kuti udzore kufema. Iwe ungangoda kuve nekuvhiya kunodaidzwa kunzi tracheostomy iyo inogadzira kuvhura kuburikidza nehuro kupinda mupepuru.

Mishonga inorwisa mabhakitiriya inopihwa kurwisa hutachiona. Ivo vanowanzo kupihwa kuburikidza nemutsinga kusvikira zviratidzo zvapera. Mishonga inorwisa mabhakitiriya inotorwa nemuromo inogona kuenderera mberi kusvika bvunzo dzaratidza kuti hutachiona hwaenda.

Kurapwa kwemazino kunogona kudikanwa kune hutachiona hwemeno hunokonzera Ludwig angina.

Kuvhiya kunogona kudikanwa kubvisa mvura izvo zviri kukonzera kuzvimba.

Ludwig angina anogona kutyisidzira hupenyu. Inogona kurapwa nekuwana kurapwa kuchengetedza nzira dzekufema dzakavhurika uye kutora mushonga unorwisa mabhakitiriya.

Zvinetso zvinogona kusanganisira:

• Kuvharwa kwemhepo
• Hutachiona hutachiona (sepsis)
• Sepic kuvhunduka

Kufema kunetseka mamiriro ekukurumidzira. Enda kuimba yekukurumidzira kana kufonera yako yemuno emergency emergency (se911) ipapo ipapo.

Fonera mupiki wako kana iwe uine zviratidzo zveichi chiitiko, kana kana zviratidzo zvikasava nani mushure mekurapwa.

Shanyira chiremba wemazino kuti uongorore.

Bata zviratidzo zvemukanwa kana zino hutachiona ipapo.

Submandibular nzvimbo hutachiona; Sublingual nzvimbo hutachiona

• Oropharynx

Christian JM, Goddard AC, Gillespie MB. Yakadzika mutsipa uye odontogenic hutachiona. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits.

Hupp WS. Zvirwere zvemukanwa. Mune: Kellerman RD, Rakel DP, eds. Conn Yazvino Therapy 2019. Philadelphia, PA: Elsevier; 2019: 969-975.

Melio FR. Epamusoro mweya wekufema. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 65.