Ludwig angina

Ludwig angina bụ ọrịa nke ala nke ọnụ n'okpuru ire. Ọ bụ n'ihi nje na-efe ezé ma ọ bụ agba.

Ludwig angina bụ ụdị nje na-efe n'ala nke ọnụ, n'okpuru ire. Ọ na - etolite mgbe ọrịa nke mgbọrọgwụ ezé (dịka ezé ezé) ma ọ bụ mmerụ ọnụ.

Ọnọdụ a abụghị ihe ọhụrụ n’ebe ụmụaka nọ.

Mpaghara ọrịa ahụ na-aza ngwa ngwa. Nke a nwere ike igbochi ikuku ma ọ bụ gbochie gị ilo mmiri.

Mgbaàmà gụnyere:

• Nsogbu iku ume
• Nsogbu ilo
• Iwe
• Okwu na-adịghị ọhụrụ (dị ka mmadụ nwere “nduku ọkụ” n’ọnụ)
• Ire ma ọ bụ ndapụta nke ire n'ọnụ
• Ahụ ọkụ
• Olu mgbu
• Ọkpụkpụ olu
• Na-acha ọbara ọbara nke olu

Mgbaàmà ndị ọzọ nwere ike ịpụta na ọrịa a:

• Adịghị ike, ike ọgwụgwụ, oke ike ọgwụgwụ
• Mgbagwoju anya ma obu mgbanwe uche ndi ozo
• Ọrịa ntị

Onye nlekọta ahụike gị ga-eme nyocha nke olu gị na isi iji chọọ ọbara ọbara na ọzịza nke olu dị elu, n'okpuru agba.

Ọzịza ahụ nwere ike iru n'ala ọnụ. Ire gị nwere ike ọza ma ọ bụ ibuli elu n’elu ọnụ gị.

Nwere ike ịchọ nyocha CT.

Enwere ike iziga ihe nlele nke mmiri si na anụ ahụ na laabu iji nwalee nje.

Ọ bụrụ na ọzịza ahụ na-egbochi ikuku, ịkwesịrị inweta enyemaka ahụike mberede ozugbo. Enwere ike itinye tube iku ume n'ọnụ gị ma ọ bụ imi gị na n'ime akpa ume iji weghachi ume. Nwere ike ịwa ahụ a na-akpọ tracheostomy nke na-emepụta oghere site n'olu n'ime windpipe.

A na-enye ọgwụ nje iji luso ọrịa a ọgụ. A na-enyekarị ha site na akwara ruo mgbe mgbaàmà ga-apụ. Ọgwụ mgbochi nje nke a na-eji ọnụ enwere ike ịga n'ihu ruo mgbe nyocha gosipụtara na nje bacteria apụla.

Dental ọgwụgwọ nwere ike mkpa maka ọrịa ezé na-akpata Ludwig angina.

Enwere ike ịwa ahụ iji kpochapụ mmiri mmiri na-eme ka ọzịza ahụ.

Ludwig angina nwere ike iyi ndụ egwu. Enwere ike gwọọ gị site n'inweta ọgwụgwọ ka ikuku ikuku mepee ma were ọgwụ mgbochi.

Nsogbu nwere ike ịgụnye:

• Ihe mgbochi Airway
• Generalized ọrịa (sepsis)
• Septic ujo

Nsogbu iku ume bụ ọnọdụ mberede. Gaa na ụlọ mberede ma ọ bụ kpọọ nọmba mberede obodo gị (dịka 911) ozugbo.

Kpọọ onye na-eweta gị ma ọ bụrụ na ị nwere mgbaàmà nke ọnọdụ a, maọbụ ọ bụrụ na mgbaàmà adịghị adị mma karịa ọgwụgwọ.

Gaa na dọkịta ezé maka nlele oge niile.

Na-agwọ mgbaàmà nke ọnụ ma ọ bụ ọrịa ezé ozugbo.

Submandibular ohere ibute ọrịa; Sublingual ohere ọrịa

• Oropharynx

Christian JM, Goddard AC, Gillespie MB. Nnukwu olu na odontogenic na-efe efe. Na: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Headwa Ahụ na olu. Nke isii. Philadelphia, PA: Elsevier Saunders; 2015: isi 10.

Hupp WS. Ọrịa nke ọnụ. Na: Kellerman RD, Rakel DP, eds. Usoro ọgwụgwọ Conn nke 2019. Philadelphia, PA: Elsevier; 2019: 969-975.

Melio FR. Ọrịa iku ume iku ume dị n’elu Na: Mgbidi RM, Hockberger RS, Gausche-Hill M, eds. Ngwọta Mberede nke Rosen: Echiche na usoro ọgwụgwọ. Agba nke 9. Philadelphia, PA: Elsevier; 2018: isi 65.