Ludwig angina

ʻO Ludwig angina kahi maʻi o ka papahele o ka waha ma lalo o ke alelo. Loaʻa ia i kahi maʻi bacteria o nā niho a i ʻole ka iwi ā.

ʻO Ludwig angina kahi ʻano maʻi maʻi bacteria i kū i ka papahele o ka waha, ma lalo o ke alelo. Hoʻoulu pinepine ia ma hope o ka maʻi o nā aʻa o nā niho (e like me ka abscess o ka niho) a i ʻole ka ʻeha waha.

ʻAʻole maʻamau kēia ʻano i nā keiki.

Hū koke ka wahi maʻi. Pale paha kēia i ke ala ākea a pale iā ʻoe mai ka ale ʻana i ka lihi.

ʻO nā hōʻailona me:

• Pilikia hanu
• Pilikia i ka ale ʻana
• Drooling
• ʻ speechlelo maʻamau ʻole (e like me ka "ʻuala wela" o ka mea i ka waha)
• Puu ka ʻōlelo a i ʻole ka protrusion o ke alelo mai ka waha
• Fiva
• ʻEha ʻāʻī
• Hū ʻāʻī
• ʻUlaʻula o ka ʻāʻī

Nā ʻōuli ʻē aʻe i hiki ke loaʻa me kēia maʻi.

• Nawaliwali, luhi, luhi nui loa
• Huikau a i ʻole nā ​​hoʻololi noʻonoʻo ʻē aʻe
• ʻEha pepeiao

E hana ana kāu mea mālama ola i kahi hōʻike o kou ʻāʻī a me kou poʻo e nānā ai i ka ʻula a me ka pehu o ka ʻāʻī o luna, ma lalo o ka auwae.

Hiki i ka pehu i ka papahele o ka waha. Pehu paha kou alelo a pahu ʻia i luna o kou waha.

Pono ʻoe i kahi scan CT.

Hiki ke hoʻouna ʻia i kahi laʻana o ka wai mai ke kiko i ka lab e hoʻāʻo no ka bacteria.

Inā pale ka ʻōhū i ke ala ākea, pono ʻoe e kōkua koke i nā kōkua olakino pilikia. Pono e hoʻokomo i kahi ʻōmole hanu ma kou waha a ihu a i loko o nā akemāmā e hoʻihoʻi i ka hanu. Pono paha ʻoe e hana i kahi ʻoki i kapa ʻia he tracheostomy e hana i kahi wehe ma o ka ʻāʻī i loko o ka puka makani.

Hāʻawi ʻia nā antibiotic e hakakā i ka maʻi. Hāʻawi pinepine ʻia lākou ma o ke aa a hiki i ka hala ʻana o nā ʻōuli. Hiki ke hoʻomau ʻia nā antibiotic i lawe ʻia e ka waha a hiki i ka hōʻike ʻana o nā hoʻokolohua ua hala aku ka bacteria.

Pono e pono ka mālama kahua niho no nā maʻi niho e kumu ai ʻo Ludwig angina.

Pono paha ke ʻōpala e hoʻokahe i nā wai e hoʻomaka ana i ka pehu.

Hiki i ka Ludwig angina ke hoʻoweliweli i ke ola. Hiki ke hoʻōla ʻia me ka loaʻa ʻana o ka lāʻau e wehe i nā ala ākea a lawe i nā lāʻau antibiotic.

Komo pū nā pilikia:

• Paʻa Airway
• General maʻiʻaʻai (sepsis)
• Hoʻoweliweli Septic

ʻO ka paʻakikī hanu kahi hanana pilikia. E hele i ka lumi pilikia a kāhea paha i kāu helu pilikia kūloko (e like me 911) koke.

Kāhea i kāu mea hāʻawi inā loaʻa nā ʻōuli o kēia ʻano, a i ʻole inā ʻaʻole maikaʻi nā hōʻailona ma hope o ka lapaʻau ʻana.

E kipa aku i ka kauka niho no nā māka maʻamau.

E mālama koke i nā ʻōuli o ka waha a i ʻole ka maʻi niho.

Maʻi maʻi maʻi Submandibular space; Maʻi maʻi hakahaka Sublingual

• Oropharynx

ʻO Christian JM, Goddard AC, Gillespie MB. ʻO nā ʻāʻī hohonu a me nā maʻi odontogenic. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 10.

Hupp WS. Nā maʻi o ka waha. I: Kellerman RD, Rakel DP, eds. ʻO kā Conn Therapy Therapy 2019. Piladelapia, PA: Elsevier; 2019: 969-975.

Melio FR. ʻO nā maʻi maʻi hanu luna. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 65.