Ludwig angina

Ludwig angina yog ib qho kev sib kis ntawm hauv pem teb ntawm lub qhov ncauj nyob hauv tus nplaig. Nws yog vim tus kab mob sib kis ntawm cov hniav lossis lub puab tsaig.

Ludwig angina yog ib hom kab mob uas tshwm sim hauv pem teb hauv qhov ncauj, hauv qab tus nplaig. Nws feem ntau tshwm sim tom qab kis tus kab mob ntawm cov hauv paus hniav ntawm tus hniav (xws li hniav ntog) los yog qhov ncauj raug mob.

Tus mob no tsis zoo nyob rau menyuam yaus.

Thaj chaw muaj mob sai sai sai. Qhov no tuaj yeem thaiv kev ua pa lossis tiv thaiv koj kom tsis txhob nqos cov qaub ncaug.

Cov tsos mob muaj xws li:

• Ua tsis taus pa nyuaj
• Nyuaj nqos nyuaj
• Ncau
• Kev hais lus tsis txaus ntseeg (suab zoo li tus neeg muaj "kub qos" nyob rau hauv lub qhov ncauj)
• Nplaig o lossis tiv thaiv tus nplaig tawm ntawm lub qhov ncauj
• Ua npaws
• Caj dab
• Caj dab o
• Liab ntawm caj dab

Lwm tus tsos mob uas yuav tshwm sim nrog tus kab mob no:

• Tsis muaj zog, nkees, nkees dhau heev lawm
• Tsis meej pem lossis lwm yam kev hloov pauv hlwb
• Mob pob ntseg

Koj tus kws kho mob yuav kuaj koj lub caj dab thiab lub taub hau kom pom kev liab thiab o ntawm lub caj dab sab sauv, sab hauv qab ntawm puab tsaig.

Qhov o tuaj yeem ncav cuag rau hauv pem teb ntawm qhov ncauj. Koj tus nplaig yuav o tuaj lossis nias kom nyob saum koj qhov ncauj.

Tej zaum koj yuav xav tau CT scan.

Ib qhov piv txwv ntawm cov kua dej los ntawm daim ntaub yuav raug xa mus rau chav kuaj kom sim cov kab mob.

Yog tias qhov o tuaj ntshav, nws ua tsis taus pa, koj yuav tsum tau txais kev pab khomob sai sai. Yuav tau siv lub tshuab nqus pa nkag ntawm koj lub qhov ncauj lossis qhov ntswg thiab rau hauv lub ntsws kom rov ua pa. Koj yuav tsum muaj kev phais hu ua tracheostomy uas tsim kev qhib los ntawm caj dab mus rau hauv txoj hlab pa.

Tshuaj tua kab mob tau muab rau tiv thaiv tus kab mob. Lawv feem ntau muab los ntawm txoj hlab ntsha kom txog rau thaum cov tsos mob ploj mus. Cov tshuaj tua kab mob los noj ntawm lub qhov ncauj yuav ua txuas mus kom txog thaum kev ntsuam xyuas pom tias tus kab mob tau ploj mus.

Kev kho hniav tej zaum yuav xav tau rau tus kab mob hniav uas ua rau Ludwig angina.

Kev phais mob yuav tsum tau tso dej rau cov kua uas ua rau o tuaj.

Ludwig angina tuaj yeem tsim kev puas tsuaj rau lub neej. Nws tuaj yeem kho nrog kev kho kom ua tau kom cov hlab pa qhib thiab noj tshuaj tua kab mob.

Teeb meem yuav suav nrog:

• Air blockage
• Kev kis tus kab mob dav dav (sepsis)
• Xov poob siab

Ua tsis taus pa nyuaj yog kev kub ntxhov. Mus rau chav khomob xwmtxheej ceev lossis hu rau koj tus lej kub ceev (xws li 911) tamsis ntawd.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob li no, lossis yog tias cov tsos mob tsis zoo dua tom qab kho tas.

Mus ntsib kws kho hniav kom kuaj mob tsis tu ncua.

Kho cov tsos mob ntawm lub qhov ncauj lossis tus hniav tam sim ntawd.

Submandibular chaw kis; Sublingual qhov chaw muaj kab mob

• Oropharynx

Christian JM, Goddard AC, Gillespie MB. Lub caj dab sib sib zog nqus thiab odontogenic. Hauv: Flint PW, Haughey BH, Lund V, li al, eds. Cummings Otolaryngology: Taub Hau Thiab Caj DabCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 10.

Hupp WS. Kab mob ntawm lub qhov ncauj. Hauv: Kellerman RD, Rakel DP, eds. Conn's Suab Nkauj Kho Siab Tawm Tshiab 2019Cov. Philadelphia, PA: Elsevier; 2019: 969-975.

Melio FR. Cov pa ua pa sab saud. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 65.