Infeksiyoŋaaji wuddu luggiɗɗi, Angina Ludwig, e Triage abscess peritonsillaire¶

Les ɓalndu jawdi, les hunduko, e daande ina woodi laabi caɗtuɗi, ɗi mbaydiiji anatomiiji potɗi wonde, ceertuɗi e laabi tiiɗɗi, ɗi fascia cervical luggiɗiiɗo. So bakteriiji ummoriiɗi e ɓuuɓri dental les ngal safraaka, tonsillitis tiiɗɗo, ɓuuɓri liɗɗi farinnge, walla ɓuuɓri ƴiiƴam ƴiiƴam, naatii e ɗeen nokkuuje fascia, ɓuuɓri e ɓuuɓri ɓuuɓndi ina njalta e laawol ɓurngol famɗude reentaade. Sabu ɗeen nokkuuje daande luggiɗe ina taarii ƴiye tiiɗɗe (mandibula e ƴiye reedu) e ƴiye fassiyaal tiiɗɗe, ɓuuɓri yaajndi e ɓuuɓri waawataa ɓuuɓde e yaasi ; e nder ɗuum, eɗe ɓuuɓna laawol henndu toowngol ngol e nder, ɗe ɓuuɓna ɗemngal dow e dow ŋoral hunduko, walla ɗe njuppa haa les e nder ɓuuɓri ɓalndu (descendant necrotizing mediastinitis).

Ko ɓuri bonde e ñawuuji nay ɓurɗi bonde e wuddu e ƴiiƴam ko angina Ludwig (cellulitis bilatéral yaawɗo saabaade ɗum e dow hunduko), abscess peritonsillaire walla "quinsy" (poos pus caggal tonsil gooto), **retrofaringeal th.at ɓuuɓna ɗum to bannge reedu), e sindrom Lemierre (ƴiiƴam septik e nder ƴiiƴam ɓalndu ndernderiiru). Anndude banngeeji boɗeeji kardinal gonɗi e nder weeyo luggiɗngo, ko wayi no ɓuuɓri leɗɗe, nanndundi e alluwal les ɓuuɓri, ɗemngal toowngal, waasde udditaade hunduko ko ɓuri koppi ɗiɗi njaajeendi (trismus), ɓuuɓri ɓuuɓndi, e ɓuuɓgol gonngol dow, ina addana ñawɗo oo jogaade sirway e dow ñaamo hade asfiksiyoŋ ɓuuɓɗo waɗde.

Waɗde ɗum jooni¶

1. **Noddu limoore emergency nokku maa ɗoon e ɗoon so tawii neɗɗo mo mboros dental walla mboros bonɗo ina heɓa ɓuuɓri les banngeeji ɗiɗi ɗii fof e ŋoral/jawdi, ɗemngal ina ɓuuɓtoo dow feewde e dow hunduko, ina ɓuuɓna, ina ɓuuɓna daande "potato hot" muusɗo, walla foofaango Distridor in Canada.11). e nder Dental Orop, 999 to Dental Dowlaaji Amerik, 000 to Ostarali, walla ƴeewto regginorde... limooje caɗtuɗe.
2. Waɗde ñawɗo jooɗiiɗo bolt tiiɗɗo e ŋoŋɗi seeɗa yeeso ngam gravity ina fooɗa base ɗemngal ɓuuɓngal e ƴiiƴam woɗɗitaade ƴiiƴam. Hoto meeɗ doole ñawɗo mo Ludwig's angina, ɓuuɓri dow hunduko, walla ɓuuɓri gonndi e daande luggiɗnde ngam lelnude e dow ɓalewol mum en e dow ambulauch, walla, Lelnude e dow ŋoral ina addana ŋoral ɗemngal ngal ɓuuɓngal, teddungal, ruttaade caggal e ŋoral ɓalndu caggal, ɗum addana ŋoral gonngal e ŋoral henndu ngal, ngal waawataa wayleede.
3. WOTO MEƊƊI etaade poppirde, lance, ɓuuɓnude, walla ɓuuɓnude tonngoode ɓuuɓnde, ɓuuɓri ƴiiƴam, walla ɓuuɓri daande e nder galle. Ɓoornugol ɓalndu ndernderiiru ina doga to bannge caggal e sara pillar tonsil e nokku parafaringeal ; ɓuuɓnude ƴiiƴam walla ƴiiƴam e nder ɓuuɓri gonndi e daande caggal safrirde ina waawi ɓuuɓnude ƴiiƴam ɗam, ɓuuɓna ƴiiƴam ɗam haa laaɓa e nder ƴiiƴam ɗam, walla addana ƴiiƴam ɗam warde.
4. Waɗde ñawɗo oo ina tiiɗi NPO (alaa ko woni e hunuko) e rokkude ɗum towel walla koppi ngam ɓuuɓnude ƴiiƴam. Woto naamndo-ɗaa ɗum yoo ɓuuɓtu ndiyam, gargol ndiyam lamɗam, walla ɓuuɓri ɓuuɓndi hunduko so tawii ina ɓuuɓna walla ina ɓuuɓna les hunduko. Ñawɗo oo ina gasa tawa ina sokli ƴettude ƴiiƴam (drainage) e nder safaara walla ƴettude ƴiiƴam (fibre optique) e nder safrirde hee, tawi noon ina ɗaɓɓi reedu ndu alaa ko woni e mum.
5. Waɗde "Two-Finger Trismus Check" e nofru tawa aɗa doola jawdi ndii udditaade. Naamndo ñawɗo oo so tawii ɓe mbaawii e nofru waɗde koppi maɓɓe ɗiɗi walla tati gonɗi e dow ŋoral hakkunde dente maɓɓe yeeso toowɗe e lesɗe. So tawii ɓuuɓri jawdi (trismus) haɗii udditaade hunduko hay santimeeteeruuji 2 (0,8 inch, walla ko famɗi fof koppi ɗiɗi), ñawu nguu naatii e ƴiye masticator, ina haani naatde e safrirde ko yaawi.
6. Ittu ɗoon e ɗoon jokkere enɗam, jokkere enɗam, walla jokkere enɗam, rewindaade keeri yaajɗi kala ɓuuɓri walla ɓuuɓri wuddu e pentol, tesko-ɗaa waktu oo tigi-rigi. Infections necrotisantes luggiɗe ina njaaji no feewi e nder hojomaaji 30 haa 60 ; maande keeri ɓalndu ina wallita safrooɓe emergency yiyde no ñawu nguu yaawirta rewde les feewde e ƴiye ɓalndu e ɓalndu.

Lekki kuugal caawngal ngam rafiiji daande, dental, e daande luggiɗnde¶

flowchart TD
    Start["Severe Sore Throat, Lower Molar Tooth Pain, or Neck Swelling with Fever"]
    AirwayCheck{"Are ANY Immediate Airway or Ludwig's Angina Red Flags Present?<br/>- Bilateral woody/board-like swelling under the chin ('Bull Neck')<br/>- Floor of mouth swollen or tongue pushed up/out of mouth<br/>- Drooling saliva / unable to swallow own spit<br/>- Audible stridor (high-pitched breathing) or sitting in Tripod posture"}
    LudwigProtocol["CRITICAL DEEP NECK AIRWAY EMERGENCY (LUDWIG'S ANGINA / RETROPHARYNGEAL)<br/>1. Call EMS (911 / 112 / 999) immediately for ALS surgical hospital transport<br/>2. Keep patient sitting 100% UPRIGHT leaning slightly forward<br/>3. NEVER lay patient flat on their back<br/>4. Keep strictly NPO; provide basin/towel for drooling saliva<br/>5. Remove neck jewelry; mark border of neck swelling with pen and time"]
    TrismusQuinsyCheck{"Are Peritonsillar Abscess (Quinsy) or Deep Space Signs Present?<br/>- Severe ONE-SIDED throat and ear pain<br/>- Trismus: Cannot open mouth 3 fingers wide (jaw locked)<br/>- Muffled 'Hot Potato' voice<br/>- Uvula pushed across to the opposite side of the throat<br/>- Stiff neck / pain moving neck backward or sideways"}
    AbscessProtocol["URGENT DEEP NECK / PERITONSILLAR ABSCESS TRIAGE<br/>1. Arrange immediate Emergency Department transport (call EMS if drooling or weak)<br/>2. Keep patient sitting upright and strictly NPO (nothing by mouth)<br/>3. DO NOT attempt to lance or squeeze the swollen tonsil<br/>4. Hospital ENT team will perform needle aspiration/drainage & IV antibiotics"]
    SepsisJugularCheck{"Are Lemierre's Syndrome / Jugular Thrombophlebitis Signs Present?<br/>- Tender, swollen cord along one side of the neck (anterior to sternocleidomastoid)<br/>- High spiking fevers with shaking chills (rigors) days after a sore throat<br/>- Shortness of breath or pleuritic chest pain (septic lung emboli)"}
    LemierreProtocol["SUSPECTED LEMIERRE'S SYNDROME / DEEP NECK SEPSIS<br/>1. Immediate Emergency Department evaluation for CT neck with contrast & IV antibiotics<br/>2. Monitor for septic shock (rapid heart rate, confusion, pale/mottled skin)"]
    SimplePharyngitis["UNCOMPLICATED PHARYNGITIS / TONSILLITIS OR LOCAL DENTAL CARIES<br/>(Mouth opens > 3 fingers wide, uvula midline, floor of mouth soft,<br/>swallows saliva & liquids without drooling, neck moves freely)<br/>1. Seek same-day medical or dental clinic evaluation<br/>2. Re-check every 2 to 4 hours for trismus, drooling, or submandibular swelling"]

    Start --> AirwayCheck
    AirwayCheck -->|Yes: Airway / Floor-of-Mouth Signs| LudwigProtocol
    AirwayCheck -->|No: Floor of Mouth Soft, No Stridor| TrismusQuinsyCheck
    TrismusQuinsyCheck -->|Yes: Trismus, Shifted Uvula, or Stiff Neck| AbscessProtocol
    TrismusQuinsyCheck -->|No| SepsisJugularCheck
    SepsisJugularCheck -->|Yes: Lateral Neck Cord + Rigors| LemierreProtocol
    SepsisJugularCheck -->|No| SimplePharyngitis

Yerondirde e ɓuuɓri luggiɗndi e ɓuuɓri ɓalndu¶

Faamde hol nokku anatomiijo mo ñawu nguu heɓtii, ina hollita ko waɗi kala ngonka ina addana neɗɗo sifaa keeriiɗo, hono ɓuuɓri jawdi (trismus), ɓuuɓri ɗemngal, ɓuuɓri wuddu, walla ɓuuɓri ɓalndu.

Anatomi e patofisiyoloji : Hol ko waɗi ɓuuɓri walla tonsillitis wonta ɓuuɓri ɓalndu e ɓuuɓri ƴiiƴam¶

1. Kuulal "Line Mylohyoid" : Hol ko waɗi moƴƴere lesre ina addana Angina Ludwig¶

Hol ko waɗi ɓuuɓri e nder dental yeesowal walla e nder dental toowngal ina heewi saabaade ɓuuɓri ɓuuɓndi ndi alaa ko bonnata walla ɓuuɓri gonndi e ƴiye tokoose, tawi noon ɓuuɓri e nder molar ɗiɗaɓo les walla molar tataɓo les (dental hakkille) ina waawi saabaade uddugol laawol henndu bonngol e nder waktuuji 24 ? * Leydi hunduko ina feccii e dow ŋoral, ko ɓuuɓri ƴiiƴam ina wiyee ɓuuɓri mylohyoid, ndi jokkondiri e ƴiiƴam gonɗam e nder ɓalndu les, ina wiyee ligne mylohyoid. * Daɗi dente yeeso, premolars, e molar gadano ina njooɗii dow doggol mylohyoid. So ɗe ɓuuɓtii, infection ina heddii e nokku gonɗo les ɗemngal ɓuuɓɗo nder laylaytol gonngol e nder ƴiiƴam. * Kono tan, ɗaɗi luggiɗɗi molar ɗiɗaɓo les e molar tataɓo (dental hakkille) ina njottoyoo les doggol milohyoid to bannge nokku les ɓuuɓri wuddu. * So tawii bakteriiji keewɗi gonɗi e hunuko (ko jillondiral sinerji Streptococcus viridans, Staphylococcus, e anaerobeeji gonɗi e hunuko ɓuuɓɗi ko wayi no Peptostreptococcus, Prevotella, e Bacteroides) ina ɓuuɓna ƴiiƴam gonɗam e nder ɓalndu nduu haɗde mboros oo taƴde dingiral hakkundeewal e ɓuuɓde e saraaji ɓaleeji ɓalndu mylohyoid ngam ilam nokkuuji tati ɗii fof e dow hunduko e sahaa gooto (submandibular nano, submandibular ñaamo, e sublingual). * Tesko-ɗen huunde tiiɗnde e nder safaara : Angina Ludwig ko sellulitis gangreneux e edema brawny jaawɗo saabaade, WONAA poos gooto e nokkuuji ɓuuɓɗi. E nder daawal gadanal, alaa poos ndiyam mawɗo ngam ɓuuɓnude e siriŋ ; e nder ɗuum, denndaangal ƴiye gonɗe e dow hunduko e daande toownde ina njirloo no feewi no alluwal leɗɗe nii.

2. Fascial cervical "Espace Danger" (Espace 4) : laawol mawngol ummoraade e daande haa e ɓernde¶

Caggal ɓalndu caggal daande (farinks caggal e ƴiiƴam) e yeeso ɓalndu ina waɗi diƴƴe fassiyaal tati gonɗe e dow ŋoral : 1. Nokku Retropharyngeal : Ina yaaji gila e dow ɓalndu haa e dow tolno ɓalndu toowndu (ɓurtugol T1 haa T4, sara bifurkaasiyoŋ ƴiiƴam), ɗo fascia viscerovasculaire fusi. 2. Fascia Alar: Ko rido ɓuuɓngo seerndi nokku retrofarinnge e nokku Danger caggal mum. 3. "Nokku Hakkunde" (Nokku Alar-Prevertebral / Nokku 4): Ina wayi no nokku retrofaringeal nii, Nokku Hakkunde ko tuuba jokkondirɗo, mo taƴaaka, gonɗo e ƴiiƴam areolar loowɗam, dognoowo laawol fof gila e les ɓalndu nduu, rewrude e mediastinum caggal diaphra ɓalndu. * So tawii abscess retrofaringeal, angina Ludwig, walla infection parafaringeal ina ɓuuɓtoo e nder fascia alar sewnde e nder nokku Danger, **gravité e ɓuuɓri vacuum bonndi tagaaɗo e nder reedu kala nde ñawɗo oo foofa, ina suusa ɓuuɓri e bakteriiji nekrotisant a, walla e nder reedu hee. * Ndeeɗoo caɗeele bonɗe, biyeteeɗe Mediastinitis Nekrotisant Descendant (DNM), ina addana neɗɗo maayde fotde 20 haa 40% hay so tawii ko e nder seppooji udditiiɗi e nder ɓalndu. Maandeeji jeertinaango mum ko nafoore ɓalndu caggal ɓalndu (nafoore retrosternal), boɗewol e ɓuuɓri ɓuuɓndi ina ɓuuɓtoo les dow ɓalndu e dow ɓalndu toowndu, e crepitus subcutaneous (ɓuuɓri gaas ɓuuɓndi les ɓalndu wuddu e ɓalndu gas-forming anaerobic peewniraaɗo).

No mbaɗata ƴeewndo triage kisal, mo alaa ko bonnata ngam anndude so tawii ko ñawuuji luggiɗɗi e daande¶

A meeɗaa haajuuji ɓuuɓnude ɓuuɓri, walla junngo, walla kuutorgal e nder daande neɗɗo ngam anndude so tawii ɓuuɓri daande walla ɓuuɓri dental wayliima wonti emergency seppo. E nder ɗuum, mbaɗon ɗeeɗoo ƴeewndorɗe joy kisal yaajɗe e gite tawa ñawɗo oo ina jooɗii ina tiiɗi :

Ƴeewndo 1: Test Trismus mo koppi ɗiɗi / tati (Ƴeewndo udditgol jawdi)¶

• Udditgol jawdi no woorunoo: Mawɗo walla cukalel celluɗo ina waawi udditaade hunduko mum no feewi haa heewi, tawa ina waawi koppi mum tati ndarnaaɗi e dow ŋoral hakkunde ŋoral ŋoral toowngal e les ngal (fotde 35 haa 50 milimeeteer / 1,4 haa 2,0 inch).
• Trismus Positif: Ñaago-ɗaa ñawɗo oo yo uddit hunduko mum no feewi tawa doole mum. So tawii eɗe mbaawi udditaade tan ko ƴiye mum en jaajeendi koppi gooto walla ɗiɗi (ko famɗi fof milimeeteer 20 haa 25 / 0,8 haa 1,0 inch) sabu ɓuuɓri tiiɗndi e ɓuuɓri ɓalndu ndi yiɗaa, trismus ina woodi.
• Ko Trismus holliti: Faringitis viral simple walla strep throat mo alaa caɗeele meeɗaa saabaade trismus goonga. Trismus ina hollita wonde ɓuuɓri bakteriiji luggiɗndi ina ustoo no feewi ɓuuɓri pterygoid walla masseter (ɓuuɓri udditiindi jawdi), ɗum noon ina waɗa e ɓuuɓri peritonsillaar (quinsy), ɓuuɓri parafarinnge, e angina Ludwig.

Ƴeewndo 2: Ƴeewndo toowngo les hunduko e ɗemngal (Ƴeewndo Angina Ludwig)¶

• Ƴeewee hunduko ñawɗo oo e les ɓuuɓri maɓɓe gila e yaasi:
• Induration "Woody" submandibulaire: Ƴeewee no feewi les banngeeji ɗiɗi ɗii fof e ŋoral (e juuɗe laaɓɗe walla gonɗe e gannde). E nder ɓuuɓri dental no woorunoo walla e ɓuuɓri limfatik, ƴiiƴam les ɓuuɓri ina nanndi e ɓuuɓri, ina ɓuuɓna, ina waɗi ɓuuɓri gootol dilloowo, ɓuuɓndi no feewi walla no marbere nii. E nder angina Ludwig, nokku gonɗo les banngeeji ɗiɗi ɗii fof ina ɓuuɓtoo no feewi haa wonta "Bull Neck", ina nanndi e haayre tiiɗnde, ɓuuɓnde, ina nanndi e alluwal ("duration woody").
• Maande "Ɗemngal ɗiɗaɓal": Ƴeew nder yeeso hunduko tawa a waɗaani heen hay huunde. E nder angina Ludwig, ƴiiƴam softuɗam les ɗemngal (plica sublingual) ina ɓuuɓta haa toowa, ina ummoo e tolno dente les ɗee, ina nanndi e ɓuuɓri boɗeeri ɗiɗmiri les ɗemngal ngal, ɗemngal ngal e hoore mum ina ɓuuɓtoo dow e dow ŋoral hunduko walla ina doga ina yalta hakkunde dente ɗee.

Ƴeewndo 3 : Asimetri Uvula e Palate Soft (Abcès peritonsillaire / Ƴeewndo Quinsy)¶

• So tawii ñawɗo oo ina waawi udditaade hunduko mum seeɗa tawa alaa ko mettini heen, naamndo-ɗaa ɗum yo udditu no feewi tawa aɗa ndaara gila e yaasi e lampa (woto meeɗ huutoraade ɓuuɓri ɗemngal so tawii ina jogii stridor walla drooling tiiɗɗo) :
• E nder tonsillitis mo caɗtaani, tonsillitis ɗiɗo fof ina mbonna, ina ɓuuɓna simmetiri, uvula (ɓurɗo famɗude e mbaydi punndi ina fawii e hakkunde ɓalewol gonngol e hakkunde ɓalndu) ina fawii dow e lawol hakkundeewol timmungol.
• E nder Abscess Peritonsillar (Quinsy), ɓuuɓri ina moofta dow e caggal tonsil gooto, ina ballondira e palate softeende e oon bannge les e yeeso no ɓuuɓri boɗeeri ɓuuɓndi nii, ina pussa uvula oo no feewi haa bannge goɗɗo oo e daande.

Ƴeewndo 4: Ƴeewndo dille wutte (Ƴeewndo abscess retropharyngeal)¶

• Ñawɗo mo ɓuuɓri ƴiiƴam ina waawi haa jooni ɓuuɓnude hoore mum dow e les, ina wirna hoore mum nano e ñaamo.
• E nder abscess retropharyngeal, poos ɓuuɓɗo oo ina jooɗii e dow ƴiye prevertebral ɗe ɓuuɓnata ɓalndu nduu. Ñawɗo oo ina jogoo wutte mum ina tiiɗi (ina heewi ɓuuɓde bannge gooto e nder torticollis keɓaaɗo) ina heɓa ɓuuɓri luggiɗndi no feewi so tawii o naamnaama yaajnude wutte mum caggal (ƴeew dow e dow ŋoral) walla memmude wuttulo mum haa e ɓalndu mum. E sukaaɓe tokosɓe, jaɓde ƴeewde dow e dow ŋoral tawa ina wondi e nguleeki e daande muusnde ko maande ɓooynde wonande ɓuuɓri retrofaringeal.

Ƴeewndo 5: Ƴeewndo Daande e Saliva¶

• Heɗto daande "Hot Potato" muusnde, ɓuuɓnde (saabaade ɗum ko ɓuuɓri ɓuuɓri softunde walla daande supraglottique haɗata ɓuuɓri daande no woorunoo) e ƴeewde ɓuuɓri walla ɓuuɓri jokkondirndi e nder koppi walla e nder ƴiiƴam, ko ɗum hollirta obstruction mécanique walla ophagie severe.

Ballal gadanal e toppitagol hade safrirde ngam ñawuuji wuddu luggiɗngu¶

1. Joɗnde ɗoon e ɗoon : Joɗnde tiiɗnde yeeso-leelnde¶

• Joɗɗin ñawɗo oo ina tiiɗi e 75 haa 90 degere, ina njuuroo seeɗa yeeso, ina njuuroo e dow taabal, e dow ŋoral juuɗe, walla e dow koppi mum.
• Ko waɗi darnde tiiɗnde ina hisna nguurndam: So a jooɗiima a tiiɗii, aɗa ŋoŋɗi seeɗa yeeso, teddeendi ndii ina fooɗa ɓuuɓri ɗemngal ngal yeeso ( yeeso), ina addana ɓuuɓri poolgu yaltude e hunuko tawa ina ɓuuɓtoo e nder reedu, kadi ina usta ɓuuɓri ƴiiƴam (hydrostatique venous venous pressure) e nder vecosale muswelling ofthe raswelling e.
• E nder triage ambulance walla opitaal: Hoto meeɗ accude gollotooɓe e triage walla gollotooɓe e transport ina lelna ñawɗo mo angina Ludwig flat e dow street ngam ƴeewde tansiyoŋ walla CT scan. Heewɓe e nanngugol ƴiiƴam bonngol e nder ƴiiƴam Ludwig e abscess retropharyngeal ina mbaɗa e nder suudu CT scanner nde ñawɗo mo foofaani no feewi ina lelnaa e dow taabal scanner fotde hojomaaji 2.

5. Doggol ƴeewndo ko adii opitaal ngam EMS e Triage¶

So tawii sarwisaaji safaaraaji caɗtuɗi ngarii walla so aɗa hollita e biro triage departemaa cafrirɗo, ciimtu ɗee geɗe joy ɗoon e ɗoon mbele ñawɗo oo ina rewa suudu safrirdu huuɓtodinndu nduu : * [ ] Waktuuji maandeeji laaɓtuɗi e iwdi dental/gondugol: Nde ñawu nguu fuɗɗii, e hol bannge mo ñawu nguu adii heɓde. * [ ] Ngonka laawol henndu e darnde: So tawii ñawɗo oo ina jogii stridor nanoowo, drooling, daande "potato hot" muusɗo, walla ina foti jooɗaade tiiɗde e mbaydi tripod ngam foofde. * [ ] Fooyre trismus: So tawii udditgol jawdi ñawɗo oo ina reerɗi e ko famɗi fof koppi ɗiɗi walla tati gonɗi e ŋoral. * [ ] Keeri ɓalndu les hunduko e wuddu: So tawii ƴiiƴam les ɓuuɓri ina nanndi e leɗɗe e kaaƴe e banngeeji ɗiɗi ɗii fof, kadi so tawii ko ɓuuɓri walla ɓuuɓri (crepitus) (ɓuuɓri gaas ɓuuɓndi les ɓalndu) yettiima e ƴiye ɓalndu. * [ ] Wakkati NPO e daartol safaara: Waktu tigi rigi mo ñawɗo oo sakkitii ɓuuɓnude kala ko ina wona ndiyam walla ñaamdu, tawa ina ɓeydoo heen kala daartol jabet, ɓuuɓnoowo ƴiiƴam, walla alerji penisilin.

2. Njuɓɓudi Saliva, Naafigaagal, e Hidraasiyoŋ e Kisal¶

• Hokkude ñawɗo oo koppi tufnde walla towel: Hokkude ñawɗo oo koppi, basin, walla ɓuuɓri ƴiiƴam, mbiyaa ɗum yoo ƴiiƴam yaltu e yeeso hunduko mum, wonaa etaade ɓuuɓnude ɗum e doole.
• Status NPO tiiɗɗo: Woto ndokku ñaamdu, ndiyam, walla pills e hunuko. Wonaa tan muusde ina addana neɗɗo ɓuuɓde e ɓuuɓde, kono ɓuuɓri peritonsillaar, ɓuuɓri retrofaringeal, walla ɓuuɓri Ludwig ina ɗaɓɓi taƴgol e ɓuuɓri (I&D) walla ɓuuɓri fiberoptik, ɗo reedu ɓuuɓndu haɗata ɓuuɓri ɓuuɓri maayndi.
• Kompreseeji yaajɗi coofɗi (ngam wellitaare tan): So aɗa fadi jolngo e ñawɗo mo ɓuuɓri peritonsillar walla ɓuuɓri dental mo alaa stridor, jogaade mbaydi ɓuuɓndi e pack coofɗo no feewi e dow yaasi gonɗo e ŋoral walla e ŋoral (meeɗaa ɓuuɓnude no feewi e dow wuddu walla wind) ina waawi numpe in ƴiiƴam ina ɓuuɓta. Woto meeɗ waɗde paddorɗe nguleeki walla butelaaji ndiyam ngulɗam e yaasi ɓalndu walla wutte ɓuuɓɗo, sibu nguleeki ina yaaji e ƴiiƴam, ina yaawi ɓuuɓde bakteriiji, ina waawi kadi saabaade ɓuuɓri dental e yaasi rewrude e ɓalndu yeeso (ina sosa fistula odontogenic cutaneous chronic).

3. Jeertinaango dental keeriiɗo : AINE e ñawuuji dental ɗi safraaka¶

• Wiɗtooji safaaraaji ƴeewndotooɗi e jeertinaali cellal ngenndiiji (hono no ummoraade e fedde ngenndiire Farayse toppitiinde safaara ANSM e juɓɓule Orop toppitiiɗe safaara) teskiima wonde ƴettude doosɗe toowɗe *leɗɗe ɓuuɓɗe ɗe ngonaa steroid (AINE ko wayi no ibuprofen, ketorolak, walla antibiyokurent) *) dental walla tonsillaire ina waawi maskude nguleeki e mette puɗɗaaɗe tawa ina ɓuuɓna kemotaksis ƴiiƴam ɓalejam neutrophile nokkuyankeewo, ina waawi addande infection dental nokkuyankeewo walla faringitis yahrude yeeso e nder deeƴre haa wonta sellulitis cervicofacial tiiɗɗo, angina Ludwig, walla fasciti nekrotisant. Kala nafoore dental wondude e ɓuuɓri yeeso, jawdi, walla ɓuuɓri les ina ɗaɓɓi ƴeewndo dental/safaara ko yaawi e ƴeewndo laaɓtungo (drainage e antibiotiques), wonaa safaara hoore mum e safaaraaji ɓuuɓɗi tan.

4. Peewnugol njuɓɓudi laana ndiwoowa e nder sahaaji¶

• So a noddii 911 / 112 / 999 walla a arii e departemaa urgence, rokku infirmiye triage walla paramedic ciimtol laaɓtungol :
• "Oo ñawɗo ina wondi e ɓuuɓri les / ɓuuɓri daande balɗe X, jooni noon ina wondi e ɓuuɓri leɗɗe ɗiɗi les ɓuuɓri, trismus (waawaa udditaade hunduko mum en), ɓuuɓri, e ɗemngal toowngal. Eɗen ngondi e kulol Ludwig's angina / ɓuuɓri wuddu luggiɗndi."
• E nder safrirde ndee, ñawɓe wonduɓe e mboros Ludwig ina ndokkee ɗoon e ɗoon deksametason (ngam ustude ɓuuɓri gonndi e ƴiiƴam), antibiyotik yaajɗo (ina ɓuuɓna streptokokuuji, stafilokokuuji, e anaerobiiji hunduko), ina ƴeewtee e ear-an-d-nose (ENT-an-d-nose) anestesiyoloji ngam intubaasiyoŋ nofru fibreoptik ɓuuɓɗo udditirɗo walla trakeostomi nokkuyankeewo ɓuuɓɗo hade mum waɗde decompression opératoire e nokkuuji wuddu.

Anndude nde ɓuuɓri ƴiiƴam walla ɓuuɓri gonndi e daande taƴti laabi e nder ɓuuɓri wuddu luggiɗndi ina haɗa musiiba gonɗo e laawol henndu ɗoon e ɗoon. Hiisaade ƴettude kursus ballal gadanal seedtinaangal rewrude e fedde mon ngenndiire Croix-Rouge walla Crescent Rouge, St John Ambulance, walla Fedde Ɓernde Amerik.

Naamne keewɗe naamneede¶

Fuɗɗoode ƴeewtaama¶

• Akademi Ameriknaajo Otolaryngologie-Opereeji Hoore e Wuddu (AAO-HNS, Amerik): Ardorde safaara ko faati e ñawuuji gonɗi e nder weeyo luggiɗngo, ɓuuɓri peritonsillaire, e njuɓɓudi ƴiiƴam Ludwig.
• Duɗal ngenndiwal ngam cellal e toppitagol (NICE, Royaume-Uni) & ENT UK: Laabi ƴeewndorɗe ñawbuuli ɓuuɓɗi, ɓuuɓɗi peritonsillaar (Quinsy), e ɓuuɓɗi e nder weeyo.
• Fedde Dental Amerik (ADA) & Fedde Ameriknaare toppitiinde ko fayti e dental (AAOMS, Dental Dowlaaji Amerik): Njuɓɓudi ñawuuji nokkuuji luggiɗɗi e nder ɓalndu e ƴeewndo trismus.
• Fedde ngenndiire toppitiinde kisal safaara e geɗe cellal (ANSM, Farayse): Jeertinaango kisal e kuutoragol AINE e nder ñawuuji bakteriiji odontogenic e farinnge.
• Fedde Adunaare toppitiinde ko feewti e seppooji (WSES, hakkunde leyɗeele): Ƴeewndo e njuɓɓudi ñawuuji softuɗi e nekrotisanuuji / Mediastinitis nekrotisan jippotooɗo.

Ardiiɓe jokkondirɓe¶

• Epiglottitis, ɓuuɓri tiiɗndi, stridor, e ɓuuɓri ƴiiƴam toowndi
• Emergency dental e dental ɓuuɓngal
• Sepsis e anndinde soklaaji septik
• Ɓoornugol liɗɗi, ƴiyal cow, e impaction nguura
• Allergie e anafilaksi ballal gadanal
• Limooje emergency e neldugol hakkunde leyɗeele