I-cellulitis yomzimba

I-Orbital cellulitis ukutheleleka kwamafutha nemisipha ezungeze iso. Kuthinta izinkophe, amashiya, nezihlathi. Kungase kuqale ngokuzumayo noma kube umphumela wokutheleleka okuya ngokuya kuba kubi kakhulu.

I-Orbital cellulitis yisifo esiyingozi, esingadala izinkinga ezihlala njalo. I-Orbital cellulitis yehlukile kune-periorbital cellulitis, okuwukutheleleka kwejwabu leso noma isikhumba esizungeze iso.

Ezinganeni, kuvame ukuqala njengokutheleleka nge-bacterial sinus kusuka kuma-bacterium anjenge Umkhuhlane we-Haemophilus. Ukutheleleka kwakujwayele ukwenzeka ezinganeni ezincane, ezineminyaka engaphansi kwengu-7 manje sekuyivelakancane ngenxa yomuthi wokugoma osiza ukuvimbela lesi sifo.

Amagciwane I-Staphylococcus aureus, I-Streptococcus pneumoniae, Futhi i-beta-hemolytic streptococci nayo ingadala i-orbital cellulitis.

Ukutheleleka kwe-Orbital cellulitis ezinganeni kungahle kube kubi ngokushesha okukhulu futhi kungaholela ekungaboni. Ukunakekelwa kwezokwelapha kuyadingeka ngokushesha.

Izimpawu zingafaka:

• Ukuvuvukala okubuhlungu kwejwabu leso eliphezulu nelingezansi, futhi mhlawumbe ishiya nesihlathi
• Amehlo aqhamukayo
• Ukwehla kombono
• Ubuhlungu lapho uhambisa iso
• Imfiva, imvamisa i-102 ° F (38.8 ° C) noma ngaphezulu
• Ukuzizwa okuvamile
• Ukunyakaza kwamehlo okunzima, mhlawumbe ngombono ophindwe kabili
• Ijwabu leso elicwebezelayo, elibomvu noma nsomi

Ukuhlolwa okwenziwa kaningi kubandakanya:

• I-CBC (ukubalwa kwegazi okuphelele)
• Isiko legazi
• Ukuthinta umgogodla ezinganeni ezithintekile ezigula kakhulu

Ezinye izivivinyo zingafaka:

• I-X-ray yezono nezindawo ezizungezile
• I-CT scan noma i-MRI yezono ne-orbit
• Isiko lokudonsa iso nesikhala
• Isiko lomqala

Ezimweni eziningi, ukuhlala esibhedlela kuyadingeka. Ukwelashwa kuvame ukufaka ama-antibiotic anikezwa ngomthambo. Ukuhlinzwa kungadingeka ukukhipha ithumba noma ukunciphisa ingcindezi esikhaleni esizungeze iso.

Ukutheleleka kwe-orbital cellulitis kungaba kubi ngokushesha okukhulu. Umuntu onalesi sifo kufanele ahlolwe njalo emahoreni ambalwa.

Ngokulashwa ngokushesha, umuntu angalulama ngokuphelele.

Izinkinga zingafaka:

• I-Cavernous sinus thrombosis (ukwakheka kwegazi egazini emgodini ongaphansi kobuchopho)
• Ukulahlekelwa ukuzwa
• I-Septicemia noma ukutheleleka kwegazi
• I-Meningitis
• Ukulimala kwemithambo-luvo nokulahleka kombono

I-Orbital cellulitis yisimo esiphuthumayo sezokwelapha esidinga ukwelashwa ngokushesha. Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma kunezimpawu zokuvuvukala kwejwabu leso, ikakhulukazi ngomkhuhlane.

Ukuthola isibhamu sokugoma se-HiB esihleliwe kuzovimbela ukutheleleka ezinganeni eziningi. Izingane ezincane ezihlanganyela ekhaya nomuntu onalesi sifo zingadinga ukuthatha ama-antibiotic ukugwema ukugula.

Ukwelashwa ngokushesha kwe-sinus noma ukutheleleka kwamazinyo kungasivimba ukuthi singasabalali futhi sibe yi-orbital cellulitis.

• Ukwakheka kwamehlo
• Umzimba we-Haemophilus influenzae

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UDurand ML. Ukutheleleka nge-Periocular. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 116.

UMcNab AA. Ukutheleleka kwe-Orbital nokuvuvukala. Ku: Yanoff M, Duker JS, ama-eds. I-Ophthalmology. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2019: isahluko 12.14.

U-Olitsky SE, uMarsh JD, uJackson MA. Izifo zomzimba. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 652.