I-cellulite esweni: umuthi nobungozi bokutheleleka

-Delile

• Izimbangela eziyinhloko
• Ungaqinisekisa kanjani
• Izimpawu ezivame kakhulu
• Yelashwa kanjani

I-Orbital cellulitis ukuvuvukala noma ukutheleleka okutholakala engxenyeni yobuso lapho kufakwa khona iso nokunamathiselwe kwalo, njengemisipha, izinzwa, imithambo yegazi kanye nezinto ezisetshenziswayo, ezingafinyelela engxenyeni ye-orbital (septal), engaphakathi kakhulu, noma i-periorbital, esifundeni sejwabu leso (pre-septal).

Yize singekho esithathelwanayo, lesi sifo sibangelwa ukutheleleka kwamagciwane, ngamagciwane ahlanganisa isikhumba ngemuva kokushaywa unhlangothi noma ngokunwetshwa kokutheleleka okuseduze, njenge-sinusitis, i-conjunctivitis noma i-abscess yamazinyo, isibonelo, futhi kubangela izimpawu ezifana ubuhlungu, ukuvuvukala nobunzima bokuhambisa iso.

Kuvame kakhulu ezinganeni nasezinganeni ezineminyaka engama-4 kuye kwengu-5 ubudala, ngenxa yesibiliboco esikhulu sezakhiwo ezizungeze iso, njengodonga lwamathambo oluncane nolunokuqina.Ukwelashwa kufanele kwenziwe ngokushesha okukhulu, ngama-antibiotic emthanjeni futhi, uma kunesidingo, ngokuhlinzwa ukuze kukhishwe uketshezi nezicubu, kuvimbele ukutheleleka ukuthi kusabalale kuye ezindaweni ezijulile, futhi kungaze kufinyelele ebuchosheni.

Izimbangela eziyinhloko

Lokhu kutheleleka kwenzeka lapho i-micro-organism ifinyelela esifundeni samehlo, ikakhulukazi ngenxa yokwanda kwesifo esingumakhelwane, njenge:

• Ukulimala esifundeni se-ocular;
• Ukulunywa kwamaphutha;
• Ukuhlangana;
• Sinusitis;
• Ithumba lamazinyo;
• Okunye ukutheleleka kwemigwaqo yomoya engenhla, isikhumba noma imiphakathi yezinyembezi.

Ama-microorganisms abhekene nokutheleleka ancike eminyakeni yomuntu, isimo sempilo kanye nokutheleleka kwangaphambilini, okuyinhloko i-Haemophilus influenzae, iStreptococcus pneumoniae, iStaphylococcus aureus, iStreptococci pyogenes neMoraxella catarrhalis.

Ungaqinisekisa kanjani

Ukuthola i-ocular cellulitis, udokotela wamehlo uzobona izimpawu nezimpawu eziyinhloko, kepha futhi angahle ahlele ukuhlolwa okufana nokubalwa kwegazi kanye namasiko egazi, ukukhomba izinga lokutheleleka kanye ne-microorganism, ngaphezu kwe-computed tomography noma i-imagination yamagnetic resonance yesifunda wemizila nobuso, ukukhomba ubukhulu besilonda futhi kungafaki ezinye izimbangela ezingaba khona.

Futhi, hlola ukuthi yiziphi izimbangela ezinkulu zokukhukhumeza emehlweni.

Izimpawu ezivame kakhulu

Izimpawu ze-cellulite esweni zifaka:

• Ukuvuvukala kwamehlo nokubomvu;
• Imfiva;
• Ubuhlungu nobunzima bokuhambisa iso;
• Ukufuduswa kwamehlo noma ukuphuma;
• Ikhanda;
• Umbono ushintsho.

Njengoba ukutheleleka kuba kubi, uma kungalashwa ngokushesha, kungaba kubi kakhulu futhi kufinyelele ezifundeni ezingomakhelwane futhi kudale izinkinga ezifana ne-orbital abscess, meningitis, ukulahleka kombono ngenxa yokubandakanyeka kwemizwa ye-optic, kanye nokutheleleka okujwayelekile nokufa.

Yelashwa kanjani

Ukwelapha i-cellulite esweni, kuyadingeka ukuthola ama-antibiotic emthanjeni, njengeCeftriaxone, Vancomycin noma i-Amoxicillin / Clavulonate, ngokwesibonelo, cishe izinsuku ezintathu, nokuqhubeka nokwelashwa ngama-antibiotic ngomlomo ekhaya, okugcwalisa inani Izinsuku ezingu-8 kuya kwezingama-20 zokwelashwa, ezihluka ngokuya ngobukhulu bokutheleleka nokuthi ngabe kukhona yini ezinye izifo ezihambisanayo, njenge-sinusitis.

Kuyadingeka futhi ukusebenzisa izidakamizwa ze-analgesic kanye ne-antipyretic ukuqeda izinhlungu nomkhuhlane. Ngaphezu kwalokho, ukuhlinzwa kwamapayipi kungakhonjiswa ezimweni zamathumba e-orbital, ukucindezelwa kwemizwa ye-optic noma lapho kungekho ngcono esimweni ngemuva kokwelashwa kokuqala.