Okufanele Ukwazi Nge-Orbital Cellulitis

-Delile

• Izimbangela
• Izimpawu
• Ukuxilongwa
• Ukwelashwa
• Imithi elwa namagciwane
• Ukuhlinzwa
• Isikhathi sokutakula
• Ukubonana nodokotela nini
• Okubalulekile

I-Orbital cellulitis ukutheleleka kwezicubu ezithambile namafutha abamba iso esokeni lawo. Lesi simo sidala izimpawu ezingathandeki noma ezibuhlungu.

Akuthathelani, futhi noma ngubani angasihlakulela lesi simo. Kodwa-ke, kuvame ukuthinta izingane ezincane.

I-Orbital cellulitis yisimo esingaba yingozi. Uma ishiywe ingalashwa, ingaholela ekungaboni, noma ezimeni ezibucayi noma ezisongela impilo.

Izimbangela

I-Streptococcus izinhlobo kanye I-Staphylococcus aureus yizinhlobo ezivame kakhulu zamagciwane ezidala lesi simo. Kodwa-ke, ezinye izinhlobo zamagciwane nesikhunta nazo zingaba imbangela yalesi simo.

I-Orbital cellulitis ezinganeni ezineminyaka engu-9 nangaphansi imvamisa ibangelwa uhlobo olulodwa kuphela lwama-bacteria. Ezinganeni nasezindadeni ezindala, lokhu kutheleleka kungabangelwa amagciwane amaningi ngasikhathi sinye, okwenza kube nzima ukuselapha.

kuwo wonke amacala e-orbital cellulitis aqala njengamagciwane angalashwa we-bacterial sinus, asabalala ngemuva kwe-septum ye-orbital. I-septum e-orbital ulwelwesi oluncane, olunemicu olumboza ingaphambili leso.

Lesi simo singabuye sisabalale ekungenweni yizinyo noma ukutheleleka kwamagciwane okwenzeka noma kuphi emzimbeni ongena ekusakazweni kwegazi.

Amanxeba, ukulunywa yizimbungulu, nokulunywa yizilwane okwenzeka esweni noma eduze kwaso nakho kungaba yimbangela.

Izimpawu

Izimpawu ziyefana ezinganeni nakubantu abadala. Kodwa-ke, izingane zingabonisa izimpawu ezinzima kakhulu.

Izimpawu zifaka:

• iso eliphumayo, elingaba likhulu, elibizwa nangokuthi i-proptosis
• ubuhlungu esweni noma elizungezile
• ukuthamba kwamakhala
• ukuvuvukala kwendawo yamehlo
• ukuvuvukala nokubomvu
• ukungakwazi ukuvula iso
• inkathazo yokuhambisa iso nobuhlungu lapho kuhamba iso
• ukubona kabili
• ukungaboni kahle noma ukungaboni kahle
• ukukhishwa esweni noma ekhaleni
• imfiva
• ikhanda

Ukuxilongwa

I-Orbital cellulitis ivame ukutholakala ngokuhlolwa kokubuka kwabahlinzeki bezempilo. Kodwa-ke, kuzokwenziwa izivivinyo zokuxilonga ukuqinisekisa ukuxilongwa nokuthola ukuthi yiluphi uhlobo lwama-bacteria alubangelayo.

Ukuhlola kuzosiza nomhlinzeki wakho wezokunakekelwa kwempilo ukuthi abone ukuthi ukutheleleka kuyi-preseptal cellulitis, ukutheleleka kwamehlo kwamagciwane okungadingi kakhulu okudinga ukwelashwa ngokushesha.

Lokhu kwenzeka ezicutshini zejwabu leso nangaphambi kwe-septum ye-orbital kunangemuva kwayo. Lolu hlobo lungaqhubekela ku-orbital cellulitis uma luyekwa lungalashwa.

Ukuhlolwa okumbalwa okuhlukile kungenziwa ukuxilongwa:

• I-CT scan noma i-MRI yekhanda, iso, nekhala
• ukuhlolwa kwekhala, amazinyo, nomlomo
• igazi, ukukhishwa kwamehlo, noma amasiko acinene

Ukwelashwa

Uma une-orbital cellulitis, cishe uzongeniswa esibhedlela ukuthola ama-antibiotic emthanjeni (IV).

Imithi elwa namagciwane

Ngokunaka ubucayi obungaba khona balesi simo kanye nejubane esisakazeka ngalo, uzoqaliswa kuma-antibiotic e-spectrum ebanzi IV ngokushesha, noma ngabe imiphumela yakho yokuhlolwa kokuxilonga ingakaqinisekisi ukuxilongwa.

Ama-antibiotic we-Broad-spectrum ngokuvamile anikezwa njengenkambo yokuqala yokwelashwa ngoba ayasebenza ekwelapheni izinhlobo eziningi zezifo ezibangelwa amagciwane.

Uma ama-antibiotic owatholayo engakusizi ukuthi uthuthuke ngokushesha, umhlinzeki wakho wezokunakekelwa kwempilo angawashintsha.

Ukuhlinzwa

Uma izimpawu zakho zingathuthuki noma uma ziba zimbi kakhulu ngenkathi unama-antibiotic, ukuhlinzwa kungadingeka njengesinyathelo esilandelayo.

Ukuhlinzwa kuzosiza ekunqandeni ukuqhubeka kokutheleleka ngokukhipha uketshezi olusuka ezonweni noma esokeni leso elinegciwane.

Le nqubo ingenziwa futhi ukukhipha ithumba uma ifomu elilodwa. Abantu abadala maningi amathuba okuthi badinga ukuhlinzwa kunezingane.

Isikhathi sokutakula

Uma isimo sakho sidinga ukuhlinzwa, isikhathi sakho sokululama nokuhlala esibhedlela kungaba isikhathi eside kunalokho obekungaba khona uma ubelashwa ngemithi elwa namagciwane kuphela.

Uma ukuhlinzekwa kungenziwa futhi uthuthuka, ungalindela ukuguquka kusuka ku-IV kuya kuma-antibiotic omlomo ngemuva kwe-1 kuya kumaviki ama-2. Ama-antibiotic omlomo azodingeka amanye amasonto amabili kuya kwamathathu noma kuze kuphele izimpawu zakho.

Uma ukutheleleka kwakho kubangelwa i-ethmoid sinusitis enamandla, ukutheleleka kwezimbotshana zesono eziseduze nebhuloho lekhala lakho, kungadingeka ukuthi uthathe ama-antibiotic isikhathi eside.

Ukuba ne-orbital cellulitis akusho ukuthi uzoyithola futhi.

Kodwa-ke, uma ujwayele ukutheleleka okuphindaphindiwe kwesono, kubalulekile ukuthi ubheke futhi welaphe isimo sakho ngokushesha. Lokhu kuzosiza ukuvimbela ukuthi isimo singasabalali futhi sidale ukuphindeka.

Lokhu kubaluleke kakhulu kubantu abaye bahlehlisa amasosha omzimba noma izingane ezincane ezingenawo amasosha omzimba ngokugcwele.

Ukubonana nodokotela nini

Uma unesifo se-sinus noma ezinye izimpawu ze-orbital cellulitis, shayela umhlinzeki wakho wezokunakekelwa kwempilo ngokushesha. Lesi simo sisakazeka ngokushesha okukhulu futhi kufanele silashwe ngokushesha ngangokunokwenzeka.

Izinkinga ezinkulu zingenzeka lapho i-orbital cellulitis ingelashwa.

Izinkinga zingafaka:

• ukulahleka kombono okuyingxenye
• ubumpumputhe ngokuphelele
• ukuvinjelwa kwe-vein retinal
• meningitis
• i-cavernous sinus thrombosis

Okubalulekile

I-Orbital cellulitis ukutheleleka kwamagciwane esokeni leso. Imvamisa kuqala njengokutheleleka kwesono futhi kuthinta kakhulu izingane.

Lesi simo sivame ukuphendula kahle kuma-antibiotics, kepha kwesinye isikhathi sidinga ukuhlinzwa. Kungadala ubumpumputhe noma izimo ezisongela impilo uma kuyekwa kungalashwa.