Konke Odinga Ukukwazi Nge-Preseptal Cellulitis

-Delile

• I-Preseptal vs. i-orbital cellulitis
• I-preseptal cellulitis vs. i-blepharitis
• Izimpawu ze-preseptal cellulitis
• Yini ebangela i-preseptal cellulitis?
• Ukwelashwa kwe-preseptal cellulitis
• I-preseptal cellulitis kubantu abadala
• I-Pediatric preseptal cellulitis
• Ukubonana nodokotela nini
• Ukuhlonza isimo
• Ukudla okudlela endlini

I-Preseptal cellulitis, eyaziwa nangokuthi i-periorbital cellulitis, iyisifo esithweni sezicubu ezungeze iso.

Kungabangelwa ukuhlukumezeka okuncane kujwabu leso, njengokulunywa yizinambuzane, noma ukusabalala kwesinye isifo, njengokutheleleka kwesono.

I-preseptal cellulitis ibangela ukubomvu nokuvuvukala kwejwabu leso nesikhumba esizungeze amehlo akho.

Ukutheleleka kungaphathwa ngempumelelo ngama-antibiotic kanye nokuqapha okusondele, kepha kungaba kubi uma kungalashwa.

I-preseptal cellulitis ingadala izinkinga zokubona unomphela noma ubumpumputhe uma isakazeka esokeni leso. Kufanele ilashwe ngokushesha ukuvimbela izinkinga.

I-Preseptal vs. i-orbital cellulitis

Umehluko omkhulu phakathi kwe-preseptal ne-orbital cellulitis indawo yokutheleleka:

• I-Orbital cellulitis ivela kwizicubu ezithambile ze-orbit posterior (ngemuva) kwe-septum ye-orbital. I-septum e-orbital ulwelwesi oluncane olumboze ingaphambili le-eyeball.
• I-preseptal cellulitis ivela kuzicubu zamajwabu amehlo kanye nesifunda se-periocular ngaphambili (ngaphambili) kwe-septum ye-orbital.

I-Orbital cellulitis ithathwa njengembi kakhulu kune-preseptal cellulitis. I-Orbital cellulitis ingaholela ku:

• ukulahleka kombono okuyingxenye ngokuphelele
• ukungaboni ngokuphelele
• ezinye izinkinga ezisongela impilo

I-preseptal cellulitis ingasakazeka esokeni leso futhi iholele ku-orbital cellulitis uma ingalashwa ngokushesha.

I-preseptal cellulitis vs. i-blepharitis

I-Blepharitis ukuvuvukala kwamajwabu amehlo okuvamise ukwenzeka lapho izindlala zikawoyela eziseduze nesisekelo sezinkophe zivimba.

Izinkophe zingaba bomvu futhi zivuvuke, kufane nezimpawu ze-preseptal cellulitis.

Kodwa-ke, abantu abane-blepharitis bavame ukuba nezimpawu ezingeziwe njenge:

• ukulunywa noma ukushiswa
• izinkophe ezinamafutha
• ukuzwela ekukhanyeni
• ukuzwa sengathi kukhona okunamathele esweni
• uqweqwe olukhula ngezinkophe.

I-Blepharitis inezimbangela eziningi, kufaka phakathi:

• inkwethu
• izindlala zikawoyela ezivalekile
• rosacea
• komzimba
• izibungu ze-eyelash
• izifo

Ngokungafani ne-preseptal cellulitis, i-blepharitis imvamisa iyisimo esingelapheki esidinga ukuphathwa nsuku zonke.

Yize zombili lezi zimo zingabangelwa ukutheleleka ngamagciwane, izindlela zabo zokwelashwa zehlukile.

I-Blepharitis ivame ukwelashwa ngama-antibiotic e-topical (amaconsi wamehlo noma amafutha), kuyilapho i-preseptal cellulitis iphathwa ngama-antibiotics omlomo noma we-intravenous (IV).

Izimpawu ze-preseptal cellulitis

Izimpawu ze-preseptal cellulitis zingafaka:

• ububomvu obuzungeze ijwabu leso
• ukuvuvukala kwejwabu leso nendawo ezungeze iso
• ubuhlungu beso
• umkhuhlane osezingeni eliphansi

Yini ebangela i-preseptal cellulitis?

I-preseptal cellulitis ingabangelwa:

• amagciwane
• amagciwane
• isikhunta
• i-helminths (izikelemu eziyizinambuzane)

Iningi lalezi zifo libangelwa amagciwane.

Ukutheleleka kwebhaktheriya kungasakazeka kusuka ekuthelelekeni kwezono (sinusitis) noma enye ingxenye yeso.

Kungenzeka futhi ngemuva kokuhlukumezeka okuncane kumajwabu amehlo, njengokulunywa yimbungulu noma ukunwaya kwekati. Ngemuva kokulimala okuncane, amabhaktheriya angangena enxebeni futhi abangele ukutheleleka.

Amagciwane avame ukudala lesi simo yilawa:

• I-Staphylococcus
• I-Streptococcus
• I-Haemophilus influenzae

Lesi simo sivame kakhulu ezinganeni kunabantu abadala ngoba izingane zisengozini enkulu yokutheleleka ngohlobo lwama-bacteria abangela lesi simo.

Ukwelashwa kwe-preseptal cellulitis

Ukwelashwa okuyinhloko kwe-preseptal cellulitis kuyinkambo yama-antibiotic enikezwa ngomlomo noma ngemithambo yegazi (emthanjeni).

Uhlobo lwama-antibiotic lungaxhomeke kubudala bakho futhi uma umhlinzeki wakho wezokunakekelwa kwempilo ekwazi ukubona uhlobo lwama-bacteria abangela ukutheleleka.

I-preseptal cellulitis kubantu abadala

Abantu abadala bavame ukuthola ama-antibiotic omlomo ngaphandle kwesibhedlela. Uma ungaphenduli kuma-antibiotic noma ukutheleleka kuba kubi kakhulu, kungadingeka ukuthi ubuyele esibhedlela bese uthola ama-antibiotic emithanjeni.

Imithi elwa namagciwane esetshenziswa ekwelapheni i-preseptal cellulitis kubantu abadala ifaka okulandelayo:

• i-amoxicillin / i-clavulanate
• clindamycin
• umagazine
• umabhebhana
• piperacillin / tazobactam
• umagasine
• umabhebhana

Umhlinzeki wakho wezokunakekelwa kwempilo uzokwakha uhlelo lokwelashwa ngokuya ngezidingo zakho zokunakekelwa kwezempilo.

I-Pediatric preseptal cellulitis

Izingane ezingaphansi konyaka owodwa zizodinga ukuthola ama-antibiotic e-IV anikezwa esibhedlela. Ama-antibiotic e-IV ngokuvamile anikezwa ngomthambo engalweni.

Lapho nje ama-antibiotic eqala ukusebenza, angaya ekhaya. Ekhaya, ama-antibiotic omlomo ayaqhubeka izinsuku ezimbalwa ngaphezulu.

Imithi esetshenziswa ekwelapheni i-preseptal cellulitis ezinganeni ifaka okulandelayo:

• i-amoxicillin / i-clavulanate
• clindamycin
• umagazine
• umabhebhana
• piperacillin / tazobactam
• umagasine
• umabhebhana

Abahlinzeki bezokunakekelwa kwezempilo benza izinhlelo zokwelashwa ezichaza isilinganiso nokuthi umuthi unikezwa kangaki ngokuya ngeminyaka yengane.

Ukubonana nodokotela nini

Uma unanoma yiziphi izimpawu ze-preseptal cellulitis, njengokubomvu nokuvuvukala kweso, kufanele ubone umhlinzeki wezempilo ngokushesha. Ukuxilongwa nokwelashwa kusenesikhathi kubalulekile ekuvimbeleni izinkinga.

Ukuhlonza isimo

Udokotela wezifo zamehlo noma udokotela wamehlo (bobabili odokotela wamehlo) kungenzeka ahlole iso ngokomzimba.

Ngemuva kokuhlola izimpawu zokutheleleka, njengokubomvu, ukuvuvukala, nobuhlungu, bangahle bahlele ezinye izivivinyo.

Lokhu kungabandakanya ukucela isampula segazi noma isampula lokukhishwa esweni. Amasampuli ahlaziywa elabhorethri ukuthola ukuthi hlobo luni lwebhaktheriya olwenza ukutheleleka.

Udokotela wamehlo futhi anga-oda ukuhlolwa kwe-imaging, njenge-MRI noma i-CT scan, ukuze bakwazi ukubona ukuthi isifo sesisabalale kangakanani.

Ukudla okudlela endlini

I-preseptal cellulitis ukutheleleka kwejwabu leso uqobo kubangelwa amagciwane. Izimpawu eziyinhloko ukubomvu nokuvuvukala kwejwabu leso, futhi kwesinye isikhathi umkhuhlane ophansi.

I-preseptal cellulitis imvamisa ayisiyingozi lapho ilashwa ngokushesha. Ingasula ngokushesha ngama-antibiotic.

Kodwa-ke, uma ishiywe ingalashwa, ingaholela esimweni esibi kakhulu esibizwa nge-orbital cellulitis.