I-cellulitis yomlomo

I-Orbital cellulitis lusulelo lwamanqatha kunye nezihlunu ezijikeleze iliso. Ichaphazela iinkophe, amashiya, nezidlele. Inokuqala ngokukhawuleza okanye ibe sisiphumo sosulelo esiya sisiba mandundu.

I-Orbital cellulitis yintsholongwane eyingozi, enokubangela iingxaki ezingapheliyo. I-Orbital cellulitis yahlukile kune-periorbital cellulitis, esisifo sejwabu leso okanye ulusu olujikeleze iliso.

Kubantwana, ihlala iqala njengosulelo lwebacteria yesono kwiibhaktheriya ezinje Umkhuhlane weHaemophilus. Usulelo lwalusoloko luxhaphake kakhulu kubantwana abancinci, abangaphantsi kweminyaka esi-7. Ngoku kunqabile ngenxa yesitofu sokugonya esinceda ukukhusela esi sifo.

Iibhaktheriya IStaphylococcus aureus, IStreptococcus pneumoniae, kunye ne-beta-hemolytic streptococci inokubangela i-orbital cellulitis.

Usulelo lwe-Orbital cellulitis ebantwaneni lunokuba mandundu ngokukhawuleza kwaye lunokukhokelela kubumfama. Unyango lwezonyango luyafuneka kwangoko.

Iimpawu zingabandakanya:

• Ukudumba okubuhlungu kwenkophe ephezulu nangasezantsi, kwaye mhlawumbi ishiya kunye nesidlele
• Amehlo aqhumayo
• Ukwehla kombono
• Ubuhlungu xa uhambisa iliso
• Umkhuhlane, uhlala u-102 ° F (38.8 ° C) okanye ngaphezulu
• Imvakalelo yokugula ngokubanzi
• Ukuhamba nzima kwamehlo, mhlawumbi ngombono ophindwe kabini
• Iyacwebezela, ibomvu okanye imfusa

Uvavanyo oluqhele ukwenziwa lubandakanya:

• I-CBC (inani elipheleleyo legazi)
• Inkcubeko yegazi
• Impompo yomqolo kubantwana abachaphazelekayo abagula kakhulu

Olunye uvavanyo lunokubandakanya:

• I-X-ray yesono kunye nommandla ojikelezileyo
• Iskena se-CT okanye i-MRI yesono kunye nokujikeleza
• Inkcubeko yamanzi kunye nempumlo
• Inkcubeko yomqala

Kwiimeko ezininzi, ukuhlala esibhedlele kuyafuneka. Unyango luhlala lubandakanya ii-antibiotics ezinikezelwa ngomthambo. Utyando lunokufuneka ukukhupha ithumba okanye ukunciphisa uxinzelelo kwindawo ejikeleze iliso.

Usulelo lwe-orbital cellulitis lunokuba mandundu ngokukhawuleza. Umntu onale meko kufuneka ahlolwe qho kwiiyure ezimbalwa.

Ngonyango olukhawulezileyo, umntu lowo unokuchacha ngokupheleleyo.

Iingxaki zinokubandakanya:

• I-Cavernous sinus thrombosis (ukwakheka kwegazi kwindawo ekumazantsi engqondo)
• Ukuphulukana nokuva
• I-Septicemia okanye usulelo lwegazi
• Ukudumba kwenwebu yengqondo
• Umonakalo we-optic kunye nokulahleka kombono

I-Orbital cellulitis yimeko engxamisekileyo yezonyango ekufuneka inyangwe kwangoko. Tsalela umnxeba umboneleli wakho ukuba kukho iimpawu zokudumba kwamehlo, ngakumbi ngomkhuhlane.

Ukufumana ishedyuli yokuthintela i-HiB kuthintela usulelo kuninzi lwabantwana. Abantwana abancinci ababelana ngendlu kunye nomntu onale ntsholongwane banokufuna ukuthatha ii-antibiotics ukuphepha ukugula.

Unyango olukhawulezileyo lwe-sinus okanye usulelo lwamazinyo lunokuthintela ukusasazeka kwaye lube yi-orbital cellulitis.

• Ukuma kwamehlo
• Haemophilus influenzae umzimba

UBhatt A. Usulelo lwe-Ocular. Ku: UCherry JD, uHarrison GJ, uKaplan SL, uSteinbach WJ, uHotez PJ, ii-eds. Incwadi kaFeigin kunye neCherry yezifo ezosulelayo zabantwana. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 61.

UDurand ML. Usulelo lwe-Periocular. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl 116.

UMcNab AA. Usulelo lwe-Orbital kunye nokudumba. Ku: Yanoff M, Duker JS, ii-eds. Ophthalmology. Umhla we-5. IPhiladelphia, PA: Elsevier; 2019: isahl. 12.14.

U-Olitsky SE, uMarsh JD, uJackson MA. Usulelo lwe-Orbital. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 652.