Iseli ekwiliso: iyeza kunye nomngcipheko wosulelo

Umxholo

• Izizathu eziphambili
• Uqinisekisa njani
• Uninzi lweempawu eziqhelekileyo
• Unyango lwenziwa njani

I-Orbital cellulitis kukudumba okanye usulelo olukubo buso buso apho kufakwa khona iliso kunye nezifakelo zalo, ezinje ngemisipha, imithambo-luvo, imithambo yegazi kunye nezixhobo ezinomkhuhlane, ezinokufikelela kwinxalenye ye-orbital (septal), engaphakathi ngaphakathi, okanye i-periorbital, kwingingqi yejwabu leso (pre-septal).

Nangona singekho sosuleleka, esi sifo sibangelwa yintsholongwane, yintsholongwane ebangela ulusu emva kokubetha okanye ukwandiswa kwesifo esikufutshane, njenge sinusitis, conjunctivitis okanye ithumba elizinyo, umzekelo, kwaye libangela iimpawu ezifana iintlungu, ukudumba kunye nobunzima bokuhambisa iliso.

Kuqheleke kakhulu kwiintsana nakubantwana abakwiminyaka emi-4 ukuya kwemi-5 ubudala, ngenxa yobumnandi obukhulu bezinto ezirhangqe iliso, ezinje ngodonga olucekeceke nolunamathambo.Unyango kufuneka lwenziwe ngokukhawuleza, kunye namayeza okubulala iintsholongwane emthanjeni kwaye, ukuba kukho imfuneko, ngoqhaqho ukuze kususwe ukhuselo kunye nezicubu, kuthintelwe usulelo ukusasazeka kwimimandla enzulu, kwaye inokude ifikelele kwingqondo.

Izizathu eziphambili

Olu sulelo lwenzeka xa into encinci ifikelela kummandla wamehlo, ikakhulu ngenxa yokwanda kosuleleko olusebumelwaneni, njenge:

• Ukwenzakala kummandla weoyile;
• Ukuluma kwe-Bug;
• Ukudibana;
• Sinusitis;
• Ithumba lezinyo;
• Olunye usulelo lomoya ophezulu, ulusu okanye imibhobho yokukrazula.

Amagciwane anoxanduva losulelo axhomekeke kubudala bomntu, imeko yezempilo kunye nosulelo lwangaphambili, ezona ziphambili yiHaemophilus influenzae, iStreptococcus pneumoniae, iStaphylococcus aureus, iStreptococci pyogenes neMoraxella catarrhalis.

Uqinisekisa njani

Ukuchonga i-ocular cellulitis, ugqirha wamehlo uya kugcina iimpawu kunye neempawu eziphambili, kodwa unokuyalela iimvavanyo ezinje ngokubala kwegazi kunye nenkcubeko yegazi, ukufumanisa inqanaba losulelo kunye ne-microorganism, ukongeza kwikhompyuter ye-tomography okanye kwimagneti yemagneti yomfanekiso wengingqi. Imijikelezo kunye nobuso, ukufumanisa ubungakanani besilonda kunye nokungabandakanyi ezinye izizathu ezinokubakho.

Kwakhona jonga ukuba zeziphi ezona zinto zibangela ukudumba emehlweni.

Uninzi lweempawu eziqhelekileyo

Iimpawu ze-cellulite esweni zibandakanya:

• Ukudumba kwamehlo nokubomvu;
• Ifiva;
• Ubuhlungu kunye nobunzima bokuhambisa iliso;
• Ukufuduswa kwamehlo okanye ukuphuma;
• Intloko ebuhlungu;
• Umbono utshintsho.

Njengoko usulelo luba mandundu, ukuba alunyangwa ngokukhawuleza, lunokuba mandundu kwaye lufikelele kwimimandla ekufuphi kwaye lubangele iingxaki ezinje nge-orbital abscess, meningitis, ukulahleka kombono ngenxa yokubandakanyeka kwemithambo-luvo, kunye nosulelo ngokubanzi kunye nokufa.

Unyango lwenziwa njani

Ukunyanga i-cellulite esweni, kubalulekile ukufumana i-antibiotics emthanjeni, njengeCeftriaxone, iVancomycin okanye i-Amoxicillin / iClavulonate, umzekelo, malunga neentsuku ezi-3, kunye nokuqhubeka nokunyanga ngamayeza okubulala iintsholongwane ngomlomo ekhaya, ukugcwalisa Unyango lwe-8 kwiintsuku ezingama-20, olwahluka ngokobunzima bentsholongwane nokuba kukho ezinye izifo ezinxulumene noko, ezinjengesinusitis.

Kuyimfuneko ukusebenzisa iziyobisi ze-analgesic kunye ne-antipyretic ukunciphisa iintlungu kunye nomkhuhlane. Ukongeza, utyando lokuhambisa amanzi lungabonakaliswa kwimeko ye-orbital abscess, uxinzelelo lwe-optic nerve okanye xa kungekho kuphucuka kwimeko emva konyango lokuqala.