Yintoni ekufuneka uyazi nge-Orbital Cellulitis

Umxholo

• Oonobangela
• Iimpawu
• Uxilongo
• Unyango
• Amayeza okubulala iintsholongwane
• Ugqirha
• Ixesha lokufumana kwakhona
• Nini ukubona ugqirha
• Umgca wezantsi

I-Orbital cellulitis yintsholongwane yezihlunu ezithambileyo kunye namafutha abambe iliso kwisokethi. Le meko ibangela ukungonwabi okanye iimpawu ezibuhlungu.

Ayosuleli, kwaye nabani na angayihlakulela imeko. Nangona kunjalo, ihlala ichaphazela abantwana abancinci.

I-Orbital cellulitis yimeko enokuba yingozi. Xa ishiywe inganyangwa, inokukhokelela kubumfama, okanye iimeko ezinobuzaza okanye ezisongela ubomi.

Oonobangela

IStreptococcus iintlobo kunye IStaphylococcus aureus zezona ntlobo zixhaphakileyo zebacteria zibangela le meko. Nangona kunjalo, ezinye iintlobo zebacteria kunye nefungi nazo zinokuba ngunobangela wale meko.

I-Orbital cellulitis kubantwana abaneminyaka eli-9 nangaphantsi ihlala ibangelwa luhlobo olunye lwebacteria. Kubantwana abadala nakubantu abadala, olu sulelo lunokubangelwa ziintlobo ezininzi zebacteria ngaxeshanye, zisenza nzima ukunyanga.

kuwo onke amatyala e-orbital cellulitis aqala njengonyango olungasetyenziswanga lwe-bacterial sinus, olusasazeka emva kwe-septum ye-orbital. I-septum ye-orbital yimbumba encinci, enemicu egubungele umphambili wamehlo.

Le meko inokusasazeka kusuleleko lwamazinyo okanye usulelo lwebacteria olwenzeka naphina emzimbeni ongena kumjelo wegazi.

Amanxeba, ukulunywa ziibug, kunye nokulunywa zizilwanyana ezenzeka ngaphakathi okanye kufutshane neliso kunokuba sisizathu.

Iimpawu

Iimpawu ziyafana kubantwana nakubantu abadala. Nangona kunjalo, abantwana banokubonisa iimpawu ezinzima kakhulu.

Iimpawu zibandakanya:

• Iliso eliphumayo, elinokuba nzima, likwabizwa ngokuba yiproptosis
• intlungu ngaphakathi okanye ejikeleze iliso
• Ukuthamba kwempumlo
• ukudumba kwendawo yamehlo
• ukudumba kunye nokuba bomvu
• ukungakwazi ukuvula iliso
• ingxaki yokuhambisa iliso kunye nentlungu xa ushukuma iliso
• umbono kabini
• ukungaboni okanye ukungaboni kakuhle
• ukukhutshwa kwiliso okanye empumlweni
• ifiva
• intloko ebuhlungu

Uxilongo

I-Orbital cellulitis ihlala ifunyaniswa kuvavanyo olubonakalayo lomboneleli wezempilo. Nangona kunjalo, kuvavanyo lokuqonda isifo kuya kwenziwa ukuqinisekisa isifo kunye nokuchonga ukuba loluphi uhlobo lweentsholongwane oluyibangelayo.

Ukuvavanywa kuya kunceda nomboneleli wakho wezempilo abone ukuba ngaba usulelo luyi-preseptal cellulitis, usulelo lwamehlo lwebacteria olubi kakhulu olufuna unyango kwangoko.

Oku kwenzeka kwizicwili zamehlo kwaye ngaphambili kwe-septum ye-orbital kunokuba ngasemva kwayo. Olu hlobo lunokuqhubela phambili kwi-orbital cellulitis ukuba ishiywe inganyangwa.

Iimvavanyo ezimbalwa ezahlukeneyo zinokwenziwa ukufumanisa isifo:

• I-CT scan okanye i-MRI yentloko, iliso kunye nempumlo
• ukuvavanywa kwempumlo, amazinyo, nomlomo
• igazi, ukukhutshwa kwamehlo, okanye iinkcubeko zempumlo

Unyango

Ukuba une-orbital cellulitis, uya kungeniswa esibhedlele ukuze ufumane i-intravenous (IV) antibiotics.

Amayeza okubulala iintsholongwane

Ngenxa yobuzaza obunokubakho bale meko kunye nesantya esisasazeka ngayo, uya kuqaliswa kwi-wide-spectrum IV antibiotics ngokukhawuleza, nokuba iziphumo zakho zovavanyo lokuqonda azikaqinisekisi ukuxilongwa.

Amayeza okubulala iintsholongwane ebanzi anikezelwa njengekhosi yokuqala yonyango kuba ayasebenza ekunyangeni iintlobo ezininzi zosulelo lwebacteria.

Ukuba i-antibiotics oyifumanayo ayikuncedisi ukuba uphucule ngokukhawuleza, umboneleli wakho wezempilo unokuzitshintsha.

Ugqirha

Ukuba iimpawu zakho aziphucuki okanye ukuba ziya zisiba mbi ngelixa ukwi-antibiotics, utyando lunokufuneka njengenyathelo elilandelayo.

Utyando luyakunceda ekunqandeni ukuqhubela phambili kosulelo ngokukhupha ulwelo kwizono okanye kwisokethi yamehlo osulelekileyo.

Le nkqubo inokwenziwa kwakhona ekukhutsheni i-abscess ukuba enye ifom. Abantu abadala kunokwenzeka ukuba badinga utyando kunabantwana.

Ixesha lokufumana kwakhona

Ukuba imeko yakho ifuna utyando, ixesha lakho lokufumana kwakhona kunye nokuhlala esibhedlele kunokuba ngaphezulu kunokuba bekunokunyangwa kuphela ngamayeza okubulala iintsholongwane.

Ukuba utyando aluzange lwenziwe kwaye uphucule, unokulindela ukutshintsha ukusuka kwi-IV ukuya kwi-antibiotics yomlomo emva kwe-1 ukuya kwiiveki ezi-2. Ii-antibiotics zomlomo ziya kufuneka kwenye iiveki ezi-2 ukuya kwezi-3 okanye de iimpawu zakho ziphele nya.

Ukuba usulelo lwakho lubangelwa sisimo esibi se-ethmoid sinusitis, usulelo lwezifo zesono ezikufutshane nebhulorho yempumlo, kuya kufuneka uthathe ii-antibiotics ixesha elide.

Ukuba ne-cellulitis ye-orbital akuthethi ukuba uya kuyifumana kwakhona.

Nangona kunjalo, ukuba uthambekele kwizifo ezenzeka rhoqo kwisinus, kubalulekile ukuba ujonge kwaye uyiphathe imeko yakho ngokukhawuleza. Oku kuyakunceda ukuthintela imeko ukuba ingasasazeki kwaye ibangele ukuphindeka.

Oku kubaluleke ngakumbi kubantu abaye bayekisa amajoni omzimba okanye abantwana abancinci abangenazo iinkqubo zomzimba zokuzivikela.

Nini ukubona ugqirha

Ukuba unentsholongwane yesono okanye nayiphi na impawu ye-orbital cellulitis, biza umniki-nkonzo wakho wezempilo ngokukhawuleza. Le meko isasazeka ngokukhawuleza kwaye kufuneka inyangwe ngokukhawuleza.

Iingxaki ezinzima zinokwenzeka xa i-orbital cellulitis inganyangwa.

Iingxaki zinokubandakanya:

• ukulahleka kombono
• ubumfama ngokupheleleyo
• ukuvalwa kwethambo lomthambo
• meningitis
• cavernous sinus thrombosis

Umgca wezantsi

I-Orbital cellulitis yintsholongwane yebhaktiriya kwisokethi yamehlo. Ihlala iqala njengosulelo lwesono kwaye ichaphazela abantwana.

Le meko ihlala iphendula kakuhle kwii-antibiotics, kodwa ngamanye amaxesha ifuna utyando. Ingabangela ubumfama okanye iimeko ezisongela ubomi ukuba ishiywe inganyangwa.