Yonke into ekufuneka uyazi malunga ne-Preseptal Cellulitis

Umxholo

• I-preseptal vs.libital cellulitis
• I-preseptal cellulitis vs i-blepharitis
• Iimpawu zangaphambi kweselulitis
• Yintoni ebangela i-preseptal cellulitis?
• Unyango lwe-preseptal cellulitis
• I-preseptal cellulitis kubantu abadala
• I-preseptal cellulitis yabantwana
• Nini ukubona ugqirha
• Ukuchonga imeko
• Yise kude

I-preseptal cellulitis, ekwabizwa ngokuba yi-periorbital cellulitis, sisifo kwizicubu ezijikeleze iliso.

Ingabangelwa kukuhlukumezeka okuncinci kwinkophe, njengokulunywa sisinambuzane, okanye ukusasazeka kolunye usulelo, njengosulelo lwesono.

I-preseptal cellulitis ibangela ubomvu kunye nokudumba kwenkophe kunye nesikhumba esijikeleze amehlo akho.

Usulelo lunokunyangwa ngempumelelo ngamayeza okubulala iintsholongwane kunye nokujonga ngokusondeleyo, kodwa kunokuba kubi kakhulu ukuba luyekwanga lunganyangwa.

I-preseptal cellulitis inokubangela iingxaki ezingumbono osisigxina okanye ubumfama ukuba iyasasazeka kwisokethi yamehlo. Kuya kufuneka inyangwe kwangoko ukuthintela iingxaki.

I-preseptal vs.libital cellulitis

Umahluko ophambili phakathi kwe-preseptal kunye ne-orbital cellulitis yindawo yosulelo:

• I-Orbital cellulitis yenzeka kwizicubu ezithambileyo ze-orbit ngasemva (ngasemva) kwe-septum ye-orbital. I-septum ye-orbital yimbumba encinci egubungele umphambili webhlo.
• I-preseptal cellulitis yenzeka kwizicubu zeenkophe kunye nengingqi ye-periocular ngaphambili (ngaphambili) kwe-septum ye-orbital.

I-Orbital cellulitis ithathwa njengoyinto ebaluleke kakhulu kune-preseptal cellulitis. I-Orbital cellulitis inokukhokelela ku:

• ukulahleka kombono ngokusisigxina
• ukungaboni ngokupheleleyo
• ezinye iingxaki ezisongela ubomi

I-preseptal cellulitis inokusasazeka kwisokethi yamehlo kwaye ikhokelele kwi-orbital cellulitis ukuba ayinyangwa kwangoko.

I-preseptal cellulitis vs i-blepharitis

I-Blepharitis kukudumba kweenkophe ezithi zenzeke xa amadlala eoyile akufutshane nesiseko seenkophe.

Iinkophe zinokuba bomvu kwaye zidumbe, ngokufana neempawu ze-preseptal cellulitis.

Nangona kunjalo, abantu abane-blepharitis baya kuba neempawu ezongezelelweyo ezifana ne:

• ukurhawuzelela okanye ukutshisa
• iinkophe ezinamafutha
• uvakalelo ekukhanyeni
• ukuziva ngathi kukho into enamathele esweni
• uqweqwe oluvela kwi-eyelashes.

I-Blepharitis inezizathu ezininzi, kubandakanya:

• inkwethu
• amadlala eoli avalileyo
• rosacea
• Ukungabikho komzimba
• izibungu zamehlo
• usulelo

Ngokungafaniyo ne-preseptal cellulitis, i-blepharitis ihlala iyimeko engapheliyo efuna ulawulo lwemihla ngemihla.

Nangona zombini ezi meko zinokubangelwa kukosuleleka ziintsholongwane, iindlela zabo zonyango zahlukile.

I-Blepharitis ihlala inyangwa ngamayeza okubulala iintsholongwane (amathontsi wamehlo okanye ioyile), ngelixa i-preseptal cellulitis inyangwa ngomlomo okanye nge-intravenous (IV) antibiotics.

Iimpawu zangaphambi kweselulitis

Iimpawu ze-preseptal cellulitis zinokubandakanya:

• ubomvu bujikeleze ijwabu leso
• ukudumba kwenkophe kunye nendawo ejikeleze iliso
• iintlungu zamehlo
• umkhuhlane ophantsi

Yintoni ebangela i-preseptal cellulitis?

I-preseptal cellulitis inokubangelwa ngu:

• iintsholongwane
• iintsholongwane
• ngundo
• i-helminths (iintshulube ezinesidudu)

Uninzi lwezi zifo lubangelwa ziintsholongwane.

Usulelo lwebhaktiriya lunokusasazeka kwintsholongwane yesono (sinusitis) okanye enye inxalenye yeso.

Inokwenzeka kwakhona emva koxinzelelo oluncinci kwii-eyelids, ezinje ngokuluma i-bug okanye ikati. Emva kokulimala okuncinci, iibhaktheriya zinokungena enxebeni kwaye zibangele usulelo.

Iibhaktheriya eziqhelekileyo ezibangela le meko zi:

• Istaphylococcus
• IStreptococcus
• Haemophilus influenzae

Imeko ixhaphake kakhulu ebantwaneni kunabantu abadala kuba abantwana basemngciphekweni ophezulu wokosulelwa luhlobo lweentsholongwane ezibangela le meko.

Unyango lwe-preseptal cellulitis

Unyango oluphambili lwe-preseptal cellulitis yinkqubo yeyeza lokubulala iintsholongwane elinikwa ngomlomo okanye ngemithambo yegazi (emthanjeni).

Uhlobo lwee-antibiotics lunokuxhomekeka kubudala bakho kwaye ukuba umboneleli wakho wezempilo uyakwazi ukubona uhlobo lweebhaktiriya ezibangela usulelo.

I-preseptal cellulitis kubantu abadala

Abantu abadala bahlala befumana i-antibiotics yomlomo ngaphandle kwesibhedlele. Ukuba awuphenduli kwi-antibiotics okanye usulelo luya kuba lubi, unokufuna ukubuyela esibhedlele uze ufumane i-antibiotics efakwa.

Amayeza okubulala iintsholongwane asetyenziselwa unyango lwe-preseptal cellulitis kubantu abadala kubandakanya oku kulandelayo:

• amoxicillin / clavulanate
• clindamycin
• mzantsiweb
• yesithathu
• piperacillin / tazobactam
• cefuroxime
• ceftriaxone

Umboneleli wakho wezononophelo lwempilo uyakwenza isicwangciso sonyango esekwe kwiimfuno zakho zokhathalelo lwempilo.

I-preseptal cellulitis yabantwana

Abantwana abangaphantsi konyaka omnye baya kufuna ukuba banikwe ii-IVs esibhedlele. Iintsholongwane ze-IV zihlala zinikezelwa ngomthambo engalweni.

Nje ukuba i-antibiotics iqale ukusebenza, bangaya ekhaya. Ekhaya, ii-antibiotics zomlomo ziyaqhubeka kangangeentsuku ezininzi.

Amayeza asetyenziswa kunyango lwe-preseptal cellulitis ebantwaneni ibandakanya oku kulandelayo:

• amoxicillin / clavulanate
• clindamycin
• mzantsiweb
• yesithathu
• piperacillin / tazobactam
• cefuroxime
• ceftriaxone

Ababoneleli ngezempilo benza izicwangciso zonyango ezichaza idosi kunye nokuba lonyango luqhutywa kangaphi ngokusekwe kubudala bomntwana.

Nini ukubona ugqirha

Ukuba unayo nayiphi na impawu ye-preseptal cellulitis, njengobomvu kunye nokuvuvukala kweso, kufuneka ubone umboneleli wezempilo kwangoko. Ukuchongwa kwangoko kunye nonyango kubalulekile ukuthintela iingxaki.

Ukuchonga imeko

Ugqirha wamehlo okanye ugqirha wamehlo (bobabini oogqirha bamehlo) baya kuthi benze uvavanyo lomzimba lwamehlo.

Emva kokujonga iimpawu zosulelo, njengokubomvu, ukudumba, kunye nentlungu, banoku-odola ezinye iimvavanyo.

Oku kunokubandakanya ukucela isampulu yegazi okanye isampulu yokukhutshwa kwiliso. Iisampulu zihlalutyiwe elebhu ukufumanisa ukuba loluphi uhlobo lwebacteria olubangela usulelo.

Ugqirha wamehlo unokuyalela iimvavanyo zokucinga, ezinje nge-MRI okanye nge-CT scan, ukuze babone ukuba isifo sele sisasazeke kangakanani.

Yise kude

I-preseptal cellulitis yintsholongwane yejwabu leso elibangelwa yintsholongwane. Iimpawu eziphambili bubomvu kunye nokudumba kweenkophe, kwaye ngamanye amaxesha umkhuhlane ophantsi.

I-preseptal cellulitis ihlala ingabalulekanga xa inyangwa kwangoko. Iyakucoca ngokukhawuleza ngamayeza okubulala iintsholongwane.

Nangona kunjalo, ukuba ishiywe inganyangwa, inokukhokelela kwisimo esibi kakhulu esibizwa ngokuba yi-orbital cellulitis.