Cellulitis yozungulira

Orbital cellulitis ndi matenda amafuta ndi minofu kuzungulira diso. Zimakhudza zikope, nsidze, ndi masaya. Itha kuyamba mwadzidzidzi kapena chifukwa cha matenda omwe pang'onopang'ono amakula.

Orbital cellulitis ndi matenda owopsa, omwe angayambitse mavuto osatha. Orbital cellulitis ndiyosiyana ndi periorbital cellulitis, yomwe ndi matenda a chikope kapena khungu kuzungulira diso.

Kwa ana, nthawi zambiri imayamba ngati matenda a sinus bakiteriya ochokera ku mabakiteriya monga Fuluwenza Haemophilus. Matendawa anali ofala kwambiri kwa ana aang'ono, osakwana zaka 7. Tsopano sapezeka chifukwa cha katemera yemwe amathandiza kupewa matendawa.

Mabakiteriya Staphylococcus aureus, Streptococcus pneumoniae, ndi beta-hemolytic streptococci amathanso kuyambitsa orbital cellulitis.

Matenda a Orbital cellulitis mwa ana amatha kukulira msanga kwambiri ndipo amatha kupangitsa khungu. Chithandizo chamankhwala chimafunika nthawi yomweyo.

Zizindikiro zimaphatikizapo:

• Kutupa kowawa kwa chikope chapamwamba komanso chakumunsi, ndipo mwina nsidze ndi tsaya
• Kutulutsa maso
• Kuchepetsa masomphenya
• Ululu poyendetsa diso
• Fever, nthawi zambiri 102 ° F (38.8 ° C) kapena kupitilira apo
• Kumva kudandaula
• Kusuntha kovuta kwa maso, mwina ndikuwona kawiri
• Chonyezimira, chofiira kapena chofiirira chikope

Mayeso omwe amachitika kawirikawiri ndi awa:

• CBC (kuwerengera magazi kwathunthu)
• Chikhalidwe chamagazi
• Mpopi wam'mimba mwa ana okhudzidwa omwe akudwala kwambiri

Mayesero ena atha kuphatikizira:

• X-ray ya sinus ndi malo ozungulira
• CT scan kapena MRI yama sinus ndi orbit
• Chikhalidwe cha ngalande zamaso ndi mphuno
• Chikhalidwe cha pakhosi

Nthawi zambiri, kugona kuchipatala kumafunika. Chithandizo nthawi zambiri chimaphatikizapo maantibayotiki operekedwa kudzera mumitsempha. Kuchita opaleshoni kungafunike kuti muchepetse chotupacho kapena kuti muchepetse kuthamanga pamalo ozungulira diso.

Matenda a orbital cellulitis amatha kukulira msanga kwambiri. Munthu amene ali ndi vutoli ayenera kuyang'aniridwa maola ochepa aliwonse.

Mukalandira chithandizo mwachangu, munthuyo amatha kuchira kwathunthu.

Zovuta zingaphatikizepo:

• Cavernous sinus thrombosis (kupangika kwa magazi m'magazi m'munsi mwa ubongo)
• Kutaya kwakumva
• Septicemia kapena matenda amwazi
• Meningitis
• Kuwonongeka kwamitsempha yamawonedwe ndi kutayika kwa masomphenya

Orbital cellulitis ndi vuto lazachipatala lomwe liyenera kuthandizidwa nthawi yomweyo. Itanani woyang'anira zaumoyo wanu ngati pali zizindikilo za kutupa kwa chikope, makamaka ndi malungo.

Kupeza katemera wa HiB wokonzekera kumateteza kutenga kachilombo kwa ana ambiri. Ana aang'ono omwe amakhala mnyumba limodzi ndi munthu amene ali ndi matendawa angafunike kumwa maantibayotiki kuti asadwale.

Kuchiritsidwa mwachangu kwa sinus kapena matenda amano kumatha kuulepheretsa kufalikira ndikukhala orbital cellulitis.

• Kutulutsa kwamaso
• Haemophilus influenzae chamoyo

Bhatt A. Matenda a m'maso. Mu: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, olemba. Feigin ndi Cherry's Bookbook of Pediatric Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 61.

Durand ML. Matenda opatsirana. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 116.

McNab AA. (Adasankhidwa) Matenda a Orbital ndi kutupa. Mu: Yanoff M, Duker JS, olemba. Ophthalmology. 5th ed. Philadelphia, PA: Elsevier; 2019: mutu 12.14.

Olitsky SE, Marsh JD, Jackson MA. Matenda a m'mimba. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 652.