Cellulite m'maso: mankhwala ndi chiopsezo chotenga matenda
Zamkati
Orbital cellulitis ndikutupa kapena matenda omwe amapezeka pankhope pomwe diso ndi zomata zake zimayikidwa, monga minofu, mitsempha, mitsempha yamagazi ndi zida zopumira, zomwe zimatha kufikira gawo lake lozungulira (septal), lomwe lili mkati kwambiri, kapena periorbital, m'dera la chikope (pre-septal).
Ngakhale kuti siwopatsirana, matendawa amayamba chifukwa cha matenda a bakiteriya, ndi mabakiteriya omwe amatulutsa khungu pambuyo pa sitiroko kapena kufalikira kwa matenda oyandikira, monga sinusitis, conjunctivitis kapena abscess ya mano, ndipo zimayambitsa zizindikiro monga kupweteka, kutupa ndi kuvuta kusuntha diso.
Amadziwika kwambiri mwa makanda ndi ana azaka zapakati pa 4 mpaka 5, chifukwa cha kukometsa kwakukulu kwa zinthu zomwe zimazungulira diso, monga khoma laling'ono komanso lamfupa.Chithandizochi chikuyenera kuchitidwa mwachangu, ndi maantibayotiki mumtsempha ndipo, ngati kuli kofunikira, ndikuchitidwa opaleshoni kuchotsa katulutsidwe ndi zotupa, zoteteza kuti matendawa asafalikire kumadera ozama, ndipo atha kufikira kuubongo.
Zoyambitsa zazikulu
Matendawa amachitika pamene kachilombo kakang'ono kamakafika m'dera la diso, makamaka chifukwa cha kufalikira kwa matenda oyandikana nawo, monga:
- Kuvulala m'dera lozungulira;
- Kuluma nsikidzi;
- Conjunctivitis;
- Sinusitis;
- Kutulutsa mano;
- Matenda ena am'mlengalenga, khungu kapena minyewa.
Tizilombo toyambitsa matenda timadalira msinkhu wa munthu, thanzi lake komanso matenda am'mbuyomu, omwe ndi Haemophilus influenzae, Streptococcus pneumoniae, Staphylococcus aureus, Streptococci pyogenes ndi Moraxella catarrhalis.
Momwe mungatsimikizire
Kuti apeze cellulitis ya ocular, ophthalmologist adzawona zizindikilo zazikulu, koma amathanso kuyitanitsa mayeso monga kuwerengera magazi ndi chikhalidwe cha magazi, kuti azindikire kuchuluka kwa matenda ndi tizilombo toyambitsa matenda, kuphatikiza kuwerengera kwa tomography kapena maginito oyang'ana m'deralo. Kuzungulira ndi nkhope, kuzindikira kukula kwa chotupacho ndikupatula zina zomwe zingayambitse.
Onaninso zomwe zimayambitsa kutupa m'maso.
Zizindikiro zofala kwambiri
Zizindikiro za cellulite m'maso ndizo:
- Kutupa kwa diso ndi kufiira;
- Malungo;
- Ululu ndi zovuta kusuntha diso;
- Kusuntha kwamaso kapena kutulutsa;
- Mutu;
- Masomphenya asintha.
Matendawa akamakulirakulira, ngati sangachiritsidwe mwachangu, amatha kukhala owopsa ndikufika kumadera oyandikana nawo ndikupangitsa zovuta monga zotupa zapakhosi, meningitis, kutayika kwa masomphenya chifukwa chokhudzidwa ndi mitsempha ya optic, ngakhale matenda opatsirana komanso kufa.
Momwe mankhwalawa amachitikira
Kuchiza cellulite m'maso, ndikofunikira kulandira maantibayotiki mumtsinje, monga Ceftriaxone, Vancomycin kapena Amoxicillin / Clavulonate, mwachitsanzo, kwa masiku atatu, ndikupitiliza kulandira chithandizo ndi maantibayotiki pakamwa kunyumba, kuphatikiza zonse Chithandizo chamasiku 8 mpaka 20, chomwe chimasiyanasiyana kutengera kukula kwa matendawa komanso ngati pali matenda ena omwe amapezeka, monga sinusitis.
Ndikofunikanso kugwiritsa ntchito mankhwala oletsa kupweteka komanso kutentha thupi. Kuphatikiza apo, ma drainage operewera amatha kuwonetsedwa pakakhala abscess ya orbital, kupanikizika kwa mitsempha ya optic kapena ngati palibe kusintha pamankhwala oyamba.