Chilichonse Chimene Muyenera Kudziwa Zokhudza Preseptal Cellulitis

Zamkati

• Preseptal vs. orbital cellulitis
• Preseptal cellulitis motsutsana ndi blepharitis
• Preseptal cellulitis zizindikiro
• Nchiyani chimayambitsa preseptal cellulitis?
• Preseptal cellulitis chithandizo
• Preseptal cellulitis mwa akuluakulu
• Matenda preseptal cellulitis
• Nthawi yoti muwonane ndi dokotala
• Kuzindikira vutoli
• Tengera kwina

Preseptal cellulitis, yemwenso amadziwika kuti periorbital cellulitis, ndi matenda m'matumba ozungulira diso.

Zitha kuyambika chifukwa chakupwetekedwa pang'ono kwa chikope, monga kulumidwa ndi tizilombo, kapena kufalikira kwa matenda ena, monga matenda a sinus.

Preseptal cellulitis imayambitsa kufiira ndi kutupa kwa chikope ndi khungu lozungulira maso anu.

Matendawa amatha kuchiritsidwa bwino ndi maantibayotiki ndikuyang'anitsitsa, koma atha kukhala owopsa ngati sangalandire chithandizo.

Preseptal cellulitis imatha kubweretsa mavuto osatha kapena khungu ngati ifalikira kuzitsulo la diso. Iyenera kuthandizidwa nthawi yomweyo kuti mupewe zovuta.

Preseptal vs. orbital cellulitis

Kusiyanitsa kwakukulu pakati pa preseptal ndi orbital cellulitis ndi komwe matenda amapezeka:

• Orbital cellulitis imapezeka m'matumba ofewa kumbuyo kwake (kumbuyo) kwa septum yozungulira. Seputamu yozungulira ndi kanthongo kakang'ono kotsegula kutsogolo kwa diso.
• Preseptal cellulitis imapezeka m'minyewa ya khungu ndi dera la periocular kumbuyo (kutsogolo kwa) septum yozungulira.

Orbital cellulitis imadziwika kuti ndi yayikulu kwambiri kuposa preseptal cellulitis. Orbital cellulitis itha kubweretsa ku:

• kutaya kwathunthu kwamasomphenya
• khungu kwathunthu
• zovuta zina zowopseza moyo

Preseptal cellulitis imatha kufalikira kumaso ndikutsogolera ku orbital cellulitis ngati sichichiritsidwa nthawi yomweyo.

Preseptal cellulitis motsutsana ndi blepharitis

Blepharitis ndikutupa kwa zikope zomwe zimachitika makamaka pomwe ma gland amafuta omwe ali pafupi ndi m'munsi mwa nsidze atsekeka.

Makope amatha kukhala ofiira komanso otupa, ofanana ndi zizindikilo za preseptal cellulitis.

Komabe, anthu omwe ali ndi blepharitis nthawi zambiri amakhala ndi zizindikiro zina monga:

• kuyabwa kapena kutentha
• zikopa zamafuta
• kutengeka ndi kuwala
• kumverera ngati china chake chatsekedwa m'diso
• kutumphuka komwe kumayamba pa nsidze.

Blepharitis imayambitsa zambiri, kuphatikizapo:

• zoopsa
• zotsekereza mafuta tiziwalo timene timatulutsa
• rosacea
• chifuwa
• nthata za eyelashi
• matenda

Mosiyana ndi preseptal cellulitis, blepharitis nthawi zambiri imadwala yomwe imafunikira kuyang'anira tsiku ndi tsiku.

Ngakhale zonsezi zingayambidwe ndi matenda a bakiteriya, njira zawo zochiritsira ndizosiyana.

Blepharitis nthawi zambiri imachiritsidwa ndi maantibayotiki apakhungu (madontho amaso kapena mafuta), pomwe preseptal cellulitis imachiritsidwa ndi maantibayotiki am'kamwa kapena amitsempha (IV).

Preseptal cellulitis zizindikiro

Zizindikiro za preseptal cellulitis zitha kuphatikizira izi:

• kufiira mozungulira chikope
• kutupa kwa chikope ndi malo ozungulira diso
• kupweteka kwa diso
• malungo ochepa

Nchiyani chimayambitsa preseptal cellulitis?

Preseptal cellulitis ingayambidwe ndi:

• mabakiteriya
• mavairasi
• bowa
• helminths (nyongolotsi za parasitic)

Ambiri mwa matendawa amayamba ndi mabakiteriya.

Matenda a bakiteriya amatha kufalikira kuchokera kumatenda a sinusitis (sinusitis) kapena gawo lina la diso.

Zitha kuchitika pambuyo povulala pang'ono m'maso, monga kulumidwa ndi kachilomboka kapena kukanda paka. Pambuyo povulala pang'ono, mabakiteriya amatha kulowa pachilondacho ndikupangitsa matenda.

Mabakiteriya omwe amayambitsa matendawa ndi awa:

• Staphylococcus
• Mzere
• Haemophilus influenzae

Matendawa amapezeka kwambiri kwa ana kuposa achikulire chifukwa ana ali pachiwopsezo chachikulu chotenga kachilombo ka mtundu wa mabakiteriya omwe amayambitsa vutoli.

Preseptal cellulitis chithandizo

Chithandizo chachikulu cha preseptal cellulitis ndi njira yothandizira maantibayotiki omwe amaperekedwa pakamwa kapena kudzera m'mitsempha (mumtsempha).

Mtundu wa maantibayotiki umadalira msinkhu wanu ndipo ngati wothandizira zaumoyo wanu amatha kudziwa mtundu wa mabakiteriya omwe akuyambitsa matendawa.

Preseptal cellulitis mwa akuluakulu

Akuluakulu nthawi zambiri amalandira mankhwala opha tizilombo kunja kwa chipatala. Ngati simukuyankha maantibayotiki kapena matendawa akukulirakulira, mungafunikire kubwerera kuchipatala ndikulandila mankhwala opha tizilombo.

Mankhwala opha tizilombo omwe amagwiritsidwa ntchito pochiza preseptal cellulitis mwa akulu ndi awa:

• amoxicillin / clavulanate
• chiwoo
• kutuloji
• kutchfuneral
• piperacillin / tazobactam
• cofuchiwo
• alireza

Wothandizira zaumoyo wanu adzakhazikitsa dongosolo lamankhwala kutengera zosowa zanu.

Matenda preseptal cellulitis

Ana ochepera chaka chimodzi adzafunika kulandira maantibayotiki a IV operekedwa kuchipatala. Maantibayotiki a IV nthawi zambiri amaperekedwa kudzera mumitsempha ya m'manja.

Maantibayotiki akangoyamba kugwira ntchito, amatha kupita kwawo. Kunyumba, maantibayotiki apakamwa akupitilizidwa kwa masiku angapo.

Mankhwala omwe amagwiritsidwa ntchito pochiza preseptal cellulitis mwa ana ndi awa:

• amoxicillin / clavulanate
• chiwoo
• kutuloji
• kutchfuneral
• piperacillin / tazobactam
• cofuchiwo
• alireza

Opereka chithandizo chamankhwala amapanga mapulani azachipatala omwe amafotokoza za kuchuluka kwake komanso kuti mankhwala amaperekedwa kangati kutengera msinkhu wa mwana.

Nthawi yoti muwonane ndi dokotala

Ngati muli ndi zizindikilo za preseptal cellulitis, monga kufiira ndi kutupa kwa diso, muyenera kuwona wothandizira zaumoyo nthawi yomweyo. Kuzindikira koyambirira ndi chithandizo ndikofunikira popewa zovuta.

Kuzindikira vutoli

Katswiri wa maso kapena optometrist (onse madokotala amaso) atha kuyang'anitsitsa diso.

Pambuyo pofufuza ngati pali matenda, monga kufiira, kutupa, ndi kupweteka, amatha kuyitanitsa mayeso ena.

Izi zitha kuphatikizaponso kupempha magazi kapena kutulutsa magazi m'maso. Zitsanzozi zimasanthulidwa mu labotale kuti mudziwe mtundu wa bakiteriya yemwe akuyambitsa matendawa.

Dokotala wamaso amathanso kuyitanitsa kuyerekezera kujambula, monga MRI kapena CT scan, kuti athe kuwona kutalika kwa matendawa.

Tengera kwina

Preseptal cellulitis ndi matenda a chikope chomwe chimayambitsa mabakiteriya. Zizindikiro zazikulu ndikufiira ndi kutupa kwa chikope, ndipo nthawi zina kutentha thupi.

Preseptal cellulitis nthawi zambiri samakhala wowopsa akamalandira mankhwala nthawi yomweyo. Ikhoza kutha msanga ndi maantibayotiki.

Komabe, ngati sanalandire chithandizo, amatha kudwala matenda oopsa otchedwa orbital cellulitis.