Ðe viwò suea le fu kpem le woƒe ŋkuwo ƒe vuvu ta? Mina míasrɔ̃ nu tso nɔnɔme sia si me afɔku le (Orbital Cellulitis) ŋu!

Ðe nètsi dzi be ye vi suea ƒe ŋku vuvu, biã, eye ɖewohĩ avuvu zi ɖekaa? Ðe asrã le eŋu eye wòsesẽna nɛ be wòaʋuʋu ŋkua? Ekema mègaŋe aɖaba ƒu edzi ko o. Ate ŋu anye dɔléle sesẽ aɖe si woyɔna be orbital cellulitis . Mègatsi dzi o, míaɖe nusianu me eme nakɔ eye wòanɔ bɔbɔe egbea.

Nukae nye orbital cellulitis?

Kpuie ko la, orbital cellulitis nye dɔlékui si xɔa lãmeka falɛfalɛ siwo ƒo xlã míaƒe ŋkuwo, le ɣletinyigba si kpɔa ŋkua ta la me. Ðo ŋku edzi be esia menye dɔlékui *le ŋkua me* o, gake dɔlékui si le lãkusi siwo *ƒo xlã* ŋkua ŋu ate ŋu akpɔ ŋusẽ ɖe ŋkua dzi kpakple nukpɔkpɔ hã.

Nɔnɔme sia bɔ ɖe ɖevi siwo mexɔ ƒe 7 haɖe o dzi wu , eye enye dɔléle sesẽ aɖe si wòle be woakpɔ kaba ŋutɔ . Esia le alea elabena dɔlékui sia ate ŋu agblẽ nu le lãmekawo kple ʋuka siwo ƒo xlã ŋkua ŋu eye wòana ame nate ŋu akpɔ nu nyuie o, gake ate ŋu akaka ɖe ahɔhɔ̃ alo ʋukawo hã me, si ate ŋu ade ame ƒe agbe afɔku me. Esia tae míegblɔna be ele be nàyi ɖɔkta gbɔ ne ènya de dzesi dzesi siawo ko.

Nukae nye esia ƒe dzesiwo? Aleke nèwɔ dea dzesii?

Azɔ mina míalé ŋku ɖe orbital cellulitis ƒe dzesi siwo le ɖevi ŋu la ŋu. Ne esiawo dometɔ ɖeka alo esi wu nenema le viwòa ŋu la, ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo godoo.

• Ŋku ƒe ʋuʋudedi kple ŋutigbalẽ si ƒo xlã ŋkuwo ƒe vuvu: Esiae nye dzesi vevitɔ. Ate ŋu atso ŋkume va ɖo ŋgonu.
• Ŋku ƒe ʋuʋu: Edze abe ŋkua le ŋgɔ yim le vuvu ta ene.
• Ŋutilã si ƒo xlã ŋkuwo ƒe biã alo eƒe amadede ƒe tɔtrɔ: Ɣeaɖewoɣi la, ate ŋu anye amadede blɔtɔ kple aŋutiɖiɖi gɔ̃ hã.
• Vevesese alo vevesese ne ele ŋkuwo ʋuʋum: Ðevia madi be yeaʋuʋu woƒe ŋkuwo ayi ŋgɔ kple megbe o, eye ate ŋu ase veve ne ele ewɔm.
• Nukpɔkpɔ ƒe gbɔdzɔgbɔdzɔ: Ðevi aɖewo ate ŋu akpɔ nu nyuie alo akpɔ nu zi eve.
• Asrã: Esɔ be asrã naxɔ ame elabena dɔlékui aɖe le ŋutilãa me.

Tsɔe be, dzamezã le viwònyɔnuvi ŋu ŋkeke ʋɛ aɖewoe nye esia. Kasia, ne èlé ŋku ɖe eŋu le ŋdi me la, eƒe ŋku ɖeka vuvu ŋutɔ eye wòbiãna. Egblɔ be etena ɖe ye dzi eye yemaɖe mɔ na wò be nàka asi ye ŋu o. Asrã vi aɖe hã le eŋu. Esiae nye ɣeyiɣi si me wòle be míasusu be orbital cellulitis.

Nukatae orbital cellulitis dzɔna? Nukawoe gbɔ wòtsona?

Nusi koŋ gbɔ esia tsoe nye paranasal sinus siwo le míaƒe ŋɔti gbɔ.Le, si fia be, dɔlékui si dzɔna le do siwo míeyɔna be lãkusiwo me eye wòkakana ɖe ŋkua me. Ènyaa, yaƒoƒo ƒe do suesuesuewo le míaƒe ŋɔti ŋu, le míaƒe tagbɔ me. Esiawoe míeyɔna be lãkusiwo. Esiawo dometɔ aɖewo, vevietɔ ethmoid sinus , te ɖe ŋkua ŋu ŋutɔ. Le nyateƒe me la, lãgbalẽ tsɛ aɖe si lolo abe pepa ene ye ma wo ame evea dome. Eyata ne dɔlékui ƒe dɔléle aɖe dzɔ le lãkusi siawo dometɔ ɖeka me la, ate ŋu akaka ɖe lãkusi tsɛ ma me bɔbɔe eye wòage ɖe lãkusi siwo ƒo xlã ŋkua me. Zi geɖe la, esiawo nyea sinus dɔlékui siwo staph dɔlékui alo aklãdɔléle hena vɛ .

Menye ema ɖeɖeko o, nɔnɔme sia ate ŋu adzɔ le susu bubu geɖewo hã ta:

• Ŋku ƒe ŋutigbalẽ ƒe dɔlékuiwo: Ɣeaɖewoɣi la, dɔlékui si dzɔna ɖe ŋkume, abe preseptal cellulitis ene, ate ŋu akaka ɖe eme eye wòahe orbital cellulitis vɛ.
• Dɔlékui bubu siwo le mo dzi: Ŋutilã me dɔlékui sesẽ aɖewo, le kpɔɖeŋu me, nɔnɔme aɖe abe necrotizing fasciitis ene hã ate ŋu ahe esia vɛ.
• To alo aɖudɔléle ƒe kaka: Tomedɔ alo aɖudɔ ate ŋu akaka ɖe ŋkua me ɣeaɖewoɣi.
• Nuveviwɔame le ŋkua alo nuto si ƒo xlã ŋkua ŋu: Ne nane dze ŋkua dzi eye wòde abi eŋu la, dɔlékuiwo ate ŋu ato eme age ɖe eme eye woahe dɔlékui sia ƒomevi vɛ.

Kuxi siwo me afɔku le kawoe esia ate ŋu ahe vɛ?

Abe alesi míegblɔe va yi ene la, orbital cellulitis menye nusi woabu nu tsɛe o. Ne womewɔ atike nɛ kaba o la, ate ŋu ahe kuxi sesẽ ŋutɔwo vɛ.

• Nukpɔkpɔ ƒe bu alo ŋkumaʋumaʋu: Fu kple dɔlékui siwo ƒo xlã ŋkua ate ŋu agblẽ nu le ŋku ƒe lãmeka si naa ŋkua kpɔa nu ŋu. Alo ʋuka siwo naa ʋu ŋkua ate ŋu axe, si ana ʋu nate ŋu atso ŋkua ƒe akpa aɖewo eye wòana ŋkua nabu keŋkeŋ.
• Ŋku ƒe lãmekawo ƒe dɔmawɔmawɔ nyuie: Le vuvu ta la, lãmeka siwo ʋãa ŋkua megawɔa dɔ o, si wɔnɛ be ŋkua tsia teƒe ɖeka. Esia ate ŋu ana ŋkuawo magate ŋu akpɔ nu le mɔ ɖeka dzi o, si ana woakpɔ nu zi eve .
• Dɔlékuiwo ƒe kaka ɖe ahɔhɔ̃a me: Esiae nye esi me afɔku le wu. Ne dɔlékuia kaka ɖe lãkusi siwo ƒo xlã ahɔhɔ̃a me la, ate ŋu ana taɖuame . Alo, ate ŋu akaka ɖe ʋuka aɖe si woyɔna be cavernous sinus si le ahɔhɔ̃a me, si ana ʋu natsi . Esiawo ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã.
• Ʋu me aɖi (Sepsis): Togbɔ be mebɔ o hã la, dɔlékuia ate ŋu akaka ɖe ʋukawo me, si ahe nɔnɔme aɖe si me afɔku le si woyɔna be sepsis vɛ.

Gake mègavɔ̃ o, .Woate ŋu axe mɔ ɖe nusiawo katã nu ne wona atike nyui ɖevia kaba ale si wòanya wɔ.

Aleke ɖɔktawo wɔa nya sia tututue?

Ne èkplɔ viwòa yi ɖɔkta gbɔ, vevietɔ ŋkudɔdala gbɔ la, nu gbãtɔ si wòwɔnae nye be wòdoa ɖevia kpɔ nyuie.

• Lãmedodokpɔ: Ðɔktaa abia viwòa ƒe dzesiwo wò, emegbe wòalé ŋku ɖe ŋku si ŋu dɔlélea le kple nuto siwo ƒo xlãe ŋu nyuie. Woalé ŋku ɖe ɖevia ƒe nukpɔkpɔ hã ŋu.
• Atikewɔwɔ ŋutinya: Ðɔktaa abiae godoo ne ɖevia xɔ abi le ŋku ŋu nyitsɔ laa, wowɔ dɔ na ɖevia ƒo xlã ŋkua, alo atikewɔwɔ me nɔnɔme bubu aɖewo (e.g., sinus, to me dɔlékuiwo).
• Nɔnɔmetatawo dodokpɔ: Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu abia be woawɔ CT scan alo MRI scan be wòalé ŋku ɖe lãkusi siwo ƒo xlã wò ŋku ŋu tsitotsito, akpɔ nusi gbɔ dɔlékui aɖe tso, alo akpɔe ɖa be kuxiwo do mo ɖa hã. Amesiawo ate ŋu akpɔ nu suesuesue siwo ƒo xlã wò ŋku gɔ̃ hã nyuie.
• Dɔlékuiwo ƒe dekɔnu dodokpɔ: Mehiã ɣesiaɣi o, gake ɣeaɖewoɣi la, wowɔa dodokpɔ sia be woatsɔ ade dzesi dɔlékui ƒomevi si tututu he dɔlélea vɛ. Esia akpe ɖe ɖɔktawo ŋu woatso nya me le dɔlékuiwutike siwo nyo na dɔlékui ma ŋu.

Nukawoe nye atike siwo wozãna na esia?

Wozãa dɔlékuiwutike siwo wodona ɖe ʋuka me (IV) tsɔ daa orbital cellulitis . Esia fia be ahiã be viwòa nanɔ kɔdzi ŋkeke ʋɛ aɖewo . Wotoa mɔ̃ sue aɖe (catheter) si wotsɔ dea ʋuka aɖe me le alɔnu dzi naa atikeawo. Esiae nye mɔ nyuitɔ si dzi woato ana atikeawo naɖo ŋutilã bliboa me kaba eye woaɖu dɔlékuia dzi.

Ne ɖevia ƒe dzesiwo nu fa vivivi eye eƒe lãme dze egɔme (zi geɖe le ŋkeke ʋɛ aɖewo megbe) ko la, ɖɔktaa aɖo ɖevia ɖe aƒeme. Emegbe woayi edzi anɔ dɔlékuiwutike siwo woano nom kwasiɖa ʋɛ aɖewo.

Ƒã ŋutɔ la, ate ŋu ahiã be woawɔ dɔ suesuesuewo atsɔ ada kuxi siwo tso orbital cellulitis gbɔ. Le kpɔɖeŋu me:

• Ne ʋuʋudedi aɖe ƒo xlã ŋkua la, ɖe tsi le aɖuɖɔa me.
• Ne lãkusi kuku aɖe li la, ɖee ɖa.
• Ne ʋuka aɖe do la, ɖee ɖa.
• Ðe ŋkua ƒe nyaƒoɖeamenu dzi kpɔtɔ.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Esia le vevie ŋutɔ. Ne ède dzesi orbital cellulitis ƒe dzesi aɖewo le viwò ƒe ŋku ŋu la, mègahe ɖe megbe o eye nàkpɔ ɖɔkta enumake, eye anyo wu be nàkpɔ ŋkudɔdala. Esia nye nɔnɔme sesẽ aɖe ŋutɔ, gake ne wodae kaba la, woate ŋu axe mɔ ɖe nusiwo gblẽ le eŋu ɣeyiɣi didi nu.

Azɔ hã, gblɔe na wò ɖɔkta ne dɔlékui aɖe (e.g., sinus, ear pus ) le viwò ŋu si mele nyonyom ɖe edzi o, alo ne edze abe ele kakam ene. Ne dzesiawo meva nyo ɖe edzi le dɔlékuiwutikewo zazã ŋkeke ʋɛ aɖewo megbe o la, gblɔe na wò ɖɔkta .

Ne èyi ɖɔkta gbɔ la, àte ŋu abia nya siawo abe esiawo ene:

• Ðe orbital cellulitis alo dɔlékui bubu aɖe le vinyea ŋua?
• Afikae dɔlékui sia tso? (Nukae gbɔe wòtso?)
• Ðe wòahiã be vinye nanɔ kɔdzia?
• Ɣeyiɣi didi kae wòahiã be mano dɔlékuiwutikewo?

Ðe woate ŋu axe mɔ ɖe orbital cellulitis nua?

Ẽ, míate ŋu akpe asi ɖe mɔxexe ɖe esia nu vaseɖe afi aɖe. Nu vevitɔ si wòle be woawɔe nye be woada dɔlékui bubuwo, vevietɔ esiwo dzɔna le ŋkuwo gbɔ (abe sinus, to, kple ŋutigbalẽ me dɔlékuiwo ene), ne wonya do ko. Dɔlékui suesuesue siwo zi geɖe mesẽna abe orbital cellulitis ene o gɔ̃ hã ate ŋu anye afɔku ne wokaka. Eyata dɔlékui mawo dada kaba ate ŋu axe mɔ na wo be woagakaka ɖe ŋkume o.

Nukae wòle be makpɔ mɔ na ne nɔnɔme sia le vinye ŋu?

Zi geɖe la, ne wodze atikewɔwɔ gɔme kaba la, àte ŋu akpɔ mɔ be yehaya keŋkeŋ tso orbital cellulitis me. Anɔ eme be kuxi aɖeke manɔ viwòa ŋu ɣeyiɣi didi o. Gake ahiã be woatsɔ dɔlékuiwutikewo ada dɔlékuia kwasiɖa geɖe hafi wòadzo keŋkeŋ. Ele vevie be nàno dɔlékuiwutike siwo wò ɖɔkta ŋlɔ na wò la katã. Mègadzudzɔ atikeawo nono le esi viwòa ƒe lãme sẽ ta ko o. Esia wɔwɔ ate ŋu ana dɔlékuia nagatrɔ ava.

Zi geɖe la, orbital cellulitis dzea egɔme abe dɔlékui sue aɖe ene. Eyata abe ɖevi sue dzila ene la, àte ŋu avɔ̃ ŋutɔ eye nàtsi dzimaɖi ne dɔlékui sia tɔgbe trɔ zi ɖeka wòzu nudzɔdzɔ kpata. Enye nusi sɔ. Gake ne èwɔ nu kaba la, viwòa ate ŋu ahaya bliboe evɔ magblẽ nu le eŋu ɣeyiɣi didi aɖeke o. Eyata ne ède dzesii be viwòa ƒe ŋku vuvu alo biã kpata la, yi ɖɔkta gbɔ enumake.

Kpuie ko la (Gbedasi si Wotsɔ Yi Aƒeme) .

Eyata, orbital cellulitis nye dɔlékui ƒe dɔléle si gblẽa nu le lãkusi siwo ƒo xlã ŋkua ŋu si ate ŋu adzɔ le ɖevi suewo me. Ne womekpɔe dze sii hedae kaba o la, ate ŋu ana ame nagate ŋu akpɔ nu o eye wòate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã.

• Dzesi veviwo: ŋkua ƒe vuvu, ŋku ƒe ʋuʋu, ŋku ƒe ʋuʋu, vevesese ne wole ŋkua ʋuʋum, dzoxɔxɔ.
• Nusiwo gbɔ wòtso: Zi geɖe la, etsoa sinus dɔlékuiwo ƒe kaka gbɔ.
• Atikewɔwɔ: Wodoa dɔlékuiwutikewo ɖe ʋuka me le kɔdzi, eye wotsɔa dɔlékuiwutike siwo woano kplɔe ɖo.
• Nu vevitɔ kekeake:Di atikewɔlawo ƒe aɖaŋuɖoɖo ne ènya de dzesi dɔlélea ƒe dzesiwo ko.

Ele vevie be nàlé be na viwòa ƒe lãmesẽ. Ne ènya nusiawo la, àte ŋu awɔ afɔɖeɖe kaba ne ehiã.

` Orbital Cellulitis, Ŋkudɔlélewo, Ŋkuwo ƒe Vuvu le Ðeviwo me, Sinus Dɔlékuiwo, Dɔlékuiwo ƒe Dɔlélewo, Ŋkudɔlélewo, Ðeviwo ƒe Lãmesẽ