Ke ʻeha nei kāu keiki liʻiliʻi i ka pehu a puni ko lākou mau maka? E aʻo kākou e pili ana i kēia maʻi weliweli (Orbital Cellulitis)!

Ke hopohopo nei ʻoe ua pehu koke ka maka o kāu keiki liʻiliʻi, ʻulaʻula, a pehu paha? Loaʻa iā ia ke kuni a paʻakikī iā ia ke ʻālohilohi? A laila, mai hoʻowahāwahā wale. He maʻi koʻikoʻi paha ia i kapa ʻia ʻo orbital cellulitis . Mai hopohopo, e wehewehe mākou i nā mea āpau i kēia lā me ka maopopo a me ka maʻalahi.

He aha ka cellulitis orbital?

I ka ʻōlelo maʻalahi, ʻo ka orbital cellulitis kahi maʻi bacteria o nā ʻiʻo palupalu a puni ko mākou mau maka, i loko o ka orbit e pale ana i ka maka. E hoʻomanaʻo, ʻaʻole kēia he maʻi *i loko* o ka maka, akā ʻo ka maʻi o nā ʻiʻo *a puni* o ka maka hiki ke hoʻopilikia i ka maka a me ka ʻike.

ʻO kēia ke ʻano maʻamau i nā keiki ma lalo o 7 mau makahiki , a he ʻano koʻikoʻi ia e pono e mālama koke ʻia . ʻO kēia no ka mea hiki i kēia maʻi ke hōʻino i nā aʻalolo a me nā kīʻaha koko a puni ka maka a hiki ke nalowale ka ʻike, akā hiki nō hoʻi ke laha i ka lolo a i ʻole ka ʻōnaehana kahe koko, kahi mea e hoʻoweliweli ai i ke ola. ʻO ia ke kumu a mākou e ʻōlelo nei e pono ʻoe e ʻike i ke kauka i ka wā e ʻike ai ʻoe i kēia mau hōʻailona.

He aha nā hōʻailona o kēia? Pehea ʻoe e ʻike ai?

I kēia manawa, e nānā kākou i nā hōʻailona o ka orbital cellulitis i loko o kahi keiki. Inā loaʻa i kāu keiki kekahi a ʻoi aku paha o kēia mau mea, pono ʻoe e ʻimi i ke kōkua lapaʻau.

• Pehu ʻana o ka maka a me ka ʻili a puni nā maka: ʻO kēia ka hōʻailona nui. Hiki ke ʻano mai nā kuʻemaka a i nā papālina.
• Ka pehu ʻana o ka maka: Me he mea lā ua paʻi ʻia ka maka i mua ma muli o ka pehu ʻana.
• ʻUlaʻula a ʻulaʻula paha o ka ʻili a puni nā maka: I kekahi manawa hiki ke lilo i kala poni-uliuli.
• ʻEha a ʻeha paha i ka neʻe ʻana o nā maka: Hiki i ke keiki ke kānalua e neʻe i ko lākou mau maka i mua a i mua, a hiki ke ʻeha i ka wā e hana ai pēlā.
• Ka hemahema o ka ʻike: Loaʻa paha i kekahi mau keiki ka ʻike pohihihi a i ʻole ka ʻike pālua.
• Kuni: He mea maʻamau ke loaʻa ka kuni no ka mea aia kahi maʻi i loko o ke kino.

E noʻonoʻo, ua loaʻa i kāu kaikamahine ke anu no kekahi mau lā. I ka manawa koke, ke nānā aku ʻoe iā ia i ke kakahiaka, ua pehu loa kekahi o kona mau maka a ʻulaʻula. Ua ʻōlelo ʻo ia he ʻeha ia a ʻaʻole ʻoe e ʻae iā ia e hoʻopā iā ia. Loaʻa iā ia kahi kuni iki. ʻO kēia ka manawa e manaʻo ai mākou he orbital cellulitis.

No ke aha e kū mai ai ka orbital cellulitis? He aha nā kumu?

ʻO ke kumu nui o kēia, ʻo ia nā sinuses paranasal kokoke i ko mākou ihu.I loko, ʻo ia hoʻi, kahi maʻi e kū mai ana i loko o nā lua a mākou e kapa nei he sinuses a pālahalaha i ka maka. ʻIke ʻoe, a puni ko mākou ihu, i loko o ko mākou iwi poʻo, aia nā lua ea liʻiliʻi. ʻO kēia ka mea a mākou e kapa nei he sinuses. ʻO kekahi o kēia mau mea, ʻoi aku ka sinus ethmoid , kokoke loa i ka maka. ʻO ka ʻoiaʻiʻo, ua hoʻokaʻawale ʻia nā mea ʻelua e kahi membrane lahilahi, ka nui o kahi ʻāpana pepa. No laila, inā loaʻa kahi maʻi bacteria i kekahi o kēia mau sinuses, hiki ke pālahalaha maʻalahi ma kēlā membrane lahilahi a i loko o nā ʻiʻo a puni ka maka. ʻO ka hapa nui o ka manawa, he mau maʻi sinus kēia i hoʻokumu ʻia e nā maʻi staph a i ʻole ka maʻi pneumococcal .

ʻAʻole wale ia, hiki ke hana ʻia kēia kūlana ma muli o kekahi mau kumu ʻē aʻe:

• Nā maʻi ʻili o ka maka: I kekahi manawa, hiki i kahi maʻi e kū mai ana i ka maka, e like me ka preseptal cellulitis, ke pālahalaha i loko a hana i ka orbital cellulitis.
• ʻO nā maʻi ʻē aʻe ma ka maka: ʻO kekahi mau maʻi ʻili koʻikoʻi, no ka laʻana, kahi ʻano e like me ka necrotizing fasciitis, hiki ke hana i kēia.
• Ka laha ʻana o ka maʻi pepeiao a i ʻole ka niho: Hiki i ka maʻi pepeiao a i ʻole ka maʻi niho ke laha i ka maka i kekahi manawa.
• Nā ʻeha i ka maka a i ʻole ka ʻāpana a puni ka maka: Inā paʻi kekahi mea i ka maka a hōʻeha iā ia, hiki i ka bacteria ke komo ma o ia mea a hana i kēia ʻano maʻi.

He aha nā pilikia weliweli e hiki ai i kēia ke hana?

E like me kā mākou i ʻōlelo ai ma mua, ʻaʻole ia he mea e lawe māmā ʻia ai ka orbital cellulitis. Inā ʻaʻole e mālama koke ʻia, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi loa.

• Ka nalowale ʻana o ka ʻike a i ʻole ka makapō: Hiki i ka pehu ʻana a me ka maʻi a puni ka maka ke hōʻino i ke aʻalolo optic, ka mea e hāʻawi ai i ka ʻike i ka maka. A i ʻole hiki ke ālai ʻia nā kīʻaha koko e hāʻawi ana i ke koko i ka maka, e ʻoki ana i ke kahe koko i nā ʻāpana o ka maka a e nalowale loa ai ka ʻike.
• Ka hana pono ʻole o nā ʻiʻo maka: Ma muli o ka pehu ʻana, lilo nā ʻiʻo e hoʻoneʻe ai i ka maka i mea hana ʻole, e hoʻopaʻa ai i ka maka ma kahi hoʻokahi. Hiki i kēia ke kumu i ka hiki ʻole i nā maka ke nānā pono i ka ʻaoʻao like, e hopena ai i ka ʻike pālua .
• Ka laha ʻana o ka maʻi i ka lolo: ʻO kēia ka mea weliweli loa. Inā laha ka maʻi i nā membrane e hoʻopuni ana i ka lolo, hiki iā ia ke hana i ka meningitis . A i ʻole, hiki iā ia ke laha i kahi kīʻaha koko i kapa ʻia ʻo ka cavernous sinus i loko o ka lolo, e hana ana i kahi clot koko . Hiki i kēia mau mea ke hoʻoweliweli i ke ola.
• Ka lāʻau make koko (Sepsis): ʻOiai he mea kakaikahi, hiki i ka maʻi ke laha i ke kahe koko, e hana ana i kahi maʻi weliweli i kapa ʻia ʻo sepsis .

Akā, mai makaʻu ʻoe,Hiki ke pale ʻia kēia mau mea a pau inā hāʻawi ʻia ke keiki i ka lāʻau lapaʻau kūpono i ka wā hikiwawe loa.

Pehea e hoʻomaopopo pono ai nā kauka i kēia?

Ke lawe ʻoe i kāu keiki i ke kauka, ʻoiai he loea maka, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono i ke keiki.

• Hoʻokolokolo kino: E nīnau ke kauka iā ʻoe e pili ana i nā hōʻailona o kāu keiki, a laila e nānā pono i ka maka i hoʻopilikia ʻia a me ka ʻāpana a puni. E nānā ʻia hoʻi ka ʻike o ke keiki.
• Mōʻaukala lapaʻau: E nīnau pono ke kauka inā ua loaʻa i ke keiki kekahi mau ʻeha maka i hala koke aku nei, ke ʻoki ʻana a puni ka maka, a i ʻole nā ​​​​​​kūlana olakino ʻē aʻe (e laʻa, sinus, maʻi pepeiao).
• Nā hoʻāʻo kiʻi: I kekahi manawa, e kauoha paha kāu kauka i kahi CT scan a i ʻole MRI scan e nānā pono i nā ʻiʻo a puni kou maka, e ʻike i ke kumu o kahi maʻi, a i ʻole e ʻike inā ua ulu nā pilikia. Hiki i kēia mau mea ke ʻike maopopo i nā kikoʻī liʻiliʻi loa a puni kou maka.
• Hoʻāʻo moʻomeheu bacteria: ʻAʻole pono mau, akā i kekahi manawa hana ʻia kēia hoʻāʻo e ʻike i ke ʻano kikoʻī o ka bacteria e hoʻoulu ai i ka maʻi. E kōkua kēia i nā kauka e hoʻoholo i nā antibiotics maikaʻi loa no kēlā bacteria.

He aha nā lāʻau lapaʻau no kēia?

Hoʻōla ʻia ka orbital cellulitis me nā lāʻau antibiotic intravenous (IV) . ʻO ia hoʻi, pono kāu keiki e noho ma ka haukapila no kekahi mau lā . Hāʻawi ʻia ka lāʻau lapaʻau ma o kahi paipu liʻiliʻi (catheter) i kau ʻia i loko o kahi aa ma ka lima. ʻO kēia ke ala maikaʻi loa e hoʻolaha koke ai i ka lāʻau lapaʻau ma ke kino holoʻokoʻa a kāohi i ka maʻi.

Ke emi mālie nā hōʻailona o ke keiki a hoʻomaka ʻo ia e ʻoluʻolu (maʻamau i loko o kekahi mau lā), e hoʻouna ke kauka i ke keiki i ka home. A laila e hoʻomau lākou i ka lawe ʻana i nā lāʻau antibiotic waha no kekahi mau pule.

ʻAʻole pinepine loa, pono paha ke ʻoki liʻiliʻi e mālama i nā pilikia i hoʻokumu ʻia e ka orbital cellulitis. Eia kekahi laʻana:

• Inā he ʻōpū a puni ka maka, e hoʻokahe i ka pus.
• Inā he ʻiʻo make, e wehe.
• Inā ua hana ʻia kahi ʻūpā koko, e wehe.
• E ho'ēmi i ke kaomi i loko o ka maka.

Āhea wau e ʻike ai i ke kauka?

He mea nui loa kēia. Inā ʻike ʻoe i kekahi mau hōʻailona o ka orbital cellulitis a puni ka maka o kāu keiki, mai hoʻokaʻulua a e ʻike koke i ke kauka, ʻoi aku ka maikaʻi o kahi ophthalmologist. He kūlana koʻikoʻi loa kēia, akā inā mālama koke ʻia, hiki ke pale ʻia ka pōʻino lōʻihi.

Eia kekahi, e haʻi aku i kāu kauka inā loaʻa i kāu keiki kahi maʻi (e laʻa, sinus, pus pepeiao) ʻaʻole e hoʻomaikaʻi ana, a inā paha e pālahalaha ana. Inā ʻaʻole e hoʻomaikaʻi nā hōʻailona ma hope o kekahi mau lā o nā lāʻau antibiotic, e haʻi aku i kāu kauka .

Ke ʻike ʻoe i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• Loaʻa i kaʻu keiki ka orbital cellulitis a i ʻole kekahi maʻi ʻē aʻe?
• No hea mai kēia maʻi? (He aha ke kumu?)
• Pono anei kaʻu keiki e noho i loko o ka haukapila?
• Pehea ka lōʻihi e pono ai iaʻu e lawe i nā antibiotics?

Hiki ke pale ʻia ka orbital cellulitis?

ʻAe, hiki iā mākou ke kōkua i ka pale ʻana i kēia i kekahi ʻano. ʻO ka mea nui e hana ai, ʻo ia ka mālama ʻana i nā maʻi ʻē aʻe, ʻoiai nā mea e kū kokoke ana i nā maka (e like me ka sinus, ka pepeiao, a me nā maʻi ʻili), i ka wā e kū mai ai. ʻOiai nā maʻi liʻiliʻi, ʻaʻole i koʻikoʻi e like me ka orbital cellulitis, hiki ke lilo i mea weliweli inā laha lākou. No laila, ʻo ka mālama koke ʻana i kēlā mau maʻi hiki ke pale iā lākou mai ka laha ʻana i ka maka.

He aha kaʻu e manaʻo ai inā loaʻa kēia maʻi i kaʻu keiki?

I ka hapanui o nā hihia, inā hoʻomaka mua ka lāʻau lapaʻau, hiki iā ʻoe ke manaʻo i ka hoʻōla piha ʻana mai ka orbital cellulitis. ʻAʻole paha e loaʻa i kāu keiki kekahi mau pilikia lōʻihi. Eia nō naʻe, pono e mālama ʻia ka maʻi me nā antibiotics no kekahi mau pule ma mua o ka nalowale loa ʻana. He mea nui e lawe i ka papa holoʻokoʻa o nā antibiotics a kāu kauka i kuhikuhi ai. Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau no ka mea ua ʻoi aku ka maikaʻi o kāu keiki. ʻO ka hana ʻana pēlā e hoʻi hou mai ai ka maʻi.

Hoʻomaka pinepine ka orbital cellulitis ma ke ʻano he maʻi liʻiliʻi. No laila, ma ke ʻano he makua o kahi keiki ʻōpio, makaʻu paha ʻoe a hopohopo i ka wā e lilo koke ai kahi maʻi e like me kēia i pilikia. He mea maʻamau ia. Eia nō naʻe, inā ʻoe e hana wikiwiki, hiki i kāu keiki ke ho'ōla piha me ka ʻole o ka hōʻino lōʻihi. No laila, inā ʻike ʻoe i kekahi pehu koke a ʻulaʻula paha a puni ka maka o kāu keiki, e ʻike koke i ke kauka.

Hōʻuluʻulu Manaʻo (Leka Lawe-Home)

No laila, ʻo ka orbital cellulitis kahi maʻi bacteria e hoʻopilikia ana i nā ʻiʻo a puni ka maka e hiki ke loaʻa i nā keiki ʻōpio. Inā ʻaʻole i ʻike ʻia a mālama koke ʻia, hiki iā ia ke hōʻeha i ka ʻike a hiki ke hoʻoweliweli i ke ola.

• Nā hōʻailona nui: pehu a puni ka maka, ʻulaʻula, pehu o ka maka, ʻeha i ka neʻe ʻana o ka maka, kuni.
• Nā kumu: I ka manawa pinepine ma muli o ka laha ʻana o nā maʻi sinus.
• Lapaʻau: Nā lāʻau antibiotic intravenous i loko o ka haukapila, a ukali ʻia e nā lāʻau antibiotic waha.
• ʻO ka mea nui loa:E ʻimi i ke kōkua lapaʻau i ka wā e ʻike ai ʻoe i nā hōʻailona.

He mea nui e mālama i ke olakino o kāu keiki. Ma ka ʻike ʻana i kēia mau mea, hiki iā ʻoe ke hana koke i ka wā e pono ai.

ʻO ka Cellulitis Orbital, nā maʻi maka, ka pehu ʻana o nā maka i nā keiki, nā maʻi sinus, nā maʻi bacteria, nā maʻi maka, ke olakino o ke keiki