He mea maʻamau ke makaʻu nui i ka ʻike ʻana i nā maka o kāu keiki liʻiliʻi e pehu koke ana a ʻulaʻula, ʻeā? I kekahi manawa hiki i nā maka ke pehu nui a hiki ʻole iā ʻoe ke wehe. Ke ʻike ʻoe i kahi mea e like me kēia, ʻaʻole ia he mea maʻamau ke noʻonoʻo, 'Auē, he aha ka mea i hana i kaʻu keiki?' I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi e hiki ke hana e like me kēia. ʻO ia ka Periorbital Cellulitis , a i ʻole e like me ke kāhea ʻana o nā kauka , ʻo Preseptal Cellulitis .
He aha kēia e hana maoli nei? (Periorbital Cellulitis / Preseptal Cellulitis)
I ka ʻōlelo maʻalahi, he maʻi bacteria ia o ka maka o kāu keiki a i ʻole ka ʻili a puni . I kekahi manawa hiki ke hana ʻia e kahi maʻi. ʻO "Peri-orbital" ke ʻano "a puni ka lua maka." No laila, pili ia i kahi maʻi o ka ʻili a puni ka maka. ʻO kēia kūlana ka mea maʻamau i nā keiki ʻōpio . Akā ʻo ka nūhou maikaʻi, ʻaʻole ia e hōʻeha nui, a hoʻōla koke ia me nā antibiotics .
I kēia manawa ke noʻonoʻo nei paha ʻoe no ke aha i kapa ʻia ai kēia ʻo "Preseptal Cellulitis." ʻO "Preseptal" ke ʻano "ma mua o ka septum." Ua like kēia septum me ka pale. Hoʻokaʻawale ia i ka ʻili a puni ka maka mai nā ʻiʻo hohonu i loko o ka maka. No laila, aia kēia maʻi ma waho o ka septum, ma nā papa o ka ʻili. ʻO ia ke kumu ʻaʻole ia he mea weliweli loa.
Eia nō naʻe, aia kekahi mea e pono ai mākou e makaʻala loa. Inā pālahalaha kēia maʻi ma ʻō aku o ka septum a i loko o nā ʻiʻo hohonu i loko o ka maka, ua kapa ʻia ʻo ia he orbital cellulitis . He kūlana weliweli loa ia a pono e mālama ʻia i ka haukapila a me ka mālama ʻana.
Pehea ʻoe e ʻike ai i kēia? (Nā hōʻailona)
Inā loaʻa i kāu keiki ka cellulitis periorbital, hiki iā ʻoe ke ʻike i nā hōʻailona penei:
- Pehu a pehu paha ka maka a puni ka maka: Hiki i ka ʻāpana a puni ka maka ke pehu koke. I kekahi manawa hiki ke koʻikoʻi loa ka pehu a pani loa ka maka. E noʻonoʻo e ala ana i ke kakahiaka a ʻike i kekahi o nā maka o kāu keiki ua pehu a ʻeha.
- ʻUlaʻula a ʻulaʻula paha o ka ʻili a puni nā maka: Hiki ke ʻulaʻula ka ʻili me ka pehu ʻana. I kekahi mau keiki, hiki ke ʻike ʻia kēia he poni, ma muli o ko lākou ʻili.
- Palupalu i ka hoʻopā ʻana: Hiki i ke keiki ke ʻōlelo he ʻeha iki ke hoʻopā ʻia, a i ʻole e ʻūmiʻū paha ke hoʻopā ʻoe iā lākou.
ʻO ka mea nui, ma kēia ʻano, ʻaʻohe ʻeha a kuni paha i loko o ka maka. Aia wale nō ka pehu ʻana ma ka ʻili, a ʻaʻole i hoʻopilikia ʻia ka ʻaoʻao o loko o ka maka. Inā pehu nā ʻiʻo i loko o ka maka, e ʻike ʻia paha ka maka e pehu ana. ʻO ia ka ʻokoʻa nui ma waena o nā mea ʻelua.
No ke aha e hana ai kēia? (Nā kumu)
ʻO ke kumu nui o ka preseptal cellulitis ʻo ke komo ʻana o ka bacteria i loko o ka ʻili a puni ka maka . Pehea e komo ai kēia mau bacteria?
- Nā maʻi sinus: Hiki i kahi maʻi i loko o nā sinuses ke laha i nā maka. ʻOi aku ka nui o ka loaʻa ʻana o nā maʻi sinus i nā keiki ʻōpio ke loaʻa iā lākou ke anu.
- Nā ʻeha ʻili:
- Nā ʻōpala a ʻoki paha: Inā loaʻa iā ʻoe kahi ʻōpala liʻiliʻi a ʻoki paha a puni ka maka a i ʻole ka ʻāpana kuʻemaka i ka wā e pāʻani ana a hāʻule paha, hiki i ka maʻi ke laha ma o ia mea.
- Nā nahu pepeke: Ke nahu kahi holoholona e like me ka makika, ka ʻanuʻu, a i ʻole ka pepeke a puni ka maka, hiki i ka bacteria ke komo ma o ka ʻeha.
- Nā nahu holoholona: He mea kākaʻikahi kēia, akā pono ʻoe e makaʻala inā e kahakaha ʻia ʻoe e kahi holoholona.
- ʻO nā maʻi maka ʻē aʻe: I kekahi manawa, hiki i kahi maʻi maka (e like me ka conjunctivitis) ke alakaʻi i kēia ʻano inā ʻaʻole mālama pono ʻia.
- Ke ala waimaka i ālai ʻia a loaʻa i ka maʻi: Inā ālai ʻia a loaʻa i ka maʻi ke ala waimaka o kahi pēpē, hiki i kēlā ke kumu o kēia.
E noʻonoʻo, ʻoiai kāu keiki e pāʻani ana, loaʻa iā ia kahi ʻōpala liʻiliʻi kokoke i kona kuʻemaka me kahi ʻāpana lāʻau liʻiliʻi. ʻAʻole ʻoe e nānā nui iā ia. I loko o ʻelua a ʻekolu paha lā, ʻulaʻula a pehu ke ʻōpala. Pēlā e hoʻomaka ai.
ʻO wai ka mea i pilikia nui no kēia maʻi?
ʻOi aku ka nui o ka loaʻa ʻana o kekahi mau keiki i ka cellulitis preseptal. E nānā kākou iā lākou:
- Nā keiki ma lalo o 5 mau makahiki: ʻOi aku ka pilikia o nā keiki o kēia makahiki no ka mea ʻaʻole i hoʻomohala piha ʻia ko lākou ʻōnaehana pale kino a loaʻa pinepine iā lākou ke anu.
- Nā keiki i hoʻopilikia ʻia ka pale ʻana o ka maʻi: Hiki i nā keiki i nāwaliwali ko lākou pale ʻana, inā ma muli o kahi maʻi a i ʻole nā lāʻau lapaʻau a lākou e lawe nei, ke loaʻa maʻalahi i ia mau maʻi.
- Nā keiki i loaʻa ʻole ka lāʻau pale Hib: Hiki ke hana ʻia kēia ʻano maʻi e kahi bacteria i kapa ʻia ʻo Haemophilus influenzae type b. Hāʻawi ka lāʻau pale Hib i ka pale ʻana i kēia bacteria.
He mea laha anei kēia?
He nīnau kēia a nā mākua he nui e makemake ai e ʻike. ʻAʻole, ʻaʻole laha pinepine ka cellulitis periorbital mai ke kanaka a i ke kanaka. ʻO kēia no ka mea aia ka maʻi ma lalo o ka ʻili. Eia nō naʻe, inā he ʻeha kāu keiki kokoke i ko lākou maka, hiki i ka bacteria mai kēlā ʻeha ke komo i loko o ka ʻeha hāmama o kekahi a hoʻoulu i kahi maʻi. Eia naʻe, ʻaʻole ia he hihia pololei o ka cellulitis periorbital.
Pehea e hoʻomaopopo pono ai nā kauka i kēia?
Ke lawe ʻoe i kāu keiki i ke kauka, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono i ka wahi a puni nā maka o kāu keiki. A laila, e nīnau lākou iā ʻoe e pili ana i nā ʻeha i hala koke aku nei, nā nahu holoholona, a i ʻole nā maʻi ʻē aʻe.
I kekahi manawa, inā koʻikoʻi loa ka pehu ʻana, hiki i ke kauka ke kauoha i kahi CT scan a i ʻole MRI e ʻike inā ua hoʻopilikia ʻia nā ʻiʻo hohonu i loko o ka maka. Hana ʻia kēia e hōʻoia ʻaʻohe pilikia o ke kūlana weliweli i kapa ʻia ʻo orbital cellulitis a mākou i kamaʻilio ai ma mua.
Eia kekahi, inā he kahe mai ka pepeiao a i ʻole ka ihu, hiki ke lawe ʻia kahi hāpana a hiki ke hana ʻia kahi hoʻāʻo moʻomeheu bacteria . Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ka bacteria kikoʻī e hoʻokumu ai i ka maʻi.
Pehea e mālama ʻia ai?
Pono e mālama ʻia ka cellulitis Periorbital (Preseptal Cellulitis) me nā antibiotics . Hiki ke hāʻawi pinepine ʻia kēia mau mea i ke keiki ma ka home ma ke ʻano o nā pila. Hoʻopau loa ka maʻi i loko o hoʻokahi pule.
Eia nō naʻe, inā ʻoi aku ka koʻikoʻi o ka maʻi o ke keiki, a inā ua nāwaliwali ka ʻōnaehana pale o ke keiki (no ka laʻana, ma muli o kekahi maʻi ʻē aʻe), hiki i ke kauka ke hoʻoholo e lawe i ke keiki i ka haukapila a hāʻawi i nā antibiotics ma o kahi paipu (IV - Intravenous) ma ke ʻano o ka saline . Ke hāʻawi ʻia ma kēia ʻano, ua komo koke nā lāʻau i loko o nā ʻiʻo o ke kino, e hopena ana i ka hoʻōla wikiwiki ʻana.
Āhea ʻoe e ʻike ai i ke kauka?
E ʻike koke i ke kauka ke ʻike ʻoe i kekahi mau hōʻailona o ka pehu ʻana a i ʻole ka ʻulaʻula a puni ka maka o kāu keiki. ʻOiai ʻaʻole ia he mea weliweli, inā ʻaʻole mālama koke ʻia, hiki iā ia ke lilo i kahi kūlana weliweli i kapa ʻia ʻo orbital cellulitis.
Eia kekahi, inā ʻaʻole hoʻomaikaʻi nā hōʻailona o kāu keiki ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau, a inā e ʻoi aʻe ka ʻino, e hoʻomaopopo hou i ke kauka.
Inā loaʻa i kāu keiki kekahi o nā hōʻailona ma lalo nei, e hele koke i ka lumi pilikia haukapila kokoke loa:
- kuni
- ʻEha nui i loko o ka maka
- Nā loli o ka ʻike (ʻike pōwehiwehi, ʻike pālua)
- Ka pehu ʻana o ka maka
Hōʻike kēia mau hōʻailona ua laha ka maʻi i loko o ka maka a ua lilo paha i orbital cellulitis. No laila , i ka manawa e like me kēia, mai hoʻokaʻulua.
He aha kaʻu e nīnau aku ai i ke kauka?
Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau penei:
- Loaʻa i kaʻu keiki ka periorbital cellulitis a i ʻole kekahi maʻi ʻē aʻe?
- Pono anei au e hoʻāʻo ʻia e hōʻoia ʻaʻole iaʻu ka orbital cellulitis?
- He aha ke ʻano o nā antibiotic i hāʻawi ʻia?
- Pehea ka lōʻihi e pono ai iaʻu ke hāʻawi i kēia lāʻau lapaʻau i kaʻu keiki?
He aha kaʻu e hana ai e pale aku i kēia kūlana?
Hiki iā ʻoe ke pale i kāu keiki mai kēia kūlana ma ka hana ʻana i kekahi mau hana liʻiliʻi:
- E hoʻomaʻemaʻe koke i nā ʻōpala, nā ʻoki, a i ʻole nā nahu holoholona i loaʻa i kāu keiki a kau i kahi antiseptic.Mai poina i kēia, no ka mea, ʻoiai he ʻeha liʻiliʻi paha e lilo i mea nui.
- E aʻo aku i kāu keiki e holoi pinepine i ko lākou mau lima. Eia kekahi, e haʻi aku iā lākou e pale i ka hoʻopā ʻana i ko lākou mau maka. ʻO ka hoʻopā ʻana i ko lākou mau maka me nā lima lepo e hoʻonui ai i ka pilikia o ka loaʻa ʻana o nā maʻi.
- E makaʻala hoʻi i nā maʻi maʻamau (e like me ke anu, nā sinuses). Inā hoʻomau lākou, e ʻimi i ke kōkua lapaʻau.
- E nīnau i kāu kauka keiki e pili ana i nā lāʻau pale e pono ai kāu keiki e loaʻa. Eia kekahi laʻana, pale ka lāʻau pale Hib i kēia mau ʻano maʻi.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
Hiki i ka preseptal cellulitis ke lilo i mea weliweli iki ke nānā aku, a i kekahi manawa hiki ke hoʻoulu i ka maka o ke keiki e pehu a hiki i ka pani ʻana. Eia nō naʻe, hiki iā ʻoe ke hōʻoia i kāu keiki ʻaʻole ia e hōʻeha nui, a e ho'ōla koke ia me ka lāʻau lapaʻau.
ʻO ka mea nui loa, ʻo ia ke ʻike koke i ke kauka. ʻAʻole ho'ōla ʻia ka preseptal cellulitis ma kāna iho, a inā pālahalaha ia, hiki iā ia ke hoʻonui i ka ʻoluʻolu ʻole a me ka pōʻino i ke keiki. No laila, e pale i kāu keiki ma ka hāʻawi ʻana i ka lāʻau lapaʻau koke.
Ke makemake nei i kāu keiki e ola koke!
ʻO ka pehu ʻana o ka maka, nā maʻi maka i nā keiki, ka cellulitis periorbital, ka cellulitis preseptal, nā maʻi a puni ka maka, nā maʻi bacteria, nā antibiotics











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