Koj tus me nyuam puas muaj teeb meem o ntawm lawv lub qhov muag? Cia peb kawm txog qhov mob txaus ntshai no (Orbital Cellulitis)!

Koj puas txhawj tias koj tus me nyuam lub qhov muag tau o, liab, thiab tej zaum yuav loj? Puas yog nws kub taub hau thiab nyuaj rau ntsais muag? Yog li ntawd tsis txhob tsis quav ntsej nws. Nws yuav yog ib qho mob loj heev hu ua orbital cellulitis . Tsis txhob txhawj, peb yuav piav qhia txhua yam kom meej thiab yooj yim hnub no.

Mob cellulitis hauv qhov muag yog dab tsi?

Hais yooj yim xwb, mob orbital cellulitis yog kev kis kab mob ntawm cov nqaij mos mos nyob ib puag ncig peb lub qhov muag, sab hauv lub orbit uas tiv thaiv lub qhov muag. Nco ntsoov tias qhov no tsis yog kev kis kab mob *sab hauv* lub qhov muag, tab sis kev kis kab mob ntawm cov nqaij *nyob ib puag ncig* lub qhov muag tuaj yeem cuam tshuam rau lub qhov muag thiab qhov muag pom kev.

Tus mob no feem ntau tshwm sim rau cov menyuam yaus hnub nyoog qis dua 7 xyoo , thiab nws yog ib qho mob hnyav uas yuav tsum tau kho sai sai . Qhov no yog vim tias tus kab mob no tuaj yeem ua rau cov hlab ntsha thiab cov hlab ntsha nyob ib puag ncig lub qhov muag puas tsuaj thiab ua rau pom kev tsis meej, tab sis nws kuj tuaj yeem kis mus rau lub hlwb lossis lub cev ncig ntshav, uas tuaj yeem ua rau tuag taus. Yog vim li ntawd peb thiaj hais tias koj yuav tsum mus ntsib kws kho mob sai li sai tau thaum koj pom cov tsos mob no.

Cov tsos mob ntawm qhov no yog dab tsi? Koj paub nws li cas?

Tam sim no cia peb saib cov tsos mob ntawm tus kab mob orbital cellulitis hauv ib tug me nyuam. Yog tias koj tus me nyuam muaj ib lossis ntau yam ntawm cov no, koj yuav tsum nrhiav kev pab kho mob.

• Qhov muag o thiab daim tawv nqaij nyob ib ncig ntawm qhov muag: Qhov no yog cov tsos mob tseem ceeb. Nws tuaj yeem yog txij ntawm pob muag mus rau sab plhu.
• Qhov muag o: Lub qhov muag zoo li raug thawb mus tom ntej vim yog o.
• Liab lossis hloov xim ntawm daim tawv nqaij nyob ib puag ncig lub qhov muag: Qee zaum nws tuaj yeem yog xim xiav-ntshav.
• Mob lossis tsis xis nyob thaum txav lub qhov muag: Tus menyuam yuav tsis kam txav lawv lub qhov muag mus los, thiab yuav mob thaum ua li ntawd.
• Kev Pom Kev Tsis Zoo: Qee tus menyuam yaus yuav pom kev tsis meej lossis pom ob sab.
• Kub taub hau: Nws yog ib qho ib txwm muaj kub taub hau vim tias muaj kev kis kab mob hauv lub cev.

Xav txog seb, koj tus ntxhais tau mob khaub thuas tau ob peb hnub lawm. Ua cas thaum koj ntsia nws thaum sawv ntxov, nws ib lub qhov muag o thiab liab heev. Nws hais tias nws mob thiab tsis pub koj kov nws. Nws kuj kub taub hau me ntsis thiab. Qhov no yog lub sijhawm uas peb yuav tsum xav tias mob orbital cellulitis.

Vim li cas thiaj muaj mob orbital cellulitis? Dab tsi yog cov ua rau muaj?

Qhov laj thawj tseem ceeb rau qhov no yog cov paranasal sinuses nyob ze peb lub qhov ntswg.Hauv, uas yog, kev kis kab mob uas tshwm sim hauv cov qhov uas peb hu ua sinuses thiab kis mus rau lub qhov muag. Koj paub, nyob ib puag ncig peb lub qhov ntswg, sab hauv peb lub pob txha taub hau, muaj cov qhov cua me me. Cov no yog qhov peb hu ua sinuses. Qee qhov ntawm cov no, tshwj xeeb tshaj yog ethmoid sinus , nyob ze heev rau lub qhov muag. Qhov tseeb, ob qho no raug sib cais los ntawm daim nyias nyias, qhov loj ntawm ib daim ntawv. Yog li, yog tias muaj kev kis kab mob bacterial tshwm sim hauv ib qho ntawm cov sinuses no, nws tuaj yeem kis tau yooj yim hla daim nyias nyias ntawd thiab mus rau hauv cov ntaub so ntswg nyob ib puag ncig lub qhov muag. Feem ntau ntawm lub sijhawm, cov no yog kev kis kab mob sinus los ntawm kev kis kab mob staph lossis kab mob pneumococcal .

Tsis tas li ntawd xwb, qhov xwm txheej no kuj tseem tuaj yeem tshwm sim vim muaj ntau lwm yam laj thawj:

• Kab mob ntawm daim tawv muag: Qee zaum kab mob uas tshwm sim hauv daim tawv muag, xws li preseptal cellulitis, tuaj yeem kis mus rau sab hauv thiab ua rau muaj kab mob orbital cellulitis.
• Lwm yam kab mob ntawm lub ntsej muag: Qee qhov kab mob ntawm daim tawv nqaij hnyav, piv txwv li, ib qho mob zoo li necrotizing fasciitis, kuj tuaj yeem ua rau qhov no.
• Kev kis kab mob pob ntseg lossis hniav: Kev kis kab mob pob ntseg lossis kev kis kab mob hniav qee zaum tuaj yeem kis mus rau lub qhov muag.
• Kev raug mob rau lub qhov muag lossis thaj chaw nyob ib puag ncig lub qhov muag: Yog tias muaj dab tsi ntaus lub qhov muag thiab ua rau nws raug mob, cov kab mob tuaj yeem nkag mus rau hauv nws thiab ua rau muaj hom kab mob no.

Qhov no ua rau muaj teeb meem txaus ntshai dab tsi?

Zoo li peb tau hais ua ntej lawm, mob orbital cellulitis tsis yog ib yam uas yuav tsum saib yooj yim. Yog tias tsis kho sai sai, nws tuaj yeem ua rau muaj teeb meem loj heev.

• Kev pom kev tsis meej los yog dig muag: Kev o thiab kev kis kab mob nyob ib puag ncig lub qhov muag tuaj yeem ua rau lub paj hlwb optic puas tsuaj, uas muab kev pom kev rau lub qhov muag. Los yog cov hlab ntsha uas muab ntshav rau lub qhov muag tuaj yeem raug thaiv, txiav cov ntshav ntws mus rau qee qhov ntawm lub qhov muag thiab ua rau pom kev tsis meej kiag li.
• Cov leeg nqaij ntawm lub qhov muag ua haujlwm tsis zoo: Vim yog qhov o, cov leeg nqaij uas txav lub qhov muag yuav tsis ua haujlwm, ua rau lub qhov muag daig rau ib qho chaw. Qhov no tuaj yeem ua rau lub qhov muag tsis tuaj yeem tsom mus rau tib qho kev taw qhia, ua rau pom ob sab .
• Kev kis tus kab mob mus rau lub hlwb: Qhov no yog qhov txaus ntshai tshaj plaws. Yog tias tus kab mob kis mus rau cov ntaub so ntswg uas nyob ib puag ncig lub hlwb, nws tuaj yeem ua rau mob meningitis . Los yog, nws tuaj yeem kis mus rau cov hlab ntsha hu ua cavernous sinus hauv lub hlwb, ua rau cov ntshav txhaws . Cov no tuaj yeem ua rau tuag taus.
• Kev lom ntshav (Sepsis): Txawm hais tias tsis tshua muaj, tus kab mob tuaj yeem kis mus rau hauv cov ntshav, ua rau muaj mob txaus ntshai hu ua sepsis .

Tiamsis tsis txhob ntshai,Tag nrho cov no tuaj yeem tiv thaiv tau yog tias tus menyuam tau txais kev kho mob kom sai li sai tau.

Cov kws kho mob yuav paub qhov no li cas tiag?

Thaum koj coj koj tus menyuam mus ntsib kws kho mob, tshwj xeeb yog tus kws kho qhov muag, thawj qhov uas nws ua yog kuaj xyuas tus menyuam kom huv si.

• Kev kuaj lub cev: Tus kws kho mob yuav nug koj txog cov tsos mob ntawm koj tus menyuam, tom qab ntawd ua tib zoo kuaj lub qhov muag uas raug mob thiab thaj chaw ib puag ncig. Tus menyuam txoj kev pom kev kuj yuav raug kuaj xyuas.
• Keeb kwm mob: Tus kws kho mob yuav nug seb tus menyuam puas tau raug mob qhov muag tsis ntev los no, phais ib ncig ntawm qhov muag, lossis lwm yam mob (piv txwv li, mob ntsws, mob pob ntseg).
• Kev kuaj duab: Qee zaum, koj tus kws kho mob yuav hais kom koj ua CT scan lossis MRI scan kom pom cov nqaij nyob ib puag ncig koj lub qhov muag kom meej dua, nrhiav qhov ua rau muaj kev kis kab mob, lossis saib seb puas muaj teeb meem tshwm sim. Cov no tuaj yeem pom meej txawm tias cov ntsiab lus me tshaj plaws nyob ib puag ncig koj lub qhov muag.
• Kev kuaj kab mob bacterial: Tsis yog txhua lub sijhawm yuav tsum tau ua, tab sis qee zaum qhov kev kuaj no yog ua los txheeb xyuas hom kab mob bacterial uas ua rau muaj kev kis kab mob. Qhov no yuav pab cov kws kho mob txiav txim siab seb cov tshuaj tua kab mob twg zoo tshaj plaws rau cov kab mob ntawd.

Cov kev kho mob rau qhov no yog dab tsi?

Kev kho mob orbital cellulitis yog siv cov tshuaj tua kab mob hauv cov hlab ntsha (IV) . Qhov no txhais tau tias koj tus menyuam yuav tsum tau nyob hauv tsev kho mob ob peb hnub . Cov tshuaj no raug muab los ntawm ib lub raj me me (catheter) uas muab tso rau hauv cov hlab ntsha hauv caj npab. Qhov no yog txoj hauv kev zoo tshaj plaws kom tau txais cov tshuaj thoob plaws lub cev sai sai thiab tswj kev kis kab mob.

Thaum tus me nyuam cov tsos mob maj mam ploj mus thiab nws pib zoo dua (feem ntau yog li ob peb hnub), tus kws kho mob yuav xa tus me nyuam mus tsev. Tom qab ntawd lawv yuav noj tshuaj tua kab mob ntxiv rau ob peb lub lis piam.

Tsis tshua muaj, tej zaum yuav xav tau kev phais me me los kho cov teeb meem uas tshwm sim los ntawm orbital cellulitis. Piv txwv li:

• Yog muaj ib qho abscess nyob ib ncig ntawm lub qhov muag, ces muab cov kua qaub ntawd rho tawm.
• Yog tias muaj cov nqaij tuag lawm, tshem tawm.
• Yog tias muaj cov ntshav txhaws, tshem nws tawm.
• Txo qhov siab hauv lub qhov muag.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Qhov no tseem ceeb heev. Yog tias koj pom muaj cov tsos mob ntawm tus kab mob orbital cellulitis nyob ib ncig ntawm koj tus menyuam lub qhov muag, tsis txhob ncua sijhawm thiab mus ntsib kws kho mob tam sim ntawd, zoo dua yog mus ntsib kws kho qhov muag. Qhov no yog ib qho mob hnyav heev, tab sis yog tias kho sai, kev puas tsuaj mus sij hawm ntev tuaj yeem tiv thaiv tau.

Tsis tas li ntawd, qhia rau koj tus kws kho mob yog tias koj tus menyuam muaj kev kis kab mob (piv txwv li, qhov ntswg, pob ntseg ) uas tsis zoo dua, lossis yog tias nws zoo li kis mus. Yog tias cov tsos mob tsis zoo dua tom qab ob peb hnub ntawm kev siv tshuaj tua kab mob, qhia rau koj tus kws kho mob .

Thaum koj mus ntsib kws kho mob, koj tuaj yeem nug cov lus nug zoo li no:

• Kuv tus menyuam puas muaj mob orbital cellulitis lossis lwm yam kab mob?
• Tus kab mob no los qhov twg los? (Ua cas ho muaj li no?)
• Puas yog kuv tus menyuam yuav tsum tau nyob hauv tsev kho mob?
• Kuv yuav tau noj tshuaj tua kab mob ntev npaum li cas?

Puas tuaj yeem tiv thaiv tau tus kab mob orbital cellulitis?

Yog, peb tuaj yeem pab tiv thaiv qhov no rau qee yam. Qhov tseem ceeb tshaj plaws yog kho lwm yam kab mob, tshwj xeeb tshaj yog cov uas tshwm sim ze ntawm lub qhov muag (xws li mob ntsws, pob ntseg, thiab mob tawv nqaij), sai li sai tau thaum lawv tshwm sim. Txawm tias cov kab mob me me, uas feem ntau tsis loj npaum li mob orbital cellulitis, tuaj yeem ua rau muaj kev phom sij yog tias lawv kis mus rau qhov muag. Yog li ntawd, kev kho cov kab mob no sai sai tuaj yeem tiv thaiv lawv kom tsis txhob kis mus rau lub qhov muag.

Yog tias kuv tus menyuam muaj tus mob no, kuv yuav tsum xav li cas?

Feem ntau, yog tias kev kho mob pib thaum ntxov, koj tuaj yeem cia siab tias yuav zoo tag nrho los ntawm tus kab mob orbital cellulitis. Koj tus menyuam yuav tsis muaj teeb meem mus sij hawm ntev. Txawm li cas los xij, tus kab mob yuav tsum tau kho nrog tshuaj tua kab mob rau ob peb lub lis piam ua ntej nws ploj mus tag. Nws yog ib qho tseem ceeb uas yuav tsum noj tag nrho cov tshuaj tua kab mob uas koj tus kws kho mob tau sau tseg. Tsis txhob tsum noj tshuaj tsuas yog vim koj tus menyuam xav tias zoo dua. Ua li ntawd yuav ua rau tus kab mob rov qab los.

Feem ntau tus kab mob orbital cellulitis pib ua ib qho kev kis kab mob me me. Yog li ntawd, ua ib tug niam txiv ntawm ib tug menyuam yaus, koj yuav ntshai thiab txhawj xeeb heev thaum muaj kev kis kab mob zoo li no hloov mus ua qhov xwm txheej ceev. Nws yog ib qho ib txwm muaj. Txawm li cas los xij, yog tias koj ua sai sai, koj tus menyuam tuaj yeem rov zoo tag nrho yam tsis muaj kev puas tsuaj mus sij hawm ntev. Yog li, yog tias koj pom muaj qhov o lossis liab ntawm koj tus menyuam lub qhov muag, mus ntsib kws kho mob tam sim ntawd.

Cov Lus Qhia Txog (Cov Lus Qhia Coj Mus Tsev)

Yog li, orbital cellulitis yog ib qho kab mob bacterial uas cuam tshuam rau cov nqaij ntawm lub qhov muag uas tuaj yeem tshwm sim rau cov menyuam yaus. Yog tias tsis paub thiab kho sai sai, nws tuaj yeem ua rau pom kev tsis meej thiab txawm tias muaj kev phom sij rau lub neej.

• Cov tsos mob tseem ceeb: o ntawm ib ncig ntawm lub qhov muag, liab, qhov muag o, mob thaum txav lub qhov muag, kub taub hau.
• Ua rau: Feem ntau yog vim muaj kev kis tus kab mob ntawm lub qhov ntswg.
• Kev Kho Mob: Muab tshuaj tua kab mob rau hauv cov hlab ntsha hauv tsev kho mob, tom qab ntawd muab tshuaj tua kab mob noj.
• Qhov tseem ceeb tshaj plaws:Nrhiav kev pab kho mob sai li sai tau thaum koj pom cov tsos mob.

Nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuas koj tus menyuam txoj kev noj qab haus huv. Thaum koj paub txog tej no, koj tuaj yeem ua tau sai sai thaum twg xav tau.

Kab mob Orbital Cellulitis, Kab mob qhov muag, Qhov muag o rau cov menyuam yaus, Kab mob Sinus, Kab mob Bacterial, Kab mob qhov muag, Kev noj qab haus huv ntawm menyuam yaus