Ingaba umntwana wakho unesifo sokudumba esijikeleze amehlo akhe? Masifunde ngale meko iyingozi (i-Orbital Cellulitis)!

Ngaba ukhathazekile kukuba iliso lomntwana wakho lidumbile ngequbuliso, libomvu, kwaye mhlawumbi liyadumba? Ngaba unomkhuhlane kwaye kunzima ukuqhwanyaza? Musa ukuyityeshela nje loo nto. Isenokuba yimeko embi ebizwa ngokuba yi-orbital cellulitis . Ungakhathazeki, siza kuchaza yonke into ngokucacileyo nangokulula namhlanje.

Yintoni i-orbital cellulitis?

Ngamafutshane, i-orbital cellulitis lusulelo lwebhaktiriya kwizicubu ezithambileyo ezijikeleze amehlo ethu, ngaphakathi kwendlela ekhusela iliso. Khumbula, olu asilosulelo *ngaphakathi* kweliso, kodwa lusulelo lwezicubu *ezijikeleze* iliso olunokuchaphazela iliso kunye nombono.

Le meko ixhaphake kakhulu kubantwana abangaphantsi kweminyaka esi-7 ubudala , kwaye yimeko enzima kakhulu ekufuneka inyangwe ngokukhawuleza . Oku kungenxa yokuba olu sulelo lungonakalisa imithambo-luvo kunye nemithambo yegazi ejikeleze iliso kwaye lubangele ukulahleka kokubona, kodwa lunokusasazeka nakwingqondo okanye kwinkqubo yokujikeleza kwegazi, nto leyo enokuba yingozi ebomini. Yiyo loo nto sisithi kufuneka ubone ugqirha kwangoko nje ukuba uqaphela ezi mpawu.

Zithini iimpawu zoku? Uzibona njani?

Ngoku makhe sijonge iimpawu ze-orbital cellulitis kumntwana. Ukuba umntwana wakho unenye okanye ngaphezulu kwezi, ngokuqinisekileyo kuya kufuneka ufune ingcebiso kagqirha.

• Ukudumba kwamehlo kunye nolusu olujikeleze amehlo: Olu luphawu oluphambili. Lunokwahluka ukusuka kumashiya ukuya ezidleleni.
• Ukudumba kweliso: Iliso libonakala ngathi lityhalelwa phambili ngenxa yokudumba.
• Ubomvu okanye ukutshintsha kombala wolusu olujikeleze amehlo: Ngamanye amaxesha lunokuba ngumbala oluhlaza okwesibhakabhaka nomfusa.
• Intlungu okanye ukungakhululeki xa ushukumisa amehlo: Umntwana usenokungathandi ukuhambisa amehlo akhe ngasemva nangaphambili, kwaye usenokuva iintlungu xa esenza njalo.
• Ukuphazamiseka kokubona: Abanye abantwana banokuba nombono ofipheleyo okanye umbono ophindwe kabini.
• Umkhuhlane: Kuqhelekile ukuba nomkhuhlane kuba kukho usulelo emzimbeni.

Khawucinge nje, intombi yakho ibinomkhuhlane kangangeentsuku ezimbalwa. Ngequbuliso, xa uyijonga kusasa, elinye lamehlo ayo lidumbile kakhulu kwaye libomvu. Ithi ibuhlungu kwaye ayikuvumeli ukuba uyichukumise. Ikwanawo nomkhuhlane omncinci. Kulapho ke sifanele sicinge ukuba kukho i-orbital cellulitis.

Kutheni kukho i-orbital cellulitis? Zithini izizathu?

Isizathu esiphambili sale nto zii-sinuses ze-paranasal ezikufutshane nempumlo yethu.Oko kukuthi, usulelo oluvela kwimingxuma esiyibiza ngokuba zii-sinuses luze lusasazeke emehlweni. Uyazi, kufutshane nempumlo yethu, ngaphakathi kwentloko yethu, kukho imingxunya emincinci yomoya. Ezi zizinto esizibiza ngokuba zii-sinuses. Ezinye zezi, ingakumbi i-ethmoid sinus , zisondele kakhulu emehlweni. Enyanisweni, ezi zimbini zahlulwe yi-membrane encinci, enobukhulu bephepha. Ngoko ke, ukuba usulelo lwebhaktheriya luvela kwenye yezi sinuses, lunokusasaza ngokulula kuloo membrane incinci luze luye kwizicubu ezijikeleze iliso. Uninzi lwexesha, ezi zizifo ze-sinus ezibangelwa zizifo ze-staph okanye isifo se-pneumococcal .

Akunjalo kuphela, le meko inokwenzeka ngenxa yezizathu ezininzi:

• Usulelo lwesikhumba seenkophe: Ngamanye amaxesha usulelo oluvela kwinkophe, olufana ne -preseptal cellulitis, lunokusasazeka ngaphakathi luze lubangele i-orbital cellulitis.
• Ezinye izifo zolusu ebusweni: Ezinye izifo zolusu ezinzima, umzekelo, imeko efana ne -necrotizing fasciitis, nazo zinokubangela oku.
• Ukusasazeka kwesifo sendlebe okanye samazinyo: Usulelo lwendlebe okanye usulelo lwamazinyo ngamanye amaxesha lunokusasaza liye esweni.
• Ukulimala kweliso okanye kwindawo ejikeleze iliso: Ukuba into ibetha iliso ize ilimaze, iintsholongwane zingangena ngalo zize zibangele olu hlobo losulelo.

Zeziphi iingxaki eziyingozi ezinokubangela oku?

Njengoko besitshilo ngaphambili, i-orbital cellulitis ayisiyonto yokuyithatha lula. Ukuba ayinyangwa ngokukhawuleza, inokukhokelela kwiingxaki ezinkulu kakhulu.

• Ukulahlekelwa kukubona okanye ubumfama: Ukudumba kunye nosulelo olujikeleze iliso lunokonakalisa umthambo wokubona, onika iliso umbono. Okanye imithambo yegazi enika igazi iliso inokuvaleka, ithintele ukuhamba kwegazi kwiindawo ezithile zeliso kwaye ibangele ukulahleka kokubona ngokupheleleyo.
• Ukungasebenzi kakuhle kwemisipha yamehlo: Ngenxa yokudumba, izihlunu ezishukumisa iliso azisebenzi, nto leyo ebangela ukuba iliso libambeke kwindawo enye. Oku kunokubangela ukuba amehlo angakwazi ukugxila kwicala elinye, nto leyo ebangela ukuba abone kabini .
• Ukusasazeka kosulelo ebuchotsheni: Oku yeyona nto iyingozi kakhulu. Ukuba usulelo lusasazeka luye kwiinwebu ezijikeleze ubuchopho, lunokubangela i-meningitis . Okanye, lunokusasazeka luye kwimithambo yegazi ebizwa ngokuba yi-cavernous sinus ngaphakathi kwengqondo, nto leyo ebangela ukuba igazi liqhekeke . Oku kunokuba yingozi nakubomi.
• Ityhefu egazini (iSepsis): Nangona ingaqhelekanga, usulelo lunokusasazeka luye egazini, nto leyo ebangela imeko eyingozi ebizwa ngokuba yi-sepsis .

Kodwa ungoyiki,Konke oku kunokuthintelwa ukuba umntwana unikwa unyango olufanelekileyo ngokukhawuleza.

Oogqirha bakuqonda njani oku kanye kanye?

Xa usisa umntwana wakho kugqirha, ingakumbi ingcali yamehlo, into yokuqala ayenzayo kukumhlola kakuhle umntwana.

• Uvavanyo lomzimba: Ugqirha uza kukubuza ngeempawu zomntwana wakho, aze emva koko ahlolisise iliso elichaphazelekayo kunye nendawo ejikelezileyo. Umbono womntwana uza kuhlolwa.
• Imbali yezonyango: Ugqirha ngokuqinisekileyo uza kubuza ukuba umntwana ukhe wenzakala na esweni kutshanje, watyandwa ejikeleze iliso, okanye ezinye iimeko zempilo (umz., ii-sinus, usulelo lwendlebe).
• Uvavanyo lwemifanekiso: Ngamanye amaxesha, ugqirha wakho unokuyalela i -CT scan okanye i-MRI scan ukuze afumane ujongo oluneenkcukacha ngakumbi lwezicubu ezijikeleze iliso lakho, ukuze kufunyanwe unobangela wosulelo, okanye ukuze abone ukuba kukho iingxaki eziye zavela. Ezi zinokubona ngokucacileyo kwaneenkcukacha ezincinci ezijikeleze iliso lakho.
• Uvavanyo lokukhulisa iintsholongwane: Akunyanzelekanga rhoqo, kodwa ngamanye amaxesha olu vavanyo lwenziwa ukuze kuchongwe uhlobo oluchanekileyo lwentsholongwane ebangela usulelo. Oku kuya kunceda oogqirha bagqibe ukuba zeziphi ii-antibiotics ezilungele loo ntsholongwane.

Zithini iindlela zonyango zoku?

I-Orbital cellulitis inyangwa ngamayeza okubulala iintsholongwane (IV) . Oku kuthetha ukuba umntwana wakho kuya kufuneka ahlale esibhedlele iintsuku ezimbalwa . Amayeza anikwa ngetyhubhu encinci (i-catheter) efakwe emthanjeni engalweni. Le yeyona ndlela ilungileyo yokufumana amayeza emzimbeni wonke ngokukhawuleza nokulawula usulelo.

Xa iimpawu zomntwana ziphela kancinci kancinci aze azive engcono (ngesiqhelo kwiintsuku ezimbalwa), ugqirha uya kumthumela ekhaya umntwana. Emva koko baya kuqhubeka nokuthatha amayeza okubulala iintsholongwane omlomo kangangeeveki ezimbalwa.

Kunqabile kakhulu, utyando oluncinci lunokufuneka ukuze kunyangwe iingxaki ezibangelwa yi-orbital cellulitis. Umzekelo:

• Ukuba kukho ithumba elijikeleze iliso, khupha ubovu.
• Ukuba kukho izicubu ezifileyo, zisuse.
• Ukuba igazi liqhekekile, lisuse.
• Nciphisa uxinzelelo elisweni.

Ndifanele ndimbone nini ugqirha?

Oku kubaluleke kakhulu. Ukuba ubona naziphi na iimpawu ze-orbital cellulitis ezijikeleze iliso lomntwana wakho, musa ukulibazisa kwaye ubone ugqirha ngokukhawuleza, kungcono ukuba yingcali yamehlo. Le yimeko embi kakhulu, kodwa ukuba inyangwa ngokukhawuleza, umonakalo wexesha elide unokuthintelwa.

Kwakhona, xelela ugqirha wakho ukuba umntwana wakho unentsholongwane (umz., i-sinus, i-ear pus ) engasaphili, okanye ukuba ibonakala ngathi iyasasazeka. Ukuba iimpawu aziphucuki emva kweentsuku ezimbalwa zokusebenzisa amayeza okubulala iintsholongwane, xelela ugqirha wakho .

Xa ubona ugqirha, ungambuza imibuzo efana nale:

• Ngaba umntwana wam une-orbital cellulitis okanye olunye usulelo?
• Ivela phi le ntsholongwane? (Yintoni unobangela?)
• Ngaba umntwana wam uza kuhlala esibhedlele?
• Kuza kufuneka ndithathe amayeza okubulala iintsholongwane ixesha elingakanani?

Ngaba i-orbital cellulitis ingathintelwa?

Ewe, singakunceda ekuthinteleni oku ukuya kuthi ga kwinqanaba elithile. Eyona nto iphambili ekufuneka yenziwe kukunyangela ezinye izifo, ingakumbi ezo zenzeka kufutshane namehlo (ezifana nezifo ze-sinus, indlebe, kunye nosulelo lolusu), kwangoko nje ukuba zenzeke. Kwanezifo ezincinci, eziqhele ukungabi yingozi njenge-orbital cellulitis, zinokuba yingozi ukuba zisasazeka. Ke ngoko, ukunyanga ezo zifo ngokukhawuleza kunokuthintela ukuba zingasasazeki emehlweni.

Yintoni endimele ndiyilindele ukuba umntwana wam unale meko?

Kwiimeko ezininzi, ukuba unyango luqalwe kwangethuba, ungalindela ukuba umntwana wakho aphile ngokupheleleyo kwi-orbital cellulitis. Akunakwenzeka ukuba umntwana wakho afumane naziphi na iingxaki ezihlala ixesha elide. Nangona kunjalo, usulelo luya kufuneka lunyangwe ngee-antibiotics iiveki ezimbalwa ngaphambi kokuba luphele ngokupheleleyo. Kubalulekile ukuthatha yonke i-antibiotics echazwe ngugqirha wakho. Musa ukuyeka ukuthatha amayeza kuba nje umntwana wakho eziva ngcono. Ukwenza njalo kunokubangela ukuba usulelo lubuye.

I-Orbital cellulitis idla ngokuqala njengosulelo oluncinci. Ngoko ke, njengomzali womntwana omncinci, ungoyika kakhulu kwaye ukhathazeke xa usulelo olufana nolu lujika ngequbuliso lube yingxamiseko. Kuqhelekile. Nangona kunjalo, ukuba uthatha amanyathelo ngokukhawuleza, umntwana wakho angaphila ngokupheleleyo ngaphandle komonakalo wexesha elide. Ngoko ke, ukuba ubona ukudumba ngequbuliso okanye ukubomvu okujikeleze iliso lomntwana wakho, bona ugqirha ngokukhawuleza.

Isishwankathelo (Umyalezo Wokuya Ekhaya)

Ngoko ke, i-orbital cellulitis sisifo sebhaktheriya esichaphazela izicubu ezijikeleze iliso esinokwenzeka kubantwana abancinci. Ukuba asiqatshelwa kwaye sinyangwa ngokukhawuleza, sinokubangela ukulahleka kokubona kwaye sibe yingozi ebomini.

• Iimpawu eziphambili: ukudumba okujikeleze iliso, ukubomvu, ukudumba kweliso, iintlungu xa ushukumisa iliso, umkhuhlane.
• Izizathu: Zidla ngokubangelwa kukwanda kwezifo ze-sinus.
• Unyango: Ii-antibiotics ezifakwa esibhedlele ngemithambo yegazi, zilandelwe zii-antibiotics ezithathwa ngomlomo.
• Eyona nto ibalulekileyo:Funa ingcebiso kagqirha ngokukhawuleza nje ukuba uqaphela iimpawu.

Kubalulekile ukunyamekela impilo yomntwana wakho. Ngokuzazi ezi zinto, ungathatha amanyathelo ngokukhawuleza xa kufuneka.

I- Orbital Cellulitis, Izifo Zamehlo, Ukudumba Kwamehlo Ebantwaneni, Usulelo LweSinus, Usulelo Lweebhaktheriya, Usulelo Lwamehlo, Impilo Yomntwana