Ingabe ingane yakho ihlushwa ukuvuvukala okuzungeze amehlo ayo? Ake sifunde ngalesi simo esiyingozi (i-Orbital Cellulitis)!

Ukhathazekile yini ukuthi iso lomntwana wakho selivuvukele ngokuzumayo, libomvu, futhi mhlawumbe liyavuvukala? Ingabe unomkhuhlane futhi ukuthola kunzima ukucwayiza? Ungamane nje ungawunaki. Kungaba yisimo esibi esibizwa ngokuthi i-orbital cellulitis . Ungakhathazeki, sizochaza konke ngokucacile nangokulula namuhla.

Kuyini i-orbital cellulitis?

Kalula nje, i-orbital cellulitis ukutheleleka ngamagciwane kwezicubu ezithambile ezizungeze amehlo ethu, ngaphakathi komzila ovikela iso. Khumbula, lokhu akusikho ukutheleleka *ngaphakathi* kweso, kodwa ukutheleleka kwezicubu *ezizungeze* iso kungathinta iso kanye nombono.

Lesi simo sivame kakhulu ezinganeni ezingaphansi kweminyaka engu-7 , futhi yisimo esibi kakhulu esidinga ukwelashwa ngokushesha okukhulu . Lokhu kungenxa yokuthi lesi sifo singalimaza imizwa nemithambo yegazi ezungeze iso futhi sibangele ukulahlekelwa umbono, kodwa singasakazekela ebuchosheni noma ohlelweni lokujikeleza kwegazi, okungaba yingozi empilweni. Yingakho sithi kufanele ubonane nodokotela ngokushesha nje lapho ubona lezi zimpawu.

Ziyini izimpawu zalokhu? Ukubona kanjani?

Manje ake sibheke izimpawu ze-orbital cellulitis enganeni. Uma ingane yakho inesinye noma ngaphezulu kwalezi, kufanele nakanjani ufune iseluleko sezokwelapha.

• Ukuvuvukala kwamehlo kanye nesikhumba esizungeze amehlo: Lolu uphawu oluyinhloko. Lungasukela emashiya kuya ezihlathini.
• Ukuvuvukala kweso: Iso libonakala sengathi lisunduzelwa phambili ngenxa yokuvuvukala.
• Ukubomvu noma ukushintsha kombala wesikhumba esizungezile amehlo: Ngezinye izikhathi kungaba nombala oluhlaza okwesibhakabhaka nonsomi.
• Ubuhlungu noma ukungakhululeki lapho kuhanjiswa amehlo: Ingane ingase ingafuni ukuhambisa amehlo ayo emuva naphambili, futhi ingase ibhekane nobuhlungu lapho yenza kanjalo.
• Ukukhubazeka kokubona: Ezinye izingane zingase zibe nombono ofiphele noma umbono ophindwe kabili.
• Umkhuhlane: Kuvamile ukuba nomkhuhlane ngoba kukhona ukutheleleka emzimbeni.

Cabanga nje, indodakazi yakho ibilokhu inomkhuhlane izinsuku ezimbalwa. Kungazelelwe, uma uyibheka ekuseni, elinye lamehlo ayo livuvukele kakhulu futhi libomvu. Ithi kubuhlungu futhi ayikuvumeli ukuthi uyithinte. Iphinde ibe nomkhuhlane omncane. Yilapho-ke okufanele sisole khona ukuthi i-orbital cellulitis.

Kungani kwenzeka i-orbital cellulitis? Ziyini izimbangela?

Isizathu esiyinhloko salokhu yizinsini ze-paranasal eziseduze nekhala lethu.Okungukuthi, ukutheleleka okwenzeka ezimbotsheni esizibiza ngama-sinuses bese kusakazekela esweni. Uyazi, eduze kwekhala lethu, ngaphakathi kwekhanda lethu, kunezimbotshana zomoya ezincane. Lezi yizo esizibiza ngama-sinuses. Ezinye zalezi, ikakhulukazi i-ethmoid sinus , ziseduze kakhulu neso. Eqinisweni, lezi ezimbili zihlukaniswe yi-membrane encane, enobukhulu bephepha. Ngakho-ke, uma kwenzeka ukutheleleka ngamagciwane kwenye yalezi zimbotshana, kungasakazeka kalula kuleyo membrane encane futhi kungene ezicutshini ezizungeze iso. Esikhathini esiningi, lezi yizifo ze-sinus ezibangelwa ukutheleleka kwe-staph noma isifo se-pneumococcal .

Akukhona lokho kuphela, lesi simo singase senzeke ngenxa yezizathu eziningana:

• Ukutheleleka kwesikhumba sejwabu: Ngezinye izikhathi ukutheleleka okwenzeka ejwabu, njenge- preseptal cellulitis, kungasakazeka ngaphakathi futhi kubangele i-orbital cellulitis.
• Ezinye izifo ebusweni: Ezinye izifo zesikhumba ezinzima, isibonelo, isimo esifana ne -necrotizing fasciitis, nazo zingabangela lokhu.
• Ukusabalala kokutheleleka kwendlebe noma kwamazinyo: Ukutheleleka kwendlebe noma kwamazinyo ngezinye izikhathi kungasakazekela esweni.
• Ukulimala esweni noma endaweni ezungeze iso: Uma okuthile kushaya iso bese kulilimaza, amagciwane angangena ngalo futhi abangele lolu hlobo lokutheleleka.

Yiziphi izinkinga eziyingozi ezingabangelwa yilokhu?

Njengoba sesishilo ngaphambili, i-orbital cellulitis akuyona into okufanele ithathwe kalula. Uma ingelashwa ngokushesha, ingaholela ezinkingeni ezinkulu kakhulu.

• Ukulahlekelwa umbono noma ubumpumputhe: Ukuvuvukala nokutheleleka okuzungeze iso kungalimaza i-optic nerve, enikeza iso umbono. Noma imithambo yegazi enikeza igazi esweni ingavinjelwa, inqamule ukugeleza kwegazi ezingxenyeni zeso futhi ibangele ukulahlekelwa umbono ngokuphelele.
• Ukungasebenzi kahle kwemisipha yamehlo: Ngenxa yokuvuvukala, imisipha eshukumisa iso ayisebenzi, okubangela ukuba iso libhajwe endaweni eyodwa. Lokhu kungabangela ukuba amehlo angakwazi ukugxila ohlangothini olufanayo, okuholela ekuboneni kabili .
• Ukusabalala kokutheleleka ebuchosheni: Lokhu kuyingozi kakhulu. Uma ukutheleleka kusakazekela ezingxeni ezizungeze ubuchopho, kungabangela i-meningitis . Noma, kungasakazekela emthanjeni wegazi obizwa ngokuthi i-cavernous sinus ngaphakathi kobuchopho, okubangela ukuqhekeka kwegazi . Lokhu kungaba yingozi ngisho nokuphila.
• Ubuthi egazini (i-Sepsis): Nakuba kungavamile, ukutheleleka kungasakazekela egazini, kubangele isimo esiyingozi esibizwa ngokuthi i-sepsis .

Kodwa ungesabi,Konke lokhu kungavinjelwa uma ingane inikezwa ukwelashwa okufanele ngokushesha okukhulu.

Odokotela bakuthola kanjani lokhu ngqo?

Uma uyisa ingane yakho kudokotela, ikakhulukazi uchwepheshe wamehlo, into yokuqala ayenzayo ukuhlola ingane kahle.

• Ukuhlolwa komzimba: Udokotela uzokubuza ngezimpawu zengane yakho, bese ehlola ngokucophelela iso elithintekile nendawo ezungezile. Umbono wengane nawo uzohlolwa.
• Umlando wezokwelapha: Udokotela uzobuza ngokuqinisekile ukuthi ingane ike yaba nokulimala kwamehlo muva nje, ukuhlinzwa okuzungeze iso, noma ezinye izimo zezokwelapha (isib., ama-sinus, izifo zendlebe).
• Ukuhlolwa kwezithombe: Ngezinye izikhathi, udokotela wakho angase acele i -CT scan noma i-MRI scan ukuze athole ukubheka okuningiliziwe kwezicubu ezizungeze iso lakho, ukuthola imbangela yokutheleleka, noma ukubona ukuthi izinkinga sezivele yini. Lokhu kungabona ngokucacile ngisho nemininingwane emincane ezungeze iso lakho.
• Ukuhlolwa kokukhula kwamagciwane: Akudingeki ngaso sonke isikhathi, kodwa ngezinye izikhathi lokhu kuhlolwa kwenziwa ukuze kutholakale uhlobo oluqondile lwamagciwane abangela ukutheleleka. Lokhu kuzosiza odokotela ukuthi banqume ukuthi yimaphi ama-antibiotic afanele lawo magciwane.

Yiziphi izindlela zokwelapha lokhu?

I-Orbital cellulitis yelashwa ngama -antibiotic e-intravenous (IV) . Lokhu kusho ukuthi ingane yakho kuzodingeka ihlale esibhedlela izinsuku ezimbalwa . Umuthi unikezwa ngethubhu elincane (i-catheter) elifakwe emthanjeni engalweni. Lena yindlela engcono kakhulu yokuthola umuthi kuwo wonke umzimba ngokushesha nokulawula ukutheleleka.

Uma izimpawu zengane sezinciphile kancane kancane futhi isiqala ukuzizwa ingcono (ngokuvamile ezinsukwini ezimbalwa), udokotela uzoyithumela ekhaya. Bese beqhubeka nokuthatha ama-antibiotic omlomo amasonto ambalwa.

Akuvamile kakhulu, ukuhlinzwa okuncane kungadingeka ukuze kwelashwe izinkinga ezibangelwa yi-orbital cellulitis. Isibonelo:

• Uma kukhona ithumba elizungeze iso, khipha ubomvu.
• Uma kukhona izicubu ezifile, zisuse.
• Uma sekuvele ihlule legazi, lisuse.
• Nciphisa ingcindezi esweni.

Kufanele ngimbone nini udokotela?

Lokhu kubaluleke kakhulu. Uma ubona noma yiziphi izimpawu ze-orbital cellulitis ezungeze iso lengane yakho, ungalibali bese ubona udokotela ngokushesha, kungcono udokotela wamehlo. Lesi yisimo esibi kakhulu, kodwa uma selashwa ngokushesha, umonakalo wesikhathi eside ungavinjelwa.

Futhi, tshela udokotela wakho uma ingane yakho inegciwane (isib. i-sinus, i-ear pus ) elingabi ngcono, noma uma libonakala lisakazeka. Uma izimpawu zingathuthuki ngemva kwezinsuku ezimbalwa zokusebenzisa ama-antibiotic, tshela udokotela wakho .

Uma ubona udokotela, ungabuza imibuzo efana nale:

• Ingabe ingane yami ine-orbital cellulitis noma olunye ukutheleleka?
• Kuvelaphi lokhu kutheleleka? (Iyini imbangela?)
• Ingabe ingane yami izohlala esibhedlela?
• Kuzodingeka ngithathe ama-antibiotic isikhathi esingakanani?

Ingabe i-orbital cellulitis ingavinjelwa?

Yebo, singasiza ekuvimbeleni lokhu ngezinga elithile. Into eyinhloko okufanele yenziwe ukwelapha ezinye izifo, ikakhulukazi lezo ezenzeka eduze kwamehlo (njengezifo ze-sinus, indlebe, kanye nesikhumba), ngokushesha nje lapho zivela. Ngisho nezifo ezincane, ezivame ukungabi zimbi njenge-orbital cellulitis, zingaba yingozi uma zisakazeka. Ngakho-ke, ukwelapha izifo ezinjalo ngokushesha kungakuvimbela ukuthi zisakazeke emehlweni.

Yini okufanele ngiyilindele uma ingane yami inalesi simo?

Ezimweni eziningi, uma ukwelashwa kuqalwe kusenesikhathi, ungalindela ukululama okuphelele ku-orbital cellulitis. Ingane yakho cishe ngeke ibe nezinkinga zesikhathi eside. Kodwa-ke, ukutheleleka kuzodingeka kwelashwe ngama-antibiotic amasonto ambalwa ngaphambi kokuba kuphele ngokuphelele. Kubalulekile ukuthatha yonke imithi yama-antibiotic enqunywe udokotela wakho. Ungayeki ukuthatha imithi ngoba nje ingane yakho izizwa ingcono. Ukwenza kanjalo kungabangela ukuthi ukutheleleka kubuye.

I-orbital cellulitis ivame ukuqala njengokutheleleka okuncane. Ngakho-ke, njengomzali wengane encane, ungase wesabe kakhulu futhi ukhathazeke lapho ukutheleleka okufana nalokhu kuphenduka ngokuzumayo kube yisimo esiphuthumayo. Kuvamile. Kodwa-ke, uma uthatha isinyathelo ngokushesha, ingane yakho ingalulama ngokuphelele ngaphandle kokulimala kwesikhathi eside. Ngakho-ke, uma ubona noma yikuphi ukuvuvukala okungazelelwe noma ukubomvu okuzungeze iso lengane yakho, bheka udokotela ngokushesha.

Isifinyezo (Umyalezo Wokuya Nawe Ekhaya)

Ngakho-ke, i-orbital cellulitis iwukutheleleka kwamagciwane okuthinta izicubu ezizungeze iso ezingase zenzeke ezinganeni ezincane. Uma kungaqashelwa futhi kwelashwe ngokushesha, kungabangela ukulahlekelwa umbono ngisho nokubeka impilo engozini.

• Izimpawu eziyinhloko: ukuvuvukala okuzungeze iso, ukubomvu, ukuvuvuka kweso, ubuhlungu lapho uhambisa iso, umkhuhlane.
• Izimbangela: Ngokuvamile kubangelwa ukusabalala kwezifo ze-sinus.
• Ukwelashwa: Ama-antibiotic afakwa ngemithambo esibhedlela, kulandele ama-antibiotic asetshenziswa ngomlomo.
• Into ebaluleke kakhulu:Funa iseluleko sezokwelapha ngokushesha nje lapho ubona izimpawu.

Kubalulekile ukunakekela impilo yengane yakho. Ngokuqaphela lezi zinto, ungathatha isinyathelo ngokushesha uma kudingeka.

I- Orbital Cellulitis, Izifo Zamehlo, Ukuvuvukala Kwamehlo Ezinganeni, Ukutheleleka Kwesinus, Ukutheleleka Kwamagciwane, Ukutheleleka Kwamehlo, Impilo Yengane