Cellulitis orbital

ʻO Orbital cellulitis kahi maʻi o ka momona a me nā mākala a puni ka maka. Hoʻopili ia i nā lihilihi, nā kuʻemaka, a me nā papalina. Hoʻomaka paha ia a i ʻole he hopena paha o kahi maʻi e hele a ʻinoʻino.

ʻO Orbital cellulitis kahi maʻi weliweli, kahi e hopena ai i nā pilikia mau loa. ʻOkoʻa ka cellulitis orbital ma mua o ka cellioritis periorbital, kahi maʻi o ka eyelid a i ʻole ka ʻili a puni ka maka.

I nā keiki, hoʻomaka pinepine ia ma ke ʻano he maʻi sinus sinus bacterial mai bacteria e like me Haemophilus influenza. ʻOi aku ka maʻamau o ka maʻi ma nā keiki ʻōpio, ma lalo o ka makahiki 7. He kakaikahi ia i kēia manawa ma muli o kahi lāʻau lapaʻau e kōkua ai i ka pale ʻana i kēia maʻi.

ʻO ka bacteria Staphylococcus aureus, ʻO Streptococcus pneumoniae, a me ka beta-hemolytic streptococci paha i kumu cellulitis orbital.

ʻO nā maʻi cellulitis Orbital i nā keiki e ʻino wikiwiki loa a hiki ke alakaʻi i ka makapō. Pono ka mālama olakino koke.

Pākuʻi ʻia paha nā ʻōuli:

• ʻO ka pehu ʻeha o ka maka o luna a me lalo, a ʻo ka kuʻemaka a me ka pāpālina paha
• ʻŌpuʻu maka
• Hoʻoemi i ka hihiʻo
• ʻEha ke neʻe ka maka
• Fiva, pinepine 102 ° F (38.8 ° C) a ʻoi aku paha
• Manaʻo maʻi laulā
• ʻO nā neʻe paʻakikī ʻana o ka maka, malia paha me ka ʻike pālua
• ʻŌmaʻomaʻo ʻōmaʻomaʻo, ʻulaʻula a poni paha

Hana ʻia nā hoʻāʻo e:

• CBC (helu piha koko)
• Moʻomeheu Koko
• Spinal tap i nā keiki i hoʻopilikia ʻia e maʻi nui ana

Hiki i nā hoʻokolohua ʻē aʻe ke:

• X-ray o nā sinus a me nā wahi a puni
• CT scan a MRI paha o nā sinus a me ka orbit
• ʻO ka moʻomeheu o ka hoʻokahe ʻana o ka maka a me ka ihu
• Moʻomeheu Kaha

I ka hapanui o nā hihia, pono ka noho haukapila. Hoʻopili pinepine ka mālama ʻana i nā lāʻau ʻ antibiotics i hāʻawi ʻia ma o ke aa. Pono paha ke ʻoki e ninini i ka abscess a i ʻole e hoʻokuʻu i ke kaomi i kahi e puni ana ka maka.

ʻO kahi maʻi orulula cellulitis hiki ke lilo i mea ʻāwīwī loa. Pono e nānā i kahi kanaka me kēia ʻano i kēlā me kēia mau hola.

Me ka mālama koke ʻana, hiki i ke kanaka ke ola holoʻokoʻa.

Komo pū nā pilikia:

• Cavernous sinus thrombosis (hoʻokumu ʻana o ke kōkuʻu koko i kahi hakahaka ma ke kumu o ka lolo)
• Lohe hoʻolohe
• Septicemia a i ʻole ke koko
• Meningitis
• Poino nā mākia optic a me ka nalo ʻana o ka hihiʻo

ʻO Orbital cellulitis kahi pilikia olakino e pono e mālama koke ʻia. Kāhea i kāu mea mālama ola inā loaʻa nā hōʻailona o ka pehu ʻana o ka eyelid, keu hoʻi me ke kuni.

ʻO ka kiʻi ʻana i nā pana lāʻau hoʻomaʻamaʻa HiB i hoʻonohonoho ʻia e pale aku ai i ka maʻi i ka hapanui o nā keiki. ʻO nā kamaliʻi liʻiliʻi e kaʻana like i kahi ʻohana me kahi kanaka i loaʻa i kēia maʻi e pono paha e lawe i nā lāʻau ʻaloʻalo e hōʻalo ai i ka maʻi.

ʻO ka mālama koke ʻana i kahi sinus a i ʻole nā ​​maʻi niho paha e pale iā ia mai ka hoʻolaha ʻana a lilo i orbital cellulitis.

• Anatomia maka
• Meaola Haemophilus influenzae

Nā maʻi Bhatt A. Ocular. I: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. ʻO Feigin lāua ʻo Cherry's Textbook of Pediatric Infectious Diseases. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 61.

ʻO Durand ML. Nā maʻi maʻi Periocular. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 116.

McNab AA. ʻO ka maʻi Orbital a me ka mumū. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 12.14.

Olitsky SE, Marsh JD, Jackson MA. ʻO nā maʻi Orbital. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 652.