He aha e ʻike ai e pili ana i ka Orbital Cellulitis
Anter
- Nā Kumu
- Nā ʻōuli
- Kānāwai
- Lapaʻau
- Nā Antibiotics
- ʻOki kino
- Manawa hoʻōla
- Ka wā e ʻike ai i ke kauka
- Ke laina lalo
ʻO Orbital cellulitis kahi maʻi o nā aʻa palupalu a me ka momona e paʻa ai ka maka i loko o kāna kumu. Kuhi kēia ʻano i nā hōʻailona hōʻoluʻolu a ʻeha ʻole hoʻi.
ʻAʻole ia he maʻi lele, a hiki i kekahi ke hoʻomohala i ke ʻano. Eia naʻe, pili pinepine i nā keiki ʻōpio.
ʻO Orbital cellulitis kahi kūlana weliweli loa. Ke waiho ʻole ʻia, hiki ke alakaʻi i ka makapō, a i ʻole nā kūlana koʻikoʻi a weliweli paha i ke ola.
Nā Kumu
ʻO Streptococcus laha a me Staphylococcus aureus ʻo ia nā ʻano bacteria i ʻike pinepine ʻia i kēia ʻano. Eia nō naʻe, hiki i nā maʻi bacteria a me nā fungi kekahi ke kumu o kēia ʻano.
ʻO ka cellulitis orbital i nā keiki o nā makahiki 9 a ma lalo ke kumu pinepine ʻia e hoʻokahi ʻano bacteria. I nā keiki a me nā mākua, hiki i kēia maʻi ke kumu ʻia e nā ʻano maʻi bacteria he nui i ka manawa hoʻokahi, e paʻakikī ana e mālama.
o nā hihia āpau o ka orbital cellulitis e hoʻomaka me he mea lā ʻaʻole i hoʻomaʻamaʻa ʻia nā maʻi sinus sinus, i hohola ma hope o ka septb orbital. ʻO ka septum orbital kahi membrane lahilahi, fibrous e uhi ana i ka maka o ka maka.
Hiki ke pālahalaha kēia ʻano mai ka maʻi maʻi niho a i ʻole ka maʻi maʻi bacteria e hana ʻia i nā wahi āpau o ke kino e komo i ke kahe o ke koko.
ʻO nā ʻeha, nā nahu kiki, a nā nahu holoholona e hana a i ʻole a kokoke paha i ka maka ke kumu.
Nā ʻōuli
Kūlike nā ʻōuli ma nā keiki a me nā mākua. Eia nō naʻe, hiki i nā keiki ke hōʻike i nā ʻōuli ʻoi loa.
ʻO nā hōʻailona me:
- maka maka hoʻopuʻupuʻu, he ʻino paha ia, i kapa ʻia hoʻi he proptosis
- ʻeha ma loko a puni paha o ka maka
- palu ihu
- pehu o ka maka
- pehu a ʻulaʻula
- hiki ʻole ke wehe i ka maka
- pilikia e hoʻoneʻe ana i ka maka a ʻeha ma ke neʻe ʻana o ka maka
- hihio pālua
- nalowale hihiʻo a ʻike ʻino ʻole paha
- hoʻokuʻu mai ka maka a ihu paha
- fiva
- ʻeha poʻo
Kānāwai
Hoʻomaopopo pinepine ʻia ka orbital cellulitis ma o ka loiloi ʻike maka o kahi mea mālama ola. Eia nō naʻe, e hana ʻia nā hoʻokolohua diagnostical e hōʻoia i ke kuhi a me ka hoʻoholo ʻana i ke ʻano o nā koʻohune ke kumu iā ia.
E kōkua pū ka hoʻāʻo ʻana i kāu kauka mālama inā ʻike ʻia ka maʻi he preseptal cellulitis, kahi maʻi maʻi maʻi bacteria liʻiliʻi e pono ai ka lapaʻau koke.
Kū kēia i ka maka o ka eyelid a i mua o ka septb orbital ma mua o ka hope. Hiki i kēia ʻano ke holomua i ka orbital cellulitis inā haʻalele ʻole ʻia.
Hiki ke hana ʻia i kekahi mau hoʻokolohua like ʻole no ka hōʻoia ʻana:
- CT scan a MRI paha o ke poʻo, ka maka, a me ka ihu
- ka nānā ʻana i ka ihu, nā niho, a me ka waha
- ke koko, ka haʻalele ʻana o ka maka, a i ʻole nā moʻomeheu ihu
Lapaʻau
Inā loaʻa ʻoe i ka cellulitis orbital, e hoʻokomo ʻia paha ʻoe i loko o ka haukapila e loaʻa i nā antibiotic intravenous (IV).
Nā Antibiotics
Hāʻawi ʻia i ke ʻano koʻikoʻi o kēia ʻano a me ka wikiwiki e pālahalaha ai, e hoʻomaka koke ʻia ʻoe me nā antibiotic IV ākea ākea, ʻoiai inā ʻaʻole i hōʻoia nā hopena o kāu hōʻike hōʻoia.
Hāʻawi pinepine ʻia nā antibiotic ākea ākea ma ke ʻano he papa mua o ka mālama ʻana no ka mea maikaʻi lākou i ka mālama ʻana i nā ʻano maʻi bacteria.
Inā ʻaʻole kōkua nā antibiotics i loaʻa iā ʻoe e hoʻomaikaʻi koke, hiki i kāu kauka olakino ke hoʻololi iā lākou.
ʻOki kino
Inā hoʻomaikaʻi ʻole kāu mau hōʻailona a i ʻole inā e ʻino lākou ʻoiai ʻoe ma antibiotics, koi ʻia ke kahakaha ma ke ʻano he pae hou aʻe.
E kōkua ke ʻoki kino e hoʻōki i ka holomua o ka maʻi ma ke kahe ʻana o ka wai mai nā sinus a i ʻole ke kumu maka i ʻike ʻia.
Hiki ke hana i kēia kaʻina hana e hoʻokahe i kahi abscess inā kū hoʻokahi. ʻOi aku ka makemake o nā mākua i ke kaha ma mua o nā keiki.
Manawa hoʻōla
Inā koi kou ʻano i ke kaha ʻana, ʻoi aku ka lōʻihi o kou manawa hoʻōla a me ka noho ʻana i ka haukapila ma mua o ka mea inā e mālama ʻia ʻoe me nā lāʻau ʻaloʻalo.
Inā ʻaʻole i hoʻopau ʻia ke kaha ʻana a hoʻomaikaʻi ʻoe, hiki iā ʻoe ke manaʻo e hoʻololi mai IV a i nā lāʻauʻalopelo waha ma hope o 1 a 2 mau pule. Pono nā lāʻauʻalopelo waha no kekahi 2 a 3 mau wiki a iʻole e pau keʻano o kāu mau hōʻailona.
Inā kū mai kāu maʻi mai ka sinusitis koʻikoʻi o ka ethmoid, kahi maʻi o nā ʻeha sinus i kokoke i ke alahaka o kou ihu, koi ʻia ʻoe e lawe i nā lāʻau ʻaloʻalo no kekahi manawa lōʻihi.
ʻO ka loaʻa ʻana o ka cellulitis orbital ʻaʻole ia he manaʻo e loaʻa hou iā ʻoe.
Eia nō naʻe, inā maʻalahi ʻoe i ka hoʻi hou ʻana i nā maʻi sinus, he mea nui e nānā a mālama wikiwiki i kou ʻano. E kōkua kēia i mea e pale aku ai i ke ʻano o ka palahalaha ʻana a hana hou ʻana.
He mea nui loa kēia i ka poʻe i hoʻopilikia i nā ʻōnaehana pale a i ʻole nā keiki ʻōpio i hana ʻole i nā ʻōnaehana pale.
Ka wā e ʻike ai i ke kauka
Inā loaʻa ʻoe i ka maʻi sinus a i ʻole nā ʻōuli o orbital cellulitis, e kelepona koke i kāu kauka. Pālahalaha koke kēia kūlana a pono e mālama ʻia i ka hiki wawe.
Hiki ke hana i nā pilikia koʻikoʻi ke mālama ʻole ʻia ka cellulitis orbital.
Hiki i nā pilikia ke hoʻopili:
- nalowale hapa hihiʻo
- makapō piha
- hoʻihoʻi retina
- meningitis
- thrombosis sinus cavernous
Ke laina lalo
ʻO Orbital cellulitis kahi maʻi bacteria i loko o ka maka o ka maka. Hoʻomaka ia ma ke ʻano he maʻi sinus a pili pinepine i nā keiki.
Pane maikaʻi kēia ʻano i nā lāʻau ʻaloʻalo, akā koi ʻia i kekahi manawa i ke ʻoki. Hiki iā ia ke hana i ka makapō a i ʻole ke hoʻoweliweli i ke ʻano inā haʻalele ʻole ʻia.