ʻO nā mea āpau āu e ʻike ai e pili ana i ka Preseptal Cellulitis

Anter

• Preseptal vs. orbital cellulitis
• Cellulitis preseptal vs. blepharitis
• ʻO nā ʻōuli Preseptal cellulitis
• He aha ke kumu o ka preseptal cellulitis?
• ʻO ka mālama ʻana i ka cellulitis preseptal
• Cellulitis preseptal i nā mākua
• Cellulitis preseptal Pediatric
• Ka wā e ʻike ai i ke kauka
• Ke hōʻike nei i ke ʻano
• Lawe aku

ʻO ka cellulitis preseptal, ka mea i kapa ʻia he cellioritis periorbital, he maʻi ia i nā ʻaʻa a puni ka maka.

Hiki ke kumu ʻia e ka ʻehaʻeha liʻiliʻi i ka maka maka, e like me ka nahu ʻana o ka insect, a i ʻole ka hoʻolaha ʻana o kekahi maʻi ʻē aʻe, e like me ka maʻi sinus.

Hoʻokumu ka cellulitis Preseptal i ka ʻulaʻula a me ka pehu ʻana o ka eyelid a me ka ʻili e pili ana i kou mau maka.

Hiki ke mālama kūleʻa ʻia i ka maʻi me nā lāʻau ʻalopika a me ka nānā pono ʻana, akā hiki ke koʻikoʻi inā haʻalele ʻole ʻia.

Hiki i ka cellulitis preseptal ke kumu i nā pilikia o ka hihi paʻa a i ʻole ka makapō ke pāhola ʻia i ka maka o ka maka. Pono e mālama koke ʻia e pale i nā pilikia.

Preseptal vs. orbital cellulitis

ʻO ka ʻokoʻa nui ma waena o preseptal a me orbital cellulitis ka wahi o ka maʻi.

• Loaʻa ka cellulitis orbital i nā aʻa palupalu o ka orbit posterior (ma hope) o ka septb orbital. ʻO ka septum orbital kahi membrane lahilahi e uhi ana i ka mua o ka eyeball.
• Preseptal cellulitis ia ll i loko o kaʻaʻaʻa o nā eyelids a me periocular māhele mua (i mua o) ka orbital septum.

Manaʻo ʻia ʻo Orbital cellulitis i ʻoi aku ka koʻikoʻi ma mua o ka cellulitis preseptal. Hiki i ka cellulitis orbital ke alakaʻi iā:

• nalowale hapa hihi paʻa
• makapō loa
• nā pilikia hoʻoweliweli ʻē aʻe

Hiki i ka Preseptal cellulitis ke pālahalaha i ke kumu o ka maka a alakaʻi i ka cellulitis orbital inā ʻaʻole e mālama koke ʻia.

Cellulitis preseptal vs. blepharitis

ʻO Blepharitis ka mumū o nā eyelids e hana maʻamau ke kū nā ʻaila aila kokoke i ke kumu o nā maka maka.

Hiki i nā lihilihi ke lilo i ʻulaʻula a pehu, e like me nā ʻōuli o preseptal cellulitis.

Eia naʻe, ʻo ka poʻe me ka blepharitis e loaʻa mau nā hōʻailona e like me:

• ʻili a ʻā paha
• ʻōnohi maka aila
• ʻike i ka mālamalama
• me ka manaʻo e paʻa ana kekahi mea i ka maka
• kahi pāpapa e hoʻomohala ma nā maka maka.

Nui nā kumu o Blepharitis, e like me:

• dandruff
• kelena ʻaila paʻa
• rosacea
• nā mea pākuʻi
• nā ʻāpala kuʻi maka
• nā maʻi maʻi

ʻAʻole like me ka cellulitis preseptal, pinepine ka blepharitis i kahi kūlana maʻi maʻamau e pono ai ka mālama ʻana i kēlā me kēia lā.

ʻOiai nā kumu ʻelua e hiki i nā maʻi bacteria, ʻokoʻa ko lākou ʻano lapaʻau.

Hoʻomaʻamaʻa pinepine ʻia ʻo Blepharitis me nā antibiotic topical (nā kulu maka a me nā hamo), ʻoiai ʻo ka cellulitis preseptal e mālama ʻia me nā antibiotic waha a i ʻole intravenous (IV).

ʻO nā ʻōuli Preseptal cellulitis

Hiki i nā ʻōuli o ke preseptal cellulitis ke hoʻopili pū ʻia:

• ʻulaʻula a puni ka lihilihi maka
• pehu o ka lihilihi a me nā wahi a puni ka maka
• ʻeha ka maka
• wela wela

He aha ke kumu o ka preseptal cellulitis?

Hiki ke hoʻokumu ʻia ka cellulitis preseptal e:

• koʻohune
• nā mea hoʻomaʻi
• fungi
• helminths (nā koʻe parasite)

Hoʻokumu ʻia ka hapa nui o kēia mau maʻi e ka bacteria.

Hiki ke pālahalaha ʻia kahi maʻi bacteria mai kahi maʻi o nā sinus (sinusitis) a i ʻole kekahi ʻāpana o ka maka.

Hiki iā ia ke hana ma hope o ka hōʻeha liʻiliʻi i ka maka maka, e like me ka nahu ʻana o ka pepeke a i ʻole ka ʻōpoki popoki. Ma hope o kahi hōʻeha liʻiliʻi, hiki i nā bacteria ke komo i loko o ka ʻeha a hana i kahi maʻi.

ʻO nā koʻohune i kumu pinepine i kēia ʻano:

• ʻO Staphylococcus
• ʻO Streptococcus
• Haemophilus influenzae

ʻOi aku ka maʻamau o ke kūlana i nā keiki ma mua o nā mākua no ka mea ʻoi aku ka nui o ka pilikia o nā keiki no ka maʻi ʻana me ke ʻano o nā koʻohune ke kumu o kēia ʻano.

ʻO ka mālama ʻana i ka cellulitis preseptal

ʻO ka lāʻau lapaʻau nui no ka celleptitis preseptal kahi papa o nā lāʻau antibiotic i hāʻawi ʻia i ka waha a i ʻole ke aniani (i loko o kahi aa koko).

Pili paha ke ʻano o nā antibiotic i kou mau makahiki a inā hiki i kāu kauka olakino ke hoʻomaopopo i ke ʻano o nā koʻohune ke kumu nei i ka maʻi.

Cellulitis preseptal i nā mākua

E loaʻa mau i nā mākua nā antibiotic waha ma waho o ka haukapila. Inā ʻaʻole ʻoe e pane i nā lāʻau ʻalopika a ʻoi aku paha ka maikaʻi o ka maʻi, pono paha ʻoe e hoʻi i ka haukapila a loaʻa i nā antibiotic intravenous.

ʻO nā lāʻau Antibiotic i hoʻohana ʻia i ka mālama ʻana i ka cellulitis preseptal i nā mākua e like me kēia:

• amoxicillin / clavulanate
• clindamycin
• kakalakekea
• ʻokiʻoki
• piperacillin / tazobactam
• cefuroxime
• ceftriaxone

E hana kāu mea olakino i kahi hoʻolālā lapaʻau e pili ana i kāu pono olakino.

Cellulitis preseptal Pediatric

Pono nā keiki ma mua o 1 mau makahiki e loaʻa i nā antibiotic IV i hāʻawi ʻia i kahi haukapila. Hāʻawi pinepine ʻia nā lāʻau antibiotic IV ma o ke aa i ka lima.

Ke hoʻomaka ka hana ʻana o nā lāʻau antibiotic, hiki iā lākou ke hoʻi i ka hale. Ma ka home, hoʻomau ʻia nā antibiotic oral no kekahi mau lā hou aku.

ʻO nā lāʻau i hoʻohana ʻia i ka mālama ʻana i ka cellulitis preseptal i nā keiki e like me kēia:

• amoxicillin / clavulanate
• clindamycin
• kakalakekea
• ʻokiʻoki
• piperacillin / tazobactam
• cefuroxime
• ceftriaxone

Hoʻokumu nā mea lawelawe olakino i nā hoʻolālā lapaʻau e hōʻike ana i nā ana a me ka manawa hea e mālama ʻia ai ka lāʻau e pili ana i ka makahiki o ke keiki.

Ka wā e ʻike ai i ke kauka

Inā loaʻa iā ʻoe kekahi o nā ʻōuli o ka preseptal cellulitis, e like me ka ʻulaʻula a me ka pehu ʻana o ka maka, pono ʻoe e ʻike koke i kahi kauka. Pono ka ʻike mua a me ka lāʻau no ka pale ʻana i nā pilikia.

Ke hōʻike nei i ke ʻano

ʻO kahi ophthalmologist a optometrist paha (nā kauka maka ʻelua) e hana paha i kahi hoʻokolokolo kino o ka maka.

Ma hope o ka nānā ʻana i nā hōʻailona o kahi maʻi, e like me ka ʻulaʻula, ka pehu ʻana, a me ka ʻeha, kauoha paha lākou i nā hoʻokolohua ʻē aʻe.

Pili paha kēia i ke noi ʻana i kahi laʻana koko a i ʻole kahi laʻana o ka hoʻokuʻu ʻana mai ka maka. Nānā ʻia nā laʻana i loko o kahi keʻena hoʻokolohua e ʻike ai i ke ʻano o ke koʻohune e hoʻoulu nei i ka maʻi.

Hiki paha i ke kauka maka ke kauoha i nā hoʻokolohua kiʻi, e like me ka scan MRI a i ʻole CT scan, no laila hiki iā lākou ke ʻike i ka laha ʻana o ka maʻi.

Lawe aku

ʻO Preseptal cellulitis kahi maʻi o ka eyelid i hana pinepine ʻia e nā bacteria. ʻO nā ʻōuli nui ka ʻulaʻula a me ka pehu ʻana o ka eyelid, a i kekahi manawa he kuni haʻahaʻa.

ʻAʻole koʻikoʻi ka preseptal cellulitis ke mālama koke ʻia. Hiki iā ia ke hoʻomaʻemaʻe koke me nā antibiotic.

Eia nō naʻe, inā haʻalele ʻole ʻia, hiki iā ia ke alakaʻi i kahi kūlana koʻikoʻi i kapa ʻia ʻo orbital cellulitis.