Orbital cellulitis

Orbital cellulitis chirwere chemafuta uye mhasuru dzakakomberedza ziso. Inobata maziso, tsiye, uye matama. Inogona kutanga kamwe kamwe kana kuve chikonzero chehutachiona icho chinowedzera kuwedzera.

Orbital cellulitis chirwere chinotyisa, icho chinogona kukonzera matambudziko asingaperi. Orbital cellulitis yakasiyana neperiorbital cellulitis, inova hutachiona hweziso kana ganda rakatenderedza ziso.

Muvana, zvinowanzotanga sehutachiona hwechivi hutachiona kubva kubhakitiriya senge Haemophilus furuwenza. Utachiona hwaimbove hwakajairika muvana vadiki, vari pasi pemakore manomwe. Ikozvino zvave kushomeka nekuda kwemushonga unobatsira kudzivirira hutachiona uhu.

Utachiona Staphylococcus aureus, Streptococcus pneumoniae, uye beta-hemolytic streptococci inogona zvakare kukonzera orbital cellulitis.

Orbital cellulitis hutachiona muvana inogona kuwedzera kukurumidza zvakanyanya uye inogona kutungamira kuhupofu. Kurapwa kunodiwa ipapo ipapo.

Zviratidzo zvinogona kusanganisira:

• Kunorwadza kuzvimba kwepamusoro uye kwakadzika kweziso, uye pamwe eye tsiva nedama
• Maziso anoputika
• Kupera kwekuona
• Marwadzo kana uchifambisa ziso
• Fivha, kazhinji 102 ° F (38.8 ° C) kana kupfuura
• Kazhinji kurwara kunzwa
• Kufambisa kwemaziso kwakaomarara, pamwe nemaonero maviri
• Inopenya, yakatsvuka kana yepepuru eyelid

Miedzo inowanzoitwa inosanganisira:

• CBC (yakazara ropa kuverenga)
• Tsika yeropa
• Spinal tap muvana vane hutachiona vanorwara zvakanyanya

Mimwe bvunzo inogona kusanganisira:

• X-ray yezvitadzo nenzvimbo dzakatenderedza
• CT scan kana MRI yezvitadzo uye orbit
• Tsika yeziso nemhino kudhonza
• Hutsika tsika

Muzviitiko zvakawanda, kugara muchipatara kunodiwa. Kurapa kazhinji kazhinji kunosanganisira maantibayoti anopiwa kuburikidza nemutsinga. Kuvhiya kunogona kudikanwa kubvisa bundu kana kubvisa kumanikidza munzvimbo yakatenderedza ziso.

Utachiona hwehutachiona hwehutachiona hunogona kuwedzera kukurumidza zvakanyanya. Munhu ane chirwere ichi anofanira kuongororwa maawa mashoma.

Nokurapwa nekukurumidza, munhu anogona kupora zvizere.

Zvinetso zvinogona kusanganisira:

• Cavernous sinus thrombosis (kuumbwa kweropa rakavhara mune mhango pazasi peuropi)
• Kunzwa kurasikirwa
• Septicemia kana chirwere cheropa
• Meningitis
• Optic nerve kukuvara uye kurasikirwa kwemaonero

Orbital cellulitis chirwere chekukurumidzira chinoda kurapwa ipapo ipapo. Fonera wako mupi wezvehutano kana paine zviratidzo zvejoko kuzvimba, kunyanya nefivha.

Kuwana zvirongwa zveHIV zvekudzivirira zvinodzivirira hutachiona muvana vazhinji. Vana vadiki vanogovana imba nemunhu ane chirwere ichi vangangoda kutora mishonga inorwisa mabhakitiriya kuti vasarware.

Kukurumidza kurapwa kwechirwere kana chirwere chemazino kunogona kuchidzivirira kubva pakupararira uye kuve orbital cellulitis.

• Kutaridzika kwemaziso
• Haemophilus influenzae muviri

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Durand ML. Zvirwere zveperiocular. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 116.

McNab AA. Utachiona hweOrbital uye kuzvimba. Mune: Yanoff M, Duker JS, eds. Ophthalmology. 5 ed. Philadelphia, PA: Elsevier; 2019: chits. 12.14.

Olitsky SE, Marsh JD, Jackson MA. Zvirwere zvepamuviri. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chits. 652.