Cellulitis Orbital

Cellulitis Orbital bụ ọrịa nke abụba na akwara dị n'akụkụ anya. Ọ na-emetụta nku anya, nku anya, na agba. Ọ nwere ike ịmalite na mberede ma ọ bụ bụrụ ihe butere ọrịa na-eji nwayọọ nwayọọ na-akawanye njọ.

Orbital cellulitis bụ ọrịa dị ize ndụ, nke nwere ike ịkpata nsogbu na-adịgide adịgide. Orbital cellulitis dị iche na cellulitis periorbital, nke bụ ọrịa nke nkuchianaya ma ọ bụ akpụkpọ anụ gburugburu anya.

N’ebe ụmụaka nọ, ọ na - ebutekarị dịka ọrịa mmehie nke nje dị ka Haemophilus influenza. Ọrịa a na-ahụkarị ụmụaka na-erubeghị afọ 7. Ọ dị ụkọ ugbu a n'ihi ọgwụ mgbochi na-enyere aka igbochi ọrịa a.

Nje bacteria Staphylococcus aureus, Streptococcus oyi baa, na beta-hemolytic streptococci nwekwara ike ịkpata cellulitis orbital.

Orbital cellulitis na-efe efe na ụmụaka nwere ike ịka njọ ngwa ngwa ma nwee ike ịkpata ìsì. Nlekọta ahụike dị mkpa ozugbo.

Mgbaàmà nwere ike ịgụnye:

• Ọzịza na-egbu mgbu nke nkuchianya nke elu na ala, yana ikekwe nkuanya na agba
• Anya na-ama jijiji
• Mbelata ọhụụ
• Mgbu mgbe ị na-emegharị anya
• Ahụ ọkụ, mgbe mgbe 102 ° F (38.8 ° C) ma ọ bụ karịa
• Ọrịa na-arịa ọrịa
• Mmegharị anya siri ike, ikekwe nwere ọhụụ abụọ
• Na-egbuke egbuke, na-acha ọbara ọbara ma ọ bụ na-acha odo odo

Ule a na-eme gụnyere:

• CBC (ọnụọgụ ọbara zuru ezu)
• Omenala ọbara
• Ọkpụkpụ azụ na ụmụaka ndị emetụtara na-arịa ọrịa

Ule ndị ọzọ nwere ike ịgụnye:

• X-ray nke mmehie na mpaghara gbara ya gburugburu
• CT scan ma ọ bụ MRI nke mmehie na orbit
• Omenala anya na imi mmiri
• Omenala akpịrị

N'ọtụtụ ọnọdụ, ọ dị mkpa ka ịnọ n'ụlọ ọgwụ. Ọgwụgwọ na-agụnyekarị ọgwụ nje na-enye site na akwara. Wa ahụ nwere ike ịdị mkpa iji kpochapụ etuto ahụ ma ọ bụ belata nrụgide na oghere gburugburu anya.

Ọrịa cellulitis orbital nwere ike ịka njọ ngwa ngwa. A ga-enyocharịrị onye nwere ụdịrị ahụ oge ole na ole ọ bụla.

Na ọgwụgwọ ozugbo, onye ahụ nwere ike ịgbake kpamkpam.

Nsogbu nwere ike ịgụnye:

• Cavernous sinus thrombosis (nhazi nke eriri ọbara n'ime oghere dị na isi nke ụbụrụ)
• Ntị ntị
• Septicemia ma ọ bụ ọrịa ọbara
• Meningitis
• Optic nhụjuanya na ọnwụ nke ọhụụ

Orbital cellulitis bụ ihe mberede ahụike nke chọrọ ịgwọ ozugbo. Kpọọ onye na-ahụ maka ahụike gị ma ọ bụrụ na enwere ihe ịrịba ama nke nkuchianya nku anya, ọkachasị na ahụ ọkụ.

Inweta ndokwa ọgwụ mgbochi HiB ga-egbochi ọrịa ahụ n'ọtụtụ ụmụaka. Youngmụaka ndị na-ebute ụlọ onye nwere ọrịa a n'ezinụlọ nwere ike mkpa ka ha antibioticsụọ ọgwụ nje iji zere ịrịa ọrịa.

Treatmentgwọ ọrịa mmehie ozugbo ma ọ bụ ọrịa ezé nwere ike igbochi ya ịgbasa ma ghọọ cellulitis orbital.

• Ọkpụkpụ anya
• Haemophilus influenzae ntule

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McNab AA. Ọrịa orbital na mbufụt. Na: Yanoff M, Duker JS, eds. Ọrịa. Nke 5. Philadelphia, PA: Elsevier; 2019: isi 12.14.

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