Iimpawu meningitis, unyango kunye nothintelo

Ukudumba ubuchopho okanye umnqonqo ebizwa meningitis. Kukho iintlobo ezininzi meningitis. Ngenxa yobume komtshiso inokuba ubovu, seroplastic, serous kunye ukopha. Yinjongo - etsolo, subacute, ezondeleyo. Zalapha ekhaya kwabo ukudumba inkqubo meningitis ezi ngokubanzi basekuhlaleni, ngokutsho umyalezo weimeyile - wentsholongwane egazini, yintsholongwane, amagciwane, protozoal. Inkqubo enomfutho aphazamiseke meningeal uxinzelelo intracranial ubonakala hypoesthesia, ukuqina entanyeni kwizihlunu, paresis kunye ukushwabana kwamalungu omzimba, mydriasis, ongaboniyo nokuva, Ataxia ukuze squint.

Meningitis: Iimpawu, iindlela zonyango

Njengoko umthetho, iimpawu zesifo meningitis zihamba kunye jikelele ukudakumba, eDayalayo, intloko ebuhlungu, silale, isicaphucaphu nokugabha. Ngokufuthi intlungu kwenzeka entanyeni sehlise emva, maxa wambi kukho hemorrhages ngobukhulu ezahlukeneyo apha esikhumbeni. Kufuneka kuqatshelwe ukuba iimpawu sifo sokudumba kwenwebu yengqondo kuxhomekeke kuhlobo sifo. Umzekelo, meningitis load iimpawu kuyafana iimpawu sisifo esosulelayo, leyo yavusa. Olu hlobo meningitis ithathwa eyingozi kakhulu, iimpawu, leyo azibonakalisa kwiintsuku nje ezimbalwa, ukuba sasingachazwa kakhulu. Kaninzi izigulane unesifo tuberculous meningitis, iimpawu kwenzeka kwimvelaphi ubuthathaka jikelele kunye nomkhuhlane. Kwiintsuku nje ezimbalwa, intloko ebuhlungu, isicaphucaphu nokugabha. Izigulane une iimpawu meningitis ngokuqhelekileyo iintsuku 3-4.

Therapy ibonisa kwaye ijolise ekujonganeni imiqondiso zokuziswa izifo eziyingozi ebomini kunye nempilo. Ukunciphisa umlinganiselo wokubanzi iiseli kunye nezihlunu eziphilayo asebenzisa iziyobisi umchamo. indlela yazo yokusebenza lu dityanisiwe ekwandeni kokuqukuqela wokuchama, bewisa zinqanda reabsorption of ion sodium kungena tubules kwezintso, nto leyo reabsorption amanzi yehla. Xa nokudumba ebuchotsheni kukho imixube olusebenzayo degidrattsionnye (mannitol, uroglyuk, Lasix). Uroglyuk imele isisombululo urea lyophilized, ekwakusetyenzwa ngokukhawuleza ngaphambi kokuba uyisebenzise. Izimo ukuba ukusetyenziswa kweziyobisi gwenxa zoba isifo sezintso. Kakhulu ngempumelelo ukuxinana yi Lasix, isiphumo yayo sele kubonakala emva kwemizuzwana embalwa. Kwakungqina ukuba ilifa corticosteroids amanyathelo anti-edematous (dexamethasone). Malunga nama-12 iiyure emva ukusebenzisa kwabo ukuhla kuxinzelelo intracranial. Ngokuba ukusetyenziswa microcirculation normalitsatsii reopoligljukin, mannitol, furosemide. Phambi iimpawu kukothuka inetyhefu isicelo iihomoni (hydrocortisone, prednisolone, cortin kunye njl) kunye ascorbic acid, amayeza intliziyo (kordiamin, strophanthin) agonists (ephedrine, phenylephrine). Njengoko therapy spetsefichesky kusetyenziswa sokugonya kunye serum. ECD zagonyelwa meningitis 3, 4, 5 kunye kweenyanga ezi-6, kunye ugonyo okuphindwayo leenyanga ezili-12. Ugonyo nxamnye nezifo Pneumococcal ukwakhusela nxamnye nophuhliso meningitis. Izigulane ezindala ngaphezu kweminyaka engamashumi amathandathu anesihlanu yokusebenzisa ekucetyiswa ngayo Pneumococcal polysaccharide lokugonya. Ingakumbi udume Isitofu sokugonya ezintsonkothileyo lwemasisi, uqilikwane nemasisi, ukusetyenziswa kwazo likhusela umntwana meningitis ephuhlisa kwisiqalo ezi zifo.

Prevention of meningitis

Ukongeza kogonyo, kuyimfuneko ukuba bathobele imithetho kococeko lomntu buqu, musa ukudibanisa umthombo losulelo, kwakunye abathwali yosulelo meningococcal. Ezinye iintlobo meningitis yosulela ngamathontsi emoyeni xa uthimla, ukukhohlela okanye ngexesha bephuzana. izinto ukugcina abantu kufuneka ngamnye (itawuli, ibhrashi yamazinyo).