I-meningitis ene-Purulent

I-meningitis ene-purulent isifo esesongela ukuphila kwezibilini zobuchopho nomgogodla, uhlobo lwebhaktheriya. Isifo esiningi kakhulu se-meningitis sibangelwa ukutheleleka kwe-meningococcal (amacala angu-20%), i-pneumococci (kufika ku-13%) kanye nenduku ye-hemophilic (kuze kufike ku-50%). Amacala asele awela esabelweni se-streptococcal kanye nesifo se-staphylococcal, i-salmonella, ukutheleleka nge-Pseudomonas aeruginosa, induku kaFriedlander.

Izinhlobo ze-meningitis ehlanzekile

Kuye ngezici ezibangela lesi sifo, i-meningitis ihlukaniswe ngokuthi:

1. I-meningitis eyinhloko eyisisekelo. Zimelela isifo esizimele, esibangwa yi-infection yebhaktheriya (isb., I-meningococcal meningitis).
2. I-meningitis yesi-purulent yesibili. Thuthukisa njengenkinga kwezinye izifo, kanengi ngezinsana ze-ENT izitho: i-otitis, sinusitis, njll.

Ngendlela yamanje, i-meningitis ihlukaniswe ngokuthi:

• ukukhanya okusheshayo
• bukhali;
• subacute;
• okungapheliyo.

Ngokuya ngobukhulu bokubonakaliswa kwezimpawu zomtholampilo, isifo samaphaphu, esiphakathi, esinzima futhi esibi kakhulu sesifo sodwa.

Kungenzeka kanjani ukuthi i-meningitis ye-purulent isakazwa?

Ngalesi sifo, ukutheleleka kuvame ukungena ebuchosheni ngendlela eyingozi, okungukuthi, ngegazi. Ngokwayo, i-meningitis ayithathelisi, kodwa isifo esithathelwanayo yisifo esiyinhloko, futhi ngezinye izikhathi ukutheleleka kwebhaktheriya okuyisibindi okungabangela. Ukudluliswa kwabo kungenzeka ngokuxhumana (ngokusebenzisa ukuxhumana ngokomzimba, ngezinto zokuhlanzeka komuntu siqu) nangamaconsi amancane (ikakhulukazi ama-lor-infections, angabangela ukukhishwa kwe-meningitis yesibili).

Izimpawu ze-meningitis ehlanzekile

With meningitis purulent, kukhona:

• ukushisa komzimba okwandisiwe;
• ubuthakathaka jikelele;
• ukungabi nesifiso sokudla, isicanucanu nokuhlanza;
• ikhanda, liqhutshwa ukunyakaza noma yimuphi umthwalo;
• ubuhlungu obuhlangene nobunzima bomzimba, ukwehlisa ithoni ye-muscle;
• umbono okhubazekile nobuhlungu emehlweni;
• ukuzwa ukukhubazeka;
• ukukhubazeka kwezinzwa zomzimba, i-strabismus, ukugwinya izifo;
• izikhukhula zesikhumba, ezithinta izitho zangaphambili, kodwa zisakaze ngokushesha kuwo wonke umzimba;
• ukudideka, i-delirium, i-hallucinations, i-coma.

Izimpawu ngokuvamile zibonakala ngesimo esibukhali ngosuku lwesifo sesi-2-3 futhi zivame ukuqinisa. Ukuhlaselwa okungaholela ekufeni kwezicubu, kanye nokuphazamiseka okusobala kobuchopho, kubonisa izinto eziyingozi kunazo zonke ezingabangela ukufa kwesiguli.

Ukuxilongwa nokwelashwa kwe-puringent meningitis

Ngokuvamile, isithombe somtholampilo nesifo se-meningitis sisho, futhi ukutholakala kwesifo kutholakala kalula. Ukuyiqinisekisa futhi ukusetha uhlobo lokutheleleka kwe-bacterial, kusetshenziswe i-puncture (sampling of cerebrospinal fluid for analysis). Uma i-meningitis ephuthumayo ngokuqondile ngesikhathi sokuhoxiswa komswakama we-cerebrospinal, ukucindezeleka kwayo nokwanda kwamanzi kuyatholakala. Ucwaningo oluqhubekayo lunquma okuqukethwe okwandisiwe kwamaprotheni namanye amangqamuzana e-leukocyte (ikakhulukazi ama-neutrophils). Ukunqunywa kohlobo lokutheleleka kwebhaktheriya kwenziwa ngezinfundo ezincane.

Njengoba i-meningitis ene-purulent iyingozi kakhulu futhi isifo esongela ukuphila, ukwelashwa kwayo kuqhutshwa kuphela esibhedlela, ngaphansi kokuqondiswa kwezokwelapha, futhi kufanele uqale ngokushesha ngangokunokwenzeka.

Ukwelashwa okuyinhloko kwe-purulent meningitis kuyindlela yokwelashwa okukhulu ngama-antibiotics we-penicillin ne- cephalosporin uchungechunge. Ngokufanayo nama-antibiotic angasetshenziswa:

• i-corticosteroids;
• izidakamizwa ezilwa nokuvuvukala;
• ama-droppers ane-saline ne-glucose;
• izidakamizwa zokususwa kokudakwa komzimba.