Injani ukwelashwa meningitis ubovu bese serous

Meningitis - iyisifo ezinkulu ukuthi ingelashwa sekuyahwalala e-90% ebulalayo, ikakhulukazi uma ukuvuvukala webhaktheriya we ulwelwesi ingqondo. Meningitis Ukwelashwa kufanele sigcwaliswe kuphela isibhedlela, amakhambi abantu singasetshenziswa kuphela ibhekwa esisiza ukubekezelela lesi simo kangcono abazahamba kusetshenziswe kuphela ngokuxhumana udokotela ukuba khona njengoba.

On yini ekwelapheni? Ayikho imiphumela wokuhlaziywa cerebrospinal fluid (CSF), etholwe wokubhoboza lumbar, ukwelapha meningitis engenakwenzeka. Kuphela le ukuhlaziywa kungasiza udokotela ukuhlukanisa phakathi ubovu meningitis kusukela serous njengoba izimpawu zokwelashwa, ie izimpawu zingase zingabi kuyaqondakala njalo (ngokulandelana, meningitis ukwelashwa kuyoba okungalungile). Ngaphezu kwalokho, ezinye izifo zenzeka lenyuka ingcindezi intracranial, futhi izinga lokushisa eliphakeme, futhi sibe omuhle izimpawu meningeal, Nokho, lokhu zokukhwabanisa kuyadingeka i ukusazi ngokunembile isifo esikuphethe.

Phakathi wokubhoboza cwaningo kuthatha namamililitha ambalwa cerebrospinal fluid. Omunye wabo ithunyelwa ukuhlolwa laboratory emitholampilo, imiphumela ezihlinzeka isiphetho akubheka njengokuhle oboniswe ukuvuvukala futhi abanye - serous noma ubovu - it has uhlamvu. Ngisho esincane uketshezi lomgogodla ithunyelwa izifundo viral-futhi bacteriological, imiphumela okuyinto kuyofika kamuva futhi kuzosiza udokotela wakho ukuba ulungise ukwelashwa kokuqala meningitis.

Zama ukuqonda ukuthi yini amalungiselelo iphathwa meningitis. Ukwelashwa of serous meningitis kusekelwe ukusetshenziswa ejenti non-ethize namagciwane: kuba ikakhulukazi interferon izidakamizwa ( "Laferon", "Viferon", "Lipoferon"). isicelo kwabo kusekelwe yokuthi nabo yimiphi igciwane emzimbeni amasosha ethu omzimba iyaphendula isizukulwane izinto ezinjalo, esiza nasekuhlanzeni sibhekane ngokuphumelelayo nesifo. Ngaphezu kwalokho, kuyinto efiselekayo ukufunda cerebrospinal PCR unamanzi DNA zamagciwane herpes simplex virus, varicella zoster igciwane, Epstein-Barr, cytomegalovirus. Kuyinto lezi amagciwane abangela kakhulu ukukhubaza futhi ezinzima meningitis, kodwa ngokumelene nabo, ngenhlanhla, kukhona okukhethekile, "Acyclovir", "Ganciclovir", "Valacyclovir" plus immunoglobulin ethize. Ngezinye izikhathi, uma izimo ezinzima e serous ukwelashwa meningitis emthanjeni "Acyclovir" aqala ukukhiqiza imiphumela PCR ku-DNA amagciwane ka-herpes iqembu.

meningitis ukwelashwa uma sofuba omsakazo ehlanganisa esasikhipha imithi elwa namagciwane TB eziningana (isib "streptomycin") e imithamo ephezulu ukwedlula kwamanye amasayithi e sofuba.

Uma aseptic meningitis kubangelwa HIV noma flora AIDS-ezihambisana (nakho has ubunjalo serous), ukwelashwa wenziwa imitholampilo ezikhethekile izidakamizwa ethize.

Uma isiguli ubovu meningitis, kwelashwa ukwethula imithi elwa namagciwane ezibanzi-bohlu. Kungasetshenziswa labo akwazi ukungena ngokusebenzisa okuvimbelayo amaseli ezungeze ubuchopho (gazi ebuchosheni) kuphela. izidakamizwa ezinjalo iphathwa parenterally kuphela (isb, ngemithambo yegazi noma intramuscularly, kodwa hhayi ifomu tablet), kanye umthamo esiphezulu kuphela.

I-antibiotic lokuqala kuyakhethwa ngesisekelo onjani ubuhlobo phakathi ukuphazamiseka ukwazi ezingeni ukuvuvukala kule cerebrospinal fluid ubudala futhi comorbidity. Ngakho, uma ukuvuvukala lubonakaliswa izinkulungwane sezitokisi, bese kuthi umuntu ezazi, lesi sifo kwakungelona inkinga pneumonia, abezindaba otitis, sinusitis nezinye izifo ENT, lo muthi lokuqala bangaba "Ceftriaxone" futhi "Amikacin" e imithamo ezifanele. Ngokuvamile lesi sifo kudinga izidakamizwa ezibiza kakhulu, "Meronema", "Vancomycin".

Okwesibili, uma kunesidingo, i antibiotic akhethwa ngokusekelwe imiphumela kakade seeding yotshwala phezu microflora futhi ezifweni ukuhlolwa nemithi. Izimpawu ngokwezinga wayiveza ka-meningitis, impatho asichazi: yokwelapha ikhethwa kuphela imiphumela ekutadisheni cerebrospinal fluid.