Njani na unyango meningitis ubovu kunye serous

Meningitis - sisifo kakhulu kangangokuba alunyangwanga oko phantse kwi-90% iyabulala, ingakumbi xa ukudumba esihlobene inwebu ebuchotsheni. Meningitis Unyango kufuneka wenziwe kuphela esibhedlele, amayeza abahlala enokusetyenziswa kuphela xa besitya enceda ukuzinyamezela ngcono le meko, apho kufuneka isetyenziswe kuphela ngokubhungisana gqirha khona.

Kwi yintoni na unyango? Akukho iziphumo zohlalutyo kolwelo fluid (CSF), elifunyenwe empontshwa, ukuze ukunyanga meningitis engenakwenzeka. Kuphela le Uhlalutyo kunceda ugqirha umahluko phakathi ubovu meningitis ukusuka serous njengoko iimpawu zonyango, oko kukuthi, iimpawu akusoloko uqondakale (ngokulandelelanayo, kwenwebu unyango kuya kuba kubi). Ngaphezu koko, ezinye izifo kwenzeka noxinzelelo intracranial, yaye amaqondo obushushu aphezulu, kwaye ibe neziphumo zesifo meningeal, nangona kunjalo, oku ukusebenzisa efunekayo ukuxilongwa.

Ngexesha okuhlatywa kwi isifundo kuthatha ngeemililitha ezimbalwa ulwelo fluid. Omnye kubo ethunyelwe iimvavanyo elebhu lwezonyango, iziphumo kuzo zinika kwisigqibo njengoko kuchazwe nangokurhala, ezinye - serous okanye ubovu - oko onesimilo. Kaloku imali encinci ulwelo spinal ithunyelwa kwizifundo wentsholongwane egazini-kwaye bacteriological, iziphumo zalo ziya kuza kamva kwaye kuza kunceda ugqirha wakho ukunyenyisa unyango lokuqala meningitis.

Zama ukuqonda ukuba yintoni amalungiselelo ngayo meningitis. Unyango lwe serous meningitis isekelwe phezu ukusetyenziswa arhente non-ngqo antiviral: kuba ikakhulu interferon amachiza ( "Laferon", "Viferon", "Lipoferon"). isicelo sawo sisekelwe yokuba wadibana nayiphi na intsholongwane kwinkqubo yethu omzimba iphendula kwisizukulwana izinto ezinjalo, esiza ukumelana usulelo. Ngaphezu koko, kungakuhle ukufunda PCR cerebrospinal unamanzi DNA amagciwane herpes simplex virus, varicella virus zoster, Epstein-Barr, cytomegalovirus. Kuyinto la iintsholongwane ukuba meningitis olunzima kakhulu kwaye ukukhubaza, kodwa kubo, ngethamsanqa, kukho isipho esikhethekileyo, "i-acyclovir", "Ganciclovir", "Valacyclovir" kunye immunoglobulin ethile. Ngamanye amaxesha, xa iimeko ezinzima kunyango meningitis serous efakwa "acyclovir" aqalise ukuvelisa iziphumo ze-PCR kwi iintsholongwane DNA leqela herpes.

kwenwebu unyango xa lwesifo sephepha umyalezo eliquka ekuqhubeni antibiotics TB ezininzi (umz "streptomycin") e iidosi eziphezulu ngaphezu kwezinye iisayithi xa isifo sephepha.

Ukuba aseptic meningitis ebangelwa HIV okanye nezihluma ezinxulumene-AIDS (kakhulu ngayo umlinganiswa a serous), unyango oluqhutywa kwiikliniki ezikhethekileyo amachiza ezithile.

Ukuba isigulana umntu ubovu meningitis, unyango ukwethula nemithi ngokubanzi-omoya. Zingasetyenziswa kuphela ezo kusichukumisa ngokusebenzisa ukungakwazi iiseli ejikeleze ingqondo (umqobo igazi-ubuchopho). iziyobisi ezifana zilawulwa parenterally kuphela (ngamanye amazwi, butofelwe okanye intramuscularly, kodwa hayi azipilisi), kwaye kuphela izinga eliphezulu.

I-zintsholongwane lokuqala ikhethiwe ngokusekelwe olunjani malunga phakathi ukuphazamiseka sezingqondweni umgangatho ukudumba kulwelo cerebrospinal ubudala comorbidity. Ngoko ke, ukuba ukudumba okuvakaliswa amawaka iiseli, kwaye umntu lisezingqondweni na, isifo wayengekho kwingxaki yinyumoniya, amajelo otitis, sinusitis kunye nezinye izifo ENT, olwa wokuqala abe 'Ceftriaxone "yaye" Amikacin "kwi iidosi ezifanelekileyo. Isikakhulu sifo ifuna iziyobisi ibiza kakhulu, "Meronema", "Vancomycin".

Okwesibini, ukuba kuyimfuneko, i-zintsholongwane esikhethwe isekelwe kwiziphumo sele elinywayo ngotywala microflora kunye susceptibility uvavanyo nemithi. Iimpawu ubungakanani-ezixeliweyo meningitis, unyango asichazi: uthomalaliso ukhethe kuphela phezu kweziphumo zophononongo lwe-cerebrospinal fluid.