Matenda a mitsempha ndi imodzi mwa matenda aakulu kwambiri ndi owopsa, omwe amadziwika ndi kutupa kwa nembidzi za msana kapena ubongo. Monga lamulo, chifukwa cha matenda ake osatetezeka, matenda opatsiranawa nthawi zambiri amawonekera kwa ana aang'ono.
Muzochita zamankhwala, malingana ndi chikhalidwe cha kutupa, pali mitundu iwiri ya matenda a mimba: serous (kawirikawiri enterovirus) ndi purulent. Mankhwala opatsirana a serous meningitis ndi enteroviruses, monga Coxsackie, ECHO, kachilombo ka poliomyelitis, mumps ndi ena. Pogwiritsa ntchito purulent meningitis, causative wothandizira nthawi zambiri amakhala matenda a bakiteriya - meningococcus, pneumococcus, staphylococcus, salmonella, streptococcus, Pseudomonas aeruginosa kapena hemophilic ndodo.
Pa maonekedwe oyambirira a matenda a mimba mwa ana, nkofunika kuyamba mankhwala mwamsanga, chifukwa matendawa angayambitse mavuto aakulu: khunyu, kugontha, hydrocephalus, komanso mavuto a kukula kwa maganizo a ana.
Kodi mungatani kuti muwachiritse ana?
Kuchiza kwa meningitis kwa ana kumachitika pokhapokha mu malo okhazikika. Kuti mudziwe bwinobwino, dokotala yemwe akupezekapo ayenera kuchita pulogalamu yapamwamba, kuphunzira CSF, komanso kuyezetsa magazi magazi. Mankhwalawa amachitidwa kuti adziwe kuti ali ndi matendawa ndipo amadziwika kuti ali ndi mphamvu zowononga mankhwala.
Maziko a chithandizo cha serous ndi purulent meningitis mwa ana ndi mankhwala opatsirana pogwiritsa ntchito maantibayotiki, cholinga chachikulu ndicho kuthetsa zifukwa za matendawa. Komabe, nthawi zina, n'zosatheka kukhazikitsa ndondomeko ya tizilombo toyambitsa tizilombo, kotero kuti mankhwala oyenera tizilombo toyambitsa matenda amafunikira, omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tiwoneke. Pambuyo pozilandira zotsatira za matenda a bacteriological ndikuzindikiritsa mtundu wa tizilombo toyambitsa matenda, ndizotheka kusintha mankhwala ogwiritsidwa ntchito kuti athetsere vutoli. Kwa mwana wodwala, maantibayotiki amaperekedwa parenterally kwa masiku osachepera 10 ndi masiku asanu ndi awiri mutatha kusintha kwa kutentha kwa thupi kwa mwanayo. Monga lamulo, antibacterials otsatirawa amagwiritsidwa ntchito pochiza matenda a meningitis: antibiotics a kalasi ya cephalosporins ( cefotaxime , ceftriaxone ), penicillin, komanso malo osungiramo vancomycin ndi carbapenems.
Pamodzi ndi mankhwala oletsa antibacterial, ma diuratics amalembedwa (diuretics, monga lasix, ureide, diacarb) kuti achepetse kupanikizika, komanso kupewa ndi kuchiza matenda a cerebral edema.
Kuonjezerapo, chinthu chofunika kwambiri pa chithandizo chopanda chithandizo cha meningitis cha mitundu yosiyanasiyana ya mankhwala etiologies ndi mankhwala osokoneza bongo (detoxification) ndi kukonzanso mchere wamchere. Pachifukwa ichi, kulowetsedwa m'matumbo kwa colloidal ndi crystalloid njira zikuchitika.
Pambuyo pochoka kuchipatala, chithandizo cha meningitis chimachitika kale pakhomo pa dokotala, ndipo pa chaka
Kuchiza kwa meningitis ndi mankhwala osakanikirana
Tiyenera kukumbukira kuti ngati palibe chithandizo choyenera chithandizochi chitha kupha, kotero kuti mankhwala sangatheke kunyumba. Kuonjezera apo, sichikulimbikitsidwa kwambiri kuti chithandizo cha meningitis chisagwiritsidwe ntchito podzigwiritsa ntchito njira zamankhwala chifukwa cha kuchepa kwachangu komanso kusowa kwa nthawi. Kumbukirani kuti nthawi ndi chithandizo cha chithandizo cha matenda a mimba zimadalira momwe matendawa amapezera mwamsanga ndipo amapatsidwa chithandizo chokwanira.