Mimba yamatenda

Kutupa kwa mimba kumayambitsa matenda a ubongo ndi msana, chirengedwe chabakiteriya. Nthawi zambiri purulent meningitis imayambitsa matenda a meningococcal (20% ya milandu), pneumococci (mpaka 13%) ndi mphutsi yamphongo (mpaka 50%). Matenda otsalawa amagwera pa gawo la matenda a streptococcal ndi staphylococcal, salmonella, matenda a Pseudomonas aeruginosa, ndodo ya Friedlander.

Mitundu ya purulent meningitis

Malingana ndi zifukwa zomwe zimayambitsa matenda, meningitis imagawidwa mu:

1. Primary purulent meningitis. Zimayimira matenda odziimira okha, opwetekedwa ndi matenda a bakiteriya (mwachitsanzo, meningococcal meningitis).
2. Severe purulent meningitis. Khalani ngati vuto la matenda ena, nthawi zambiri ndi matenda a ENT ziwalo: otitis, sinusitis, ndi zina zotero.

Mu mawonekedwe a zamakono, meningitis imagawidwa mu:

• mphezi mwamsanga
• chakuthwa;
• subacute;
• osatha.

Malingana ndi kuuma kwa mawonetseredwe a zizindikiro zachipatala, mapapo, pakati, oopsa komanso oopsa kwambiri a matendawa ali okhaokha.

Kodi purulent meningitis imafalitsidwa bwanji?

Ndi matendawa, matendawa amalowa mu ubongo mwa njira yamagazi, ndiyo kudzera mwazi. Pokhapokha, meningitis siwopatsirana, koma matenda opatsirana ndi ofunika, ndipo nthawi zina matenda opatsirana mabakiteriya omwe angayambitse. Kutenga kwawo ndiko kotheka mwa kulankhulana (kudzera mwa thupi, kudzera mu zinthu zaukhondo) ndi madontho a m'mlengalenga (makamaka matendawa, omwe angayambitse kachilombo koyambitsa matenda).

Zizindikiro za purulent meningitis

Ndi purulent meningitis, pali:

• kutentha kwa thupi;
• kufooka kwakukulu;
• kusowa kudya, kunyoza ndi kusanza;
• kumutu, kupweteka ndi kuyenda kapena katundu uliwonse;
• kupweteka kwamtundu ndi minofu, kuchepa kwa minofu;
• malingaliro opweteka ndi kupweteka m'maso;
• kumva;
• kufooka kwa mitsempha ya nkhope, kusokoneza, kumeza matenda;
• Mphuno ya khungu, yomwe imakhudza miyendo, koma mwamsanga imafalikira thupi lonse;
• chisokonezo, zokondweretsa, zokondweretsa, chiwonongeko.

Zizindikiro kawirikawiri zimawoneka bwino kwambiri pa tsiku lachiwiri la matendawa ndipo zimakhala zolimba. Ma Rashes omwe angapangitse kufa kwa ziphuphu, komanso mavuto omwe amawoneka a ubongo, amaimira zinthu zoopsa kwambiri zomwe zingachititse imfa ya wodwalayo.

Kuzindikira ndi chithandizo cha purulent meningitis

Kawirikawiri, chithunzi cha clinic ndi meningitis chimatchulidwa, ndipo matendawa amayamba mosavuta. Kuwatsimikizira ndi kukhazikitsa mtundu wa matenda a bakiteriya, kupuma kumachitika (sampuli ya cerebrospinal fluid kuti awerenge). Pamene purulent meningitis mwachindunji panthawi ya kuchoka kwa cerebrospinal fluid, kuwonjezereka kwake ndi kutentha kumapezeka. Maphunziro ena amatsimikizira kuti kuchuluka kwa mapuloteni ndi maselo ena a leukocyte (makamaka neutrophils). Kutsimikiza kwa mtundu wa matenda a bakiteriya kumachitika ndi maphunziro ang'onoang'ono.

Popeza purulent meningitis ndi yaikulu kwambiri komanso matenda owopsya, chithandizo chake chikuchitidwa kokha kuchipatala, moyang'aniridwa ndi chithandizo chamankhwala, ndipo ayenera kuyamba mwamsanga mwamsanga.

Chithandizo chachikulu cha purulent meningitis ndi mankhwala akuluakulu okhala ndi maantibayotiki a penicillin ndi cephalosporin . Kufanana ndi mankhwala opha tizilombo angagwiritsidwe ntchito:

• chithandizo;
• anti-inflammatory drugs;
• droppers ndi saline ndi shuga;
• ma diuretics pofuna kuchotsa kuledzera kwa thupi.