Pneumococcal yomumuzongoza

Meningitis chirwere chema membranes anovhara uropi uye musana. Ichi chifukidziro chinonzi meninges.

Mabhakitiriya ndeimwe mhando yehutachiona iyo inogona kukonzera meningitis. Iyo pneumococcal bhakitiriya ndeimwe mhando yebhakitiriya inokonzera meningitis

Pneumococcal meningitis inokonzerwa ne Streptococcus pneumoniae mabhakitiriya (anonziwo pneumococcus, kana S pneumoniae). Rudzi urwu rwehutachiona ndicho chinonyanya kukonzera bhakitiriya meningitis muvanhu vakuru. Ndicho chechipiri chikonzero chakanyanya kukonzera meningitis muvana vakura kupfuura makore maviri.

Njodzi zvinhu zvinosanganisira:

• Doro shandisa
• Chirwere cheshuga
• Nhoroondo ye meningitis
• Kubatwa kwevhavha yemoyo ne S pneumoniae
• Kukuvara kana kushungurudzika kumusoro
• Meningitis umo mune kuvhuvhuta kwemusana musana
• Yazvino nzeve hutachiona ne S pneumoniae
• Recent pneumonia ne S pneumoniae
• Ichangobva kuitika yepamusoro yekufema hutachiona
• Kubviswa kwepleen kana tsinga isingashande

Zviratidzo zvinowanzouya nekukurumidza, uye zvinogona kusanganisira:

• Fivha uye kutonhora
• Mamiriro epfungwa anochinja
• Kusvotwa uye kurutsa
• Kunzwisisa kuchiedza (photophobia)
• Musoro wakanyanya
• Mutsipa wakaoma

Zvimwe zviratidzo zvinogona kuitika nechirwere ichi:

• Kusagadzikana
• Kubhururuka fontanelles mune vacheche
• Kuderera kwekuziva
• Kudya kwakashata kana kutsamwa muvana
• Kukurumidza kufema
• Kugara kusingawanzo, nemusoro nemutsipa zvakatemerwa kumashure (opisthotonos)

Pneumococcal meningitis chinhu chakakosha chikonzero chefivha muvacheche.

Anopa hutano anoita bvunzo dzepanyama. Mibvunzo inozotarisa pane zviratidzo uye zvinogona kuratidzwa kune mumwe munhu angave aine zvakafanana zviratidzo, senge rakaomarara mutsipa nefivha.

Kana iye mupi achifunga kuti meningitis inogoneka, lumbar puncture (musana tambo) inogona kuzoitwa. Uku ndiko kuwana muyenzaniso wepelinha yemvura yekuyedza.

Mimwe bvunzo inogona kuitwa inosanganisira:

• Tsika yeropa
• Chest x-ray
• CT scan yemusoro
• Gram stain, mamwe mavara akakosha

Mishonga inorwisa mabhakitiriya ichatangwa nekukurumidza sezvazvinogona. Ceftriaxone imwe yemishonga inorwisa mabhakitiriya inonyanya kushandiswa.

Kana iyo antibiotic isiri kushanda uye mupi achifungidzira antibiotic kuramba, vancomycin kana rifampin anoshandiswa. Dzimwe nguva, corticosteroids inoshandiswa, kunyanya muvana.

Meningitis chirwere chine njodzi uye chinogona kuuraya. Iyo ikakurumidza kurapwa, iri nani mukana wekupora. Vana vadiki nevanhu vakuru vanopfuura makore makumi mashanu vane njodzi huru yekufa.

Yenguva refu matambudziko anogona kusanganisira:

• Kukuvara kwehuropi
• Kuvaka kwemvura pakati pehenya nehuropi (subdural effusion)
• Kuvaka kwemvura mukati mehenya iyo inotungamira kuhuropi kuzvimba (hydrocephalus)
• Kunzwa kurasikirwa
• Kufenda

Fonera 911 kana iyo yemuno emergency emergency kana kuenda kune yekukurumidza emergency kamuri kana iwe uchifungidzira meningitis mumwana mudiki ane zvinotevera zviratidzo:

• Matambudziko ekudyisa
• Kuchema kwepamusoro
• Kushatirwa
• Kuramba kusinganzwisisike fivha

Meningitis inogona kukurumidza kuve chirwere chinotyisa.

Kurapa kwekutanga kwemabayo uye nzeve kutapukirwa kunokonzeresa nepneumococcus kunogona kudzora njodzi yehutachiona. Kune zvakare majekiseni maviri anoshanda ekudzivirira pneumococcus hutachiona.

Vanhu vanotevera vanofanirwa kubayiwa nhomba, zvinoenderana nezvazvino kurudziro:

• Vana
• Vakuru vane makore makumi matanhatu nemashanu zvichikwira
• Vanhu vari panjodzi yakanyanya yehutachiona hwepneumococcus

Pneumococcal yomumuzongoza; Pneumococcus - yomumuzongoza

• Pneumococci muviri
• Pneumococcal mabayo
• Meninges europi
• CSF cell kuverenga

Nzvimbo dzekuchengetedza Dziviriro uye Kudzivirira webhusaiti. Bhakitiriya meningitis. www.cdc.gov/meningitis/bacterial.html. Yakagadziridzwa Nyamavhuvhu 6, 2019. Yakasvika muna Zvita 1, 2020.

Hasbun R, Van de Beek D, Brouwer MC, Tunkel AR. Chenjera yomumuzongoza. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 87.

Ramirez KA, Peters TR. Streptococcus pneumoniae (pneumococcus). Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 209.