H influenzae yomumuzongoza

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

Mabhakitiriya ndeimwe mhando yehutachiona iyo inogona kukonzera meningitis. Haemophilus influenzae mhando b ndeimwe mhando yebhakitiriya inokonzera meningitis.

H influenzae meningitis inokonzerwa ne Haemophilus influenzae nyora b mabhakitiriya. Ichi chirwere hachina kufanana nefuruwenza (furuwenza), iyo inokonzerwa nehutachiona.

Pamberi kwechirwere cheHib, H influenzae ndiyo yainyanya kukonzera hutachiona hwehutachiona muhutachiona hwevana vari pasi pemakore mashanu Kubvira kuti jekiseni rakawanikwa muUnited States, rudzi urwu rwemanjenjitisi runowanzoitika zvakanyanya muvana.

H influenzae meningitis inogona kuitika mushure mehutachiona hwepamusoro hwekufema. Hutachiona hunowanzopararira kubva mumapapu uye nemumhepo kuenda kuropa, wozoenda kunzvimbo yehuropi.

Njodzi zvinhu zvinosanganisira:

• Kupinda kirechi
• Gomarara
• Hutachiona hutachiona (otitis media) ine H influenzae hutachiona
• Nhengo yemhuri ine H influenzae hutachiona
• Native American mujaho
• Kubata pamuviri
• Kukwegura
• Sinus chirwere (sinusitis)
• Huro huro (pharyngitis)
• Utachiona hwepamusoro hwekufema
• Dziviriro yezvirwere mumuviri

Zviratidzo zvinowanzouya nekukurumidza, uye zvinogona kusanganisira:

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

Zvimwe zviratidzo zvinogona kuitika zvinosanganisira:

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

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

Kana chiremba achifunga kuti meningitis inogoneka, lumbar puncture (musana tambo) inoitwa kutora muenzaniso wepelin fluid (cerebrospinal fluid, kana CSF) yekuyedzwa.

Mimwe bvunzo inogona kuitwa inosanganisira:

• Tsika yeropa
• Chest x-ray
• CT scan yemusoro
• Gram stain, mamwe akasviba mavara, uye tsika yeCSF

Mishonga inorwisa mabhakitiriya ichapihwa nekukurumidza sezvazvinogona. Ceftriaxone imwe yemishonga inorwisa mabhakitiriya inonyanya kushandiswa. Ampicillin dzimwe nguva inogona kushandiswa.

Corticosteroids inogona kushandiswa kurwisa kuzvimba, kunyanya muvana.

Vanhu vasina kuvharirwa vari padhuze nepadhuze nemunhu ane H influenzae yomumuzongoza inofanira kupihwa mishonga inodzivirira utachiona. Vanhu vakadaro vanosanganisira:

• Nhengo dzemhuri
• Vamuri kugara mudzimba dzekugara
• Avo vanosangana nehukama hwepedyo nemunhu ane hutachiona

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 uchirarama, isingatsanangurike fivha

Meningitis inogona kukurumidza kuve chirwere chinotyisa.

Vacheche nevana vadiki vanogona kudzivirirwa nemushonga weHib.

Vhara vanofambidzana mumhuri imwechete, chikoro, kana nzvimbo yekuchengetedza vana inofanirwa kutariswa zviratidzo zvekutanga zvechirwere nekukurumidza kana munhu wekutanga aonekwa. Nhengo dzese dzemhuri dzisina kubayiwa uye kufambidzana nepedyo wemunhu uyu dzinofanira kutanga kurapwa kwemishonga inorwisa mabhakitiriya nekukurumidza kudzivirira hutachiona. Kumbira mupiki wako nezvemaantibayoti panguva yekutanga kushanya.

Nguva dzose shandisa tsika dzakanaka, dzakadai sekugeza maoko usati uye mushure mekuchinja manapukeni, uye mushure mekushandisa imba yekugezera.

H. influenzae meningitis; Hosha yemanyoka; Haemophilus influenzae mhando b meningitis

• Central nervous system uye yekumusoro tsinga system
• CSF cell kuverenga
• Haemophilus influenzae muviri

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

Nath A. Meningitis: hutachiona, hutachiona, uye zvimwe. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 384.

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.