Kuputirwa kwehuropi

Hosha yeuropi inounganidza pus, maseru ekudzivirira, uye zvimwe zvinhu muuropi, zvinokonzerwa nehutachiona kana hutachiona hutachiona.

Kusuruvara kwehuropi kunowanzoitika kana utachiona kana fungi zvichikanganisa chikamu chehuropi. Nekuda kweizvozvo, kuzvimba uye kutsamwa (kuzvimba) kunoitika.Masero ehuropi ane hutachiona, maseru machena eropa, bhakitiriya mhenyu uye akafa kana fungi inoungana munzvimbo yehuropi. Mafomu enyama akakomberedza nzvimbo ino uye anogadzira huremu kana bundu.

Utachiona hunokonzeresa kuputika kwehuropi hunogona kusvika kuuropi kuburikidza neropa. Kana, ivo vanopinda muhuropi zvakananga, senge panguva yekuvhiyiwa kwepfungwa. Mune zvimwe zviitiko, huropi hutu hunobuda kubva kuhutachiona muzvitadzo.

Kunobva hutachiona hakuwanzo kuwanikwa. Zvisinei, iyo inonyanya kuzivikanwa ndeye hutachiona hwemapapu. Zvishoma kazhinji, hutachiona hwemwoyo ndicho chikonzero.

Izvi zvinotevera simudza mukana wako wekukudziridza huta huropi:

• Immune system isina simba (senge mune vanhu vane HIV / AIDS)
• Chirwere chisingaperi, senge kenza
• Mishonga inodzvinyirira immune system (corticosteroids kana chemotherapy)
• Congenital chirwere chemoyo

Zviratidzo zvinogona kukura zvishoma nezvishoma, pamusoro pevhiki yakati wandei, kana zvingangoerekana zvaitika. Zvinogona kusanganisira:

• Shanduko muhunhu hwepfungwa, senge nyonganiso, kupindura zvishoma kana kufunga, kutadza kutarisa, kana kurara
• Yakadzikira kugona kwekunzwa kunzwa
• Fivha uye kutonhora
• Kutemwa nemusoro, kugwinha, kana kuomesa mutsipa
• Zvinetso zvemutauro
• Kurasikirwa kwemhasuru basa, kazhinji kune rumwe rutivi
• Chiono chinoshanduka
• Kusvipa
• Kushaya simba

Uropi uye huta system (neurological) bvunzo inowanzo kuratidza zviratidzo zvekuwedzera kumanikidza mukati mehenya uye matambudziko nekushanda kwehuropi.

Kuyedzwa kwekuongorora hutachiona hwehuropi kunogona kusanganisira:

• Tsika dzeropa
• Chest x-ray
• Yakazara kuverenga ropa (CBC)
• Musoro CT scan
• Electroencephalogram (EEG)
• MRI yemusoro
• Kuongororwa kuvepo kwemaantibhakitiriya kune mamwe majemusi

Tsono biopsy inowanzoitwa kuti uone chinokonzera hutachiona.

Hosha yeuropi inyanzvi yekurapa. Dzvinyiriro mukati mehenya iri inogona kuve yakakwira zvekuti inogona kutyisidzira hupenyu. Iwe unozofanirwa kugara muchipatara kudzamara mamiriro agadzikana. Vamwe vanhu vangangoda rutsigiro rwehupenyu.

Mishonga, kwete kuvhiyiwa, inokurudzirwa kana iwe uine:

• Dutu diki (risingasviki 2 cm)
• Bundu rakadzika muuropi
• Bundu uye meningitis
• Akawanda mapundu (zvisingawanzo)
• Shunts muuropi yehydrocephalus (mune dzimwe nguva, iyo shunt ingangoda kubviswa kwechinguva kana kutsiviwa)
• Hutachiona hunodaidzwa kuti toxoplasmosis mumunhu ane HIV / AIDS

Iwe unogona kupihwa mhando dzakasiyana dzakasiyana dzemishonga yekurwisa kuti uone kuti kurapwa kunoshanda.

Antifungal mishonga inogona zvakare kupihwa kana hutachiona hwungangodaro hunokonzerwa nefungus.

Kuvhiya kunodiwa kana:

• Kuwedzera kwekumanikidza muuropi kunoenderera kana kuwedzera kuipa
• Uropi husuru hahuve hushoma mushure memushonga
• Iyo huropi abscess ine gasi (inogadzirwa nemamwe marudzi ebhakitiriya)
• Uropi hutu hunogona kuvhurika (kuputika)
• Iyo huropi abscess yakakura (inopfuura 2 cm)

Kuvhiya kunosanganisira kuvhura dehenya, kufumura huropi, nekudonhedza pute. Rabhoritari bvunzo dzinowanzoitwa kuongorora huturu. Izvi zvinobatsira kuziva chinokonzera hutachiona, kuitira kuti mishonga inorwisa mabhakitiriya kana antifungal mushonga inogona kupihwa.

Tsono aspiration inotungamirwa neTC kana MRI scan inogona kudikanwa kune yakadzika abscess. Munguva iyi maitiro, mishonga inogona kuiswa jekiseni mumasaisa.

Dzimwe diuretics (mishonga inoderedza mvura mumuviri, inonziwo mapiritsi emvura) uye steroid inogona zvakare kushandiswa kudzora kuzvimba kwehuropi.

Kana ikasarapwa, hutsi hwehuropi hunogona kungogara huchiuraya. Nokurapwa, mwero wekufa ungangoita gumi kubva muzana kusvika makumi matatu muzana. Iyo yekutanga kurapwa inogamuchirwa, zvirinani.

Vamwe vanhu vanogona kunge vaine kwenguva refu matambudziko ehurongwa hwehurongwa mushure mekuvhiyiwa.

Zvinetso zvinogona kusanganisira:

• Kukuvara kwehuropi
• Meningitis iyo yakaoma uye inotyisidzira hupenyu
• Kudzoka (kudzokorora) kwehutachiona
• Kufenda

Enda kuchipatara chekukurumidzira imba kana kufonera iyo yemuno emergency emergency (se911) kana iwe uine zviratidzo zveuropi abscess.

Unogona kudzikisa njodzi yekukura kwehuropi hure nekurapwa hutachiona kana matambudziko ehutano anogona kuzvikonzera.

Vamwe vanhu, kusanganisira avo vane zvimwe zvinonetsa pamoyo, vanogona kuwana maantibhakitiriya pamberi mazino kana imwe nzira yekubatsira kudzikisa njodzi yehutachiona.

Pute - uropi; Cerebral abscess; CNS pute

• Kuvhiya kwehuropi - kubuda

• Amebic huropi hutu
• Ubongo

Gea-Banacloche JC, Tunkel AR. Kuputirwa kwehuropi. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 90.

Nath A, Berger JR. Brain abscess uye parameningeal hutachiona. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 385.