Meningococcemia

Meningococcemia chirwere chinotyisa uye chinogona kutyisidzira hupenyu cheropa.

Meningococcemia inokonzerwa nehutachiona hunodaidzwa Neisseria meningitidis. Mabhakitiriya anowanzo gara munzvimbo yekumusoro yekufema yemunhu pasina kukonzera zviratidzo zvehurwere. Zvinogona kupararira kubva kumunhu kuenda kumunhu kuburikidza nemadonhwe ekufema. Semuenzaniso, unogona kutapukirwa kana iwe uripedyo nemunhu ane chirwere uye iye achihotsira kana kukosora.

Nhengo dzemhuri uye avo vakasvinudzwa kune mumwe munhu ane chirwere vari panjodzi yakawedzera. Utachiona hunowanzoitika munguva yechando uye kutanga kwematsutso.

Panogona kuve nezviratidzo zvishoma pakutanga. Zvimwe zvinogona kusanganisira:

• Kupindwa nechando
• Kutemwa nemusoro
• Kushatirwa
• Kutambudzika kwemhasuru
• Nausea
• Rash ane madiki madiki matsvuku kana epepuru pamakumbo kana pamakumbo

Gare gare zviratidzo zvinogona kusanganisira:

• Kuderera padanho rako rekuziva
• Nzvimbo dzakakura dzekubuda ropa pasi peganda
• Shock

Anopa hutano anozokuongorora obvunza nezve zviratidzo zvako.

Kuongororwa kweropa kuchaitwa kutonga kunze kwehumwe hutachiona uye kubatsira kusimbisa meningococcemia. Miedzo yakadaro inogona kusanganisira:

• Tsika yeropa
• Yakazara kuverenga kweropa nemusiyano
• Dzidzo yekuvhara ropa

Mimwe bvunzo inogona kuitwa inosanganisira:

• Lumbar kubaya kuti utore sampu yemuzongoza mvura yeGram stain uye tsika
• Ganda biopsy uye Gram stain
• Weti kuongorora

Meningococcemia chirwere chekukurumidzira. Vanhu vane hutachiona uhu vanowanzo gamuchirwa kuchipatara chevanorwarisa, uko kwavanotariswa zvakanyanya. Vanogona kuiswa munzvimbo yekufema vari vega kwemaawa makumi maviri nemana ekutanga kubatsira kudzivirira kutapukira kwehutachiona kune vamwe.

Mishonga inogona kusanganisira:

• Mishonga inorwisa mabhakitiriya inopihwa kuburikidza netsinga ipapo ipapo
• Kufema rutsigiro
• Kuvhara zvinhu kana platelet kutsiva, kana kubuda ropa kukanganisika kuchikura
• Fluid kuburikidza nemutsinga
• Mishonga yekurapa yakaderera BP
• Kukuvara kwekukuvara kwenzvimbo dzeganda neropa

Kurapa kwekutanga kunoguma nemhedzisiro yakanaka. Kana kushamisika kukamuka, mhedzisiro yacho haina chokwadi.

Mamiriro acho ari kutyisidzira hupenyu kune avo vane:

• Chirwere chakanyanya chekubuda ropa chinonzi chakaparadzirwa intravascular coagulopathy (DIC)
• Itsvo kutadza
• Shock

Zvinogona kuitika zvehutachiona ndeizvi:

• Arthritis
• Kubuda ropa kusagadzikana (DIC)
• Gangrene nekuda kwekushayikwa kweropa
• Kuzvimba kwemitsipa yeropa muganda
• Kuzvimba kwemhasuru yemoyo
• Kuzvimba kwemoyo lining
• Shock
• Kukuvadza kwakanyanya kune adrenal gland iyo inogona kutungamira kune yakaderera BP (Waterhouse-Friderichsen syndrome)

Enda kuimba yekukurumidzira nekukasira kana uine zviratidzo zve meningococcemia. Fonera mupiki wako kana iwe wakambenge uri padhuze nemunhu ane chirwere.

Mishonga inorwisa mabhakitiriya yemhuri uye nevamwe vekudyidzana inowanzo kurudzirwa. Taura nemupi wako nezve iyi sarudzo.

Mushonga unofukidza mamwe, asi kwete ese, maronda e meningococcus anokurudzirwa kune vana vane makore gumi nerimwe kana gumi nembiri. Chikumbiro chinopihwa pazera remakore 16. Vadzidzi vekoreji vasina kuvhiyiwa vanogara mudzimba dzekugara vanofanirwa kufunga nezvekugamuchira mushonga uyu. Inofanira kupihwa mavhiki mashoma vasati vatanga kupinda mudorm. Taura nemupi wako nezve uyu mushonga.

Meningococcal septicemia; Meningococcal ropa chepfu; Meningococcal bacteremia

Marquez L. chirwere cheMeningococcal. Mune: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. Feigin naCherry's Bhuku reBhuku rePediatric Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier; 2019: chap 88.

Stephens DS, Apicella MA. Neisseria meningitidis. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Principles uye Practice yeInfectious Diseases, Yakagadziridzwa Edhisheni. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 213.