Iyo meningitis inoonekwa sei

Zvemukati

• 1. Kuongororwa kwezviratidzo
• 2. CRL tsika
• 3. Kuongororwa kweropa uye weti
• 4. Kufungidzira bvunzo
• 5. Mukombe bvunzo

Kuongororwa kwechirwere chemumuzongoza kunoitwa kuburikidza nekucherechedzwa kwekiriniki kwezviratidzo zvechirwere uye kusimbiswa kuburikidza nemubvunzo unonzi kupinza kwechiuno, icho chinosanganisira kubviswa kweiyo shoma CSF kubva mumuzongoza. Muedzo uyu unogona kuratidza kana paine kuzvimba mukati memamenji uye kuti chii chinokonzera causative chakakosha pakuongororwa uye kutungamira kurapwa kwechirwere.

Iyo bvunzo uye bvunzo dzinogona kurairwa nachiremba ndeidzi:

1. Kuongororwa kwezviratidzo

Iko kuongorora kwekutanga kwehutachiona kunoitwa kuburikidza nekuongororwa kwezviratidzo nachiremba, kucherechedza kana munhu achinzwa kurwadziwa kana kunetseka mukufambisa mutsipa, ane kupisa kwakanyanya uye nekukurumidza, dzungu, kunetseka kuisa pfungwa, kunzwisisika kuchiedza, kushaya nzara, nyota uye kuvhiringidzika kwepfungwa, semuenzaniso.

Kubva pane kuongororwa kwezviratidzo zvinoratidzwa nemurwere, chiremba anogona kukumbira mimwe bvunzo kuti apedze kuongororwa. Ziva zvimwe zviratidzo zvekumonyuka.

2. CRL tsika

CSF tsika, inonziwo cerebrospinal fluid kana CSF, ndeimwe yemabvunzo makuru erabhoritari akakumbirwa kuti uongororwe chirwere chemanungo. Kuongorora uku kunotora kutora muyenzaniso weCSF, inova mvura inowanwa yakakomberedza iyo yepakati tsinga system, kuburikidza ne lumbar puncture, iyo inotumirwa kurabhoritari kuti iongororwe uye kuongororwa kwehutachiona.

Muedzo uyu hauna kugadzikana, asi unokurumidza, uye kazhinji unokonzeresa musoro uye dzungu mushure mekuita, asi mune dzimwe nguva zvinogona kubvisa zviratidzo zvehurombo nekudzikisa cranial kumanikidza.

Kuonekwa kwemvura iyi kunogona kutotaridza kuti munhu ane bacterial meningitis nekuti mune iyi nyaya, mvura yacho inogona kuita makore uye kana tibhii meningitis inogona kuita makore zvishoma, mune mamwe marudzi chitarisiko chinogona kuramba chakachena uye chakajeka semvura.

3. Kuongororwa kweropa uye weti

Urini uye bvunzo dzeropa dzinogona zvakare kurairwa kubatsira kuongorora meningitis. Iyo weti bvunzo inogona kuratidza kuvepo kwehutachiona, nekuda kwekuona kwehutachiona uye zvisingaverengeke leukocyte mumugini, uye nekudaro, iyo weti tsika inogona kuratidzirwa kuti ione hutachiona.

Kuongororwa kweropa kunokumbirwawo kuti uzive mamiriro ezvinhu emunhu, izvo zvinogona kuratidza kuwedzera kwenhamba yeleukocyte uye neutrophils, mukuwedzera pakukwanisa kuona maaymphocyte atypical, mune iyo CBC, uye kuwedzera kwe kusangana kweCRP muropa, zvichiratidza hutachiona.

Kazhinji kana paine chiratidzo chehutachiona nemabhakitiriya, bacterioscopy inogona kukurudzirwa uye, kana munhu wacho akarara muchipatara, mutsika weropa, uyo unoumbwa netsika yemuenzaniso weropa murabhoritari kuti uone hutachiona muropa. Kana iri bacterioscopy, iyo sampuli inounganidzwa kubva kumurwere yakasvibiswa neGram stain uye yozoongororwa pasi pe microscope kuti ione hunhu hwehutachiona uye, nekudaro, kubatsira mukuongororwa.

Zvinoenderana nemhedzisiro yeongororo dze microbiological, zvinokwanisika kutarisa kuti ndeupi mushonga unorwisa utachiona unonzwisisika, uri iwo unokurudzirwa zvakanyanya pakurapa meningitis. Tsvaga kuti marapirwo ehurongwa hwemeningitis anoitwa sei.

4. Kufungidzira bvunzo

Kufungidzira bvunzo, senge computed tomography uye magnetic resonance imaging, zvinongoratidzwa chete kana huropi hwekukuvara kana sequelae yakasara ne meningitis inofungidzirwa. Pane zviratidzo zvinonyumwira kana munhu abatwa nepfari, shanduko muhukuru hwevadzidzi vemaziso uye kana achifungidzirwa kuti ane tuberculous meningitis.

Kana uchiongorora chirwere ichi, murwere anofanirwa kugara muchipatara kwemazuva mashoma kuti kurapwa kutange, zvichibva pamaantibhakitiriya kuitira bhakitiriya meningitis kana mishonga yekudzikisa fivhiri uye kudzikisira kusagadzikana kana paine hutachiona hwemeningitis.

5. Mukombe bvunzo

Mukombe bvunzo bvunzo yakapusa iyo inogona kushandiswa kubatsira mukuongororwa kwe meningococcal meningitis, inova mhando yebacteria meningitis inozivikanwa nekuvapo kwemavara matsvuku paganda. Muedzo uyu unosanganisira kutsikirira girazi rinoonekera mukombe paruoko uye kutarisa kana mavara matsvuku aripo uye anogona kuonekwa kuburikidza negirazi, iro rinogona kuratidza chirwere.