Fungal meningitis: chii icho, chii chiri zvikonzero nezviratidzo
Zvemukati
Fungal meningitis chirwere chinotapukira chinokonzerwa nefungus, iyo inoratidzirwa nekuzvimba kwemamenji, ayo ari membranes ari akatenderedza uropi uye musana, izvo zvinogona kutungamira pakuonekwa kwezviratidzo senge kutemwa nemusoro, fivha, kusvotwa uye kurutsa.
Rudzi urwu rwemeningitis haruwanzoitika, asi runogona kuitika kune chero munhu, kunyanya avo vasina immunocompromised. Inogona kukonzerwa nemhando dzakasiyana dzefungi, dzakanyanya kuve mhandoCryptococcus.
Kurapa kunowanzoda kurapwa, uko antifungal zvinodhaka zvinopihwa mukati mutsinga.
Zvinogona kukonzerwa
Fungal meningitis inokonzerwa nehutachiona hwembiriso, uye zvinoitika kana hutachiona hwacho hukapararira muropa ndokuyambuka chipingaidzo cheropa-chepfungwa, kupinda muuropi uye musana. Kunyangwe isingawanzoitika, ichi chiitiko chinowanzoitika kune vanhu vasina simba immune immune, senge vanhu vane HIV, vanhu vari kurapwa kenza kana nemimwe mishonga, senge immunosuppressants kana corticosteroids.
Kazhinji, iyo fungi inokonzeresa fungal meningitis ndeyezvipenyuCryptococcus, iyo inogona kuwanikwa muvhu, mumadonhwe eshiri nehuni dzinoora. Nekudaro, imwe fungi inogona kunge iri iyo chikonzero che meningitis, sezvazviri Histoplasma, Blastomyces, Coccidioides kana Candida.
Ona zvimwe zvinokonzera meningitis uye maitiro ekuzvidzivirira.
Ndezvipi zviratidzo
Zviratidzo zvinogona kukonzerwa nefungal meningitis fivha, kutemwa nemusoro kwakanyanya, kusvotwa, kurutsa, kurwadziwa kana kuchinjisa mutsipa, kunzwisisika kuchiedza, kuona zvisipo nekuchinja mukuziva.
Mune zvimwe zviitiko, kana meningitis isina kurapwa zvakakwana, zvinetswa zvinogona kumuka, sekubatwa, kukuvara kwehuropi kana kutofa.
Maitiro ekuongororwa kunoitwa
Kuongororwa kwacho kunoitwa nekuongororwa kweropa, bvunzo dzecebrospinal fluid uye yekufungidzira bvunzo, senge computed tomography uye magnetic resonance imaging, iyo inobvumidza kuona zvingangoita kuzvimba kutenderedza uropi.
Nzwisisa zvakadzama kuti kuongororwa kwemenosis kunogadzirwa sei.
Chii chinonzi kurapwa
Kurapa kwefungal meningitis kunosanganisira kutarisirwa kwemishonga inorwisa fungal mutsinga, senge amphotericin B, fluconazole, flucytosine kana itraconazole, iyo inofanirwa kuitwa muchipatara, mukuwedzera kumishonga yekuvandudza zvimwe zviratidzo uye kuongorora zviratidzo zvekuvandudza mu mamiriro ezvinhu emunhu.