Isifo sesifo sofuba sisifo sesifo se-braining. Isi sifo sesibini, okokuthi, kwenzeka ngokuchasene nemvelaphi yemiphunga okanye ezinye izitho zangaphakathi eziye zagqithiswa kwangaphambili okanye zisesigxina esichukumisayo sesifo sofuba.
I-meningitis enokuxhatshazwayo ihanjiswa njani?
I-agent ekhuselekileyo yesifo yi-microbacterium yesifo sofuba. Kwiingqondo, ngokuqhelekileyo zivela kwenye, umthombo oyintloko wokusuleleka. Kuphela kwi-3% yamatyala esi sizathu esiyiyo sisifo asikwazi ukusekwa, kuzo zonke ezinye iziganeko kugxininiso lokusuleleka kwesifo sofuba luyabonakala emzimbeni. Indlela ephambili yokusasaza ibhaktiriya ithathwa njengento yokutshintshwa kwigazi, kwaye ukusuleleka kwenzeka kwizigaba ezimbini:
- Kwisigaba sokuqala, ukuqhuma kwesibindi se-tuberculosis ngokusebenzisa isithintelo se-vascular kunye nokusuleleka kwe-plexuses ye-vascular ye-envelope.
- Kwinqanaba lesibini le-meningitis enobunzima, ibhaktheriya iyancipha kwi-spinal fluid (cerebrospinal fluid), ibangela ukuvuvukala kwegobolondo elithambileyo yengqondo.
Iimpawu ze-meningitis enobuhlungu
Kukho izigaba ezi-3 zokuphuhliswa kwe-meningitis enobuhlungu.
Ixesha elidlulileyo
Iphela ukuya kwiiveki ezi-6 ukuya ku-8 kunye nophuhliso oluqhubekayo lweempawu. Okokuqala kuvela:
- u buqhetseba;
- ukungakhathaleli;
- buthathaka;
- kulala;
- ukungcola;
- intloko.
Ngokuhamba kwexesha, ikhanda lonyuka, i-nausea, ukuhlanza, ukushisa komzimba, kodwa iyakhula kuma-38 degrees.
Ixesha lokuthukuthela
Kule nqanaba, iimpawu zikhula ngokukhawuleza, ukushisa komzimba kungakhuphukela kwi-39 ° C. Kugcinwe:
- intlungu ebuhlungu kwi-front and occipital yentloko;
- ukuqhawuka ngaphandle kokuqhawula;
- ukunyamezela kwengxolo;
- photophobia.
Zivele zibonakalise kwaye zinyamalale amabala obomvu elukhumbeni (iingxaki ze-vascular).
Ngomhla wesi-5 we-7 weli xesha i- meningeal syndromes ibonakala:
- intamo entamo;
- uphawu lweKörnig noBrudzinsky.
Kwakhona kuya kuphawulwa:
- ukuguquka kwegazi;
- ukunyuka kwenyuka kunye nokwehla;
- izifo ezibonakalayo (i-strabismus, umboniso wehla, ukukhubazeka kwejwabu leso);
- ukukhubazeka kokuva;
- ukunciphisa ububele bezitho;
- ukungalungi kwentetho;
- i-hydrocephalus.
Ixesha lokuphela
Isigaba sokugqibela sesifo. Izibonakaliso ezibonakalayo ze-encephalitis ziyabonwa, kunye:
- i-paresis kunye nokukhubazeka komntu oyintloko;
- tachycardia;
- ukuphefumula;
- ukulahleka kokuqonda;
- Ubushushu bomzimba buphezulu (malunga nama-40 degrees).
Isigaba sokugqibela sesifo, ngokuqhelekileyo siphela kwisiphumo esibulalayo.
Ukuxilongwa kunye nokunyangwa kwe-meningitis enobuhlungu
Ukuba kukho ukukrokrelwa kwe-meningitis enobunzima, indlela ephezulu yokuxilonga kukuhlalutya kwe-cerebrospinal fluid. Uxinzelelo kumgogodla womgudu onjalo isifo sivame ukunyuka, kuba xa uthatha i-puncture, i-jet yotywala iya kuhamba njengoko iphantsi kwengcinezelo. Kuphando lwebhubhorari kwiselo yotywala ephakanyisiweyo yokugcinwa kwamafayili kunye ne-leucocytes, ngaphandle kwee-antibodies kwintonga kaKoch iyafumaneka. Kungekudala, ukucatshulwa kwekhampyutha kunye nokumaketha kwamaginethi kusetyenziswe ukuseka umonakalo wengqondo.
Ukunyangwa kwesi sifo ixesha elide (unyaka okanye ngaphezulu) kwaye kuqhutywe kwizindlu ezikhethiweyo zeeibhodi kunye nezibonelelo. Kubandakanywa ukusebenzisa iziyobisi ngokwezicwangciso ezizodwa, njengawo nawuphi na uhlobo lwesifo sofuba. Ukunyangwa kweempawu ezisetyenziswayo:
- antioxidants ;
- iziyobisi zeNootropic;
- antihypoxants;
- i-diuretics (ukunciphisa i-edema yengqondo);
- ulwaphulo lwamayeza jikelele.
Iziphumo ze-meningitis enobuhlungu
Inkxalabo eqhelekileyo evela kwixesha le sifo i-hydrocephalus (i-hydrocephalus). Ukongezelela, ukuxhatshazwa kwamathumba kunokwenzeka, ukukhubazeka komzimba kwinye icala lomzimba, kunye nokuphazamiseka okubonakalayo (kwiimeko ezinqabileyo, phambi kokulahlekelwa kwayo ngokupheleleyo). Ngaphandle kwesicelo esingenasiphumo sokunakekelwa unyango (iintsuku ezili-18 okanye ngaphezulu zokugula), ithuba lokufa eliphezulu liphezulu.