Sidee waa daaweynta purulent meningitis iyo nabarrada

Meningitis - waa sida cudur halis ah oo aan la daweyn, waa ku dhawaad 90% ah oo halis ah, gaar ahaan in ay dhacdo caabuq bakteeriyo xuubka maskaxda. Meningitis Daaweynta Waa in la fuliyo oo keliya ee isbitaalka, dawayn lahaa dad lagu saleyn karaa oo keliya sida dheeri ah taas oo ka caawisa inay si fiican u dulqaadan xaaladan, iyagoo ku waa oo kaliya loo isticmaali la tashanaya dhakhtarka xaadirka ah.

On waxa daaweynta? No natiijooyinka baaritaanka dheecaanka lafdhabarka (CSF), laga heli by dalool lumbar, in lagu daweeyo meningitis wax aan macquul aheyn. falanqaynta this Keliya caawin kara dhakhtarka la kala saaro meningitis purulent ka nabarrada kale waxyaabaha calaamadaha u clinical, ie, astaamaha waxaa laga yaabaa in aysan mar kasta noqon fahmi karo (siday u kala horreeyaan, qoorgooyaha daaweyn noqon doonaa baadilka). Intaas waxaa sii dheer, cudurada qaarkood dhacaan cadaadis intracranial kordhay, iyo heerkulka sare, iyo sidoo kale wanaagsan calaamadaha meningeal, si kastaba ha ahaatee, waxaa loo baahan yahay salaysayn khalkhalgelinta this for ogaanshaha sax ah.

Inta lagu guda jiro dalool ah on daraasadda qaadataa dhowr millilitir oo cerebrospinal. Mid ka mid ah loo soo diray in ay baaritaano caafimaad oo shaybaadh, natiijada kuwaas oo dhiibana gunaanad sida muujiyay in barar iyo qaar ka mid ah - nabarrada ama carow ah - waxa ay leedahay qof. Xitaa qadar yar oo ah dheecaan spinal loo soo diray in ay waxbarashada viral-iyo bakteeriyadda, natiijooyinka taasi oo markii dambe iman doonaa oo kaa caawin doona dhakhtarkaaga si aad u qabsato daawaynta hore ee meningitis.

Isku day inaad si ay u fahmaan waxa ay diyaar loola dhaqmo meningitis. Daaweynta ee nabarrada meningitis ku salaysan yahay isticmaalka wakiilada fayruska non-gaar ah, waayo, kaasu waa daroogada ( "Laferon", "Viferon", "Lipoferon") inta badan interferon. Codsigooda ku salaysan tahay xaqiiqada ah in xiriir kasta oo ka mid ah fayraska ee nidaamka jirka our difaaca jawaab jiilka of walxaha sida, kaas oo sidoo kale waxay ka caawisaa si ay ula qabsadaan cudurka. Intaa waxaa dheer, waa la jecel yahay in ay wax ka barato PCR ah lafdhabarka dheecaanka DNA on fayrasyada virus simplex herpes, virus Zoster varicella, Epstein-Barr, cytomegalovirus. Waa fayrasyada waxay keeni ee meningitis ugu daran oo naafo, laakiin iyaga ka gees ah, nasiib wanaag, waxaa jira dawayn gaar ah, "Acyclovir", "Ganciclovir", "Valacyclovir" oo lagu daray immunoglobulin gaar ah. Mararka qaarkood, haddii ay dhacdo of xaaladaha daran ee daaweynta meningitis nabarrada xididka "Acyclovir" bilaabaan inay soo saaraan natiijooyinka PCR on fayrasyada DNA ee group herpes.

qoorgooyaha daaweyn lacala etiology qaaxada ka kooban maamulka dhowr antibiotics TB (tus "streptomycin") ee qaadashada sare ka badan goobaha kale ee cudurka qaaxada.

Haddii aseptic meningitis ay sababtay HIV ama AIDS flora-xiriira (waxa aad u leedahay qof ee nabarrada a), daaweynta waxaa lagu fuliyaa ee rugaha caafimaadka gaarka ah daroogada gaar ah.

Haddii bukaanku leeyahay meningitis carow ah, daaweynta waa inay soo bandhigto antibiotics ballaaran spectrum. waxaa loo isticmaali karaa oo kaliya kuwa dhex gelin karo caqabad unugyada ku hareeraysan maskaxda (caqabad dhiig-maskaxda). daawooyinka noocan oo kale ah waxaa maamula parenterally kaliya (i.e., intravenously ama intramuscularly, laakiin ma aha qaab kiniin), oo kaliya qiyaasta ugu badnaan.

antibiotic koowaad waxaa la soo xulay oo ku saleysan nooca xidhiidhka ka dhexeeya qas ka miyir iyo heerka caabuq in dheecaanka lafdhabarka da'da iyo cuduro kale. Sidaas daraaddeed, haddii caabuq la muujiyay in kumanaan ka mid ah unugyada, iyo qofka miyir qabo, cudurku ma ay dhibaato ah pneumonia, otitis media, hogaga iyo cudurrada kale ee ENT, antibiotic ugu horeysay ee ay noqon karaan "ceftriaxone" iyo "Amikacin" in qaadashada ku haboon. Inta badan cudurka u baahan daawooyinka ka qaalisan, "Meronema", "Vancomycin".

Second, haddii loo baahdo, antibiotic loo doortay isagoo ku salaysan natiijooyinka ay horey u seeding khamriga on imtixaanka microflora iyo nuglaato in antibiotics ah. Calaamadaha lagu xad-qeexaayo meningitis, daaweynta ma qeexaan: therapy la doortay oo keliya natiijada waxbarasho ee cerebrospinal.