I-Pneumococcal meningitis

I-Meningitis sisifo seembrane ezigubungele ubuchopho kunye nentambo yomqolo. Esi sigqubuthelo sibizwa ngokuba zii-meninges.

Iibacteria lolunye uhlobo lwentsholongwane olunokubangela i-meningitis. Iibhaktheriya ze-pneumococcal ziluhlobo olunye lweebhaktheriya ezibangela i-meningitis.

I-pneumococcal meningitis ibangelwa IStreptococcus pneumoniae ibacteria (ekwabizwa ngokuba yi-pneumococcus, okanye S pneumoniae). Olu hlobo lwebacteria lolona hlobo luqhelekileyo lwe-bacterial meningitis kubantu abadala. Sisizathu sesibini esiqhelekileyo sokudumba kwenwebu yengqondo kubantwana abadala kuneminyaka emi-2.

Izinto zomngcipheko zibandakanya:

• Ukusetyenziswa kotywala
• Seswekile
• Imbali ye-meningitis
• Usulelo lwe-valve yentliziyo kunye S pneumoniae
• Ukonzakala okanye ukwenzakala entloko
• I-Meningitis apho kukho ukuvuza kolwelo lomqolo
• Usulelo lwamva lwendlebe nge S pneumoniae
• Inyumoniya yamva nje nge S pneumoniae
• Usulelo oluphezulu oluphezulu lokuphefumula
• Ukususwa kwepeni okanye udakada olungasebenziyo

Iimpawu zihlala ziza ngokukhawuleza, kwaye zingabandakanya:

• Umkhuhlane kunye nokubanda
• Ukutshintsha kwemeko yengqondo
• Isicaphucaphu nokugabha
• Ubuntununtunu ekukhanyeni (photophobia)
• Intloko ebuhlungu
• Intamo elukhuni

Ezinye iimpawu ezinokubakho nesi sifo:

• Ukuphazamiseka
• Iifonti ezikhulayo kwiintsana
• Ukuhla kwengqondo
• Ukutya okungalunganga okanye ukucaphuka ebantwaneni
• Ukuphefumla ngokukhawuleza
• Ukuma okungaqhelekanga, kunye nentloko nentamo egobele ngasemva (opisthotonos)

I-Pneumococcal meningitis ibalulekile kwisifo seentsana.

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Imibuzo iya kugxila kwiimpawu kunye nokuvezwa komntu onokuba neempawu ezifanayo, ezinje ngentamo eqinileyo kunye nomkhuhlane.

Ukuba umboneleli ucinga ukuba i-meningitis inokwenzeka, kuya kwenziwa i-lumbar punct (impompo yomqolo). Oku kukufumana isampulu yolwelo lomqolo kuvavanyo.

Olunye uvavanyo olunokwenziwa lunokubandakanya:

• Inkcubeko yegazi
• I-x-ray yesifuba
• Ukuvavanywa kwentloko kwe-CT
• Ibala legram, amanye amabala akhethekileyo

Amayeza okubulala iintsholongwane aya kuqala ngokukhawuleza. ICeftriaxone yenye yeentsholongwane ezisetyenziswa rhoqo.

Ukuba i-antibiotiki ayisebenzi kwaye umboneleli urhanela ukunganyangeki, i-vancomycin okanye i-rifampin iyasetyenziswa. Ngamanye amaxesha, ii-corticosteroids zisetyenziswa, ngakumbi ebantwaneni.

I-Meningitis sisifo esiyingozi kwaye sinokubulala. Ngokukhawuleza ukunyangwa, kungcono ithuba lokufumana kwakhona. Abantwana abancinci kunye nabantu abadala abangaphezu kweminyaka engama-50 banomngcipheko ophezulu wokufa.

Iingxaki zexesha elide zingabandakanya:

• Umonakalo wobuchopho
• Ukwakhiwa kolwelo phakathi kolukakayi kunye nengqondo (ukungasebenzi komhlaba)
• Ukwakhiwa kolwelo ngaphakathi kolukakayi olukhokelela kukudumba kwengqondo (i-hydrocephalus)
• Ukuphulukana nokuva
• Ukuxhuzula

Shayela u-911 okanye inombolo yongxamiseko yendawo okanye uye kwigumbi likaxakeka ukuba ukrokrela i-meningitis kumntwana omncinci oneempawu ezilandelayo:

• Iingxaki zokondla
• Isikhalo esiphakamileyo
• Ukucaphuka
• Umkhuhlane oqhubekayo ongachazwanga

I-Meningitis inokuba sisifo esisongela ubomi ngokukhawuleza.

Ukunyanga kwangoko inyumoniya kunye nosulelo lwendlebe olubangelwa yi-pneumococcus kunokunciphisa umngcipheko we-meningitis. Kukwakho nezitofu zokugonya ezisebenzayo ezimbini ezikhoyo zokuthintela usulelo lwe-pneumococcus.

Aba bantu balandelayo kufuneka bagonywe, ngokweengcebiso zangoku:

• Abantwana
• Abantu abadala abaneminyaka engama-65 nangaphezulu
• Abantu abasemngciphekweni omkhulu wosulelo lwepneumococcus

Pneumococcal meningitis; Pneumococcus - meningitis

• Pneumococci umzimba
• Ipneumonia yomoya
• Imenyu yengqondo
• Ubalo lweseli le-CSF

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. Bacterial meningitis. www.cdc.gov/meningitis/bacterial.html. Ukuhlaziywa ngo-Agasti 6, 2019. Ifikeleleke ngoDisemba 1, 2020.

I-Hasbun R, iVan de Beek D, iBrouwer MC, iTunkel AR. I-meningitis efanelekileyo. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl. 87.

URamirez KA, uPeter TR. IStreptococcus pneumoniae (pneumococcus). Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 209.