I-meningitis yestaphylococcal
I-Meningitis sisifo seembrane ezigubungele ubuchopho kunye nentambo yomqolo. Esi sigqubuthelo sibizwa ngokuba zii-meninges.
Iibacteria lolunye uhlobo lwentsholongwane olunokubangela i-meningitis. Iibhakteria ze-staphylococcal ziluhlobo olunye lweebhaktiriya ezibangela i-meningitis.
I-Staphylococcal meningitis ibangelwa yi-staphylococcus bacteria. Xa ibangelwa IStaphylococcus aureus okanye I-Staphylococcus epidermidis bacteria, ihlala ikhula njengengxaki yoqhaqho okanye njengosulelo olusasazeka ngegazi elivela kwenye indawo.
Izinto zomngcipheko zibandakanya:
- Usulelo lweentsimbi zentliziyo
- Usulelo lwangaphambili lobuchopho
- I-meningitis edlulileyo ngenxa yokukhutshwa komqolo womqolo
- Utyando lwamva nje lobuchopho
- Ubukho be-spinal fluid shunt
- Umonzakalo
Iimpawu zinokuza ngokukhawuleza, kwaye zibandakanya:
- 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 kwesilumkiso
- Ukutya okungalunganga okanye ukucaphuka ebantwaneni
- Ukuphefumla ngokukhawuleza
- Ukuma okungaqhelekanga, kunye nentloko nentamo egobele ngasemva (opisthotonos)
Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Imibuzo iya kugxila kwiimpawu kunye nemingcipheko.
Ukuba ugqirha ucinga ukuba i-meningitis inokwenzeka, i-lumbar puncture (impompo yomqolo) iyenziwa ukususa isampulu yolwelo lomqolo kuvavanyo. Ukuba une-spinal fluid shunt, isampulu inokuthathwa kule ndawo.
Uvavanyo lunokubandakanya:
- Inkcubeko yegazi
- I-x-ray yesifuba
- Ukuvavanywa kwentloko kwe-CT
- Ibala legram, amanye amabala akhethekileyo kunye nenkcubeko ye-CSF
Amayeza okubulala iintsholongwane aya kuqala ngokukhawuleza. IVancomycin lukhetho lokuqala lwesifo se-staphylococcal meningitis. I-Nafcillin isetyenziswa xa kuvavanyo lubonisa ukuba iintsholongwane ziyabethabethana neli zintsholongwane.
Rhoqo, unyango luya kubandakanya ukukhangela kunye nokususa imithombo enokwenzeka yeebhaktiriya emzimbeni. Ezi zibandakanya ukuvaleka okanye iivalves zentliziyo ezingezizo.
Unyango lwakwangoko luphucula umphumo. Nangona kunjalo, abanye abantu abaphili. Abantwana abancinci kunye nabantu abadala abangaphezu kweminyaka engama-50 banomngcipheko ophezulu wokufa.
I-Staphylococcal meningitis ihlala iphucula ngokukhawuleza, ineengxaki ezimbalwa, ukuba umthombo wosulelo uyasuswa. Umthombo ungabandakanya ii-shunts, izixhobo zentsimbi ezidibeneyo, okanye iivevithi zentliziyo ezingezizo.
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
- Usulelo lweStaph kwenye indawo yomzimba
Shayela u-911 okanye inombolo yongxamiseko yendawo okanye uye kwigumbi likaxakeka ukuba ukrokrela i-meningitis kumntwana omncinci oneempawu ezilandelayo:
- Iingxaki zokondla
- Isikhalo esiphakamileyo
- Ukucaphuka
- Ukuqhubeka, umkhuhlane ongachazwanga
I-Meningitis inokuba sisifo esisongela ubomi ngokukhawuleza.
Kubantu abasemngciphekweni omkhulu, ukuthatha amayeza okubulala iintsholongwane ngaphambi kweenkqubo zokuqonda okanye zotyando kunokunceda ukunciphisa umngcipheko. Xoxa ngale nogqirha wakho.
I-meningitis yestaphylococcal
- Inkqubo ye-nervous central kunye ne-peripheral system
- 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.
Nath A.Imeningitis: ibhaktiriya, intsholongwane, kunye nezinye. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 384.
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.