Ukuchithwa okungaphantsi

Umdibaniso wangaphantsi kwendalo yingqokelela ye-cerebrospinal fluid (CSF) ebambeke phakathi komphezulu wobuchopho kunye nelayini engaphandle yengqondo (into ehlala ixesha elide). Ukuba le nkunkuma iyasuleleka, imeko ibizwa ngokuba yi-empyema yangaphantsi.

Ukuchithwa okungaphantsi komhlaba yinkxalabo enqabileyo ye-meningitis ebangelwa ziintsholongwane. Ukuchithwa kwendalo kuxhaphake kakhulu kwiintsana.

Ukuchithwa kwendalo kwakhona kunokubakho emva koxinzelelo lwentloko.

Iimpawu zingabandakanya:

• Ukujika kwangaphandle kwendawo ethambileyo yosana (bulging fontanelle)
• Izithuba ezibanzi ngokungaqhelekanga kumalungu amathambo ekhayi lomntwana (iisuture ezahluliweyo)
• Ukunyuka kwentloko
• Akukho mandla (utyhafile)
• Umkhuhlane oqhubekayo
• Ukuxhuzula
• Ukuhlanza
• Ubuthathaka okanye ukulahleka kwentshukumo kumacala omabini omzimba

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu.

Ukufumanisa ukungcola okusingqongileyo, iimvavanyo ezinokuthi zenziwe zibandakanya:

• Ukuvavanywa kwentloko kwe-CT
• Ubungakanani beNtloko (umjikelo) imilinganiselo
• Ukuvavanywa kwentloko ye-MRI
• I-Ultrasound yentloko

Utyando lokukhupha i-effusion luhlala luyimfuneko. Kwiimeko ezinqabileyo, isixhobo esomileyo sokuhambisa amanzi (shunt) siyafuneka ukukhupha ulwelo. Amayeza okubulala iintsholongwane anokufuna ukunikezelwa ngomthambo.

Unyango lunokubandakanya:

• Ugqirha ukukhupha i-effusion
• Isixhobo sokuhambisa amanzi, esibizwa ngokuba yi-shunt, sishiyeke endaweni ixesha elincinci okanye ixesha elide
• Amayeza okubulala iintsholongwane anikezelwa ngomthambo ukunyanga usulelo

Ukubuyiselwa ngokupheleleyo ekuchithweni okungaphantsi komhlaba kulindelwe. Ukuba iingxaki zenkqubo ye-nervous ziyaqhubeka, zihlala zibangelwa yi-meningitis, hayi i-effusion. Ixesha elide ii-antibiotics zihlala zingafuneki.

Iingxaki zotyando zinokubandakanya:

• Ukopha
• Umonakalo wobuchopho
• Usulelo

Fowunela umnikezeli ukuba:

• Kutshanje umntwana wakho uphathwe i-meningitis kwaye iimpawu ziyaqhubeka
• Iimpawu ezintsha ziyavela

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UKim KS. IBacterial meningitis ngaphaya kwexesha lokubeleka. Ku: UCherry JD, uHarrison GJ, uKaplan SL, uSteinbach WJ, uHotez PJ, ii-eds. Incwadi kaFeigin kunye neCherry yezifo ezosulelayo zabantwana. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahl. 31.

Nath A.Imeningitis: ibhaktiriya, intsholongwane, kunye nezinye. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 412.