I-Fungal meningitis: yintoni, yintoni unobangela kunye neempawu

Umxholo

• Izizathu ezinokubangela
• Ziintoni iimpawu
• Uxilongo lwenziwa njani
• Yintoni unyango

I-Fungal meningitis sisifo esosulelayo esibangelwa kukungunda, esibonakaliswa kukudumba kweemeninges, ezizimbumba ezibekwe zijikeleze ingqondo kunye nomqolo, ezinokuthi zikhokelele ekubonakaleni kweempawu ezinje ngentloko, umkhuhlane, isicaphucaphu nokugabha.

Olu hlobo lwe-meningitis lunqabile kakhulu, kodwa lunokwenzeka nakubani na, ngakumbi abo bangakhubazeki emzimbeni. Ingabangelwa ziindidi ezahlukeneyo zomngundo, ezona ziqhelekileyo ziindidiI-Cryptococcus.

Unyango ludla ngokufuna ukulaliswa esibhedlele, apho kufakwa khona amachiza okubola.

Izizathu ezinokubangela

I-Fungal meningitis ibangelwa lusulelo lwegwele, kwaye kuyenzeka xa usulelo lusasazeka egazini kwaye luwele isithintelo segazi-lobuchopho, kwingqondo nakumqolo. Nangona inqabile, le meko kunokwenzeka ukuba yenzeke kubantu abanamajoni omzimba abuthathaka, njengabantu abane-HIV, abantu abafumana unyango lomhlaza okanye amanye amayeza, anje nge-immunosuppressants okanye i-corticosteroids.

Ngokubanzi, umngundo obangela ukungunda kwenwebu yobume obuvela kolo luhloboI-Cryptococcus, enokufumaneka emhlabeni, kwiitoni zeentaka kunye neenkuni ezibolayo. Nangona kunjalo, ezinye iifungi zingangunobangela we-meningitis, njengokuba kunjalo Imbali yeplasma, iBlastomyces, iCoccidioides okanye UCandida.

Jonga ezinye izinto ezibangela i-meningitis kunye nendlela yokuzikhusela.

Ziintoni iimpawu

Iimpawu ezinokubangelwa yi-fungal meningitis ngumkhuhlane, intloko ebuhlungu, isicaphucaphu, ukugabha, iintlungu xa uguqula intamo, uvakalelo ekukhanyeni, nemibono kunye notshintsho olwazini.

Ngamanye amaxesha, ukuba i-meningitis ayinyangwa ngokwaneleyo, kunokuvela iingxaki ezinje ngokuxhuzula, ukonakala kwengqondo okanye nokufa.

Uxilongo lwenziwa njani

Ukuxilongwa kubandakanya iimvavanyo zegazi, iimvavanyo ze-cerebrospinal fluid kunye neemvavanyo ze-imaging, ezinje ngecomputer tomography kunye nemagnetic resonance imaging, evumela ukubonwa okunokubakho ukudumba okujikeleze ingqondo.

Qonda ngokweenkcukacha ezithe kratya ukuba uxilongo lwe-meningitis lwenziwa njani.

Yintoni unyango

Unyango lwe-meningitis yefungal luquka ukulawulwa kwamachiza okubola kumthambo, njenge-amphotericin B, i-fluconazole, i-flucytosine okanye i-itraconazole, ekufuneka yenziwe esibhedlele, ukongeza kumayeza okuphucula ezinye iimpawu kunye nokuvavanya iimpawu zokuphucuka imeko yomntu ngokubanzi.