Tuberculous meningitis

meningitis Tuberculous - isifo esinzima, kodwa olubhalwe kusaqalwa kukhona usethubeni elihle ikhambi eliphelele. Ngo-meningitis igobolondo abavusa asebuchosheni nomgogodla. Phakathi amacala iphesenti eliphezulu izingane, ikakhulukazi esemncane.

Tuberculous meningitis ngokuvamile eba kancane kancane. Ingane uyakhathala ngokushesha, ulahlekelwa nya isithakazelo umdlalo, kuba evilaphayo kakhulu, ukuhluthuka futhi bayozela. Ukuphathwa yikhanda. lokushisa (kufika ku 39C) liyaphuma kwezinsuku ezimbalwa, kodwa angahlala evamile. Ucala uthole ikhanda, ukuhlanza liyavuleka. Pulse kuba lingandile, waphawula ukwephulwa vegetososudistye. Enhanced ikhaliphe umsipha, clonus kuhlanganise izinyawo. Ukuqunjelwa kungenzeka. Kukhona okuthiwa "amabala Trousseau" (ukubonakaliswa vasomotor iziyaluyalu ngesimo amabala abomvu). Iqala hypersensitivity futhi ikhanda kuba aqinile. Paresis of izinzwa cranial kwenzeka nezinkophe avuleke kakhulu, agqoke umbono ongavamile iduduzekile; abafundi ububanzi (basabela sluggishly nokukhanya, iso sika (strabismus). navicular esiswini kubuyiswe, ugaye ezingavamile.

Khona-ke baqala ukukhubazeka, ukwazi kulahleka. Ungezwa Ukudlikizela nokuvaleka kwemigudu yokuphefumula. Ingane itholakala ezinsikeni zawo, wamshaya ikhanda lakhe emuva. Lesi simo ejwayelekile lesi sifo, okuthiwa ukuma meningalnoy. Isizathu salokhu iyona imisipha ukudikiza reflex. Numb entanyeni onezinkinga Ufaka emuva ikhanda lakhe emuva. Uma uzama ukugoqa ikhanda lakho esimweni evamile futhi sitsheke kwesilevu webele, isiguli siqala ikhanda.

meningitis Tuberculous izingane (kweminyaka emithathu) siphela ehlukile kancane. Ukuqala ngokuvamile acute (kunokuba ongaphakeme lamanje), ingane akuyona ukuwozela, kodwa kunalokho ukubuyisa. Amaphiriyodi zokugula (ubude bawo) emifushane kunalokho izingane ezindala, izimpawu meninengalnye akuzona evelele kangaka, kodwa izimo ezinzima kuyagcinwa kaningi.

Meningitis. izizathu

Lesi sifo sibangelwa Neisseria meningitis - meningococcal coli haemophilus influenzae (Hib), E. coli, ama-bacterium streptococcal, amagciwane, mycobacteria sofuba. Transporter, ukhwehlela noma sneezing, uyakwazi kweso ngegciwane labo abaseduze naye. Ngamanye amazwi, isifo wadluliselwa amaconsi sisemoyeni. Ukutheleleka nge kiss, izinto zasekhaya ezivamile. Izimbangela meningitis zifike zivela ebusweni indle namagundane, ukulunywa yizinambuzane. Ungakwazi ungenwe ngokuphuza amanzi anegciwane noma ukudla imikhiqizo kahle ilashwe wageza. amacala ukutheleleka kwengane ngesikhathi sokuzalwa zalotshwa. umama okusha kungathelela ingane, ngisho noma yena kungekho ubufakazi isifo. ingane sengozini Ikakhulukazi phakathi kwesigaba cesarean: ngale ndlela, futhi amagciwane, futhi amagciwane akwazi ukungena ngokukhululeka.

Okusolwayo tuberculous meningitis - yini okumele ngiyenze?

Uma noma iyiphi yalezi zimpawu zenzeka, xhumana nodokotela wakho ngokushesha. Tuberculous meningitis okhula ngokushesha, ikakhulu uma nisanda yokugcina. Lapha-akhawunti isivele iwashi. Udinga usizo kokulashwa okusheshayo. Ukuzelapha akuvunyelwe. Isiguli kufanele ungeniswe esibhedlela, ukuqhuba ucwaningo ngokuningiliziwe, thatha wokubhoboza. Lapho isiqinisekiso uphethwe inikezwe ukwelashwa eziyinkimbinkimbi ngemithi elwa namagciwane. Yokutakula kuncike esigabeni lapho aqale ukwelashwa, futhi ngokuvamile eqeda ekululameni, nakuba yezinkinga kungenzeka (ngokuvamile ukuzwa).

Uma kwelashwa alinikeziwe, isiguli eshona ngemva 3-4 amasonto. Isikhathi ukwelashwa esibhedlela - cishe izinyanga eziyisithupha, futhi ubude - kuze kufinyelele eminyakeni eyodwa nengxenye. Ngokwezibalo, 95% of the iziguli alulame. Nokho, ne ukuxilongwa sekwephuzile (ngemuva kosuku 18th) isibikezelo esidumazayo.

Phakathi izinyathelo zokuvimbela, ikakhulukazi ngokugoma. Musa uxhumane isiguli (noma anciphise kungenzeka). Ngemva ukuxhumana nesineke Geza izandla nge izibulali-magciwane.