Tohu meningitis, maimoatanga me te ārai

Mumura o te roro ua ranei huaina kakā. He maha ngā momo o te kiriuhi ua. Homai te āhua o te mumura kia purulent, seroplastic, serous me hemorrhagic. Te rire - whakapeka, subacute, mau tonu. Localization o te inflammatory meningitis tukanga e whānui, me te rohe, kia rite ki te etiology - viral, kitakita, fungal, protozoal. Ko te tukanga rahi o te riri meningeal pēhanga intracranial puta hypoesthesia, stiffness i roto i te uaua kaki, paresis me te pāpāngia o wahi, mydriasis, waimaero ataata, me te rongo, kia squint ataxia.

Meningitis: tohu, tikanga o te maimoatanga

Ka rite ki te tikanga, kei te haere tahi te tohu mate meningitis i whānui korekore, pyrexia, ānini, lethargy, whakapairuaki, me te ruaki. E mea pinepine te mamae puta i roto i te kaki, me te raro hoki, i ētahi wā i reira he pakaruhanga toto o ngā rahi i runga i te kiri. Me kï reira e nga tohu mate o te meningitis tei runga i te momo o te mate. Hei tauira, meningitis viral he rite ki te tohu o te mate hopuhopu, i whakapataritari reira tohu. whakaaro tenei momo o te meningitis ko te tino mōrearea, te tohu, e faaite mai ratou i roto i te torutoru ra, kei te kore rawa korerotia. Ko te tikanga i roto i te tūroro ki te tātaritanga o te meningitis tuberculous, puta tohu ki te papamuri o te ngoikore whānui, me te kirika. I roto i te torutoru ra, he ānini, whakapairuaki, me te ruaki. Tūroro pāngia ki ngā tohu kiriuhi ua te tikanga 3-4 ra.

He symptomatic therapy me te hāngai ana te whakatutuki i te tohu papu o te mate kino ki te ora, me te hauora. Ki te whakaiti i te nui o te wai i roto i nga pūtau me te kopa o te kaiao whakamahia taero diuretic. e pā ana ratou tikanga o te mahi i te rere mimi rahi, te kupu tautāwhi i ratou reabsorption o katote konutai ki te tubules tākihi, hua i roto i te reabsorption te wai heke. A, no te he edema kaka formulations whai hua degidrattsionnye (mannitol, uroglyuk, Lasix). Uroglyuk tohu otinga Urea lyophilized, rite nei te tonu i mua i te whakamahi. Contraindications ki te whakamahi o te raau taero e o mate tākihi. Ko te whai hua te nuinga o decongestants ko Lasix, he kitea kua tona pānga i muri i te meneti torutoru. whakamatauria reira e riro corticosteroids mahi anti-edematous (dexamethasone). Tata 12 haora i muri i to ratou whakamahi ko te hekenga i roto i te pēhanga intracranial. Hoki te whakamahi microcirculation normalitsatsii reopoligljukin, mannitol, furosemide. I roto i te aroaro o ngā tohu ru paitini tono hormones (hydrocortisone, prednisolone, cortin me te etc.) i roto i ngā ki te waikawa ascorbic, rongoā ngakau (kordiamin, strophanthin) agonists (ephedrine, phenylephrine). Ka rite ki therapy spetsefichesky te whakamahi i te kano me te serum. werohia ECD ki meningitis 3, 4, 5 me te 6 marama, ki werohanga toutou o 12 marama. Vaccination ki mate pneumococcal tiaki hoki ki te whanaketanga kakā. Hoki tūroro pakeke atu i te ono tekau-rima tau o te whakamahi tūtohutia o kano hukarau pneumococcal. He tino hira kano matatini ki karawaka, repe me te karawaka, ratou whakamahi tiaki te tamaiti i te kiriuhi ua kakā e whakawhanake i runga i te whakamārama o enei mate.

Prevention o meningitis

I tua atu ki te werohanga, he mea e tika ana ki te piri ki te ture o te akuaku whaiaro, te karo whakapā ki te puna o te mate, me te kawe o te mate kiriuhi. taea te tuku ētahi momo o meningitis e rūrūtia mahino ka matihe, maremare i roto i kihi ranei. Me kia tūemi akuaku whaiaro takitahi (tauera, paraihe).