Calaamadaha Meningitis, daaweynta iyo ka hortaga

Caabuq maskaxda ama laf-dhabarta u yeedhay meningitis. Waxaa jira dhawr nooc oo meningitis. Marka la eego nooca caabuq laga yaabaa in purulent, seroplastic, nabarrada iyo dhiigbaxa. Dambeysa - ba'an, subacute, chronic. Deegaamaynta ah meningitis geedi socodka bararka jira guud iyo kuwa maxalliga ah, sida laga soo xigtay etiology - viral, bakteeriyada, fangas, protozoal. Geedi socodka xoojiyey ee cuncun meningeal cadaadis intracranial muuqataa hypoesthesia, qallafsanaan muruqyada qoorta, paresis iyo curyaannimo of adimada, mydriasis, muuqaalka iyo maqalka, ataxia squint laga yaabaa.

Meningitis: Calaamadaha, hababka daaweynta

Sida caadiga ah, calaamadaha cudurka meningitis waxaa weheliya guud murugada, pyrexia, madax-xanuun, feejignaan xumo, lalabo iyo matag. Inta badan xanuunku ku dhaco qoorta iyo dhabarka hoos, mararka qaarkood waxaa jira hemorrhages tirada kala duwan oo maqaarka ah. Waa in la ogaadaa in calaamadaha cudurka meningitis ku xiran tahay nooca cudurka. Tusaale ahaan, meningitis viral calaamado la mid tahay calaamadaha cudur la is qaadsiiyo, oo waxay ka xanaajiyeen. Noocan ah meningitis waxaa loo arkaa ugu khatarsan, calaamadaha, kuwaas oo isu muujin in dhowr maalmood, waxaa aan aad u dhawaaqaa. Sida caadiga ah ee bukaanka qaba cudurka of tuberculous meningitis, calaamadaha dhacaan ka dhanka ah asalka ah oo tabar guud iyo qandho. maalmo yar, a madax-xanuun, yalaalugo iyo matag gudahood. Bukaanka qaba cudurka astaamaha meningitis sida caadiga ah 3-4 maalmood.

Therapy waa astaamaha iyo waxaa loogu talagalay wax ka qabashada calaamadaha dahsoon cudurka khatarta ah in nolosha iyo caafimaadka. Si loo yareeyo xaddiga dareere ah in unugyada iyo unugyada ee u shaqeeyo loo isticmaalo daroogada lagu durayo. Waxa ay qaab hawleed waxa uu la xidhiidhaa socodka kaadida oo soo kordha, sidaa daraaddeed joogsada nuugay udhigo sodium gelin tubules kelyaha, taasoo keentay in loo nuugay biyaha hoos. Marka barar cerebral yihiin daawooyinka wax ku ool ah degidrattsionnye (mannitol, uroglyuk, Lasix). Uroglyuk ka dhigan tahay xal HOL lyophilized, kaas oo la diyaariyey isla markiiba inta aan la isticmaalin. Sababo isticmaalka daroogada waxaa ka mid ah cudurka kelyaha. The ugu waxtarka badan caburka waa Lasix, ay saamayn hore u Muuqda dhowr daqiiqo ka dib. Waxay caddeeyeen in hantidaan corticosteroids tallaabo anti-edematous (Dexamethasone). Qiyaastii 12 saacadood ka dib markii ay la isticmaalo waxaa hoos u dhac ku yimaadda cadaadiska intracranial. Waayo, isticmaalka microcirculation normalitsatsii reopoligljukin, mannitol, furosemide. In jiritaanka calaamadaha lama filaan ah sun codsan hormoonnada (hydrokortisoni, prednisolone, cortin iyo iwm) isku dhafan oo ascorbic acid, dawooyinka wadnaha (kordiamin, strophanthin) agonister (ephedrine, phenylephrine). Sida therapy spetsefichesky la isticmaalayo tallaalka iyo serum. ECD tallaalay meningitis 3, 4, 5 iyo 6 bilood, iyada oo tallaalka soo noqnoqda ee 12 bilood. Talaalka cudurada pneumococcal ayaa sidoo kale ka hortagaa horumarinta meningitis. Waayo, bukaanka ka weyn shan iyo lixdan sannadood isticmaalka talinayaa ee tallaalka pneumococcal polysaccharide. Gaar ahaan caan ku jira tallaalka adag jadeecada, qaamo-qashiirka iyo jadeecada, si ay u isticmaalaan ka ilaaliya ilmaha ka meningitis ah in la horumariyo ku saabsan asalka ah cuduradan.

Ka hortagga meningitis

Waxa intaa dheer in tallaalka, waxaa lagama maarmaan ah in ay u hoggaansamaan xeerarka nadaafadda shakhsiyeed, iska ilaali taabashada halka uu cudurka, iyo sidoo kale xambaarsan cudurka meningococcal. Qaar ka mid ah meningitis lagu faafin karaa dhibco hawada marka hindhiso, qufac ama inta lagu jiro dhunkashada. alaabta nadaafadda waa in ay ahaadaan shakhsi (shukumaan, cadayga).