Kamoo ke kalafo bakeng sa meningitis purulent le serous

Meningitis - e joalo lefu le tebileng untreated ke hoo e ka bang ka 90% le bolaeang, haholo-holo tabeng ea ho ruruha baktheria ea lera la boko. Meningitis Phekolo lokela ho phethahatsoa feela ka sepetlele, litlhare setso ka sebelisoa feela ka tlatsetsa hore thusa ho molemo ho mamella ho boemo ena, ao ho 'ona ba lokela ho feela ka sebelisoa ka therisano le ngaka e-ba teng.

Ka se kalafo ya? Ha ho liphetho tsa ho hlahloba mokelikeli cerebrospinal (CSF), o ile a fumana ke puncture lumbar, ho tšoara meningitis etsahala. Feela and analysis lena le ka thusa ngaka khetholla pakeng tsa purulent meningitis tloha serous ka matšoao a tlelenike, ke hore,, matšoao a ke ke a lula ho utloahala (ka ho latellana, meningitis kalafo e tla ba phoso). Ho feta moo, ba bang ba mafu a etsahala ka e ile ea eketseha khatello ea intracranial, le mocheso phahameng, 'me le bona ba na positive, le matšoao a meningeal, Leha ho le joalo, mellwane ena e hlokahala bakeng sa fumanoe nepahetse.

Nakong ea puncture ka ithuta ho nka dimililitha tse seng kae tsa mokelikeli cerebrospinal. Ngoe ea tsona e romeloa ho liteko tsa tleleniki laboratori ea, liphello e ba tse fana ka phetheha ka bontšoa ka ho ruruha le tse ling - serous kapa purulent - eo na le botho ba hae. Esita le e nyenyane ea mokelikeli lesapo la mokokotlo e romeloa ho lithuto tsa ka bongata ba kokwanahloko-le bacteriological, litholoana tsa tse tla tla hamorao 'me o tla thusa ngaka ya hao ya ho fetola phekolo ea pele ea meningitis.

Leka ho utloisisa hore na litokisetso tšoaroa meningitis. Phekolo ea meningitis serous e thehiloe tabeng ea ho sebelisa mahlahana a batho bao e seng e itseng antiviral: ke ke haholo-holo interferon lithethefatsi ( "Laferon", "Viferon", "Lipoferon"). kopo tsa bona e thehiloe e le hantle hore a kopana le e 'ngoe ea kokoana-hloko ea tsamaisong' mele ea rōna boitshireletso Karabo ea moloko oa dintho joalo, e boetse e thusa ho sebetsana ka katleho le tšoaetso. Ho phaella moo, ho ke ke tse lakatsehang ho ithuta cerebrospinal mokelikeli PCR ka DNA livaerase herpes simplex virus, varicella zoster virus, Epstein-Barr, cytomegalovirus. Ho likokoana-hloko tsena tse bakang ho fetisisa matla le holofatsa meningitis, empa khahlanong le bona, ka lehlohonolo, ho na le tsoara khethehileng, "Acyclovir", "Ganciclovir", "Valacyclovir" garena immunoglobulin itseng. Ka linako tse ling, haeba maemo a le khōlō serous meningitis kalafo intravenous "Acyclovir" qala ho hlahisa litholoana tsa PCR ka likokoana-hloko DNA ea herpes sehlopha.

meningitis kalafo tabeng ea lefuba etiology se se akaretsang taolo lithibela-mafu 'maloa TB (mohlala "streptomycin") ka dosages phahameng ho feta tse ling tse libaka tsa lefuba.

Ha meningitis aseptic bakoang ke tšoaetso ea HIV kapa AIDS-amanang limela (it haholo o na le semelo sa tsa serous), kalafo e etsoa litsing tsa kokelo e khethehileng lithethefatsi itseng.

Ha Mokuli o purulent meningitis, kalafo e ho hlahisa sephara-manyenyane lithibela-mafu. Ka sebelisoa feela ba hore ka phunyeletse ka mokoallo lisele tse potolohileng boko (mali-boko mokoallo). lithethefatsi tse joalo li tsamaisoa parenterally feela (i.e., entoe kapa intramuscularly, empa e se ka foromo Letlapa), 'me feela ka litekanyetso li behoa lebetsoeng le.

The lithibela-mafu pele e kgethile motheong oa mofuta ofe ya kamano pakeng tsa likhathatso tsa kelo-hloko le boemo ba ho ruruha ka mokelikeli cerebrospinal la lilemo le comorbidity. E le, haeba ho ruruha le e bontšitsoeng ka likete-kete ea lisele, 'me motho eo ke elang hloko, le maloetse e ne e se complication ea serame sa mats'oafo, mecha ea phatlalatso ea nattokinase, sinusitis le mafu a mang Ent, le sethibela-mafu pele e ka ba "Ceftriaxone" le "Amikacin" ka dosages tse loketseng. Hangata ka ho fetisisa lefu lena le hloka lithethefatsi theko e phahameng ho feta, "Meronema", "Vancomycin".

Ea bobeli, ha ho hlokahala, lithibela-mafu e e khethiloeng e thehiloeng sephetho se seeding bo tahang ka microflora le susceptibility liteko ho lithibela-mafu. Boholo-a bontša matšoao a meningitis, kalafo ha hlalosa: phekolo e khethiloeng feela ka liphello tsa ho ithuta mokelikeli cerebrospinal.