Pneumococcal oumitsa khosi

Meningitis ndi matenda amimbidwe yophimba ubongo ndi msana. Chophimba ichi chimatchedwa meninges.

Mabakiteriya ndi mtundu umodzi wa majeremusi omwe angayambitse matendawa. Mabakiteriya a pneumococcal ndi mtundu umodzi wa mabakiteriya omwe amayambitsa matenda a meningitis.

Pneumococcal meningitis imayambitsidwa ndi Streptococcus pneumoniae bakiteriya (wotchedwanso pneumococcus, kapena S chibayo). Mabakiteriya amtunduwu ndi omwe amayambitsa matenda a meningitis mwa akuluakulu. Ndicho chifukwa chachiwiri chomwe chimayambitsa matenda a meningitis kwa ana okalamba kuposa zaka ziwiri.

Zowopsa ndi izi:

• Kumwa mowa
• Matenda a shuga
• Mbiri ya meningitis
• Kutenga kwa valavu yamtima ndi S chibayo
• Kuvulala kapena kupwetekedwa mutu
• Meningitis momwe muli kutayikira kwamtsempha wamtsempha
• Matenda aposachedwa khutu ndi S chibayo
• Chibayo chaposachedwa ndi S chibayo
• Matenda aposachedwa apuma
• Kuchotsa nthata kapena ndulu yomwe sigwira ntchito

Zizindikiro zimabwera mwachangu, ndipo zimatha kuphatikiza:

• Malungo ndi kuzizira
• Maganizo amasintha
• Nseru ndi kusanza
• Kuzindikira kuwala (photophobia)
• Mutu wopweteka kwambiri
• Khosi lolimba

Zizindikiro zina zomwe zingachitike ndi matendawa:

• Kusokonezeka
• Kukula kwazithunzi m'makanda
• Kuchepetsa chidziwitso
• Kudyetsa osauka kapena kukwiya kwa ana
• Kupuma mofulumira
• Kukhazikika kosazolowereka, mutu ndi khosi zitabwerera chammbuyo (opisthotonos)

Pneumococcal meningitis ndichofunikira kwambiri pakulimbikitsa kwa malungo mwa makanda.

Wothandizira zaumoyo adzayesa. Mafunso amayang'ana kwambiri pazizindikiro komanso kuwonekera kwa munthu yemwe angakhale ndi zofananazo, monga khosi lolimba ndi malungo.

Ngati wothandizirayo akuganiza kuti meningitis ndiyotheka, kupunduka kwa lumbar (tapu ya msana) kumachitika. Izi ndikuti mupeze sampuli yamadzimadzi oyeserera kuti ayesedwe.

Mayesero ena omwe angachitike ndi awa:

• Chikhalidwe chamagazi
• X-ray pachifuwa
• Kujambula kwa CT pamutu
• Mafuta a gramu, madontho ena apadera

Maantibayotiki ayambitsidwa posachedwa. Ceftriaxone ndi amodzi mwa maantibayotiki omwe amagwiritsidwa ntchito kwambiri.

Ngati maantibayotiki sakugwira ntchito ndipo wothandizirayo akukayikira kuti maantibayotiki sagwirizana, vancomycin kapena rifampin amagwiritsidwa ntchito. Nthawi zina, ma corticosteroids amagwiritsidwa ntchito, makamaka kwa ana.

Meningitis ndi matenda owopsa ndipo amatha kupha. Mukachiritsidwa mwachangu, mpata wabwino kuti achire. Ana aang'ono ndi akulu azaka zopitilira 50 ali pachiwopsezo chachikulu chofa.

Zovuta zazitali zingaphatikizepo:

• Kuwonongeka kwa ubongo
• Kuchuluka kwa madzimadzi pakati pa chigaza ndi ubongo (subdural effusion)
• Kupanga kwamadzimadzi mkati mwa chigaza komwe kumatsogolera kukutupa kwa ubongo (hydrocephalus)
• Kutaya kwakumva
• Kugwidwa

Imbani 911 kapena nambala yadzidzidzi yakomweko kapena mupite kuchipinda chodzidzimutsa ngati mukukayikira kuti meningitis ili ndi mwana yemwe ali ndi izi:

• Mavuto akudya
• Kulira kwakukulu
• Kukwiya
• Malungo osaneneka

Meningitis imatha kukhala matenda owopsa.

Kuchiza msanga chibayo ndi matenda am'makutu omwe amayamba chifukwa cha pneumococcus kumachepetsa chiopsezo cha meningitis. Palinso katemera wogwira ntchito wothandizira kupewa matenda a pneumococcus.

Anthu otsatirawa ayenera kulandira katemera, malinga ndi malingaliro apano:

• Ana
• Akuluakulu azaka 65 kapena kupitilira apo
• Anthu omwe ali pachiwopsezo chachikulu chotenga matenda a chibayo

Pneumococcal oumitsa khosi; Pneumococcus - oumitsa khosi

• Pneumococci chamoyo
• Chibayo cha chibayo
• Matenda aubongo
• Kuwerengera kwa maselo a CSF

Malo Othandizira Kuteteza ndi Kuteteza tsamba lawebusayiti. Matenda a menititis. www.cdc.gov/meningitis/bacterial.html. Idasinthidwa pa Ogasiti 6, 2019. Idapezeka pa Disembala 1, 2020.

Hasbun R, Van de Beek D, Brouwer MC, Tunkel AR. Pachimake meninjaitisi. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 87.

Ramirez KA, Peters TR. Streptococcus pneumoniae (pneumococcus). Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 209.