Staphylococcal 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 staphylococcal ndi mtundu umodzi wa mabakiteriya omwe amayambitsa matenda a meningitis.

Staphylococcal meningitis imayambitsidwa ndi mabakiteriya a staphylococcus. Ikayambika Staphylococcus aureus kapena Staphylococcus epidermidis bacteria, nthawi zambiri imayamba ngati vuto la opaleshoni kapena ngati matenda omwe amafalikira kudzera m'magazi atsamba lina.

Zowopsa ndi izi:

• Matenda a mavavu amtima
• Matenda akale aubongo
• Meninjaitisi Zakale chifukwa cha msana wamadzimadzi kutsekemera
• Opaleshoni yaposachedwa yaubongo
• Kukhalapo kwa msana wamadzimadzi shunt
• Zowopsa

Zizindikiro zimatha kubwera mwachangu, ndipo zimaphatikizapo:

• 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 kuchepa
• Kudyetsa osauka kapena kukwiya kwa ana
• Kupuma mofulumira
• Kukhazikika kosazolowereka, mutu ndi khosi zitabwerera chammbuyo (opisthotonos)

Wothandizira zaumoyo adzayesa. Mafunso amayang'ana kwambiri pazizindikiro komanso zoopsa.

Ngati dotolo akuganiza kuti meningitis ndiyotheka, kupunduka kwa lumbar (tapu ya msana) kumachitika kuti achotse mtundu wamadzimadzi a msana kuti ayesedwe. Ngati muli ndi msana wamtsempha wamtsempha, chitsanzocho chingatengedwe m'malo mwake.

Mayeso atha kuphatikiza:

• Chikhalidwe chamagazi
• X-ray pachifuwa
• Kujambula kwa CT pamutu
• Utoto wa gramu, mabanga ena apadera, ndi chikhalidwe cha CSF

Maantibayotiki ayambitsidwa posachedwa. Vancomycin ndiye chisankho choyamba kwa omwe akukayikira kuti staphylococcal meningitis. Nafcillin imagwiritsidwa ntchito ngati mayeso awonetsa kuti mabakiteriya amakhudzidwa ndi mankhwalawa.

Nthawi zambiri, chithandizo chamankhwala chimaphatikizapo kusaka, ndikuchotsa, komwe kumapezeka mabakiteriya mthupi. Izi zikuphatikiza kutseka kapena mavavu amtima opangira.

Kuchiza msanga kumawongolera zotsatira zake. Komabe, anthu ena samapulumuka. Ana aang'ono ndi akulu azaka zopitilira 50 ali pachiwopsezo chachikulu chofa.

Staphylococcal meningitis nthawi zambiri imakula msanga, osakhala ndi zovuta zochepa, ngati gwero la matenda lichotsedwa. Gwero likhoza kuphatikizira zotsekedwa, zida zamalumikizidwe, kapena mavavu amtima opangira.

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
• Matenda a Staph mdera lina la thupi

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 osatha, osadziwika

Meningitis imatha kukhala matenda owopsa.

Mwa anthu omwe ali pachiwopsezo chachikulu, kumwa maantibayotiki musanalandire chithandizo kapena opaleshoni kungathandize kuchepetsa ngozi. Kambiranani izi ndi dokotala wanu.

Staphylococcal oumitsa khosi

• Central dongosolo lamanjenje ndi zotumphukira zamanjenje
• 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.

Nath A. Meningitis: bakiteriya, mavairasi, ndi zina. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 384.

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.