Kutulutsa kwamkati

Kuphatikizika kwakanthawi kochepa ndi gulu la cerebrospinal fluid (CSF) lomwe latsekedwa pakati paubongo ndi gawo lakunja laubongo (nkhani yanthawi yayitali). Ngati madzi awa atenga kachilomboka, vutoli limatchedwa subdural empyema.

Kuphatikizika kwapadera kumakhala kovuta kawirikawiri kwa meningitis yoyambitsidwa ndi mabakiteriya. Kutulutsa kwapadera kumafala kwambiri mwa makanda.

Kuwonongeka kwapadera kumatha kuchitika pambuyo povulala pamutu.

Zizindikiro zimaphatikizapo:

• Kunja kokhotakhota kwa mwana wofewa (bulging fontanelle)
• Malo osazolowereka bwino m'malo olumikizana ndi chigaza cha mwana (sutures olekanitsidwa)
• Kuchulukitsa kwa mutu
• Palibe mphamvu (ulesi)
• Malungo osatha
• Kugwidwa
• Kusanza
• Kufooka kapena kuchepa kwa kuyenda mbali zonse ziwiri za thupi

Wothandizira zaumoyo adzayesa thupi ndikufunsa za zizindikiro.

Kuti muwone kuwonongeka kwa subdural, mayesero omwe angachitike ndi awa:

• Kujambula kwa CT pamutu
• Kukula kwa mutu (circumference)
• Kujambula kwa MRI pamutu
• Ultrasound pamutu

Kuchita opaleshoni yotulutsa chisokonezo nthawi zambiri kumakhala kofunikira. Nthawi zambiri, chida chokhazikika chotulutsa (shunt) chimafunika kukhetsa madzi. Maantibayotiki angafunike kuperekedwa kudzera mumitsempha.

Chithandizo chingaphatikizepo:

• Opaleshoni kuti athetse kuwonongeka
• Chida cha ngalande, chotchedwa shunt, chimachoka m'malo mwa kanthawi kochepa kapena nthawi yayitali
• Maantibayotiki operekedwa kudzera mumitsempha yothandizira matendawa

Kuchira kwathunthu kuchokera kumadzi akayendedwe kakang'ono kumayembekezeredwa. Ngati mavuto amanjenje apitilira, amakhala chifukwa cha meninjaitisi, osati kutulutsa. Maantibayotiki a nthawi yayitali nthawi zambiri safunika.

Zovuta za opaleshoni zingaphatikizepo:

• Magazi
• Kuwonongeka kwa ubongo
• Matenda

Imbani wothandizira ngati:

• Mwana wanu wathandizidwa posachedwa chifukwa cha meninjaitisi ndipo zizindikilo zikupitilirabe
• Zizindikiro zatsopano zimayamba

(Adasankhidwa) De Vries LS, Volpe JJ. Matenda a bakiteriya ndi fungal osagwira ntchito. Mu: Volpe JJ, Inder TE, Darras BT, et al, olemba. Volpe's Neurology ya Mwana wakhanda. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2018: mutu 35.

Kim KS. Bakiteriya meninjaitisi kupitirira nthawi ya khanda. Mu: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, olemba. Feigin ndi Cherry's Bookbook of Pediatric Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 31.

Nath A. Meningitis: bakiteriya, mavairasi, ndi zina. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: mutu 412.