Meningitis ndeimwe yezvirwere zvakakomba uye zvinotyisa, izvo zvinoratidzirwa nekuputika kwemuviri wepelinha kana uropi. Semitemo, nekuda kwekudzivirira kwayo kusina kukwana, chirwere ichi chinotapukira chinonyanya kuratidzwa kuvana vaduku.
Mukurapa, zvichienderana nehutano hwekuvhiringidza, kune marudzi maviri e meningitis: serous (kazhinji enterovirus) uye purulent. Izvozvo zvinokonzera serous meningitis zvinonzi enteroviruses, zvakadai seCoxsackie, ECHO, poliomyelitis virus, mumps nevamwe. Kana iri purulent meningitis, iyo inokonzera causative inowanzova hutachiona hwehutachiona - meningococcus, pneumococcus, staphylococcus, salmonella, streptococcus, Pseudomonas aeruginosa kana hemophilic tsvimbo.
Pakutanga kuratidzwa kwemainiritis mukati mevana, zvinokosha kutanga kutanga kurapwa nokukurumidza sezvinobvira, sezvo chirwere ichi chinogona kukonzera zvinetso zvakakomba zvikuru: kuora, kushaya matsi, hydrocephalus, uyewo matambudziko ekuvandudzwa kwepfungwa kwevana.
Nzira yekurapa meningitis mune vana?
Kurapa kwe meningitis muvana kunoitwa chete mumamiriro ezvinhu. Kuti zviongororwe zvakajeka, chiremba anoenda kunofanirwa kuita chibvumirano chekudzivirira, kudzidza CSF, pamwe nekuongorora kwebhakitiriya kweropa. Aya maitiro anoitwa kuti aone kuti chii chinokonzera chirwere chechirwere ichi uye chinogadzirisa kushushikana kwayo nemishonga inorwisa mabhakitiriya.
Chikonzero chekurapa kweese serous uye purulent meningitis muvana mishonga inorwisa mabhakitiriya, chinangwa chikuru chekugadzirisa zvinokonzera chirwere. Zvisinei, pane dzimwe nguva, hazvibviri kujekesa chaiyo rudzi rwepathogen, saka chirwere chinorwisa mishonga inorwisa mabhakitiriya chinodikanwa, chinova nemigumisiro yehutachiona hwehutachiona husingaoneki. Mushure mokugamuchira migumisiro yekuongorora mabhakitiriya uye kujekesa rudzi rwepathogen, zvinokwanisika kushandura mishonga inoshandiswa pakurapa inoshanda zvakanyanya kupikisa iyi dambudziko. Kune mwana anorwara, ma antibiotic anotarisirwa parenterally kwemazuva gumi nemazuva manomwe uye mushure memakore manomwe mushure mekusimudzira kwekushisa kwemuviri wemwana. Semitemo, ma antibacterials anotevera ehutano hwakawanda hunoshandiswa pakurapa meningitis: ma antibiotics ekirasi re cephalosporins ( cefotaxime , ceftriaxone ), penicillin, uye sevanchengetwa vancomycin uye carbapenems.
Pamwe pamwe ne antibacterial therapy, diuretics inorayirwa (diuretics, zvakadai se lasix, ureide, diacarb) kuderedza kusagadzikana kwemaitiro, pamwe nekudzivirira uye kubata chirwere chedema.
Mukuwedzera, chinhu chinonyanya kukosha chekusava nehanya kwemainitisiti etiologies yakasiyana-siyana inonzi infusion therapy (detoxification) nekuchengetedza kwemaji emunyu. Nokuda kweizvi, kukanganiswa kwepachivande kwecolloidal uye crystalloid solutions inogadzirwa.
Mushure mokusunungurwa kubva kuchipatara, kurapwa kwemainititis kunowanikwa kare kumusha pasi pemirairo yechiremba achienda, uye mugore
Kurapa kwe meningitis nemishonga yevanhu
Izvi zvinofanira kurangarirwa kuti kana pasina kukodzera kwakakodzera chirwere ichi chinogona kutungamirira kurufu, saka kurapwa pamusha hakugoneki. Mukuwedzera, zvakanyanya hazvikurudzirwi kuti kurapwa kwemainititis kuzvimiririra kushandisa nzira dzemishonga yemagariro nekuda kwekugadzirisa uye kusakosha kwemazuva. Yeuka kuti nguva uye kubudirira kwehutano hwemainningitis kunobva pakukurumidze kuti chirwere chacho chinowanikwa uye chinopa kurapa kwakakwana.