Purulent meninjaitisi

Matendawa ndi pachimake matenda chikhalidwe ndi chotupa makamaka meninges imatchedwa meninjaitisi. Zizindikiro pathological kuoneka, malinga ndi chikhalidwe cha osauka yotupa ndondomeko. Matendawa akhoza kukhala pulayimale ndi sekondale.

Share meninjaitisi purulent ndi serous.

Mbali yoyamba pali gulu la pathologies pulayimale ndi sekondale imene okhudzidwa osakhala a meninges ali ndi chikhalidwe bakiteriya.

Meningococcal cerebrospinal meninjaitisi mliri mgulu lino ndipo amatanthauza matenda choyambirira.

Kuwonekera kwa matenda ndi chitukuko chachikulu. Purulent meninjaitisi wa mtundu uwu limodzi ndi kuwonjezeka mu thupi kutentha kwa madigiri 38-39. Komanso wodwalayo anadandaula za aakulu mutu kupweteka, yochokera kwa miyendo, mmbuyo, khosi. Lakuthwa ululu limodzi ndi hyperesthesia ambiri (hypersensitivity), kusanza, zizindikiro meningeal kukhala. Mu masiteji koyamba matenda ikusonyezedwa kuteteza chikumbumtima Komabe, kupanda chithandizo chokwanira, wodwalayo msanga itagwa boma la soporous (maganizo a chikumbumtima). Nthawi zambiri pali zilonda ozizira pa nembanemba wa mucous ndi khungu, komanso hemorrhagic totupa. Magazi mayeso mapulogalamu kuchuluka ESR, mkulu leukocytosis (neutrophil). Kusintha madzimadzi cerebrospinal pa maola woyamba wa matenda si wapezeka. Mnthawi woyamba ndi wachiwiri wa tsiku ndi kuchuluka kwake ndi kukakamiza, turbidity, izo amapeza ndi lachikasu imvi kapena grayish kum'chitira. Iwo wapezeka ngati zili otsika shuga.

Purulent oumitsa khosi chifukwa cha matenda meningococcal amawapeza malinga ndi mfundo za mtima, matenda ndi mawonetseredwe ake matenda. Mu nthawi isanafike chikuonetseratu, udayesedwa masiyanidwe matenda a mtundu wa matenda ndi kudwala sekondale.

Secondary purulent meninjaitisi ungapezeke chifukwa cha kufalitsa (kugawa) mu purulent sinusitis kapena otitis TV matenda foci wa matenda.

Isanayambike matenda amakhala ndi maonekedwe a kuzizira, kutentha thupi, mutu zosayembekezereka, komanso kuwonongeka lakuthwa mu chikhalidwe ambiri wodwala. Zizindikiro Meningeal anapanga oyambirira. Secondary purulent oumitsa khosi limodzi ndi chisokonezo mofulumira chikumbumtima pakati mukubwadamuka pafupipafupi, khunyu, kuyerekezera zinthu m'maganizo. Mowa turbid. Pali kuwonjezeka ESR.

Pamene matenda m'pofunika kusiyanitsa pakati pa ubongo abscess ndi purulent meninjaitisi. pathologies awa ndi mbali zambiri zofanana. Ubongo abscess ndi aetiology, kuchuluka zizindikiro focal pa maziko a zizindikiro za kutupa zinaleka, ndi kusamuka kwa nyumba midline ndi ultrasound.

Njira Kupeza Vuto purulent meninjaitisi monga amuzolengedwa ndi bacteriological kupenda zitsanzo magazi, ECG, Kujambula, ndi CT jambulani ubongo, chigaza radiography.

Pamene mawonetseredwe a zizindikiro matenda akufunika hospitalization mwamsanga wagawo opatsirana. Zikakhala matenda yachiwiri ya mtima aikidwa mu chipatala oyenera.

Ngati mukukayikira kuti chitukuko cha matenda oumitsa khosi kwenikweni ikuchitika ndi lumbar puncture kuphunzira madzimadzi cerebrospinal. Ndondomeko ikuchitika pansi pa chivundikiro cha mankhwala antibacterial. Mpaka nthawi kudziwika tizilomboto kudwala ndi kudziwa mlingo wa tilinazo ake, osiyanasiyana prescribers. mankhwala awa amatha umalowa mu magazi ubongo chotchinga. Zikuphatikizapo mankhwala "Ampicillin" "Penicillin," cephalosporins lachitatu m'badwo ( "Ceftriaxone", "cefotaxime").