Kodi mankhwala meninjaitisi purulent ndi serous

Meninjaitisi - amenewa matenda amene sanalandire chithandizo ndi pafupifupi 90% woopsa, makamaka kwa kutupa mabakiteriya nembanemba ubongo. Meninjaitisi Chithandizo ayenera kuchitidwa kokha pa chipatala, mankhwala wowerengeka ingagwiritsidwe ntchito monga zowonjezerazo kumathandiza kuti bwino kulekerera chikhalidwe ichi, momwe iwo ayenera kugwiritsidwa ntchito pokhapokha atakambirana ndi dokotala nawo.

Zomwe mankhwala? Palibe zotsatira za kuwunika wa madzimadzi cerebrospinal (CSF), akamagwira puncture lumbar, kuchitira meninjaitisi zosatheka. Only kusanthula izi zingathandize dokotala kusiyanitsa purulent meninjaitisi ku serous monga zizindikiro matenda, ie, zizindikiro kuti nthawi zomveka (motero, kakhosi chithandizo mudzakhala olakwa). Ndiponso, matenda zimachitika ndi kuthamanga intracranial, ndi kutentha, komanso ndi zabwino zizindikiro meningeal, Koma mpheto izi zofunika ndi matenda zolondola.

Pa puncture pa phunziro zimatenga Botolo ochepa a madzimadzi cerebrospinal. Mmodzi wa iwo anatumiza mayesero matenda choyezera, zotsatira za zimene zimapereka mapeto monga m'kukoma kutupa ndi ena - serous kapena purulent - izo ali ndi khalidwe. Ngakhale pang'ono madzimadzi msana imatumizidwa ku maphunziro a tizilombo ndi bacteriological, zotsatira zake zidzakhala m'tsogolo ndi adzatithandiza dokotala anu kusintha mankhwala koyamba meninjaitisi.

Yesetsani kumvetsa mmene kukonzekera ankachitira meninjaitisi. Chithandizo cha matenda oumitsa khosi serous zachokera ntchito wothandizila si yeniyeni mavairasi oyambitsa: ndi makamaka interferon mankhwala ( "Laferon", "Viferon", "Lipoferon"). ntchito yawo zachokera chakuti anakumana ndi aliyense wa HIV dongosolo thupi lathu m'thupi Yankho m'badwo wa zinthu zina zomwe zimathandiza kulimbana ndi matenda. Komanso, zabwino kuphunzira cerebrospinal madzimadzi PCR pa DNA mavairasi nsungu simplex HIV, varicella zoster HIV, Epstein-Barr, cytomegalovirus. Ndi mavairasi izi chifukwa ambiri aakulu ndi disabling meninjaitisi, koma ndi iwo, mwamwayi, pali chapadera, "Acyclovir", "Ganciclovir", "Valacyclovir" kuphatikiza immunoglobulin yeniyeni. Nthawi zina, ngati zinthu kwambiri serous meninjaitisi chithandizo mtsempha "Acyclovir" anayamba kubala zotsatira za PCR pa mavairasi DNA ya nsungu gulu.

meninjaitisi chithandizo ngati TB etiology chikukhudza kugwiritsira mankhwala angapo TB (mwachitsanzo "Streptomycin") mu Mlingo mkulu kuposa malo ena TB.

Ngati meninjaitisi aseptic chifukwa cha HIV kapena AIDS-kugwirizana zomera (nalonso khalidwe la munthu serous), mankhwala ikuchitika mu zipatala apadera mankhwala enieni.

Ngati wodwalayo purulent meninjaitisi, chithandizo ndi kuyambitsa yotakata-sipekitiramu mankhwala. Angagwiritsidwe ntchito okhawo amene amatha kulowa mwa chotchinga maselo ozungulira ubongo (magazi ubongo chotchinga). mankhwala otere amakhala kutumikiridwa parenterally yekha (i.e., m'nsinga kapena intramuscularly, koma osati mu mawonekedwe piritsi), ndipo kokha mlingo pazipita.

Mankhwala oyamba amusankha pamaziko a mtundu wa ubale pakati pa chisokonezo cha chikumbumtima ndipo mlingo wa kutupa mu madzimadzi cerebrospinal zakubadwa ndipo comorbidity. Choncho, ngati kutupa limeneli yatchulidwa zikwi maselo, ndipo munthuyo amadziwa, matenda sanali Vuto la chibayo, media otitis, sinusitis ndi matenda ena ENT, mankhwala oyamba amakhalanso "Ceftriaxone" ndi "Amikacin" mu Mlingo yoyenera. Nthawi zambiri matenda pamafunika mankhwala okwera mtengo kwambiri, "Meronema", "Vancomycin".

Chachiwiri, ngati n'koyenera, mankhwala opha tizilombo toyambitsa amasankhidwa potengera zotsatira kale seeding mowa pa microflora ndi chiwopsezo kuyezetsa opha tizilombo. Mmene-anasonyeza zizindikiro za kakhosi, mankhwala si kumasulila: mankhwala amasankhidwa chokhazikika pa zotsatira za kafukufuku wa madzimadzi cerebrospinal.