Wakangoerekana wava nemusoro wakanyanya uye wava nefivha yakanyanya, wonzwa kuomarara zvekuti haugone kana kufambisa mutsipa wako here? Kana kuti mwana wako mudiki awana fivha, anogara achichema, uye asingazorori asinganwe mukaka here? Izvi hazvisi zviratidzo zvatinofanira kungofuratira. Nekuti kuseri kwezviratidzo izvi, panogona kunge paine chirwere chine njodzi chinonzi "brain fever" kana kuti meningitis, chatakanzwa nezvacho tese, chinoda kurapwa nekukurumidza. Saka, musavhunduka, ngatizvizivei.
Chii chinonzi Meningitis?
Zvichitaurwa zviri nyore, uropi, hwakaita senzvimbo yekudzora muviri wedu, uye musana unoubatanidza uye unomhanya nemusana, inhengo mbiri dzakakosha uye dzakapfava. Kuti tidzivirire nhengo idzi mbiri dzinokosha, dzakakomberedzwa nechifukidziro chakagadzirwa nema membrane matatu akapfava. Mukurapa, isu tinoti ma membrane aya ma meninges . Funga nezvawo sechinhu chakafanana nezvikamu zvekudzivirira zviri mukati mengowani. Mukati mema meninges aya mune tsinga, mitsipa yeropa, nezvinhu zvakakosha zvinonzi cerebrospinal fluid (CSF).
Saka, kana nekuda kwechimwe chikonzero ma meningeal membranes aya akabatwa nechirwere uye anozvimba, ndiko kuti, kana achizvimba, ndizvo zvatinodaidza kuti meningitis . Kana ma membranes aya achizvimba, kumanikidzwa kweuropi nemusana kunowedzera. Ichi chinogona kuva chirwere chine njodzi zvikuru, dzimwe nguva chinototyisidzira hupenyu. Saka, tinoona izvi sedambudziko rehutano.
Pane mhando huru dze meningitis here?
Ehe, tinokamura meningitis muzvikamu zviviri zvikuru zvichibva pane chinokonzera. Idzi imhando dzinokonzerwa nehutachiona hwemabhakitiriya uye mhando dzinokonzerwa nezvimwe zvikonzero zvisingatapurire.
| Mhando dzezvirwere | Mhando dzisiri dzehutachiona |
|---|---|
| Meningitis yemabhakitiriya: Iyi ndiyo mhando inonyanya kuwanda uye ine njodzi. | Meningitis ye autoimmune: Inogona kukonzerwa nematambudziko nemasoja emuviri. |
| Meningitis inotapukira: Kazhinji haina kunyanya kuipa kupfuura rudzi rwebhakitiriya. | Meningitis yekansa: Inokonzerwa nekupararira kwemasero ekenza mumasero emusana. |
| Bonde remeningitis: Hazviwanzoitiki. | Meningitis inokonzerwa nemishonga (DIAM): Kashoma, inogona kukonzerwa nemimwe mishonga. |
| Meningitis yeparasitic: Chirwere chisingawanzoitiki chinokonzerwa nezvipembenene. | Meningitis inokonzerwa nekurwadziwa kwemusoro: Inogona kuitika mushure mekukuvara kwakanyanya mumusoro. |
Uye zvakare, vanachiremba vanotaura nezvechirwere ichi nedzimwe nzira dzinoverengeka:
- Zvakanyanya: Zviratidzo zvinoonekwa kamwe kamwe, kamwe kamwe. Chirwere chemeningitis chinowanzowira muchikamu ichi.
- Chisingaperi: Zviratidzo zvinokura zvishoma nezvishoma uye zvinogara kwemwedzi kana kupfuura.
- Aseptic: Kana mvura yemumuzongoza (CSF) yako ikaongororwa uye pasina mabhakitiriya akawanikwa, vanachiremba vanoti aseptic meningitis. Izvi zvingangodaro zvichikonzerwa nehutachiona.
Ndezvipi zviratidzo zvechirwere ichi? Ungachiziva sei?
Zviratidzo zveMeningitis zvinogona kusiyana zvichienderana nezera. Kunyanya kuvana vadiki, zviratidzo zvakasiyana zvikuru nezvevakuru. Saka, zvakakosha kuziva izvi.
| Hunhu hwevana vakuru nevakuru | Hunhu hwevacheche vadiki |
|---|---|
| Kupindwa nechando | Fontanelle yakabukira (fontanelle yakabukira) |
| Kuoma kwemutsipa (kuoma kukotama) | Kuramba kana kuderedza kunwa mukaka |
| Musoro wakakomba | Kuchema kakawanda, kushaya zororo |
| Kuomerwa nekutarisa chiedza (Photophobia) | Kurara nguva dzose, kunetseka kumuka |
| Kurutsa kana kuda kurutsa | Kuneta |
| Kuvhiringidzika, pfungwa dzakachinja | |
| Kunzwa kuneta, kurara zvakanyanya | |
| Kuda kudya |
Chinhu chinonyanya kukosha ndechekuti, kana iwe kana mumwe munhu wemumhuri mako aine zviratidzo izvi, musamirira kwenguva refu. Endai kuEmergency Department (ETU) yechipatara chiri pedyo nekukurumidza. Chiremba anogona kuona zviri kuitika uye kutanga kurapwa nekukasika.
Musoro we meningitis unonzwa sei?
Izvi hazvina kufanana nemusoro wakajairika. Musoro unokonzerwa ne meningitis unowanzova wakanyanya . Marwadzo anogona kuyerera kubva pamutsipa kusvika kumusana kana kune dzimwe nhengo dzemuviri. Kufambisa mutsipa kumashure nekumashure, kunyanya kuunza chirebvu pachipfuva, kunogona kurwadza zvakanyanya. Zvisinei, vamwe vanhu vanogona kurwadziwa zvishoma. Saka, kana uine zvimwe zviratidzo, usamirire kusvika musoro wacho wanyanya.
Chii chinokonzera meningitis? Inotapuriranwa kubva kumunhu kuenda kumunhu here?
Sezvatakambokurukura, meningitis inogona kukonzerwa nezvirwere zvinotapuriranwa uye zvisingatapurire.
- Meningitis yemabhakitiriya: Inowanzo kukonzerwa nemabhakitiriya akadai se'Streptococcus pneumoniae' uye 'Neisseria meningitidis'.
- Meningitis inotapukira: Inogona kukonzerwa nemavhairasi akadai se'Enteroviruses'.
- Chirwere chefungus meningitis: Chinogona kukonzerwa nekufema mamwe marudzi efungus anowanikwa munharaunda, akadai se 'Cryptococcus neoformans'.
- Meningitis yeparasitic: Chirwere chisingawanzoitiki chinokonzerwa nekumedzwa kwezvimwe zvipembenene.
- Zvimwe zvinokonzera: Kukuvara kwakanyanya mumusoro, mamwe magomarara, zvirwere zve autoimmune zvakaita se lupus, uye, kashoma, mimwe mishonga inogona kukonzerawo meningitis.
Zvino mubvunzo mukuru waungave uchibvunza ndewekuti inotapurirana here. 'Mamiriro ezvinhu' e meningitis (kureva, kuzvimba kwemeninges) haatapurirani kubva kumunhu kuenda kumunhu. Zvisinei, utachiona hunokonzera meningitis yemabhakitiriya nemavhairasi hunogona kutapurirana kubva kumunhu kuenda kumunhu. Izvi zvinoitika kuburikidza nezvinhu zvakaita sekuhotsira, kukosora, kutsvoda, kana kudya kubva mundiro imwe chete.
Ndiani ari panjodzi huru yekubatwa nechirwere ichi?
Vamwe vanhu vari panjodzi huru yekubatwa nechirwere chemeningitis kupfuura vamwe.
- Vana vari pasi pemakore mashanu uye vanhu vane makore anopfuura makumi matanhatu nemashanu.
- Vanhu vane masoja emuviri asina simba (semuenzaniso, vanhu vane HIV, avo vari kurapwa kenza).
- Vanhu vakabviswa chiropa chavo.
- Vanhu vane hutachiona hwenzeve nemhino husingaperi.
- Vanhu vakambovhiyiwa uropi kana musana.
- Vanhu vanogara munzvimbo dzine vanhu vazhinji vanogara pamwe chete, semumba yekugara pakoreji kana muchiuto.
Chiremba anowana sei izvi?
Paunoenda kuchipatara, chinhu chekutanga chinoitwa nachiremba kunyatsoteerera zviratidzo zvako uye kukuongorora. Zvadaro, vanofanira kuita bvunzo dzinoverengeka kuti vaone kuti chirwere chacho chakamira sei uye kuti vawane chikonzero chaicho.
- Kutora sampuli kubva mumhino kana pahuro: Tarisa kana paine utachiona.
- Kuongororwa kweropa: Tarisa zviratidzo zvehutachiona.
- Kuongororwa kweCT kana MRI: Kuona kana paine kuzvimba kwakakomberedza uropi.
- Kuboorwa kwemusana/kupomba kwemusana: Iyi ndiyo bvunzo inonyanya kukosha. Izvi zvinosanganisira kuisa tsono yakapfava mumusana wako wepazasi uye kutora sampuli diki ye cerebrospinal fluid (CSF) woitumira ku lab. Mvura iyi inogona kuongororwa kuti ione kana uine meningitis uye kana inokonzerwa nebhakitiriya kana hutachiona. Hapana chikonzero chekutya bvunzo iyi, sezvo vanachiremba vachiita izvi nokungwarira.
Inorapwa sei?
Kurapwa kunoenderana nechikonzero che meningitis.
- Mishonga inorwisa mabhakitiriya yakasimba yekurapa meningitis yebhakitiriyaTinofanira kutanga nekukurumidza. Izvi zvinonetsa.
- Meningitis inotapukira nehutachiona inowanzopera yoga mukati memazuva 7-10. Zorora, mvura, uye mishonga inoderedza marwadzo ndiwo mushonga mukuru. Zvisinei, kana ichikonzerwa nemavhairasi akasiyana, akadai seherpesvirus, mishonga inorwisa mavhairasi inogona kudiwa.
- Mishonga inorwisa fungus inopihwa kune fungus meningitis .
- Pamusoro pezvo, corticosteroids inopihwa kuderedza kuzvimba, kurwadziwa uye mishonga yefivha, uye saline (IV fluids) kudzivirira kupera mvura mumuviri.
Ko meningitis inogona kudzivirirwa here?
Kunyangwe zvisingagone kudzivirirwa zvachose, pane zvakawanda zvatinogona kuita kuderedza njodzi yacho.
- Baiwa majekiseni: Ichi ndicho chinhu chakakosha. Kune majekiseni anoshanda ekudzivirira mamwe majekiseni anokonzera meningitis yemabhakitiriya. Ita shuwa kuti mwana wako anowana majekiseni ese aanoda zvichienderana nehurongwa hwenyika hwekubaiwa majekiseni.
- Geza maoko ako zvakanaka: Kugeza maoko ako nesipo nguva dzose ndiyo nzira yakanakisisa yekuzvidzivirira kubva kuhutachiona hwakawanda.
- Rega kusangana nevanhu vane zvirwere zvinotapukira: Dzivisa kusangana nevanhu vane chikosoro nedzihwa.
- Vhara muromo wako nemhino yako paunenge uchikosora uye uchihotsira.
- Chenjerera nezvekudya nemvura: Idya chikafu chakabikwa zvakanaka. Dzivisa kunwa kana kushambira mumvura yakasviba.
- Dziviriro kubva kuumhutu nezvikwekwe.
Mharidzo Yekuenda Nayo Kumba
- Meningitis chirwere chinokurumidzira apo matumbu akakomberedza uropi nemusana anozvimba, zvichida kurapwa nekukurumidza.
- Fivha isingatarisirwi, musoro usingatsungiririki, uye kuomarara kwemutsipa ndizvo zviratidzo zvikuru muvanhu vakuru.
- Zviratidzo zvevana vadiki zvinosiyana. Zvikuru zvinosanganisira kuzvimba kwemazamu, kusanwa mukaka, kuchema zvakanyanya, uye hope.
- Kana ukaona chimwe chezviratidzo izvi kana kupfuura, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukurumidza. Kurapwa nekukurumidza kunogona kuponesa hupenyu uye kudzivirira matambudziko.
- Kubayiwa majekiseni ekudzivirira meningitis yemabhakitiriya ndiyo nzira yakanakisisa yekudzivirira chirwere ichi. Wana majekiseni ako neevana vako nenguva.
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