Purulent yomumuzongoza

The chirwere chinhu chakasimba kutapuriranwa zvakasikwa chikuru lesion ari meninges anonzi yomumuzongoza. pathological zviratidzo kuoneka, zvichienderana yezvakaita kusimukira kushoma. The chirwere angava nesekondari.

Share yomumuzongoza purulent uye serous.

Muchiitiko chokutanga pane boka nesekondari pathologies umo koshesa kubatanidzwa pakati meninges ane utachiona hunhu.

Meningococcal cerebrospinal yomumuzongoza dambudziko re boka iri uye zvinoreva chepuraimari chirwere.

Zvinoratidza chirwere dzinofarira kukura. Purulent yomumuzongoza iyi mhando achabatsirwa kuwedzera tembiricha pamuviri 38-39 inegumi. Mukuwedzera, murwere anonyunyuta nokushayiwa nomusoro marwadzo, zvichiratidza kuti makumbo, musana, mutsipa. Sharp marwadzo pamwe vakawanda hyperesthesia (hypersensitivity), kurutsa, meningeal zviratidzo kutanga. In kwokutanga nzendo chirwere segwapa ndichengetedze pfungwa Zvisinei, kushaya pokugara kurapwa, murwere nokukurumidza rikawira ezvinhu soporous (kuora mwoyo kuti pfungwa). Kazhinji kune maronda chinotonhora mucous membranes uye ganda, uyewo Hemorrhagic nekumhanyirira. Blood bvunzo zvinoratidza zvakawedzera ESR, mukuru leukocytosis (neutrophil). Kuchinja cerebrospinal mvura panguva maawa chirwere rokutanga hakuna dzakaonekwa. Zvisinei, muzana rokutanga uye rechipiri zuva pane unopinza nezvibereko zvayo kumanikidzwa, turbidity kuti anowana yero-grey kana grayish tinge. Zvinonzi dzakaonekwa somunhu pasi shuga kugutsikana.

Purulent yomumuzongoza anokonzerwa meningococcal hosha chirwere maererano ruzivo pamusoro murwere, chirwere chacho zvekuchipatara kuratidzwa. Munguva asati kubvuma, iri akaita differential zvokuongorora iyi Chirwere pamwe zvokurwara yechipiri.

Secondary purulent yomumuzongoza zvingamuka somugumisiro kufambiswa (pakugoverwa) mu purulent sinusitis kana otitis nhau chirwere foci zvirwere.

Kutanga chirwere kunoratidzwa chimiro chills, nefivhiri, nomusoro kuwanika uyewo unopinza kudzikira mune mukuru ezvinhu omurwere. Meningeal Zviratidzo zviri akaumba mangwanani. Secondary purulent yomumuzongoza achabatsirwa akurumidze kuvhiringidza pfungwa pakati kakawanda nokusagadzikana, kugwinha, aone zvinhu zvisipo. Doro turbid. Pane kuwedzera ESR.

Kana chirwere zvinokosha kusiyanisa pakati muuropi pute uye purulent yomumuzongoza. pathologies izvi vane zvakawanda zvakafanana zvinhu. Nokuti pfungwa pute ndiye aetiology, vakawedzera zvatichiri zviratidzo pamusoro yaitwa zviratidzo kuzvimba zvikanyarara, kuti misha yose midline hurongwa pamwe Ultrasound.

Nzira diagnosing purulent yomumuzongoza zvinosanganisira nemakemikari uye bacteriological kuongorora ivhu ropa, ECG, MRI, uye CT scan uropi, dehenya radiography.

Kana kuratidzwa chirwere zviratidzo vanoda rokukurumidzira muchipatara kuti noutachiona chikwata. Kana chirwere yechipiri murwere anoiswa muchipatara rakakodzera.

Kana uchifungidzira kuti kukura yomumuzongoza hazvo kuitwa munhu lumbar ponji kudzidza cerebrospinal mvura. The nzira rinoitwa pasi chifukidziro antibacterial zvinodhaka. Kusvikira nguva kuziva miedzo nayo utachiona zvokurwara uye kuona ukuru nehanya kwayo, zvakasiyana-siyana prescribers. mishonga iyi vanokwanisa zvinopfuura ropa-uropi nokuidzivirira. Izvi zvinosanganisira mishonga "Ampicillin" "Penicillin," yechitatu-chizvarwa cephalosporins ( "Ceftriaxone", "cefotaxime").