Meningitis yog ib qho ntawm cov kab mob loj thiab txaus ntshai, uas yog thaum muaj mob ntawm lub qog ntawm tus txha caj qaum lossis lub hlwb. Raws li txoj cai, vim nws txoj kev tiv thaiv tsis zoo, qhov kab mob sib kis no feem ntau raug rau cov me nyuam yaus.
Nyob rau hauv kev kho mob xyaum, nyob ntawm seb qhov xwm txheej ntawm txoj kev mob siab li cas, muaj ob hom kabmob meningitis: serous (ntau zaus enterovirus) thiab purulent. Tus neeg mob cov kab mob ntawm cov kab mob hu ua serous meningitis yog enteroviruses, xws li Coxsackie, ECHO, tus kab mob hu ua poliomyelitis, mumps thiab lwm tus. Raws li purulent meningitis, nws tus kab mob causative feem ntau yog ib kab mob kis tus kab mob - meningococcus, pneumococcus, staphylococcus, salmonella, streptococcus, Pseudomonas aeruginosa lossis hemophilic pas nrig.
Thaum pib mob ntawm daim npog hlwb hauv cov menyuam yaus, nws tseem ceeb heev uas yuav tau pib kho sai li sai tau, vim tias tus kab mob no tuaj yeem tsim teeb meem loj heev: mob qog nqaij hlav, lag ntseg, mob hlwb, thiab teeb meem nrog kev loj hlob ntawm cov menyuam.
Yuav ua li cas kho meningitis hauv cov menyuam yaus?
Kev kho mob ntawm tus kab mob meningitis hauv cov me nyuam yog tshwj xeeb tshaj plaws hauv cov kev mob ceev. Rau qhov kev kuaj mob tseeb, tus kws kho mob yuav tsum tau ua ib lub lumbar puncture, los kawm txog CSF, thiab kuaj ntshav kuaj ntshav. Cov kev tswj no yog ua kom pom cov neeg muaj kab mob ntawm tus kab mob thiab txiav txim siab nws cov tshuaj tua kab mob.
Lub hauv paus rau kev kho mob ntawm ob qho tib si serous thiab purulent meningitis nyob rau hauv cov menyuam yog tshuaj tua kab mob, lub hom phiaj tseem ceeb uas yog tshem tawm qhov ua rau tus kab mob. Txawm li cas los xij, feem ntau, nws tsis muaj peev xwm tsim kom tau raws nraim li cov hom pathogen, yog li yuav tsum siv tshuaj tua kab mob ntxiv, uas muaj kev cuam tshuam rau tag nrho cov spectrum ntawm cov kab mob feem ntau. Tom qab tau txais cov txiaj ntsim ntawm kab mob bacteriological thiab kev qhia txog hom kab mob pathogen, nws muaj peev xwm hloov cov tshuaj siv los kho kom zoo dua tiv thaiv kab mob no. Rau cov me nyuam muaj mob, tshuaj tua kab mob yog ua kom tsis pub dhau 10 hnub thiab 7 hnub tom qab tus me nyuam lub cev kub cev. Raws li txoj cai, cov tshuaj tiv thaiv kab mob hauv qab ntawm ntau qhov kev txiav txim yog siv rau kev kho mob rau daim npluag paj hlwb: tshuaj tua kab mob hauv chav kawm ntawm cephalosporins ( cefotaxime , ceftriaxone ), penicillin, thiab cov roj hmab thiab carbapenems.
Nrog rau kev tiv thaiv kab mob kev tiv thaiv (diuretics), cov tshuaj diuretics yog cov tshuaj (diuretics, xws li lasix, ureide, diacarb) kom txo tau cov neeg mob hlwb, nrog rau kev tiv thaiv thiab kho cov paj hlwb cerebral.
Tsis tas li, ib qho tseem ceeb ntawm txoj kev kho mob tsis zoo rau kev tswj cov kab mob hlwb hauv meningitis yog infusion therapy (detoxification) thiab kev kho ntawm dej-ntsev seem. Rau qhov no, kev tso dej los ntawm kev sib tov ntawm colloidal thiab crystalloid daws yog nqa tawm.
Tom qab tso tawm hauv tsev kho mob, kev kho mob ntawm daim npog hlwb yeej nqa tawm hauv tsev los ntawm cov kws kho mob cov kws kho mob, thiab thaum lub xyoo
Kev kho mob ntawm tus kab mob meningitis nrog kev kho neeg
Nws yuav tsum nco ntsoov tias thaum tsis muaj cov kev kho mob zoo tsim nyog tus kab mob no tuaj yeem ua rau tuag, yog li kev kho mob tom tsev yeej tsis yooj yim sua. Ntxiv rau, nws xav tsis pom zoo rau txoj kev kho mob ntawm daim npog hlwb rau nws tus kheej txoj kev siv tshuaj kho mob vim tias tsis muaj kev siv nyiaj tsawg thiab tsis siv sij hawm pov tseg. Nco ntsoov tias lub sij hawm thiab qhov ua tau zoo ntawm kev kho mob rau daim npluag paj hlwb yog nyob ntawm seb tus mob sai npaum li cas thiab muaj kev kho mob txaus.