Yuav ua li cas yog cov kev kho mob rau daim npluag paj hlwb purulent thiab serous

Meningitis - yog xws li ib tug kab mob loj uas tsis kho nws yog yuav luag nyob rau hauv ib tug 90% tuag, tshwj xeeb tshaj yog nyob rau hauv cov ntaub ntawv ntawm cov kab mob o ntawm lub paj hlwb week. Meningitis kho mob yuav tsum tau nqa tawm tsuas yog nyob hauv ib tug lub tsev kho mob, folk tshuaj yuav tsum muaj ntaub ntawv tsuas yog raws li ib tug ntxiv uas yuav pab tau zoo dua tso tus mob no, nyob rau lawv yuav tsum tsuas yog siv nyob rau hauv kev sib tham nrog cov kws kho mob.

Nyob rau dab tsi yog qhov kev kho mob? Tsis tau ntawm tus tsom xam ntawm hlwb txha nqaj qaum kua (CSF), tau ua los ntawm lumbar tej, los kho meningitis tsis yooj yim sua. Tsuas yog tus tsom xam yuav pab tau tus kws kho mob paub qhov txawv ntawm purulent meningitis los ntawm serous li kev soj ntsuam mob, xws li, cov tsos mob tej zaum yuav tsis yeej ib txwm yuav to taub (feem, meningitis kev kho mob yuav tsis ncaj ncees lawm). Tsis tas li ntawd, ib co kab mob tshwm sim nrog nce intracranial siab, thiab ib tug kub, thiab kuj muaj zoo meningeal cov tsos mob, txawm li cas los, qhov no manipulation yog yuav tsum tau rau ib tug muaj tseeb kuaj mob.

Thaum lub sij hawm tej kev kawm yuav siv sij hawm ib tug ob peb milliliters ntawm hlwb txha nqaj qaum kua. Ib tug ntawm lawv yog xa mus rau tus soj ntsuam kuaj ntsuam xyuas, kev soj ntsuam ntawm cov uas muab ib tug xaus raws li qhia nyob rau hauv o thiab ib co - serous los yog purulent - nws muaj cim. Txawm tias ib tug me me npaum li cas ntawm cov leeg nrob kua yog xa mus rau lub kab-thiab bacteriological kev tshawb fawb, cov kev tshwm sim ntawm uas yuav tuaj tom qab thiab yuav pab tau koj tus kws kho mob yuav tau kho cov thawj zaug kev kho mob rau daim npog hlwb.

Sim kom to taub txog dab tsi npaj kho meningitis. Kev kho mob ntawm serous meningitis yog raws li nyob rau kev siv uas tsis yog-kev antiviral agents: nws yog mas interferon tshuaj ( "Laferon", "Viferon", "Lipoferon"). Lawv daim ntawv thov yog raws li nyob rau hauv lub fact tias nyob rau hauv kev sib cuag nrog ib yam ntawm cov kab mob no nyob rau hauv peb lub cev tiv thaiv kab mob teb tiam ntawm xws tshuaj, uas kuj yuav pab tau tiv nrog tus kab mob no. Nyob rau hauv tas li ntawd, nws yog ntshaw kom kawm hlwb txha nqaj qaum kua PCR rau DNA kab mob herpes simplex tus kab mob no, varicella zoster tus kab mob no, Epstein-Barr, cytomegalovirus. Nws yog ib cov kab mob ua rau lub loj tshaj plaws thiab disabling meningitis, tab sis tawm tsam lawv, qhov zoo ces, muaj ib tug tshwj xeeb kho, "Acyclovir", "Ganciclovir", "Valacyclovir" ntxiv rau tej immunoglobulin. Tej zaum, nyob rau hauv cov ntaub ntawv ntawm kev mob loj tej yam kev mob nyob rau hauv serous meningitis kev kho mob tso dej raws leeg "aciclovir" pib muab tau cov kev tshwm sim ntawm PCR rau DNA kab mob ntawm herpes pab pawg neeg.

daim npluag paj hlwb kev kho mob nyob rau hauv cov ntaub ntawv ntawm tus kab mob ntsws etiology muaj muab ob peb tus kab mob TB tshuaj tua kab mob (e.g. "streptomycin") nyob rau hauv siab noj tshuaj npaum cas tshaj lwm qhov chaw nyob rau hauv tuberculosis.

Yog hais tias aseptic meningitis tshwm sim los ntawm tus kab mob HIV los yog AIDS-txuam muaj (nws heev muaj lub cim ntawm ib tug serous), kev kho mob yog nqa tawm nyob rau hauv tshwj xeeb tsev kho mob tej tshuaj.

Yog hais tias tus neeg mob muaj purulent meningitis, kev kho mob yog los qhia cov broad-spectrum tshuaj tua kab mob. Yuav siv tau tsuas yog cov uas yuav txeem los ntawm cov teeb meem ntawm lub hlwb puag ncig lub paj hlwb (ntshav-hlwb barrier). Tej tshuaj uas muab tsuas parenterally (i.e., intravenously los yog intramuscularly, tab sis tsis nyob rau hauv cov ntsiav tshuaj daim ntawv no), thiab tsuas yog ib tug tshaj plaws npaum li cas.

Tus thawj tshuaj tua kab mob yog xaiv rau lub hauv paus ntawm zoo li cas ntawm kev sib raug zoo ntawm cov ntxaug ntawm nco qab thiab cov theem ntawm o nyob rau hauv lub hlwb txha nqaj qaum kua uas muaj hnub nyoog comorbidity. Yog li ntawd, yog hais tias tus mob yog qhia nyob rau hauv txhiab txhiab tus lub hlwb, thiab tus neeg ntawd yog meej pem, tus kab mob no yog tsis yog ib tug mob mob ntsws, otitis media, sinusitis thiab lwm yam ENT kab mob, tus thawj tshuaj tua kab mob yuav ua "Ceftriaxone" thiab "Amikacin" nyob rau hauv tsim nyog noj tshuaj npaum cas. Feem ntau cov feem ntau cov kab mob yuav tsum tau kim kim tshuaj, "Meronema", "vancomycin".

Ob, yog tias tsim nyog, ib tug tshuaj tua kab mob yog xaiv raws li nyob rau hauv cov kev tshwm sim twb yub cawv rau cov microflora thiab nyhav ntsuam tshuaj tua kab mob. Raws li qhia meningitis zoo li cov tsos mob, cov kev kho mob tsis txhais tau: txoj kev kho yog xaiv thiaj tau tuaj rau qhov kev tshwm sim ntawm txoj kev tshawb ntawm hlwb txha nqaj qaum kua.