Isifo se-tuberculosis meningitis ukuvuvukala kwezingxenyana eziningi ezithambile zobuchopho. Isifo sesibili, okungukuthi, senzeke ngokumelene nesizinda samaphaphu noma ezinye izitho zangaphakathi ezidluliselwe ngaphambili noma zisendaweni esicindezelayo yesifo sofuba.
I-meningitis ye-tuberculous isakazwa kanjani?
I-agent ye-causative yesifo yi-microbacterium yesifo sofuba. Ebuchosheni, ngokuvamile kuvela komunye, umthombo oyinhloko wokutheleleka. Kuphela ngamacala angu-3% okuyiyona imbangela eqondile yalesi sifo ayikwazi ukusungulwa, kuzo zonke ezinye izimo ukugxila okuyinhloko kokutheleleka kwesifo sofuba kubonakala emzimbeni. Indlela eyinhloko yokusakaza ibhethri ibhekwa njengokudluliselwa kwayo ngegazi, futhi ukutheleleka kwenzeka ezinyathelweni ezimbili:
- Esigabeni sokuqala, ukuqhuma kwamabhaktheriya e-tuberculosis ngokusebenzisa isikhawulo semisipha kanye nokutheleleka kwe-plexuses ye-vascular of the envelope enengqondo.
- Esigabeni sesibili sesimangalo esiswini esinamandla, amabhaktheriya angena emgodini wamanzi omgogodla (cerebrospinal fluid), abangela ukuvuvukala kwegobolondo elithambile lobuchopho.
Izimpawu ze-meningitis ene-tuberculous
Kunezinyathelo ezintathu zokuthuthukiswa kwe-meningitis enezinhlungu.
Isikhathi se-prodromal
Igcina amasonto angu-6-8 ngokuthuthukiswa kancane kancane kwezimpawu. Okokuqala kuvela:
- ukuxhuma;
- ukunganakwa;
- ubuthakathaka jikelele;
- ukulala;
- isiyezi;
- ikhanda lezinhlungu.
Ngokuhamba kwesikhathi, ikhanda landa, i-nausea, ukuhlanza, izinga lokushisa komzimba, kodwa lingakhuphukela kuma-38 degrees.
Inkathi yokucasula
Kulesi sigaba, izimpawu zikhula ngokuphawulekayo, izinga lokushisa lomzimba lingakhuphukela ku-39 ° C. Kuqaphele:
- ubuhlungu obunzima engxenyeni yangaphambili neyesi-occipital yekhanda;
- ukuqotshwa ngaphandle kokuqeda;
- ukubekezelelana komsindo;
- photophobia.
Ngokuzenzekelayo zivele futhi zinyamalale izindawo ezibomvu esikhumbeni (izifo ze-vascular).
Ngosuku lwesishiyagalolunye nesikhombisa ngalesi sikhathi i- meningeal syndromes ivela:
- intamo eqinile;
- uphawu lweKörnig noBrudzinsky.
Futhi kungabonakala:
- ukushintshashintsha kwegazi;
- ukugeleza okwandayo nokwehla;
- ukuphazamiseka okubukwayo (ukukhwabanisa, ukunciphisa umbono, ukukhubazeka kwejwabu leso);
- ukuzwa ukukhubazeka;
- ukwehlisa ubuzwe bezitho;
- ukukhubazeka kwenkulumo;
- i-hydrocephalus.
Isikhathi sokugcina
Isigaba sokugcina sesifo. Izimpawu ezibonakalayo ze-encephalitis zibhekwa, kanye nokuthi:
- i-paresis nokukhubazeka komuntu ophakathi;
- i-tachycardia;
- ukuphefumula ukuphefumula;
- ukulahlekelwa ukuqonda okuqhubekayo;
- izinga lokushisa komzimba liphakeme (cishe ama-degrees angu-40).
Isigaba sokugcina sesi sifo, ngokuvamile siphela emphumela wokubulala.
Ukuxilongwa nokuphathwa kwe-meningitis ene-tuberculous
Uma kukhona ukusola kwe-meningitis ene-tuberculous, indlela eyinhloko yokuxilonga ukuhlaziywa kwe-cerebrospinal fluid. Ukucindezela emgodini womgogodla onesifo esinjalo kuvame ukukhula, ngoba uma uthatha isigwebo, i-jet yotshwala izogeleza njengokungathi ngaphansi kwengcindezi. Ekucwaningweni kwelabhutriji kotshwala ukugcinwa kwezintambo nama-leucocytes, ngaphandle kwama-antibodies kuya emthonjeni weKoch atholakala. Muva nje, ukucabangela kwe-computer ne-magnetic resonance kuye kwasetshenziselwa ukudala umonakalo wobuchopho.
Ukwelashwa kwesifo isikhathi eside (unyaka noma ngaphezulu) futhi kuqhutshwe ezindlini ezikhethekile zokubhuka kanye nezinsiza. Kubandakanya ukuphuza izidakamizwa ngokwamacebo akhethekile, njenganoma iyiphi enye indlela yesifo sofuba. Ukwelashwa kwezimpawu ezisetshenziswayo:
- i-antioxidants ;
- izidakamizwa ze-nootropic;
- antihypoxants;
- ama-diuretics (ukunciphisa i-edema yobuchopho);
- ukwelashwa okujwayelekile kokuxoshwa.
Imiphumela ye-meningitis ene-tuberculous
Ukuhlukunyezwa okuvame kakhulu kulesi sifo yi-hydrocephalus (i-hydrocephalus). Ngaphezu kwalokho, ukukhubazeka kwesifo sofuba kunokwenzeka, ukukhubazeka kwesisindo kolunye uhlangothi lomzimba, nokukhubazeka okubukwayo (ezindaweni ezingavamile, ngaphambi kokulahlekelwa okuphelele). Uma kwenzeka isicelo esingakapheli sokunakekelwa kwezokwelapha (izinsuku ezingu-18 noma ngaphezulu zokugula), kungenzeka ukuthi imiphumela ebulalayo iphezulu.