I-Staphylococcal meningitis

I-Meningitis ukutheleleka kolwelwesi olumboze ubuchopho nomgogodla. Le ngubo ibizwa ngokuthi ama-meninges.

Amagciwane ayilohlobo olulodwa lwegciwane elingadala i-meningitis. Ama-bacterium e-staphylococcal angolunye uhlobo lwama-bacteria abangela i-meningitis.

I-Staphylococcal meningitis ibangelwa yi-staphylococcus bacteria. Lapho kubangelwa I-Staphylococcus aureus noma I-Staphylococcus epidermidis bacteria, ivame ukukhula njengenkinga yokuhlinzwa noma njengesifo esisakazeka ngegazi kusuka kwenye indawo.

Izici zobungozi zifaka:

• Ukutheleleka kwama-valve wenhliziyo
• Ukutheleleka okudlule kobuchopho
• I-meningitis edlule ngenxa yokuvinjelwa uketshezi lomgogodla
• Ukuhlinzwa kobuchopho kwakamuva
• Ukuba khona kwe-fluid fluid shunt
• Ukuhlukumezeka

Izimpawu zingavela ngokushesha, futhi zifaka:

• Umkhuhlane namakhaza
• Izimo zengqondo ziyashintsha
• Isicanucanu nokuhlanza
• Ukuzwela ekukhanyeni (photophobia)
• Ikhanda elibuhlungu
• Intamo eqinile

Ezinye izimpawu ezingenzeka ngalesi sifo:

• Ukuyaluza
• Ama-fontanelles aqhamukayo ezinganeni
• Ukwehla kokuqapha
• Ukungondli kahle noma ukucasuka ezinganeni
• Ukuphefumula ngokushesha
• Ukuma okungavamile, nekhanda nentamo kuguqulwe emuva (opisthotonos)

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Imibuzo izogxila kuzimpawu nezici zobungozi.

Uma udokotela ecabanga ukuthi i-meningitis kungenzeka, i-lumbar puncture (umpompi womgogodla) wenziwa ukususa isampula loketshezi lomgogodla ukuze kuhlolwe. Uma une-fluid fluid shunt, isampuli ingathathwa kulokhu esikhundleni salokho.

Ukuhlolwa kungafaka:

• Isiko legazi
• I-x-ray yesifuba
• I-CT scan yekhanda
• Ibala le-Gram, amanye amabala akhethekile, namasiko e-CSF

Ama-antibiotic azoqalwa ngokushesha okukhulu. IVancomycin iyindlela yokuqala yokukhetha i-staphylococcal meningitis esolwayo. INafcillin isetshenziswa lapho ukuhlolwa kukhombisa ukuthi amabhaktheriya ayazwela kule antibiotic.

Imvamisa, ukwelashwa kuzobandakanya ukuseshwa, nokususwa, kwemithombo engaba khona yamagciwane emzimbeni. Lokhu kufaka phakathi ama-shunts noma ama-valve enhliziyo okufakelwayo.

Ukwelashwa ngaphambi kwesikhathi kuthuthukisa umphumela. Kodwa-ke, abanye abantu abasindi. Izingane ezincane nabantu abadala abangaphezu kweminyaka engama-50 banengozi enkulu yokufa.

I-Staphylococcal meningitis ivame ukuthuthuka ngokushesha okukhulu, kube nezinkinga ezimbalwa, uma umthombo wesifo ususiwe. Umthombo ungafaka ama-shunts, i-hardware emajoyintini, noma ama-valve enhliziyo okufakelwa.

Izinkinga zesikhathi eside zingafaka:

• Ukulimala kobuchopho
• Ukwakhiwa koketshezi phakathi kogebhezi nobuchopho (ukungcola komhlaba)
• Ukwakhiwa koketshezi ngaphakathi kogebhezi okuholela ekuvuvukeni kobuchopho (i-hydrocephalus)
• Ukulahlekelwa ukuzwa
• Ukuquleka
• Ukutheleleka kweStaph kwenye indawo yomzimba

Shayela ku-911 noma inombolo ephuthumayo yendawo noma uye egumbini lezimo eziphuthumayo uma usola i-meningitis enganeni encane enezimpawu ezilandelayo:

• Izinkinga zokondla
• Ukukhala okuphezulu
• Ukuthukuthela
• Umkhuhlane oqhubekayo, ongachazeki

I-meningitis ngokushesha ingaba isifo esongela impilo.

Kubantu abasengozini enkulu, ukuthatha ama-antibiotic ngaphambi kwezinqubo zokuxilonga noma zokuhlinza kungasiza ekunciphiseni ubungozi. Xoxa ngalokhu nodokotela wakho.

I-Staphylococcal meningitis

• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo
• Ukubalwa kwamaseli e-CSF

Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. I-meningitis yebhaktheriya. www.cdc.gov/meningitis/bacterial.html. Kubuyekezwe u-Agasti 6, 2019. Kufinyelelwe kuDisemba 1, 2020.

UNath A. Meningitis: ibhaktheriya, igciwane nokunye. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 384.

UHasbun R, uVan de Beek D, uBrouwer MC, uTunkel AR. I-meningitis enamandla. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 87.