Ukukhishwa okungaphansi

Ukukhishwa okungaphansi komhlaba iqoqo le-cerebrospinal fluid (CSF) ebhajwe phakathi kobuso bobuchopho kanye nolwelwesi lwangaphandle lobuchopho (into ehlala isikhathi eside). Uma lolu ketshezi lutheleleka, lesi simo sibizwa ngokuthi i-subdural empyema.

Ukuqhuma okungaphansi komhlaba kuyinkinga engavamile ye-meningitis ebangelwa amagciwane. Ukukhishwa okungaphansi komhlaba kuvame kakhulu ezinganeni.

Ukukhishwa okungaphansi komhlaba kungenzeka futhi ngemuva kokuhlukumezeka kwekhanda.

Izimpawu zingafaka:

• Ukugoba kwangaphandle kwendawo ethambile yengane (bulging fontanelle)
• Izikhala ezibanzi ngokungajwayelekile emalungeni omathambo ogebhezi lwengane (ama-suture ahlukanisiwe)
• Ukwenyuka kwesilinganiso sekhanda
• Awekho amandla (ukucobeka)
• Umkhuhlane oqhubekayo
• Ukuquleka
• Ukuhlanza
• Ubuthakathaka noma ukulahleka kokuhamba ezinhlangothini zombili zomzimba

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba abuze ngezimpawu.

Ukuthola ukukhishwa okungaphansi komhlaba, izivivinyo ezingenziwa zifaka:

• I-CT scan yekhanda
• Usayizi wekhanda (umjikelezo) izilinganiso
• Ukuskena kwe-MRI kwekhanda
• I-Ultrasound yekhanda

Ukuhlinzwa ukukhipha i-effusion kuvame ukudingeka. Ezimweni ezingavamile, idivaysi yokukhipha unomphela (shunt) iyadingeka ukukhipha uketshezi. Ama-antibiotic angadinga ukunikezwa ngomthambo.

Ukwelashwa kungafaka:

• Ukuhlinzwa ukukhipha i-effusion
• Idivayisi yokuhambisa amanzi, ebizwa nge-shunt, ishiywe endaweni isikhathi esifushane noma isikhathi eside
• Ama-antibiotic anikezwa ngomthambo ukwelapha ukutheleleka

Ukululama okugcwele kokuchithwa okungaphansi komhlaba kulindeleke. Uma izinkinga zesistimu yezinzwa ziqhubeka, ngokuvamile zibangelwa i-meningitis, hhayi i-effusion. Imithi elwa namagciwane yesikhathi eside imvamisa ayidingeki.

Izinkinga zokuhlinzwa zingafaka:

• Ukopha
• Ukulimala kobuchopho
• Ukutheleleka

Shayela umhlinzeki uma:

• Ingane yakho isanda kwelashelwa i-meningitis futhi izimpawu ziyaqhubeka
• Izimpawu ezintsha ziyakhula

UDe Vries LS, uVolpe JJ. Ukutheleleka kwamagciwane nokukhunta okungasebenzi. Ku: Volpe JJ, Inder TE, Darras BT, et al, ama-eds. IVolpe's Neurology Yentsana. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2018: isahluko 35.

UKim KS. I-bacterial meningitis edlula isikhathi sokubeletha. Ku: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, abahleli. Incwadi kaFeigin neCherry's Pediatric Infectious Diseases. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 31.

UNath A. Meningitis: ibhaktheriya, igciwane nokunye. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 412.