I-Fungal meningitis: kuyini, yini izimbangela nezimpawu

-Delile

• Izimbangela ezingaba khona
• Ziyini izimpawu
• Ukuxilongwa kwenziwa kanjani
• Yini ukwelashwa

I-Fungal meningitis yisifo esithathelwanayo esibangelwa isikhunta, esibonakala ngokuvuvukala kwama-meninges, okuyizicubu ezitholakala ezungeze ubuchopho nomgogodla, okungaholela ekubonakaleni kwezimpawu ezinjengekhanda, umkhuhlane, isicanucanu nokuhlanza.

Lolu hlobo lwe-meningitis alutholakali kakhulu, kepha lungenzeka kunoma ngubani, ikakhulukazi labo abangenakuzivikela. Kungadalwa yizinhlobo ezehlukene zesikhunta, okuvame kakhulu ukuthi kube yizinhloboI-Cryptococcus.

Ukwelashwa kuvame ukudinga ukulaliswa esibhedlela, lapho kufakwa khona imishanguzo yokubulala umuthi emthanjeni.

Izimbangela ezingaba khona

I-Fungal meningitis ibangelwa ukutheleleka ngemvubelo, futhi kwenzeka lapho lokho kutheleleka kusabalala kungene egazini bese kweqa isithiyo segazi-lobuchopho, kungene ebuchosheni nasentanyeni yomgogodla. Yize kungavamile, lesi simo kungenzeka ukuthi senzeke kubantu abanamasosha omzimba abuthakathaka, njengabantu abane-HIV, abantu abelashwa imishanguzo yomdlavuza noma ngeminye imishanguzo, njenge-immunosuppressants noma i-corticosteroids.

Ngokuvamile, isikhunta esidala i-fungal meningitis singaphansi kohloboI-Cryptococcus, lokho kungatholakala enhlabathini, kumathambo ezinyoni nasezinkuni ezibolayo. Kodwa-ke, esinye isikhunta singaba imbangela ye-meningitis, njengoba kunjalo I-Histoplasma, iBlastomyces, iCoccidioides noma UCandida.

Bona ezinye izimbangela ze-meningitis nokuthi ungazivikela kanjani.

Ziyini izimpawu

Izimpawu ezingadalwa i-fungal meningitis umkhuhlane, ikhanda elibi kakhulu, isicanucanu, ukuhlanza, ubuhlungu lapho kugobeka intamo, ukuzwela ekukhanyeni, ukubona izinto ezingekho kahle nokushintsha kokwazi.

Kwezinye izimo, uma i-meningitis ingelashwa ngokwanele, kungavela izinkinga, njengokuquleka, ukulimala kobuchopho noma nokufa.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kuqukethe ukuhlolwa kwegazi, ukuhlolwa kwe-cerebrospinal fluid kanye nokuhlolwa kwe-imaging, okufana ne-computed tomography kanye ne-magnetic resonance imaging, evumela ukubona ngeso lokhozi ukuvuvukala okungazungeza ubuchopho.

Qonda ngokuningiliziwe ukuthi ukuxilongwa kwe-meningitis kwenziwa kanjani.

Yini ukwelashwa

Ukwelashwa kwe-fungal meningitis kuqukethe ukuphathwa kwezidakamizwa ezibulala imithambo emthanjeni, njenge-amphotericin B, i-fluconazole, i-flucytosine noma i-itraconazole, okumele yenziwe esibhedlela, ngaphezu kwemithi yokwenza ngcono ezinye izimpawu nokuhlola izimpawu zokwenza ngcono isimo somuntu jikelele.