Gram-adịghị mma meningitis

Meningitis dị mgbe membranes na-ekpuchi ụbụrụ na ụbụrụ na-aza aza ma na-aza ọkụ. Ihe mkpuchi a ka akpọrọ meninges.

Nje bacteria bụ otu ụdị nje nke nwere ike ibute ọrịa meningitis. Gram-negative bacteria bụ ụdị nje na-eme omume n’ụzọ yiri ya na ahụ. A na-akpọ ha gram-adịghị mma n'ihi na ha na-acha pink mgbe a nwalere ha na laabu nwere ntụpọ pụrụ iche akpọrọ gram stain.

Nnukwu nje meningitis nwere ike mere site dị iche iche Gram-adịghị mma bacteria gụnyere meningococcal na H influenzae.

Isiokwu a kpuchiri gram-meningitis na-adịghị mma nke nje ndị na-esonụ kpatara:

• Escherichia coli
• Klebsiella oyi baa
• Pseudomonas aeruginosa
• Serratia marsescens

Gram-negative meningitis na-arịakarị ụmụ ọhụrụ karịa ndị okenye. Mana o nwekwara ike ime na ndị okenye, ọkachasị ndị nwere otu ihe ma ọ bụ karịa nwere nsogbu. Ihe egwu dị na ndị okenye na ụmụaka gụnyere:

• Ofufe Ọrịa (akpan akpan ke afo ma ọ bụ urinary tract)
• Surgerywa ahụ ụbụrụ n'oge na-adịbeghị anya
• Ọrịa na-adịbeghị anya n'isi
• Ọkpụkpụ ọdịiche
• Ọkpụkpụ mkpụrụ ndụ na-ebelata ọnya mgbe ịwa ahụ ụbụrụ
• Urinary tract enweghi nsogbu
• Urinary tract ọrịa
• Adịghị ike usoro

Mgbaàmà na-abịakarị ngwa ngwa, ma nwere ike ịgụnye:

• Ahụ ọkụ na akpata oyi
• Ọnọdụ uche na-agbanwe
• Ọgbọ na ọgbụgbọ
• Mmetụta na ìhè (photophobia)
• Oké isi ọwụwa
• N'olu olu (meningismus)
• Mgbaàmà nke eriri afo, akụrụ, eriri afọ, ma ọ bụ ọrịa akpa ume

Mgbaàmà ndị ọzọ nwere ike ịpụta na ọrịa a:

• Mgbagha
• Bulging fontanelles na ụmụ aka
• Mbelata nke uche
• Nri na-adịghị mma ma ọ bụ mgbakasị na ụmụaka
• Na-eku ume ngwa ngwa
• Ọdịdị na-adịghị adị, nke isi ya na olu ya laghachi azụ (opisthotonos)

Onye nlekọta ahụike ga-eme nyocha anụ ahụ. Ajụjụ ga-elekwasị anya na mgbaàmà na enwere ike ịnweta onye nwere ike ịnwe otu mgbaàmà ahụ, dịka olu siri ike na ahụ ọkụ.

Ọ bụrụ na onye na-eweta ahụ chere na ọrịa meningitis ga-ekwe omume, enwere ike ịme mkpọchi lumbar (azụ azụ) iji wepụ ihe atụ nke mmiri ọgwụ maka ule.

Nyocha ndị ọzọ enwere ike ịme gụnyere:

• Omenala ọbara
• Igbe x-ray
• CT scan nke isi
• Gram Unyi, ntụpọ ndị ọzọ pụrụ iche

A ga-ebido ọgwụ mgbochi ozugbo enwere ike. Ceftriaxone, ceftazidime, na cefepime bụ ọgwụ nje ndị a na-ejikarị eme ihe maka ụdị meningitis a. Enwere ike inye ọgwụ nje ndị ọzọ, dabere n'ụdị nje.

Ọ bụrụ na ị nwere ahịhịa azụ, enwere ike wepu ya.

Ọgwụgwọ mbụ bidoro, nke ka mma na-aga.

Ọtụtụ ndị gbakee kpamkpam. Ma, ọtụtụ mmadụ nwere ụbụrụ na-adịgide adịgide ma ọ bụ nwụọ n'ụdị meningitis a. Youngmụaka ndị toro eto na ndị okenye gaferela afọ iri ise nwere nnukwu nsogbu ịnwụ. Otú ị na-eme nke ọma dabere na:

• Afọ gị
• Kedu ka esi amalite ọgwụgwọ
• Ahụ ike gị

Nsogbu dị ogologo oge nwere ike ịgụnye:

• Mbibi ụbụrụ
• Mbelata nke mmiri n'etiti okpokoro isi na ụbụrụ (ntinye ume)
• Mbelata nke mmiri n'ime okpokoro isi nke na-eduga ụbụrụ ụbụrụ (hydrocephalus)
• Ntị ntị
• Ọdịdọ

Kpọọ 911 ma ọ bụ nọmba mberede mpaghara ma ọ bụ gaa na ụlọ mberede ma ọ bụrụ na ị na-enyo enyo na meningitis na nwatakịrị nwere mgbaàmà ndị a:

• Nsogbu nri
• Akwa akwa-ákwá
• Iwe
• Ahụ ọkụ na-adịghị ala ala

Meningitis nwere ike ngwa ngwa ghọọ ọrịa na-eyi ndụ egwu.

Treatmentgwọ ọrịa ndị yiri ya ngwa ngwa nwere ike belata ogo na nsogbu nke meningitis.

Gram-adịghị mma meningitis

• Usoro nhụjuanya nke etiti na usoro ụjọ nke elu
• Ọnụ ọgụgụ CSF

Websitelọ Ọrụ maka Nchịkwa na Mgbochi Ọrịa na ebe nrụọrụ weebụ. Mingitis na-akpata nje. www.cdc.gov/meningitis/bacterial.html. Emelitere August 6, 2019. Nabata December 1, 2020.

Nath A. Meningitis: nje, virus, na ndị ọzọ. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 384.

Hasbun R, Van de Beek D, Brouwer MC, Tunkel AR .. Nnukwu meningitis. Na: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, na Bennett Prinkpụrụ na Omume nke Ọrịa Na-efe Ọrịa. Agba nke 9. Philadelphia, PA: Elsevier; 2020: isi 87.