Purulent meningitis

Tus kab mob yog ib tug mob kis xwm nrog ib tug thawj lesion nyob rau hauv lub meninges yog hu ua meningitis. pathological cim tshwm sim, nyob ntawm seb qhov xwm ntawm tus tsim inflammatory txheej txheem. Tus kab mob tej zaum yuav thawj thiab.

Qhia rau daim npog hlwb purulent thiab serous.

Nyob rau hauv rooj plaub thawj muaj ib pab pawg neeg ntawm thawj thiab pathologies nyob rau hauv uas lub predominant kev koom tes ntawm cov meninges muaj ib tug kab mob xwm.

Meningococcal hlwb txha nqaj qaum meningitis phaum mob muaj nyob rau hauv pab pawg neeg no thiab yog hais txog cov thawj kab mob.

Txoj kev ua ntawm tus kab mob muaj ib tug ntse txoj kev loj hlob. Purulent meningitis ntawm no hom yog nrog los ntawm ib qho kev nce rau hauv lub cev kub rau 38-39 degrees. Nyob rau hauv tas li ntawd, tus neeg mob yws ntawm mob taub hau mob, radiating rau ob txhais ceg, rov qab, caj dab. Ntse mob nrog general hyperesthesia (meem kev txhawj xeeb), ntuav, meningeal cov tsos mob tsim. Nyob rau hauv thawj zaug rau theem ntawm cov kab mob no yog cim preservation nco qab, Txawm li cas los, ib tug tsis muaj txaus kho mob, tus neeg mob sai sai ntog mus rau hauv ib tug lub xeev ntawm soporous (kev nyuaj siab nco qab). Feem ntau muaj cov mob khaub thuas tawm rau hauv txheej week thiab daim tawv nqaij, raws li zoo raws li hemorrhagic pob. Kuaj ntshav xyuas qhia tau hais tias muaj zog ESR, siab leukocytosis (Neutrophil). Cov kev hloov nyob rau hauv hlwb txha nqaj qaum kua thaum lub sij hawm thawj lub sij hawm ntawm tus kab mob no yog tsis kuaj. Txawm li cas los, thaum lub sij hawm thawj thiab thib ob ntawm lub hnub yog ib tug ntse nce ntawm nws siab, turbidity, nws acquires ib tug daj-grey los yog grayish tinge. Nws yog kuaj raws li ib tug uas tsis muaj qab zib cov ntsiab lus.

Purulent meningitis tshwm sim los ntawm qhov kab mob meningococcal yog kuaj nyob rau hauv raws li cov lus qhia txog tus neeg mob, tus kab mob no thiab nws cov kev soj ntsuam ces. Nyob rau hauv lub sij hawm ua ntej rau kev nkag mus, yog ua lub differential mob ntawm no hom ntawm tus kab mob nrog theem nrab pathology.

Secondary purulent meningitis tej zaum yuav tsim raws li ib tug tshwm sim ntawm nthuav (tis) nyob rau hauv purulent sinusitis los yog otitis xov xwm kab mob foci ntawm tus kab mob.

Pib ntawm tus kab mob yog tsiag ntawv los ntawm cov tsos ntawm ua daus no, ua npaws, mob taub hau tshwm sim, raws li zoo raws li ib tug ntse deterioration nyob rau hauv cov kev mob ntawm tus neeg mob. Meningeal mob tsim thaum ntxov. Secondary purulent meningitis yog nrog los ntawm ib tug sai ntxaug nco qab amid heev ntxhov siab, convulsions, hallucinations. Dej cawv turbid. Muaj yog ib qho kev nce rau hauv ESR.

Thaum tus mob yog tsim nyog los differentiate nruab nrab ntawm hlwb rwj thiab purulent meningitis. Cov pathologies muaj ntau hom nta. Rau lub hlwb rwj yog aetiology, nce focal cov tsos mob ntawm ib tug tom qab ntawm tej yam tshwm sim ntawm o subsided, lub xaav ntawm midline lug nrog ultrasound.

Cov kev ntawm diagnosing purulent meningitis xws li biochemical thiab bacteriological kev soj ntsuam ntawm cov ntshav mus kuaj, ECG, MRI, thiab CT scan ntawm lub paj hlwb, pob txha taub hau radiography.

Thaum lub manifestation ntawm tus kab mob cov tsos mob nyob rau hauv kev xav tau ntawm ceev pw tsev kho mob rau cov kab unit. Nyob rau hauv cov ntaub ntawv ib theem kab mob ntawm tus neeg mob yog muab tso rau hauv qhov uas tsim nyog tsev kho mob.

Yog hais tias koj xav tias txoj kev loj hlob ntawm meningitis tas nqa tawm ib lumbar tej mus kawm ntawv rau hauv lub hlwb txha nqaj qaum kua. Tus txheej txheem yog nqa tawm nyob rau hauv lub cover ntawm antibacterial tshuaj. Kom txog rau thaum lub sij hawm ntawm kev nrhiav kom tau ntawm lub pathogen pathology thiab txiav txim seb cov neeg kawm ntawv ntawm nws rhiab heev, ib tug ntau yam ntawm prescribers. Cov tshuaj tua kab mob yuav muaj peev xwm mus txeem cov ntshav-hlwb barrier. Cov no muaj xws tshuaj "Ampicillin" "penicillin," peb-tiam cephalosporins ( "Ceftriaxone", "cefotaxime").