Staphylococcal meningitis

Meningitis ke tšoaetso ea lisele tse koahelang boko le mokokotlo. Sekoahelo sena se bitsoa meninges.

Libaktheria ke mofuta o mong oa kokoana-hloko e ka bakang meningitis. Libaktheria tsa staphylococcal ke mofuta o mong oa libaktheria tse bakang meningitis.

Staphylococcal meningitis e bakoa ke baktheria ea staphylococcus. Ha e bakoa ke Staphylococcus aureus kapa Staphylococcus epidermidis baktheria, hangata e hlaha e le bothata ba ho buuoa kapa tšoaetso e namang ka mali ho tsoa sebakeng se seng.

Mabaka a kotsi a kenyelletsa:

• Matšoao a li-valve tsa pelo
• Tšoaetso e fetileng ea boko
• Meningitis e fetileng ka lebaka la ho koaloa ke mokelikeli oa mokokotlo
• Ho buuoa ha boko haufinyane
• Boteng ba mokokotlo oa mokelikeli oa mokokotlo
• Tsietsi

Matšoao a ka hlaha kapele, 'me a kenyelletsa:

• Feberu le ho bata
• Boemo ba kelello boa fetoha
• Ho nyekeloa le ho hlatsa
• Ho ba le kutlo ho leseli (photophobia)
• Ho tšoaroa ke hlooho e bohloko
• Molala o thata

Matšoao a mang a ka hlahang ka lefu lena:

• Moferefere
• Matšoao a bulging ho masea
• Ho fokotsa ho falimeha
• Ho fepa hampe kapa ho teneha kapele ho bana
• Ho hema ka potlako
• Boemo bo sa tloaelehang, ka hlooho le molala li khumame ka morao (opisthotonos)

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Lipotso li tla shebana le matšoao le lisosa tsa kotsi.

Haeba ngaka e nahana hore meningitis e ka khonahala, ho etsoa lumbar punct (pompong ea mokokotlo) ho tlosa sampole ea mokelikeli oa mokokotlo bakeng sa tlhahlobo. Haeba u na le mokelikeli oa mokokotlo oa mokelikeli, sampuli e ka nkuoa ho sena.

Liteko li ka kenyelletsa:

• Tloaelo ea mali
• X-ray sefubeng
• Tlhatlhobo ea hlooho ea CT
• Letheba la Gram, litšila tse ling tse ikhethang, le setso sa CSF

Lithibela-mafu li tla qalisoa kapele kamoo ho ka khonehang. Vancomycin ke khetho ea pele bakeng sa mokokotlo oa staphylococcal meningitis. Nafcillin e sebelisoa ha liteko li bontša hore baktheria e ela hloko lithibela-mafu tsena.

Khafetsa, kalafo e kenyelletsa ho batlisisa, le ho tlosa, mehloli e ka bang teng ea libaktheria 'meleng. Tsena li kenyelletsa li-shunts kapa li-valve tsa pelo tsa maiketsetso.

Kalafo ea kapele e ntlafatsa sephetho. Leha ho le joalo, batho ba bang ha ba phele. Bana ba banyenyane le batho ba baholo ba fetang lilemo tse 50 ba kotsing e kholo ea lefu.

Staphylococcal meningitis hangata e ntlafala kapele, ka mathata a fokolang, haeba mohloli oa tšoaetso o tlosoa. Mohloli o ka kenyelletsa li-shunts, li-hardware manonyellong, kapa li-valve tsa pelo tsa maiketsetso.

Mathata a nako e telele a kenyeletsa:

• Tšenyo ea boko
• Motsoako oa mokelikeli lipakeng tsa lehata le boko (subdural effusion)
• Mokelikeli o mongata ka har'a lehata o lebisang ho ruruha ha boko (hydrocephalus)
• Ho lahleheloa ke kutlo
• Ho oa
• Staph tšoaetso sebakeng se seng sa 'mele

Letsetsa 911 kapa nomoro ea ts'ohanyetso ea lehae kapa u ee kamoreng ea maemo a tšohanyetso haeba u belaella meningitis ho ngoana e monyane ea nang le matšoao a latelang:

• Mathata a ho fepa
• Mohoo o phahameng
• Ho teneha
• Phefo e phehellang, e sa hlaloseheng

Meningitis e ka fetoha lefu le sokelang bophelo kapele.

Ho batho ba kotsing e kholo, ho nka lithibela-mafu pele ho ts'ebetso ea ho hlahloba kapa ho buoa ho ka thusa ho fokotsa kotsi. Buisana ka sena le ngaka ea hau.

Staphylococcal meningitis

• Sisteme ea methapo e bohareng le methapo ea methapo
• Palo ea lisele tsa CSF

Litsi tsa Taolo le Thibelo ea Maloetse. Bacteria meningitis. www.cdc.gov/meningitis/bacterial.html. E ntlafalitsoe ka Phato 6, 2019. E fihlile ka la 1 Tšitoe.

Nath A. Meningitis: baktheria, vaerase le tse ling. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 384.

Hasbun R, Van de Beek D, Brouwer MC, Tunkel AR. Ho tšoaroa ke meningitis e bohloko. Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 87.