Yaya ake kula da maningitis na purulent da serous

Mutuwa yana da mummunar cutar da cewa, ba tare da magani ba, kusan kashi 90% na mutuwa, musamman ma a game da ƙananan ƙwayoyin cuta na ƙwayoyin jikin kwakwalwa. Ba za a yi amfani da maganin meningitis ba sai dai a asibiti, ba za a iya amfani da maganin magungunan al'umma ne kawai don taimakawa wajen magance wannan yanayin ba, kuma ya kamata a yi amfani da shi kawai a cikin shawara tare da likitancin likita.

Menene ainihin magani? Babu sakamakon bincike na cerebrospinal ruwa (CSF), samu da lumbar huda, su bi da meningitis ba zai yiwu ba. Kawai wannan bincike zai iya taimaka likita rarrabe tsakanin surkin jini meningitis daga serous kamar yadda na asibiti bayyanar cututtuka, watau, cututtuka na iya ba ko da yaushe zama m (da bi, meningitis magani zai zama daidai ba ne). Bugu da ƙari kuma, wasu cututtuka faruwa tare da kara intracranial matsa lamba, da kuma wani babban zazzabi, da kuma ma suna da kyau meningeal bayyanar cututtuka, duk da haka, wannan magudi da ake bukata ga wani cikakken ganewar asali.

A lokacin fashewa, an dauki nauyin milliliters na CSF don nazarin. Ɗaya daga cikin su an aika zuwa binciken binciken dakin gwaji, bisa ga sakamakon wanda aka ƙaddara ƙarshe, yadda aka furta kumburi da kuma abin da ke tattare da shi - ko kuma abin da ya faru. Duk da haka an aika da ƙwayar cututtukan kwayar cutar zuwa kwayar cuta da binciken binciken bacteriological, sakamakon haka zai zo kadan daga bisani kuma zai taimaka likitan don daidaita tsarin da ake gudanarwa game da meningitis.

Bari mu gwada abin da aka magance magunguna don meningitis. Jiyya na serous meningitis dogara ne a kan yin amfani da wadanda ba takamaiman antiviral jamiái: shi ne yafi interferon kwayoyi ( "Laferon", "Viferon", "Lipoferon"). Amfani da su ya dogara akan gaskiyar cewa lokacin da kwayar cutar ta shiga jikinmu, rigakafi yana da alhakin samar da irin wannan abu, wanda zai taimaka wajen magance wannan kamuwa. Bugu da kari, shi ne kyawawa don nazarin cerebrospinal ruwa PCR a kan DNA ƙwayoyin cuta herpes simplex cutar, varicella zoster cutar, Epstein-Barr, cytomegalovirus. Wadannan ƙwayoyin cuta suna haifar da mafi tsanani da kuma kawar da meningitis, amma a kansu, sa'a, akwai magani na musamman: "Acyclovir", "Ganciclovir", "Valaciclovir", tare da takamaiman immunoglobulin. Wasu lokuta, a yanayin yanayin tsanani, tare da ciwon daji, mai amfani da kwayar cutar "Acyclovir" ya fara ne kafin a samu sakamakon PCR akan DNA na ƙwayoyin cuta ta herpes-group.

Jiyya na meningitis a yanayin saukan ilimin tarin fuka yana kunshe ne a gudanar da wasu maganin rigakafi masu tarin fuka (misali, "Streptomycin") a cikin asibitoci mafi girma fiye da tarin fuka na sauran wuri.

Idan aseptic meningitis sa da kwayar cutar HIV ko AIDS-hade Flora (shi ma yana da hali na wani serous), magani ne da za'ayi a cikin na musamman kananan dakunan shan magani musamman kwayoyi.

Idan mai hakuri yana da nakasassu na mutum, da magani yana kunshe da gabatarwar maganin rigakafi. Sai kawai waɗanda za'a iya amfani da su wanda zai iya shiga cikin shinge daga kwayoyin da ke kewaye da kwakwalwa (shagon jini-kwakwalwa). Irin waɗannan kwayoyi ne kawai ake amfani da su kawai (wato, a cikin intravenously ko intramuscularly, amma ba a cikin nau'i na Allunan) kuma kawai a iyakar sashi.

An zaɓi kwayoyin farko da aka danganta dangane da haɗin da ke tsakanin cin zarafi da kuma matakin kumburi a cikin ruwan sanyi, daga shekarun haihuwa da magunguna. Don haka, idan an bayyana mummunar a cikin dubban kwayoyin halitta kuma mutumin yana da hankali, wannan cutar bata da ciwo da ciwon huhu, otitis, sinusitis maxillary ko wasu cututtuka na ENT, to, na farko na maganin rigakafi zai iya zama "Ceftriaxone" da "Amidi" a cikin takardun da suka dace. Sau da yawa, cutar tana bukatar karin tsada: Meronema, Vancomycin.

Kwayoyin na biyu, idan ya cancanta, an zaba bisa ga sakamakon al'adar giya a kan microflora da kuma karfin da ake amfani da su zuwa maganin rigakafi. Yayin da aka nuna alamun bayyanar cututtukan mutum, magani ba ya ƙayyade: an zaɓi magungunan ne kawai ta hanyar binciken binciken ruwa.