Sei kurapwa kuti yomumuzongoza purulent uye serous

Yomumuzongoza - chirwere chakakomba zvokuti untreated koda ari 90% ngozi, kunyanya nyaya kwemabhakitiriya kuzvimba uropi membranes. Yomumuzongoza Treatment yaifanira chete muchipatara, pevairwara mishonga ingashandiswa sekamwana chinamatidzwa hunobatsira nani kushivirira ichi, yavaifanira chete kushandiswa zano kupinda chiremba.

On chii kurapwa? No migumisiro kuongorora cerebrospinal mvura (CSF), yaunganidzwa lumbar ponji, kubata yomumuzongoza zvisingabviri. Ongororo iyi chete anogona kubatsira chiremba kusiyanisa purulent yomumuzongoza kubva serous sokuora zviratidzo, kureva, zvingaratidza hapasi kunzwisisika (azvaitwa, yomumuzongoza kurapwa achava zvakaipa). Uyezve, vamwe zvirwere nokuitika yakawedzera intracranial kumanikidzwa, uye yakakwirira tembiricha, uye uine meningeal zviratidzo, zvisinei, kumonyanisa ichi kunodiwa kuti kuongororwa zvakarurama.

Munguva ponji riri kudzidza zvinotora milliliters mashomanana cerebrospinal mvura. Mumwe wavo rwunotumirwa kunotoda rabhoritari nemiedzo, migumisiro izvo zvinopa mhedziso anotaurwa kuzvimba uye vamwe - serous kana purulent - ine unhu. Kunyange shoma musana mvura rwunotumirwa nemavhairasi-uye bacteriological zvidzidzo, migumisiro iyo uchauya pashure uye chichabatsira chiremba wako kuti kuchinja kutanga kurapwa kuti yomumuzongoza.

Edza kunzwisisa kuti gadziriro zvakaipa yomumuzongoza. Treatment pamusoro serous yomumuzongoza inobva kushandisa non-zvakananga antiviral yomuchipatara: zviri kunyanya interferon zvinodhaka ( "Laferon", "Viferon", "Lipoferon"). Chikumbiro ravo inobva chokwadi kuti neZvapupu chero hutachiwana redu muviri zvirwere anopindura chizvarwa zvakadai zvinokuvadza, izvo zvinobatsirawo kutsungirira utachiona. Uyezve, zviri chinodiwa kudzidza cerebrospinal mvura PCR musi DNA mavhairasi herpes simplex utachiona, varicella zoster utachiona, Epstein-Barr, cytomegalovirus. Zviri nemavhairasi izvi munyanye zvakakomba uye waipedza yomumuzongoza, asi kuzorwa navo, sezvinei, pane chinokosha vaitire, "Acyclovir", "Ganciclovir", "Valacyclovir" ndinoiitawo chaicho immunoglobulin. Dzimwe nguva, kana chakakomba ezvinhu ari serous yomumuzongoza kurapwa intravenous "Acyclovir" vanotanga kubudisa migumisiro PCR pamusoro DNA nemavhairasi kuti boka herpes.

yomumuzongoza kunorapwa kana tibhii etiology dzine yachengetwa dzakawanda TB mishonga (semuenzaniso "streptomycin yakawanikwa") pamatunhu dosages pane dzimwe nzvimbo tibhii.

Kana aseptic yomumuzongoza zvinokonzerwa HIV kana AIDS-akabatanidza Maruva (izvozvowo ane hunhu munhu serous), kurapwa riri kuitwa kushandiswa makiriniki chaizvo zvinodhaka.

Kana murwere ane purulent yomumuzongoza, kurapwa ndiko kusuma mishonga inorwisa mabhakitiriya. Inogona kushandiswa avo anogona kupinda kubudikidza chipingamupinyi masero yakapoteredza uropi (ropa-uropi chipingamupinyi) chete. mishonga yakadaro raitongwa chete parenterally (i.e., mutsinga kana intramuscularly, asi kwete piritsi muchimiro), uye chete vaifanira chipimo chemushonga.

The mushonga wokutanga anosarudzwa pachishandiswa kworudzii ukama pakati kuvhiringidza pfungwa uye padanho kuzvimba ari cerebrospinal mvura zera uye comorbidity. Saka, kana kuzvimba runoratidzwa nezviuru masero, uye munhu anoziva, hosha zvaisangova kuomesa nemabayo, otitis venhau, sinusitis nezvimwe zvirwere pfava, wokutanga mushonga anogona kuva "Ceftriaxone" uye "Amikacin" iri dosages rakakodzera. Most kazhinji chirwere zvinoda mishonga anodhura, "Meronema", "Vancomycin".

Chechipiri, kana zvichikodzera, mushonga unorwisa anosarudzwa pachishandiswa migumisiro kare seeding nezvinobata pamusoro microflora uye susceptibility nekuongororwa kuti nemishonga. Pamwero-vakaratidza zviratidzo yomumuzongoza, kurapwa hakuiti kutsanangura: kurapa anosarudzwa kungobva migumisiro pakudzidza cerebrospinal mvura.