Meningitis ndiyo chirwere chinoputira umo maitiro akareruka kana akaoma europi nemutsipa wepelinha akabatwa. Iyo inogona kusimuka yose sechiremera chekuzvimirira, uye sechinhu chinopesana pashure pechimwe chirwere. Kurambidza mukurapa kwemainititis kunogona kutungamirira kumigumisiro yakaipa, saka zvinokosha kuziva zviratidzo zvokutanga zvemainitisiti kune vanhu vakuru, kuitira kuti vaone chirwere munguva.
Zviratidzo zve serous (viral) meningitis muvanhu vakuru
Serous meningitis inokonzerwa nemavhirusi akasiyana-siyana anogona kupinda mukati memakumbo europi kuburikidza neropa, lymph, kana kuti pamwe nematombo emishonga ane hutano kana nzira inotapukirwa nemhepo. Kazhinji kacho kuvhuvhuta kwevarume muvanhu vakuru kunokonzerwa nemavhidhiyo akadaro:
- enteroviruses;
- mumps virus;
- Epstein-Barr virus;
- virusi zve poliomyelitis;
- cytomegalovirus;
- adenoviruses;
- virusi herpes, nezvimwewo.
Muzviitiko zvizhinji, nguva yekudzivirira ye serous meningitis inotora mazuva maviri kusvika mana. Chirwere chacho chinoratidzika nehutachiona hwekukurumidza nekuonekwa kwezvinotevera zviratidzo zvikuru:
- kuwedzera kukuru mukupisa kwemuviri;
- kunorwadza musoro nguva dzose, kwete kubviswa ne analgesics;
- kunzwisisika kunorwadza kwekunze kwekunze (ruzha, chiedza chakajeka);
- kuwedzera kwekunzwa kweganda;
- general malaise, kushaya simba;
- muscle pain;
- kushungurudza, kurutsa;
- kusava nenzara;
- runny pua, kukwegura, chironda;
- kushungurudzika kuduku kwekuziva.
Murwere ane viral meningitis nyore anopa chimiro chemamiriro ekumanikidzirwa: akavata parutivi rwake, mabvi akauyiswa mudumbu, maoko akaiswa pachifuva chake uye musoro wakakandirwa shure.
Zviratidzo zve purulent meningitis kuvanhu vakuru
Purulent meningitis ine etiology yebhakitiriya uye inowanzokonzerwa kune vanhu vakuru nema microorganisms akadai:
- meningococci;
- pneumococci;
- haemophilus influenzae , nezvimwewo.
Kubudirira kwebhakitiriya meningitis munguva dzakawanda kunorwisana nehupenyu hwekudzivirira utachiwana.
Zvichienderana nemararamiro akaita chirwere chetachiona chepachirwere chepachiviri, chepachipiri uye yechipiri purulent meningitis inoratidzika. Inonyanya kuitika apo mabhakitiriya anobva kumamiriro ezvinhu (kumhepo kana kubatana) uye kuendesa kuburikidza neropa. Izvo zvinogonawo kutapura zvakananga uropi hutachiona mumamiriro ehupfumi akazaruka, kunotambudza pachena kumasanganisi eparanasal, nekusateerera kusina kunaka nemaitiro aseptic munguva yeurourogurgical operation.
Sekondari purulent meningitis inokurudzirwa semugumisiro wekutsvaga kwehutachiwana muhuputi dzeveuropi kubva kune ikozvino iripo mumuviri wemuviri weiwo nzvimbo yega neropa kana lymph. Mabhakitiriya anokonzera purulent zvinogonawo kupinda kuburikidza nehutano nehutachiona abscess, septic sinustrombosis, osteomyelitis yemapfupa.
Nguva yekudzivirira nguva ye purulent meningitis inowanzoita mazuva maviri kusvika ku5. Unhu hwekuonekwa kwezviratidzo zvakadaro:
- kuwedzera kukura kukuru kwekushisa kwemuviri;
- zvakanyanya chills;
- misoro, iyo inoramba ichiwedzera;
- kushungurudza, kurutsa;
- psychomotor agitation;
- kukanganisa pfungwa;
- delirium;
- rash rase of hemorrhagic nature.
Kana kukanganisa kwemabasa emhando dzakasiyana-siyana kunogona kuonekwa zvakaratidzwa izvi:
- kuderera kwemaonero evanhu;
- strabismus;
- kubva kwemaofi makuru;
- matsi nevamwe.
Kuchengetedzwa kwemainitisitis kuvanhu vakuru
Kuonekwa kwezviratidzo zve meningitis muvanhu vakuru ndiyo chikonzero chekurapwa uye kurapwa nemishonga yemishonga yemapoka akadaro:
- analgesics;
- antipyretics;
- antibiotics (yebhakitiriya meningitis);
- antiviral drugs (ane viral meningitis), nezvimwewo.
Kuchengetedza cerebral edema, diuretics inorayirwa, uye therapy ye detoxification inorayirwa zvakare.