Meningitis Staphylococcal

ʻO ka meningitis kahi maʻi o nā membrane e uhi ana i ka lolo a me ka iwi kuamoʻo. Kapa ʻia kēia uhi ʻo nā meninges.

ʻO nā koʻohune kekahi ʻano o nā germ i hiki ke kumu i ka meningitis. ʻO ke koʻohune staphylococcal kekahi ʻano bacteria i kumu e meningitis.

Hoʻokumu ʻia ka meningitis Staphylococcal e ka bacteria bacteria staphylococcal. Ke kumu o ia Staphylococcus aureus a i ʻole ʻO Staphylococcus epidermidis koʻohune, hoʻomohala ia ma ke ʻano he pilikia o ke kaha ʻana a i ʻole ma ke ʻano he maʻi e hohola ma o ke koko mai kahi pūnaewele ʻē aʻe.

ʻO nā kumu pilikia me:

• Nā maʻi o nā kiwikā o ka naʻau
• ʻO ka maʻi i hala i ka lolo
• ʻO ka meningitis i hala aku nei ma muli o ka shunts wai spinal
• ʻOki kino lolo hou
• Ke kū ʻana o kahi shunt fluid shunt
• Trauma

Hiki koke mai nā ʻōuli, a pākuʻi ʻia:

• Fiva a me nā anuanu
• Hoʻololi ke kūlana noʻonoʻo
• ʻO Nusea a me ka luaʻi
• ʻIke i ka mālamalama (photophobia)
• ʻEha poʻo poʻo
• ʻĀʻī ʻoʻoleʻa

Nā ʻōuli ʻē aʻe i hiki ke hana ʻia me kēia maʻi.

• Hoʻoikaika
• ʻO nā fontanelles ʻōhū i nā pēpē
• Hoemi i ka makaʻala
• Hānai hānai a hoʻonāukiuki paha i nā keiki
• Hanu wikiwiki
• Kūleʻa maʻamau, me ke poʻo a me ka ʻāʻī e hoʻohele i hope (opisthotonos)

E hana ka mea mālama ola i kahi hoʻokolohua kino. E nānā nā nīnau i nā ʻōuli a me nā mea pilikia.

Inā manaʻo ke kauka he hiki i ka meningitis, hana ʻia kahi lumbar puncture (spinal tap) e wehe i kahi laʻana o ka wai o ka iwi kai no ka hoʻāʻo ʻana. Inā loaʻa iā ʻoe kahi shunt fluid shunt, lawe ʻia paha ka laʻana mai kēia ma kahi.

E komo pū paha nā hoʻāʻo:

• Moʻomeheu Koko
• Pākuʻi x-ray
• CT scan o ke poʻo
• Pākuʻi Gram, nā stains kūikawā ʻē aʻe, a me ka moʻomeheu o CSF

E hoʻomaka koke ʻia nā lāʻau antibiotic. ʻO Vancomycin ka koho mua loa no ka meningitis staphylococcal i manaʻo ʻia. Hoʻohana ʻia ʻo Nafcillin ke hōʻike nā hoʻokolohua he maʻalahi ka bacteria i kēia antibiotic.

I ka manawa pinepine, e hoʻopili ka lapaʻau ʻana i kahi ʻimi, a me ka hemo ʻana o, nā kumuwaiwai bacteria i loko o ke kino. Hoʻopili kēia i nā shunts a i ʻole nā ​​valves puʻuwai hana.

Hoʻomaikaʻi ka hoʻomaʻamaʻa mua i ka hopena. Eia naʻe, ʻaʻole ola kekahi poʻe. ʻO nā keiki ʻōpio a me nā mākua ma luna o 50 mau makahiki ka nui o ka makaʻu no ka make.

Hoʻomaikaʻi pinepine ka meningitis Staphylococcal i ka wikiwiki, me ka liʻiliʻi o nā pilikia, inā hemo ke kumu o ka maʻi. Hiki i ke kumu ke hoʻopili i nā shunts, nā lakohana i nā hono, a i ʻole nā ​​valves naʻau puʻuwai.

Hiki i nā pilikia lōʻihi ke komo pū:

• Poino lolo
• Buildup o ka loli ma waena o ka iwi poʻo a me ka lolo (subdural effusion)
• Kūkulu o ka wai i loko o ka iwi poʻo e alakaʻi ai i ka pehu ʻana o ka lolo (hydrocephalus)
• Lohe hoʻolohe
• Ka hopu ʻana i nā maʻi
• ʻO ka maʻi Staph ma kahi ʻē aʻe o ke kino

Kāhea iā 911 a i ʻole ka helu kūloko kūloko a i ʻole e hele i kahi keʻena pilikia inā manaʻo ʻoe he meningitis i kahi keiki ʻōpio i loaʻa kēia mau ʻōuli penei:

• Nā pilikia hānai
• Uē kūho kiʻekiʻe
• Huhū
• ʻO ke kuni hoʻomau ʻole

Hiki i ka Meningitis ke lilo koke i maʻi hoʻoweliweli.

I ka poʻe hopohopo kiʻekiʻe, ʻo ka lawe ʻana i nā lāʻau ʻalopika ma mua o ka diagnostic a i ʻole nā ​​kaʻina hana e kōkua ai e hōʻemi i ka pilikia. E kūkākūkā i kēia me kāu kauka.

Meningitis Staphylococcal

• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral
• Helu helu ʻo CSF

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Meningitis koʻohune. www.cdc.gov/meningitis/bacterial.html. Hoʻohou i ʻAukake 6, 2019. Loaʻa iā Kēkēmapa 1, 2020.

Nath A. Meningitis: bacterial, viral, a me nā mea ʻē aʻe. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 384.

Hasbun R, Van de Beek D, Brouwer MC, Tunkel AR. Meningitis huʻi. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 87.