Fungal meningitis: he aha ia, he aha nā kumu a me nā ʻōuli

Anter

• Nā kumu kūpono
• He aha nā hōʻailona
• Pehea e hana ʻia ai ke kuhi
• He aha ka lāʻau

ʻO ka meningitis Fungal kahi maʻi lele i hoʻokumu ʻia e nā fungi, kahi i ʻike ʻia e ka mumū o nā meninges, he mau membrane ia e pili ana i ka lolo a me ka iwi kuamoo, i hiki ke alakaʻi ʻia i ke ʻano o nā ʻōuli e like me headache, fever, nausea a me ka luaʻi.

Kākaʻikahi loa kēia ʻano meningitis, akā hiki ke hana ʻia i kekahi, ʻo ia hoʻi ka poʻe i pale ʻia i ka maʻi immunocompromised. Hiki ke kumu ʻia e nā ʻano fungi like ʻole, ʻo nā mea maʻamau ka ʻanoʻO Cryptococcus.

Pono ka hoʻomaʻamaʻa maʻamau i ka haukapila, kahi e lawelawe ʻia ai nā lāʻau antifungal i loko o ke aa koko.

Nā kumu kūpono

Hoʻokumu ʻia ka meningitis fungal e kahi maʻi hū, a kū ʻia ia i ka wā e pāhola ai ia maʻi i ke koko a keʻa i ka pale o ka lolo-lolo, i ka lolo a me ka iwi kuamoʻo. ʻOiai ʻano laha ʻole, hiki pinepine kēia ʻano i nā poʻe me nā ʻōnaehana nāwaliwali nāwaliwali, e like me ka poʻe me ka maʻi HIV, ka poʻe e mālama ʻia ana i nā maʻi ʻaʻai a i ʻole me nā lāʻau ʻē aʻe, e like me nā immunosuppressants a i ʻole nā ​​corticosteroids.

ʻO ka maʻamau, ʻo nā fungi ke kumu o ka maningitis fungal no kēia ʻanoʻO Cryptococcus, hiki ke loaʻa i ka lepo, i ka lepo manu a me ka lāʻau popopo. Eia nō naʻe, ʻo nā fungi kekahi ke kumu o ka meningitis, e like me ka hihia o ʻO Histoplasma, Blastomyces, Coccidioides a i ʻole Candida.

E ʻike i nā kumu ʻē aʻe o ka meningitis a pehea e pale aku ai iā ʻoe iho.

He aha nā hōʻailona

ʻO nā ʻōuli e hiki ke hopena ʻia e ka maningitis fungal he kuni, maʻi ʻeha nui, nausea, luaʻi, ʻeha ke wili i ka ʻāʻī, ʻike i ka mālamalama, nā hallucination a me nā loli i ka ʻike.

I kekahi mau hihia, inā ʻaʻole mālama pono ʻia ka meningitis, hiki i nā pilikia ke ala aʻe, e like me ka hopu ʻana, ka ʻeha o ka lolo a i ʻole ka make.

Pehea e hana ʻia ai ke kuhi

Hoʻopili ke kuhi i nā hoʻokolohua koko, nā hoʻokolohua no ka wai cerebrospinal a me nā hoʻokolohua kiʻi, e like me ka tomography i helu ʻia a me nā kiʻi resonance ʻumeʻume, e ʻae ai i ka nānā ʻana i nā inflammations a puni ka lolo.

Hoʻomaopopo i ke kikoʻī i ka hana ʻia ʻana o ka diagnose o ka meningitis.

He aha ka lāʻau

ʻO ka mālama ʻana i ka meningitis fungal me ka lawelawe ʻana o nā lāʻau antifungal i ka aa, e like me amphotericin B, fluconazole, flucytosine a i ʻole itraconazole, e pono ai e hana ʻia i ka haukapila, me ka hoʻohui ʻana i nā lāʻau e hoʻomaikaʻi ai i nā hōʻailona ʻē aʻe a nānā i nā hōʻailona o ka hoʻomaikaʻi ʻana i ke kūlana laulā o ke kanaka.