Zvizhinji zvezviitiko zve meningitis zvinokonzerwa nemavirusi, uye chirwere chinowanzowedzera muhutu. Nehutachiona hwebhakitiriya, mamiriro acho ezvinhu anova kutyisa upenyu kune kunyanya muvana vaduku.
Kakawanda mazvirwere
Mhando mitatu yebhakitiriya sezvipembenene zvinotapira zvinokonzera 75% yezviitiko zvose zvebhakitiriya meningitis:
- Neisseria meningitidis, kana kuti meningococcus, ndiyo inowanzoita pathogen inobata vana, kunyanya pasi pemakore mashanu, uye vari kuyaruka.
- Streptococcus pneumoniae - iyi bhakitiriya inokonzera kukurudzirwa kwepineumonia, uye inokonzerawo meningitis muvana pasi pemakore maviri uye vakuru.
- Haemophilus influenzae - inobata zvikuru vana vaduku pasi pemakore mashanu, kunyange zvazvo iye zvino zvisinganyanyozivikanwi nekuda kwekudzivirira kwepasi rese.
Nokugadzwa kwehutano hwakakwana, zvakakosha kuziva kuti chii chinokonzera chirwere chacho. Mu meningitis, chengeta cerebrospinal fluid (CSF) neropa. Samples yakawanikwa kubva kumurwere inotumirwa kunongororwa kune microbiological laboratory.
Samples dze CSF
CSF inoputira uropi nemutsipa wepelinha, uye kazhinji inenge isina mvura yakajeka, yakajeka. Kana vachifungidzirwa kuti vane meningitis, CSF sampu inowanikwa nekugadzirwa kwemavara, umo nhengo isina kubatanidzwa inowanikwa munzvimbo inenge yakakomberedza rwonzi rwepelinha mumucheto wezasi. Smooth CSF inosimbisa kukanganisa kwebhakitiriya meningitis. Muenzaniso unotumirwa ku laboratory.
Ropa Samples
Mune bhakitiriya meningitis, chirwere ichi chinowanzopinda muropa nerudziro rwekuita septicemia, saka ropa remurwere rinotungamirirwawo kuongororwa kwechirwere. Mushure mekusasvibiswa kweganda, ropa rinobviswa kubva mumutsipa. Ropa rakapindwa mumuviri wekuyeresa rine muviri wegadziriro yekurima mabhakitiriya. Kuongororwa kwebhakitiriya meningitis kunobva pakuzivikanwa kwezvirwere zvepachigoni muScF sampuli. Izvo zvinodiwa nokukurumidza sezvinobvira kuwana chigumisiro chekuongororwa kwekugadzwa kwenguva yakakwana yerapi yakakwana. Muchikoro chemakiriniki, vanhu vakarovedzwa zvakagadzirirwa vanowana sampuli uye pakarepo vanotanga kudzidza kuti vawane chigumisiro kuna chiremba nekukurumidza.
The CSF study
Iyo tube neCSF inowanikwa mune centrifuge - iyo yakakwirira-inotenderera mafashoni, ayo ane zvinyorwa zvinoitwa ne centrifugal force. Izvi zvinotungamirira ku chokwadi chokuti masero uye mabhakitiriya anowedzera pasi pebhuku sechinhu chinopera.
Microscopy
Muenzaniso weiyo sediment inongororwa pasi pekroscope nekuverenga nhamba ye leukocyte. MuBacterial meningitis, kune kuwedzera kwenhamba yemasero mu CSF. Kuti uone mabhakitiriya pane slide, dhayi inokosha (kugadzira Gram) inoshandiswa. Kana samuenzaniso ine majekesheni kubva kumatachiona matatu makuru, anogona kuonekwa nehutachiona hwebhakitiriya. Chigumisiro chekunyora microscopy uye kushatisa kwaGram kunowanzotaurirwa kuna chiremba kuitira kuti anokwanisa kupa chirwere chakakodzera.
Kukura kweScF
Zvasara zveScF zvinoparidzwa pane zvakasiyana siyana zvePetri ndiro nemasikirwo emhando yekurima mabhakitiriya. CSF inowanzoshaya mbeu, saka kuonekwa kwebhakitiriya kunokosha. Kuti uparadzanise izvi kana zvimwe zvipembenene, mharidzo yakasiyana-siyana yehutano uye mamiriro ekurima anodiwa. Petri ndiro yakaiswa usiku husiku mu thermostat ndokuongorora mangwanani anotevera. Kukura kwemakiriniya kwakasvibiswa neGram. Dzimwe nguva dzinoshandiswa pakuwedzera kukura kwezvinyorwa zvishoma zvishoma. Muenzaniso weropa rakagamuchirwa kubva kumurwere, mudzidzisi webasa anoparadzira muviri miviri yekutera yekurima. Mune imwe yei, mamiriro ezvinhu anerobic ekukura kukura (muhupo hwekisijeni) ichachengetedzwa, mune imwe - anaerobic (munzvimbo inotyisa). Mushure memaawa makumi maviri nemasere ekudzivirirwa, imwe samuenzaniso yezvinhu zvakabviswa kubva kune imwe tube uye yakagadziridzwa zvakare pasi pemamiriro akafanana neCFF. Chero mabhakitiriya anenge aripo achaonekwa, ane mavara uye anozivikanwa. Chigumisiro chacho chinobva chataurwa kunechiremba anoenda. Mumakore achangobva kupfuura, nzira dzakagadzirwa kuti dzione utachiona uye dzinoona pathogen zvakananga muCSF kana muropa.
Zvitsva Zvitsva
Iyo latex agglutination test inobva pane antigen-antibody reaction. Kuitisa chiitiko ichi kunonyanya kubatsira kana murwere apiwa mishonga inorwisa mabhakitiriya isati yatorwa. Nzira dzekusika dzinopa chigumisiro chete muzuva, asi chiyero ichi chemazuva ano chinopa ruzivo zvakakurumidza. Izvi zvakakosha zvikuru munharaunda yekukurumidza ye meningitis, iyo inogona kupedza kuuraya.