Meningitis yog ib yam kab mob loj heev uas tsis muaj kev kho mob yuav luag 90% tuag, tshwj xeeb tshaj yog cov kab mob o ntawm lub paj hlwb. Kev kho mob meningitis yuav tsum tau ua nyob rau hauv tsev kho mob nkaus xwb, cov kev kho pej xeem tsuas yog siv los ua ib qho ntxiv uas pab kom ua tau zoo dua tus mob no, thiab lawv tsuas yog siv nrog kev sab laj nrog kws kho mob.
Kev kho mob raws li dab tsi? Yog tsis muaj cov txiaj ntsig ntawm kev soj ntsuam ntawm CSF (cerebrospinal kua) tau los ntawm lumbar puncture, nws tsis tuaj yeem kho mob meningitis. Tsuas yog qhov kev tshuaj ntsuam no tuaj yeem pab tus kws kho mob kom paub qhov txawv ntawm cov kab mob meningitis los ntawm ib qho serous, vim tias raws li kev kho mob tshwm sim, uas yog, cov tsos mob, qhov no yuav tsis meej meej (raws li, kev kho mob meningitis yuav tsis raug). Tsis tas li ntawd, qee cov kab mob tshwm sim nrog ob qho tib si nce intracranial siab thiab kub siab, thiab tseem muaj cov tsos mob ntawm meningeal zoo, yog li qhov kev kho no tsim nyog rau kev kuaj mob kom raug.
Thaum lub sij hawm puncture, ob peb milliliters ntawm cerebrospinal kua raug coj mus kuaj. Ib tug ntawm lawv yog xa mus rau ib tug soj ntsuam kuaj cov kev tshawb fawb, cov ntsiab lus ntawm uas muab ib tug xaus ntawm yuav ua li cas pronounced tus mob thiab seb nws yog serous los yog purulent nyob rau hauv cov xwm. Lwm qhov me me ntawm cov kua dej cerebrospinal raug xa mus rau cov kab mob thiab cov kab mob bacteriological, qhov tshwm sim ntawm qhov yuav tshwm sim tom qab me ntsis thiab yuav pab tus kws kho mob kho cov kab mob meningitis thawj zaug.
Cia peb sim seb cov tshuaj twg siv los kho tus mob meningitis. Kev kho mob serous meningitis yog raws li kev siv cov tshuaj tua kab mob uas tsis yog tshwj xeeb: cov no feem ntau yog cov tshuaj interferon (Laferon, Viferon, Lipoferon). Kev siv lawv yog raws li qhov tseeb tias thaum twg tus kab mob nkag mus rau hauv peb lub cev, lub cev tiv thaiv kab mob teb nrog kev tsim cov khoom zoo sib xws, uas pab tiv thaiv tus kab mob no. Tsis tas li ntawd, nws yog ib qho tsim nyog los ua ib qho kev tshawb fawb PCR ntawm cov kua cerebrospinal rau DNA ntawm cov kab mob herpes simplex, varicella-zoster virus, Epstein-Barr virus, thiab cytomegalovirus. Nws yog cov kab mob no uas ua rau mob hnyav tshaj plaws thiab ua rau mob meningitis, tab sis, hmoov zoo, muaj kev kho tshwj xeeb rau lawv: Acyclovir, Ganciclovir, Valaciclovir, ntxiv rau ib qho tshwj xeeb immunoglobulin. Qee lub sij hawm, thaum muaj mob hnyav, nrog cov kab mob serous meningitis, kev kho mob nrog Acyclovir intravenously pib ua ntej cov txiaj ntsig ntawm PCR ntawm DNA ntawm cov kab mob herpes pawg tau txais.
Kev kho mob meningitis nyob rau hauv cov ntaub ntawv ntawm nws tuberculous etiology muaj nyob rau hauv kev qhia txog ntau yam tshuaj tiv thaiv kab mob (piv txwv li, "Streptomycin") nyob rau hauv ntau npaum li cas tshaj nrog.tuberculosis ntawm lwm lub zos.
Yog serous meningitis yog tshwm sim los ntawm HIV los yog AIDS-txog cov nroj tsuag (nws kuj muaj ib tug serous cim), kev kho mob yog nqa tawm nyob rau hauv cov tsev kho mob tshwj xeeb uas muaj cov tshuaj tshwj xeeb.
Yog tias tus neeg mob muaj cov kab mob purulent meningitis, kev kho mob yog nrog cov tshuaj tua kab mob dav dav. Tsuas yog cov uas tuaj yeem nkag mus rau qhov thaiv ntawm cov hlwb nyob ib puag ncig lub hlwb (ntshav-hlwb barrier) tuaj yeem siv tau. Cov tshuaj no tsuas yog siv rau parenterally (uas yog, intravenously lossis intramuscularly, tab sis tsis yog nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj) thiab tsuas yog nyob rau hauv ntau npaum li cas.
Thawj cov tshuaj tua kab mob raug xaiv raws li qhov sib piv ntawm qhov tsis nco qab thiab theem ntawm qhov mob ntawm cov cawv, hnub nyoog thiab kev tsis sib haum xeeb. Yog li, yog tias qhov mob tshwm sim hauv ntau txhiab lub hlwb, thiab tus neeg tsis nco qab, tus kab mob no tsis yog qhov teeb meem ntawm kev mob ntsws, otitis media, sinusitis lossis lwm yam kab mob ENT, ces Ceftriaxone thiab Amikacin hauv cov koob tshuaj tsim nyog tuaj yeem dhau los ua thawj cov tshuaj tua kab mob. Ntau zaus, tus kab mob xav tau cov tshuaj kim dua: Meronem, Vancomycin.
Cov tshuaj tua kab mob thib ob, yog tias tsim nyog, raug xaiv los ntawm cov txiaj ntsig ntawm kev tseb cov kua cerebrospinal ntawm microflora thiab qhov rhiab ntawm cov kab mob rau cov tshuaj tua kab mob. Kev kho mob tsis txiav txim siab seb cov tsos mob ntawm tus mob meningitis hnyav npaum li cas: kev kho yog xaiv los ntawm cov txiaj ntsig ntawm kev tshawb fawb ntawm cov kua dej cerebrospinal.
