Rangarira ndima iri pasi apa uye ipapo pindura mubvunzo gare gare mumutauro mumwe chetewo sechikamu:  Kupfuura: Kubaya rutivi rwomumutsipa kunoitwa nokuisa munhu wacho, kazhinji kacho akarara parutivi, kushandisa mushonga unonyaradza pfungwa, uye kuisa tsono muhomwe inonzi dural sac (homwe iri kumativi omutsipa womutsipa) kuti ubvise cerebrospinal fluid (CSF). Kana izvi zvaitwa, "kuvhura kumanikidza" kweCSF kunoyerwa pachishandiswa manometer. Dzvinyiriro yacho inowanzova pakati pe6 ne18 cm mvura (cmH2O); mubhakitiriya meningitis dzvinyiriro yacho inowanzova yakakwirira. MuCryptococcal meningitis, intracranial pressure yakakwira zvikuru. Kuoneka kwekutanga kwemvura kunogona kuratidza kuti chirwere chacho ndechechokwadi: CSF isina kuchena inoratidza kuti pane mapuroteni akawanda, masero machena nerotsvuku eropa uye/kana mabhakitiriya, saka zvinogona kureva kuti ane utachiona hwemeningitis. CSF inoongororwa kuti uone kuti pane masero machena eropa, masero matsvuku eropa, mapuroteni arimo uye glucose. Kuongororwa kwemavara kunoitwa pachishandiswa magiramu emuenzaniso wacho kunogona kuratidza kuti pane mabhakitiriya ane utachiona hwebhakitiriya, asi kusavapo kwemabhakitiriya hakurevi kuti hapana mabhakitiriya ane utachiona hwebhakitiriya hwebhakitiriya, sezvo achingoonekwa mu60% yezviitiko; nhamba iyi inoderedzwa ne20% kana maantibiotic akapiwa musati matorwa mufananidzo wacho. Kuchenesa kweGram hakusimbisiwo zvikuru pakurwara nezvirwere zvakadai selisteriosis. Tsika yezvipembenene yemuenzaniso inonyanya kunzwisisika (inozivisa mhuka yacho mu70~85% yematambudziko) asi migumisiro inogona kutora maawa 48 kuti iwanike. Rudzi rwemaseli machena eropa rwunonyanya kuvapo (ona tafura) runoratidza kana meningitis iri yebhakitiriya (kazhinji neutrophil- inonyanya kuvapo) kana yehutachiona (kazhinji lymphocyte- inonyanya kuvapo), kunyange zvazvo pakutanga kwechirwere ichi chisiri chiratidzo chakavimbika nguva dzose. Kazhinji kazhinji, eosinophils ndiyo inonyanya kuwanda, ichiratidza kuti inokonzerwa nemishonga inonzi parasitic kana kuti fungal. Kuwanda kweglucose muCSF kunowanzopfuura 40% yeiyo iri muropa. Mubacteria meningitis inowanzova yakaderera; nokudaro, mwero weglucose weCSF unoparadzaniswa neglucose yeropa (CSF glucose kune serum glucose ratio). Chiyero chinopfuura 0,4 chinoratidza kuti ane utachiona hunokonzera meningitis; mucheche achangoberekwa, glucose...  Mubvunzo: Chii chinoitika kumanikidziro yomukati mechiropa muzviitiko zvecryptococcal meningitis?
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