Rangarira ndima iri pasi apa uye ipapo pindura mubvunzo gare gare mumutauro mumwe chetewo sechikamu:  Kupfuura: mishonga inorwisa mabhakitiriya (kurapa pasina kuongororwa chaiko) inofanira kutanga nokukurumidza, kunyange migumisiro yepuncture ye lumbar uye kuongororwa kweCSF isati yazivikanwa. Kusarudzwa kwokurapa kwokutanga kunotsamira zvikuru parudzi rwebhakitiriya inokonzera meningitis munzvimbo yakati uye muvanhu. Somuenzaniso, muUnited Kingdom kurapa kwokuzviwanira kunosanganisira cefalosporin yorudzi rwechitatu yakadai secefotaxime kana kuti ceftriaxone. MuUnited States, uko kusadzivirirwa necefalosporins kuri kuwedzera kuwanikwa mu streptococci, vancomycin inowedzerwa mukurapa kwokutanga inokurudzirwa. Chloramphenicol, ingave iri yoga kana kuti yakabatanidzwa neampicillin, zvisinei, inoratidzika kushanda zvakaenzana zvakanaka. Kurapa kwoupenyu kunogona kusarudzwa pahwaro hwezera romunhu wacho, kana kutapukirwa kwacho kwakatangira kukuvadzwa kwomusoro, kana munhu wacho achangobva kuvhiyiwa tsinga uye kana shunt yomuuropi iripo kana kuti kwete. Muvana vaduku uye avo vanopfuura makore 50 ezera, pamwe chete nevaya vane immunocompromised, kuwedzera ampicillin kunokurudzirwa kuvhara Listeria monocytogenes. Kana zvabuda pakuongorora kweGram zvava kuwanika, uye rudzi rwebhakitiriya rwunokonzera chirwere ichi rwava kuzivikanwa, zvingava zvakanaka kuti mushonga wacho uchinjwe uchishandiswa unokwanisa kurapa boka rezvipembenene zvinonzi ndizvo zviri kukonzera chirwere chacho. Migumisiro yeCSF culture inowanzotora nguva yakareba kuti iwanike (24<unk>48 maawa). Kana zvangoitika, kurapa kwokuzvionera kunogona kuchinjwa kunorapwa nemishonga inorwisa mabhakitiriya yakanangana nehutachiona hunokonzera chirwere chacho uye kunzwa kwahunoita mishonga inorwisa mabhakitiriya. Kuti mushonga unorwisa mabhakitiriya uve unoshanda pakurwisa meningitis haufaniri kungoshanda chete pakurwisa utachiona hunokonzera zvirwere asiwo unofanira kusvika kumenjenes mumwero wakakwana; mamwe mishonga inorwisa mabhakitiriya haapindi zvakakwana uye nokudaro haanyanyi kushandiswa pakurwisa meningitis. Mazhinji emishonga inorwisa mabhakitiriya anoshandiswa pakurapa meningitis haana kuongororwa zvakananga pavanhu vane meningitis mumiedzo yekiriniki. Panzvimbo pezvo, zivo yakakodzera zvikurukuru yakabva kuzvidzidzo zvemirabhoritari pamhuru. Tuberculous meningitis inoda kurapwa kwenguva refu nemishonga inorwisa mabhakitiriya....  Mubvunzo: Chii chinogona kuchinjwa kana rudzi rwegram rwava kuwanika?
mishonga inorwisa mabhakitiriya