Brain zvirwere arachnoiditis: Zviratidzo neMarapirwo

Zvirwere dzakasiyana etiology uye localization pashure kunanga ayo ngozi kwete chete kubva vakawanda toxicity, asi uyewo chinokonzera kuzvimba meninges. Kazhinji, varwere vari zvishoma Zvifunge, uye vanachiremba vanogona kurasikirwa harbingers yematambudziko.

tsananguro

Arachnoiditis - ane kuzvimba arachnoid musana kana uropi. Kupesana akadaro zvimiso, sezvo yoga chimiro kurapwa tsika regai kuitika. Izvi chokuita mudziyo wenyika vascular hurongwa. Utachiona rinopararira kune yakasimba kana pial saka arachnoiditis inogona kuenzaniswa serous yomumuzongoza.

Shoko rokuti "chepfungwa arachnoiditis" zvishoma nezvishoma ichichinja kuita throwback kubva pathologically uye akaora zvakaoma kusiyanisa chaiwo arachnoid chokutsva. Vanachiremba vanowanzomuitira kutenda kuti zvose kuratidzwa Kamudzira kutsamwa vachanzi yomumuzongoza.

History uye etiology

Kokutanga rokuti "arachnoiditis" iri dissertation ake chakaunzwa mushonga Tarasenkov pakati rechigumi nemapfumbamwe remakore. A tsananguro zvikuru yakatodzama chirwere ichi akagovera BENNINGHAUS wetsinga. Asi akaritumidza ane kwokunze serous yomumuzongoza.

Arachnoiditis, uyewo kuzvimba zvimwe anoshongwa, kunoitika pashure chakasimba uye chisingaperi zvirwere, sinusitis, pamusoro mamiriro echirwere kudhaka pamwe munyu inorema simbi uye kukuvara. Mukuwedzera, zvokurwara kuonekwe pamusoro pakanyorwa kenza kwacho uye encephalitis.

The inonyanya kukonzera arachnoiditis chinhu chirwere suppurative otitis venhau uye ayo matambudziko: labyrinthitis, petrozit uye sinustromboz. Saka, zviri vemunyika neshure kana pakati cranial fossa.

mararamiro hosha rakakamurwa chakasimba, subacute kana refu. A inonyanya muitiro emit diffuse uye dzisina arachnoiditis. Kazhinji, vari kubatanidzwa kana vari kutevera mumwe ari kunotoda mufananidzo.

zviratidzo

Sei kuratidza zvirwere zvakadai chepfungwa arachnoiditis? Zviratidzo ndivo mubatanidzwa omunharaunda uye zvayo chepfungwa zvirwere. Chokutanga chokuita kuwedzera cerebrospinal mvura kumanikidzwa, uye wechipiri womuratidza nzvimbo kunobva chokutsva. Zvichienderana kuti chiratidzo mhando chinokurira, ivo zvinoratidza chirwere anogona siyana.

Kakawanda pakiriniki pane kugunun'una pamusoro nemusoro, achiperekedzwa kuda kurutsa uye kurutsa, kwete kuunza anoitwa. Marwadzo inogona pfungwa panzvimbo imwe, yakakura nokuda inofamba, mupfungwa kana mumuviri kunetseka. Uyezve, pane dzungu (kunyange kana akarara pasi), kushatirwa, zvikuru simba, pamwe hope zvirwere. Rinogona kuratidza photophobia, kusashivirira kune ruzha ruzha, tsandanyama Rigidity.

Asi ichi hachisi chinhu bedzi rinowanika uropi arachnoiditis. Zviratidzo zvatichiri zvirwere kuvimba nzvimbo pathological muitiro. Kana ndeye convex pemvura uropi, zvino, Ungangove, murwere vachaona kurasikirwa basa, Zvikamu zviri zvipusha pfari. Location zvomoto zvinyama pasi pemvura uropi kunokonzera chirwere ari cranial tsinga. Izvi zviratidzo zvakadai yadzikira chiratidzo kana kurasikirwa minda yayo, neuritis pamusoro chiso chako, trigeminal tsinga, ungaderedza kunhuhwidza. Vanogona kuva pamwe chete kukundwa ari kuratidzwa autonomic tsinga (kunyanya vangadikitira, rinokwanisa kucheneruka ganda, nyota, kuita weti kakawanda, vakawedzera ropa shuga).

The hurongwa inotungamirwa uye kuparadzirwa rinodhaka kunogonawo muuropi arachnoiditis. Zviratidzo ichi akazviratidzazve yakapinza tembiricha kuwedzera, kurutsa, marwadzo ari pamutsipa uye nape, nystagmus uye nani mudzira hunenge. Muzviitiko zvakadaro, iva nechokwadi kusiyanisa pakati pathological zviratidzo kukura posterior fossa anomera. Zvisinei, lumbar ponji anogona kuitwa chete kana fundus hapana kuzara.

chepfungwa arachnoiditis

Kana anogumbura ndeye convex (convexital) pamusoro, rinonzi "chepfungwa arachnoiditis wouropi." Zviratidzo zvinosanganisira kuratidzwa ayo kukundwa pamusoro meninges, uye kutyorwa kuri water drainage kuti mvura mvura. Rakajairika yokutanga chiratidzo kwakakomba nomusoro. Nokuda mumatenhere munyama chakaipa riparadzirwe cerebrospinal mvura kwakaoma, izvo zvinogona kuguma kuunganidza uye kukura intracranial neBP.

Cerebral arachnoiditis uropi, zviratidzo anogona sezvimwe zvirwere, kazhinji riri frontal akafukidza, nharaunda iri nechepakati gyrus. Nokuda kwaizvozvi, kakawanda injini nenyonganiso muchimiro imwe pfuma kana kurasikirwa kufamba kana manyawi. Kana compression pamusoro cortical kurudziro uye angava zvatichiri epileptiform pfari. In Muzviitiko zvakaipisisa, pane pfari makuru, izvo zvinogona kuchinjwa kuva chinzvimbo epilepticus. Muzviitiko zvakadaro, basa rinokosha iri reDare electroencephalography. Pneumography vanachiremba ano kashoma kushandiswa nokuda chaiyo michina pakatanga mhepo pasi lining uropi, kunyange nzira iri kuferefeta hazvisi uyewo anodzidzisa chaizvo.

Optical-chiasmatic arachnoiditis

In kurapwa tsika mumunda kuyambuka optic tsinga ndiyo Inonyanya chepfungwa arachnoiditis. Zviratidzo localization ichi rakanyatsojeka wakananga nenguva kuongorora chirwere. Zvikonzero vangazivikanwa marariya, njovhera, dzechimwe kukuvara uropi ihosha nepahuro.

Munzvimbo yacho optic chiasm fomu adhesions uye cysts pamwe serous kugutsikana, uye kunyanya kuoma nyaya kunhivi optic chiasm sokuti gobvu vanga tishu. musiyano uyu chirwere hachisi dzomunharaunda. Ungacherechedza kuchinja huta zvinyama, uye pane imwe yakawanda kure kunobva. Ndapera nokuda kuzvimba optic tsinga kubva kumativi uye pasi compression yacho zvichiguma ischemia.

The chirwere hwapedyo zvishoma nezvishoma, kutanga kurova ziso rimwe, uye ipapo, pashure pemavhiki mashomanana, uye mumwe. Mumazana kukura chirwere murwere anonyunyuta kurwadziwa seri eyeballs. Izvi zvinoita differential zvokuongorora kuti neuritis ose etiologies siyana. Kuti uone kuti anogumbura nzvimbo vanoshandisa tsanangudzo ziso minda uye fundus ongororo. Chinonyanya dzakananga ndiyo kurasikirwa zvenyama ziso minda kana concentric kuderedza nayo. Izvi zvinoratidza kuti ainyanya kuzvimba iri pakati, pakati optic turakiti.

Arachnoiditis posterior fossa

Muna posterior fossa kakawanda vemunyika chepfungwa chepfungwa arachnoiditis. Zviratidzo kufanana ake occipital akafukidza namamota uye panofanira kuva hunde uye cerebellar zvinozonzi (kukundwa wechishanu, wechinomwe uye wechisere yegwara cranial tsinga).

The kukundwa of cerebellum kunoratidzwa muna kusagadzikana kufamba uye kunofambira mberi ezvinhu, murombo Kufambisa nemafambiro kwezvombo uye makumbo, uyewo nekusagona panguva kuita zviito akawanda, sezvo murwere anofanira nemaziso kudzora Mbabvu ake, kuti zvinhu zvakanaka.

Symptomatology kunoenderana muchimiro kuzvimba (chikofu kana namira muitiro), ayo localization uye mubatanidzwa pamwe hydrocephalus. Ekupedzisira zvingava nokuda bindepinde pakati mawindo ari divi ventricles uropi somugumisiro pathological tishu kuchinja. Oversupply muchishungurudza emura meninges uye kunokonzera kuwedzera intracranial kumanikidzwa. Kuratidza chirwere ichi rakapinza nemusoro, kuda kurutsa, kurutsa, dzungu, kuderera kwemwoyo.

musana arachnoiditis

Izvi mhando kukuvara kunoitika kana CSF kuitika kana kufamba kweropa kuti musana anopiwa kutapuriranwa mumiririri kuti akakonzera chepfungwa arachnoiditis. Zviratidzo uye Migumisiro kuvimba nedanho nokuparadzirwa uye uwandu zvaparadzwa midzi. Zvinokonzera chirwere kuwedzera kare mazita angava mamota uye chinoda kugadziriswa abscesses.

The Clinic musana maronda zvakafanana kuti extramedullary anomera. Zvikuru kakawanda localization - the thoracal uye lumbar zvikamu, nzvimbo bhiza racho muswe. The cerebrospinal Urume iri kuchengetwa sero-mapuroteni dissociation. Kazhinji, musana arachnoiditis fomu iri refu.

Diagnostics

Kuwana nechirwere, chiremba pakutanga anounganidza nhoroondo youpenyu uye utano, uye ipapo inoitisa munhu kuongororwa mumuviri, kusanganisira achirondedzera uye chetsinga chinzvimbo. Uye chete ipapo kusimudza mamwe rabhoritari uye richishanda nzira tsvakurudzo.

Basa rokutanga chiremba wetsinga - kubvisa mapundu uropi ringaita sezvimwe chepfungwa arachnoiditis. Zviratidzo, Photo dehenya pakombiyuta kana rinobva resonance mushonga kunogona kubatsira ichi. Mukuwedzera, kraniogramme achava kuonekwa zviratidzo intracranial neBP. Inodzidzisa, uye migumisiro vanoonekwa echoencephalography, angiography uye scintigraphy, asi chiremba panzvimbo yokutanga nomudzimu MRI.

Electroencephalography zvinobatsira localize foci pamusoro kuzvimba uye kuona chikonzero zvipusha pfari. CSF ongororo inoratidza usinganyanyi nhamba masero, duku mapuroteni dissociation, asi cerebrospinal mvura Rwako zvaoma, izvo zvinosimbisa hydrocephalus. Uyezve, pashure nzira iyi, utano murwere anochinja Akaroromesawo intracranial kumanikidzwa.

mabatiro

How kubata chepfungwa arachnoiditis? Izvi chaizvo unoparadza nguva-basa. First unofanira kuziva mhaka anogumbura mhinduro uye edza kuzvigadzirisa. Nokuti chinangwa ichi, mishonga inorwisa mabhakitiriya, izvo nepariri ropa-uropi nokuidzivirira. Kuderedza zvinyama edema kushandisa antihistamines uye desensitizing nevamiririri.

Mabatirwo chepfungwa arachnoiditis rakagadzirirwa kwenguva refu kurapa achitaura nzira iyo yacho inotsidza mumwoyo chivara tishu. Kuwedzera ichi zvakakosha normalize intracranial kumanikidzwa, kuvandudza water drainage pamusoro cerebrospinal fluid kukurudzira ropa kuyerera chepfungwa uye okisijeni wedzerai etsinga tishu.

Kazhinji, unoda kudzoreredza zvose zvinogona kukuvadza chepfungwa arachnoiditis. Treatment medicaments, semuenzaniso biogenic muviri "ligase" "pirogenalom" makosi gumi nemashanu majekiseni mwedzi mitanhatu ose, anopa migumisiro yakanaka kunyange dzakaoma. Rakashandiswa kumanikidzwa rutapudzo diuretics uye decongestants. antiepileptics vari rakanakira zvakazorodza pfari.

Sezvo prophylaxis nevamwe rokudzorera kurapa, Zvimwe zvinetso anoshanda symptomatic kurapwa.

Kufembera uye kudzivirira

Early Mabatirwo chepfungwa arachnoiditis kazhinji apedza kupora. Risk kungava chete kushoma, riri munzvimbo posterior fossa uye ventricles pamwe pindana maburi. Zvinoipisisa ari fungidziro kungogaroita zvazvo chirwere kana wayo mberi kosi iri pakanyorwa vane chirwere cheBP nematambudziko, epileptiform nezvipusha, uyewo localization kuti kuzvimba ari fungidziro pamusoro optic chiasm.

Zvaunofanira kuita kudzivisa chepfungwa arachnoiditis? Migumisiro yacho zvakakomba zvakakwana, saka unofanira kuteerera utano hwavo uye nguva kushandisa kuchipatara rubatsiro. Zvakakosha kuita kudzivirira sinusitis, otitis vezvenhau uye sinusitis, anounzwa pakarenda, uye Chikurukuru, nguva kugumisa zvose mushonga zvirwere zvinotapuriranwa. Nokuti kutungamirira kukura arachnoiditis.

kuwana chinzvimbo

Hosha uropi anogona kukonzera arachnoiditis urema kodzero. Kunyange tikafunga mwero kubudirira zvekuchipatara migumisiro rapfuura chirwere anoramba upenyu.

The boka urema yechitatu itungamirirwe varwere kuzvitarisira panzvimbo, uye kuita basa chiedza. Vanokurudzirwa kushandura basa ravo uye kuchengetedza nzira kwakarurama upenyu, kure sezvinobvira.

Boka rechipiri yokuremara murwere anogamuchira, kana pashure kurapa akanga asiya Zvikamu zviri zvipusha nezvipusha, uye ungaderedza kutarisana acuity. Haachagoni vaite mabasa avo nemazvo, asi anokwanisa kuzvitarisira. Vaisivatamo dzeboka wevarwere rokutanga vaiona kuti somugumisiro chirwere akarasikirwa zvachose maonero avo.

Varwere neboka rechitatu contraindicated vachishanda kureba, noruvazhe rimi uye kutamira zvigadziriswe chokufambisa. Zvinokurudzirwa kuti kubvisa akaipa okunze chokuita nokuchinja mumhepo kumanikidzwa, basa ruzha yakasvibiswa nzvimbo, basa chokuita vibration.

Kana chiremba asina chirwere "chepfungwa arachnoiditis", zviratidzo, kurapwa uye kunaya varwere vainyatsoongorora nenyanzvi dzokurapa uye munzanga nenyanzvi basa. Chisarudzo pamusoro rakavapa mamiriro vakaremara anogona kukanganisa chimwe, kunyange zviduku akadzama, sezvo nokuti izvi kutevera vamwe zvikomborero.