Chii serous yomumuzongoza, sezvo inokudziridza uye Zara?

Uropi hwomunhu anogona kunzi Central Command Authority. Hapana dziri kwete chete nzvimbo kuti vane basa kunzwisisa uye kubereka hwekutaura, muzvidimbu kufamba, ndangariro uye processing kuona mashoko. Uropi rine wayo maumbirwo muzinda basa mutemo midziyo ropa uye mwoyo, chikuru thermostat, nzvimbo maneja yokufema, uye vazhinji nevamwe munzvimbo revane. Ndokusaka muviri uyu saka zvakanaka kudzivirirwa: rinosanganisira membranes matatu, pakati zviri akaronga damping Urume layer uye panguva cellular pamwero "varindi" ake mechidziro nemasero.

Chii serous yomumuzongoza?

Kana vamwe utachiona inowira rimwe meninges uye chinokurwadzai anogumbura kuchinja ayo, dzichiri yomumuzongoza. Patient zvinyama unozvimba, izvozvo anowedzera kuparadzirwa ropa, zvainanga kubatsira kwake nokukurumidza kuchenesa utachiona. Masero zvirwere, iyo dzinoitawo iyi, nokushingaira kumira musana fluid anoita amortization uye achivapa basa nokuda uropi uye ayo membranes.

Chii serous yomumuzongoza? Izvi kana tikaongorora cerebrospinal mvura (kureva CSF) rine zvakawanda masero pane dzose (wokuyera kuti mukuru - 10 masero muna 1 microliter, mune vana - zvishoma), apo vazhinji vavo vari vanomiririrwa lymphocytes. Hazvina rokuzvidzivirira masero aya wokutanga kuitawo dzinotsanagura nemavhairasi uye aseptic yomumuzongoza ari inenge nguva dzose zvinokonzerwa nemavhairasi.

Chii chinonzi serous yomumuzongoza uye chii Inonzi?

Kukonzera zvirwere utachiona anokwanisa dambudziko cellular kudzivirira, izvo kudzivirirwa muuropi. Izvi ainyanya nemavhairasi:

- enteroviruses, ayo pachishandiswa kuenda neherikoputa mumate, kuburikidza kutsvoda, kana uchishandisa mvura thermally untreated, mukaka, mukaka yakashapa nezvimwe zvinogadzirwa;

- herpes simplex nemavhairasi, izvo kuwana munhu zvachose dzakasiyana: vaviri kuenda neherikoputa uye pakuita zvepabonde, uye kubatana zviri herpetic vesicles paganda kana mucous Kamudzira yomumwe munhu uye kubva mai mwana panguva nepamuviri uye pakusununguka;

- Varicella zoster utachiona, mumps, gwirikwiti, rubella, adenovirus, "kusvika" mumhepo kubva anorwara munhu;

- nemavhairasi anogona kupinda kubudikidza kuruma zvikwekwe.

Serous yomumuzongoza incubation nguva hazvisi kubva pamazuva 2 kusvika 14 (avhareji 5-8), ipapo kazhinji kuva zviratidzo zvakafanana nezvirwere zvakawanda (chikosoro, fivha, mapundu kana manyoka), uye zvadaro pane zviratidzo zvakananga kufanana yomumuzongoza .

Serous yomumuzongoza zvinogona kukonzerwa utachiona. Zviri mashoma tupukanana: tubercle bacillus, Leptospira, Rickettsia, Listeria. Howa, izvo kazhinji kuti ndiye causative vaishandira yomumuzongoza muna neHIV, zviri kukonzera serous yomumuzongoza.

Chii chinonzi serous yomumuzongoza uye kunoratidzwa sei?

chirwere ichi kazhinji rinotanga pamwe kuratidzwa nemavhairasi chirwere: kune chikosoro, runny mhino, asi chinonakidza kuti chando, gwirikwiti, huku pox, uye zvichingodaro. Kunewo:

1) tembiricha inokwira kusvika kumusoro (kazhinji) nhamba: zvingava "chechipiri chinozunguzirwa" hyperthermia (i.e. pamberi tembiricha akatouya shure kufirwa), uye anogona wakagumiswa kubva pamazuva nefivhiri chirwere rokutanga;

2) zvakakomba nemusoro, iyo kunowedzera musoro kufamba kana kusimuka, kazhinji vemunyika mumusoro wose;

3) svoto uye kurutsa izvo zvingaitika tisingatungamirirwi kudya;

4) upundu: sei varicella, gwirikwiti, rubella, enterovirus yomumuzongoza kana paine tsvuku makwapa duku zhinji panyika muviri;

5) photophobia;

6) lethargy, utera, murume akaedza nhema pamusoro;

7) kuwedzera ganda wanda.

Case History "aseptic yomumuzongoza" anofanira kufukidza mashoko ose aya:

- maperembudzi ratanga;

- chii munhu richibatanidza chitarisiko chake (hypothermia kugarotamba chando kana vachirwara manyoka);

- Ndezvipi zviratidzo akazviratidza Papera, pakava yakanaka pavakanzwa negashiro inonyaradza marwadzo omusoro;

- Chinangwa zviratidzo izvo chiremba achaongorora kuti ndiratidze kudiwa lumbar ponji ;

- the uwandu uye chatingatevedzera cellular Kuronga CSF mapuroteni, mapuroteni-sedimentary ivhu, cerebrospinal mvura mvura electrolytes;

- ropa nokukanganisika miedzo;

- PCR bvunzo CSF DNA mavhairasi herpes simplex, CMV, EBV;

- bacteriological kuongorora ropa uye cerebrospinal mvura;

- kurapwa;

- diaries kuongorora kuerera rinomutsa chirwere;

- mufananidzo rinomutsa nezvokuchinja cerebrospinal mvura.