Kana pane meningitis, zvine ngozi here? Ndezvipi zviratidzo zvechirwere ichi?

Meningitis chirwere chinotyisa chisingagari chine utachiona. Icho chinonyanya kukosha chechirwere ichi chiri mukuputika kwekuchinja pane chikamu chemuviri unoputira uropi nemumutsipa wesipinha. Munhu anotambudzika nokudhakwa, kurwadziwa kwepfungwa kwakanyanya, uyewo zviratidzo zvinobatanidza nekuwedzera kusagadzikana kwechisimba uye uropi hwemauropi. Kana kutuka kunosanganisa kwete membrane chete, asiwo nhengo yeuropi, chirwere chinogona kunzi "encephalitis" kana "meningoencephalitis".

Meningitis chirwere chinopisa upenyu hwemunhu. Muchiitiko ichi, kunyatsoongororwa kunogona kuitwa chete pamusana pekuvharwa kwechimbichimbi (kuvharwa kwechimbwa); Mimwe nzira yekutsvakurudza munguva iyo kununurwa kwomunhu kunoenderana nekukurumidzira kwaachazoita kuti abatsirwe rubatsiro, haasi kuzivisa. Zvimwe zvinooneka zvinooneka pane kombiyuta kana magnetic resonance tomogram zvinoonekwa pashure pemasvondo maviri kubva pakatanga kwechirwere; Ultrasound kana X-ray kuongorora hakuwanzokwanisa kuratidza meningitis.

Ndeipi mhando ye meningitis?

Nechirwere chepathogen icho chirwere chinogumbura, chirwere chinonzi meningitis chinogona kuva bhakitiriya, hutachiona, fungal kana kukonzerwa neprotozoa. Nesimba rekuvhiringidzika kuchinja mu cerebrospinal fluid - serous uye purulent. Uye chinokonzera purulent meningitis inenge 100% yezviitiko - bhakitiriya inogona kupinda kuburikidza nemadziviriro ezvitete zvinodzivirira uropi. Serous meningitis inogonawo kukonzerwa nemavirusi (nhamba yavo yakakura zvikuru, kusanganisira mavairasi ekoko, chiropa, uye masero), uye mamwe mabhakitiriya (leptospira, tsvimbo yaKoch), uye fungi.

Mugumisiro wekuongororwa pamusoro peiyi chaiyo iyo microbe yakakonzera chirwere chiri munyaya ye purulent meningitis inowanikwa shure kwemazuva 3-5 nenzira yeBacteriological inoculation yeCSF pane zvekudya zvemashoko, mune zvakaitika serous inenge yakareba kwenguva refu. Asi inonyanya kuipa muupenyu - Epstein-Barr virus, herpes simplex virus, cytomegalovirus (kungopesana navo kurapwa kumwe kwakagadzirwa) - inogona kutsanangurwa nePCR nzira kwemazuva maviri.

Ko meningitis inoratidzwa sei?

Pasinei nokuti meningitis iri serous kana purulent, zviratidzo zvinotevera:

- musoro mumaparietal kana kune imwe nzvimbo, mumusoro wose, uchiwedzera munzvimbo yakatarisa, nekutendeuka nematope emusoro, inzwi guru uye chiedza chakajeka; Anorapwa zvisina kunaka nemishonga inorwadza;

- kukwirira kwomuviri wepamusoro;

- zvinova nyore kuti munhu ararame pasi, kazhinji anotora pfupa kumativi ake nemabvi ake akasungirirwa kubhokisi rake;

- kushushikana, kurutsa, izvo zvisingabviri pakudya, asi kusuruvara kunogona kuva nezvinhu zviviri zvakadyiwa zuva rakapfuura, uye kusanganiswa kwebi, uye kana meningitis ichikonzerwa ne meningococcus, kushambidzika kunogona kuva nemavhepa eropa revara ronda. Mushure mekurutsa hakuiti nyore;

- kusanzwisisika kunofadza mumaziso pachitarisa chiedza chakajeka;

- kushaya simba, kugona;

- hazvibviri kurara kuti awane chinangwa chake kune sternum (kazhinji ane musana wake akabatwa);

- Kugunzva ganda rinonzwa rakasimba kanoverengeka uye kunokonzera kusuruvara kusingafadzi;

- kushungurudzika nekurasikirwa kwekuziva pamusana pekuwedzera kwekushisa kwemuviri (asi muvana vasati vava nemakore matanhatu, zviputi zvinogona kuratidza chirwere chinopesana nechekudziya kwekushisa kusingasviki 38.5, sezvo kana ichiitika pane yakanyanya kutonhora, izvi hazvirevi meningitis, zvinogona kunge Kungova chiratidzo chekusasvika kwenheyo yenheyo);

- kukanganisa kwemhando ipi zvayo isingatauri uye yakasimuka pamusoro penzira yekuwedzera kwekushisa kwemuviri.

Zviratidzo izvi ne purulent meningitis zvinowanzooneka, kana kuti mushure mekunge kusakwanira kurapwa (kana kuramba kurapwa) ye otitis, sinusitis, kunotonhora nekubudiswa kweputikiti yemaputi, foreititis. Zviratidzo zve serous meningitis zvakafanana, chete zvinowanzoonekwa kazhinji pashure penguva yakati munhu anonyunyutirwa nehuro, chirwere chinoputika, chironda cheputi, chifukidziro chiduku, chirwere chisingaoneki, conjunctivitis.