Hauv ntiaj teb no muaj ntau tus kab mob sib txawv uas tuaj yeem ua rau mob hnyav. Viral meningitis yog ib qho phem tshaj plaws. Cov tsos mob ntawm cov menyuam yaus thiab cov neeg laus, nrog rau qhov ua tau, cov kev kho mob tau muab rau hauv tsab xov xwm.
Definition
Viral meningitis yog ib yam kab mob inflammatory uas cuam tshuam rau lub paj hlwb. Tus kab mob tuaj yeem tshwm sim tawm tsam keeb kwm yav dhau los ntawm lwm tus kab mob lossis muaj kev ywj pheej. Qhov phom sij ntawm meningitis yog tias nws cov tsos mob tuaj yeem zoo ib yam li lwm yam kab mob. Nws txoj kev loj hlob sai kuj tau sau tseg, uas cuam tshuam tsis zoo rau kev kho mob.
Kev tshwm sim
Tus yam ntxwv tseem ceeb ntawm tus kab mob viral meningitis yog o vim kev nkag mus ntawm cov kab mob pathogenic rau hauv cov kab mob meninges. Feem ntau, cov xwm txheej no tuaj yeem pom hauv cov neeg uas lawv lub cev tiv thaiv tsis muaj zog vim yog tus kab mob thawj zaug lossis keeb kwm ntawm HIV.
Cov kab mob txaus ntshai tuaj yeem nkag mus rau tib neeg lub cevlos ntawm huab cua tee, los ntawm dej los yog cov khoom tsis huv. Nyob rau tib lub sijhawm, nws tsis yog qhov tsim nyog uas tus neeg mob tau mob, tab sis muaj kev phom sij zoo li no. Feem ntau ua rau mob meningitis yog:
- enterovirus;
- adenovirus;
- tus kab mob herpes;
- tus kab mob mumps;
- cytomegalovirus;
- Coxsackievirus.
Hauv qhov no, yoov tshaj cum thiab lwm yam kab nqus ntshav yog suav tias yog tus kabmob kis. Qhov no txiav txim siab qhov zaus ntawm cov kab mob nyob rau lub caij nplooj ntoos hlav-lub caij ntuj sov. Lub sijhawm incubation yog ob peb hnub tom qab tus kab mob nkag mus rau hauv tib neeg lub cev tsis muaj zog.
Kev faib tawm
Yuav ua li cas kho tus kab mob kab mob meningitis? Kev kho mob nyob ntawm hom kab mob. Raws li daim ntawv qhia, meningitis tuaj yeem muab faib ua ob pawg:
- Pib, uas tus kab mob no tshwm sim ntawm nws tus kheej.
- Secondary meningitis - qhov no txhais tau tias qhov mob ntawm meninges tshwm sim tawm tsam keeb kwm ntawm lwm tus kab mob.
Cov subspecies hauv qab no muab faib los ntawm lub sijhawm tshwm sim:
- Mob - yog thawj cov tsos mob tshwm sim ob peb teev tom qab kis kab mob. Nyob rau hauv cov ntaub ntawv no, lub sij hawm incubation yog txo kom tsawg.
- Subacute, uas cov tsos mob tshwm sim tom qab xya mus rau kaum hnub.
- Daim ntawv mob ntev yuav kuaj pom tus kab mob lig.
Cov menyuam yaus raug suav hais tias yog tus kab mob kis tau zoo tshaj plaws, txij li cov serous membrane ntawm lawv lub hlwb tseem tsis tau muaj kev tiv thaiv muaj zog. Cov neeg laus feem ntau nthuav tawmkab mob ntau yam kab mob.
kos npe thaum ntxov
Kev kuaj pom qhov mob thaum ntxov yog qhov tseem ceeb heev. Kev kho tus kab mob viral meningitis hauv cov menyuam yaus yog qhov zoo heev yog tias kev kho mob pib raws sijhawm. Nws yog ib qho nyuaj heev los txiav txim qhov pib ntawm meningitis nyob rau hauv ib tug me nyuam, vim hais tias feem ntau ntawm nws cov tsos mob tshwm sim nrog cov mob khaub thuas.
Feem ntau tus neeg mob hnov cov tsos mob hauv qab no:
- Lub cev kub nce mus txog 38-39 degrees.
- mob taub hau uas nyuaj los nres nrog cov tshuaj kho mob classic.
- Ntshai ntawm caj dab cov leeg. Nws yog tshwm sim los ntawm obstructed outflow ntawm lymph thiab nws stagnation.
- Tsis qab los noj.
- Qhia thiab ntuav qee zaus.
- qaug zog thiab mob lub cev.
Qee zaum, cov pob liab liab ntawm lub taub hau kuj tuaj yeem pom, uas ploj thaum nias.
Cov tsos mob tseem ceeb
Dab tsi yog cov tsos mob tseem ceeb ntawm tus kab mob meningitis hauv cov neeg laus? Kev kho mob yuav tsum tau pib tam sim tom qab kuaj pom tus kab mob hauv qab no:
- mob hnyav nyob rau ntau qhov chaw ntawm lub taub hau, uas yog tus cwj pwm los ntawm kev siv zog ntau ntxiv.
- dhia hauv lub cev kub. Nws tuaj yeem ncav cuag 40 degrees. Tib lub sijhawm, qhov kub thiab txias yog qhov nyuaj rau txo qis nrog kev pab ntawm cov tshuaj yooj yim raws li paracetamol.
- Ntse rhiab heev rau lub teeb, suab thiab txawm kov.
- Zoo kiv taub hau uas ua rau mob hnyav zuj zus ntxivlos yog qaij koj lub taub hau.
- Impaired nco ntsoov. Coma tuaj yeem tshwm sim hauv qee kis.
- ntuav ntuav yam tsis muaj kev pab.
- Tshuaj zawv plaub hau.
- Sensation of pressure in the eyeballs.
- txheej txheem mob hauv cov qog ntshav ze tshaj plaws rau lub taub hau.
Teem ib qho ntawm cov tsos mob ntawm tus mob meningitis yog cov leeg mob tas li, uas ua rau nws nyuaj rau tus neeg mob kom nws lub hauv caug ncaj.
Nyob tsis tshua muaj cov tsos mob ntawm tus kab mob no yuav tshwm sim, xws li:
- nce ntshav siab;
- txhawj xeeb;
- hnov tsis hnov;
- pom kev txo qis.
Lub luag haujlwm tseem ceeb ntawm tus kws kho mob yog kom paub txog cov tsos mob ntawm tus kab mob viral meningitis, uas yuav tsum tau kho tam sim.
Tus yam ntxwv ntawm tus kabmob hauv menyuam yaus
Nyob ntawm lub hnub nyoog ntawm tus menyuam, cov tsos mob tshwj xeeb ntawm tus mob meningitis kuj hloov. Yog li, piv txwv li, hauv cov menyuam yaus hnub nyoog qis dua ib xyoos, cov tsos mob hauv qab no tau pom:
- swelling fontanel;
- kev tsis nco qab.
Cov menyuam yaus nyob rau lub sijhawm txij li ib mus rau peb xyoos tau sau tseg xws li kev tshwm sim tsis muaj kev tswjhwm siab, uas tau hloov pauv sai sai los ntawm kev tuag tes tuag taw. Tsis tas li ntawd, cov tsos mob yuav zoo ib yam li tus mob polio.
Ib tug menyuam muaj hnub nyoog peb xyoos tuaj yeem ua pob khaus tawv nqaij, kub siab kub ntxhov, thiab mob taub hau hnyav.
Diagnosis
Kev kho tus kab mob kis kab mob rau cov menyuam yaus lossis cov neeg laus yog ib txwmpib nrog kev kuaj ua ntej thiab kev kuaj mob. Txhawm rau kom tau txais daim duab kho mob tag nrho ntawm tus kab mob, nws yuav tsum tau ua cov txheej txheem kuaj mob hauv qab no:
- Kev kuaj pom tus neeg mob. Yog tias nws lub siab tsis nco qab, ces koj yuav tsum tau sau ib qho anamnesis txog nws tus mob, nrog rau cov tsos mob uas tus neeg mob tau ntsib.
- Kev tshuaj xyuas cov kua cerebrospinal, uas tuaj yeem tau txais los ntawm kev ua lub lumbar puncture. Nrog rau tus kab mob ntawm tus kab mob, qhov nce hauv leukocytes tau sau tseg tawm tsam keeb kwm ntawm cov piam thaj ib txwm muaj.
- Kev kuaj ntshav biochemical yog qhov tsim nyog txhawm rau kuaj pom qhov nce globulin protein feem.
- Nws muaj peev xwm cais tus neeg sawv cev ntawm tus kab mob nrog kev tshuaj xyuas cov quav lossis ntshav.
Yog hais tias muaj cov kab mob atypical meningitis, cov kev tshawb fawb hauv qab no yuav tsum tau ua kom paub meej tias qhov kev kuaj mob ua ntej:
- Electromyography - kev soj ntsuam ntawm lub xeev ntawm kev ua haujlwm ntawm cov leeg pob txha thiab cov hlab ntsha xaus.
- Computer lossis magnetic resonance imaging ntawm lub hlwb.
Tus kws kho mob paub txog tej zaum yuav xav tias muaj kab mob tsuas yog raws li tus neeg mob cov cim thiab cov lus tsis txaus siab, tab sis qhov no tsis txhais tau tias tsis tsim nyog tshawb nrhiav ntxiv.
Txoj Cai Kev Kho Mob
Cov kab mob no nyuaj heev. Nws yog vim li no tias kev kho mob ntawm tus kab mob viral meningitis yog nqa tawm tshwj xeeb hauv tsev kho mob. Nyob rau tib lub sijhawm, cov kws kho mob muab cov lus pom zoo uas ua rau kom rov zoo:
- 24-teev pw so;
- khoom noj muaj zog, feem ntau yog los ntawm cov khoom noj yooj yim digestible;
- ua raws li kev haus dej haus kom tiv thaiv lub cev qhuav dej;
- lub cev thiab kev puas siab puas ntsws.
Cov lus pom zoo no yuav tsum tau ua nruj me ntsis txhawm rau muab lub sijhawm rau lub cev los tiv thaiv kev ua ntawm tus kab mob pathogenic.
Drug therapy
Kev kho tus kab mob kis kab mob tsis tuaj yeem ua tsis tau yam tsis muaj kev txhawb nqa kev kho mob. Rau cov hom phiaj no, cov tshuaj hauv qab no yog siv:
- "Nurofen", "Dexalgin" rau kev kho mob taub hau.
- "Acyclovir" thiab analogues yog siv yog tias tus kab mob ua rau mob meningitis yog tus kab mob herpes.
- "Arbidol", "Adamantane" yog qhov tsim nyog yog tias tus kab mob ua rau tus kab mob yog enterovirus lossis adenovirus.
- Kev tso dej rau hauv cov dej ntsev los yog Ringer cov tshuaj yog tsim nyog rau lub cev qhuav dej vim lub cev kub siab ntev.
- Analgesic "Baralgin", "Analgin", nrog rau kev npaj enzyme "Festal", "Pancreatin" yog qhov tsim nyog rau cov kab mob dyspeptic.
- "Cerucal" yog siv yog tus neeg mob xeev siab thiab ntuav.
- "Prednisolone" hauv kev kho tus kab mob viral meningitis nyob rau hauv tus me nyuam yog muab raws li ib tug muaj zog anti-inflammatory agent.
Tseem nyob hauv tus kheejImmunoglobulin-based tshuaj yuav raug sau tseg txhawm rau txhawb kev tiv thaiv kab mob thiab txhim kho nws lub peev xwm tiv thaiv tus kab mob ntawm nws tus kheej.
Recipes of traditional Medicine
Kev kho tus kab mob kab mob meningitis nkaus xwb nrog kev siv cov tshuaj pej xeem tsis zoo, tab sis qee cov khoom tuaj yeem muaj txiaj ntsig zoo rau lub cev tiv thaiv kab mob thiab lub cev tag nrho, uas ua rau muaj kev sib ntaus sib tua tus kab mob ntawm nws. tus kheej thiab ib tug ceev rov qab. Feem ntau, infusions thiab decoctions ntawm cov khoom xws li:
- rosehip;
- chamomile;
- txiv qaub paj;
- nplooj thiab txiv hmab txiv ntoo ntawm currants, strawberries qus;
- dandelion;
- St. John's wort;
- lavender xim;
- mint;
- melissa;
- rosemary.
Txhawm rau npaj kho cov decoctions, koj tuaj yeem siv ib qho ntawm cov khoom siv, lossis koj tuaj yeem ua ke. Tsis tas li ntawd, txoj kev npaj tsis muaj teeb meem tiag tiag, txawm tias nws yog decoction, infusion lossis vitamin tshuaj yej. Nws kuj tseem suav hais tias muaj txiaj ntsig ntxiv rau cov muv zib ntab los kho tshuaj yej los hloov qab zib.
Muaj feem cuam tshuam
Kev kho tus kab mob viral meningitis hauv cov neeg laus feem ntau tsis muaj teeb meem. Txawm li cas los xij, nws nyuaj dua rau tus menyuam lub cev tiv thaiv tus kabmob, yog li tom qab menyuam yaus yuav ntsib cov tsos mob hauv qab no:
- mob taub hau;
- asthenia;
- kev tsis txaus siab;
- memory deterioration;
- kev xav tsis thoob;
- hyperexcitability.
Nyob tsawgCov ntaub ntawv, ib feem lossis tag nrho cov tuag tes tuag taw yog sau tseg. Hmoov zoo, nrog rau kev kho mob raws sij hawm ntawm kab mob meningitis, xws li kev tsis txaus siab tuaj yeem zam tau. Nws tseem raug sau tseg tias feem ntau ntawm lawv tau pom nyob rau ob peb lub lis piam tom qab rov zoo.
Nrog kev kho tsis raws sijhawm, tus kab mob tuaj yeem ua rau tuag taus. Qhov no tshwm sim hauv 10% ntawm cov neeg mob. Cov menyuam yaus hnub nyoog qis dua kaum xyoo feem ntau cuam tshuam.
Kev Tiv Thaiv
Kev tiv thaiv tus kab mob yog qhov tseem ceeb heev, vim nws nyuaj heev rau kho. Qhov kev daws teeb meem zoo tshaj plaws yog txhaj tshuaj tiv thaiv, uas yog ua rau cov menyuam yaus txij li hnub nyoog ib xyoos. Hmoov tsis zoo, tsis yog txhua tus niam txiv hluas pom zoo nrog txoj kev tiv thaiv no. Tsis tas li ntawd, txhua tus neeg laus uas muaj hnub nyoog qis dua 29 xyoos txaus siab tuaj yeem tau txais cov tshuaj tiv thaiv.
Hmoov tsis zoo, nws tsis tuaj yeem tiv thaiv koj tus kheej los ntawm qhov tshwm sim ntawm meningitis, tab sis koj tuaj yeem ua haujlwm ntxiv dag zog rau lub cev tiv thaiv kab mob kom nws muaj peev xwm tua cov kab mob nkag mus rau hauv lub cev.
