Encephalitis yog ib qho txheej txheem inflammatory uas tshwm sim hauv cov teeb meem grey lossis dawb ntawm lub hlwb. Nws tuaj yeem tshwm sim los ntawm tus kab mob, txheej txheem kab mob, thiab txawm tias muaj kev tsis haum tshuaj rau cov tshuaj yeeb dej caw lossis tshuaj tiv thaiv. Cov tsos mob ntawm tus kab mob encephalitis tuaj yeem tshwm sim tsis tau npaj txhij thaum tsis muaj tshuaj tiv thaiv, tsis muaj kab tom, lossis lwm yam tshwm sim. Cov no yuav yog tus hu ua sclerosing panencephalitis lossis Economo's encephalitis, qhov ua rau uas tseem tsis tau tsim.
nto moo tshaj plaws yog zuam-borne encephalitis, cov tsos mob tshwm sim 8-18 hnub tom qab zuam tom. Yog hais tias tom poob rau ntawm lub taub hau thiab caj dab cheeb tsam, ces lub sij hawm incubation yog luv - mus txog rau 7 hnub. Thiab txawm tias tom qab 4 hnub ib tus neeg tuaj yeem hnov cov tsos mob thawj zaug.
Qhov txaus ntshai tshaj plaws thiab ua tsis taus pa yog encephalitis tshwm sim los ntawm tus kab mob herpes simplex, cov tsos mob tshwm sim 5-14 hnub tom qab pib nkag mus rau hauv lub cev lossis lwm qhov kev kis tus kab mob no tawm tsam keeb kwm yav dhau los ntawm kev txo qis hauv lub cev. kev tiv thaiv.
Measles, rubella thiab varicella encephalitis muaj lawv lub sijhawm incubation, tom qab ntawd cov tsos mob ntawm tus kab mob nws tus kheej pib tshwm sim (ua npaws, ua pob), thiab tsuas yog tom qab ntawd, tom qab 5-7 hnub, ua thawj cov tsos mob ntawm tus mob encephalitis tshwm sim.
Purulent encephalitis tuaj yeem tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev kho tsis tau tshwm sim ntawm purulent otitis media, pneumonia, osteomyelitis lossis lwm yam kab mob tshwm sim los ntawm cov kab mob.
Yog tias txhaj tshuaj tiv thaiv kab mob, tus mob encephalitis tuaj yeem tshwm sim rau hnub 9-11 (tom qab txhaj tshuaj tiv thaiv kab mob) lossis hnub 10 mus rau ob peb lub hlis (tom qab txhaj tshuaj tiv thaiv kab mob vwm).
Yuav ua li cas encephalitis manifests nws tus kheej. Cov tsos mob ntawm tus txheej txheem kis kab mob:
1. Xws li encephalitis feem ntau pib nrog cov tshwm sim prodromal: hnoos, mob caj pas, los ntswg qhov ntswg. Tej zaum yuav muaj pob liab liab thiab lwm yam tshwm sim ntawm tus kab mob qhua pias, qhua pias los yog rubella, los yog cov txheej txheem purulent yuav ua ntej tus kab mob.
2. Thawj cov tsos mob ntawm tus mob encephalitis: mob taub hau hnyav, uas feem ntau nyob hauv thaj tsam pem hauv ntej lossis ntes tag nrho lub taub hau. Nws yog aggravated los ntawm tig lub taub hau, tam sim ntawd txav. Nws feem ntau nrog xeev siab thiab ntuav, thiab tom kawg tuaj yeem tshwm sim sai sai, tsis xeev siab, ntuav, thiab tom qab nws tsis zoo.
3. Qhov qab los noj mov yuav txo qis, thiab feem ntau nws tsis tuaj yeem haus tus neeg mob. Cov neeg laus, nco ntsoov thiab paub tias yuav tsum haus, ntshai ua li ntawd vim xeev siab lossis ntuav.
4. Tsis muaj zog thiab tsaug zog nce.
5. kiv taub hau.
6. Photophobia.
Cov cim qhia no zoo ib yam li cov kab mob meningitis, thiab cov kab mob sib cais tsuas tuaj yeem paub qhov txawv ntawm encephalitis lossis meningoencephalitis los ntawm MRI.
Qhia cov tsos mob encephalitis yog:
- convulsions, feem ntau nrog ua pa nres, rov tshwm sim;
- ib tug neeg tuaj yeem ua tsis txaus, txhoj puab heev, ces qaug zog nce mus txog qhov tsis nco qab;
- qee zaum qaug zog nce sai heev uas tom qab 6-8 teev tus neeg mob tsis tuaj yeem sawv;
- tej zaum yuav muaj mob ua pa: nquag (ntau tshaj 20 ib feeb) lossis, qhov tsis sib xws, tsis tshua muaj (8-10 toj ib feeb), qee zaum koj tuaj yeem pom tias qhov sib txawv ntawm qhov ua pa tsis sib xws;
- strabismus;
- tsis khov kho;
- loog hauv nqua, goosebumps;
- tso zis nyuaj thaum muaj kev ntuav, tab sis koj mus tsis tau chav dej;
- tuag tes tuag taw lossis paresis (ua tsis tiav tuag tes tuag taw);
- ua txhaum nqos;
- asymmetry ntawm lub ntsej muag thiab cov menyuam kawm ntawv kuj qhia encephalitis;
- tej zaum yuav muaj lwm yam tshwm sim ntawm encephalitis, xws li hnov lus lossis tsis pom kev.
Rau koj tus kheej, koj yuav tsum nco ntsoov cov hauv qab no: yog tias cov tsos mob tshwm sim tawm tsam keeb kwm ntawm qhov kub thiab txias, nws tsuas yog nce tom qab, qhov no txhais tau tias tus neeg mob stroke. Cov kab mob no feem ntau txawv ntawm lumbar puncture thiab MRI.
