Lub hlwb yog npog nrog peb daim nyias nyias: tawv, mos thiab vascular. Thawj ob muaj ntau hom kev sib txuas ntawm cov ntaub so ntswg, thiab qhov thib peb yog lub network ntawm cov hlab ntsha me me. Rau nws zoo ib yam li lub vas sab, nws tseem hu ua arachnoid (los ntawm Latin "arachnid" - "kab laug sab"). Rau ntau yam laj thawj, tag nrho peb daim nyias nyias tuaj yeem ua rau mob, tab sis cov kws kho mob siv lo lus "meningitis" los hais txog kev mob ntawm pia mater.
Ua rau meningitis
Nyob rau hauv feem coob ntawm cov neeg mob, meningitis yog tshwm sim los ntawm qee yam kab mob (microbial, viral lossis fungal). Hauv thawj qhov chaw ntawm cov kab mob ua rau tus kab mob no yog meningococcus microbe (nws lub npe hais rau nws tus kheej). Nws yuav tsum raug sau tseg tias tus kab mob meningococcal tuaj yeem tshwm sim raws li tus mob khaub thuas, txhua yam nyob ntawm lub xeev ntawm lub cev tiv thaiv kab mob. Lwm cov kab mob tuaj yeem ua rau mob meninges. Feem ntau muaj kab mob meningitis - ob qho tib si theem nrab (nyob rau hauv daim ntawv ntawm cov teeb meem ntawm mumps, qhua pias, rubella), thiabtshwm sim los ntawm zuam tom. Thaum tom, kis tus kab mob tic-borne encephalitis tshwm sim. Meningitis yog ob hom loj - purulent lossis serous. Cov tom kawg yog ntau dua thiab nyob rau hauv txhua rooj plaub yog ib tug precursor rau purulent. Nws yog ib qho tsim nyog yuav tsum paub cov cim qhia ntawm tus kab mob no txhawm rau nrhiav kev pab kho mob sai li sai tau, txij li kev kho mob serous meningitis tsuas yog ua tau nyob rau hauv lub tuam tsev tshwj xeeb xwb.
Kev tshwm sim ntawm serous meningitis
Cov tsos mob tseem ceeb: tshwm sim tam sim ntawm tus kab mob nrog qhov kub thiab txias tiv thaiv keeb kwm yav dhau los ntawm kev xav, ntuav rov qab tsis tau nyem, nrog rau mob taub hau hnyav. Nyob rau tib lub sijhawm, kev nco qab tuaj yeem cuam tshuam, convulsions pib, thiab cov pob liab liab tuaj yeem tshwm thoob plaws hauv lub cev rau ob peb teev. Feem ntau, tus neeg mob siv txoj haujlwm yuam kev, uas yog tus yam ntxwv zoo heev: lub taub hau raug pov rov qab vim muaj zog ntawm cov leeg occipital, nraub qaum yog arched, ob txhais ceg yog khoov thiab coj mus rau lub plab rov qab. Nws yog qhov nruj heev ntawm cov leeg nqaij occipital uas yog cov tsos mob ntawm tus mob meningitis - vim yog qhov hu ua rigidity, nws tsis tuaj yeem nias lub puab tsaig mus rau hauv siab. Kev kho mob serous meningitis yuav tsum tau pib tam sim ntawd, tsis muaj pej xeem thiab cov tshuaj hauv tsev ntawm no (lawv yog ib txoj hauv kev kom tuag). Yuav tsum tau mus pw hauv tsev kho mob tam sim!
Nyob hauv tsev kho mob, txoj hauv kev tseem ceeb rau kev kuaj mob meningitis yog lumbar (lumbar) puncture, raws li qhov tshwm sim ntawm cov kua cerebrospinal (CSF) tau muab rho tawm thiab tshuaj xyuas. Cawv nrog serousmeningitis nyob rau hauv siab tom qab, muaj cytosis (ib qho ntxiv ntawm cov hlwb hauv ib chav tsev ntim), lymphocytosis, zoo sedimentary cov tshuaj tiv thaiv, ib tug ntse sib txawv los ntawm ib txwm theem ntawm cov protein, qabzib thiab chlorides.
Kev kho thiab tiv thaiv kab mob serous meningitis
Kev kho mob serous meningitis feem ntau yog tsom rau kev tawm tsam cov kab mob. Yog li ntawd, cov tshuaj tua kab mob (intramuscular lossis intravenous) yuav luag txhua zaus. Qhov thib ob ntawm kev kho mob yog cov tsos mob therapy. Txhawm rau txo qhov mob vim muaj zog intracranial siab, txhawm rau tshem tawm cov kab mob hauv lub hlwb, diuretics (diuretics) tau sau tseg. Yuav kom txo tau cov tsos mob ntawm intoxication, infusion kho yog nqa tawm. Tib lub sijhawm, cov tswv yim thiab cov tshuaj tau ua tib zoo xaiv kom cov txiaj ntsig kho tau zoo, thiab tsis muaj cov kua dej ntxiv hauv lub cev.
Yog tias mob meningitis tshwm sim, cov teeb meem yuav tsum raug tiv thaiv nrog kev saib xyuas zoo tshaj plaws. Qhov txaus ntshai tshaj plaws yog kev hloov pauv ntawm qhov mob mus rau daim ntawv purulent.
Kev kho mob serous meningitis tuaj yeem suav nrog ntau yam tshuaj ntxiv uas txhim kho cov ntshav khiav mus rau lub hlwb, ua kom muaj pes tsawg leeg thiab cov yam ntxwv ntawm cov kua dej cerebrospinal, thiab nce kev tiv thaiv kab mob.
Kev noj qab haus huv, kev tu cev (tus kheej thiab noj zaub mov), haus dej haus nkaus xwb, ua tib zoo kho txhua yam khaub thuas ua rau koj tsis txhob muaj kab mob. Kev ceev faj yuav tsum tau ua thaum taug kev hauv qhov xwm txheej: txhawm rau tiv thaiv koj tus kheej los ntawm zuam tom,Nws yog ib qho tsim nyog yuav tsum hnav cov khaub ncaws uas npog tag nrho cov caj npab thiab txhais ceg thiab muaj cuffs, tsis txhob muaj bushes, tom qab rov qab los ntawm kev taug kev, ua tib zoo tshuaj xyuas cov tawv nqaij. Kev txhaj tshuaj tiv thaiv kuj yog ib qho tseem ceeb. Cov tshuaj tiv thaiv kab mob (pneumococcal thiab meningococcal, DTP, thiab lwm yam) yog kev tiv thaiv kab mob meningitis.
