Meningitis yog ib qho mob hnyav ntawm tus mob meninges, uas tshwm sim los ntawm tus kab mob ywj pheej lossis raws li qhov mob thib ob vim kev hloov pauv ntawm kev kis kab mob los ntawm txhua qhov kev mob siab rau hauv lub cev. Tus kab mob no feem ntau kuaj tau hauv cov menyuam yaus, txawm hais tias nws tuaj yeem loj hlob ntawm txhua lub hnub nyoog.
Reactive meningitis: general yam ntxwv
Kev mob ntawm meninges yog cais nyob ntawm tus kab mob. Yog li, lawv paub qhov txawv ntawm kab mob, kab mob, syphilitic, nrog rau cov kab mob fungal, tuberculosis lossis lwm hom kab mob no.
Thiab tus kab mob no yog dab tsi - reactive meningitis? Qhov no yog ib qho mob ntawm meninges, uas yog tus yam ntxwv ntawm spontaneity thiab kev loj hlob sai, nrog rau theem siab ntawm kev tuag. Qhov txhab, raws li txoj cai, txhim kho raws li cov lus teb ntawm lub cev rau kev ua ntawm cov kab mob thiab cov kab mob. Qhov no pathology tseem hu ua neurotoxicosis. Nws yog tshwm sim los ntawm cerebral edema, uas kho mob zoo li tus mob meningitis tiag.
Ntawm cov laj thawj tseem ceeb ntawm cov kab mob meningitis yog cov kab mob hauv lub hlwb, nrog rau cov kab mob metabolic uas ua rau acidosis thiab nce permeability ntawm phab ntsa ntawm cov hlab ntsha. Hauv kev loj hlob ntawm neurotoxicosis yog qhov tseem ceebthiab cov txiaj ntsig ncaj qha ntawm co toxins ntawm lub hauv nruab nrab paj hlwb.
Ua kom muaj qhov tshwm sim tuaj yeem yog kab mob ntawm cev xeeb tub (preeclampsia, nyuaj zog lossis fetoplacental insufficiency), convulsive npaj, uas yog tus cwj pwm los ntawm qhov tshwm sim ntawm convulsions txawm tias me ntsis hauv lub cev kub, nrog rau atopy thiab siab heev excitability..
Reactive Meningitis Clinic
Tus kab mob no tuaj yeem tshwm sim tawm tsam keeb kwm ntawm ntau yam kab mob sib kis, nrog rau otitis thiab sinusitis, furunculosis ntawm lub ntsej muag lossis caj dab, nrog rau abscesses hauv ntsws.
Cov tsos mob tseem ceeb ntawm tus mob meningitis yog qhov ua rau lub cev kub nce mus txog 40 ° C thiab ua npaws hnyav. Cov neeg mob yws ntawm kev tawm tsam ntawm xeev siab thiab ntuav. Rigidity ntawm cov leeg occipital tau pom, qhov mob hauv caj pas tuaj yeem tshwm sim. Nws yog ib qho tsim nyog sau cia tias qhov chaw kho mob no yooj yim tsis meej pem nrog kev tshwm sim ntawm SARS. Kev tuag tshwm sim yog tias tus mob meningitis tsis kho sai.
Thaum pib muaj tus kabmob, cov neeg mob ntxhov siab. Ua pa luv thiab palpitations raug kaw, convulsions tuaj yeem tsim. Ib tug yam ntxwv vasospasm yog tshwm sim los ntawm txias extremities thiab oliguria. Yog tias tsis muaj kev kho mob tsim nyog, cov tsos mob ntawm CNS kev nyuaj siab tshwm sim vim yog cerebral edema. Tsis nco qab, cov tsos mob meningeal thiab convulsions tas li.
Thaum tus mob meningitis tshwm sim, daim duab ntawm cov neeg mob nyob rau theem kawg muaj cov yam ntxwv tshwj xeeb - strabismus nyiam mloog. Tsis tas li ntawd, muaj cov menyuam kawm ntawv dilated, tsis tshua muaj lub plawv dhia thiab txo qiskub, qhia kev puas tsuaj rau medulla oblongata. Lub davhlau ya nyob twg theem ntawm neurotoxicosis yog qhov sib sib zog nqus coma nrog lub plawv thiab ua pa nres.
Kev kuaj mob thiab kev kho mob
Kev kuaj pom raws sijhawm ntawm cov kab mob meningitis muaj teeb meem vim qhov kev kho mob sai sai thiab kev nthuav qhia lig dhau los ntawm cov neeg mob mus rau cov chaw kho mob.
Cerebrospinal fluid microscopy tej zaum yuav ua tau los txheeb xyuas cov kab mob. Raws li txoj cai, coccal flora muaj nyob rau hauv meningitis. Tsis tas li ntawd, kev puas tsuaj ntawm erythrocytes, ntau tus leukocytes thiab ESR siab hauv kev kuaj ntshav yog yam ntxwv. Cov zis muaj xim tsaus thiab muaj cov protein thiab ntshav.
Kev kho mob ntawm cov neeg mob tau ua tiav hauv chav saib xyuas mob hnyav. Txij li thaum txoj kev loj hlob ntawm tus kab mob yog fulminant, tshuaj tua kab mob los ntawm cov pab pawg neeg ntawm macrolides, cephalosporins los yog penicillins tam sim ntawd, uas yog yus muaj los ntawm ib tug dav spectrum ntawm antimicrobial kev txiav txim. Cov tshuaj diuretics tuaj yeem raug sau tseg kom txo qis cerebral edema, thiab cov tshuaj antispasmodic thiab cov leeg nqaij so tuaj yeem raug kho kom txo tau qhov mob thiab cov leeg nqaij. Cov kev kho mob nyuaj suav nrog glucocorticoids. Yog hais tias tus kab mob muaj ib tug kab mob etiology, ces Niovir los yog Viferon yog tshuaj.
Kev pib kho sai dua, txoj hauv kev rov zoo dua.
