Feem ntau cov menyuam yaus muaj mob meningitis. Qhov no yog vim lawv tseem muaj lub cev tiv thaiv kab mob tsis zoo, uas yuav tsum tau "kawm" ntau tus kab mob thiab cov kab mob txhawm rau tiv thaiv lawv. Tsis tas li ntawd, cov menyuam yaus tsis muaj kev saib xyuas ntau dua: thaum me nyuam mos lawv tso cov khoom ua si thiab ntau yam khoom tsis paub rau hauv lawv lub qhov ncauj, thaum muaj hnub nyoog laus dua lawv nyiam nyob ze, ntseeg kev sib cuag nrog cov phooj ywg, thiab qhov tseeb tias lawv hnoos lossis txham tsis thab leej twg. Los ntawm kev sib txuas lus nrog tus menyuam muaj mob lossis cov neeg laus, los ntawm kev noj zaub mov tsis txaus, dej lossis mis nyuj, qee zaum nrog zuam tom, tawm tsam keeb kwm ntawm tus kab mob purulent uas tsis kho lossis muaj teeb meem ntawm rubella, mumps, qhua pias, kab mob qhua pias thiab mob meningitis tshwm. Thawj cov tsos mob ntawm tus kab mob no hauv cov menyuam yaus yuav tsum tau pom nyob rau lub sijhawm thiab nrhiav kev pab kho mob tam sim.
Dab tsi yog meningitis?
Lub ntsiab ob hom kab mob meningitis yog qhov txawv ntawm daim duab ntawm cov kua cerebrospinal, uas tau los ntawm lumbar puncture. Raws li cov tsos mob, nws tsis yog ib txwm muaj peev xwm taug qab seb puas yog kab mob meningitis hauv menyuam yaus lossis kab mob. Thiab nws yog ib qho tseem ceeb heev rau tus kws kho mob kom paub qhov txawv no, txij li thaum nws yog nyob rautxhua txoj kev kho yog raws li nws.
Yog li, meningitis tshwm sim:
a) serous, uas yog, lymphocytes predominate nyob rau hauv lub cerebrospinal kua. Hom kab mob meningitis no feem ntau tshwm sim los ntawm cov kab mob;
b) purulent, thaum feem ntau ntawm cov hlwb hauv cov kua cerebrospinal yog sawv cev los ntawm neutrophils. Hom kab mob no tshwm sim los ntawm kab mob.
Meningitis: thawj cov cim qhia hauv menyuam yaus
Tus kab mob tuaj yeem pib raws li ib txwm muaj ARVI - nrog hnoos, mob caj pas, los ntswg, ua npaws. Mob plab lossis pob liab liab tuaj yeem tshwm sim thaum tus kws kho mob tau lees paub tias tus menyuam tau mob qhua pias, rubella, lossis kab mob qhua pias. Nyob rau hauv cov ntaub ntawv ntawm purulent meningitis, qhov pib ntawm tus kab mob yuav tshwm sim ntawm purulent otitis media, rhinitis los yog sinusitis (tsawg dua mob ntsws), uas yog, cov tsos ntawm daj, daj-dawb los yog daj-ntsuab tawm ntawm lub qhov ntswg los yog pob ntseg..
Cov cim qhia ncaj qha ntawm tus mob meningitis hauv cov menyuam loj yog:
- kub taub hau, feem ntau yog tus lej siab, nrog rau cov kab mob qog nqaij hlav tuberculous tej zaum yuav muaj qhov kub thiab txias me ntsis;
- mob taub hau tawg, feem ntau hauv thaj chaw parietal thiab sab cev nqaij daim tawv, tuaj yeem ua rau tag nrho lub taub hau. Qhov mob no hnyav heev, tsis zoo los ntawm cov tshuaj tua kab mob, ua rau tus menyuam tsaug zog. Tej zaum koj yuav pom tias tus menyuam mos pw ntawm nws sab, rub nws lub hauv caug rau hauv siab, thov kom tsis txhob qhib lub teeb thiab suab paj nruag, hais lus ntsiag to;
- lethargy, tsaug zog;
- xeev siab thiab/los yog ntuav uas tshwm sim tam sim ntawd, tsis muaj laj thawj pom tseeb ntawm kev noj zaub mov tsis zoo;
- tawm tsam qhov kev poob qislos yog tsis kub heev, convulsions los yog tus cwj pwm tsis tsim nyog tshwm sim. Yog hais tias tus mob meningitis muaj thawj cov tsos mob nyob rau hauv cov me nyuam ib yam nkaus li ntawd, koj yuav tsum tsis txhob tos kom txhua yam mus deb ntawm nws tus kheej, hu rau lub tsheb thauj neeg mob ceev;
- ib txwm kov ua rau tsis xis nyob, mus txog qhov mob.
Koj tuaj yeem kuaj qee yam tsos mob ntawm koj tus kheej:
1) Muab tus menyuam tso rau ntawm nws nraub qaum, muab nws txhais tes hauv qab nws lub taub hau thiab sim ncav nws lub puab tsaig mus rau lub sternum. Yog tias qhov no tsis tuaj yeem ua tsis tau raws li keeb kwm yav dhau los ntawm qhov kub thiab txias me ntsis, nws yuav ua rau mob meningitis tshwm sim ntawm no;
2) nyob rau hauv tib txoj hauj lwm, khoov ob txhais ceg ntawm lub duav thiab lub hauv caug, tam sim no ncaj lub hauv caug. Feem ntau, qhov no tuaj yeem ua tau yooj yim, thaum ob txhais ceg tseem nyob tiaj tus. Cov tsos mob raug kuaj ntawm ob txhais ceg.
Meningitis, thawj cov cim qhia hauv cov menyuam yaus hnub nyoog qis dua ib xyoos:
- me nyuam tsaug zog txhua lub sijhawm;
- nws muaj lub cev kub;
- nws tuaj yeem quaj los yog quaj tsis tu ncua (nws mob taub hau);
- ntuav;
- tsis kam noj;
- convulsions;
- nws cov fontanel loj dhau los ua siab tshaj cov pob txha pob txha taub hau, nws yog nruj thiab pulsating (pulsation yog tus qauv, tab sis nws yuav tsum nyob rau tib theem nrog cov pob txha hauv paus);
- nws pib quaj nyuaj thaum koj tuaj tos;
- yog koj muab nws tso rau hauv ob txhais caj npab, nws tsuas rub nws ob txhais ceg mus rau nws lub plab, nws yuav tsis khoov los yog unbend lawv.
Ib pob khaus yog ib qho kev xaiv tab sis muaj feem yuav tshwm sim ntawm meningitis. Yog li ntawd yog tias kojkoj pom cov pob liab liab, thiab yog tias nws tsaus, tsis ploj thiab tsis tig daj ntseg thaum nias lub khob (piv txwv li, iav), txawm tias tsis muaj lwm yam cim tau piav qhia saum toj no, koj tseem yuav tsum nrhiav kev pab kho mob.
