Mob purulent meningitis yog cov txheej txheem inflammatory hauv daim nyias nyias ntawm lub hlwb thiab tus txha caj qaum los ntawm cov kab mob (meningococci, streptococci, staphylococci, pneumococci thiab lwm yam). Nws yog qhov txaus ntshai heev, raws li tus kab mob meningitis muaj nrog kev tuag ntau.
Precursors to meningitis:
- cov txheej txheem inflammatory hauv cov kab mob ua pa sab saud;
- txo qis kev tiv thaiv;
- kev raug mob ntau yam;
- congenital malformations.
Acute purulent meningitis - Cov tsos mob
thawj qhov tshwm sim ntawm tus kab mob no yog qhov kub thiab txias kom muaj nuj nqis siab (40 degrees thiab siab dua). Tom qab qhov kub thiab txias, tus neeg mob pib hnoos qeev nrog qhov tso tawm me me, txias txias, mob taub hau, thiab ntuav tshwm.
Txhawm rau txiav txim siab qhov kev kuaj mob kom raug, tus neeg mob raug kuaj rau caj dab txhav - nws tsis tuaj yeem khoov tus neeg mob lub taub hau mus rau hauv siab. Lawv kuj kuaj xyuas cov tsos mob Kerning zoo (tus neeg mob ua tsis tauunbend ob txhais ceg ntawm lub hauv caug sib koom yog tias nws yog khoov ntawm lub duav) thiab Brudzinsky - thaum txhais ceg involuntarily khoov los yog unbends ntawm lub hauv caug thiab lub duav pob qij txha nrog passive extension los yog flexion ntawm lwm ceg. Tag nrho cov no nrog rau qhov mob hnyav.
Tus mob purulent meningitis kuj tshwm sim los ntawm qhov pom ntawm hemorrhages hauv qab ntawm daim tawv nqaij thiab ntawm cov mucous daim nyias nyias - cov xim av tsaus nti ntawm qhov loj ntawm ob peb millimeters mus rau kaum ntawm centimeters. Lawv tuaj yeem npog tag nrho caj npab, ceg, thiab lwm yam.
Ntxiv mus, muaj zog convulsions, delirium, psychomotor agitation koom, nco ntsoov muaj kev cuam tshuam. Yav tom ntej, kev zoo siab raug hloov los ntawm kev tsim txom mus txog rau qhov tsis nco qab.
Diagnosis.
- Ntawm tus yam ntxwv daim duab ntawm tus kab mob.
- Kev muaj cov tsos mob meningeal.
- Muaj kev hloov pauv hauv cov kua cerebrospinal. Nws yog tau los ntawm lumbar puncture. Nyob rau hauv lub siab, ib tug yellowish-ntsuab kua ntws tawm ntawm koob. Microscopy qhia txog qhov nce ntawm cov cell mus txog 1 µl nrog rau qhov tseem ceeb ntawm leukocytes.
Acute purulent meningitis - kho mob
- Tam sim ntawd mus pw hauv tsev kho mob ntawm tus neeg mob hauv lub chaw kis kab mob.
- Tshuaj kho cov tshuaj tua kab mob. Cov tshuaj tua kab mob tseem ceeb siv hauv kev kho mob yog cephalosporins (cefotaxime, ceftriaxone thiab lwm yam).
- Ua ke nrog cov tshuaj tua kab mob, ib chav kawm ntawm cov tshuaj hormones, nrog rau prednisolone lossis hydrocortisone.
- Nco ntsoov sau tshuaj infusion nyob rau hauv daim ntawv ntawm kev daws cov ntsev, qabzib thiab ntxivtshuaj diuretics.
- Seduxen, Valium, Relanium yog tshuaj rau convulsive syndrome.
Kev tiv thaiv kab mob meningitis
Hnub no, cov kab mob meningitis tuaj yeem pom nyob txhua qhov chaw. Tsis muaj leej twg tiv thaiv kab mob. Tam sim no lawv tau tsim cov tshuaj tiv thaiv uas tsim los txhaj tshuaj tiv thaiv 23 kab mob ntawm ntau yam kab mob, suav nrog cov kab mob meningitis. Cov tshuaj tiv thaiv no yog Pneumo 23. Nws raug nquahu kom siv los ntawm 2 xyoos. Tsis tas li tam sim no, kev txhaj tshuaj tiv thaiv kab mob Haemophilus influenzae tau suav nrog hauv lub sijhawm txhaj tshuaj tiv thaiv hauv tebchaws. Nws yog nqa tawm rau cov menyuam yaus ntawm peb lub hlis, thiab rov txhaj tshuaj - ntawm rau lub hlis thiab ib xyoos.
