Meningitis hauv menyuam yaus: cov tsos mob, ua rau, kho thiab tiv thaiv

Cov txheej txheem:

Meningitis hauv menyuam yaus: cov tsos mob, ua rau, kho thiab tiv thaiv
Meningitis hauv menyuam yaus: cov tsos mob, ua rau, kho thiab tiv thaiv

Video: Meningitis hauv menyuam yaus: cov tsos mob, ua rau, kho thiab tiv thaiv

Video: Meningitis hauv menyuam yaus: cov tsos mob, ua rau, kho thiab tiv thaiv
Video: Qhov tseem ceeb ntawm koj mus txhaj koob tshuaj COVID-19 rau zaum ob (Hmong) 2024, Kaum ib hlis
Anonim

Cov niam txiv xav kom lawv cov menyuam noj qab nyob zoo, zoo siab thiab zoo siab! Tab sis qhov tseeb tsis yog ib txwm coincide nrog lub siab xav. Cov menyuam yaus qee zaum mob. Qee tus tsuas tiv taus qhov txias me me, thaum lwm tus mob hnyav dua. Cov tsos mob ntawm meningitis nyob rau hauv ib tug me nyuam yuav tsum tsis txhob ignored. Hauv qhov no, kev cuam tshuam kev kho mob yog qhov yuav tsum tau ua.

Yuav tsum sib ntaus rau koj tus menyuam. Tab sis qhov kev tawm tsam sai sai no, tus me nyuam yuav pib rov qab sai dua. Thiab nco ntsoov: kev kho mob yuav tsum tau ua raws li kev saib xyuas ntawm tus kws kho mob tshwj xeeb thiab hauv tsev kho mob nkaus xwb.

cov ntaub ntawv dav dav

Meningitis yog kab mob neuroinfectious. Cov kab mob ntawm lub hlwb thiab tus txha caj qaum yuav ua rau mob. Feem ntau tus kab mob no tshwm sim rau cov menyuam yaus hnub nyoog peb hlis txog peb xyoos. Tab sis qhov no tsis yog qhov tseeb. Koj tuaj yeem ua tau raws li cov tsos mob ntawm tus mob meningitis hauv tus menyuam hnub nyoog 8 xyoo thiab laus dua. Txhua hom kab mob no hnyav heev. Kev pab kho mob yog qhov tseem ceeb.

Tus kab mob tuaj yeem tshwm sim nws tus kheej thaum lub caij txias. Muaj zog tiv thaiv nwstab tom tsim. Koj tuaj yeem mob dua.

Qhov tshwm sim ntawm tus kab mob no, yog tias kev kho mob tsis raug lossis dhau sijhawm, yog kev tsis taus lossis tuag. Qhov tshwm sim yog ua txhaum ntawm lub hauv nruab nrab lub paj hlwb, kev puas siab puas ntsws, teeb meem puas hlwb.

Yog vim li cas thaum koj pom thawj cov tsos mob ntawm tus mob, koj yuav tsum tsis txhob noj tshuaj rau tus kheej. Tsuas yog ib tus kws tshaj lij uas tsim nyog yuav pab daws tus kab mob.

Qhov xwm txheej nyuaj ntxiv los ntawm qhov tseeb tias nrog mob meningitis, cov tsos mob ntawm cov menyuam yaus thaum lub sijhawm incubation tsis tuaj yeem kuaj pom. Lub causative tus neeg sawv cev tseem tsis tau tshwm sim tag nrho. Qhov kev puas tsuaj nws yuav luag tsis pom. Lub sijhawm ntawm theem no yog los ntawm ob peb teev mus rau kaum hnub. Nyob ntawm tus kab mob.

Cov tsos mob tseem ceeb yog mob taub hau
Cov tsos mob tseem ceeb yog mob taub hau

Tus neeg tuag ntawm cov menyuam yaus uas muaj kab mob meningitis yog kaum plaub feem pua. Kev txhaj tshuaj yog ib qho tshuaj uas tuaj yeem tiv thaiv qee hom kab mob.

Kev faib tawm

Ua ntej tham txog kab mob meningitis hauv menyuam yaus, cov tsos mob thiab kev kho mob, koj yuav tsum nkag siab txog kev faib tawm ntawm tus kab mob.

Nyob ntawm thaj tsam ntawm kev puas tsuaj rau cov meninges, tus kab mob tau muab faib ua:

  • Arachnoiditis (ib daim ntawv tsis tshua muaj). Kab laug sab plhaub puas lawm.
  • Pachymeningitis. Kev mob tshwm sim cuam tshuam rau cov tawv nqaij ntawm lub hlwb.
  • Leptomeningitis - yog qhov tshwm sim ntau tshaj. Cov arachnoid thiab mos plhaub "tau mob."

Nyob ntawm tus kab mob:

  • Pneumococcal - cov neeg mob yog lub hauv paus ntawm tus kab mobcov neeg mob thiab cov kab mob pathogen. Nws tshwm sim los ntawm pneumococcus. Nws tau nkag mus rau hauv lub cev, tiv thaiv kev ua ntawm cov tshuaj tiv thaiv hauv cov ntshav.
  • Meningococcal. Tus neeg sawv cev ua rau yog diplococcus.
  • Staphylococcal, feem ntau cuam tshuam rau cov menyuam yug tshiab lossis menyuam yaus uas tau siv tshuaj khomob.
  • Hemophilic. Yog vim li cas rau qhov tsos yog Haemophilus influenzae.

Nyob ntawm qhov ntws:

  • Serous meningitis hauv me nyuam. Cov tsos mob thiab cov tsos mob feem ntau tshwm sim hauv cov menyuam mos. Tus kab mob no mob me dua li cov kab mob purulent ntawm meningitis. Hom kab mob no yog tshwm sim los ntawm qhov muaj cov lymphocytes hauv cov kua cerebrospinal.
  • Purulent - tsim los ntawm cov kab mob (cov kab mob). Muaj ntau cov neutrophils hauv cov kua cerebrospinal.

Nco ntsoov! Yog tsis muaj kev kho mob raws sij hawm, tus kab mob, txawm li cas los xij nws yuav yog, ua rau muaj kev phom sij rau tus menyuam noj qab haus huv.

Yog vim li cas

Yog tus me nyuam muaj cov tsos mob ntawm tus mob meningitis, nws yuav tsum nrhiav kom paub tias yog vim li cas tus kab mob no.

  • Viruses: qhua pias, qaib pox, rubella, polio, Epstein-Barr virus.
  • Cov kab mob: streptococci, meningococci thiab lwm yam. Cov kab mob yooj yim tshaj plaws, Haemophilus influenzae.
  • Y Tuberculosis bacillus, fungi, helminths.

Tus kab mob kis tau los ntawm kev sib cuag nrog tus neeg mob. Tus kab mob muaj lub sij hawm incubation. Tseem tsis tau muaj cov tsos mob tshwm sim, tab sis tus me nyuam twb kis tus kab mob.

Cov menyuam yug ntxov ntxov feem ntau cuam tshuam; cov me nyuam mos nrog purulent pathologies; cov menyuam mos uas muaj kev raug mob thaum yug los thiab kev puas tsuaj ntawm lub hauv nruab nrab lub paj hlwbsystem.

Kab mob tshwm sim raws li hauv qab no: cov kab mob nkag mus rau hauv cov hlab ntsha. Lawv cuam tshuam tsis zoo rau hauv ob sab ntawm lub hlwb thiab cov kua cerebrospinal.

Lwm txoj kev kis kab mob yog los ntawm nasopharynx. Ua rau kis kab mob: tiv tauj nrog tus neeg nqa khoom lossis tus neeg mob, tiv thaiv tsis muaj zog.

Cov tsos mob yog kub taub hau
Cov tsos mob yog kub taub hau

Signs of disease

Thaum tus menyuam muaj mob meningitis, cov tsos mob hauv qab no tau pom (lawv ua rau): kub taub hau, mob taub hau, ntuav. Cov tsos mob no tseem hu ua meningeal triad.

Qhov kub nce sai mus rau plaub caug degrees, kav ntev li ob peb hnub. Hnub plaub, nws pib poob qis yog tias kev kho mob tau ua raws sijhawm.

Rau thawj cov tsos mob ntawm tus mob meningitis hauv menyuam yaus, koj tuaj yeem ntxiv: lethargy, tsaug zog, qaug zog.

Mob taub hau tshwm tam sim. Tus me nyuam tsis tuaj yeem qhia tau tias nws "tsis zoo", vim qhov kev hnov mob tsis muaj qhov tshwj xeeb.

Lub cim tom ntej ntawm tus kab mob yog ntuav ntuav (qhov ntuav ntawm lub hlwb swells). Nws tshwm tam sim ntawd, tsis muaj xeev siab. Tsis ua rau tus me nyuam mob.

Cov cim qhia ntawm tus kab mob

Kab mob meningitis hauv me nyuam muaj cov tsos mob zoo ib yam li lwm yam kab mob sib kis.

  • Lub cev kub nce.
  • Daim tawv nqaij daj ntseg, qee zaum cyanosis tshwm.
  • Cov leeg pib mob.
  • Tus me nyuam qaug zog, tsis xav ua si, quaj tas li.
  • Ntawm me nyuampoob qab los.

Nyob ntawm qhov xwm txheej uas ua rau muaj tus kabmob, qee qhov cim qhia yuav txawv.

Nyob rau hauv kab mob meningitis, cov tsos mob ntawm cov menyuam yaus yog tib yam li tau hais los saum no, tab sis muaj qhov sib txawv - qhov kub thiab txias tuaj yeem siab heev.

Cov kab mob ntawm tus kab mob ua rau purulent tawm ntawm pob ntseg.

Yog tias tus kab mob ua rau muaj teeb meem, ces ntshav siab yuav txo qis. Hauv qhov xwm txheej no, tus menyuam yuav tsis kam noj zaub mov nkaus xwb, tabsis tseem muaj dej.

Cov no yog cov tsos mob tshwm sim ntawm cov menyuam yaus, thiab tam sim no peb yuav kawm ntxiv txog lawv.

Lub cev kos npe

Kab mob txaus ntshai - meningitis. Cov tsos mob ntawm cov me nyuam yuav ua li cas paub txog thaum ntxov? Lo lus nug no ib txwm txhawj xeeb rau niam txiv. Thaum lawv pom qhov pathology sai dua, qhov kev cia siab ntau dua rau kev rov zoo yuav yog. Zoo li txhua yam kab mob, qhov mob ntawm lub hlwb muaj cov cim qhia ntawm lub cev. Lawv yuav pab kom pom tias muaj qee yam tsis raug rau tus menyuam. Paub txog lawv yog qhov tseem ceeb rau txhua tus, tab sis tshwj xeeb tshaj yog rau cov niam txiv uas muaj menyuam yaus hnub nyoog qis dua ib xyoos. Lawv qhia tsis tau dab tsi.

Thawj cov tsos mob ntawm tus mob meningitis nyob rau hauv cov me nyuam yaus yog ib tug muaj zog pulsation ntawm lub fontanel (qhov chaw ntawm lub pob txha taub hau uas tsis npog los ntawm cov pob txha) thiab nws o. Cov tsos mob no qhia tau tias muaj kev mob tshwm sim.

Cov tsos mob tshwj xeeb ntawm tus kab mob muaj xws li hauv qab no.

  • mob taub hau heev. Tus me nyuam rub nws lub taub hau tas li thiab qhwv nws.
  • Cov tshuaj tiv thaiv tsis zoo rau cov suab paj nruag nrov thiab lub teeb ci. Feem ntau tus menyuam pib quaj.
  • thawj cov tsos mob ntawm tus mob meningitis hauv cov menyuam yaus hnub nyoog 2 xyoos, nrog rau cov menyuam yaus txog li tsib xyoos, yog mob pob qij txha.
  • Tus me nyuam ua rau kov tsis txaus.
  • Muaj kev hloov pauv ntawm kev chim siab mus rau lethargy.
  • Zoo, xeev siab, ntuav.
  • Qee zaum muaj pob khaus ntawm daim tawv nqaij nrog hemorrhages. Nws yog cov tsos mob txaus ntshai ntawm meningitis hauv cov menyuam yaus hnub nyoog 4 xyoos thiab lwm pab pawg hnub nyoog. Cov pob liab feem ntau pib los ntawm qis qis thiab maj mam nce mus. Qhov ua rau ntawm tus kab mob no yog meningococcus. Hauv qhov no, peb tab tom tham txog purulent o. Hu rau lub tsheb thauj neeg mob tam sim ntawd.
Cov tsos mob - photophobia
Cov tsos mob - photophobia

cov yam ntxwv tshwj xeeb

Peb txuas ntxiv kev sib tham txog cov tsos mob ntawm tus mob meningitis hauv menyuam yaus tshwm sim thawj zaug. Cov cim ntawm lub cev tau txiav txim siab saum toj no, thiab tam sim no cia peb nyob ntawm qhov tshwj xeeb. Cov yav tas yog tus yam ntxwv tsuas yog rau tus kab mob no.

  • Tus neeg mob, nyob rau hauv txoj kab rov tav, sim tig nws lub taub hau mus rau hauv siab. Yog hais tias muaj mob ntawm daim tawv nqaij ntawm lub hlwb nyob rau hauv lub cev, ces nws ob txhais ceg yuav khoov uncontrollably.
  • Lesage's symptom. Kev tshuaj xyuas lub cev muaj zog. Thaum tus menyuam raug muab tso rau hauv qab ntawm caj npab, nws ob txhais ceg raug rub mus rau hauv plab.

Cov tsos mob ntawm tus mob meningitis hauv cov menyuam yaus 3 xyoos thiab laus dua tuaj zoo heev. Cov niam txiv tsis tas yuav ua xyem xyav tias ib yam dab tsi tsis zoo rau tus menyuam. Koj yuav tsum hu rau tus kws kho mob tam sim ntawd. Tsuas yog hauv qhov no peb tuaj yeem tham txog cov txiaj ntsig zoo ntawm kev kho mob.

Kev kuaj mob hauv tsevxwm txheej

Cov haujlwm hauv qab no yuav pab daws lossis lees paub koj qhov tsis ntseeg. Lawv tuaj yeem ua tau tom tsev.

  • Kuaj caj dab txhav. Tus menyuam lub puab tsaig yog nias rau ntawm lub hauv siab. Yog tias tus menyuam tsis tuaj yeem ua qhov no, ces cov leeg tsis tuaj yeem so tom qab contraction.
  • Kev kuaj mob los ntawm cov tsos mob ntawm tus mob meningitis hauv cov menyuam yaus hnub nyoog 3 xyoos thiab laus dua tuaj yeem lees paub raws li qhov no. Tus me nyuam pw ntawm nws nraub qaum, hauv caug khoov. Hais kom nws ncaj ib txhais ceg thiab muab tso rau ntawm qhov chaw. Tus neeg mob ua tsis tau li no. Qhov no xyuas qhov nro ntawm cov leeg ntawm sab nraub qaum.
  • Buccal symptom. Nias ntawm lub puab tsaig cheeb tsam ntawm ob sab - lub xub pwg nyom nce involuntarily. Cov leeg nraub qaum yog nruj. Hauv qhov no, tus menyuam zaum zaum tsis muaj kev txhawb nqa.
  • Pose "cocked the trigger". Tus me nyuam pw ntawm nws sab, taub hau rov qab, ob txhais ceg rub mus rau hauv plab.

Convulsions ntxiv rau cov tsos mob ntawm meningitis hauv cov menyuam yaus hnub nyoog qis dua 5 xyoos.

Kev kuaj kab mob

Thaum thawj qhov kev xav tias muaj mob ntawm lub paj hlwb, koj yuav tsum sab laj nrog kws kho mob tam sim ntawd. Tus kws kho mob tshwj xeeb tshuaj xyuas tus menyuam, sau ntawv kho mob. Nws yog ib qho tseem ceeb uas yuav tsum tau raws sijhawm.

Rau qhov kev kuaj mob kom raug ntawm tus mob meningitis hauv tus menyuam, cov kev kuaj hauv qab no paub meej cov tsos mob:

  • suav ntshav kom tiav. Cov txiaj ntsig tau pom tias muaj leukocytosis nrog kev hloov mus rau sab laug. Nce ESR.
  • Lumbar puncture, CSF kuaj. Tom qab noj cov tshuaj tsis pub dhau ob teev, cov kua cerebrospinal yuav tsum raug xa mus rau qhov chaw kuaj mob. NtawmQhov txiaj ntsig zoo, cov kua dej yog huab, muaj mis nyuj dawb, cov protein ntau ntxiv, thiab qabzib qis dua li qub.
  • Bacterioscopy. Cov khoom siv rau kev kawm yog muab los ntawm daim tawv nqaij, nasopharynx, cerebrospinal kua. Cov ntshav smears kuj yuav xav tau.
  • YBacteriological tsom xam. Cov tshuaj coj los ntawm cov kua cerebrospinal, nasopharyngeal mucosa thiab zis raug kuaj.
  • ntshav serology. Lub xub ntiag ntawm cov tshuaj tiv thaiv tshwj xeeb raug txiav txim.
kho tsev kho mob nkaus xwb
kho tsev kho mob nkaus xwb

Kev kho mob

Cia hais tias, tom qab ua tib zoo saib tus menyuam tus cwj pwm, koj pib xav tias nws muaj mob meningitis. Cov tsos mob ntawm cov me nyuam yuav ua li cas paub, koj twb paub lawm. Raws li koj paub, koj tau ua "kev kuaj mob". Tsis txhob ua siab deb ib feeb, hu rau kws kho mob. Tsuas yog nws thiaj yuav pab tau koj tus menyuam.

Kev kho mob tau ua hauv tsev kho mob. Tus neeg mob nyob ib leeg. Ntau qhov kev sim tau ua kom paub meej qhov kev kuaj mob.

  • Cov tshuaj tua kab mob tau muab tshuaj los tshem tawm cov kab mob.
  • Cov tshuaj tua kab mob dav dav siv los txhim kho cov nyhuv. Rau cov kab mob o, cov tshuaj muaj zog tshaj plaws hauv pab pawg no tau siv.
  • Cov tshuaj tua kab mob tau ntxiv rau cov tshuaj tua kab mob rau tus kab mob viral meningitis (cov tsos mob hauv cov menyuam yaus paub tseeb tias qhov kev kuaj mob no). Rau kev ua tau zoo dua, lawv tau txhaj rau hauv cov hlab ntsha lossis tus txha caj qaum.
  • Kuj sau tseg: tshuaj tua kab mob, tshuaj tiv thaiv kab mob thiab tshuaj tua dej. Lawv siv los txo cov tsos mob ntawm tus mob.

Diuretics tau muab tshuaj los txo qhov o ntawm lub hlwbcov tshuaj kho mob. Txhawm rau txhim kho kev ua haujlwm ntawm lub paj hlwb hauv nruab nrab, tus menyuam tau muab tshuaj nootropic: Piracetam, Nootropil thiab lwm yam. Steroid hormones yuav txhawb lub plawv cov leeg.

Cov kev kho mob suav nrog kev kho kom rov zoo. Thawj kaum plaub hnub yuav tsum tau pw so. Yog tias tsis pom qhov no, muaj teeb meem tshwm sim.

tiv thaiv - txhaj tshuaj tiv thaiv
tiv thaiv - txhaj tshuaj tiv thaiv

Tom qab kev kho mob tau zoo, ntau tus menyuam yaus yuav tsum kawm zaum thiab sawv dua. Thaum lub sij hawm no, cov me nyuam raug sau tseg physiotherapy ce thiab massage. Cov ntawv qhia zaub mov muaj ntau cov vitamins thiab protein.

Reviews

Cov neeg uas tau ntsib teeb meem no hais li cas? Lawv yuav muaj peev xwm sai, muab tswv yim thiab pab. Tau kawg, tsuas yog tus kws tshaj lij yuav ua txhua yam zoo, tab sis cov phooj ywg hauv kev txom nyem yuav qhia koj tias yuav ua li cas thiaj li tsis lig. Cia peb tham dua txog cov tsos mob ntawm tus mob meningitis hauv cov menyuam yaus. Cov lus teb los ntawm cov neeg uas nyob hauv cov hnub txaus ntshai no tuaj yeem pab tiv thaiv kev puas tsuaj.

Nws pib zoo li tus mob khaub thuas. Tsuas yog qhov kub thiab txias heev, thiab nws tsis tuaj yeem coj nws mus. Yog tias tus menyuam muaj mob caj dab thiab nws tsis nco qab, ces koj tsis tuaj yeem nkim sijhawm - mus rau tsev kho mob sai. Nyob ntawd lawv yuav kuaj thiab kuaj mob.

Dhau li ntawm qhov kub thiab txias, lub caj dab mob, nws nyuaj rau tus menyuam saib lub teeb, nws ntxhov siab heev. Cov niam txiv ntawm cov me nyuam uas tau mob meningitis kuj tham txog qhov no.

ntuav hnyav tsis tuaj yeem pab tau, tus menyuam kov lub hauv siab nrog lub puab tsaig, caj dab tsis khoov.

Txhua tus niam txiv hais, txhua yam los rauib leeg, tsis muaj sij hawm nkim. Txhua qhov kev tsis ntseeg tuaj yeem cuam tshuam los ntawm tus kws kho mob. Thaum thawj cov tsos mob tsis txaus ntseeg, hu rau lub tsheb thauj neeg mob.

tiv thaiv kab mob

Yuav kom tus me nyuam tsis txhob muaj mob, yuav tsum muaj kev tiv thaiv hauv qab no:

kev tiv thaiv kab mob - kev tu cev
kev tiv thaiv kab mob - kev tu cev
  • Muab tshuaj tiv thaiv kab mob meningitis rau koj tus menyuam.
  • Ntseev kom tshem tau cov kab mob uas tuaj yeem ua rau mob ntawm lub hlwb.
  • Txhim koj tus menyuam txoj kev tiv thaiv.
  • Sim kom tsis txhob muaj cov kab mob hypothermia crumbs.
  • Tsis txhob tiv tauj nrog cov neeg mob.
  • Qhia koj tus menyuam txog kev tu tus kheej.
  • Zaug koj tus menyuam.
  • Tsis txhob cia koj tus menyuam ua luam dej hauv dej qhib. Tshwj xeeb yog qhov muaj dej sawv.
  • Haus koj tus kheej thiab muab rau koj tus menyuam tsuas yog boils lossis dej fwj xwb.
  • Ntxuav txiv hmab txiv ntoo thiab zaub kom huv si ua ntej noj.

Nyob rau hauv xaus, kuv xav summarize.

prognosis - tag nrho rov qab
prognosis - tag nrho rov qab

Cov tsos mob ntawm tus mob meningitis hauv tus menyuam hnub nyoog 7 xyoo thiab lwm pab pawg hnub nyoog zoo ib yam. Tsuas yog cov me nyuam yaus tsis tuaj yeem qhia tau dab tsi thiab qhov twg lawv raug mob. Niam thiab txiv yuav tsum nkag siab qhov no los ntawm kev saib lawv tus menyuam. Tsuas yog vim tus me nyuam yuav tsis quaj. Cov kev qhia saum toj no yuav pab koj kuaj koj tus kheej. Tab sis nco ntsoov: tsis muaj kev kho tus kheej. Koj tus menyuam txoj kev noj qab haus huv nyob hauv koj txhais tes. Qhov sai dua koj hu rau tus kws kho mob tshwj xeeb, qhov kev cia siab ntau dua rau kev rov zoo. Qee zaum ib feeb ncua sij hawm tuaj yeem ua rau koj tus menyuam lub neej. Tsis txhob pheej hmoo, pab tus menyuam.

Pom zoo: