Meningitis cov tsos mob, kev kho mob thiab kev tiv thaiv

O ntawm lub paj hlwb los yog tus txha caj qaum hu ua meningitis. Muaj ob peb hom ntawm daim npluag paj hlwb. Muab qhov xwm ntawm tus mob tej zaum yuav purulent, seroplastic, serous thiab hemorrhagic. Adrift - mob, subacute, ntev. Localization ntawm lub inflammatory txheej txheem meningitis yog generalized thiab lub zos, raws li etiology - kab, kab mob, fungal, protozoal. Lub intensified cov txheej txheem ntawm meningeal voos intracranial siab zoo nkaus li hypoesthesia, nruj nyob rau hauv lub caj dab nqaij, paresis thiab tuag tes tuag taw ntawm nqua, mydriasis, nrig txog kev pom thiab lub rooj sib hais kev tsis taus, ataxia yuav squint.

Meningitis: Cov tsos mob, txoj kev kho mob

Raws li txoj cai, tus kab mob meningitis mob nrog kev nyuaj siab, pyrexia, mob taub hau, nkees, xeev siab thiab ntuav. Feem ntau tus mob tshwm sim nyob rau hauv lub caj dab thiab txo rov qab, tej zaum kuj muaj cov hemorrhages ntawm ntau ntau thiab tsawg nyob rau hauv daim tawv nqaij. Nws yuav tsum tau muab sau tseg hais tias tus kab mob no cov tsos mob rau daim npog hlwb yog nyob rau hauv lub hom ntawm tus kab mob. Piv txwv li, tus kab mob meningitis cov tsos mob yog zoo li cov tsos mob ntawm ib qho kev kis tus kab mob, uas nws provoked. Qhov no hom ntawm meningitis yog suav tias yog lub feem ntau txaus ntshai, cov tsos mob, uas manifest lawv tus kheej nyob rau hauv ib tug ob peb hnub, yog tsis heev cov lus hais. Feem ntau nyob rau hauv cov neeg mob uas muaj tus mob ntawm tuberculous meningitis, cov tsos mob tshwm sim tiv thaiv cov tom qab ntawm lub tuam tsis muaj zog thiab kub ib ce. Tsis pub dhau ob peb hnub, ib tug mob taub hau, xeev siab thiab ntuav. Cov neeg mob mob meningitis cov tsos mob feem ntau yog 3-4 hnub.

Therapy yog symptomatic thiab yog aimed ntawm hais lwm yam tshwm sim ntawm tus kab mob txaus ntshai rau lub neej thiab noj qab haus huv. Yuav kom txo tau tus nqi ntawm cov kua nyob rau hauv lub hlwb thiab cov nqaij mos ntawm cov kab mob siv diuretic tshuaj. Lawv mechanism ntawm qhov kev txiav txim yog txuam nrog nce urinary txaus, yog li lawv inhibit reabsorption ntawm sodium ions rau hauv lub raum tubules, uas ua rau poob dej reabsorption. Thaum cerebral edema yog zoo degidrattsionnye formulations (mannitol, uroglyuk, Lasix). Uroglyuk nruab nrab lyophilized urea tov, uas yog npaj tam sim ntawd ua ntej yuav siv. Contraindications rau kev siv ntawm cov tshuaj yog mob raum. Qhov zoo tshaj decongestants yog Lasix, nws cov nyhuv yog twb khees tom qab ib tug ob peb feeb. Nws muaj pov thawj uas muaj anti-edematous txiav txim corticosteroids (dexamethasone). Kwv yees li 12 teev tom qab lawv siv yog ib tug txo nyob rau hauv intracranial siab. Rau normalitsatsii microcirculation siv reopoligljukin, mannitol, furosemide. Nyob rau hauv lub xub ntiag ntawm tshuaj lom poob siab cov tsos mob thov cov tshuaj hormones (hydrocortisone, prednisolone, cortin thiab lwm yam) nyob rau hauv ua ke nrog nrog ascorbic acid, lub plawv tshuaj (kordiamin, strophanthin) agonists (ephedrine, phenylephrine). Raws li spetsefichesky txoj kev kho siv cov tshuaj tiv thaiv thiab ntshiab. ECD txhaj tshuaj tiv thaiv daim npluag paj hlwb 3, 4, 5 thiab 6 lub hlis, nrog neeg pheej rov qab txhaj tshuaj tiv thaiv ntawm 12 lub hlis. Txhaj tshuaj tiv thaiv tiv thaiv pneumococcal kab mob kuj tiv thaiv meningitis txoj kev loj hlob. Rau cov neeg mob laus tshaj li rau caum-tsib xyoo ntawm pom zoo siv ntawm pneumococcal polysaccharide tshuaj tiv thaiv. Tshwj xeeb yog nrov muaj txoj tshuaj tiv thaiv qhua pias, kab mob ua qog thiab qhua pias, lawv siv tiv thaiv tus me nyuam los ntawm cov meningitis uas tsim nyob rau hauv keeb kwm yav dhau ntawm cov kab mob.

Kev tiv thaiv ntawm meningitis

Nyob rau hauv tas li ntawd mus txhaj tshuaj tiv thaiv, nws yog tsim nyog los ua raws li cov kev cai ntawm tus kheej kev tu cev, tsis txhob hu rau qhov chaw muaj kab mob, raws li tau zoo raws li nqa ntawm meningococcal kab mob. Ib txhia hom meningitis yuav kis tau los ntawm plav mob thaum txham, hnoos los yog thaum lub sij hawm koj hnia. tus kheej kev tu cev yam khoom yuav tsum ib tug neeg (phuam, txhuam hniav).