Encephalitis: cov tsos mob nyob rau hauv cov me nyuam, cov teebmeem ntawm

Thaum lub sij hawm lub caij ntuj sov, nws yog tshwj xeeb yog mob qhov teeb meem ntawm kev tiv thaiv ntawm encephalitis nyob rau hauv cov me nyuam thiab cov neeg laus. Txawm li cas los, ob peb cov neeg paub hais tias tus kab mob no yog tsis ib txwm muaj tshwm sim ntawm kis kab mob los ntawm ib tug zuam tom. Ua encephalitis yuav pab zoo yam kab mob los yog kab mob kab mob. Ntxiv mus, xws li ib tug kab mob nyob rau hauv cov me nyuam yog ntau dua rau cov neeg laus, vim hais tias cov me nyuam tseem insufficiently tsim tiv thaiv kab mob thiab lub cev muaj peev xwm los mus tiv thaiv nws tus kheej.

Yuav ua li cas yog encephalitis? Yuav ua li cas koj yuav tsum tau ua kom tsis txhob muaj kab mob? Yuav ua li cas yog cov tsos mob thiab kev kho mob ntawm encephalitis? Raws li nws yog tsim nyog los kuaj thiab nws yog qhov zoo tshaj plaws rau xa mus rau dab tsi cov kws txawj? Qhov tsab xov xwm yuav pab tau koj kawm cov lus teb rau cov lus nug no, ces tsis muaj tus kab mob yuav tsis caum koj tawm ceev xwm.

Kev txiav txim ntawm tus kab mob

Encephalitis - ib tug mob tus kab mob, txoj kev loj hlob ntawm cov uas yog txuam nrog ib tug kab mob los yog kab mob tus kab mob, thiab ua nyob rau hauv lub poob ntawm lub hlwb substance.

Qhov ntau txaus ntshai encephalitis? Cov tsos mob rau cov me nyuam thiab cov laus yog yus muaj los hnyav lub xeev ntawm tus neeg mob, uas nyob rau hauv nws tus kheej muaj ib tug tsis zoo feem. Txawm li cas los, tus kab mob no muaj ib tug zaum kawg tsis zoo txawm ntau. Lub txim ntawm encephalitis yog feem ntau tag nrho los yog ib nrab tuag tes tuag taw, lub paj hlwb thiab puas siab puas ntsws thiab tuag taus.

Pathogens ntxias o thiab los ntshav, ua kom puas membrane dab thiab neuronal puas qauv ntawm subcortical nuclei, raws li zoo raws li nws cov dawb thiab grey teeb meem. Nyob rau hauv tas li ntawd, tus kab mob kab mob yuav ua rau purulent kab mob ntawm lub Pia mater.

Ntau hom kev encephalitis

Txij li thaum tus kab mob no yog tshwm sim los ntawm txawv yog vim li cas thiab originators, thiab hais tias cov tsos mob ntawm encephalitis nyob rau hauv cov me nyuam (thiab cov neeg laus) ntawm lub sij hawm tej zaum yuav txawv nyob rau hauv lawv heev thiab ntev.

Yog li ntawd cia tus thawj txiav txim uas pab pawg thiab subtypes ntawm tus kab mob yog muab faib, thiab xwb ces tham txog nws cov kev kho mob thiab kev tiv thaiv.

Nyob rau hauv raws li qhov ua rau ntawm encephalitis yog thawj thiab.

Primary encephalitis yog ib qho kev ywj kab mob, zoo siab heev tsis zoo feem ntawm tus kab mob no nyob rau hauv lub cev. B encephalitis thawj tej zaum yuav raws li nyias ua rau:

- kab mob (herpes, mob khaub thuas, enterovirus, cytomegalovirus, kab mob dev vwm thiab ntawm al.);

- kab mob (neurosyphilis, typhus);

- raws caij nyoog (zuam, ib tug yoov tshaj cum, thiab li ntawd.).

Secondary encephalitis feem ntau tshwm sim raws li ib tug yam tab kaum los yog ntxiv rau twb uas twb muaj lawm tus kab mob. Nws yog lub txiaj ntsim ntawm:

- kab (chlamydial, malaria, toxoplasmosis);

- kab mob (tuberculosis, streptococcal, staphylococcal);

- teeb meem (qhua pias, rubella, chickenpox);

- txhaj tshuaj tiv thaiv (tom qab txhaj tshuaj tiv thaiv tiv thaiv qhua pias, kab mob ua qog, qhua pias).

Post-txhaj tshuaj tiv thaiv encephalitis - ib tug tshwm sim heev tsis tshua muaj thiab uncharacteristic. Tsis tau, yog tias ib tug me nyuam tom qab txhaj tshuaj tiv thaiv taub hau heev thiab mob taub hau, koj yuav tsum tau them ze mloog mus rau cov tsos mob no.

Yuav ua li cas yog qhov lawv ntawm kab mob rau lub paj hlwb? Nws tshwm sim rau hauv cov hlab ntsha, qhov twg cov kab mob, ib zaug nyob rau hauv cov hlab ntsha, yog raws kev coj kom lub chaw ntawm poob siab system.

Nws tseem yog heev tau plav lawv kis tau tus mob ntawm encephalitis (herpes), hu rau-tsev neeg thiab kev noj haus (enterovirus).

Tej zaum qhov ua rau ntawm encephalitis yog cov tshuaj lom los ntawm tshuaj lom nrog carbon monoxide roj los yog kev sib cuag nrog hnyav hlau, raws li zoo raws li kev tsis haum cov tshuaj tiv thaiv rau ntau hom ntawm pathogens.

Yog li, cov ua rau thiab mechanism ntawm tus kab mob peb ntsia. Yog li ntawd, muaj yog heev raus lo lus nug: yog dab tsi tej yam tshwm sim (cov tsos mob) ntawm encephalitis nyob rau hauv tib neeg?

Yuav ua li cas kom paub tias tus kab mob

Qhov ntawd yog manifested kab mob nyob lom zem ntau nyob rau hauv cov tsos ntawm nws qhov chaw. Txawm li cas los, muaj ib tug general daim ntawv teev cov tsos mob ntawm encephalitis nyob rau hauv tib neeg.

Ua ntej ntawm tag nrho cov, nws yog ib tug ntse nce nyob rau hauv lub cev kub, convulsions, fem thiab tsis meej pem, mob migraine. Yog li ntawd, yog hais tias tus me nyuam txoj kev kub thiab ib tug mob taub hau (thiab cov kev hloov nyob rau hauv nws lub xeev tshwm sim sai sai thiab dramatically) - yuav tsum yuav raug.

Yuav ua li cas yuav ntws ntawm ntau hom ntawm encephalitis? Cia peb kawm saib raws li thaum ntxov qhia kom paub txog tus kab mob no muaj ib tug zoo feem nyob rau hauv nws cov kev kho neeg mob.

Zuam mov encephalitis. Hom, Cov tsos mob

Zuam mov encephalitis nyob rau hauv cov me nyuam yog heev txaus ntshai. Nws yuav tawm tom qab lub incurable los - neurological mob uas yuav ua rau ib tug me nyuam Xiam Oob Qhab mus ib txhis.

Tej zaum nws yog tsis muaj daim card uas lub feem ntau yuav cab kuj ntawm no hom ntawm encephalitis - ib tug zuam. Dev mub nyob feem ntau nyob rau hauv nraim fab thiab nyom, yog li ntawd yog koj tau ncaim tawm ntawm lub nroog, ib tug taug kev nyob rau hauv lub tiaj ua si los yog ua hauj lwm nyob rau hauv lub vaj, koj yuav tsum ua tib zoo xyuas daim tawv nqaij mus ntes no me ntsis kab.

Koj yuav tsum paub hais tias tsis yog ib txwm tus zuam nyob rau hauv lub cev tom qab. Feem ntau, cov txivneej sai sai tawm hauv lub stung qhov chaw, tsis zoo li cov maum, uas muaj peev xwm zaum nyob rau hauv lub qhov txhab rau ob peb hnub, pub rau cov ntshav thiab ua nyob rau hauv volume. Yog li ntawd, yog hais tias koj tsis tau pom nyob rau hauv nws lub cev los yog nyob rau hauv lub cev ntawm tus me nyuam zuam, tab sis koj muaj ib tug unpleasant ceeb toom tej yam tshwm sim, koj yuav tsum tam sim ntawd mus rau lub tsev kho mob.

Nco ntsoov tias lub ncu tus kab mob lub sij hawm encephalitis (i.e. lub sij hawm los ntawm tom qhov pib ntawm cov tsos mob) kav los ntawm ib mus rau peb lub lis piam thiab yog nrog los ntawm tsis muaj zog, mob ib ce, thiab kub ib ce. Tom qab ntawd lawv tau tuaj koom los ntawm convulsions, tsis nco qab, coma.

Nws yog noteworthy uas cov laus tus neeg, qhov nyuaj nws yog tus kab mob, thiab qhov nyuaj nws yuav npaj mus nws rov qab.

Nyob rau hauv cov tshuaj, qhia ob peb yam ntaub ntawv ntawm tshwm sim ntawm TBE:

1. Febrile (kub sawv rau plaub caug-ib degrees, tsis muaj zog, kub taub hau, mob nyob rau hauv cov nqaij thiab pob txha).
2. Meningeal (nce siab, muaj zog thiab nquag ntuav, tu-sauv, photophobia).
3. Cerebral (nco qab mob, convulsions, qaug dab peg).
4. Poliomieliticheskaya (mob mob ntawm nqos thiab ua tsis taus pa, tuag tes tuag taw rau cov nqaij ntshiv ntawm lub sab sauv ceg ntoo thiab caj dab).

Ib zaug ntxiv, cov tsos mob ntawm encephalitis nyob rau hauv cov me nyuam muaj peev xwm tshwm sim nyob rau hauv ntau txoj kev thiab tam sim no zoo li lwm yam kab mob kab mob. Yog li ntawd, nws yog ib qho tseem ceeb kom sai qhia qhov ua rau ntawm kev mob kev nkeeg, nrog ib tug kws kho mob thiab pib kho mob. Yog hais tias tus me nyuam lub kub thiab ib tug mob taub hau, ib tug kws yuav tsum hu rau tas.

Phaum mob encephalitis. Txiav txim cov tsos mob

Phaum mob encephalitis yog tseem heev heev thiab txaus ntshai. Lub causative tus neeg saib xyuas ntawm encephalitis xws daim ntawv tseem tsis tau txiav txim siab, tab sis nws twb nyuam qhuav ices tias nws nyob rau hauv cov qaub ncaug thiab hnoos qeev thiab tuag sai sai nyob rau hauv kev sib cuag nrog cov sab nraud ib puag ncig. Nws yog noteworthy tias nyob rau hauv thawj zaug kaum xyoo ntawm lub neej, cov me nyuam tsis tshua muaj mob muaj nkeeg los ntawm tus kab mob no.

Txij li thaum phaum mob encephalitis yuav kis tau los ntawm plav mob, ntawm chav kawm, hais tias nws vectors muaj mob tus kab mob no muaj thiab ncaj qha. Lub ncu tus kab mob lub sij hawm rau encephalitis mas nws txawv ntawm ib lub lim tiam rau ob lub hlis.

Cov tsos mob uas nrog tus kab mob no, nws yog muaj ntau yam heev. Qhov no yog me ntsis txog cov tus kab mob ua npaws, thiab ntuav, thiab nkees nkees. Noteworthy tseem muaj lwm yam tshwm sim - strabismus, unsteady moj yam, tinnitus, nce ntxhov siab vim, kev puas hlwb kev ntshawv siab thiab tsis txawj ntse.

Enterovirus encephalitis. symptomatology

Enterovirus encephalitis nrog ntuav thiab mob taub hau, povtseg tuag tes tuag taw thiab epileptic qaug dab peg. Qhov kawg feem ntau nyob rau hauv cov me nyuam ntawm heev me me muaj hnub nyoog.

Herpes encephalitis. Txiav txim cov tsos mob

Herpes encephalitis yog ib lub txim ntawm lub herpes kab mob no, yog li ntawd nws tau mus ntes ob plav thiab hu-tsev neeg.

Lub ncu tus kab mob lub sij hawm ntawm tus kab mob tej zaum yuav ib lub hlis. Tus kab mob tej zaum yuav tsum tau nrog los ntawm convulsions, tsis nco qab, daim tawv nqaij ua pob liab vog, ntuav, aggression, ntau yam ntawm hallucinations.

Yog hais tias tus me nyuam yog ntau tshaj kaum xyoo, herpes encephalitis yuav tsim mus rau hauv ib tug kab mob, thiab nyob rau hauv cov me nyuam mos tsis muaj kev kho mob yuav ua tau kom neeg tuag taus. Feem ntau cov feem ntau, herpes encephalitis yog txhais los ntawm SARS thiab stomatitis.

Secondary encephalitis. Hom, cov tsos mob

Secondary encephalitis yog vim rau muaj mob loj kis kab mob xws li qhua pias, rubella, chickenpox, thiab lwm tus neeg. Yog li ntawd, yog hais tias tus thawj kab mob mus, tab sis muaj encephalitic syndromes yuav tsum tau nrog ib tug kws kho mob sai li sai tau.

Feem ntau theem nrab encephalitis manifested nyob rau hauv 1-10 hnub ua raws li los ntawm ib tug ua pob liab vog thiab kub ib ce, ntuav thiab tu-sauv. Tej zaum (piv txwv li, qhua pias encephalitis), Parkinson tus kab mob thiab txawm dig muag yuav tshwm sim. Thaum varicella encephalitis nyob rau hauv cov me nyuam yaus muaj peev xwm co lub taub hau, staggering moj yam, co thiab qw nrov nrov rau nws.

Post-txhaj tshuaj tiv thaiv encephalitis

Post-txhaj tshuaj tiv thaiv encephalitis tshwm sim mas nyob rau hauv lub tsev kawm ntawv uas muaj hnub nyoog cov me nyuam, thiab feem ntau tshwm sim nyob rau hauv mob daim ntawv no, nyob rau hauv daim ntawv ntawm ib tug ntau yam ntawm neurological mob thiab kev ntshawv siab.

Yog li ntawd, peb to taub, dab tsi yog cov tsos mob ntawm encephalitis nyob rau hauv cov me nyuam. Tam sim no cia saib yuav ua li cas nws yog ua tau rau kev tshawb nrhiav thiab kho cov kab mob, raws li tau zoo raws li kev tsom xam kev tiv thaiv thiab txoj kev tiv thaiv kab mob.

txheej txheem mob

Yog hais tias koj nrhiav tau koj tus kheej los yog koj tus me nyuam muaj ib co tsos mob ntawm encephalitis, nyob rau hauv no tsab xov xwm, yuav tsum tam sim ntawd mus rau lub tsev kho mob. Koj yuav tsum mus xyuas xws tshwj xeeb:

- ib tug hoomaum los yog internist;

- neurologist;

- kis kab mob.

Txij li thaum encephalitis tau cov lus hais mob loj uas yog heev uas zoo sib xws rau cov tsos mob ntawm lwm yam kab mob, nws yog tsim nyog los ua kev cai ib txhij txhua kuaj mob.

Mob ntawm encephalitis muaj xws li, ua ntej ntawm tag nrho cov, cov kev tsom xam ntawm cov ntshav thiab zis, raws li zoo raws li X-rays ntawm lub ntsws thiab lub hlwb MRI. Nyob rau hauv tas li ntawd, tej zaum koj yuav yuav tsum tau ua ib tug lumbar tej (ie, CSF zauv rau kev tsom xam).

Yuav ua li cas cov ntaub ntawv tsom xam yuav pab txheeb xyuas encephalitis? Mob ntawm tus kab mob no yog raws li nram no:

1. Ib tug ntshav kuaj yuav ntes tej tshuaj uas yuav paub txog tus kab mob no (e.g., leukocytes yuav muab ntau zog los yog ceev ESR).
2. MRI los yog CT scan yuav tso cai mus saib lub cuam tshuam lub hlwb txhab los yog cerebral hemorrhage.
3. Needling los yog tsom xam ntawm CSF no nce nqi ntawm qab zib, protein, thiab lymphocytes nrog ntshav impurity.

Tsis tas li ntawd, nyob rau hauv tej rooj plaub, nws yuav raug muab tso rau ib tug virological tsom xam ntawm swabs los ntawm cov nasopharynx, uas yuav pab txiav txim rau cov theem ntawm kev tshuaj. Nyob rau hauv cov ntaub ntawv ntawm tsis ua hauj lwm ntawm lwm txoj kev kuaj mob tej zaum yuav ua ib lub paj hlwb me (ie laj kab kuaj ntawm lub paj hlwb cov ntaub so ntswg). Tej zaum lub sij diagnostic txoj kev yuav ua tau ib tug electroencephalogram, uas yog tau ua cov kev hloov nyob rau hauv qhov hluav taws xob kev ua ntawm lub paj hlwb.

Txheej txheem los kho tus mob ib tug kab mob

Txij li thaum cov teebmeem ntawm encephalitis yog heev txaus ntshai, koj yuav tsum pib kho nws sai li sai tau.

Yuav ua li cas yog cov kev kho mob ntawm tus kab mob no? Ntawm cov hoob kawm, lub hom phiaj ntawm ib tug yeeb tshuaj nyob rau hauv daim ntawv thiab hom ntawm tus kab mob. Txawm li cas los, tus neeg mob yuav tas muaj tsev kho mob. Los ntawm no yuav tsum tsis txhob tso tseg - qhov zoo tshaj plaws zoo thiab hais kev kho mob yuav muaj tsuas nyob ruaj ruaj.

Therapy encephalitis nqa tawm comprehensively thiab nyob rau hauv ob peb cov lus qhia:

1. Tee nyob rau hauv lub cev kub. Ua li no, cov me nyuam yuav pab tau cov cuab yeej nyob rau hauv muaj pes tsawg leeg uas yog "Ibuprofen" los yog "Paracetamol".
2. Tshuaj tua kab mob. Ntawm no pab tshuaj tua kab mob. Thaum cov zuam-borne encephalitis - "penicillin" thiab "Doxycycline", nrog mixed - "chloramphenicol" thiab "cefotaxime" thiab thiaj on.
3. Txum Tim Rov Qab ntawm poob siab system. Rau lub hom phiaj no, ascorbic acid, thiab cov vitamins, raws li zoo raws li "Pyracetam" thiab "Pantogam".
4. Immunostimulatory txoj kev kho. Lub hauv paus ntawm qhov kev kho no yog lus dag kom tus neeg mob kev tiv thaiv. Immunoglobulin tiv thaiv encephalitis yog muab rau paub thiab neutralize cov pathogen. immunoglobulin npaj yog muaj nyob rau hauv ntau cov chaw muag tshuaj nyob rau hauv peb lub teb chaws. Lawv muab tau los ntawm tib neeg ntshav thiab yog ib tug globular protein xwm. Qhov no hom ntawm txoj kev kho tej zaum yuav siv li intramuscularly los yog intravenously.
5. Ntaus cov tsos mob tshwm. Piv txwv li, mob tu-sauv taw "Seduxen" los yog "Sibazon", nrog rau cov kev loj hlob ntawm tuag tes tuag taw - "Neostigmine".

Ntawm cov hoob kawm, qhia ntxaws heev thiab kev kho mob yuav tsum tau xwb nyob rau hauv lub tsev kho mob. Nws yog yog li ntawd ib qho tseem ceeb vitally ua tib zoo ua raws li tag nrho cov kws kho mob cov lus qhia.

tiv thaiv kev ntsuas

Yuav ua li cas kom tsis txhob muaj kab mob encephalitis?

Thawj qhov uas koj yuav tiv thaiv koj tus kheej thiab koj tus me nyuam - yog nqa tawm raws sij hawm txhaj tshuaj. Txhaj tshuaj tiv thaiv tiv thaiv encephalitis (zuam) tshwm sim thaum lub sij hawm teem sij hawm los yog thaum muaj xwm ceev txhaj tshuaj tiv thaiv. Tsaug rau qhov tshuaj tiv thaiv kab mob yuav tsim tshuaj rau tshwj kom txhob yav tom ntej tus kab mob.

Nyob rau hauv tas li ntawd, nws yog tsim nyog nyob rau hauv ib tug cai sijhawm los mus txhaj tshuaj tiv thaiv kab mob uas yuav ua rau txoj kev loj hlob ntawm encephalitis. Piv txwv li, yog ib lub sij hawm tsim los ntawm lub Ministry of Health txhaj tshuaj me nyuam ntawm preschool thiab lub tsev kawm ntawv uas muaj hnub nyoog tiv thaiv qhua pias, rubella thiab chickenpox. Yog li ntawd tsis txhob muab los ntawm tus me nyuam txhaj tshuaj tiv thaiv.

Ib qho tseem ceeb txoj kev uas yuav tiv thaiv kom txhob yog cais tawm ib tug neeg mob nrog encephalitis los ntawm cov neeg noj qab, tshwj xeeb tshaj yog cov me nyuam. Cov chav tsev yuav tsum nyob rau hauv tus txheej txheem ntawm mus tas li cua, thiab yus tej khoom ntawm lub mob yuav tsum tsis tu ncua tsau tsis tau tshuaj.

Thiab ntawm cov hoob kawm, qhov tseem ceeb kev ntsuas ntawm kev tiv thaiv ntawm zuam-borne encephalitis yog los tiv thaiv cov tawv nqaij los ntawm cov teeb meem kab tom. Ua ntej mus rau hauv lub hav zoov li sai tau, hnav ib tug kaw, kaw ntom nti ua-haum khaub ncaws, dua li lub teeb, khoom xim. Thaum lub sij hawm thiab tom qab ib tug mus ntsib mus rau lub cheeb tsam ntawm kev pheej hmoo yuav tsum tau ua tib zoo xyuas koj tus kheej thiab koj tus me nyuam (tshwj xeeb tshaj yog hairlines), raws li zoo li tej tsiaj. Thaum kuv txog tsev, tej yam uas yuav tsum tau ua tib zoo co tawm thiab muab qhib.

Yog hais tias tus zuam tau pom - yuav nco ntsoov hu rau lub tsev kho mob thiab tejzaum nws tsis sim mus rub cov tshuaj tua kab nyob ib leeg.

Noj qab nyob zoo rau koj!