Tuberculosis meningitis iko kuputika kwezvipembenene zvakanyorova zveuropi. Chirwere chacho chechipiri, kureva kuti, chinopesana nechemberi yemapapu kana dzimwe nhengo dzomukati dzakatamiswa pamberi kana dziri munharaunda yakaoma yechirwere cheshuga.
Ko tuberculous meningitis inoparadzirwa sei?
Icho causative agent wechirwere ichi chirwere chinonzi tuberculosis microbacterium. Muuropi, kazhinji inouya kubva kune imwe, chinonyanya kukosha kwehutachiona. Muzvikamu zvitatu chete zvezviitiko izvo zvikonzero chaihwo zvechirwere hazvigoni kuiswa, mune zvimwe zviitiko zvinonyanya kukosha kwehutachiona hwehutachiona hunoonekwa mumuviri. Nzira huru yekuparadzira bhakitiriya inofungidzirwa kuti ndiyo inopfurikidza neropa, uye hutachiona hunoitika mumatanho maviri:
- Pakutanga kwekutanga, kuitika kwebhakitiriya yeTiberculosia kuburikidza nemigumisiro yevascula uye utachiona hweplexous vascular yevhopopomu yeuropi inoitika.
- Muchikamu chechipiri cheminingitis meningitis, bhakitiriya inopinda mumusana wemvura (cerebrospinal fluid), ichikonzera kuputika kwebhokisi rakaoma reropi.
Zviratidzo zvekutapukira kwemainititis
Pane zvikamu zvitatu zvekugadzirwa kwevanhu vane chirwere chinotyisa.
The prodromal period
Inopera kusvika kumavhiki matanhatu kusvika ku8 nekufambira mberi kwezviratidzo. Yokutanga kuoneka:
- lethargy;
- kusafarira;
- general weak;
- kugona;
- chizoro;
- periodic headaches.
Nokufamba kwenguva, musoro unowedzera, kushungurudza, kusuruvara, kutonhora kwemuviri, asi kunogona kukwira kusvika kuma 38 degrees.
Irritation period
Panguva iyi, zviratidzo zvinowedzera zvinoshamisa, kutonhora kwemuviri kunogona kukwira kusvika 39 ° C. Cherechedza:
- kurwadziwa kwakanyanya mumutsipa wepamberi uye wechipipital;
- kuzvidzora pasina kuputika;
- kusawirirana kune ruzha;
- photophobia.
Zvinowanzoonekwa uye zvinonyangarika mavara matsvuku paganda (vascular disorders).
Pazuva re5th-7 panguva iyi meningeal syndromes inooneka:
- mutsipa wakaoma;
- chiratidzo cheKörnig naBrudzinsky.
Uyewo inogona kuonekwa:
- kuchinja kweropa;
- kuwedzera kwekuyerera uye salivation;
- Matambudziko anooneka (kushungurudza, kupera kwemaonero, kuoma kwemajeri);
- kunzwa kutadza;
- kuderera kwekunetseka kwemakumbo;
- kuipa kwekutaura;
- hydrocephalus.
Terminal period
Chikamu chokupedzisira chechirwere. Zviratidzo zvinoreva encephalitis zvinowanikwa, uyewo:
- paresis uye kupera simba kwemukati wemunhu;
- tachycardia;
- kushungurudzika kwekutambudzika;
- kuramba kurasikirwa kwekuziva;
- kutonhora kwemuviri kwakakwirira (anenge 40 degrees).
Chikamu chekupedzisira chechirwere, kazhinji chinopera mumugumisiro unouraya.
Kuongororwa uye kurapwa kwevanhu vane chirwere chinonzi tuberculous meningitis
Kana pane kusava nechokwadi kwehutachiva hwemanicitis, nzira huru yekuongorora ndeyekuongorora kweperebrospinal fluid. Kushushikana mumugwagwa wepamuviri nechirwere chakadaro kazhinji kunowedzera, nokuti paunotora kuvhara, jet yezvinwiwa ichayerera sokunge iri pasi pezvinetso. Pavharetori inotsvakurudza kune doro rakasimudzirwa kuchengetwa kwemagetsi uye leucocytes, kunze kwemashure emadzivirire kusvika padanda reKoch inowanikwa. Munguva pfupi yapfuura, pakombiyuta uye maginist imaging resonance yakashandiswa pakuvaka uropi hwekuora.
Kurapa kwechirwere kwenguva yakareba (gore kana kupfuura) uye kuitwa mune dzimwe dzimba dzepamabhadharo uye zvipatara. Kunosanganisira kushandisa madhiragi maererano nemaitiro anokosha, sekune imwe nzira ipi zvayo yehutachi. Nokurapa zviratidzo zvinoshandiswa:
- antioxidants ;
- nootropic drugs;
- antihypoxants;
- diuretics (kuti kuderedze edema yeuropi);
- general detoxification therapy.
Migumisiro yehutachiona hwehutachiva
Dambudziko rakawanda rinowanzoitika munguva yechirwere ndiro hydrocephalus (hydrocephalus). Uyezve, kuora mwoyo kunokwanisika, kunetseka kwechivi kune rumwe rutivi rwemuviri, uye kuora mwoyo kunoonekwa (mune zvisingawanzoitika, kusati kwapera kurasikirwa zvachose). Kana zviitiko zvisingatarisirwi zvekurapa (18 kana kupfuura mazuva ekurwara), mikana yemugumisiro unouraya yakakwirira.