Meningeal syndrome ndi mndandanda wa zizindikiro zosonyeza kusokonezeka kwa meninjesi (maselo omwe amazungulira ubongo ndi msana). Zizindikiro zake zazikulu zitatu ndi mutu, kusanza ndi kuuma kwa khosi. Meningeal syndrome ndizovuta zachipatala.

Tanthauzo la meningeal syndrome

Ma meninges ndi zigawo zoteteza ku dongosolo lapakati la mitsempha. Ndi ma nembanemba atatu otsatizana omwe amaphimba ubongo mumphuno ya cranial ndi msana wa msana (msana).

Timalankhula za meningeal syndrome kuti titchule mndandanda wazizindikiro zosonyeza kuvutika kwa meninges. Syndrome iyi imadziwika ndi zizindikiro zitatu:

• mutu (mutu),
• kusanza
• kuuma ndi kupweteka kwa minofu pakhosi.

Zizindikiro zina zimawonedwa pafupipafupi (onani gawo la "Zizindikiro" patsamba lino). Mosakayikira, malangizo achipatala ndi ofunika. Meningeal syndrome imafuna chisamaliro chokhazikika komanso chachangu.

Zifukwa za meningeal syndrome

Meningeal syndrome imawonekera mu meningitis (kutupa kwa meninges) ndi subarachnoid hemorrhages (kuphulika kwa magazi mu meninges). Zomwe zimayambitsa ndizosiyana.

Nthawi zambiri, kukha mwazi kwa subbarachnoid kumachitika chifukwa cha kung'ambika kapena kuphulika kwa intracranial aneurysm (mtundu wa chophukacho womwe umapangika pakhoma la mitsempha). Meningitis imachitika makamaka chifukwa cha matenda a virus kapena bakiteriya. Meningoencephalitis nthawi zina imawoneka pamene kutupa kumakhudza mitsempha ndi ubongo zomwe zimaphimba.

Chidziwitso: Nthawi zina pamakhala chisokonezo pakati pa meningeal syndrome ndi meningitis. Matenda a meningeal ndi zizindikiro zomwe zimatha kuchitika mu meningitis. Kumbali ina, matenda a meningeal angakhale ndi zifukwa zina kuposa meningitis.

Anthu okhudzidwa

Meningitis ikhoza kuchitika pa msinkhu uliwonse. Komabe, chiwopsezocho ndi chachikulu mu:

• ana ochepera zaka zitatu;
• achinyamata ndi achinyamata azaka zapakati pa 18 mpaka 24;
• anthu omwe ali ndi chitetezo chamthupi chofooka, chomwe chimaphatikizapo okalamba, anthu omwe ali ndi matenda aakulu (khansa, AIDS, etc.), anthu omwe ali ndi chikhululukiro cha matenda, omwe amamwa mankhwala omwe amafooketsa chitetezo cha mthupi.

Subarachnoid hemorrhage ndi matenda omwe amakhala osowa. Komabe, kuchuluka kwake kumawonjezeka ndi zaka.

Kuzindikira kwa meningeal syndrome

Meningeal syndrome ndi chithandizo chadzidzidzi. Poyang'anizana ndi zizindikiro zodziwika bwino kapena mukukayikira pang'ono, ndikofunikira kulumikizana ndi chithandizo chadzidzidzi.

Kuyeza kwachipatala kumatha kuzindikira zizindikiro za meningeal syndrome. Kuyesedwa kwina kumafunika kuti mudziwe chomwe chimayambitsa. Kuunikako ndi kuphulika kwa m'chiuno komwe kumaphatikizapo kutenga cerebrospinal fluid yomwe ili mu meninges kuti aunike. Kusanthula kumapangitsa kusiyanitsa pakati pa meningitis kapena subarachnoid hemorrhage.

Mayesero ena amathanso kuchitidwa isanayambe kapena itatha puncture ya lumbar:

• kufotokoza kwa ubongo;
• kufufuza kwachilengedwe;
• electroencephalogram.

litsipa

Meningeal syndrome imadziwika ndi zizindikiro zazikulu zitatu. Choyamba ndi maonekedwe a mutu waukulu, wofalikira komanso wosalekeza. Izi zimachulukirachulukira pakasuntha kwina, pamaso pa phokoso (phonophobia) komanso pamaso pa kuwala (photophobia).

kusanza

Chizindikiro chachiwiri cha meningeal syndrome ndi kupezeka kwa nseru ndi kusanza.

Kuuma kwamisempha

Mawonetseredwe a kuuma kwa minofu ndi chizindikiro chachitatu cha meningeal syndrome. Pali mgwirizano wa minofu ya msana (minofu yakuya ya dera la dorsal) yomwe nthawi zambiri imayambitsa kuuma kwa khosi komwe kumayenderana ndi ululu wotuluka kumbuyo.

Zizindikiro zina zogwirizana

Zizindikiro zitatu zam'mbuyomu ndizodziwika bwino za meningeal syndrome. Komabe, amatha kudziwonetsera okha m'njira zosiyanasiyana malinga ndi mlanduwo. Komanso si zachilendo kuti iwo azitsagana ndi zizindikiro zina monga:

• kudzimbidwa;
• kutentha thupi;
• kusokonezeka kwa chidziwitso;
• kusokonezeka kwa mtima kapena kupuma.

Kuwongolera kwa meningeal syndrome kuyenera kuchitika mwadongosolo komanso mwachangu. Zimafunika kuchipatala mwadzidzidzi ndipo zimakhala ndi kuchiza chiyambi chake. Chithandizo cha meningeal syndrome chikhoza kukhala:

• mankhwala a antibacterial meningitis;
• sapha mavairasi oyambitsa mankhwala ena meningoencephalitis wa tizilombo chiyambi;
• opaleshoni ya aneurysm.

Kupewa matenda a meningeal kumaphatikizapo kupewa chiopsezo cha meningitis ndi subarachnoid hemorrhage.

Pankhani ya meningitis, kupewa chiopsezo chotenga matenda kumatengera:

• katemera, makamaka motsutsana ndi mtundu wa Haemophilus Influenzae b;
• njira zaukhondo zochepetsera chiopsezo cha kuipitsidwa.

Pankhani ya subarachnoid hemorrhage, ndikofunikira kwambiri kulimbana ndi zinthu zomwe zingalimbikitse kukula kwa intracranial aneurysm. Chifukwa chake ndikofunikira kulimbana ndi kuthamanga kwa magazi ndi atheroma (kusungidwa kwamafuta pakhoma la mitsempha) mwa kukhala ndi moyo wathanzi womwe umaphatikizapo:

• zakudya zopatsa thanzi komanso zopatsa thanzi;
• kuchita masewera olimbitsa thupi nthawi zonse.