Zamkatimu
Viral meningitis: tanthauzo ndi zomwe zimayambitsa
Meningitis ndi kutupa kwa meninges, nembanemba zopyapyala zomwe zimazungulira ndikuteteza ubongo ndi msana (zomwe zimapanga dongosolo lapakati lamanjenje). Nthawi zambiri zokhudzana ndi matenda a virus, bakiteriya, parasitic kapena mafangasi, matenda oumitsa khosi amaonekera makamaka ndi owonjezera cerebrospinal madzimadzi, amene kumawonjezera intracranial kuthamanga ndi kuyambitsa zizindikiro zosiyanasiyana.
Malingana ndi kachilombo kameneka, pali mitundu yosiyanasiyana ya meningitis, kuphatikizapo bacterial meningitis, yomwe ndi yowopsa kwambiri.
Viral meningitis, kumbali ina, imatha kuyambitsidwa ndi mitundu ingapo ya ma virus, Ngakhale ambiri amayamba chifukwa cha enterovirus, monga echovirus, mavairasi a coxsackie (Dziwani kuti mtundu A umayambitsanso matenda a phazi lamanja) kapena ma virus a polio (omwe amayambitsa poliomyelitis).
Ma virus ena amatha kuyambitsa viral meningitis, monga omwe amachititsa:
- nkhuku kapena shingles;
- chikuku;
- rubella;
- mphuno;
- HIV;
- matenda mononucleosis;
- herpes.
Dziwani kuti, kwenikweni, katemera wa chikuku, mumps, rubella ndi poliyo kupewa matenda oumitsa khosi okhudzana ndi izi. Ma virus angapo omwe angayambitse meningitis amakhudzidwa ndi katemera wokakamizidwa, womwe umaphatikizapo 11 pathologies.
Meningeal syndrome imakula
Pankhani ya virus meningitis, ndi matenda a meningeal syndrome, chizindikiro cha kutupa kwa meninges, chimakhala chofala. Zizindikiro zazikulu ndi izi:
- mutu (mutu);
- kuuma kwa khosi;
- photophobia (kukhudzidwa ndi kuwala);
- nseru ndi / kapena kusanza.
Mosiyana ndi bakiteriya meningitis, matenda opatsirana, omwe amadziwika pakati pa zinthu zina ndi kutentha kwakukulu, samadziwikiratu, ngakhale alipo poyamba.
Dziwani kuti kachilombo kameneka kakhoza ndiye kapena nthawi yomweyo kupatsira ziwalo zina, ndikuyambitsa mphuno, zilonda zapakhosi, khutu, chifuwa, zidzolo kapena kupuma.
Zizindikiro zosadziwika mwa makanda kapena makanda
Chisamaliro, mwa khanda (wakhanda kapena wakhanda), zizindikiro zimatha kusokonezedwa ndi za matenda ena kapena matenda a virus omwe adasanduka meningitis.
Choncho, ndi nkhani ya kukhala tcheru ndi tcheru pamaso pa mawonekedwe amphamvu malungo, kusowa kwa njala, kusachita chidwi kapena kusokonezeka kwa chidziwitso, khungu lotuwa, kugwedezeka, kusachita bwino kwa mwana kapena kulira kosalekeza. Mwanayo akhozanso kukhala ndi fontanel ya kumutu chifukwa cha kuchuluka kwa madzi muubongo chifukwa cha meningitis.
A lumbar puncture kutsimikizira matenda
Ma virus atha kutsimikiziridwa kapena kutsatiridwa kuti agwirizane ndi bakiteriya meningitis pambuyo poyesa cerebrospinal fluid. kupweteka kwa lumbar, ndi kusanthula chitsanzo. Dziwani kuti palibekuthamanga kwa khungu (purpura fulminans, chizindikiro chadzidzidzi chowopsa cha meningococcal meningitis) chikhoza kale kuwongolera matenda a virus meningitis, monga momwe angapangire madzi owoneka bwino a muubongo.
Nthawi zina, makamaka kwa ana kapena makanda ndipo ngati zizindikiro zikudetsa nkhawa, mankhwala opha maantibayotiki amaperekedwa mwachangu podikirira zotsatira za kuwunika kwa cerebrospinal fluid, kuti achepetse zotsatira zake ngati apezeka kuti ndi bakiteriya meningitis.
Kufala kwa viral meningitis kumatengera kachilombo komwe kakhudzidwa.
Pankhani ya enteroviruses, yomwe imayimira ambiri a virus meningitis, kufala kumachitika makamaka kudzera mwa kukhudzana kwambiri ndi munthu yemwe ali ndi kachilomboka, kudzera muzitsulo za nasopharyngeal, mwa kuyankhula kwina madontho a malovu (postilions, chifuwa, kugawana zinthu zowonongeka). Chotero kupsompsonana ndi kuyandikira pafupi kuyenera kupeŵedwa kotero kuti wodwalayo apeŵe kupatsira achibale ake kachilomboko.
Kupatsirana kungathenso kuchitika kudzera m'magazi, kuchokera kumalo opatsirana omwe ali kwinakwake m'thupi, makamaka ngati mumps, nkhuku kapena shingles, kapena rubella. Mwanayo amayamba kudwala matenda opatsirana kwambiri otere asanayambe kusanduka ma virus oumitsa khosi.
Le kukhudzana ndi chimbudzi choipitsidwa kuchokera kwa munthu yemwe ali ndi kachilombo kungayambitsenso matenda, chifukwa chake ndi bwino kusamba m'manja bwino posintha khanda la meningitis, ndi kupha tizilombo toyambitsa matenda nthawi zonse (kapena kusunga zimbudzi za munthu aliyense) ngati wamkulu kapena mwana m'banja akudwala. kuchokera ku viral meningitis.
Ngati tizilombo toyambitsa matenda timayamba ndi chikungunya, Zika kapena kachilombo ka West Nile, kufalitsa kumachitika chifukwa cholumidwa ndi udzudzu wa tiger womwe uli ndi kachilomboka.
Pomaliza, ngati kachilombo koyambitsa matenda a meningitis kalumikizidwa ndi kachilombo ka HIV, matendawa adachitika kudzera mu kugonana kapena kugawana singano zomwe zili ndi kachilombo.
Ngakhale zingakhale zochititsa chidwi chifukwa cha zizindikiro zake, viral meningitis ndi zambiri zabwino. Mwa munthu wopanda zofooka za chitetezo chamthupi, machiritso nthawi zambiri amapezeka popanda sequelae patatha masiku angapo, khumi kwambiri. Kupumula kwa bedi ndi mankhwala ochepetsa ululu nthawi zambiri kumakhala kokwanira kuti wodwalayo achire.
Popeza viral meningitis imayambitsidwa ndi kachilombo osati bakiteriya, sikoyenera kulembera maantibayotiki (ochepa kamodzi kuti matendawa atsimikiziridwa). Chithandizo makamaka chimakhala ndi zizindikiro, motero chimakhala chochepetsa zizindikiro zoyambitsidwa ndi meningitis, monga kutentha thupi kapena mutu.
Only kwambiri mitundu ya tizilombo toyambitsa matenda oumitsa khosi, makamaka meningoencephalitis ogwirizana ndi nsungu, amafuna ntchito sapha mavairasi.
magwero:
- https://www.ameli.fr/assure/sante/themes/meningite-aigue/definition-causes-facteurs-favorisants
- https://www.associationpetitange.com/meningite-virale.html
- https://www.meningitis.ca/fr/ViralMeningitis