Matenda a meningitis omwe amapezeka ndi kutsimikizira kutupa kapena kutulukira matenda mu cerebrospinal fluid (madzi ozungulira ubongo). Izi zimakhala chifukwa chiwopsezo ndi matenda kapena kutupa kwa meninges, zomwe ndizomwe zimateteza, kuteteza, ndi kusokoneza ubongo.
Matendawa amagwiritsidwa ntchito pogwiritsira ntchito lumbar, yomwe imakhala yovuta koma imakhala yotetezeka, yesetsero yoyezetsa matenda yomwe imaphatikizapo kuchotsa madzi achitsulo pogwiritsa ntchito singano yomwe ili pansi.
Kuyesedwa / Kuyesedwa Kwapanyumba
Mutu umaphatikizidwa ndi khosi lolimba ndi zizindikiro zozindikiritsa za matenda a meningitis, ndipo pali zizindikiro zina zingapo zomwe mungayang'ane ngati mukuganiza kuti inu kapena mwana wanu akhoza kukhala ndi meningitis, kuphatikizapo mutu, wokhoma kapena wopweteka khosi, malungo, ululu wammbuyo , kuthamanga kwina paliponse pa thupi, ndi zizindikiro zofanana ndi chimfine.
Mapulogalamu ndi Mayesero
Mayesero angapo amatha kutsimikizira kuti matenda a meningitis ndi otani. Pamene meningitis imayambitsidwa ndi matenda, mayesero angathe kuzindikira kachilombo ka HIV kapena mabakiteriya omwe akuyambitsa.
Funso la Funduscopic
Dokotala wanu angayang'ane mkati mwanu pogwiritsa ntchito ophthalmoscope, yomwe imakweza malingaliro a diso lanu popanda kuigwira mwachindunji. Mayeso osadziwikawa amavomereza dokotala wanu kuti awone ngati muli ndi kutupa kapena kutayika m'maso mwanu, zomwe zonsezi zikhoza kusonyeza meningitis yapamwamba yomwe imafuna chithandizo chamankhwala mwamsanga.
Ndemanga Yoyang'ana
Ngati muli ndi meningitis yomwe yachititsa kuti kutupa kwina kulikonse kapena kuzungulira ubongo, adokotala akhoze kuona zizindikiro za kutupa poyang'ana mkati mwa khutu lanu.
Mayesero a Magazi
Mayeso a magazi angasonyeze zizindikiro za matenda monga maselo oyera a m'magazi. Ngati meningitis yanu ikuvuta ndi sepsis (matenda a magazi), kuyezetsa magazi kwanu kungasonyeze mabakiteriya. Viralitis (meningitis) sizimaphatikizapo magazi ndipo sichikugwirizana ndi chifuwa.
Kutenga Lumbar (LP)
Chiyeso chomwe chimaphatikizapo kuchotsedwa kwa mchere wambiri (CSF) kuchokera mthupi lanu, LP ndi mayeso ovuta. Ichi ndi mayeso otetezeka, ndipo dokotala yemwe akudziwa nawo amachita njirayi. CSF ndi madzi ozungulira ubongo wanu ndi msana ndipo imapereka chidziwitso chodziwitsa kwambiri. Idzauza ngati muli ndi meningitis ndi mtundu womwewo. CSF ikhoza kuwerengedwera kwa mapuloteni, maselo oyera a magazi, magazi, ndi zamoyo zopatsirana.
Ngati muli ndi LP, mwina mukhoza kunama pambali panu ndi miyendo yanu yolowa pamtunda mwathu kapena mutakhala ndi thupi lanu lopitirira pang'ono. Dokotala wanu adzasintha khungu lanu kumbuyo kwanu ndipo adzaika singano yopanda madzi kuti alowetse madziwo. Dokotala wanu akhoza kuyesa kuthamanga kwa madzi ngati CSF yanu ikuyamba kuyenda.
Zotsatira zofala kwambiri za LP ndi mutu, umene umakhala kwa maola angapo. Mukhoza kuthetsa izi mwa kumwa zakumwa zamadzi ndi kugona pansi pamalo otetezeka kwa maola angapo.
Electrephaphalogram (EEG)
EEG ndi mayesero a magetsi omwe amatha kuzindikira mphamvu za magetsi za ubongo. Kaŵirikaŵiri amagwiritsidwa ntchito kuti aunike momwe akugwirira ntchito ndi kusintha kwa chidziwitso.
Ngakhale si zachilendo kuti meningitis iwononge ntchito zamagetsi zolakwika mu ubongo, mungafunike EEG ngati mukugwira ntchito kapena kusintha kwa chidziwitso, zomwe ziri zizindikiro za matenda oopsa a mimba omwe apita ku encephalitis (matenda a ubongo).
Kujambula
Maphunziro a kufotokoza angakhale othandiza kwambiri poyesa matenda a meningitis. Zizindikiro za matenda a meningitis zingakhale zovuta kusiyanitsa ndi zizindikiro za matenda ena omwe amapezeka m'magazi, kotero kuti kujambula kungathe kusiyanitsa mofulumira chikhalidwe cha mthupi.
Ubongo wa CT kapena MRI
Kujambula kwa ubongo ndi jekeseni wosiyana kungawononge kutupa kwa meningitis. Ngakhale kutupa kwa meninges sikuwoneka pa maphunziro opanga ubongo, maphunzirowa angathenso kuzindikira zinthu zina monga mitsempha ya ubongo, kupwetekedwa, kutuluka mwa ubongo ndi abambo, ndi encephalitis zomwe zingabweretse zizindikiro zofanana ndi za meningitis.
MRI Yamtundu
Monga momwe zilili ndi ubongo wa MRI kapena ubongo CT, MRI ya msana ikhoza kuzindikira kutentha kwa ubongo. Zitha kuzindikiranso mavuto ena monga zotupa, magazi. kapena abscesses. Ngakhale ubongo CT uli wothandiza, katemera wa mpweya sagwiritsidwa ntchito poyesa kuganizira msana.
Chifuwa cha X Ray
Chifuwa cha X-ray chingathe kudziwa kachilombo koyambitsa matenda m'mapapo kapena mapapo, zomwe zingakhale chizindikiro kuti mabakiteriya kapena kachilombo koyambitsa matenda akukhudza mbali zina za thupi.
Kusiyanitsa kusiyana
Chifukwa chakuti meningitis imatha kuyambitsa ululu ndi fever, ikhoza kugwiritsidwa ntchito pa zizindikiro ndi matenda ena ndi mitsempha, makamaka oyambirira.
Flu kapena Viral Infection
Meningitis imayambitsa zizindikiro zomwe zimakhala zofanana kwambiri ndi matenda a chiwindi. Kusiyanitsa kwakukulu ndikuti zizindikiro za meningitis nthawi zambiri zimakhudza mutu, khosi, ndi maso, pamene matenda ena nthawi zambiri amatenga khosi ndi uchimo ndipo amachititsa kusuta, kusanza, ndi kutsekula m'mimba. Kawirikawiri, meningitis imakhala limodzi ndi chimfine.
Mutu wa mutu wa Migraine
Mutu wa mutu wa migraine umapweteka kwambiri pamutu ndi pamutu, phokoso, komanso pamutu, ndipo zingathe kuwonetsa zizindikiro za m'mimba.
Ngati mulibe mutu wa mutu wa migraine, musaganize kuti kupweteka mutu kapena kupweteka kwa mutu ndiko migraine. Ngati mwakhala ndi mutu wa mutu wa mutu, muyenera kupita kuchipatala ngati kupweteka kwanu kuli kosiyana ndi nthawi zonse kapena kumakhala ndi malungo.
Chitetezo champhamvu
Matenda aakulu omwe amakhudza thupi lathunthu akhoza kupanga zizindikiro zofanana ndi za meningitis, kuphatikizapo mutu ndi malungo. Kusiyanitsa kwakukulu ndikuti matenda osokoneza thupi samayambitsa ululu umene umasintha ndi thupi lanu, momwe matenda a meningitis amachitira.
Encephalitis
Encephalitis ndi kutupa kapena matenda a ubongo. Amaonedwa kuti ndi oopsa komanso oopsa kwambiri kusiyana ndi meningitis ndipo amafuna kuti azisamalidwa bwino kuti asatengeke.
Kusiyana kwakukulu pakati pa zikhalidwe ziwiri ndiko kuuma. Ngati muli ndi zizindikiro za meningitis, muyenera kupita kuchipatala mwamsanga ndipo mayesero a dokotala anu komanso mayesero anu amatha kusiyanitsa pakati pa zikhalidwe ziwirizi. Si zachilendo, koma meningitis imatha kupita ku encephalitis, makamaka ngati muli ndi kusowa kwa chitetezo cha mthupi.
Mitsempha Yovuta
Mtundu wosakanikirana kapena wotsekedwa wa mapewa apamwamba kapena kumbuyo kumbuyo ukhoza kupweteka kwambiri komwe kumapwetekanso ndi kuyenda. Kusiyana kwakukulu pakati pa minofu yovutitsa ndi meningitis ndikumva kupweteka kwa minofu kumakhala kozungulira kwambiri minofu ndipo nthawi zambiri kumakhala koipitsitsa ndi kusuntha dera lomwe liri moyandikana ndi ululu, pamene ululu wa meningitis umakula makamaka ndi kayendedwe za mutu ndi khosi.
Abambo a ubongo
Kulephera kwa ubongo ndi malo opatsirana mu ubongo. Mosiyana ndi matenda a meningitis ndi matenda a encephalitis, zingayambitse m'malo mwa zizindikiro zokhudzana ndi ubongo ndipo sizingayambitse malungo. A CT kapena MRI angagwiritse ntchito ubongo, womwe umafuna chithandizo.
Kuthamanga kwa Magazi Ochepa
Ngati muli ndi kutsika kwa magazi pazifukwa zina, monga kutaya madzi m'thupi, kutayika magazi, kapena matenda, mukhoza kukhala ndi chizungulire, kupweteka mutu, ndi kutopa. Monga ndi matenda a meningitis, zizindikiro zanu zikhoza kuwonjezereka ndi kusintha kwa thupi lanu.
Ngati muli ndi kuthamanga kwa magazi, musamayembekezere kukhala ndi malungo kapena khosi lolimba, ndipo dokotala wanu angathe kuzindikira kutsika kwa magazi ndi kuthamanga kwa magazi.
Kugonjetsa
Zokhumudwitsa nthawi zambiri zimachititsa kusintha kwa chidziwitso ndipo zingayanjane ndi mtima wofatsa, chizungulire, ndi mutu. Pamene kugwedeza kumayambitsa malungo, malungo amakhala mwachidule nthawi yayitali ndikukonzekera okha. Nthaŵi zina, matenda a meningitis, ndi ambiri omwe amachititsa encephalitis, amatha kupweteka.
Kukwapulidwa kapena kupuma mu ubongo, kapena Mimba
Izi zimapanga zomwe zimafotokozedwa ngati zilonda mu ubongo, zomwe zimabala zizindikiro za ubongo. Kawirikawiri, ziphuphu, magazi, ndi ubongo zimabweretsa zizindikiro zokhudzana ndi ubongo m'malo mwa zizindikiro zenizeni, koma nthawi zina zizindikiro zazirombozi zingagwirizane ndi za meningitis. Kufufuza kwa ubongo ndi kulingalira kwa ubongo kungakuthandizeni kuzindikira ngati zizindikiro zikupezeka.
> Zotsatira:
> Aronson PL, McCulloh RJ, Tieder JS, et al. Kugwiritsa ntchito Malangizo a Rochester kuti Azindikire Kuyamwitsa Ana Ndi Bacteremia ndi Meningitis. Kusamalira ana Emerg Care. 2018 Feb 5. do: 10.1097 / PEC.0000000000001421. [Epub patsogolo pa kusindikiza]
> la Motte MB, Abbas R, et al. Matenda opweteka kwambiri odwala omwe amavomereza kuti aseptic meningitis. Clin Med (London). 2018 Mar; 18 (2): 132-137. do: 10.7861 / clinmedicine.18-2-132.