Matenda Brain arachnoiditis: Zizindikiro ndi Chithandizo

matenda opatsirana a etiology osiyana ndi kutanthauzira pambuyo generalizations zake n'koopsa ku kawopsedwe ambiri, komanso chifukwa cha kutupa meninges lapansi. Childs, odwala ndi amaganiza pang'ono za izo, ndi madokotala mwina kuphonya harbingers matendawo.

tanthauzo

Arachnoiditis - kutukusira kwa arachnoid msana kapena ubongo. Chotero magawano ndi pokhapo titachitapo monga mtundu wakutali mchitidwe matenda sanalembedwepo. Izi kugwirizana ndi chipangizo cha dongosolo la mtima. The matenda kufalikira kwa olimba kapena pial kotero arachnoiditis angayerekezedwe ndi meninjaitisi serous.

Mawu akuti "oziziritsa arachnoiditis" pang'onopang'ono inasanduka throwback kuyambira pathologically ndi kukomoka n'zovuta kupatukana ndendende kutupa arachnoid. Madokotala timakonda amakhulupirira kuti mawonetseredwe Kakhungu kuyabwa adzatchedwa meninjaitisi.

History ndi etiology

Kwa nthawi yoyamba mawu akuti "arachnoiditis" mu zolemba pamaphunziro ake anadzetsa mankhwala Tarasenkov pakati pa zaka za m'ma chakhumi ndi chisanu ndi chinayi. A nkhani zambiri za matenda wapereka BENNINGHAUS katswiriyu. Koma iye anaitana izo kunja kwa thupi serous meninjaitisi.

Arachnoiditis, komanso kutupa kwa zipolopolo zina, zikadzatha matenda pachimake ndi aakulu opatsirana, sinusitis, ndi maziko a kuledzera aakulu ndi mchere wa zitsulo ndi kuvulala. Komanso, kudwala uonekere pa maziko a ndondomeko khansa ndi encephalitis.

Chifukwa ambiri arachnoiditis ndi aakulu suppurative otitis TV ndi mavuto ake: labyrinthitis, petrozit ndi sinustromboz. Choncho, isanafalikire mu kumbuyo kapena pakati cranial fossa.

pa njira ya matenda lagawidwa pachimake, subacute kapena aakulu. A ndondomeko ambiri zimatulutsa akakufunsani ndi zochepa arachnoiditis. Monga ulamuliro, iwo amaphatikizidwa kapena akutsatira wina ndi mnzake chithunzi matenda.

zizindikiro

Kodi angasonyeze matenda monga arachnoiditis oziziritsa? Zizindikiro ndi osakaniza matenda wamba ndi ambiri ubongo. Woyamba zokhudzana ndi kuwonjezeka kuthamanga cerebrospinal madzimadzi, ndi mfundo yachiwiri ku malo gwero la kutupa. Malingana ndi mtundu wanji wa chizindikiro chimaposa, maonekedwe a matenda zingasiyane.

Nthawi zambiri kuchipatala pali madandaulo a mutu, limodzi ndi kunyansidwa ndi kusanza, osati kubweretsa zosabvuta. Ululu akhoza kuyang'ana pa malo amodzi, nakweza ndi zoyenda, nzeru kapena maganizo thupi. Komanso, pali chizungulire (ngakhale pamene chigonere), irritability, kufooka kwambiri, pamodzi ndi matenda tulo. Iwo angasonyeze photophobia, tsankho zikuimira mokweza, minofu chinthu chimodzimodzi.

Koma izi si chinthu chokha chimene chimaoneka ubongo arachnoiditis. Zizindikiro za matenda focal zimadalira malo ndondomeko pathological. Ngati cholinga ndi padziko otukukira kunja kwa ubongo, ndiye, osalephera, wodwalayo adzaona imfa ya ntchito, Makanema a khunyu khunyu. Location chofuna minofu padziko pansi ubongo amachititsa matenda a mitsempha cranial. Izi zizindikiro monga masomphenya utachepa kapena imfa ya madera ake, neuritis wa nkhope, trigeminal mitsempha, utachepa kununkhiza. Iwo akhoza pamodzi ndi kugonjetsedwa kwa maonekedwe a dongosolo autonomic mantha (thukuta kwambiri, khungu bluish, ludzu, pafupipafupi pokodza, kuchuluka magazi shuga).

Dongosolo lomenyera ndipo makope mowa angakhalenso ubongo arachnoiditis. Zizindikiro za chikhalidwe ichi kuwonekera lakuthwa kuwonjezeka kutentha, kusanza, kupweteka kwa khosi ndi nape, nystagmus ndi kuwongolera bongo tendon. Zikatero, onetsetsani kuti kusiyanitsa pakati zizindikiro pathological wa chitukuko cha zotupa zapambuyo fossa. Komabe, lumbar puncture akhoza kuchitika pokhapokha ngati fundus palibe kuchulukana.

arachnoiditis oziziritsa

Ngati cholinga yotupa ndi pa otukukira kunja (convexital) padziko, umatchedwa "oziziritsa arachnoiditis ubongo." Zizindikiro monga mawonetseredwe ake kugonjetsedwa kwa meninges, ndi kuyan'anila za outflow wa madzimadzi. Ambiri woyamba chizindikiro ndi mutu kwambiri. Chifukwa cha kutupa kwa zimakhala zachilendo makope madzimadzi cerebrospinal ndi zovuta, zomwe zingadzetse kudzikundikira ndi chitukuko cha matenda oopsa intracranial.

Oziziritsa arachnoiditis ubongo, matendawo akhoza kutengera matenda ena, nthawi zambiri ili mu Lobe mazunzo, m'dera mu gyrus chapakati. Chifukwa cha ichi, kawirikawiri galimoto chisokonezo mawonekedwe a phindu kapena imfa kuyenda kapena kutengeka. Pamene psinjika za kukondoweza yokhudza kotekisi ndipo zikhoza kukhala mogwirizana epileptiform khunyu. Zikavuta, pali khunyu chachikulu, sipangakhalenso lidzasinthidwa udindo epilepticus. Zikatero, yofunika kwambiri ndi ankaimba ndi electroencephalography. Pneumography madokotala amakono kawirikawiri ntchito chifukwa cha luso yeniyeni kumayambiriro mpweya pansi pa akalowa ubongo, ngakhale njira kufufuza mu nkhani iyi ndi nkhani kwambiri.

Kuwala-chiasmatic arachnoiditis

Zochita matenda m'munda wa Kuoloka kwa mitsempha chamawonedwe ndi ambiri oziziritsa arachnoiditis. Zizindikiro za kutanthauzira izi silipita matenda yake. Zifukwa tingaone malungo, chindoko, zoopsa choipa ubongo ndi zilonda zapakhosi.

M'dera la chamawonedwe adhesions chiasm mawonekedwe ndi cysts ndi okhutira serous, ndipo nthawi kwambiri makamaka kuzungulira chamawonedwe chiasm limapezeka wandiweyani minofu yovulazidwa. zosinthika izi matenda ndi osati m'dera. Mungaone kusintha minofu mantha, ndi pa mtunda wautali kuchokera ku gwero. Chifukwa kutupa kwa mitsempha chamawonedwe kumbali zonse ziwiri pansi psinjika za ischemia chifukwa.

Matendawa akufotokozera pang'onopang'ono, poyamba kumenya diso limodzi, ndipo patatha masabata angapo, ndipo wina. Mu chitukuko cha matenda a mtima anadandaula ululu kumbuyo eyeballs lapansi. Ichi chizathandiza masiyanidwe matenda a neuritis wa etiologies zosiyanasiyana. Kudziwa malo yotupa ntchito tanthauzo la minda zithunzi ndi fundus bwino. Kwambiri yodziwika ndi imfa ya minda zosatha zithunzi kapena concentric kuchepetsa izo. Izi zikusonyeza kuti cholinga cha kutupa ili pakati, pakati pa mundawo chamawonedwe.

Arachnoiditis zapambuyo fossa

Mu zapambuyo pa fossa zambiri isanafalikire oziziritsa oziziritsa arachnoiditis. Zizindikiro amafanana occipital wake Lobe zotupa ndi zigwirizana wa tsinde ndi mawonetseredwe cerebellar (kugonjetsedwa kwa awiriawiri wachisanu ndi chiwiri ndi chitatu la misempha cranial).

Kugonjetsedwa kwa cerebellum ndi akuwonetseredwa mu kusakhazikika kuyenda ndi zinthu akewo kugwirizana osauka kayendedwe ka manja ndi miyendo, komanso kulephera imodzi kuchita zochita zingapo, monga wodwala ayenera zowoneka kulamulira miyendo yake, kuti mukonze zinthu.

Symptomatology zimadalira maonekedwe a kutupa (chotupa kapena ndondomeko zomatira), kutanthauzira kwake pamodzi ndi hydrocephalus. Yotsirizira mwina chifukwa alipo a polankhula ventricles mbali ya ubongo chifukwa cha kusintha pathological minofu. Oversupply mtima meninges madzi ndi zimayambitsa kuwonjezeka kuthamanga intracranial. Kuwonekera kwa matenda izi lakuthwa mutu, nseru, kusanza, chizungulire, kuchepa kugunda kwa mtima.

msana arachnoiditis

Mtundu wa choipa kumachitika pamene munthu CSF panopa kapena magazi kwa chingwe msana afika nthumwi opatsirana imene inachititsa arachnoiditis ubongo. Zizindikiro ndi zotsatira zimadalira ndondomeko yogawa ndi chiwerengero cha mizu kuonongeka. Zimayambitsa matenda kuwonjezera pa kale mayina kungakhale zithupsa ndiponso zamafinya zinangoti abscesses.

The Clinic msana zotupa chingwe ndi wofanana ndi zotupa extramedullary. Nthawi zambiri kutanthauzira - ndi thoracic ndi lumbar zigawo, dera mchira akavalo. Madzimadzi cerebrospinal zimawonedwa selo mapuloteni dissociation. Childs, msana arachnoiditis mawonekedwe ndi aakulu.

diagnostics

Kupeza matenda, dokotala mu malo oyamba amatenga mbiri ya moyo ndi thanzi, kenako amakhala kudzifufuza thupi, kuphatikizapo kufotokoza ndi udindo ubongo. Ndiyeno yekha kulera zasayansi zina ndi njira malangizo a kafukufuku.

Ntchito yoyamba katswiriyu ndi - kuti achotse zotupa ubongo amene akhoza kutengera arachnoiditis ubongo. Zizindikiro, chithunzi chigaza pa kompyuta kapena kumveka mankhwala maginito angathandize mu izi. Komanso, kraniogramme kudzakhala zizindikiro zosonyeza wa matenda oopsa intracranial. Nkhani ndi zotsatira amaonedwa echoencephalography, angiography ndi scintigraphy, koma dokotala mu malo oyamba motsogozedwa ndi Kujambula.

Electroencephalography kumathandiza localize foci kutupa ndi kudziwa chifukwa cha khunyu khunyu. CSF kusanthula amasonyeza chiwerengero zolimbitsa maselo, mapuloteni yaing'ono dissociation, koma cerebrospinal utuluke madzimadzi opanikizika, kutsimikizira hydrocephalus. Komanso, njirayi, thanzi wodwalayo ali bwino ndi kuchepetsa kuthamanga intracranial.

chithandizo

Kodi kuchitira arachnoiditis oziziritsa? Izi ndi nthawi yambiri kwambiri ntchito. Choyamba muyenera kudziwa chifukwa mmene yotupa ndi kuyesa kuthetsa nkhaniyo. Chifukwa chaichi, yotakata-sipekitiramu mankhwala omwe kudutsa magazi ndi ubongo chotchinga. Kuchepetsa minofu edema ntchito mankhwala ndi zakupha chikumbumtima wothandizira.

Chithandizo cha arachnoiditis oziziritsa anaikira mankhwala yaitali njira mbali yomwe watsimikiza ndi minofu yovulazidwa. Powonjezera m'pofunika matenda a kuthamanga intracranial, patsogolo outflow wa madzimadzi cerebrospinal, Zimachititsa oziziritsa magazi ndi kupereka mpweya ku mitsempha minofu.

Ambiri, mukufuna yokonzanso zinthu zonse zimene zingawononge ndi arachnoiditis ubongo. Chithandizo medicaments, mwachitsanzo biogenic ogalamutsa "ligase" "pirogenalom" maphunziro kwa jekeseni khumi ndi miyezi sikisi iliyonse, amapereka zotsatira zabwino ngakhale milandu yovuta. Ntchito okodzetsa kuthamanga kuchepetsa ndi decongestants. antiepileptics abwino mpumulo wa khunyu.

Monga prophylaxis wochititsidwa mankhwala zobwezeretsa, ndi mavuto ena ntchito mankhwala symptomatic.

Kuneneratu ndi kapewedwe

mankhwala oyambirira a arachnoiditis oziziritsa zambiri Wamaliza kuchira. Chiopsezo akhale yekha yotupa ndondomeko, limene lili mu zapambuyo fossa ndi ventricles limodzi mabowo kulowererana. Worsens kuti madokotala ananena zawo za musabise pafupipafupi matenda kapena kumapeto mwapang'onopang'ono maziko a mavuto hypertensive, epileptiform khunyu, komanso kutanthauzira kutupa mu ziyerekezo kwa chamawonedwe chiasm.

Kodi muyenera kuchita kuteteza arachnoiditis oziziritsa? Zotsatira za akuluakulu ake zokwanira, kotero muyenera kulabadira thanzi lawo ndi nthawi kuti ntchito kuchipatala kuti akuthandizeni. M'pofunika kuchita kupewa sinusitis, media otitis ndi sinusitis anaika pa kalendala, ndipo ambiri Chofunika, nthawi kuthetsa mankhwala matenda onse opatsirana. Chifukwa amatsogolera chitukuko cha arachnoiditis.

akulandira mphamvu

The matenda a ubongo zingachititse ufulu arachnoiditis chilema. Ngakhale maziko chuma wachibale zotsatira matenda matenda yapita chopereka moyo.

Gulu lachitatu la kulumala wapemphedwa kuti odwala amene kudzisamalira mu udindo, ndi kuchita ntchito kuwala. Iwo amalimbikitsidwa kusintha ntchito yawo ndi kukhala njira yolondola, monga momwe tingathere.

Gulu lachiwiri la kulumala wodwala amalandira, ngati pambuyo mankhwala anasiya Makanema a khunyu khunyu, ndi utachepa zithunzi acuity. Iwo sangathenso kugwira ntchito zawo akatswiri, koma angathe kudzisamalira. Invalids wa gulu loyamba la odwala ankaona kuti chifukwa cha matendawa, linasiiratu masomphenya awo.

Odwala ndi gulu lachitatu contraindicated ntchito pa msinkhu, lawi lotseguka zokwawa njira zoyendera. Ndi bwino kuthetsa nyengo yoipa kugwirizana ndi kusintha kuthamanga mumlengalenga, ntchito m'madera phokoso onyansa, ntchito kugwirizana ndi kugwedera lapansi.

Kamodzi dokotala wanena anapezeka "oziziritsa arachnoiditis", zizindikiro, mankhwala ndi konzanso odwala ankaphunzira ndi akatswiri a zachipatala ndi chikhalidwe ntchito Katswiri. Zochita pa nkhani za udindo wa kulemala zingakhudze aliyense, ngakhale mwatsatanetsatane ambiri aang'ono, kuyambira pa izi kutsatira ubwino ena.