Ndi zizindikiro za kakhosi kuthandiza oterewa Kodi

Kamodzi madokotala a Zapakati anakakamizika oterewa, motsogozedwa kokha mwa madandaulo ndi zizindikiro, kutsimikizira kuti anabwera ndi asayansi anzeru. Ndiye ngakhale matenda a shuga anapereka pamaziko a mkodzo chitsanzo wodwalayo kukoma: wokoma mkodzo - mpweya wambiri wa shuga m'magazi. Kenako njira zosiyanasiyana akhala anatulukira kuthandiza dokotala ku matenda, kuphatikizapo kuyezetsa zasayansi. Kuyambira pamenepo, matenda anafotokoza kwambiri, ndi zizindikiro zina ayenera kubwera pansi matenda angapo ndi njira zosiyana ndi mankhwala.

N'chifukwa oyamba izi? Kuwonjezera kupeza yankho la funso? ". Kodi zizindikiro za kakhosi," inu sali mofulumira kuchotsa kapena kuika matenda, amene anatsimikizira kokha pamaziko a lumbar puncture adzakhala anafotokoza zizindikiro ndi zizindikiro zimene sizingachititse kuti khalidwe la puncture lapansi.

N'chifukwa chiyani lumbar puncture?

Oumitsa khosi ndi serous ndi purulent. Nthawi zambiri popanda puncture iwo n'zosatheka kusiyanitsa mankhwala a matenda awiriwa mitundu ukasintha osiyana. Ngakhale pamaso pa khalidwe hemorrhagic totupa sizikutanthauza kuti munthu zachitika meninjaitisi. Wenewu zikutanthauza kuti munthuyo ali ndi meningococcal (kawirikawiri - pneumococcal kapena anachititsa ndi Haemophilus influenzae), sepsis, kakhosi, zimene akufotokozera pafupifupi nthawi zonse, koma osati kuti iye tsopano ali. Lokha matenda ndi woopsa kwambiri ndipo popanda meninjaitisi, ngati inu muli mwadzionera nokha, kapena wina ku banja totupa, musawononge nthawi kuwerenga zimene zizindikiro za kakhosi ndi uyitane "ambulansi."

Komanso, puncture adzatengedwa pang'ono madzimadzi cerebrospinal, gawo la izo adzatumizidwa ku kuona bacteriological zinachititsa kuti masiku 3-5, zidzakhala bwino chimene chinayambitsa matenda nyongolosi ndi zomwe maantibayotiki m'pofunika kusintha mankhwala alipo. Ngati anatsimikiza meninjaitisi serous, ndiye 0.5 ml ya mowa ungathe kutumizidwa kwa phunziro PCR pa mbewu ya nsungu simplex HIV, cytomegalovirus, ndi Epstein-Barr HIV, ndiwo ambiri zimayambitsa moyo pachiswe a meninjaitisi.

Kodi zizindikiro za kakhosi atsimikiziridwa?

Matendawa akhoza kuyamba ndi zizindikiro catarrhal: chifuwa, chimfine, kuchulukana m'mphuno, zilonda zapakhosi. Zizindikiro woyamba kucheza kwa tizilombo toyambitsa matenda m'thupi (ili si zizindikiro za kakhosi) kungakhale kuwonjezeka thupi kutentha, kufooka, ulesi, totupa, si matupi awo sagwirizana chikhalidwe kapena maonekedwe a munthu "ana" matenda tizilombo: chikuku, chikuku, nthomba. Nthawi zina pa chiyambi cha matenda kungakhale purulent otitis TV, sinusitis, kapena abscess wa zimakhala zofewa a nkhope kapena pachibwano.

Zizindikiro zoyambirira za kakhosi ndi:

- pakutchulidwa ya mutu kwambiri akachisi pamphumi kapena mutu wonse; ululu n'lalikulu pamene akukweza, kutembenuzira mitu. Mwina kukula ndi phokoso mokweza, kuwala (photophobia), kuthamanga pa eyeballs lapansi. Kupweteka kuchotseredwa ululu mankhwala kwa nthawi yochepa poyamba, ndiyeno kwathunthu ikutha kuwayankha;

- kutentha: lililonse - manambala mkulu, koma izi sizichitika nthawi zonse: izo zidalira pa tizilombo toyambitsa matenda ndi boma la chamoyo ndi, chitetezo dongosolo lawo;

- ulesi, kufooka, kusinza;

- kuchuluka khungu tilinazo: yachibadwa wokhudza mtima wovuta.

- nseru, kusanza, popanda ubale ndi anatengera madzulo chakudya.

Ana, zizindikiro loyamba oumitsa khosi akhoza kukhala wonyong'onya kulira, nkhawa, kukana bere, lalikulu oumbidwa fontanelle. Kamwana amakhala whiny ndi tulo kuti n'zovuta kudzuka, kutenga aima mutu wake kuponyedwa kumbuyo mu bedi, kukana ngati ace pa chogwirira. Nthawi zina kokha chizindikiro cha matenda oumitsa khosi mwana akhoza kukhala ndi kuwawa chapansipansi si kwambiri kukwezeka thupi kutentha.

Zotsatirazi zizindikiro za kakhosi akuluakulu ndi:

- chakhungu chikumbumtima: zingakhale zoperewera motsutsa malemeredwe maziko, amene anatsatira pambuyo ndi maganizo a chikumbumtima mpaka chikomokere pamene munthu ngakhale zikuchitika amphamvu sakulabadira;

- khunyu: ndi meninjaitisi ali akuluakulu;

- kuwala imvi;

- kuyerekezera zinthu m'maganizo;

- angabweretse kumbali yake ndi mutu wake kuponyedwa kumbuyo ndi miyendo wopindidwa.

meninjaitisi opatsirana: Zizindikiro

Meningococcus - yekha causative wothandizila, amene anasamutsidwa kudzera m'malovu airborne kwa wodwala ndi meninjaitisi, zingachititse meninjaitisi munthu wina (tizilomboto ena Nthawi anecdotal).

Pa matenda ogwira bongo meningococcal amakhala ndi zizindikiro zakumwamba. Iwo akhoza kuoneka ngati pachimake, ndipo pakutha masiku 1-2 pambuyo isanayambike purulent rhinitis pa maziko a zotsatira amphamvu kuledzera ndi kuwonjezeka kutentha.

Wina chizindikiro chimene chimachitika pamene meninjaitisi meningococcal kungakhale totupa. Njirayi imatchedwa hemorrhagic kuti amayamba ndi akuwukha khungu ndi magazi (Ine ndiyenera kunena kuti impregnation zotero ndi ziwalo, kuphatikizapo zopangitsa kwa adrenal ndi ubongo).

totupa:

a) limatuluka pamwamba pa khungu;

b) sabwerera wotumbululuka pamene mutambasula khungu pansi kapena zofuna tcheru galasi (mwachitsanzo, galasi);

c) Kodi si itch;

d) kawirikawiri imayamba ndi matako, ndiye - shins, mkono wonse wakumanja, manja ndi mapazi, pang'onopang'ono chimafikira kwa thupi lonse;

d) izo wofanana ndi maphatikizidwe a zinthu zosiyanasiyana, ndi zikamera wa necrosis - malo a khungu akufa.

ndi zizindikiro za kakhosi macheke dokotala chiyani?

1. Ouma khosi minofu. Mu yachibadwa (ngati palibe matenda a msana khomo lachiberekero) mu malo sachedwa munthu akhoza kupeza chibwano chanu kuti sternum lapansi. Ngati zimenezi sizingatheke, chizindikiro cha imatengedwa zabwino.
2. Pamene inu fufuzani woyamba miyendo chizindikiro ndichotse pa maondo ndipo anakokera kwa m'mimba, komanso zingasonyeze meninjaitisi.
3. Sikutheka kuwongola mwendo pa bondo, chisanadze akuyesetsa pa bondo ndi ntchafu mafupa.
4. Pamene mbamuikha pa fupa pamwamba pa pubis miyendo wopindidwa.
5. Ana onani chizindikiro m'malo m'mbuyomo: kutenga m'khwapa wake atagwira mutu, iye chimakakamiza mpaka miyendo m'chifuwa, ndipo iwo agwirizira (mwana wabwinobwino amasuntha miyendo, unakhota ndi unbend iwo).