Oziziritsa arachnoiditis ubongo: zizindikiro, chithandizo, zotsatira

Pali matenda ambiri zimene zingachititse kuti kulumala kapena imfa. Mmodzi wa iwo - ndi arachnoiditis ubongo. Pamene matendawa anthu odwala amafunikira mankhwala mwamsanga ndi mogwira mtima. Pamene yake Mapa moyo wa chithandizocho ndi yabwino. Kodi ndingatani kudziwa arachnoiditis oziziritsa? Kodi ankachitira? Tisanayankhe mafunso awa, m'pofunika kumvetsa zimene kwenikweni arachnoiditis, monga wachinsinsi.

arachnoiditis ndi chiyani?

Ubongo ndi msana pa munthu TACHIMATA meninges atatu: olimba, arachnoid (arachnoid) ndi zofewa. Kutupa kwa arachnoid - nthenda yotchedwa arachnoiditis. 60% ya milandu matenda ochititsa matenda opatsirana ndi matenda-matupi awo sagwirizana. Mu 30% ya milandu arachnoiditis vutolo limachitika chifukwa poyamba analandira zoopsa craniocerebral. Anthu ena amene anapezeka ndi matendawa, simungathe kukhazikitsa etiology.

Mawu akuti "arachnoiditis" sanapezeke tiligwiritse ntchito. Akatswiri amanena izi chakuti palibe akutali chotupa arachnoid Mater, chifukwa ulibe mwini mtima dongosolo lake. Zizindikiro za arachnoiditis mankhwala amakono amatchedwa matenda oumitsa khosi monga serous.

gulu la matenda

Malinga ndi kutanthauzira za ndondomeko pathological, kudziwa mitundu ingapo ya matenda. Mmodzi wa iwo - ndi msana arachnoiditis. Mu matenda, kutupa amapezeka mu ubongo Kakhungu lozungulira chingwe msana. view wina - arachnoiditis ubongo. Ngati anakhudzidwa yekha chigoba cha ubongo. Pakuti arachnoiditis cerebrospinal yodziwika ndi osakaniza pamwamba mitundu iwiri ya matenda.

Pali gulu lina. Malinga ndi iye, pali mitundu zotsatirazi matendawa, izo arachnoiditis:

• zapambuyo fossa;
• woyambira (woyambira);
• otukukira kunja padziko hemispheres oziziritsa (convexital);
• mu chamawonedwe chiasma (opto-chiasmatic);
• cerebellopontine njingayo.

Malinga ndi kusintha morphological la kumasuka:

• zomatira;
• Zomatira-enaake;
• Oziziritsa enaake arachnoiditis.

Zimayambitsa arachnoiditis oziziritsa

matenda angayambe kukhala vuto la matenda osiyanasiyana opatsirana kuti kukhala chifukwa njira yotupa kunachitika khutu pakati, m'njira za m'mphuno paranasal. Choncho, causal zinthu monga misempha, fuluwenza, zilonda zapakhosi aakulu, otitis, rhinosinusitis, chikuku, fever, ndi zina zotero D..

Chifukwa cha matenda, nthawizina amachita zoopsa choipa ubongo. Ndi zoopsa zimene zinam'chitikira oziziritsa arachnoiditis. Akatswiri ena amakhulupirira kuti matenda angagwe pambuyo zoopsa kubadwa ndi kufika mu zaka kenako choipa kapena matenda.

zizindikiro oziziritsa

Pakuti arachnoiditis oziziritsa amakhala ndi mawonetseredwe enieni matenda. Makamaka matenda amapanga lokha anamva zizindikiro ubongo. Nthawi zambiri mutu. Ndi ovuta kwambiri m'mawa. Kwa ena, izo limodzi ndi nseru, kusanza.

Mutu akhoza kukula ndi nkhawa, yofinyira, zovuta kuyenda. Kuwonjezera anthu ake ndi arachnoiditis oziziritsa taonera chizungulire. Odwala ndi chatsika kukumbukira, pali irritability amabwera msanga kutopa, kusokoneza tulo, pali kufooka ambiri.

Zizindikiro zimene zimasonyeza kutanthauzira kwa ndondomeko pathological

Zizindikiro oziziritsa si okhawo ndi matenda a "arachnoiditis ubongo." Zizindikiro kumachitika zambiri zimene zimasonyeza kutanthauzira kwa ndondomekoyi chipolopolo:

1. Ngati arachnoiditis zapambuyo fossa anati ataxia. Izi ndi kuphwanya kayendedwe kugwirizana minofu, pakalibe kufooka minofu. Komanso, pali nystagmus. Mawu amenewa amanena za kayendedwe mowiriza wa eyeballs lapansi.
2. Woyambira mtundu wa matenda yodziwika ndi kukanika kwa mitsempha kuti ili m'munsi a Chigaza lapansi.
3. Pamene convexital arachnoiditis ambiri ndi Jackson khunyu khunyu angagwe.
4. Pakuti CHIKWANGWANI-chiasmal mtundu wa matenda amakhala ndi kusawona bwino. Anthu odwala kuti "ukonde pamaso panu." Mu matenda aakulu akupezeka khungu. Nthawi zina akuwonetseredwa matenda hypothalamic (mwachitsanzo, kuchuluka pokodza, ludzu).
5. Ngati arachnoiditis cerebellopontine ngodya kumaikanso mutu wa isanafalikire mu dera occipital, tinnitus. Odwala akukumana paroxysmal vertigo.

Matenda a arachnoiditis oziziritsa

Matendawa opangidwa ndi akatswiri kuganizira mawonetseredwe matenda a matenda ndi zotsatira ubongo bwino. Pamafunikanso kuphunzira acuity zithunzi, minda zithunzi ndi fundus. Craniography anachita. Izi X-ray a Chigaza popanda mosiyana. Pamene oziziritsa arachnoiditis zizindikiro zotsalira za matenda oopsa intracranial akhoza zocitikazo review kraniogramme.

Anachita electroencephalogram ubongo. A mbali yaikulu matenda masewero pnevmoentsefalogramma. Ofufuza apeza m'goli kudzazidwa mpweya subarachnoid danga, patsogolo ventricles ndi, accumulations focal mpweya. anthu odwala amaikidwa kuti mumve zambiri ndi kuti achotse matenda ena:

• yopangidwa tomography;
• Angiography;
• kumveka maginito kulingalira;
• scintigraphy;
• njira ina yodziwira.

Kupha matenda

Matendawa arachnoiditis oziziritsa ayenera kulandira chithandizo cha nthawi yayitali, maphunziro. Pofuna kuthetsa gwero la matenda, madokotala mankhwala opha odwala awo. Zipangizo zili m'munsizi amagwiritsidwa ntchito:

• odana ndi yotupa;
• absorbable;
• hyposensitization;
• madzi m'thupi ndi ena.

Ndi kuwonjezeka mu kuthamanga intracranial chofunika okodzetsa (mwachitsanzo, "Furosemide" "Mannitol"), ndipo decongestants. Ngati odwala ali ndi khunyu, madokotala mankhwala mankhwala antiepileptic. Ngati ndi kotheka kugwiritsa ntchito mankhwala symptomatic.

chithandizo opaleshoni

Kugwiritsa ntchito mankhwala si nthawi zonse abwino Kupha matenda monga arachnoiditis ubongo. Opaleshoni chithandizo kutumikiridwa mu zina. The zikuonetsa kwa opaleshoni ndi:

• kusowa kusintha pambuyo mankhwala imachitika;
• kuonjezera intracranial oopsa;
• kukula zizindikiro focal;
• kupezeka kwa CHIKWANGWANI-chiasmal arachnoiditis, amene ali achilendo kwa kuwonongeka azilandira masomphenya.

Mwachitsanzo, ntchito neurosurgical akhoza ikuchitika pa citukuko kupanga adhesions zomatira kapena enaake ndondomeko pa matenda monga oziziritsa ubongo arachnoiditis. Mankhwala a mtundu uwu adzachotsa zopinga zimene kusokoneza makope wabwinobwino wa madzimadzi cerebrospinal.

Mapa ndi olumala ndi arachnoiditis oziziritsa

Kawirikawiri, kanthu likuoneka moyo wa wodwala, ngati mankhwala ndi kuyamba pa nthawi. Kuona zinthu zabwino kuperekedwa pa mawonekedwe convexital matendawa. Komanso ndi koipa pamene kuwala-chiasmal kutupa. Ngozi makamaka palokha zikhoza arachnoiditis zapambuyo fossa ndi hydrocephalus obstructive. Tikumbukenso kuti Mapa akhoza kwambiri kumawonjezera matenda vutoli, kuvulala.

Anthu chifukwa matenda akhoza kutchulidwa olumala a Gulu III, ngati kuwala yafupika voliyumu ya ntchito yawo yopanga. Ngati kuwonongeka amphamvu a masomphenya, kawirikawiri khunyu anapereka chilema gulu II. Invalids cha Ine gulu ndi chifukwa imfa ya masomphenya chifukwa cha chamawonedwe-chiasmal arachnoiditis.

Zimayambitsa kulumala

Tanena kuti arachnoiditis oziziritsa kungachititse kuti olumala. Choncho, matenda amakwiya Kulumala, T. E., Odwala kwathunthu kapena pang'ono kutaya mwayi kapena luso ntchito zigawo zikuluzikulu za tsiku ndi tsiku. Izi zimachitika pa zifukwa zotsatirazi:

1. Khunyu. anthu odwala zina kupsa pa makhalidwe awo. Pankhani yokhudza ntchito yofunika ndi mphamvu zochepa ntchito wathyoka.
2. Kuwonongeka kwa ntchito zithunzi. Anthu ndi arachnoiditis oziziritsa, yafupika acuity ndi munda wa masomphenya itsekeke pang'ono. Iwo sangakhoze ntchito ndi zinthu zazing'ono, kugwira ntchito ndi akatswiri awo zofuna eyestrain. Ena amakhala akufunika thandizo la anthu ena chifukwa cha khungu.
3. Kuphwanya liquorodynamics ndi matenda oziziritsa arachnoiditis. Zotsatira - kusonyeza syndrome hypertensive ndi mavuto kobwereza. Mavuto ali limodzi ndi vertigo, matenda lathu.
4. Neurasthenia ndipo motsatana vegetative dystonia. Anthu, utachepa kulolerana ndi zinthu nyengo, anataya mphamvu kwa nthawi yaitali maganizo thupi ndi m'maganizo. Odwala kukhumudwa ndi mapokoso okweza, nyali zowala kwambiri.

kupewa matenda

Oziziritsa arachnoiditis zikhoza kupewedwa. Choncho, poopa kuti anakumana ndi matenda, m'pofunika kulabadira kupewa ake. Ndi chithandizo yake ya matenda amene angachititse arachnoiditis. Mwachitsanzo, pamene zizindikiro loyamba sinusitis, otitis ayenera yomweyo kufunsa dokotala. Katswiri yomweyo tisonyezeni mankhwala ogwira. chithandizo chokwanira ndi zofunika komanso zoopsa ubongo choipa.

Pomaliza, tiyenera kudziwa kuti oziziritsa arachnoiditis ubongo - matenda amene si mophweka oterewa. Ngati zizindikiro Muzisamala amaikidwa ndi maphunziro osiyanasiyana. Mwambo monga matenda masiyanidwe, chifukwa matenda ambiri yodziwika ndi ofanana chithunzi matenda (mwachitsanzo, chotupa mu ubongo, wabwinobwino kuthamanga hydrocephalus, neurosarcoidosis, angapo sclerosis, idiopathic khunyu).