Izifo Brain arachnoiditis: Izimpawu kanye Ukwelashwa

Izifo ezithathelwanayo of omsakazo ezahlukene kanye kwasendaweni ngemva ngokuvamile yayo ayingozi hhayi kuphela kusukela ubuthi jikelele, kodwa futhi njengoba imbangela ukuvuvukala meninges. Ngokuvamile, iziguli Uyi ucabanga kancane ngakho, futhi odokotela bangase bangalitholi harbingers yezinkinga.

definition

Arachnoiditis - yisishiso arachnoid emgogodleni noma ubuchopho. ukwahlukana okunjalo kunemibandela, njengoba ifomu elingalodwa umkhuba emtholampilo azisenzeki. Lokhu lihlotshaniswa kudivayisi isimiso semithambo yegazi. Lesifo usabalala okuqinile noma pial ngakho arachnoiditis ingafaniswa serous meningitis.

Igama elithi "arachnoiditis cerebral" kancane kancane liphenduka throwback kusukela pathologically futhi emtholampilo nzima ukuhlukanisa ngokunembile yisishiso arachnoid. Odokotela sithambekele bakholelwa ukuthi konke ukucasuka ukubonakaliswa ulwelwesi kuyothiwa meningitis.

Umlando omsakazo

Ngokokuqala ngqá igama elithi "arachnoiditis" ocwaningeni yakhe busuka imithi Tarasenkov phakathi yekhulu nesishiyagalolunye. A incazelo enemininingwane yalesi sifo uye walungiselela BENNINGHAUS wezinzwa. Kodwa walibiza sangaphandle serous meningitis.

Arachnoiditis, kanye ukuvuvukala nezinye amagobolondo, kwenzeka emva izifo oyingozi futhi ezingalapheki ezithathelwanayo, sinusitis, ngokumelene ingemuva lokudakwa ezingamahlalakhona nosawoti of izinsimbi ezisindayo futhi ukulimala. Ngaphezu kwalokho, zokugula kungase kuvele ngemuva yenqubo umdlavuza futhi encephalitis.

Imbangela ezivame kakhulu arachnoiditis kuyinto esingamahlalakhona suppurative abezindaba otitis kanye nezinkinga zayo: labyrinthitis, petrozit futhi sinustromboz. Ngakho-ke, yenzelwe ukuba isebenze ezingemuva noma phakathi fossa cranial.

ngenkambo lesi sifo sehlukaniswe acute, subacute noma ezingamahlalakhona. A inqubo ezivame kakhulu ezishisa kakhulu zikhipha izinhlayiyana arachnoiditis ehlasela umzimba futhi kulinganiselwe. Njengomthetho, basuke kuhlangene noma Ulandela nomunye esithombeni emtholampilo.

izimpawu

engaveza kanjani izifo ezifana arachnoiditis cerebral? Izimpawu yilezi inhlanganisela iziyaluyalu cerebral zendawo jikelele. Eyokuqala ezihlobene ukwanda cerebrospinal ingcindezi uketshezi, kanye iphuzu lesibili indawo umthombo ukuvuvukala. Kuye onjani uphawu evelele, izenzo sifo zingahluka.

Ngokuvamile emtholampilo kukhona izikhalazo ikhanda, ephelezelwa isicanucanu nokuhlanza, ngokungasheshi ukuletha yokuncishiswa. Ubuhlungu kungenziwa igxile endaweni eyodwa, banezelwa ezinyakazayo, ngokwengqondo noma ukucindezeleka ngokomzimba. Ngaphezu kwalokho, kukhona isiyezi (ngisho nalapho elele phansi), ukucasuka, ubuthakathaka ezinzima, kuhlangene izinkinga zokulala. It engaveza photophobia, ukungabekezelelani ukuze umsindo ophakeme, kwemisipha rigidity.

Kodwa lokhu akuyona into nje elivela ubuchopho arachnoiditis. Izimpawu kuphazamiseka ebalulekile incike indawo inqubo sokugembula. Uma kugxilwa phezu ayizindunduma zobuchopho ke, cishe, isiguli bayothola ukulahlekelwa umsebenzi, ngezigameko zesifo sokuwa. Indawo izicubu avuvukele phezu phansi ingqondo kubangela ukuphazamiseka nezinzwa cranial. Lokhu izimpawu ezifana umbono kwehle noma ukulahleka nasemasimini alo, e neuritis we ebusweni, nerve trigeminal, kwehle lokuhogela. Abakwazi kuhlangene kokunqotshwa izenzo autonomic nervous system (ukujuluka ngokweqile, isikhumba bluish, ukoma, ukuchama kaningi, kukhuphuke igazi glucose).

Ukwakheka kohlelo balo nokusakazwa kwalo oludakayo nakho kungase arachnoiditis ingqondo. Izimpawu zalesi simo avele abukhali lokushisa ukwanda, ukuhlanza, ubuhlungu entanyeni nape, nystagmus futhi ngcono ingqondo umsipha. Ezimweni ezinjalo, qiniseka ukuthi bahlukanise phakathi izimpawu sokugembula ukuthuthukiswa posterior fossa izimila. Nokho, lumbar wokubhoboza kungaba kwenziwe kuphela uma fundus akukho ukuminyana.

arachnoiditis cerebral

Uma kugxilwa ukuvuvukala ivuliwe ayizindunduma (convexital) ebusweni, ubizwa ngokuthi "arachnoiditis cerebral zobuchopho." Izimpawu zihlanganisa zako Ukunqotshwa kwe-meninges, futhi ukwephula outflow uketshezi. Okuvame kakhulu uphawu sokuqala ubuhlungu bekhanda. Ngenxa ukuvuvukala kwezicubu ukuzungeza evamile cerebrospinal fluid kunzima, okungase kuholele ekungasebenzini ekuqongeleleni nokuthuthukiswa nomfutho wegazi ophezulu intracranial.

arachnoiditis Cerebral zobuchopho, izimpawu zingase zibe nezimpawu zezinye izifo, avame ise Lobe ngokuqondile, endaweni e gyrus emaphakathi. Ngenxa yalokhu, njalo motor yokuphazamiseka ngesimo azuze noma ukulahlekelwa ukunyakaza noma ukuncinza. Lapho zlib of stimulation cortical futhi kungenzeka ebalulekile epileptiform nokuquleka. Ezimweni ezimbi kakhulu, kukhona nokuquleka omkhulu, okungase siguqulelwa isimo epilepticus. Ezimweni ezinjalo, indima ebalulekile udlalwa ngu electroencephalography. Pneumography odokotela yesimanje kuyaqabukela esetshenziswa ngenxa ubuchwepheshe ethize ukwethulwa emoyeni ngaphansi ulwelwesi lwesisu, kwenze ingqondo, nakuba le ndlela uphenyo kulesi simo futhi kakhulu.

arachnoiditis Optical-chiasmatic

Ngo umkhuba emtholampilo emkhakheni Ukunqamula izinzwa optic ivamile arachnoiditis palsy. Izimpawu zalesi kwasendaweni likubeka ngokucacile ukuthi uphethwe ngesikhathi esifanele. Sezizathu bungabonakala umalaleveva, ugcunsula, kuhlasimulise okulimala ebuchosheni umphimbo obuhlungu.

Endaweni ye-optic ifomu chiasm ukuvuvukala futhi izinhlumba ngokuqukethwe serous, futhi ezimweni ezinzima kakhulu emhlabeni chiasm optic livela obukhulu isibanda izicubu. Lokhu okufana lesi sifo engabulawa wendawo. Ungase uphawule izinguquko nezicubu abakaze, futhi ngezinye ibanga elithileko kusuka kumthombo. Ngenxa ukuvuvukala nezinzwa optic nhlangothi zombili ngaphansi kokucindezelwa we ischemia okuholela.

Lesi sifo eba kancane, okokuqala ukushaya iso elilodwa, bese, ngemva kwamasonto ambalwa, kwalandela nelinye. Kuyo ukuthuthukiswa sifo isiguli ekhononda zobuhlungu ngemuva izinhlamvu zamehlo. Lokhu kuvumela uhlelo ukuxilongwa umehluko neuritis of etiologies ehlukahlukene. Ukuze ubone ukuthi amasayithi ukuvuvukala zisebenzisa incazelo amasimu ezibukwayo futhi fundus luhlolo. I esithize kakhulu ukushonelwa izinkambu yesikhashana ezibukwayo noma eyindilinga olugcwele ke. Lokhu kubonisa ukuthi focus ukuvuvukala ephakathi nendawo, phakathi ipheshana optic.

Arachnoiditis posterior fossa

Esikhathini posterior fossa avame yenziwe yaba yasendaweni cerebral arachnoiditis palsy. Izimpawu zifane occipital yakhe Lobe izimila kanye kuqukathe stem futhi ukubonakaliswa cerebellar (kokunqotshwa ngababili yesihlanu, lwesikhombisa yesishiyagalombili nezinzwa cranial).

Ukunqotshwa kwe-cerebellum kubonakala nokuntengantenga ukuhamba kanye ezimweni static, ukubambisana abampofu nokuhamba izingalo nemilenze, kanye nokungakwazi kanyekanye wenze izenzo ezithile, njengoba kudingeka ukuba isiguli sibe zibukeke ukulawula ngezitho zakhe, ukwenza izinto ngendlela efaneleko.

Symptomatology kuncike ngendlela ukuvuvukala (simila noma inqubo ingcina), kwasendaweni yayo futhi inhlanganisela ne iphimbo. Lesi sakamuva kungenzeka kubangelwa ukweqa ka ukuvuleka ohlangothini ventricles zobuchopho ngenxa sokugembula izicubu izinguquko. Ukunqwabelana abakucasulayo meninges liquid kubangela ukwenyuka ingcindezi intracranial. Izenzo lokhu syndrome yisimo abukhali ikhanda elibuhlungu, isicanucanu, ukuhlanza, isiyezi, ukwehla kwenhliziyo.

arachnoiditis umgogodla

Lolu hlobo ukulimala kwenzeka uma CSF wamanje noma kwegazi ukuze emgogodleni uthola agent ezithathelwanayo ezibangele arachnoiditis palsy. Izimpawu nemiphumela zincike inqubo ukusatshalaliswa futhi inani izimpande ezilimele. Izimbangela zesifo ngaphezu kakade amagama kungase kube namathumba futhi iqhubeka abscesses.

I Umtholampilo umgogodla intambo izilonda iyafana ukuthi izimila extramedullary. I njalo kunazo kwasendaweni - the thoracic kanye lumbar izingxenye, indawo umsila zehhashi. I-cerebrospinal fluid siyenzeka cell-amaprotheni dissociation. Ngokuvamile, umgogodla arachnoiditis fomu ezingamahlalakhona.

ukuhlola

Ukuthola uphethwe, udokotela kwasekuqaleni iqoqa umlando ngempilo enhle, bese uqhuba behlolwa, kuhlanganise echaza futhi isimo zezinzwa. Futhi kuphela ke ukukhulisa laboratory ezengeziwe nezindlela wezinsimbi zocwaningo.

Umsebenzi wokuqala kudokotela oyisazi sezinzwa ngezindleko - ukubekela eceleni izimila ebuchosheni okungase ukulingisa arachnoiditis palsy. Izimpawu, isithombe skull kwikhompyutha noma kazibuthe yokwelapha resonance ezingasiza kule. Ngaphezu kwalokho, kraniogramme Kuyoba khona izibonakaliso ebonakalayo nomfutho wegazi ophezulu intracranial. Ulwazi, futhi imiphumela ezibhekwa echoencephalography, angiography futhi scintigraphy, kodwa udokotela kwasekuqaleni uholwe MRI.

Electroencephalography kuyasiza okwasekhaya foci ukuvuvukala futhi kutholakale imbangela yokushona zesifo sokuwa. CSF ukuhlaziywa sikhombisa inani elimaphakathi amaseli, iprotheni dissociation encane, kodwa cerebrospinal notshwala uketshezi ngaphansi kwengcindezi, okufakazela iphimbo. Ngaphezu kwalokho, ngemva kwalokhu nqubo, ezempilo lesiguli kuyathuthuka ngokunciphisa ingcindezi intracranial.

ukwelashwa

Indlela esiphatha ngayo arachnoiditis cerebral? Lena kakhulu umsebenzi isikhathi. Okokuqala udinga ukuthola imbangela impendulo ukuvuvukala bese uzama ukuyixazulula. Ngenxa yale njongo, imithi ebulala izinhlobonhlobo zamagciwane, okuyinto uthole ngokusebenzisa kusivimbeli gazi ebuchosheni. Ukuze wehlise izicubu edema usebenzisa antihistamine kanye desensitizing ejenti.

Ukwelashwa nokuvikelwa arachnoiditis cerebral eyenzelwe yokwelapha isikhathi eside izindlela ohlangothini okuyinto uzimisela nezicubu sesibazi. Ngaphezu lokhu kuyadingeka ukuze kulesetayelekile ingcindezi intracranial, ngcono outflow ka cerebrospinal fluid, sikhuthaze cerebral ukugeleza kwegazi futhi umoya-mpilo umncane ukuze izicubu emsipheni.

Ngokuvamile, ufuna ukubuyisela konke kungalimaza arachnoiditis palsy. Ukwelashwa imithi, isb evuselela biogenic "ligase" "pirogenalom" izifundo nanhlanu imijovo njalo ngemva kwezinyanga eziyisithupha, kunikeza imiphumela emihle ngisho ezimweni ezinzima. Isetshenziselwa ingcindezi ukunciphisa isisu futhi yokuvula amakhala. antiepileptics mahle ngempumuzo nokuquleka.

Njengoba prophylaxis uqhutshwa yokwelapha okubuyisela, nezinkinga ezengeziwe usebenze ukwelashwa lingaze.

Ukubikezela kanye nokuvinjelwa

Ukwelashwa kusenesikhathi ka arachnoiditis cerebral ngokuvamile eqeda yokutakula. Ubungozi kungenzeka kuphela ukuvuvukala, okuyinto Itholakala fossa posterior futhi ventricles ephelezelwa izimbobo ezedlulayo. Siba Sibi Nakakhulu onalesi sifo ka uyahluleka uma elwa nokuphuza njalo lesi sifo noma busebenze okuqhubekayo ngemuva wesimo abanomfutho wegazi ophakeme, epileptiform sokuwa kanye kwasendaweni ukuvuvukala e projection we chiasm optic.

Yini okudingeka uyenze ukuze avimbele arachnoiditis cerebral? Imiphumela sina yayo ngokwanele, ngakho kufanele sinake impilo yabo futhi ngesikhathi zisebenza esibhedlela usizo. Kuyadingeka ukuba afeze zokuvimbela sinusitis, abezindaba otitis futhi sinusitis, safaka ekhalendeni, futhi okubaluleke kakhulu, isikhathi sokuqeda konke izifo ezithathelwanayo ikhambi. Ngoba wona aholela ukuthuthukiswa arachnoiditis.

abahola umthamo

Lesi sifo zobuchopho kungabangela amalungelo arachnoiditis ukukhubazeka. Ngisho ngokumelene isizinda ngokuchuma eyisihlobo imiphumela emitholampilo ukutheleleka odlule okuhlalayo kube ukuphila.

Iqembu lesithathu yokukhubazeka inikezwa iziguli ukuzinakekela esimweni, futhi enze umsebenzi ukukhanya. Bayakhuthazeka ukushintsha umsebenzi wabo Ukuhlakulela nokulondoloza indlela efanele yokuphila, ngangokunokwenzeka.

Iqembu lesibili ukukhubazeka isiguli uthola, uma emva kokwelashwa wayeshiye iziqephu zesifo sokuwa, futhi kwehle acuity ezibukwayo. Abasakwazi bafeze imisebenzi yabo professional, kodwa uyakwazi ukuzinakekela. Invalids neqembu lokuqala iziguli kubhekwa ukuthi ngenxa isifo baphelelwa umbono wabo.

Iziguli neqembu lesithathu contraindicated yokusebenza ezindaweni eziphakeme, ilangabi ovulekile futhi ezihambayo izindlela zokuhamba. Kunconywa ukuqeda isimo sezulu esibi ahlobene nezinguquko e umfutho womoya, umsebenzi ezindaweni ezinomsindo angcolile, umsebenzi elihlobene ne vibration.

Uma udokotela uye kwatholakala ukuthi unesifo "arachnoiditis cerebral", izimpawu, ngelashwa iziguli uzifunde ngokucophelela ngochwepheshe ka lezempilo nezenhlalo uchwepheshe ikhomishana. Isinqumo ukwabela isimo ukukhubazeka kungangena noma, ngisho nemininingwane emincane kakhulu, kusukela lezi ulandele izinzuzo ezithile.