Cerebral arachnoiditis yeuropi: zviratidzo, kurapwa, migumisiro

Kune zvirwere zvakawanda zvinogona kutungamirira kukuremara kana kufa. Chimwe chazvo ndechekuvaraira arachnoiditis. Nechirwere ichi, vanhu vanorwara vanoda nguva pfupi uye inobudirira kurapwa. Nokurapa kwenguva yakakodzera, kufungidzira kwehupenyu kunofadza. Iwe ungaziva sei cerebral arachnoiditis? Anobatwa sei? Usati wapindura mibvunzo iyi, zvakakosha kuti unzwisise kuti arachnoiditis ndechei, iyo yakaiswa sei.

Chii chinonzi arachnoiditis?

Uropi hwemunhu uye rwonzi rwomupfupa rwakaputirwa nematatu emarullary membrane: firm, arachnoid (arachnoid) uye soft. Kuvhiringidza kwebhanchnoid membrane chirwere chinonzi arachnoiditis. Muchikamu makumi matanhatu kubva muzana, chirwere ichi chinoita kuti zvirwere zvinotapukira uye zvinotapukira-zvirwere zvinokonzera zvirwere. Mumapato makumi matatu ematatu, arachnoiditis inowanzoitika nekuda kwekukuvara kweuropi kwakatambudza. Vanhu vakasara avo vanoonekwa kuti vane chirwere havakwanise kusimbisa etiology.

Izwi rokuti "arachnoidite" harina kuwana shanduro mukuita. Nyanzvi dzinotsanangura izvi kuburikidza nechokwadi chokuti hapana mungozi inongopararira kune arachnoid, nokuti inoshayiwa maitiro emavhinga emvura. Zviratidzo zveArachnoiditis mumishonga yemazuva ano inotsanangurwa se serous meningitis.

Urongwa hwechirwere

Zvichienderana nekutarisa kwehutano hwehutano, huwandu hwezvirwere hunoratidzika. Imwe yadzo ndeyepelinus arachnoiditis. Muhosha iyi, kuputika kunowanikwa mune meninge inopoteredza tambo yepelinha. Imwe mhando ndeye cerebral arachnoiditis. Apo inokanganisa ganda chete uropi. Cerebrospinal arachnoiditis inoratidzwa nekubatanidzwa kwezvinhu zviviri zvakataurwa pamusoro apa zvinorwara.

Pane imwezve maitiro. Maererano naye, kune marudzi anotevera ekurwara, iyi arachnoiditis:

• Posterior cranial fossa;
• Nheyo yeuropi (basal);
• Convex pamusoro pehutachiona hemispheres (convectional);
• Munharaunda yemuchinjikwa wemagetsi (optico-chiasmatic);
• Cerebellar angle.

Zvichienderana ne morphological change, zvinotevera zvinoratidzika:

• Adhesive;
• Adhesive-cystic;
• Cerebral cystic arachnoiditis.

Zvinokonzera cerebral arachnoiditis

Ichi chirwere chinogona kuitika sechinhu chinokonzerwa nezvirwere zvakasiyana-siyana zvinotapukira, zvinobudirira nekuda kwekuvhiringidza kwezvirongwa zvinowanikwa mukati mezeve, mapainas paranasal. Nokudaro, zvinhu zvinokonzera kukonzera zvinosanganisira rheumatism, influenza, chisingagumi tonsillitis, otitis, rhinosinusitis, masero, tsvuku yakawanda, nezvimwewo.

Chikonzero chechirwere dzimwe nguva chirwere che craniocerebral kukuvara. Icho chinonzi posttraumatic cerebral arachnoiditis. Dzimwe nyanzvi dzinofunga kuti chirwere ichi chinogona kuitika mushure mokuberekwa kwekutambudzika uye kuzviita pachako mumakore ekukura pashure pokutambudzika kana utachiona.

Zvose zviratidzo zvehutano

Cerebral arachnoiditis inoratidzwa nezvimwe zvipatara zviratidzo. Chokutanga pane zvose, chirwere chacho chinozviita chakanzwa nehuwandu hwezviratidzo zvehutano. Kazhinji kune hutano. Ndiye ane simba mangwanani. Mune vamwe vanhu, inofambiswa netsitsi, kurutsa.

Musoro unogona kuwedzera nekugadzikana, kushungurudzika, kutadza kufamba. Mukuwedzera, vanhu vane cerebral arachnoiditis vanozununguka. Varwere vanowedzera kuora mwoyo, kusagadzikana kunooneka, kuneta kunoitika nokukurumidza, kurara kunokanganiswa, kushaya simba kwose kunoonekwa.

Zviratidzo zvinoratidza kufanirwa kwehutano hwehutano

Ubongo hwehutano hwezvirwere hausi wega "cerebral arachnoiditis" mune chirwere. Zviratidzo zvingasimukawo zvakare, zvinoratidza kugadzirisa kwekugadzirisa maitiro:

1. Apo arachnoiditis posterior cranial fossa yakaona ataxia. Iko kupesana kwekubatanidza kushambadzira kwemasisipo mukusava kwehutachiona husina simba. Uyewo pane nystagmus. Izwi iri rinoreva kushamwaridzana kwemaziso eziso.
2. Rudzi rwechirwere chechirwere runoratidzirwa nekuputsa kwemaitiro ematope aya ari pasi pekatehenya.
3. Ne convective arachnoiditis, mukuru pamwe naJacken kuurayiwa kweputi zvinogona kuonekwa.
4. Icho chinonzi optic-chiasmal chechirwere chinoratidzika nekuderera kwemaonero. Vanhu vanorwara vanocherechedza "mambure pamberi pavo." Mukurwara kwakakomba, kupofu kunoitika. Dzimwe nguva zvinetso zvehutano (semuenzaniso, kuwedzera kuwedzera, nyota) zvinoratidzwa.
5. Apo arachnoiditis cerebellar angle yevanhu inogumbura musoro wemusoro, inowanikwa munzvimbo ye occipital, ruzha munzeve. Muvarwere, paroxysmal utano hunoonekwa.

Kuongororwa kweperebral arachnoiditis

Kuongororwa kunoitwa nevanyanzvi nekuda kwechipatara zviratidzo zvechirwere nemigumisiro yekuongorora kwepfungwa. Inosanganisira chidzidzo chekuona kwakanaka, masango ekuratidzwa uye fundus. Craniography inoitwawo. Uyu ndiwo mafirimu ehenya risina kusiyana. Apo cerebral arachnoiditis paongororo inonzi craniograms, zviratidzo zvisingaoneki zvehutachiona hwehutachiona hunogona kuratidzwa.

An electroencephalogram yeuropi iri kuitwawo . Basa guru rekuongororwa rinoitwa nepneumoencephalogram. Chidzidzo chacho chinoita kuti zvikwanise kuona mweya usina kufanira kuzadza nzvimbo inowanika, kuwedzera kwemhepo inokonzera uropi, hukuru hwemhepo yakawanda. Nokuwana ruzivo rwekuwedzera uye kusabvisa zvimwe zvirwere, vanhu vanorwara vanopiwa:

• Computed tomography;
• Angiography;
• Magnetic resonance imaging;
• Scintigraphy;
• Mamwe maitiro ekuongorora.

Kubviswa kwechirwere

Dendaase cerebral arachnoiditis inofanira kurapwa kwenguva refu, zvidzidzo. Kuti abvise chinokonzera utachiona, vanachiremba vanopa mishonga inorwisa mabhakitiriya kuvarwere vavo. Zvishandiso zvinotevera zvinoshandiswa zvakare:

• Anti-inflammatory;
• Absorbable;
• Hyposensitizing;
• Kushevedza muviri, nezvimwewo.

Nekuwedzera kwekumanikidzika kwepfungwa, diuretics (somuenzaniso, Furosemide, Mannitol) uye decongestants inodiwa. Kana varwere vakagumburwa, vanachiremba vanorwisa antiepileptic zvinodhaka. Kana zvichidiwa, mishonga inoratidzira inoshandiswa.

Mushonga wokuvhiya

Kushandiswa kwemishonga haisi kubatsira nguva dzose kubvisa chirwere chakadai sa cerebral arachnoiditis. Kurapa pane dzimwe nguva kunorayirwa chirwere. Zviratidzo zvekupindira kwekuvhiya ndezvi:

• Hapana kuvandudzwa mushure mokurapa kwezvinodhaka;
• Kuwedzerwa kuwedzera kwehutano hwepfungwa;
• Kuwedzera zviratidzo zvepamusoro;
• Kuvapo kwe-optic-chiasmal arachnoiditis, iyo inoratidzirwa nekudengenyeka kwechiono mune zvakaratidzwa.

Semuenzaniso, chirwere chepurogiramu chinogona kuitwa nekugadzirwa kwekubatanidza nekugadzirwa kwekubatanidza kana chirongwa chechistic nechirwere chakadai se cerebral arachnoiditis yeuropi. Kurapa kwerudzi urwu kuchabvisa zvipingamupinyi zvinokanganisa kushandiswa kwemazuva ose kwea cerebrospinal fluid.

Zviratidzo uye kukwanisa kushanda ne cerebral arachnoiditis

Kazhinji upenyu hwemurwere hahugadziriswi kana kurapwa kwakatanga nenzira yakakodzera. Kufanirwa kwakanaka kunopiwa nehuwandu hwechirwere ichi. Zvakaipisisa ne optic-chiasmatic kuvimba. Arachnoiditis yechipfuva chakasvibiswa nemhepo inokonzerwa neyese inonzi hydrocephalus ingozi chaiyo pachayo. Izvo zvinofanira kuonekwa kuti kufungidzira kunogona kukuvadza zvikuru zvirwere zviriko, zvichikuvadza.

Vanhu nekuda kwechirwere vanogona kuonekwa sevasingawaniki muboka re III, kana basa rekudzikisa richideredza kuwanda kwemabasa avo ekugadzira. Nekuremara kwakanyanya kwemaonero, kazhinji kuora mwoyo kunotambudza, kuremara kweboka rechipiri kunosimbiswa. Vanhu vane hurema Iboka rinobva nekuda kwekuona kurasikirwa kunokonzerwa ne optic-chiasmal arachnoiditis.

Zvikonzero zvekuregererwa kwehupenyu

Izvo zvakataurwa pamusoro pekuti cerebral arachnoiditis inogona kutungamirira kukuremara. Nokudaro, chirwere chacho chinokonzera kugadziriswa kwebasa rinokosha, ndiko kuti, varwere zvakakwana kana kuti zvishoma nezvishoma vanorasikirwa mukana kana kukwanisa kuita zvikamu zvekutanga zvehupenyu hwezuva nezuva. Izvi zvinoitika nokuda kwezvikonzero zvinotevera:

1. Kushungurudzika kunogumburwa. Vanhu vanorwara nguva nenguva vanorasikirwa nekuzvidzora pamusoro pemafambiro avo. Panyaya iyi, zvishoma zvekuita mabasa uye kukanganisa kushanda kushanda.
2. Kuora kwemaonero anoonekwa. Muvanhu vanotambura neuchebral arachnoiditis, acuity inopera uye munda wekuona unopera. Havagoni kushanda nemashoko maduku, kuita mabasa avo emhizha, vachida maziso eziso. Vamwe vanhu vanoramba vachida rubatsiro kubva kuvanhu vakavapoteredza nekuda kwehupofu.
3. Kushungurudzika kwezvinodhaka zvinyorwa kana zvikamu zveperechial arachnoiditis. Migumisiro - kuratidzwa kwe hypertensive syndrome ine dambudziko rinowanzoitika. Matambudziko ari pamwe chete neutano, chirwere chepfungwa.
4. Neurasthenia uye inogadzirisa vegetative dystonia. Vanhu vakaderera kutsungirira kune mamiriro ekunze, kukwanisa kuramba kwenguva refu mupfungwa uye mupfungwa kunopera. Varwere vanopindura zvisina kunaka nemanzwi makuru, uye chiedza chakajeka.

Kudzivirira zvirwere

Cerebral arachnoiditis inogona kudziviswa. Saka, kuitira kuti usasangana nechirwere ichi, zvakakosha kuti uone nezvekudzivirira kwayo. Inosanganisira kurapwa kwakakodzera kwenguva iyo zvirwere zvinogona kukonzera arachnoiditis. Somuenzaniso, kana iwe uine zviratidzo zvekutanga zve sinusitis, otitis inofanira kuonana nachiremba pakarepo. Nyanzvi ichapa kurapa kwakanaka munguva yakakodzera. Kunyatsokodzera kurapwa kunokosha uye nekrisocerebral trauma.

Mukupedzisa, zvinofanira kuonekwa kuti cerebral arachnoiditis yeuropi chirwere chisina kujeka kufungidzira. Apo zviratidzo zvinganetseka zvinopiwa kune zvidzidzo zvakasiyana-siyana. Kusiyanisa kuenzaniswa kunoitwawo, zvakare sezvo zvirwere zvizhinji zvine chimiro chakafanana chechipatara (somuenzaniso, zvipembenene zveuropi, normotensive hydrocephalus, neurosarcoidosis, multiple sclerosis, idiopathic epilepsy).