Meningococcal chirwere uye chiratidzo Kernig

Utachiona hwakakura meningococcus akawana zita rayo kubva chokwadi chokuti inobata chikuru pakati meninges (meningeal tishu). Zvisinei, anogona kupinda dzimwe nhengo uye nyama womunhu, zvisinei, uropi anoramba kwaari nechinangwa nhamba imwe. The kuratidzwa chokutanga yomumuzongoza (kuzvimba meninges) vari kuwedzera muviri tembiricha kuti 28 kana 40 °. Kazhinji, zvose zviratidzo mukutanga chirwere anoratidza chakaipa kufema hutachiona.

Zvisinei, zvakasiyana yomumuzongoza, zvirwere zvokufema kuti pamwe nefivha vakachengeta zvimwe zviratidzo zvizhinji rakasiyana nechirwere ichi. Vari kutanga chokuita nokuvhiringidzirwa kunowanzoitika kushanda uropi. Ivo zvinosanganisirawo vanonzi meningeal zviratidzo, kutaura kukundwa kwaiva meninges. chiratidzo ichi Kernig (dzimwe nguva anonzi Kernig chirwere) Zviratidzo Brudzinskogo nezvimwe zviratidzo.

On siyana izvi zvinofanira kubatwa vachiravana, asi iye zvino uchava pfungwa zvakafanana zviratidzo yomumuzongoza. Vakawanda Varwere ava vane utera uye kwazvo nomusoro, izvo zvinokonzerwa wakawedzera intracranial kumanikidzwa uye kudhaka. Izvi zvakafanira, uye kurutsa kuti zviri kukonzerwa kutsamwa ari kurutsa muzinda muuropi, saka haisi achiperekedzwa svoto uye pashure haina zororo.

Meningeal zviratidzo haamo pakarepo, kazhinji pashure zuva rimwe. Chiratidzo Kernig kunyange chimwe chezvinhu anoratidza kuti yomumuzongoza, pane zvimwe zvinoratidza zvakare: nomusoro unokura kana murwere anochinja musoro wake kanoverengeka ari chinjikira ndege. Mutsipa Tsandanyama kazhinji kuoma (Rigidity) kuti yekudyidzana kana kuedza murwere tinyerere kuteura musoro wako mberi, dzimwe nguva imi hamugoni chete kuunza chirebvu wako muchipfuva chako.

Chiratidzo Kernig rinogona kuzivikanwa kwete chete vanhu vane yomumuzongoza, asi naivo vakaona zvimwe zvirwere zviri ibvi. Zvisinei, pachiimbwa dzimwe zvinoratidza chirwere, zviratidzo zvacho runoita kuti pave kuongororwa zvakarurama. Kernig ari chiratidzo chokuti munguva pusa flexion uye kuwedzera nemakumbo ibvi uye muhudyu vadyi (tichibatsirwa kwachiremba) haasi akaona izere uyewo nokuda vaviri Rigidity vamwe dzemuviri repasi muzvidimbu uye marwadzo.

Izvi Keringa chirwere nezvokumwe mbiri nezvishoma. Chokutanga, chiremba anokotama nebandauko murwere avete shure kwake, dzimwe pamakona kuti hudyu uye ibvi majoini zvakanaka. Chiremba akabva kunetesa kumanikidza kwayo pamusoro murwere gumbo, nokuti chii iye tinyerere unbent. In hwakanaka munhu, chiratidzo ichi hazvirevi kuratidza, uye gumbo nyore anodzokera nzvimbo yaro yepakutanga.

Tiine chiratidzo Kernig anogona gadza kwete chete kuvapo yomumuzongoza, asi ukuru kwazvinoita uropi utachiona. Unogonawo havatsananguri rinomutsa chirwere uye kufanotaura nezveramangwana Kumwe kuchinja kunotanga ari huta tishu.