Arachnoiditis Cerebral zobuchopho: izimpawu, ukwelashwa, imiphumela

Kukhona izifo eziningi bungaholela ekukhubazekeni noma ukufa. Omunye wabo - a arachnoiditis palsy. Lapho lesi sifo abagulayo abadinga ukwelashwa ngokushesha futhi ngempumelelo. Lapho umhlahlo ngesikhathi esifanele ukuphila yokwelapha sisihle. Ngingayithola kanjani ukuhlonza arachnoiditis cerebral? is it iphathwa kanjani? Ngaphambi kokuba siphendule le mibuzo, kubalulekile ukuqonda ngqo yilokhu arachnoiditis, njengoba lichazwa.

Kuyini arachnoiditis?

Asebuchosheni nomgogodla e umuntu camera meninges ezintathu: okuqinile, arachnoid (arachnoid) futhi ezithambile. Ukuvuvukala arachnoid - isifo okuthiwa arachnoiditis. Ngo-60% ezifo ingqondo izifo ezithathelwanayo kanye ezithathelwanayo-nomzimba. Ngo-30% amacala arachnoiditis ke uphakanyiswa ukufunda ngaphambili wathola ukuhlukumezeka craniocerebral. Abanye abantu abaye banalesi sifo, awukwazi ukusungula etiology.

Igama elithi "arachnoiditis" akatholakalanga ngokoqobo. Ochwepheshe bathi lokhu kubangwa yokuthi azikho angawodwa lesion Mater arachnoid, ngoba awunazo ohlelweni lwaso semithambo. Izimpawu arachnoiditis kwezokwelapha zanamuhla ukubizwa ngokuthi serous meningitis.

Ukwahlukaniswa izifo

Kuye kwasendaweni yenqubo sokugembula, ukukhomba izinhlobo eziningana izifo. Omunye wabo - a arachnoiditis umgogodla. Kulesi isifo, ukuvuvukala kwenzeka ulwelwesi ubuchopho ozungezayo emgogodleni. Omunye umbono - arachnoiditis palsy. Uma abathintekayo kuphela igobolondo zobuchopho. Ukuze arachnoiditis cerebrospinal elinesimo inhlanganisela yalokhu okungenhla ezimbili izinhlobo zezifo.

Kunenye ngezigaba. Ngokusho kwakhe, kukhona izinhlobo ezilandelayo lesi sifo, ke arachnoiditis:

• posterior fossa;
• basal (basal);
• ebusweni ayizindunduma we ama- cerebral (convexital);
• ku chiasma optic (opto-chiasmatic);
• engela cerebellopontine.

Kuye izinguquko morphological ukukhululwa:

• ingcina;
• Yesigcilikisha-fibrosis;
• Cerebral arachnoiditis fibrosis.

Izimbangela arachnoiditis cerebral

Lesi sifo kungavuka njengoba kwetintfo izifo ezihlukahlukene ezithathelwanayo ukuthi ukuthuthukisa ngenxa izinqubo ukuvuvukala okwenzeka maphakathi nendlebe, le sinuses paranasal. Ngakho, ezicini esiyimbangela zihlanganisa rheumatism, imfuluwenza namathansela okungamahlalakhona, otitis, rhinosinusitis, isimungumungwana scarlet fever, nokunye. D.

Imbangela yale isifo ngezinye izikhathi izenzo kuhlasimulise okulimala ebuchosheni. Kuyinto ukucindezeleka kwangemva kwenhlekelele arachnoiditis palsy. Abanye ochwepheshe bakholelwa ukuthi lesi sifo kungenzeka emva kokuzalwa ukubheduka ukuba wazizwa emva ukulimala noma izifo kweminyaka.

izimpawu cerebral

Ukuze arachnoiditis cerebral libhekene ukubonakaliswa ethile yomtholampilo. Ngokuyinhloko isifo izenze wazizwa izimpawu palsy. Ngokuvamile wathola ikhanda. Kuyinto olunzima ekuseni. Kwabanye abantu, kuhambisana ukucanuzela kwenhliziyo, ukuhlanza.

Ikhanda elibuhlungu kungenzeka ukucasulwa ukucindezeleka, zingaphazamisi, ukunyakaza esiyinkinga. Ngaphezu abantu bakhe nge arachnoiditis cerebral waphawula isiyezi. In iziguli eziwohlokayo inkumbulo, kukhona ukucasuka, uyeza masinyane ukukhathala, ubuthongo ephazamisekile, kukhona ubuthakathaka jikelele.

Izimpawu ezibonisa kwasendaweni yenqubo sokugembula

izimpawu Cerebral Akuwona kuphela isifo "arachnoiditis palsy." Izimpawu zingase zenzeke ngaphezulu abonisa kwasendaweni yenqubo igobolondo:

1. Uma arachnoiditis posterior fossa waphawula ataxia. Lokhu kungukuphula ukungaguquguquki imisipha ukunyakaza ngokungabi bikho ukuba buthakathaka kwezicubu. Futhi, kukhona i-nystagmus. Le nkulumo ibhekisela ukunyakaza okuzenzakalelayo zamehlo.
2. uhlobo Basal yesifo libhekene ukungasebenzi kwekhono emizweni zitholakala base Yekhanda.
3. Lapho arachnoiditis convexital jikelele kanye nokuquleka Jackson sokuwa kungenzeka.
4. Ukuze fibre-chiasmal uhlobo isifo libhekene angaboni kahle. Abantu abagulayo uthi "inetha phambi kwamehlo akho." Ngo ezifweni ezimbi kwenzeka ngobumpumputhe. Ngezinye izikhathi kubonakala khona iziyaluyalu hypothalamic (isib anda ukuchama, ukoma).
5. Uma arachnoiditis cerebellopontine engela libuhlungu abantu Ikhanda itholakala esifundeni occipital, tinnitus. In iziguli uhlangabezana paroxysmal inzululwane.

Ukuxilongwa arachnoiditis cerebral

Ukuxilongwa kwenziwa by ongoti ucabangela ukubonakaliswa emitholampilo ye isifo futhi zezinzwa imiphumela yokuhlolwa. Kuhlanganisa ekutadisheni acuity ezibukwayo, amasimu ezibukwayo futhi fundus. Craniography futhi kwenziwa. Lokhu-X ray Yekhanda ngaphandle umehluko. Lapho kungenzeka arachnoiditis cerebral izimpawu ongaqondile nomfutho wegazi ophezulu intracranial ezikhonjwe ukuze ibuyekezwe kraniogramme.

Futhi wenziwa ubuchopho electroencephalogram. A indima enkulu uphethwe udlala pnevmoentsefalogramma. Uphenyo luveza ukugcwaliswa engalingani emoyeni subarachnoid isikhala, ukunwetshwa ventricles, accumulations ebalulekile emoyeni. abantu abagulayo aqokwa ukuze uthole olunye ulwazi futhi ekhipha ezinye izifo:

• computed tomography;
• Angiography;
• Magnetic resonance imaging,
• scintigraphy;
• ezinye izindlela zokuxilonga.

nokuqedwa kokugula

Lesi sifo arachnoiditis cerebral kufanele aphathwe isikhathi eside, izifundo. Ukuze kuqedwe umthombo ukutheleleka, odokotela antibiotic iziguli zabo. Amathuluzi ezilandelayo zisetshenziselwa:

• anti-inflammatory;
• absorbable;
• hyposensitization;
• amanzi emzimbeni kanye nabanye.

Nge ukwanda ingcindezi intracranial kuyadingeka isisu (isb, "Furosemide" "Mannitol"), futhi yokuvula amakhala. Uma iziguli ukuquleka, odokotela linqume izidakamizwa antiepileptic. Uma kudingekile ukusebenzisa izidakamizwa lingaze.

ukwelashwa kuhlinzwa

Ukusetshenziswa kwezidakamizwa akuyona njalo kunikela nokuqedwa izifo ezifana arachnoiditis palsy. ukwelashwa Steel iqondiswa kwezinye izimo. I izinkomba ukuhlinzwa yilezi:

• yokuntuleka ngcono ngemva ukwelashwa izidakamizwa olwenziwa;
• ukwandisa nomfutho wegazi ophezulu intracranial;
• ukukhula izimpawu ebalulekile;
• ukutholakala fibre-chiasmal arachnoiditis, okuyinto eziyizici Ukuwohloka okusimeme umbono.

Ngokwesibonelo, ukusebenza neurosurgical esiyolandelwa phakathi kwenqubo ukuthuthukiswa ukwakha ukuvuvukala ingcina noma inqubo fibrosis at isifo esinjengo-cerebral zobuchopho arachnoiditis. Ukwelashwa nokuvikelwa lolu hlobo uyombhubhisa kwezithiyo ukuphazamisa ukuzungeza evamile cerebrospinal fluid.

Isibikezelo nabakhubazekile nge arachnoiditis cerebral

Ngokuvamile, ayikho into esongela ukuqhubeka nokuphila lesiguli, uma ukwelashwa iqale ngesikhathi. ukuba nombono ongafani ngeke Good azinikeza ifomu convexital lesi sifo. Ngaphezu kwalokho ke kuyisiqalo esibi kunazo zonke nengivuvuke optical-chiasmal. A engozini ethile ngokwako siyingozi arachnoiditis posterior fossa nge iphimbo obstructive. Kufanele kuqashelwe ukuthi umhlahlo kungaba ngokuphawulekayo lesi sifo ecashile, ukulimala.

Abantu ngenxa yokugula kungenziwa waqaphela njengoba kwe Group III, uma ukukhanya kuyehla ivolumu yemisebenzi yabo ukukhiqiza. Uma ukuwohloka oqinile umbono, nokuquleka njalo ukumisa iqembu ukukhubazeka II. Invalids I beqembu ngenxa ukulahlekelwa umbono kubangelwa arachnoiditis optic-chiasmal.

Izimbangela ukukhubazeka

Sithe ukuthi arachnoiditis cerebral bungaholela ekukhubazekeni. Ngakho, lesi sifo kuphakamisa Ukukhubazeka, t. E., Iziguli ngokugcwele noma ingxenye ulahlekelwe ithuba noma ikhono nokuqalisa izingxenye ezinkulu zokuphila kwansuku zonke. Lokhu kwenzeka ngenxa yezizathu ezilandelayo:

1. Nokuquleka. Abantu abagulayo ngezinye izikhathi ulahlekelwe ukulawula ukuziphatha kwabo. Kule ndaba lo msebenzi obalulekile futhi umthamo elinganiselwe umsebenzi siphukile.
2. Ukuwohloka umsebenzi ezibukwayo. Abantu ne arachnoiditis palsy, acuity sinciphile emkhakheni umbono unciphise. Abakwazi sisebenze ezincane, ukuze bafeze imisebenzi yabo professional ezidinga eyestrain. Abanye njalo abadinga usizo kwabanye abantu ngenxa yobulukhuni.
3. Ukwephulwa liquorodynamics nalesi sifo arachnoiditis palsy. Imiphumela - ibonakalisa syndrome unesifo sikashukela kanye nezibhelu ezilandela lokhu yansukuzonke. Izinkinga ahambisana inzululwane, lesi sifo ka orientation.
4. Neurasthenia futhi elikulesi sihloko dystonia vegetative. Kubantu, kwehle ukubekezelelana kuya nesimo sezulu, walahlekelwa ikhono ukucindezeleka eside ngokomzimba nangokwengqondo. Iziguli bengasabeli kahle imisindo elikhulu, izibani esikhanya kakhulu.

ekuvimbeleni izifo

arachnoiditis Cerebral kungagwenywa. Ngakho, ukuze ubhekane nalesi sifo, kubalulekile ukuba banake zokuvimbela yayo. Kuyinto ukwelashwa esifike ngesikhathi lezo zifo ukuthi kungabangela arachnoiditis. Ngokwesibonelo, lapho izimpawu zokuqala sinusitis, otitis kufanele ngokushesha uxhumane nodokotela wakho. Uchwepheshe ngokushesha uqoke yokwelapha ngempumelelo. ukwelashwa okufanele kuyadingeka futhi kuhlasimulise okulimala ebuchosheni.

Ekuphetheni, kuyafaneleka ukuthi arachnoiditis cerebral zobuchopho - isifo akulula kangako ukuxilonga. Uma izimpawu asolisayo bamiswa izifundo ezihlukahlukene. Wawunamafutha njengoba uphethwe umehluko, ngoba izifo eziningi libhekene efanayo isithombe emitholampilo (isib, ebuchosheni, evamile ingcindezi iphimbo, neurosarcoidosis, yi-multiple sclerosis, isithuthwane idiopathic).