Izifo Brain arachnoiditis: Iimpawu and Treatment

Izifo ezosulelayo of umyalezo ezahlukeneyo kunye zalapha emva nentetho equkayo, zayo ayingozi hayi kuphela ubuthi jikelele, kodwa njengoko kubekho ukudumba meninges. Ngokuqhelekileyo, izigulane i ucinga kangako ngayo, yaye oogqirha ukuze miss harbingers of iingxaki.

definition

Arachnoiditis - kukukrala intambo arachnoid nomqolo okanye ingqondo. Loo candelo lunemiqathango, njengoko ifom esemagqagaleni practice clinical musa zenzeke. Oku linxulunyaniswa isixhobo inkqubo olujikeleza. Usuleleko lingena kwindawo eqinileyo okanye pial ukuze arachnoiditis onokufaniswa serous meningitis.

Igama elithi "arachnoiditis yobuchopho" ngokuthe ngcembe iba ezazikho ukususela pathologically kwaye ngokwezonyango nzima ukwahlukanisa kanye komtshiso oko arachnoid. Amagqirha uthambekele ukukholelwa ukuba bonke eku- obubonakala inwebu iya kubizwa ngokuba meningitis.

History and umyalezo weimeyile

Ngokuba lixesha lokuqala elithi "arachnoiditis" kwi ithisisi yakhe yaziswa amayeza Tarasenkov phakathi kwinkulungwane yeshumi elinesithoba. Inkcazelo eneenkcukacha ezininzi kwesi sifo linike BENNINGHAUS luvo. Kodwa wayibiza ngokuba yangaphandle serous meningitis.

Arachnoiditis, kwakunye ukudumba nezinye kweqokobhe, kwenzeka emva izifo ezihlasela zosulele kwaye ezondeleyo ezasulelayo, sinusitis, ngokuchasene nemvelaphi kunxilwe ezingapheliyo kunye neetyuwa zesinyithi enzima kunye nokwenzakala. Ukongeza, le ngezifo angavela imvelaphi kwinkqubo somhlaza kunye kobuchopho.

Unobangela oqhelekileyo arachnoiditis yi esingapheliyo suppurative zosasazo otitis kunye nezigulo yayo: labyrinthitis, petrozit kunye sinustromboz. Ngoko ke, oko yenzelwe kwi fossa ongasemva okanye ophakathi cranial.

kwi lokuqhubeka sifo yahlulwe etsolo, subacute okanye engapheliyo. Inkqubo ziqhelekileyo kukhutshwe arachnoiditis ehlasela kwaye lunomnyino. Njengomgaqo, baya kuhlanganiswa okanye alandelayo nye kumfanekiso clinical.

iimpawu

Njani ngazo izifo ezifana arachnoiditis yobuchopho? Impawu ziyintlanganisela ukuphazamiseka ebuchotsheni zasekuhlaleni ngokubanzi. kuqala ezinxulumene ukwanda koxinzelelo cerebrospinal fluid, nencopho yesibini kwindawo yomthombo komtshiso oko. Ngokuxhomekeke uhlobo uphawu ibe oko, wabonakala zesi sifo ungahluka.

Ngokufuthi eklinikhi kukho izikhalazo intloko ebuhlungu, ekhatshwa isicaphucaphu nokugabha, yivusa lula. Iintlungu nga swi kwindawo enye, ziyanyuswa eshukumayo, ngokwasengqondweni okanye ntshikilelo ngokwasemzimbeni. Ukongeza, kukho nesiyezi (naxa ulele phantsi), ukuba nochuku, buthathaka kakhulu, zidibene zokulala. Kungabonakala photophobia, ukunyamezelana nezandi elikhulu, ngqongqo kwezihlunu.

Kodwa asiyiyo loo nto ebonakala arachnoiditis ingqondo. Iimpawu ukuphazamiseka focal lixhomekeke indawo inkqubo yezifo. Ukuba kujoliswe kuyo kumphezulu khaxa lobuchopho, ngoko, mhlawumbi, isigulana siya kufumana ilahleko umsebenzi, iziqephu sokuwa. Indawo inyama asha phezu emazantsi ingqondo ebangela ukuphazamiseka kwimithambo- cranial. Oku iimpawu ezifana umbono anokuncitshiswa okanye ukulahleka nasemaphandleni ayo, neuritis le yobuso, luvo trigeminal, sinciphise ingqondo ivumba. Zingakotshwa idityaniswe ngokoyiswa ezibonisa inkqubo yawo nervous (ukubila ngokugqithiseleyo, isikhumba oluhlaza, unxano, rhoqo ukuchama, ukwanda iswekile yegazi).

Inkqubo Ukuqulunqwa nokujikelezisa utywala nayo arachnoiditis ebuchotsheni. Iimpawu zesi sifo kuvela ukwanda lobushushu elibukhali, ukugabha, iintlungu apha entanyeni kunye Nape, nystagmus nokuphucula ingqondo imicu. Kwiimeko ezinjalo, qiniseka ukuba umahluko phakathi iimpawu zophendlo lwezifo zophuhliso yamathumba ngomva fossa. Noko ke, empontshwa na kwenziwa kuphela xa fundus akukho ingxinano.

arachnoiditis yobuchopho

Ukuba focus yokukrala phezu khaxa (convexital) umphezulu, ibizwa ngokuba "arachnoiditis yobuchopho zobuchopho." Iimpawu ziquka obubonakala ekubulaleni meninges, kunye ukunyhashwa nencindi ulwelo. Uphawu iqhelekileyo lokuqala yintloko ebuhlungu. Ngenxa ukudumba izicwili ejikeleza eqhelekileyo ulwelo fluid kunzima, nto leyo inokuzisa nokwanda nophuhliso nomfutho intracranial.

arachnoiditis Cerebral zobuchopho, iimpawu nezimpawu zezinye izifo, amaxesha amaninzi ibekwe nomhlehlo ngokungqalileyo, indawo kwi gyrus ephakathi. Ngenxa yoku, ukuphazamiseka injini rhoqo kwi ngohlobo ingeniso okanye ilahleko intshukumo okanye kuyabuya. Xa ucinezelo kwayo yokulola cortical kwaye inokuba nokuxutha epileptiform focal. Kwiimeko kakhulu, kukho ukuxhuzula ezinkulu, leyo kuguqulwa status epilepticus. Kwiimeko ezinjalo, indima ebalulekileyo edlalwa electroencephalography. Pneumography oogqirha mihla akuvamanga kusetyenziswa ngenxa iteknoloji ezithile nokuqaliswa komoya phantsi ingaphakathi ingqondo, nangona le ndlela uphando kulo mzekelo nayo ulwazi kakhulu.

arachnoiditis woqondo-chiasmatic

Xa kusenziwa kwezonyango kwicandelo ekudibaneni luvo optic yi arachnoiditis luqhelekileyo lobuchopho. Iimpawu eli lizwe Kuyinto ethile isifo kwangethuba. Izizathu zibe kuchongwa seengcongconi, negcushuwa, ukwenzakala ebuchotsheni zonxinzelelo kunye nomqala obuhlungu.

Kummandla we-optic azikhuli ifomu chiasm kunye cysts kunye nomxholo serous, yaye kwiimeko ezinzima kakhulu malunga chiasm optic kubonakala kukuqulungana ashinyeneyo kwithishyu. Olu uhlobo kwesifo ayikho ngokungqongqo zasekuhlaleni. Ungase uphawule utshintsho izihlunu novalo, yaye umgama elingeneyo kumthombo. Ngenxa ukudumba luvo optic ezivela macala omabini kwaye phantsi ucinezelo le ischemia onesiphumo.

Isifo iphuhlisa kancinci, kuqala ibetha unaliso linye, ibe ke, emva kweeveki ezimbalwa, enye. Kuyo yonke loo nophuhliso sifo isigulane ikhalazela iintlungu ngasemva amehlo. Oku kwenza umahluko une neuritis of etiologies ezahlukeneyo. Ukuze ubone sayithi kwiintetho ezikralayo, sebenzisa inkcazelo yamasimi ezibonwayo kunye noviwo fundus. Eyona ngqo lo ukulahleka amasimi ezibonwayo, sixunela kwezingabonwayo okanye concentric valiweyo ngayo. Oku kubonisa ukuba ugqaliselo ukudumba ise embindini, phakathi iphecana optic.

Arachnoiditis ngomva fossa

Xa ngomva fossa amaninzi localized arachnoiditis nedumbe lengqondo nedumbe lengqondo. Iimpawu zifana yamathumba bakhe abane-yaye ziqulathe isiqu kunye ezibonisa cerebellar (ekubulaleni ngababini yesihlanu, yesixhenxe neyesibhozo of imithambo cranial).

Ekubulaleni kwiCerebellum esibonakaliswa xenga ukuhamba kwaye kwiimeko ndawonye, ulungelelwaniso iintsizana iintshukumo iingalo nemilenze, kwakunye ukungakwazi ukwenza ngaxeshanye iintshukumo ezininzi, njengoko isigulane kufuneka ukulawula abangaboniyo imilenze yakhe, ukuba benze izinto tye.

Symptomatology kuxhomekeke ngohlobo ukudumba (cyst okanye inkqubo enamathelayo), kwasendaweni yayo kunye nendibaniselwano kunye hydrocephalus. Lo wokugqibela kuba ngenxa ukungqubana Ekungeneni ventricles icala ingqondo ngenxa yokutshintsha zeethishu yezifo. Ingalingani ukubacaphukisa meninges ulwelo kwaye ibangela ukwanda koxinzelelo intracranial. Zokubonisa le syndrome elibukhali intloko, isicaphucaphu, ukugabha, isiyezi, ukwehla kwezinga entliziyweni.

arachnoiditis spinal

Olu hlobo yokwenzakala lwenzeka xa CSF yangoku okanye kwegazi ukuya umnqonqo ufumana i-arhente ezosulelayo ezibangele ukuba arachnoiditis lobuchopho. Iimpawu kunye neziphumo zixhomekeke kwinkqubo yokunikezela kunye nenani kweengcambu ezonakeleyo. Ubangelwa sifo ngaphandle sele amagama abe amathumba, iyabhiqiza amathumba.

Iklinikhi izilonda umnqonqo kuyafana ukuba ngamathumba extramedullary. Eli lizwe kakhulu rhoqo - inxalenye thoracic kunye empontshwa, indawo umsila zehashe. Ulwelo lwe-cerebrospinal liyasetyenziswa iseli-protein dissociation. Ngokuqhelekileyo, ifomu arachnoiditis nomqolo singapheli.

ekuxilongweni

Ukufumana uxilongo, ugqirha kwindawo yokuqala ziqokelela ngembali yobomi kunye nempilo, uze uqhuba ukuxilongwa ngokwasemzimbeni, kubandakanywa ukuchaza kunye nesimo luvo. Kwaye ngoko kuphela ukukhulisa elebhu ezongezelelweyo kunye neendlela isisixhobo uphando.

Umsebenzi lokuqala luvo - ngaphandle yamathumba nobuchopho leyo asekelwe arachnoiditis lobuchopho. Iimpawu, photo ukakayi kwikhompyutha okanye unyango livakale magnetic bakuncede kule. Ukongeza, le kraniogramme iya kuba iimpawu ezibonakalayo wegazi intracranial. Ulwazi, kwaye ke iziphumo zalo ingqalelo echoencephalography, angiography kunye scintigraphy, kodwa ugqirha kwindawo yokuqala ekhokelwa yi-MRI.

Electroencephalography Kuyanceda ukunika nakujoliso olutsha lwe nangokurhala, kubonakale imbangela sokuwa. analysis CSF kubonisa inani ngokulinganisela iiseli, a dissociation protein encinane, kodwa enabela kulwelo lwe- cerebrospinal phantsi koxinzelelo, nto leyo eqinisekisa hydrocephalus. Ngaphezu koko, emva kwale nkqubo, impilo yomguli uyaphuculwa ngokuthi kuncitshiswe uxinzelelo intracranial.

unyango

Indlela yokuphatha arachnoiditis yobuchopho? Oku kakhulu msebenzi ethatha ixesha elide. Okokuqala kufuneka ufumanise unobangela impendulo yokukrala uze uzame ukusombulula kuyo. Ukulungiselela le njongo, antibiotics ebanzi-spectrum, leyo ukuphumela njengomqobo segazi lobuchopho. Ukunciphisa ijwabu nokudumba usebenzisa antihistamines kunye desensitizing arhente.

Unyango arachnoiditis yobuchopho ezilungiselelwe unyango elide iindlela zemiyalelo leyo usombulula ijwabu amabala. Ukongeza kule kuyimfuneko bunjani uxinzelelo intracranial, ukuphucula yayikukuphuphuma ulwelo lwe-cerebrospinal, ukukhuthaza ukuhamba kwegazi yobuchopho kunye nonikezelo ioksijini ukuba ijwabu luvo.

Ngokubanzi, ufuna ukubuyisela yonke into zingonakalisa arachnoiditis lobuchopho. imithi Treatment, umz evuselela biogenic "ligase" "pirogenalom" izifundo iinaliti elinesihlanu rhoqo emva kweenyanga ezintandathu, unika iziphumo ezihle nakumatyala anzima. Isebenziselwa womchamo zokucutha ukuxinana. antiepileptics zezona ukuba ukukhululeka ukuxhuzula.

Njengoko prophylaxis yenziwa unyango bembuyekezo, kunye iingxaki ezongezelelekileyo zisebenza unyango nomqondiso.

Ipredikshini kunye nokuthintela

Unyango lwangethuba arachnoiditis yobuchopho kudla akugqiba achache. Ubungozi isenokuba kuphela inkqubo kwiintetho ezikralayo, nto leyo imi fossa ngomva kunye ventricles kunye imingxuma zidlulela. Kubi ngenxa abane of likakade rhoqo kwesi sifo okanye ikhondo layo okuqhubekekayo imvelaphi iingxaki unesifo, ukuxhuzula epileptiform, kwakunye na ukudumba kwi ezayo le chiasm optic.

Yintoni ekufuneka uyenze ukuze ukuthintela arachnoiditis yobuchopho? Imiphumo kakhulu zawo ngokwaneleyo, ngoko ke kufuneka sinikele ingqalelo impilo yabo yaye ngexesha lokuba isicelo esibhedlele uncedo. Kuyimfuneko ukuba enze ukuthintelwa sinusitis, amajelo otitis kunye sinusitis, wabethelela kwikhalenda, kwaye okona kubaluleke kakhulu, ixesha ukuphelisa zonke izifo ezosulelayo unyango. Ngenxa yokuba kukhokelela kuphuhliso arachnoiditis.

umthamo abarhola

Isifo yobuchopho kunokubangela amalungelo arachnoiditis yokukhubazeka. Nokuba kwimvelaphi ngokuchuma kuthelekiswa iziphumo zonyango zosulelo odlulileyo okuhlala kuse ebomini.

Iqela sesithathu yokukhubazeka esabelwa abaguli ukuzinakekela kwimeko, kwaye enze umsebenzi ukukhanya. Ziyakhuthazwa iinqununu ukuba ukutshintsha emsebenzini wabo kwaye agcine indlela eyiyo yobomi, kangangoko oku kunokwenzeka.

Iqela lesibini yokukhubazeka isigulane ifumana, ukuba emva kokuba unyango wayeshiye iziqephu sokuwa, nokwehla acuity olubonakalayo. Aze angakwazi ukwenza imisebenzi yabo kwezomsebenzi wobungcali, kodwa iyakwazi ukuthatha unonophelo kwabo. Invalids eqela lokuqala izigulane ingqalelo ukuba ngenxa sifo baphelelwa umbono wabo.

Izigulane neqela lesithathu contraindicated esebenza ubude, idangatye vula neshukumayo iindlela zothutho. Kucetyiswa ukuba kupheliswe imozulu embi ezinxulumene notshintsho womoya, umsebenzi kwiindawo ezinengxolo ongcolileyo, umsebenzi enxulumene lokungcangcazela.

Xa ugqirha kwafunyaniswa ukuba "arachnoiditis Cerebral", iimpawu, unyango kunye nokuvuselelwa izigulane wafundela ngononophelo iingcali zonyango kunye nezentlalo ikhomishini nengcali. Isigqibo ngokunikezela ngobume ukukhubazeka zingachaphazela nabani na, nkqu iinkcukacha kakhulu ezingephi, ekubeni ezo ukulandela izibonelelo ezithile.