Arachnoiditis Cerebral zobuchopho, iimpawu, unyango, iziphumo

Kukho izifo abaninzi ezikhokelela ukukhubazeka okanye ukufa. One of them - arachnoiditis lobuchopho. Xa oku ukugula abantu abagulayo abafuna unyango kwangoko kunye olusebenzayo. Xa uqikelelo esifaneleke ubomi unyango sisihle. njani ukubona arachnoiditis yobuchopho? na iphathwa njani? Ngaphambi kokuba siphendule le mibuzo, kubalulekile ukuqonda ukuba yintoni kanye na arachnoiditis, njengoko lichazwa.

Yintoni arachnoiditis?

Ubuchopho kunye umnqonqo yomuntu wawutyabeka meninges ezintathu: eziqinileyo, arachnoid (arachnoid) kunye ethambileyo. Ukudumba arachnoid - sisifo ekuthiwa arachnoiditis. Ngowe-60% amatyala izifo ingqondo izifo ezosulelayo kunye esosulelayo-komzimba. Ngowe-30% amatyala arachnoiditis oko kuvela kuba ngaphambili wafumana trauma craniocerebral. I abanye abantu abaye kwafunyaniswa sifo, awukwazi sungula umyalezo.

Igama elithi "arachnoiditis" ayifumanekanga isicelo ngokoqobo. Iingcali bathi oku kukuba akukho ekwanti sisilonda esidumbileyoesingaphakathi mater arachnoid, ngenxa yokuba awunazo inkqubo yayo nemithambo. Iimpawu arachnoiditis amayeza mihla nezaziwa serous meningitis.

nokubekwa kwezifo

Kuxhomekeka lizwe zenkqubo lwezidumbu, ukuchonga iintlobo ezininzi izifo. One of them - arachnoiditis spinal. Kule sifo, nangokurhala kwenzeka inwebu yobuchopho ojikeleze umnqonqo. Enye imbono - arachnoiditis lobuchopho. Ukuba oko kwabuchaphazela kuphela iqokobhe ingqondo. Kuba arachnoiditis fluid iphawulwa indibanisela ezi ntlobo zimbini ngentla sifo.

Kukho nenye yokuhlela. Ngokutsho kwakhe, kukho ezi ntlobo zilandelayo zesi sifo, kuba arachnoiditis:

• ngomva fossa;
• carcinoma (Basal);
• indawo khaxa ye zifaka yobuchopho (convexital);
• kwi chiasma optic (opto-chiasmatic);
• angle cerebellopontine.

Kuxhomekeka utshintsho morphological woyekelelo;

• ngcina;
• Ngcina-esinganyangekiyo;
• arachnoiditis Cerebral esinganyangekiyo.

Izinto ezibangela arachnoiditis yobuchopho

Esi sifo kwenzeka kwingxaki zizifo ezahlukahlukeneyo ezosulelayo ephuhlisa ngenxa kwiinkqubo ukudumba ibakho nendlebe, le sinuses paranasal. Ngoko ke, izinto imbangela ziquka rheumatism, umkhuhlane, tonsils esinganyangekiyo, otitis, rhinosinusitis, imasisi, icesina nebomvu, njalo-njalo. D.

Unobangela sifo ngamanye amaxesha izenzo ukwenzakala ebuchotsheni esibuhlungu. Yinto post-traumatic arachnoiditis lobuchopho. Ezinye iingcali zikholelwa ukuba isifo ukuze kwenzeka emva kokuzalwa umothuko ukuba yeva kwiminyaka kamva emva ukwenzakala okanye izifo.

iimpawu palsy

Kuba arachnoiditis ebuchotsheni luphawulwa obubonakala ezithile clinical. Ikakhulu isifo uzenza waziva iimpawu lobuchopho. Sivame ebuhlungu. Yeyona nto inzima kusasa. Kwabanye abantu, oko kukhatshwa isicaphucaphu, ukugabha.

Headache ukuba mandundu uxinezeleko, ngepali, intshukumo nzima. Ukongeza kubantu bayo kunye arachnoiditis palsy waphawula nesiyezi. Xa izigulane ukuwohloka inkumbulo, kukho nochuku, uza ngokukhawuleza ukudinwa, ukulala aphazamiseka, kukho ubuthathaka jikelele.

Iimpawu ezibonisa kwasendaweni yenkqubo zophendlo lwezifo

Iimpawu Cerebral asingabo abo kuphela isifo "arachnoiditis lobuchopho." Iimpawu kunokwenzeka ngakumbi ezibonisa kwasendaweni yenkqubo iqokobhe:

1. Ukuba arachnoiditis ngomva fossa waphawula Ataxia. Oku lunyhasho iintshukumo efanayo kwezihlunu engekho buthathaka kwezihlunu. Kwakhona, kukho nystagmus. Eli gama libhekisela yayiqalwe le amehlo.
2. uhlobo carcinoma kwezifo luphawulwa kwekhono ye kwimithambo- akhiwe kwi Amaza.
3. Xa arachnoiditis convexital ngokubanzi kwaye kungenzeka sokuwa Jackson yakhe.
4. Kuba ifayibha-chiasmal uhlobo lwesifo luphawulwa ukungaboni. abantu abagulayo bathi "umnatha phambi kwamehlo akho." Xa isifo kakhulu kwenzeka ziimfama. Ngamanye amaxesha wabonakalaliswa izifo hypothalamic (umz, ukwanda ukuchama, ukoma).
5. Ukuba arachnoiditis cerebellopontine engile buhlungu abantu ebuhlungu yenzelwe kwingingqi Occipital, ukuduma. Xa izigulane abanengxaki paroxysmal vertigo.

Uxilongo lwe arachnoiditis yobuchopho

Uxilongo yenziwa ziingcali ngokuqwalasela ezibonisa kwezonyango sifo kunye neziphumo zeemviwo luvo. Oku kuquka ukufunda acuity olubonakalayo, amasimi ezibonwayo kunye fundus. Craniography nazo zenziwa. Le X-ray yoKhakhayi ngaphandle umahluko. Xa arachnoiditis ebuchotsheni iimpawu ngqo nomfutho intracranial ukuze zichongwe njengeziifanelwe ngokutsha kraniogramme.

Kwakhona wenza ubuchopho electroencephalogram. Indima enkulu uxilongo udlala pnevmoentsefalogramma. Uphenyo luveza ukuzaliswa olungalinganiyo air isithuba subarachnoid, ukwandiswa ventricles, awo ephambili umoya. abantu abagulayo ozimiselweyo ulwazi olungaphezulu ngaphandle nezinye izifo:

• Itomography ngekhompyutha;
• angiography;
• ukwenza umfanekiso liyenza magnetic;
• scintigraphy;
• nezinye iindlela diagnostic.

kubulawe yokugula

Esi sifo arachnoiditis yobuchopho kufuneka ziphathwe ixesha elide, izifundo. Ukuze kupheliswe umthombo losulelo, oogqirha amisele antibiotics ukuba izigulane zabo. Ezi zixhobo zilandelayo nazo kusetyenziswa:

• anti-ukudumba;
• absorbable;
• hyposensitization;
• emzimbeni kunye nabanye.

Ngenxa ukwanda koxinzelelo intracranial iyafuneka womchamo (umz: "Furosemide" "Mannitol"), kunye ukuxinana. Ukuba izigulane uhlaselwe, oogqirha amisele iziyobisi antiepileptic. Ukuba kuyimfuneko ukusebenzisa iziyobisi nomqondiso.

unyango ngotyando

Ukusetyenziswa kweziyobisi akusoloko elungele ekupheliseni izifo ezifana arachnoiditis lobuchopho. unyango Surgical yaphathwa kwezinye iimeko. Kubonakala ukuba utyando zezi:

• ukungabikho ukuphuculwa emva konyango olwenziwe;
• ukwandisa BP intracranial;
• ukukhula kweempawu focal;
• ukufumaneka ifayibha-chiasmal arachnoiditis, nto leyo abayinqobo ekudodobaleni ngcembe lokubona.

Umzekelo, ukusebenza neurosurgical ukuze kwenziwe ngexesha lenkqubo yophuhliso ukwenza azikhuli kwakuse okanye inkqubo esinganyangekiyo kwi izifo ezifana arachnoiditis kwengqondo lobuchopho. Unyango olu hlobo lokubhangisa le miqobo eziphazamisana isasazwe eqhelekileyo ulwelo fluid.

Sasemini kunye nokukhubazeka arachnoiditis yobuchopho

Ngokuqhelekileyo, ayikho into esongela ubomi yesigulane, ukuba unyango iqalisiwe ngexesha. Outlook ezilungileyo kwi uhlobo convexital kwesi sifo. Ngaphezu koko lelona liphezulu xa komtshiso woqondo-chiasmal. A ngozi kukodwa Uphakamisa arachnoiditis ngomva fossa kunye hydrocephalus obstructive. Kufuneka kuqatshelwe ukuba uqikelelo, kungaba kubi kakhulu isifo engundoqo, ukwenzakala.

Abantu ngenxa yokugula anokuqondwa abakhubazekileyo of Group III, ukuba ukhanyiso kwanciphisa umthamo imisebenzi yabo kwimveliso. Ukuba ukonakala olomeleleyo mbono, ukuxhuzula rhoqo ukucwangcisa iqela nokukhubazeka II. Invalids I qela ngenxa yokulahlekelwa kombono okubangelwa arachnoiditis optic-chiasmal.

Izinto ezibangela ukukhubazeka

Siye wathi arachnoiditis yobuchopho kunokukhokelela nokukhubazeka. Ngoko ke, esi sifo Uxhokonxwa abaKhubazekileyo, t. E., Izigulane ulahlekelwe ngokupheleleyo okanye ngokuyinxenye ithuba okanye ukukwazi ukuphumeza amacandelo ezinkulu yobomi bemihla ngemihla. Oku kwenzeka ngenxa yezi zizathu zilandelayo:

1. Ukuxhuzula. abantu abagulayo uhluleke ukulawula nokuziphatha kwabo. Kule Uxhulumaniso msebenzi ebalulekileyo kunye nesikhundla bubuncinane umsebenzi yaphulwe.
2. Ukonakala umsebenzi olubonakalayo. Abantu abane arachnoiditis yobuchopho, kunciphise acuity nangokweenkalo mbono uncipha. Abakwazi ukusebenza kunye neenkcukacha ezincinane, ukwenza imisebenzi yabo professional efuna eyestrain. Abanye rhoqo zifuna uncedo kwabanye abantu ngenxa yokuqaqadeka.
3. Ukunyhashwa liquorodynamics sifo arachnoiditis lobuchopho. Imiphumela - ibonakalisa syndrome unesifo kunye iingxaki yomhla nezolo. Ezifa- zihambisana vertigo, sigulo ngezoBomi.
4. Neurasthenia kunye DYSTONIA ehamba kwezityalo. Xa abantu, yehle nokunganyamezelwa nesimo sezulu, baphulukana ubuchule ntshikilelo emzimbeni nasengqondweni ixesha elide. Izigulane ophambene iingxolo elikhulu, izibane eziqaqambileyo kakhulu.

zokuthintela izifo

arachnoiditis Cerebral uya kuziphepha. Ngoko ke, ukuze ukuba senze olo sifo, kuyimfuneko ukuba banikele ingqalelo kuthintelo yayo. It is a unyango ngexesha ezo zifo ezinokubangela arachnoiditis. Ngokomzekelo, xa imiqondiso zokuqala sinusitis, otitis kufuneka ngoko nangoko udibane nogqirha wakho. Ingcali ngokukhawuleza ityumbe unyango olusebenzayo. unyango eyaneleyo kukwenzakala kuyimfuneko yaye kubuhlungu ebuchotsheni.

Xa ndiqukumbela, kubalulekile ukukhumbula ukuba arachnoiditis yobuchopho lobuchopho - sisifo ukuba akukho lula ukubona. Ukuba iimpawu nalapho amiswe kwizifundo ezahlukeneyo. Oku kubanjwa njengoko uxilongo umahluko, kuba nezifo ezininzi luphawulwa umfanekiso ofanayo lwezonyango (umzekelo, ithumba ebuchotsheni, hydrocephalus xi eqhelekileyo, neurosarcoidosis, sclerosis, sokuwa idiopathic).