Meningeal syndrome yog txheej txheej ntawm cov tsos mob qhia tias muaj teeb meem hauv lub cev (daim nyias nyias uas nyob ib puag ncig lub hlwb thiab tus txha caj qaum). Nws peb cov tsos mob tseem ceeb yog mob taub hau, ntuav thiab txhav caj dab. Meningeal syndrome yog mob xwm txheej ceev.

Kev txhais ntawm meningeal syndrome

Meninges yog txheej tiv thaiv rau lub hauv paus paj hlwb. Lawv yog ib pawg ntawm cov ua tau zoo sib xws uas npog lub hlwb hauv kab noj hniav thiab cov leeg txha caj qaum hauv pob txha caj dab (qaum).

Peb tham txog meningeal syndrome los teeb tsa cov tsos mob qhia txog kev txom nyem ntawm tus mob meninges. Cov tsos mob no feem ntau yog cim los ntawm peb cov tsos mob:

• mob taub hau (mob taub hau),
• ntuav
• nruj thiab mob nqaij hauv caj dab.

Lwm cov tsos mob tau nquag pom (saib ntu "Cov tsos mob" ntawm daim ntawv no). Hauv qhov tsis txaus ntseeg me ntsis, cov lus qhia kho mob yog qhov tseem ceeb. Meningeal syndrome xav tau kev kho mob sai thiab sai.

Ua rau meningeal syndrome

Meningeal syndrome tshwm sim nws tus kheej hauv meningitis (mob ntawm cov meninges) thiab subarachnoid hemorrhages (tawg ntawm cov ntshav hauv cov meninges). Lawv qhov ua rau txawv.

Feem ntau ntawm cov xwm txheej, subarachnoid hemorrhage yog los ntawm kev tawg lossis tawg ntawm lub paj hlwb intracranial (ib hom hernia uas ua rau ntawm phab ntsa ntawm cov hlab ntsha). Meningitis feem ntau yog los ntawm kev kis tus kab mob lossis kab mob. Meningoencephalitis qee zaum pom thaum qhov mob cuam tshuam rau cov meninges thiab lub hlwb lawv npog.

Nco tseg: Qee zaum muaj qhov tsis meej pem ntawm tus mob meningeal syndrome thiab meningitis. Meningeal syndrome yog txheej ntawm cov tsos mob uas tuaj yeem tshwm sim hauv tus mob meningitis. Ntawm qhov tod tes, mob meningeal tuaj yeem muaj lwm yam ua rau mob meningitis.

Cov neeg txhawj xeeb

Meningitis tuaj yeem tshwm sim tau txhua lub hnub nyoog. Txawm li cas los xij, qhov kev pheej hmoo siab dua hauv:

• cov menyuam yaus hnub nyoog qis dua 2 xyoos;
• cov hluas thiab cov hluas hnub nyoog 18 txog 24;
• cov neeg uas muaj lub cev tsis muaj zog tiv thaiv kab mob, uas suav nrog cov neeg laus, cov neeg muaj teeb meem kev noj qab haus huv ntev (mob qog noj ntshav, AIDS, thiab lwm yam), cov tib neeg raug zam los ntawm kev muaj mob, cov uas noj tshuaj uas ua rau lub cev tsis muaj zog.

Subarachnoid hemorrhage yog kab mob uas tseem tsawg. Txawm li cas los xij, nws qhov xwm txheej nce nrog hnub nyoog.

Kev kuaj mob ntawm meningeal syndrome

Meningeal syndrome yog kev kho mob xwm txheej ceev. Ntsib nrog cov yam ntxwv tshwj xeeb lossis tsis ntseeg siab me ntsis, nws yog qhov yuav tsum tau hu rau cov kev pabcuam khomob xwm txheej ceev.

Kev kuaj mob tuaj yeem txheeb xyuas cov cim qhia ntawm tus mob meningeal syndrome. Yuav tsum kuaj ntxiv txhawm rau txheeb xyuas qhov ua rau. Qhov kev tshuaj xyuas siv yog lub lumbar puncture uas muaj nyob hauv kev noj cov kua dej hauv lub paj hlwb uas muaj nyob hauv tus meninges txhawm rau txheeb xyuas nws. Kev tshuaj xyuas ua rau nws muaj peev xwm paub qhov txawv ntawm tus mob meningitis lossis subarachnoid hemorrhage.

Lwm qhov kev sim kuj tseem tuaj yeem ua ua ntej lossis tom qab lub lumbar puncture:

• lub paj hlwb;
• kev tshuaj lom neeg;
• ib tug electroencephalogram.

mob taub hau

Meningeal syndrome yog tus yam ntxwv peb yam tseem ceeb. Thawj yog qhov pom ntawm mob hnyav, nthuav dav thiab mob taub hau tas li. Cov no tau ua rau hnyav dua thaum lub sijhawm txav mus los, thaum muaj suab nrov (phonophobia) thiab thaum pom lub teeb (photophobia).

ntuav

Qhov cim thib ob ntawm meningeal syndrome yog qhov tshwm sim xeev siab thiab ntuav.

Lub cev txhav

Qhov tshwm sim ntawm cov leeg nruj yog qhov cim thib peb ntawm meningeal syndrome. Muaj qhov kev cog lus ntawm cov leeg txha caj qaum (cov leeg sib sib zog nqus ntawm thaj chaw dorsal) uas feem ntau ua rau txhav txhav caj dab cuam tshuam nrog qhov mob kis mus rau nraub qaum.

Lwm yam cim qhia

Peb qhov tsos mob ua ntej yog qhov feem ntau ntawm tus mob meningeal syndrome. Txawm li cas los xij, lawv tuaj yeem tshwm sim lawv tus kheej hauv ntau txoj kev nyob ntawm qhov xwm txheej. Nws kuj tsis yooj yim rau lawv nrog nrog lwm cov tsos mob xws li:

• cem quav;
• lub xeev ua npaws;
• cuam ​​tshuam ntawm kev nco qab;
• mob plawv lossis ua pa nyuaj ua pa.

Kev tswj hwm tus mob meningeal syndrome yuav tsum muaj kev cuam tshuam thiab sai. Nws yuav tsum tau mus pw hauv tsev kho mob xwm txheej ceev thiab suav nrog kho lub hauv paus pib. Kev kho mob meningeal syndrome yuav suav nrog:

• tshuaj tua kab mob rau kab mob meningitis;
• kev kho tshuaj tua kab mob rau qee yam mob meningoencephalitis ntawm kab mob kis;
• phais rau aneurysm.

Kev tiv thaiv tus mob meningeal cuam tshuam nrog kev tiv thaiv kev pheej hmoo ntawm tus mob meningitis thiab subarachnoid hemorrhage.

Hais txog tus mob meningitis, kev tiv thaiv kev pheej hmoo kis mob yog raws:

• kev txhaj tshuaj tiv thaiv kab mob, tshwj xeeb yog tiv thaiv Haemophilus Influenzae hom b;
• kev ntsuas huv huv los txwv txoj kev pheej hmoo kis mob.

Hais txog subarachnoid hemorrhage, nws yog qhov tshwj xeeb tshaj yog tawm tsam los ntawm cov yam uas tuaj yeem txhawb kev txhim kho ntawm kev mob hlab ntsha hauv lub paj hlwb. Yog li nws yog qhov pom zoo kom tawm tsam cov ntshav siab thiab atheroma (tso cov rog ntawm phab ntsa ntawm cov hlab ntsha) los ntawm kev tswj hwm kev noj qab haus huv uas suav nrog:

• noj zaub mov zoo thiab muaj txiaj ntsig;
• kev tawm dag zog lub cev tas li.