Encephalitis vs Meningitis
Meningitis thiab encephalitis muaj qhov ua rau thiab cov tsos mob zoo sib xws. Muaj qee qhov kev mob hlwb hauv meningitis thiab qee qhov kev mob ntawm meningeal o hauv encephalitis. Txawm li cas los xij, lawv yog ob yam sib txawv. Kab lus no yuav tham txog ob qho tib si encephalitis thiab meningitis kom meej, qhia txog lawv qhov chaw kho mob, cov tsos mob, ua rau, kev tshawb nrhiav thiab kev kuaj mob, kev kuaj mob, thiab cov kev kho mob uas lawv xav tau thiab qhov sib txawv ntawm encephalitis thiab meningitis.
Meningitis
Meningitis yog mob ntawm cov kab mob uas tshwm sim los ntawm cov kab mob, kab mob, fungi lossis kab mob cab. Kab mob meningitis yog ib tug tua neeg, thiab nws tua sai heev. Cov kab mob xws li E coli, beta hemolytic streptococci, Listeria moncytogenes, Heamophilus, Nisseria meningitidis, pneumococcus, ua rau mob meningitis. Meningitis tshwm sim nrog mob taub hau uas hnyav zuj zus thaum raug lub teeb, txhav caj dab, Kernig lub cim (mob thiab ua haujlwm ntawm lub hauv caug txuas ntxiv nrog lub duav siab siab), Brudzinski kos npe (lub duav flex ntawm khoov lub taub hau rau pem hauv ntej) thiab opisthotonus. Cov no yog hu ua meningeal nta. Meningitis nce siab hauv pob txha taub hau. Qhov no yog tshwm sim los ntawm mob taub hau, chim siab, tsaug zog, ntuav, haum, papilledema, txo qis ntawm kev nco qab, ua tsis taus pa, tsis muaj mem tes thiab ntshav siab. (Nyeem Qhov Sib Txawv Ntawm Pulse Rate thiab Ntshav Siab.) Thaum cov kab mob nkag mus rau hauv cov hlab ntsha, cov tsos mob septic zoo li hnov mob, pob qij txha o, mob pob qij txha, tus cwj pwm txawv, ua pob liab liab, diffuse intravascular coagulation, ua pa nrawm, mem tes nrawm thiab ntshav siab tshwm sim.
Kev kho mob meningitis yuav tsum tsis txhob ncua kom txog thaum kuaj tau los txog. Yog tias xav tias tus mob meningitis, tsis muaj dab tsi yuav tsum ncua cov tshuaj tua kab mob hauv cov hlab ntsha. Txoj kev ua pa, ua pa, thiab kev ncig yuav tsum tau khaws cia. Kev kho cov pa oxygen siab ntawm lub ntsej muag lub ntsej muag yog qhov zoo. Txoj kev kho mob txawv raws li qhov kev nthuav qhia. Yog tias cov tsos mob tshwm sim muaj feem ntau, lumbar puncture yuav tsum tsis txhob sim. Yog tias tus neeg mob poob siab, qhov ntim resuscitation tau qhia. Yog hais tias meningitic nta predominate ntawm kev nthuav qhia, lumbar puncture yuav tsum tau sim yog tias tsis muaj cov yam ntxwv ntawm kev nce intracranial siab. Cov tshuaj tua kab mob hauv cov hlab ntsha yuav tsum tau muab. Yog hais tias muaj ib qho kev qhia txog kev ua pa tsis ua hauj lwm, intubation yuav tsum tsis txhob ncua.
Cov teeb meem ntawm meningitis yog cerebral edema, cranial paj tawg, lag ntseg, thiab cerebral venous sinus thrombosis. Lumbar puncture yog qhov tseem ceeb rau kev kuaj mob. Yog tias tsis muaj cov yam ntxwv ntawm kev nce siab hauv lub cranial, lumbar puncture yuav tsum tau ua. Yog tias muaj cov yam ntxwv ntawm kev nce siab hauv pob txha taub hau, CT yuav tsum ua ntej lumbar puncture.3 lub raj mis ntawm cerebrospinal kua yuav tsum raug xa mus rau gram stain, Zheil neilson stain, cytology, virology, qabzib, protein, thiab kab lis kev cai. Cerbrospinal kua tsom xam tej zaum yuav zoo li qub thaum ntxov. Yog hais tias qhia lumbar puncture yuav tsum tau rov ua dua. Lwm yam kev kuaj xws li ntshav kab lis kev cai, ntshav qabzib, suav ntshav suav tag nrho, urea, electrolytes, hauv siab x-ray, tso zis kab lis kev cai, qhov ntswg qhov ntswg thiab cov quav rau cov kab mob virology.
Cov xwm txheej pheej hmoo rau tus mob meningitis yog ntau dhau, kev raug mob taub hau, mob ua kom pom tseeb, cov hluas heev, laus heev, ua kom tsis muaj zog, tshuaj tiv thaiv kab mob tsis txaus, mob qog noj ntshav, mob qog noj ntshav, thiab CSF shunts. Kab mob kab mob meningitis muaj kev tuag ntawm 70 mus rau 100% tsis kho; Neisseria meningitides muaj kev tuag tag nrho ntawm 15%, nyob rau sab hnub poob. Cov neeg muaj txoj sia nyob yuav muaj kev pheej hmoo ntawm kev puas hlwb mus tas li, kev puas hlwb, kev lag ntseg tsis hnov lus thiab cranial paj hlwb palsies.
Encephalitis
Encephalitis yog mob ntawm lub hlwb parenchyma. Cov kab mob xws li herpes simplex, Japanese encephalitis virus, coxackie, echovirus, HIV, rabies thiab West Nile, cov kab mob xws li staphylococcus yog qee cov kab mob uas paub txog. Tus kab mob Measels ua rau subacute sclerosing panencephalitis.
Cov neeg mob uas muaj tus kab mob meningitis, haum, tsis nco qab, txo qis ntawm kev nco qab thiab cov yam ntxwv ntawm kev puas siab puas ntsws. Cov tsos mob tsis txaus ntseeg, kev tiv thaiv kab mob tsis zoo thiab tsis tshua pom muaj mob meningism taw qhia rau kev kuaj mob. Kev tshawb nrhiav rau tus mob encephalitis yog tib yam li cov kab mob meningitis. Yog tias kev kho mob qeeb encephalitis tua sai sai.
Qhov txawv ntawm Encephalitis thiab Meningitis yog dab tsi?
• Meningitis yog mob ntawm meninges thaum encephalitis yog o ntawm lub hlwb parenchyma.
• Meningitis nthuav tawm nrog cov meningism tseem ceeb thaum, hauv encephalitis, meningism tsawg dua.
• Clinical differentiation is los ntawm kev txheeb xyuas cov txheeb ze kev koom tes ntawm lub hlwb thiab cov meninges.
• Kev tshuaj ntsuam xyuas kab mob encephalitis thiab meningitis yog tib yam.
• Ob leeg encephalitis thiab kab mob meningitis yog cov kab mob tua neeg; kev kho mob yuav tsum tsis txhob ncua li ob leeg tua sai.
Nyeem ntxiv:
1. Qhov txawv ntawm Viral thiab Bacterial Meningitis
2. Qhov txawv ntawm Meningitis thiab Meningococcal
