Meningitis vs Meningococcal | Meningococcal vs Meningitis Ccov yam ntxwv, Kev Tshawb Fawb, Kev Tswj, Teebmeem, thiab Kev Ntsuas
Meningitis yog qhov mob ntawm leptomeninges thiab sub archnoid chaw. Tus kab mob no yog tshwm sim los ntawm ntau yam kab mob, kab mob kis kab mob yog feem ntau ua rau. Lwm qhov ua rau muaj kab mob, fungal, protazoal, prion thiab helminthic kab mob. Ntawm lawv, meningococcus yog ib qho ntawm cov kab mob pyogenic meningitis feem ntau pom nyob rau hauv pawg hnub nyoog 5-30 xyoo, uas ua rau muaj teeb meem loj heev uas ua rau muaj kev tuag ntau. Kab lus no qhia txog qhov sib txawv ntawm tus kab mob meningitis thiab kab mob meningococcal hais txog daim duab kho mob, kev tshawb nrhiav, kev tswj xyuas, teeb meem thiab kev kuaj mob.
Meningitis
Tus neeg mob mob meningitis muaj cov tsos mob ntawm pyrexia, mob taub hau thiab meningism. Lawv tuaj yeem muaj photophobia thiab caj dab txhav. Txawm li cas los xij, qhov hnyav ntawm cov yam ntxwv no txawv raws li kev ua phem ntawm cov kab mob ua rau lub cev. Ntawm kev kuaj xyuas, Kernig cov cim thiab Brudzinski cov cim qhia pom tias muaj qhov zoo, thiab feem ntau, tus neeg mob tsis zoo.
Cerebrospinal kua tshuaj ntsuam xyuas pab hauv kev kuaj mob thiab txheeb xyuas cov kab mob ua rau muaj kab mob. Hauv kev kis tus kab mob, cov protein ntau yog siab thaum cov suab thaj nyob ib puag ncig, thiab neutrophils yog qhov tseem ceeb. Hauv qhov sib piv, cov qib protein ntau, qib qab zib tsawg, thiab cov cell suav tau pom hauv cov kab mob meningitis.
Viral meningitis yog ib yam mob uas txwv tsis pub tus kheej thiab tsis xav tau kev kho mob tshwj xeeb, yog li kev tswj hwm tsuas yog txhawb nqa. Kho los ntawm nws tus kheej yog txoj cai. Pyogenic meningitis xav tau kev saib xyuas tshwj xeeb thiab kev cuam tshuam tam sim rau kev soj ntsuam zoo dua.
Meningococcal
Meningococcus yog ib yam kab mob obiquitous, uas yog lub luag haujlwm rau lub neej hem yog tias tsis kuaj thiab kho tam sim.
Nws kis tau los ntawm cov tee dej, tib neeg tsuas yog lub pas dej paub thiab feem ntau colonizes nasopharynx. Thaum cov kab mob nkag mus rau hauv cov hlab ntsha, thiab sib txuas sai sai lawv tsim cov co toxins ua rau septicaemia. Thaum cov kab mob no mus txog qhov meninges nws ua rau meningococcal meningitis.
Tshwj tsis yog cov tsos mob classic tau hais los saum no, tus neeg mob meningococcal meningitis tuaj yeem tshwm sim nrog morbilliform, petechial lossis purpuric pob, uas yog yam ntxwv. Vim yog concomitant septicemia, tus neeg mob tsis zoo heev thiab tej zaum yuav muaj hypotension, poob siab, tsis meej pem, coma thiab tuag. Hauv qhov xwm txheej hnyav, lawv tuaj yeem tsim kev nthuav tawm hauv cov hlab ntsha coagulation thiab hemorrhage mus rau hauv cov qog adrenal yuav lossis tsis tuaj.
Yog tus mob no tsis kho mob hnyav, kev tuag tuaj yeem nce mus txog 100%.
Cov kab mob hauv cov ntshav, cov kua dej cerebrospinal, petechial thiab kev sib koom ua ke tau lees paub qhov kev kuaj mob.
Kev tswj hwm suav nrog benzylpenicillin intravenously, pib tam sim ntawm kev xav tias tus kab mob thiab nrog kev txheeb xyuas thiab kho cov teeb meem. Cov teeb meem hnyav dua suav nrog kev poob siab, kev tso ntshav hauv cov hlab ntsha, lub raum tsis ua haujlwm, peripheral gangrene, mob caj dab thiab pericarditis.
Thaum tso tawm, rifampicin yuav tsum tau muab rau txhua tus neeg nyob ze ua tus tiv thaiv.
Dab tsi yog qhov txawv ntawm meningitis thiab meningococcal?
• Meningitis yog qhov mob ntawm meninges thaum meningococcal yog kab mob ua rau septicemia thiab meningitis.
• Sib nrug los ntawm cov tsos mob ntawm tus mob meningitis, tus neeg mob uas muaj tus kab mob meningococcal septicemia tuaj yeem tshwm sim nrog cov kab mob purpuric.
• Meningococcal meningitis yog tias tsis kho tus mob hnyav heev tuaj yeem nce mus txog 100%.
• Meningococcal meningitis tuaj yeem ua rau muaj teeb meem loj xws li kev poob siab, cov hlab ntsha hauv lub cev, lub raum tsis ua haujlwm, peripheral gangrene, mob caj dab thiab pericarditis.
• Prophylaxis yog muab rau cov neeg nyob ze ntawm meningococcal meningitis.
