Feem ntau peb muaj mob kub taub hau thiab mob taub hau ib txwm muaj. Tab sis qee zaum qhov kub taub hau thiab mob taub hau no tuaj yeem txawv me ntsis, hnyav dua me ntsis. Qhov ntawd tshwm sim thaum muaj kev o, uas yog, o, hauv lub hlwb . Niaj hnub no peb tab tom tham txog qhov mob hnyav heev, tab sis nws yog ib qho tseem ceeb heev uas yuav tsum paub txog nws. Qhov ntawd yog mob hlwb . Txawm hais tias qhov no yog ib qho mob tsis tshua muaj, cov menyuam yaus, cov neeg laus, thiab cov neeg uas muaj lub cev tiv thaiv kab mob tsis muaj zog muaj feem yuav muaj kev pheej hmoo ntau dua.
Kab mob hlwb (Encephalitis) yog dab tsi?
Hais yooj yim xwb, tus kab mob encephalitis yog kev o ntawm koj cov ntaub so ntswg hauv lub hlwb. Qhov no tuaj yeem ua rau mob hnyav heev. Nyob ntawm seb koj lub hlwb puas o, koj yuav muaj ntau yam tsos mob, suav nrog kev hloov pauv ntawm tus cwj pwm, qaug dab peg , thiab tsis nco qab.
Feem ntau, qhov no yog tshwm sim los ntawm kev kis kab mob viral. Piv txwv li, tus kab mob herpes simplex. Nws kuj tseem tuaj yeem tshwm sim los ntawm cov kab mob bacteria , fungi, parasites, qee yam tshuaj, thiab qee zaum yog tus mob autoimmune.
Qhov tseem ceeb tshaj plaws yog kom paub txog cov tsos mob thiab nrhiav kev kho mob sai sai. Feem ntau cov neeg uas muaj tus kab mob encephalitis me me zoo tag nrho.
Qhov sib txawv ntawm encephalitis thiab meningitis
Muaj coob tus neeg tsis nkag siab ob yam no vim ob yam no yog cov mob uas ua rau lub hlwb o. Xav txog peb lub hlwb zoo li ib lub hauv ncoo.
- Kab mob hlwb: Qhov no cuam tshuam txog kev o ntawm daim ntaub ntawm lub hlwb. Uas yog, cov nqaij ntawm lub hlwb nws tus kheej.
- Meningitis: Qhov no yog kev o ntawm cov meninges, cov ntaub so ntswg tiv thaiv uas nyob ib puag ncig lub hlwb thiab tus txha caj qaum .
Txawm hais tias ob qho mob no tuaj yeem ua rau muaj kev phom sij, lawv yog ob hom kab mob sib txawv.
Tus kab mob no puas kis tau?
Tus mob hu ua o ntawm lub hlwb tsis yog kis tau ntawm ib tus neeg mus rau lwm tus, tab sis tus kab mob lossis cov kab mob uas ua rau nws tuaj yeem kis tau.Piv txwv li, tus kab mob herpes tuaj yeem kis tau ntawm ib tus neeg mus rau ib tus neeg. Ib yam li ntawd, cov kab mob thaum yau xws li qhua pias thiab mob qog ua rau mob hlwb. Tab sis tam sim no peb txhua tus tau txais tshuaj tiv thaiv kab mob, qhov kev pheej hmoo ntawd tau raug txo qis heev.
Cov laj thawj tseem ceeb rau qhov no yog dab tsi?
Muaj ntau yam ua rau mob hlwb. Cia peb saib lawv hauv daim ntawv teev.
| Pawg laj thawj | Piv txwv thiab cov lus piav qhia |
|---|---|
| Kev kis kab mob viral (feem ntau yog qhov ua rau) |
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| Lwm yam kab mob (tsis tshua muaj) |
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| Teeb meem ntawm lub cev tiv thaiv kab mob (Autoimmune) | Yuam kev lub cev tiv thaiv kab mob thiab tawm tsam cov hlwb hlwb. |
Qee zaum cov kws kho mob yuav tsis nrhiav tau ib qho laj thawj tshwj xeeb rau qhov no.
Cov hom mob encephalitis tseem ceeb
Qhov no tuaj yeem los ntawm ob txoj hauv kev tseem ceeb.
1. Kab mob hlwb kis tau los ntawm kev sib kis
Qhov no yog hom kab mob uas feem ntau kis. Nws tshwm sim thaum ib tug kab mob, xws li ib tug kab mob los yog ib tug kab mob bacteria, nkag mus rau hauv lub hlwb ncaj qha thiab ua rau muaj kev kis kab mob. Cov neeg uas nyob hauv thaj chaw uas muaj ntau tus yoov tshaj cum thiab dej ntws yog cov muaj feem yuav kis tau kab mob ntau dua. Hom kab mob no tuaj yeem tshwm sim sai sai, thiab cov tsos mob tuaj yeem hnyav zuj zus sai sai.
2. Kab mob hlwb autoimmune
Qhov no nyuaj me ntsis. Qhov uas tshwm sim ntawm no tsis yog ib yam kab mob sab nraud, tab sis peb lub cev tiv thaiv kab mob ua yuam kev tawm tsam cov hlwb noj qab haus huv hauv lub hlwb. Qhov no maj mam tshwm sim. Ntawm no, koj tuaj yeem pom ntau cov tsos mob ntawm lub paj hlwb xws li kev tsis meej pem, teeb meem nco, thiab qaug dab peg. Muaj ntau yam mob tshwj xeeb cuam tshuam nrog qhov no (piv txwv li `Anti-NMDA receptor encephalitis`, `Hashimoto's encephalopathy`).
Ceeb Toom: Ob hom kab mob no muaj peev xwm ua rau tuag taus. Yog tias koj lossis lwm tus neeg muaj cov tsos mob hnyav ntawm lub paj hlwb xws li chim siab heev, tsis meej pem, qaug dab peg, lossis tsaug zog ntau dhau, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob yam tsis muaj kev ncua.
Cov tsos mob yog dab tsi?
Cov tsos mob yuav tshwm sim sai sai lossis maj mam tshwm sim li ob peb hnub.
| Cov tsos mob ntawm tus mob encephalitis | |
|---|---|
| Cov tsos mob yooj yim los yog me me | |
| - qaug zog heev, xav tias tsis muaj zog | - Kub taub hau (tej zaum kub taub hau heev) |
| - Mob taub hau hnyav heev | - Kev rhiab heev rau lub teeb thiab suab nrov |
| - Me ntsis nruj hauv lub caj dab | - Kev chim siab, kev tsis so |
| Cov tsos mob hnyav (mus rau ETU tam sim ntawd!) | |
| - Qee qhov ntawm lub cev tsis muaj zog, nyuaj txav mus los | - Tsis meej pem, nyuaj hais lus lossis nkag siab txog lwm tus hais li cas |
| - Qaug dab peg | - Pom tej yam ua ob txoj kev (Double vision) |
| - Tsis nco qab (Coma) | - Rau cov menyuam mos: Lub fontanel saum taub hau yuav loj tuaj. |
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Koj tus kws kho mob yuav xub nug koj txog koj cov tsos mob, txij li hnub uas lawv pib. Nws tseem ceeb heev uas yuav tsum nug seb koj puas tau mus rau thaj chaw uas muaj yoov tshaj cum thiab kab laum ntau, lossis yog tias koj tau kov ib tus neeg uas tau mob. Tom qab ntawd lawv yuav kuaj koj lub cev thiab, yog tias tsim nyog, ua qee qhov kev kuaj mob zoo li no.
- Kev kuaj ntshav: Xyuas seb puas muaj kab mob.
- Kev kuaj duab: Yuav muaj kev kuaj CT scan lossis MRI scan los saib seb puas muaj o lossis lwm yam teeb meem hauv lub hlwb.
- EEG (Electroencephalogram): Qhov no pab nrhiav tau qaug dab peg los ntawm kev saib cov hluav taws xob ua haujlwm ntawm lub hlwb.
- Kev Txhaws Lub Nraub Qaum: Tsis txhob ntshai qhov no. Qhov no suav nrog kev coj ib qho me me ntawm cov kua dej los ntawm cov hlab ntsha caj qaum thiab saib ncaj qha rau lub hlwb seb puas muaj kab mob.
- Kev kuaj lub hlwb: Qhov no tsis tshua muaj ua, tsuas yog tias tsis muaj lwm yam kev kuaj tuaj yeem nrhiav tau qhov ua rau.
Yuav kho li cas?
Vim tias mob hlwb (encephalitis) yog ib yam mob hnyav heev, feem ntau nws yuav tsum tau mus pw hauv tsev kho mob thiab kho mob, qhov chaw uas koj lub plawv dhia, ntshav siab, thiab kev ua pa yuav raug saib xyuas tas li.
Kev kho mob nyob ntawm seb ua rau muaj tus kab mob thiab tus neeg mob tus mob.
- Cov tshuaj steroids: Cov tshuaj no yog muab los txo qhov o ntawm lub hlwb.
- Cov tshuaj tua kab mob: Yog tias koj kis tus kab mob xws li herpes, koj yuav tau txais cov tshuaj xws li 'Acyclovir'.
- Tshuaj tua kab mob: Yog tias qhov ua rau yog cov kab mob.
- Cov Tshuaj Anticonvulsants: Tswj cov qaug dab peg.
- Rau cov mob autoimmune: Kev kho mob tshwj xeeb xws li 'Immune globulin' lossis 'Plasmapheresis'.
- Rau qhov kub taub hau thiab mob taub hau: Cov tshuaj xws li paracetamol.
Kev kho mob yuav tsum tau ua txawm tias tom qab rov zoo los xij
Tom qab kho tau zoo lawm, tej zaum yuav muaj ib txhia neeg xav tau kev pab ntxiv kom kho tau zoo.
- Kev Kho Mob Lub Cev: Ua kom cov leeg nqaij rov qab muaj zog dua rau tej yam xws li kev taug kev thiab sawv ntsug.
- Kev kho mob ua haujlwm: Kawm ua tej haujlwm txhua hnub ntawm koj tus kheej.
- Kev Kho Mob Hais Lus: Kov yeej qhov teeb meem hais lus.
- Kev Kho Mob Hlwb: Tswj kev hloov pauv ntawm lub hlwb thiab kev ntxhov siab uas tshwm sim los ntawm tus kab mob.
Koj yuav tiv thaiv koj tus kheej li cas ntawm qhov no?
Qhov zoo tshaj plaws ua yog zam cov kab mob uas ua rau muaj qhov no.
- Mus txhaj tshuaj tiv thaiv kab mob: Mus txhaj tag nrho cov tshuaj tiv thaiv kab mob uas koj tus kws kho mob pom zoo kom raws sijhawm, tshwj xeeb yog rau cov menyuam yaus.
- Nyob kom huv si: Ntxuav koj txhais tes ntau zaus nrog xab npum thiab dej. Tsis txhob siv cov tais diav, khob, lossis phuam da dej sib koom nrog lwm tus.
- Tiv thaiv koj tus kheej ntawm cov yoov tshaj cum thiab cov kab laum:
- Cov yoov tshaj cum feem ntau nyob rau yav tsaus ntuj thiab thaum sawv ntxov. Yog tias koj tawm mus sab nraud thaum lub sijhawm no, hnav khaub ncaws uas npog koj lub cev.
- Muab cov ntxaij vab tshaus rau ntawm cov qhov rai ntawm lub tsev.
- Siv cov ntaub thaiv yoov tshaj cum.
- Ntxuav cov chaw uas muaj dej sib sau ua ke. Cov log tsheb qub, cov plhaub txiv maj phaub, thiab cov lauj kaub paj yog cov chaw uas cov yoov tshaj cum uas kis cov kab mob xws li dengue tso lawv cov qe.
- Yog mus rau thaj chaw hav zoov, hnav khaub ncaws uas npog tag nrho lub cev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob hlwb yog ib yam mob hnyav uas ua rau cov ntaub so ntswg hauv lub hlwb o. Qhov no tsis yog mob khaub thuas.
- Feem ntau, qhov ua rau muaj kab mob yog kab mob sib kis. Hauv Sri Lanka, koj kuj yuav tsum paub txog cov kab mob uas kis los ntawm yoov tshaj cum xws li dengue.
- Yog tias koj pom cov tsos mob hnyav xws li qaug dab peg, tsaug zog ntau dhau, tsis meej pem, lossis hais lus tsis tau zoo , mus rau chav kho mob ceev (ETU) tam sim ntawd.
- Qhov kev pheej hmoo ntawm kev kis tus kab mob no tuaj yeem txo qis los ntawm kev txhaj tshuaj tiv thaiv kab mob thiab tiv thaiv koj tus kheej ntawm cov yoov tshaj cum.
- Muaj coob tus neeg uas yuav zoo tag nrho yog tias lawv kuaj pom thiab kho thaum ntxov. Yog li ntawd, yog tias koj muaj lus nug txog koj cov tsos mob, tsis txhob ncua sijhawm mus ntsib kws kho mob.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus