Kia ako tātou i ētahi atu kōrero mō te Meningoencephalitis, e pā ana ki tō roro me te uhi o tō roro.

Ko te roro tētahi o ngā okana tino nui o tō tātou tinana. Ā, me pēhea mēnā ka pāngia te roro e te mate? Whakaarohia te kino o te mate. I tēnei rā ka kōrero tātou mō tētahi mate pēnei, he ahua kino, engari ki te mōhio koe ki te aha me mahi, ka taea e koe te mahi wawe. Ka kiia tēnei ko te meningoencephalitis . I ētahi wā ka kiia hoki e ngā tākuta ko te encephalomeningitis.

Nā, he aha te meningoencephalitis?

He whakarapopototanga, he mate onge te meningoencephalitis, engari he mate morearea pea, ka pāngia koe e te meningitis me te encephalitis i te wā kotahi.

Nā, kia titiro tātou ki ngā āhuatanga motuhake o te meningitis me te encephalitis.

• Ko te meningitis he mate pukupuku me te pupuhi o ngā kiriuhi tiaki (e kiia nei ko ngā meninges) e karapoti ana i tō roro me tō taurakira (te taura io i roto i tō tuaiwi). Ka tiaki, ka tautoko hoki ēnei meninges i tō roro me tō taurakira mai i te whara.
• Ko te mate pukupuku roro he pupuhi, he mate rānei i roto i te kiko o te roro.

Nō reira, ina honoa ēnei āhuatanga e rua, ka puta te meningoencephalitis. He mate kino tēnei ka pā ki te tangata o ngā tau katoa, tae atu ki ngā pēpi nohinohi .

He aha ngā tino take o te meningoencephalitis?

He maha ngā momo meningoencephalitis, kei runga i te pūtake o te mate. Engari ko te nuinga o te wā ka puta mai i te mate urutā. Arā, ko ngā mate urutā i puta mai i ngā huaketo, i ngā huakita, i ngā harore, i ngā amoeba rānei. I ētahi wā ka puta mai i ngā mate pūnaha ārai mate, hei tauira, te pūnaha ārai mate pūnaha ārai mate, te meningoencephalitis rānei, hei pānga taha rānei o ētahi rongoā (pēnei i te rongoā aukati pūnaha ārai mate).

Kia tirohia ētahi o ngā momo mate urutā e tino kitea ana:

• Te mate kiriuhi kitakita: Ka puta mai tēnei i te mate kitakita. Ko ngā momo kitakita tino noa e puta ai tēnei ko Neisseria meningitidis (e kiia ana ko te mate meningococcal), Streptococcus pneumoniae, me te Haemophilus influenzae momo b.
• Te mate kiriuhi-pūkahukahu (cryptococcal meningoencephalitis): He mate harore tēnei. Ka puta ina pangia tō roro me/ranei ō pukahukahu e tētahi momo harore e kiia nei ko Cryptococcus.
• Te mate kiriuhi toto o te kiriuhi toto (HME):Ka pā mai pea i te mate urutā herpes. Ko te nuinga o te wā ka pā mai i te mate urutā herpes momo 1 (HSV1) – te huaketo e puta ai ngā mate kiri makariri. Heoi, ka pā mai hoki i te mate urutā herpes momo 2 (HSV2). I ētahi wā ka puta te meningoencephalitis i te wā o te mate tuatahi, engari he maha ake ngā wā ka pā mai i te whakaoho anō o te huaketo mai i tētahi mate o mua.
• Te mate meningoencephalitis amebic tuatahi (PAM): Nā te amoeba e kīia nei ko Naegleria fowleri tēnei mate. Ka noho tēnei amoeba puta noa i te ao, inā koa i roto i ngā wai māori pāpaku, mahana pērā i ngā roto, ngā awa, me ngā puna waiariki. Ka kiia e ētahi ko te "amoeba kai roro," ā, he rite tonu te morearea.

He aha ngā tohu o te meningoencephalitis?

He tere tonu te puta mai o ngā tohu o tēnei mate, ā, ka tere tonu te kino haere. Nō reira, he mea nui kia mōhio ki ēnei tohu.

Ngā tohu noa:

• Te mamae nui o te upoko.
• Te pakari o te kaki, te mamae rānei o te kaki.
• Te kirika.
• Te ngenge nui.
• Whakapairuaki me te ruaki.
• Te ngoikore o te uaua.
• Te uaua ki te kōrero.
• Te aro nui ki te mārama, arā, te uaua ki te titiro ki te mārama (photophobia).
• Te uaua ki te whakaaro mārama.
• Ngā panonitanga o te tuakiri me te whanonga.
• Ngā moemoeā – inā koa ko ngā moemoeā tirohanga me/ranei te whakarongo, pērā i te kitenga i ngā mea kāore i reira, te rongo rānei i ngā mea kāore i reira.
• Ngā hopukanga.
• Te hemo.

Mena ka pāngia tētahi pēpi e tēnei mate, ka kitea pea ēnei tohu tāpiri:

• Te pupū o te rae (me te mea he pupuhi).
• Te uaua ki te inu miraka.
• Te hiamoe nui rawa atu, te uaua rānei ki te ara ake.

Ko te mea nui ko te rapu tohutohu hauora tonu mēnā kei a koe, kei tāu tamaiti rānei tētahi, ētahi rānei o ēnei tohu. He mate morearea te Meningoencephalitis, nō reira he mea nui te maimoatanga tere!

He mate hopuhopu te meningoencephalitis?

Kāore te meningoencephalitis, he mumura o te roro me ngā meninges, e horapa tika ana. Heoi, ko ētahi o ngā mate e hua ai tēnei mate ka horapa. Hei tauira, he maha ngā huakita me ngā huaketo (pērā i te huaketo herpes simplex) e hua ai te meningoencephalitis ka horapa mai i tētahi tangata ki tētahi atu.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei mate?

Ko te hunga he ngoikore te pūnaha ārai mate, he nui ake te mōrearea ki te pāngia e te meningoencephalitis i puta mai i ngā mate urutā.

Ngā āhuatanga me ngā āhuatanga e ngoikore ai te pūnaha ārai mate:

• Tau: Ko ngā tamariki kei raro iho i te 5 tau te pakeke me te hunga neke atu i te 65 tau te pakeke he ngoikore ake te pūnaha ārai mate. Ko ngā pēpi te hunga tino mōrearea ki te pāngia e tēnei mate.
• Mate HIV (huaketo ngoikore o te ārai mate tangata): Hei tauira, ka pāngia te hunga whai mate HIV kino e te mate meningoencephalitis cryptococcal.
• Te tango i ngā rongoā ārai mate: Mō te hunga kua whakawhiti okana, kua whakawhiti pūtau take, kei te tango rānei i ēnei rongoā mō ētahi mate pūnaha ārai mate.
• Te mate pukupuku me ngā maimoatanga mate pukupuku: pērā i te chemotherapy me te radiation therapy.
• Mate ārai mate tuatahi (PIDD)
• Ko ētahi mate pūnaha ārai mate: Ko ētahi tauira ko te psoriasis, te mate a Crohn, me te lupus.
• Te mate whakamahi waipiro.

Ki te whakaaro koe he ngoikore tō pūnaha ārai mate, kōrero ki tō tākuta mō ngā huarahi hei noho hauora, hei karo hoki i ngā mate kino.

Me pēhea te tautuhi i te mate Meningoencephalitis?

Mena kei a koe, kei tāu tamaiti rānei ngā tohu o te meningoencephalitis, ka tere te mahi a ngā tākuta ki te whakaū i te mate. Ka whakahaerehia e rātou he whakamātautau tinana me ngā whakamātautau io. Ka pātai atu hoki rātou ki a koe mō ō tohu, pēnei i te pēhea me te wā i tīmata ai.

Anei ētahi whakamātautau hei whakaū i te mate:

• Ngā whakamātautau wai tinana: Ka whakamātauria ngā wai tinana maha, pērā i te mimi, te toto, me te huware, hei rapu i ngā tohu o te mate (pērā i te pikinga o te maha o ngā pūtau toto mā). Ka taea hoki e ēnei whakamātautau te tautuhi i te momo mate.
• Te wero i te tuaiwi (te wero i te hope): I tēnei whakamātautau, ka werohia e tō tākuta he ngira angiangi ki roto i tō tuara o raro, ka tangohia he tauira o te wai cerebrospinal (CSF). Ka whakamātauria te wai i roto i te taiwhanga hei rapu i ngā huakita, ngā harore, ngā pūtau rerekē rānei, tae atu ki ngā momo me ngā taumata o ngā pūmua me ngā pūtau toto ma. He maha ngā wā ka whakamahia tēnei whakamātautau CSF hei wehewehe i te meningoencephalitis mai i ētahi atu mate, pērā i te paitini toto, te sepsis rānei.
• Whakamātautau EEG (electroencephalogram): Ka ine, ka tuhi hoki te EEG i ngā tohu hiko i roto i tō roro. Ka whakamahia e ngā tākuta hei rapu raruraru ki te mahi a te roro hei tātaritanga, hei aromatawai rānei i te meningoencephalitis.
• Matawai CT: He whakamātautau te matawai CT e whakamahi ana i tētahi raupapa hihi-X me te rorohiko hei hanga pikitia taipitopito o roto o tō tinana. Ka taea e ia te whakaatu i ngā raruraru pēnei i te toto totoka, te pupuhi, me te mate i roto i te roro, i ngā meninges rānei.
• Matawai MRI (whakaahua aukume):He whakamātautau te MRI scan e whakamahi ana i tētahi aukume nui, ngā ngaru reo irirangi, me te rorohiko hei tango pikitia taipitopito. Pērā i te CT scan, ka taea e ia te whakaatu i ngā raruraru i roto i te roro, i ngā meninges rānei. He pai te MRI mō ngā tamariki nohinohi nā te mea kāore e whakamahi i te irahiko.

Me pēhea te rongoā i te meningoencephalitis?

Ka rerekē te maimoatanga mō tēnei mate i runga i te pūtake me te kaha o te mate. I te nuinga o te wā, me noho ki te hōhipera hei rongoā.

He maha ngā tikanga maimoatanga:

• Ngā rongoā hei rongoā i te mate pūtake: Hei tauira, e hiahiatia ana ngā rongoā harore mō te cryptococcal meningoencephalitis. Ka whakamahia ngā rongoā ārai huaketo, pērā i te acyclovir, mō te herpetic meningoencephalitis.
• Ngā rongoā ārai-hopu: Ka hoatu ngā rongoā pēnei i te dilantin, i te phenytoin rānei hei ārai, hei rongoā rānei i ngā hopu i puta mai i te meningoencephalitis.
• Ngā corticosteroids me ngā diuretics: Ka taea e ngā corticosteroids, pērā i te Decadron, te āwhina ki te whakaiti i te pupuhi. Ka taea hoki e rātou te āwhina ki te ārai i te ngaronga o te rongo ka puta mai i te meningoencephalitis.
• Te mimiti wai cerebrospinal: Ka āwhina hoki tēnei ki te whakaiti i te pēhanga i roto i te angaanga.
• Ngā rongoā mamae me/ngā rongoā whakangāwari: Ka taea te whakamahi i ēnei rongoā mēnā he nui te pupuhi.

Ka tirotirohia koe e te tīma hauora i a koe e noho ana i te hōhipera. Ka mahia e rātou ngā mahi e tika ana mō ngā raruraru, ngā raruraru rānei ka pā mai ki a koe.

He aha te auau whakaora mō te tangata e pāngia ana e te meningoencephalitis?

Ko te matapae mō te ora mai i tēnei mate e whakawhirinaki ana ki te pūtake o te mate, tōna kaha, me te tere o te whiwhinga o te maimoatanga.

Mō te hunga e ora mai ana i te meningoencephalitis cryptococcal, tata ki te 69% he ngoikore te hinengaro (te whakaaro) me/ranei te ngoikore o te tinana i roto i ngā marama 12 i muri i te tātaritanga. I waenga i te 50% me te 70% o te hunga e pāngia ana e te meningoencephalitis herpetic ka pāngia pea e te kino o te roro tuturu, te ngoikore o te pūnaha io, te koma rānei.

Heoi, ko te hunga kāore i te tino kino te mate, ā, ka whiwhi wawe i te maimoatanga, he iti ake te tūponotanga ka pāngia e ngā raruraru.

Ka taea te ārai i te mate Meningoencephalitis?

Kāore e taea te ārai i ngā mate katoa o te meningoencephalitis. Heoi, ko te huarahi pai ki te whakaiti i tō mōrearea ko te ngana ki te noho hauora me te noho tawhiti atu i ngā huakita, ngā huaketo, me ngā harore e puta ai ngā mate.

Anei ētahi huarahi hei tiaki i a koe anō me ētahi atu i te mate urutā:

• Horoia pai ō ringaringa ki te hopi i ngā wā katoa.
• Taupokina tō waha me tō ihu ina maremare, ina tihe rānei.
• Horoia ngā mata e pāngia pinepinetia ana (pērā i ngā kakau tatau, ngā papa tēpu) ki te paturopi.
• Whakaitihia, kati rawatia rānei te whakawhanaungatanga ki te hunga e pāngia ana e te mate hopuhopu, ahakoa kei te mate koe, kei te mate rānei tētahi atu.
• Kaua e kaukau, kaua hoki e inu wai kei roto pea he huakita. Ki te whakamahi koe i te wai whakamakuku ihu, whakamahia he wai kua whakakorea, he wai parakore rānei.
• Whakamahia ngā ure tāwharau hei tiaki i a koe mai i ngā mate tuku iho i te taatai ​​(STI) me te whakamātauria mō ngā STI i ia wā.
• Mauria he kopare kanohi i ngā wāhi puehu, pērā i ngā papa hangahanga, ā, noho ki roto i te whare i te wā e pāngia ana koe e te puehu. Mena kei te noho koe i tētahi rohe e kitea whānuitia ana ngā mate harore, kia tupato anō.
• Me toro atu ki te tākuta mō ētahi tohutohu, inā koa mēnā he ngoikore tō pūnaha ārai mate (he ngoikore te pūnaha ārai mate).
• Ki te haere koe ki ētahi atu whenua, akohia me pēhea te tiaki i a koe mai i ngā mate pipiri e kitea whānuitia ana i aua whenua.

Hei whakamutunga, ngā mea hei maumahara

He mate tino kino te meningoencephalitis, he mate morearea ki te ora. Mena kei a koe, kei tāu tamaiti rānei tētahi o ēnei tohu, rapua tonutia he awhina hauora. Ko te maimoatanga wawe te huarahi pai rawa atu mō te putanga pai. Mena he nui te mōrearea o te pangia e koe, kōrero ki tō tākuta mō te whakaiti i tō mōrearea me te noho hauora. Ko te tumanako ka whai hua ēnei mōhiohio ki a koe. Kia ora tonu!