Ngatidzidzei zvakawanda nezveMeningoencephalitis, iyo inokanganisa uropi hwako pamwe nepfungwa dzako.

Uropi ndeimwe yenhengo dzinonyanya kukosha mumuviri wedu. Saka ko kana uropi hukarwara? Fungidzira kuti hunogona kuva hwakakomba sei. Nhasi tichataura nezvechirwere chakadai, icho chakakomba zvishoma, asi kana uchiziva chaizvo zvekuita, unogona kutora matanho nekukurumidza. Izvi zvinonzi meningoencephalitis . Dzimwe nguva vanachiremba vanoidaidzawo kuti encephalomeningitis.

Saka chii chinonzi meningoencephalitis?

Zvichitaurwa zviri nyore, meningoencephalitis chirwere chisingawanzoitiki, asi chinogona kuisa upenyu pangozi umo unobatwa nemeningitis neencephalitis panguva imwe chete.

Iye zvino ngatitarisei kuti chii chinonzi meningitis ne encephalitis zvakasiyana.

• Meningitis chirwere chinotapukira uye kuzvimba kwema membrane ekudzivirira (anonzi meninges) anokomberedza uropi hwako nemusana (tsinga dziri mukati memusana wako). Ma meninges aya anodzivirira uye anotsigira uropi hwako nemusana kubva mukukuvadzwa.
• Encephalitis kuzvimba kana utachiona huri muuropi.

Saka, kana zvinhu zviviri izvi zvikabatana, meningoencephalitis inoitika. Ichi chirwere chakakomba chinogona kubata chero ani zvake wezera ripi zvaro, kunyangwe vacheche vadiki kwazvo .

Ndezvipi zvikonzero zvikuru zve meningoencephalitis?

Kune mhando dzakasiyana dze meningoencephalitis zvichienderana nechikonzero chechirwere. Asi kazhinji kacho chinokonzerwa nehutachiona. Kureva, hutachiona hunokonzerwa nemavhairasi, mabhakitiriya, fungi, kana amoeba. Dzimwe nguva zvinogona kukonzerwa nezvirwere zve autoimmune, semuenzaniso, autoimmune encephalitis kana meningoencephalitis, kana semhedzisiro yemimwe mishonga (yakadai se immune checkpoint inhibitor therapy).

Ngatitarisei mamwe emhando dzezvirwere zvakajairika:

• Mabhakitiriya emeningoencephalitis: Izvi zvinokonzerwa nehutachiona hwebhakitiriya. Mhando dzebhakitiriya dzinonyanya kukonzera izvi ndiNeisseria meningitidis (inonziwo chirwere chemeningococcal), Streptococcus pneumoniae, uye Haemophilus influenzae type b.
• Cryptococcal meningoencephalitis: Uhu utachiona hwefungus. Hunoitika kana mhando yefungus inonzi Cryptococcus ikakanganisa uropi hwako ne/kana mapapu.
• Herpetic meningoencephalitis (HME):Inogona kukonzerwa nehutachiona hweherpes virus. Inowanzo kukonzerwa nehutachiona hweherpes simplex type 1 (HSV1) - hutachiona hunokonzera maronda echando. Zvisinei, inogonawo kukonzerwa nehutachiona hweherpes simplex type 2 (HSV2). Dzimwe nguva meningoencephalitis inoitika panguva yehutachiona hwekutanga, asi kazhinji inokonzerwa nekudzorerwa kwehutachiona kubva kuhutachiona hwekare.
• Primary amebic meningoencephalitis (PAM): Izvi zvinokonzerwa neamoeba inonzi Naegleria fowleri. Amoeba iyi inogara pasi rese, kunyanya munzvimbo dzisina kudzika, dzinodziya dzemvura yakachena dzakadai semadziva, nzizi, uye matsime anopisa. Vamwe vanhu vanoidaidza kuti "amoeba inodya uropi," uye ine njodzi yakafanana.

Ndezvipi zviratidzo zve meningoencephalitis?

Zviratidzo zvechirwere ichi zvinowanzoonekwa nekukurumidza uye zvinogona kukura nekukurumidza. Saka, zvakakosha kuziva zviratidzo izvi.

Zviratidzo zvakajairika:

• Musoro wakanyanya.
• Kuoma kwemutsipa kana kurwadziwa kwemutsipa.
• Kupindwa nechando.
• Kuneta kwakanyanya.
• Kusvotwa nekurutsa.
• Kushaya simba kwetsandanyama.
• Kuoma kutaura.
• Kunzwa chiedza, zvichireva kuoma kutarisa chiedza (photophobia).
• Kuomerwa nekufunga zvakajeka.
• Kuchinja kwehunhu nemaitiro.
• Kufungidzira zvinhu zvisipo - kunyanya kuona zvinhu zvisipo kana kunzwa zvinhu zvisipo, zvakaita sekuona zvinhu zvisipo kana kunzwa zvinhu zvisipo.
• Kubatwa nepfari.
• Kusaziva.

Kana mwana mudiki akaonekwa nechirwere ichi, anogonawo kuratidza zvimwe zviratidzo zvinotevera:

• Kubuda kwehuma (sekuzvimba).
• Kuomerwa nekunwa mukaka.
• Kurara zvakanyanya kana kuoma kumuka.

Chinhu chinonyanya kukosha ndechekutsvaga rubatsiro rwechiremba nekukasika kana iwe kana mwana wako muine chimwe chezviratidzo izvi kana kupfuura. Meningoencephalitis chirwere chinouraya, saka kurapwa nekukurumidza kwakakosha!

Ko meningoencephalitis inotapukira here?

Meningoencephalitis, kuzvimba kweuropi nemeninges , hakutapukiri zvakananga. Zvisinei, zvimwe zvezvirwere zvinokonzera izvi zvinogona kukonzera. Semuenzaniso, mabhakitiriya mazhinji nemavhairasi (akadai seherpes simplex virus) anokonzera meningoencephalitis anogona kupararira kubva kumunhu mumwe kuenda kune mumwe.

Ndiani ari panjodzi huru yekubatwa nechirwere ichi?

Vanhu vane masoja emuviri asina simba vanowanzova panjodzi huru yekubatwa nemeningoencephalitis inokonzerwa nehutachiona.

Mamiriro ezvinhu nezvinhu zvinoderedza simba remuviri rekudzivirira muviri:

• Zera: Vana vari pasi pemakore mashanu uye vanhu vane makore anopfuura makumi matanhatu nemashanu vanowanzova nemasoja ekudzivirira muviri asina simba. Vacheche ndivo vari panjodzi huru yekubatwa nechirwere ichi.
• Utachiona hweHIV (human immunodeficiency virus): Semuenzaniso, cryptococcal meningoencephalitis inowanzo bata vanhu vane HIV yakakomba.
• Kutora mishonga inodzvinyirira immune system: Kune vanhu vakamboisirwa nhengo, vakaisirwa stem cell, kana kuti vari kutora mishonga iyi yezvirwere zvinorwisa muviri.
• Kurapa kenza nekenza: zvakaita sechemotherapy nemwaranzi.
• Dambudziko rePrimary immunodeficiency (PIDD)
• Zvimwe zvirwere zvinorwisa muviri: Mienzaniso inosanganisira psoriasis, chirwere cheCrohn, uye lupus.
• Dambudziko rekushandisa doro.

Kana uchifunga kuti masoja emuviri wako haana simba, taura nachiremba wako nezvenzira dzekuchengetedza hutano hwakanaka uye kudzivirira hutachiona hwakakomba.

Ko chirwere cheMeningoencephalitis chinoonekwa sei?

Kana iwe kana mwana wako muine zviratidzo zvemeningoencephalitis, vanachiremba vachashanda nekukurumidza kusimbisa chirwere chacho. Vachaita bvunzo yemuviri uye bvunzo dzetsinga. Vachakubvunzawo nezvezviratidzo zvako, zvakaita sekuti zvakatanga sei uye riini.

Heano mimwe miedzo inoitwa kusimbisa chirwere ichi:

• Kuongororwa kwemvura yemuviri: Mvura dzakasiyana-siyana dzemuviri, dzakadai seweti, ropa, nemate, dzinoongororwa kuti paonekwe zviratidzo zvehutachiona (zvakadai sekuwedzera kwehuwandu hwemasero machena eropa). Miedzo iyi inogonawo kuona rudzi rwehutachiona.
• Kupomba kwemusana (kupwanywa kwemusana): Mubvunzo uyu, chiremba wako anoisa tsono nhete mumusana wako wepazasi uye anotora sampuro ye cerebrospinal fluid (CSF). Mvura iyi inoedzwa murabhoritari kuti ione mabhakitiriya, fungi, kana masero asina kujairika, pamwe chete nemhando nemazinga emapuroteni nemasero machena eropa. Iyi bvunzo yeCSF inowanzo shandiswa kusiyanisa meningoencephalitis nezvimwe zvirwere, zvakaita sekukuvadzwa neropa kana sepsis.
• Kuongororwa kweEEG (electroencephalogram): EEG inoyera uye inorekodha zviratidzo zvemagetsi muuropi hwako. Vanachiremba vanoishandisa kutsvaga matambudziko ane chekuita nekushanda kweuropi kuti vaongorore kana kuongorora meningoencephalitis.
• CT scan: CT scan iongororo inoshandisa X-rays nekombiyuta kuti iite mifananidzo yakadzama yemukati memuviri wako. Inogona kuratidza matambudziko akadai sekugwamba kweropa, kuzvimba, uye hutachiona muuropi kana meninges.
• Kuongororwa kweMRI (magnetic resonance imaging):Kuongororwa kweMRI inzira inoshandiswa nemagneti hombe, mafungu eredhiyo, nekombiyuta kutora mifananidzo yakadzama. Kufanana neCT scan, inogona kuratidza matambudziko muuropi kana meninges. MRI ndiyo yakanakira vana vadiki nekuti haishandise radiation.

Ko meningoencephalitis inorapwa sei?

Kurapwa kwechirwere ichi kunosiyana zvichienderana nechikonzero uye kuoma kwechirwere. Kazhinji, kurara muchipatara kunodiwa kuti munhu arapwe.

Nzira dzakasiyana-siyana dzekurapa:

• Mishonga yekurapa hutachiona huri pasi: Semuenzaniso, mishonga yekuuraya fungus inodiwa pakurapa cryptococcal meningoencephalitis. Mishonga yekurwisa hutachiona, yakaita seacyclovir, inoshandiswa pakurapa herpetic meningoencephalitis.
• Mishonga yekudzivirira pfari: Mishonga yakaita sedilantin kana phenytoin inopiwa kudzivirira kana kurapa pfari dzinokonzerwa nemeningoencephalitis.
• Corticosteroids uye diuretics: Corticosteroids, yakadai seDecadron, inogona kubatsira kuderedza kuzvimba. Inogonawo kubatsira kudzivirira kurasikirwa nekunzwa kunogona kuitika nemeningoencephalitis.
• Kubuda kwemvura muuropi: Izvi zvinobatsirawo kuderedza kumanikidzwa mukati memusoro wemusoro.
• Mishonga inonyaradza marwadzo uye/kana mishonga yekunyaradza: Mishonga iyi inogona kushandiswa kana paine kuzvimba kwakanyanya.

Chikwata chevanachiremba chichakutarisa zvakanyanya panguva yaunogara muchipatara. Vachatora matanho anodiwa pamatambudziko kana matambudziko aungave nawo.

Mwero wekupora kwemunhu ane meningoencephalitis wakakwira sei?

Kufanotaura kuti chirwere ichi chichapora zvinoenderana nechikonzero chechirwere, kuoma kwacho, uye kuti kurapwa kunokurumidza sei.

Pavanhu vanopona chirwere cheCryptococcal meningoencephalitis, vanenge 69% vane matambudziko ekufunga uye/kana emuviri mushure memwedzi gumi nemiviri mushure mekuonekwa kuti vane chirwere ichi. Pakati pe50% ne70% yeavo vanowana herpetic meningoencephalitis vanogona kukuvara uropi zvachose, kushaya simba kwetsinga, kana kuti kukoma.

Zvisinei, avo vane chirwere chisina kunyanya kuipa uye vanowana kurapwa nekukurumidza vane mukana wekuva nematambudziko mashoma.

Meningoencephalitis inogona kudzivirirwa here?

Hazvisi zvese zviitiko zve meningoencephalitis zvinogona kudzivirirwa. Zvisinei, nzira yakanakisisa yekuderedza njodzi yako ndeyekuedza kugara uine hutano uye kuramba kure nemabhakitiriya, mavhairasi, uye fungi zvinokonzera hutachiona.

Heano mamwe maitiro aungazvidzivirira iwe nevamwe kubva kuhutachiona:

• Gara uchigeza maoko ako nesipo zvakanaka.
• Vhara muromo wako nemhino yako paunenge uchikosora kana kuhotsira.
• Chenesa nzvimbo dzinobatwa nguva nenguva (senge magonhi, pamusoro petafura) nemushonga wekuuraya utachiona.
• Deredza kana kurega zvachose kushamwaridzana nevanhu vane chirwere chinotapukira, kungave iwe kana mumwe munhu ari kurwara.
• Dzivisa kugeza kana kunwa mvura inogona kunge iine utachiona. Kana ukashandisa mvura yekudiridza mhino, shandisa mvura yakacheneswa kana kuti yakacheneswa.
• Shandisa makondomu kuti uzvidzivirire kubva kuzvirwere zvepabonde (STIs) uye gara uchiongororwa zvirwere zvepabonde.
• Pfeka chifukidziro munzvimbo dzine guruva, senge panzvimbo dzekuvaka, uye gara mumba kana paine dutu guruva. ​​Kana uchigara munzvimbo ine hutachiona hwefungus, tora matanho ekudzivirira zvakanyanya.
• Gara uchibvunza chiremba kuti akupe mazano, kunyanya kana masoja emuviri wako asina simba (asina simba rekudzivirira muviri).
• Kana uri kuenda kune dzimwe nyika, dzidza kuzvidzivirira kubva kuzvirwere zvinotapukira zvinowanikwa munyika idzodzo.

Pakupedzisira, zvinhu zvekurangarira

Meningoencephalitis chirwere chakakomba zvikuru, chinouraya. Kana iwe kana mwana wako muine chimwe chezviratidzo izvi, tsvagai rubatsiro rwechiremba nekukasika. Kurapwa nekukurumidza ndiyo mukana wakanaka wekuti muwane mhedzisiro yakanaka. Kana muri panjodzi huru yekubatwa nechirwere ichi, taurai nachiremba wenyu nezvekuti mungaderedza sei njodzi yenyu uye kuti murambe muine hutano hwakanaka. Tinovimba kuti ruzivo urwu rwuchakubatsirai. Rambai muine hutano hwakanaka!

` meningoencephalitis, hutachiona hweuropi, meningitis, encephalitis, fivha yeuropi, chirwere chetsinga, chirwere chinotapukira