ʻO Meningeal Syndrome kahi o nā ʻōuli e hōʻike ana i kahi maʻi i nā meninges (nā membrane e hoʻopuni ana i ka lolo a me ka iwi kuamoʻo). ʻO kāna mau hōʻailona nui ʻekolu ka ʻeha poʻo, ka luaʻi a me ka ʻāʻī ʻoʻoleʻa. ʻO ka maʻi ʻo Meningeal kahi pilikia olakino.

Ka wehewehe ʻana o ka maʻi meningeal

ʻO nā meninges he mau pale pale no ka ʻōnaehana waena. He ʻekolu lākou o nā membrane hope e uhi ana i ka lolo ma ka hakahaka cranial a me ka iwi kuamoʻo ma ka iwi āpau (iwi kuamoʻo).

ʻLelo mākou e pili ana i ka maʻi meningeal e kuhikuhi i kahi o nā ʻōuli e hōʻike ana i ka ʻeha o nā meninges. Kaha ʻia kēia maʻi e nā ʻōuli ʻekolu:

• ʻeha poʻo (poʻo poʻo),
• luaʻi
• ʻāʻī a ʻehaʻeha ka ʻāʻī i ka ʻāʻī.

ʻIke pinepine ʻia nā ʻōuli ʻē aʻe (ʻike i ka ʻāpana "Nā Hōʻailona" o kēia pepa). I ka kānalua iki, pono ka ʻōlelo aʻoaʻo olakino. Pono ka maʻi ʻo Meningeal i ka mālama ʻōnaehana a me ka wikiwiki.

Nā kumu o ka maʻi meningeal

Hōʻike ka maʻi ʻo Meningeal iā ia iho i ka meningitis (ka hoʻohaunaele o nā meninges) a me nā hemorrhages subarachnoid (ka hū ʻana o ke koko i nā meninges). ʻOkoʻa kā lākou mau kumu.

I ka hapa nui o nā hihia, ka hemorrhage subarachnoid ma muli o ka haki a haki paha o kahi aneurysm intracranial (kahi ʻano hernia e hana ana ma ka paia o nā aʻa). ʻO ka Meningitis ma muli o ka maʻi viral a bacteria paha. ʻIke ʻia ka Meningoencephalitis i kekahi manawa ke pili ka mumū i nā meninges a me ka lolo a lākou e uhi ai.

Kaha: Aia i kekahi manawa ka huikau ma waena o ka meningeal syndrome a me ka meningitis. ʻO ka maʻi ʻo Meningeal kahi o nā ʻōuli e hiki ke hana ʻia i ka meningitis. I kekahi ʻaoʻao, hiki i kahi meningeal syndrome ke loaʻa i nā kumu ʻē aʻe ma mua o ka meningitis.

Nā kānaka e pili ana

Hiki ke hana i ka meningitis i kēlā me kēia makahiki. Eia naʻe, ʻoi aku ka kiʻekiʻe o ka makaʻā ma:

• nā keiki ma lalo o 2 mau makahiki;
• nā ʻōpio a me nā ʻōpio makua mai 18 a 24 mau makahiki;
• ka poʻe me ka ʻōnaehana pale nawaliwali, e pili ana ka poʻe ʻelemākule, ka poʻe me nā pilikia olakino mau loa (maʻi ʻaʻai, AIDS, a pēlā wale aku), ka poʻe i ke kala ʻia mai kahi maʻi, kēlā mau lāʻau i lawe i nā lāʻau e hoʻonāwaliwali i ka ʻōnaehana pale.

Subarachnoid hemorrhage kahi maʻi i koe mau ʻole. Eia naʻe, hoʻonui ʻia kona hanana me ka makahiki.

ʻIke o ka maʻi meningeal

ʻO ka maʻi ʻo Meningeal kahi pilikia kūpilikiʻi. Kū i mua me nā hōʻailona ʻano a i ʻole i ka kānalua iki, pono e hoʻopili aku i nā lawelawe lapaʻau olakino.

Hiki i kahi hoʻokolohua hoʻokolohua ke hoʻomaopopo i nā hōʻailona maʻamau o ka maʻi meningeal. Pono e hoʻāʻo hou e ʻike i ke kumu kumu. ʻO ka ninaninau kuhikuhi ʻo ia ka lumbar puncture i loko o ka lawe ʻana i ka wai cerebrospinal i loko o nā meninges i mea e kālailai ai. ʻO ke kaʻina hana hiki ke hoʻokaʻawale i waena o ka meningitis a i ʻole ka hemorrhage subarachnoid.

Hiki ke hana ʻia i nā hoʻokolohua ʻē aʻe ma mua a ma hope paha o ka lumbar puncture.

• kiʻi kiʻi lolo;
• nā hoʻokolohua olaola;
• he uila uila.

headaches

Hoʻomaopopo ʻia ka maʻi ʻo Meningeal e nā ʻōuli nui ʻekolu. ʻO ka mea mua ke ʻano o nā poʻo poʻo nui, diffuse a hoʻomau. Hoʻonui ʻia kēia mau mea i kekahi mau neʻe, i ke alo o ka walaʻau (phonophobia) a i ke alo o ka mālamalama (photophobia).

luaʻi

ʻO ka lua o ka hōʻailona maʻamau o ka meningeal syndrome ka hanana o ka nausea a me ka luaʻi.

ʻO ka pīpī o nā ʻōpū

ʻO ka hōʻike ʻana o ka ʻāʻī o ka ʻino ka hōʻailona kolu o ka meningeal syndrome. Aia kahi ʻaelike o nā mākala spinal (nā mākala hohonu o ka ʻāpana dorsal) ka mea maʻamau i ka ʻāʻī e pili ana me ka ʻeha e ʻā ana i ka hope.

Nā hōʻailona pili ʻē aʻe

ʻO nā hōʻailona mua ʻekolu ka mea maʻamau o ka maʻi meningeal. Eia nō naʻe, hiki iā lākou ke hōʻike iā lākou iho i nā ʻano like ʻole e pili ana i ka hihia. ʻAʻole ia he mea maʻamau no lākou e hele pū me nā ʻōuli ʻē aʻe e like me:

• ʻōpū paʻa paʻa;
• he moku kuni;
• nā haunaele o ka ʻike;
• haunaele naʻau a i ʻole hanu.

Pono ka ʻōnaehana o ka maʻi meningeal e ʻōnaehana a wikiwiki. Pono ia i ka haukapila pilikia a me ka mālama ʻana i ke kumu kumu. ʻO ka mālama ʻana no ka maʻi meningeal e komo pū paha me:

• lapaʻau antibiotic no ka maʻi koʻohune meningitis;
• lapaʻau antiviral no kekahi mau meningoencephalitis o ke kumu viral;
• ʻoki kino no ka aneurysm.

ʻO ka pale ʻana i ka maʻi meningeal e pili ana i ka pale ʻana i ka makaʻu o ka meningitis a me ka hemorrhage subarachnoid.

E pili ana i ka meningitis, ka pale ʻana i ka makaʻu o ka maʻi ma luna o:

• lāʻau lapaʻau, i kūʻē kūʻē iā Haemophilus Influenzae ʻano b;
• nā hana hoʻomaʻemaʻe e kaupalena ai i ka makaʻu o ka haumia.

E pili ana i ka hemorrhage subarachnoid, he mea pono loa e kaua kūʻē i nā kumu i hiki ke hoʻonui i ka ulu ʻana o kahi aneurysm intracranial. No laila he mea pono e kaua aku i ke kiʻekiʻe o ke koko a me ka atheroma (waiho o ka momona ma ka paia o nā aʻa) ma ka mālama ʻana i kahi nohona olakino e pili pū ana me:

• kahi papaʻai olakino a kaulike hoʻi;
• hana hoʻoikaika kino maʻamau.