Meningoencephalitis hauv dev - Cov tsos mob, hom, kev kho mob thiab prognosis

Cov txheej txheem:

Meningoencephalitis hauv dev - Cov tsos mob, hom, kev kho mob thiab prognosis
Meningoencephalitis hauv dev - Cov tsos mob, hom, kev kho mob thiab prognosis
Anonim
Meningoencephalitis hauv dev - Cov tsos mob, hom thiab kev kho mob fetchpriority=siab
Meningoencephalitis hauv dev - Cov tsos mob, hom thiab kev kho mob fetchpriority=siab

Meningoencephalitis yog ib yam kab mob neurological uas nquag kuaj pom hauv cov chaw kho tsiaj me. Nws muaj qhov mob ntawm lub hauv nruab nrab lub paj hlwb uas tuaj yeem tshwm sim nrog ntau yam kab mob neurological nyob ntawm thaj tsam cuam tshuam. Txawm tias muaj tseeb hais tias nws yog ib tug kab mob uas muaj ntau yam tsis paub yuav nrhiav tau, ntau thiab ntau cov ntaub ntawv muaj nyob rau coj nws cov kev kuaj mob thiab kev kho mob.

Yog koj xav paub ntau ntxiv txog meningoencephalitis in dogs, tsis txhob nco cov lus hauv qab no ntawm peb qhov chaw uas peb tham txog cov cov tsos mob, hom thiab kev kho mob ntawm tus kab mob neurological no.

Dab tsi yog meningoencephalitis hauv dev?

Meningoencephalitis muaj cov kab mob mob uas cuam tshuam rau hauv nruab nrab paj hlwb (CNS), nrog rau kev mob / subacute thiab nce qib. Tshwj xeeb, cov txheej txheem inflammatory cuam tshuam rau meninges (membranes uas npog CNS) thiab lub hlwb. Thaum, ntxiv rau cov qauv no, tus txha caj qaum kuj raug cuam tshuam, nws raug hu ua meningoencephalomyelitis.

Tiag tiag, meningoencephalitides yog ib pawg kab mob loj heev uas muaj ntau yam aetiologies. Muaj ntau zaus, nws yog qhov nyuaj rau kev mus txog qhov kev kuaj pom tseeb; ntau npaum li ntawd, nyob rau hauv 60% ntawm cov neeg mob qhov tshwj xeeb ua rau tus kab mob no tsis paub.

Symptoms of meningoencephalitis in dogs

Daim duab kho mob cuam tshuam nrog meningoencephalitis muaj ntau yam sib txawv thiab nyob ntawm lub hauv paus ntawm cov txheej txheem ntawm lub paj hlwb uas cuam tshuam los ntawm cov txheej txheem inflammatory. Hauv qhov kev nkag siab no:

  • Thaum tus meninges raug cuam tshuam, mob, txhav thiab kub taub hau.
  • Thaum lub hlwb raug cuam tshuam, qaug dab peg, kev coj cwj pwm tsis zoo yuav raug soj ntsuam.(xws li ncig lossis nias lub taub hau rau pem teb lossis phab ntsa), txo qis ntawm kev nco qab (kev nyuaj siab, stupor, lossis coma), thiab tsis pom kev.
  • Thaum tus cerebellum raug cuam tshuam, xov xwm tshee(nws yog qhov tshee uas tshwm sim tsuas yog thaum txav mus), hypermetry (exaggerated amplitude txav), poob ntawm qhov sib npaug thiab qhov dav ntawm kev txhawb nqa.
  • Thaum tus brainstemyog raug cuam tshuam, vestibular syndrome(lub taub hau tig mus rau ib sab, poob ntawm qhov sib npaug, ncig, nystagmus thiab strabismus), cranial hlab ntsha cuam tshuam, hloov qib ntawm kev nco qab (kev nyuaj siab, stupor lossis coma) thiab lub cev muaj zog.

paresis, tuag tes tuag taw, hloov suab nrov thiab reflexes, etc.

Hauv kev xyaum, kev sib txawv ntawm cov cim qhia no feem ntau pom vim muaj ntau lub paj hlwb feem ntau cuam tshuam. Yog li ntawd, meningoencephalitis nyob rau hauv cov dev yuav tsum tau suav nrog nyob rau hauv qhov sib txawv ntawm kev kuaj mob ntawm cov neeg mob feem ntau uas muaj cov tsos mob ntawm lub paj hlwb, vim hais tias yuav luag txhua yam mob los yog subacute neurological mob tuaj yeem sib haum nrog cov kab mob no.

Types of meningoencephalitis in dogs

Meningoencephalitis hauv dev tuaj yeem muab faib ua ob pawg loj raws li lawv cov aetiology: kis kab mob thiab tsis kis kab mob. Tom ntej no, peb piav qhia txhua yam ntxiv.

Cov kab mob meningoencephalitis

. Qee tus kws sau ntawv tau taw qhia tias lawv tuaj yeem tshwm sim los ntawm prions (xws li lub npe hu ua "mad cow disease").

Hauv cov dev, cov kab mob meningoencephalitides muaj qhov sib kis tsawg dua li cov tsis kis kab mob.

Aseptic lossis non-infectious meningoencephalitis

Thiab, aseptic lossis non-infectious meningoencephalitis tuaj yeem faib ua ob pawg:

  • Immune-mediated: tshwm sim thaum lub cev tiv thaiv kab mob tawm tsam lossis rhuav tshem lub cev cov khoom los ntawm kev lees paub lawv txawv teb chaws.
  • Idiopathic: uas yog, tsis paub keeb kwm. Cov pab pawg no suav nrog meningoencephalomyelitis ntawm tsis paub etiology (MUE), necrotizing meningoencephalitis, granulomatous meningoencephalitis, eosinophilic meningoencephalitis, thiab steroid-responsive tremor syndrome.

Causes of meningoencephalitis in dogs

Txawm hais tias thaum piav txog ntau hom kab mob meningoencephalitis peb tau hu ua lub ntsiab etiologies ntawm tus kab mob no, nyob rau hauv nqe lus no peb yuav piav qhia ntau ntxiv txog qhov sib txawv ua rau tus mob meningoencephalitis:

  • Pathogenic microorganisms: nyob rau hauv pab pawg no peb pom cov kab mob (xws li distemper los yog rabies), kab mob (xws li Mycoplasma, Staphylococcus, Pastereulla los yog Bartonella), fungi (xws li Cryptococcus thiab Blastomyces) thiab kab mob (xws li Toxoplasma, Trypanosoma thiab Babesia).
  • Immune system disorders: nyob rau hauv cov ntaub ntawv no ib tug exaggerated lub cev tiv thaiv kab mob yog tsim tawm tsam cov Cheebtsam ntawm lub hauv paus paj hlwb.
  • Unknown origin: Raws li peb tau piav qhia, ntau tus meningoencephalitides yog suav tias yog kab mob idiopathic. Txawm li cas los xij, nws xav tias lawv yog pathologies ntawm ntau lub hauv paus chiv keeb, nyob rau hauv uas ib tug genetic predisposition yog ua ke nrog tej yam uas ua rau ib tug exaggerated tiv thaiv teb.

Diagnosis of meningoencephalitis in dogs

Cov txheej txheem kuaj mob rau canine meningoencephalitis yog ua raws cov ntsiab lus hauv qab no:

  • : Kev ntsuam xyuas lub paj hlwb tiav yuav pom qhov mob. Feem ntau pom cov tsos mob ntawm lub paj hlwb, qhia tias ntau qhov chaw raug cuam tshuam.
  • Cerebrospinal kua tsom xam: qhov no yog cov txheej txheem kuaj mob ntawm kev xaiv, txawm hais tias nws yuav tsum tau nco ntsoov tias tsis yog txhua qhov mob ntawm lub paj hlwb. central tsim ib qho kev hloov ntawm cov kua cerebrospinal. Kev tau txais cov kua dej cerebrospinal yuav tsum tau ua raws li kev siv tshuaj loog, vim nws yog tus txheej txheem invasive. Los ntawm cov qauv tau txais, kev tshawb fawb cytological, kab lis kev cai, kev tshuaj ntsuam biochemical thiab kev soj ntsuam serological yuav raug ua.
  • Magnetic Resonance: Los ntawm qhov kev kuaj pom zoo no, cov nyhuv loj ntawm qhov txhab, edema, dilatation ntawm lub paj hlwb ventricles thiab qhov txhab tuaj yeem kuaj pom. los yog diffuse. Txawm li cas los xij, qee zaum tsis pom qhov mob ntawm lub paj hlwb, yog li nws yuav tsum tau nco ntsoov tias cov duab resonance ib txwm yuav tsum tsis txhob tawm tsam tus kab mob no.
  • Lwm cov kev kuaj mob: suav nrog kev kuaj ntshav, kuaj zis thiab serology ntawm cov kab mob tseem ceeb muaj nyob hauv thaj chaw uas tsiaj nyob.

Txawm li cas los xij, peb yuav tsum paub tias qee tus mob meningoencephalitis (xws li necrotizing meningoencephalitis lossis granulomatous meningoencephalitis) yuav tsum tau kuaj mob histopathological kom paub tseeb. Qhov no txhais tau hais tias nws yuav tsis tuaj yeem ncav cuag qhov kev kuaj pom tseeb hauv lub neej, vim qhov no yuav xav tau kev kuaj mob tom qab ntawm cov kab mob uas twb muaj lawm hauv lub paj hlwb.

Kev kho mob thiab kev kho mob ntawm meningoencephalitis hauv dev

Kev kho mob meningoencephalitis hauv dev txawv nyob ntawm nws aetiology. Feem ntau, kev kho mob yog raws li cov hauv qab no:

  • Symptomatic treatment: muaj kev kho cov tsos mob uas cuam tshuam nrog meningoencephalitis. Piv txwv li, convulsants yuav muab rau cov neeg mob convulsive crises, analgesics nyob rau hauv cov neeg mob uas mob hnyav vim meningitis, los yog diuretics nyob rau hauv cov neeg mob uas muaj cerebral edema.
  • Tshuaj tua kab mob: yuav tsum tau muab tshuaj rau tus mob meningoencephalitis. Nyob ntawm tus neeg sawv cev ua rau, tshuaj tua kab mob, tshuaj tua kab mob lossis tshuaj tua kab mob yuav raug muab.
  • Immunosuppressants: lawv yog siv rau kev kho mob ntawm lub cev tiv thaiv kab mob meningoencephalitis thiab meningoencephalitis ntawm cov keeb kwm tsis paub (vim lawv zoo li muaj cov tshuaj tiv thaiv kab mob.). Tshwj xeeb, cov tshuaj corticosteroids feem ntau tau muab tshuaj ua ke nrog lwm cov tshuaj tiv thaiv kab mob, xws li cyclosporine, azathioprine lossis cytosine arabinoside.

Tus prognosis ntawm tus kab mob kuj txawv nyob ntawm seb hom mob meningoencephalitis:

  • Nyob rau hauv kab mob meningoencephalitis qhov kev tshwm sim loj heev. Tsis tas li ntawd xwb, cov tsiaj uas muaj sia nyob tus kab mob no tej zaum yuav muaj cov kab mob neurological sequelae.
  • Thaum tsis muaj tus kab mob meningoencephalitis, qhov kev mob tshwm sim thiab lub sij hawm muaj sia nyob yog qhov sib txawv heev. Qhov kev mob tshwm sim feem ntau yog qhov hnyav, tshwj xeeb tshaj yog thaum cov cim qhia muaj ntau yam thiab thaum tsis muaj cov lus teb zoo rau kev kho.

Raws li peb tau pom, lub neej expectancy ntawm tus dev nrog meningoencephalitis nws txawv nyob ntawm ntau yam. Txawm li cas los xij, nws yuav tsum raug coj mus rau hauv tus account tias cov neeg mob uas tau txais kev kho mob ntxov muaj qhov muaj sia nyob ntau dua li cov neeg tsis tau txais. Yog li ntawd, nws yog ib qho tseem ceeb uas sai li sai tau thaum kuaj pom cov kab mob neurological, koj maj nrawm mus rau qhov chaw kho tsiaj. Tsuas yog txoj hauv kev no thiaj li yuav ua tau kom kuaj tau tus kab mob sai thiab tsim kho qhov tsim nyog tshaj plaws hauv txhua kis.

Pom zoo: