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Воспаление, затрагивающее одновременно несколько сегментов спинного мозга, называют поперечным миелитом [4](https://www.invitro.ru/library/bolezni/36125/). \n\n**Классификация**: по механизму развития — первичный и вторичный (рассматривается как осложнение другого заболевания) [4](https://www.invitro.ru/library/bolezni/36125/)[9](https://yandex.ru/medicine/disease/mielit). По причине возникновения — инфекционный, травматический, интоксикационный и другие [4](https://www.invitro.ru/library/bolezni/36125/)[9](https://yandex.ru/medicine/disease/mielit). По степени распространённости в спинном мозге — диффузный (воспаление распространяется на весь спинной мозг), ограниченный (воспаление не выходит за рамки одного очага) и многоочаговый (очаги поражения рассредоточены в разных отделах спинного мозга) [4](https://www.invitro.ru/library/bolezni/36125/)[9](https://yandex.ru/medicine/disease/mielit).\n\n\n\n## Причины\n**Некоторые причины миелита**: \n* инфекции (вирус простого герпеса, менингококковая инфекция, сифилис, ВИЧ, полиомиелит) [6](https://cmrt.ru/zabolevaniya/nervnoy-sistemy/mielit/)[9](https://yandex.ru/medicine/disease/mielit); \n* травмы спинного мозга (ушибы, сотрясения, кровоизлияния, сдавливания) [6](https://cmrt.ru/zabolevaniya/nervnoy-sistemy/mielit/)[9](https://yandex.ru/medicine/disease/mielit); \n* повреждения позвоночника, в основном шейной зоны [9](https://yandex.ru/medicine/disease/mielit); \n* отравления лекарствами, токсинами и химикатами [9](https://yandex.ru/medicine/disease/mielit); \n* системные заболевания (рассеянный склероз, васкулит, болезнь Девика и аутоиммунные нарушения) [9](https://yandex.ru/medicine/disease/mielit). \n\n**Иногда точную причину возникновения миелита не удаётся установить** (идиопатический миелит) [8](https://newday-clinic.ru/mielit).\n\n## Симптомы\n**Проявления миелита зависят от локализации поражённого участка и степени воспалительного процесса** [10](https://xn--d1abuo3e.xn--p1ai/diseases/mielit/): \n* **Миелит в шейной области** — нарушение чувствительности и движений, возможен паралич конечностей [10](https://xn--d1abuo3e.xn--p1ai/diseases/mielit/). \n* **При поражении грудного отдела** — спастическое затруднение в движении ног, судороги, пониженный мышечный тонус, боль в груди, приступы удушья и нарушения сердечного ритма [10](https://xn--d1abuo3e.xn--p1ai/diseases/mielit/). \n* **Симптомы повреждения пояснично-крестцового отдела** — недержание мочи и кала, проблемы с координацией движений [10](https://xn--d1abuo3e.xn--p1ai/diseases/mielit/). \n\n**Общие симптомы**: повышение температуры тела до 38–39°C, озноб, недомогание [4](https://www.invitro.ru/library/bolezni/36125/).\n\n## Диагностика\n**Для диагностики миелита** могут назначить: \n* неврологическое обследование [13](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_neurology/myelitis); \n* оценку параметров спинномозговой жидкости, взятой на анализ путём люмбальной пункции [13](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_neurology/myelitis); \n* КТ или МРТ спинного мозга, миелографию [13](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_neurology/myelitis).\n\n## Лечение\n**Терапия миелита назначается неврологом** с учётом причин и особенностей заболевания [10](https://xn--d1abuo3e.xn--p1ai/diseases/mielit/). **Некоторые методы лечения**: \n* антибиотики широкого спектра в больших дозах [10](https://xn--d1abuo3e.xn--p1ai/diseases/mielit/); \n* нестероидные противовоспалительные средства [10](https://xn--d1abuo3e.xn--p1ai/diseases/mielit/); \n* витамины группы В [10](https://xn--d1abuo3e.xn--p1ai/diseases/mielit/); \n* жаропонижающие [10](https://xn--d1abuo3e.xn--p1ai/diseases/mielit/); \n* при необходимости — анальгетики для снятия болевого синдрома [10](https://xn--d1abuo3e.xn--p1ai/diseases/mielit/). \n\n**Лечение обычно проводится в стационаре** [10](https://xn--d1abuo3e.xn--p1ai/diseases/mielit/). **Самолечение запрещено** — при появлении первых признаков миелита необходимо обратиться за квалифицированной помощью [2](https://medcentr-Endomedlab.ru/zabolevaniya/mielit.html).","linksData":[{"sourceId":1,"url":"https://analizy-Sochi.ru/zabolevaniya/mielit.html","shownUrl":"https://analizy-Sochi.ru/zabolevaniya/mielit.html","title":"Как выявить миелит | Справочник медицинской лаборатории Оптимум (Сочи, Адлер)","shortUrl":"analizy-Sochi.ru","isTranslated":false,"description":"","greenUrl":"analizy-Sochi.ru"},{"sourceId":2,"url":"https://medcentr-Endomedlab.ru/zabolevaniya/mielit.html","shownUrl":"https://medcentr-Endomedlab.ru/zabolevaniya/mielit.html","title":"Диагностика миелита | Справочник врача невролога Клиники ЭндоМедЛаб г. 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