I-syphilitic aseptic meningitis

I-syphilitic aseptic meningitis, okanye i-syphilitic meningitis, sisifo se-syphilis esinganyangekiyo. Kubandakanya ukudumba kwezicubu ezigubungele ubuchopho kunye nentambo yomqolo ebangelwe lolu sulelo lwebacteria.

I-Syphilitic meningitis luhlobo lwe-neurosyphilis. Le meko yingxaki esongela ubomi yosulelo lwegcushuwa. I-Syphilis sisifo esosulela ngokwabelana ngesondo.

I-Syphilitic meningitis iyafana ne-meningitis ebangelwa zezinye iintsholongwane (izinto eziphilayo).

Iingozi ze-syphilitic meningitis zibandakanya usulelo oludlulileyo nge-syphilis okanye ezinye izifo ezidluliselwa ngesondo ezifana ne-gonorrhea. Usulelo lweSyphilis lusasazeka ikakhulu ngokwesondo nomntu onesifo. Ngamanye amaxesha, banokudlula ngokudibana okungathandekiyo.

Iimpawu ze-syphilitic meningitis zingabandakanya:

• Utshintsho kumbono, njengombono ongenanto, ukuncipha kombono
• Ifiva
• Intloko ebuhlungu
• Ukutshintsha kwemeko yengqondo, kubandakanya ukudideka, ukunciphisa ixesha lokuqwalaselwa, kunye nokucaphuka
• Isicaphucaphu nokugabha
• Intamo eqinileyo okanye amagxa, iintlungu zemisipha
• Ukuxhuzula
• Ubuntununtunu ekukhanyeni (photophobia) kunye nengxolo enkulu
• Ukulala, ukonqena, kunzima ukuvuka

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Oku kunokubonisa iingxaki kwimithambo-luvo, kubandakanya imithambo-luvo elawula intshukumo yamehlo.

Uvavanyo lunokubandakanya:

• I-angiography yeCerebral yokujonga ukuhamba kwegazi kwingqondo
• I-Electroencephalogram (i-EEG) yokulinganisa umsebenzi wombane kwingqondo
• Ukuskena iNtloko ye-CT
• Impompo yomqolo ukufumana isampulu yecebrospinal fluid (CSF) yoviwo
• Uvavanyo lwegazi lwe-VDRL okanye uvavanyo lwegazi lwe-RPR kwiscreen sosulelo lwegcushuwa

Ukuba uvavanyo lokuvavanywa lubonisa usulelo lwegcushuwa, kwenziwa iimvavanyo ezininzi ukuqinisekisa isifo. Uvavanyo lubandakanya:

• I-FTA-ABS
• MHA-TP
• TP-PA
• I-TP-EIA

Iinjongo zonyango kukunyanga usulelo kunye nokuyeka iimpawu ukuba mandundu. Ukunyanga usulelo kunceda ukukhusela umonakalo omtsha we-nerve kwaye kunokunciphisa iimpawu. Unyango aluwutshintshi umonakalo okhoyo.

Amayeza ekusenokwenzeka ukuba anikwe aquka:

• I-penicillin okanye ezinye i-antibiotics (ezifana ne-tetracycline okanye i-erythromycin) ixesha elide ukuqinisekisa ukuba usulelo luyahamba
• Amayeza okuxhuzula

Abanye abantu banokufuna uncedo lokutya, ukunxiba kunye nokuzikhathalela. Ukudideka kunye nolunye utshintsho lwengqondo lunokuphucula okanye luqhubeke ixesha elide emva konyango lwe -antibiotic.

Igcushuwa ekuhambeni kwexesha kunokubangela ukonakala kwentliziyo okanye kwentliziyo. Oku kungakhokelela ekukhubazekeni nasekufeni.

Iingxaki zinokubandakanya:

• Ukungakwazi ukuzikhathalela
• Ukungakwazi ukunxibelelana okanye ukusebenzisana
• Ukuxhamla okunokubangela ukulimala
• Ukubetha

Yiya kwigumbi likaxakeka okanye fowunela ku-911 okanye inombolo yongxamiseko yendawo ukuba uxhuzula.

Tsalela umnikezeli wakho ukuba unentloko ebuhlungu enefiva okanye ezinye iimpawu, ngakumbi ukuba unembali yosulelo lwegcushuwa.

Unyango olufanelekileyo kunye nokulandelwa kosulelo lwegcushuwa kuya kunciphisa umngcipheko wokuphuhlisa olu hlobo lwe-meningitis.

Ukuba usabelana ngesondo, ziqhelanise nokwabelana ngesondo okukhuselekileyo kwaye uhlala usebenzisa iikhondom.

Bonke abafazi abakhulelweyo kufuneka bahlolwe igcushuwa.

Meningitis - negcushuwa; Neurosyphilis - syphilitic meningitis

• Inkqubo ye-nervous central kunye ne-peripheral system
• Igcushuwa yaseprayimari
• I-Syphilis - yesibini kwiintendelezo
• Igcushuwa emva kwexesha
• Ubalo lweseli le-CSF
• Uvavanyo lweCSF lwegcushuwa

Hasbun R, van de Beek D, Brouwer MC, Tunkel AR. I-meningitis efanelekileyo. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl. 87.

URadolf JD, iTramont EC, uSalazar JC. I-Syphilis (I-Treponema pallidum). Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl 237.