Iithebhu zedorsalis

Iithebhu zedorsalis yingxaki yegcushuwa enganyangekiyo ebandakanya ubuthathaka bemisipha kunye neemvakalelo ezingaqhelekanga.

Iithebhu zedorsalis luhlobo lwe-neurosyphilis, eyintsingiselo yosulelo lwesifo segcushuwa. I-Syphilis sisifo esosasazeka ngesondo.

Xa igcushuwa inganyangwa, intsholongwane yonakalisa intambo yomqolo kunye nezicwili zemithambo-luvo. Oku kukhokelela kwiimpawu zethebhu zedorsalis.

Iithebhu zedorsalis ngoku zinqabile kakhulu kuba igcushuwa ihlala inyangwa kwangoko kwesi sifo.

Iimpawu zethebhu zedorsalis zibangelwa ngumonakalo kwinkqubo yeemvakalelo. Iimpawu zibandakanya nayiphi na kwezi zinto zilandelayo:

• Iimvakalelo ezingaqhelekanga (paresthesia), edla ngokubizwa ngokuba "ziintlungu zombane"
• Iingxaki zokuhamba ezinjengemilenze ekude kude
• Ukuphulukana nolungelelwaniso kunye nengqondo
• Umonakalo odibeneyo, ngakumbi emadolweni
• Ubuthathaka bemisipha
• Umbono utshintsha
• Iingxaki zolawulo lwesinyi
• Iingxaki zomsebenzi wesondo

Umboneleli wezempilo uya kwenza uvavanyo lomzimba, egxile kwinkqubo yeemvakalelo.

Ukuba kurhaneleka usulelo lwegcushuwa, iimvavanyo zinokubandakanya oku kulandelayo:

• Uviwo lweCerebrospinal fluid (CSF)
• INtloko ye-CT, i-spine ye-CT, okanye i-MRI yokuskena kwengqondo kunye nentambo yomqolo ukulawula ezinye izifo
• I-Serum VDRL okanye i-serum RPR (esetyenziswa njengovavanyo lokuvavanya usulelo lwegcushuwa)

Ukuba i-serum VDRL okanye uvavanyo lwe-serum RPR luchanekile, olunye lolu vavanyo luya kufuneka ukuqinisekisa isifo:

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

Iinjongo zonyango kukunyanga usulelo kunye nokucothisa isifo. Ukunyanga usulelo kunceda ukukhusela umonakalo omtsha we-nerve kwaye kunokunciphisa iimpawu. Unyango aluwubuyisi umonakalo okhoyo we-nerve.

Amayeza ekusenokwenzeka ukuba anikwe aquka:

• I-penicillin okanye ezinye i-antibiotics ixesha elide ukuqinisekisa ukuba usulelo luyaphela
• Iintlungu zokulawula iintlungu

Iimpawu zomonakalo okhoyo we-nervous system kufuneka zinyangwe. Abantu abangakwaziyo ukutya, ukunxiba, okanye ukuzinyamekela banokufuna uncedo. Ukubuyisela kwimeko yesiqhelo, unyango lomzimba, kunye nonyango olusebenzayo kunokunceda kubuthathaka bemisipha.

Ukushiywa kunganyangwa, iithebhu zedorsalis zinokukhokelela kukhubazeko.

Iingxaki zinokubandakanya:

• Ubumfama
• Ukukhubazeka

Fowunela umnikezeli wakho ukuba unayo:

• Ukuphulukana nolungelelwaniso
• Ukuphulukana nokomelela kwemisipha
• Ukuphulukana nemvakalelo

Unyango olululo kunye nokulandelwa kosulelo lwegcushuwa kunciphisa umngcipheko wokuphuhlisa iithebhu zedorsalis.

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

Bonke abafazi abakhulelweyo kufuneka bahlolwe igcushuwa.

I-locomotor ataxia; I-syphilitic myelopathy; I-syphilitic myeloneuropathy; I-Myelopathy - i-syphilitic; I-neurosyphilis yesiqhelo

• Imisipha yangaphandle yangaphandle
• Igcushuwa yaseprayimari
• Igcushuwa emva kwexesha

IGhanem KG, iHook EW. Igcushuwa. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 303.

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.