I-paresis ngokubanzi

I-paresis ngokubanzi yingxaki yokusebenza kwengqondo ngenxa yokonakala kwengqondo kwi-syphilis enganyangekiyo.

I-paresis ngokubanzi lolunye uhlobo lwe-neurosyphilis. Ngokuqhelekileyo kwenzeka kubantu abangenayo i-syphilis engaphendulwanga iminyaka emininzi. I-Syphilis yintsholongwane yebhaktiriya edla ngokusasazeka ngoqhagamshelwano ngokwesondo okanye ngokungatshatanga. Namhlanje, i-neurosyphilis inqabile kakhulu.

Nge-neurosyphilis, i-syphilis bacteria ihlasela ingqondo kunye nenkqubo yovalo. I-paresis ngokubanzi ihlala iqala malunga neminyaka eli-10 ukuya kwengama-30 emva kosulelo lwegcushuwa.

Usulelo lweSyphilis lunokonakalisa imithambo-luvo eyahlukeneyo yobuchopho. Nge-paresis ngokubanzi, iimpawu zihlala zinesifo sengqondo esixhalabisayo kwaye zinokubandakanya:

• Iingxaki zememori
• Iingxaki zolwimi, njengokuthetha okanye ukubhala amagama ngokuchanekileyo
• Ukuncipha kokusebenza kwengqondo, njengeengxaki zokucinga kunye nokugweba
• Imood iyatshintsha
• Utshintsho lomntu, njengokukhohlisa, ukubona izinto ezingekhoyo, ukuba nochuku, isimilo esingafanelekanga

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga nembali yakho yezonyango. Ngexesha loviwo, ugqirha unokujonga ukusebenza kwenkqubo yakho yeemvakalelo. Uvavanyo lwengqondo luya kwenziwa nalo.

Uvavanyo olunokuyalelwa ukuba lubone igcushuwa emzimbeni lubandakanya:

• I-CSF-VDRL
• I-FTA-ABS

Uvavanyo lwenkqubo yemithambo-luvo inokubandakanya:

• Iskena seNtloko se-CT kunye neMRI
• Uvavanyo lokuqhutywa kwemithambo

Iinjongo zonyango kukunyanga usulelo kunye nokucothisa ukungahambi kakuhle. Umboneleli uya kumisela i-penicillin okanye ezinye i-antibiotics ukunyanga usulelo. Unyango luya kuqhubeka kude kube kususwe ngokupheleleyo usulelo.

Ukunyanga usulelo kuya kunciphisa umonakalo omtsha we-nerve. Kodwa ayizukunyanga umonakalo osele wenzekile.

Unyango lweempawu luyafuneka kumonakalo okhoyo we-nervous system.

Ngaphandle konyango, umntu unokukhubazeka. Abantu abanesifo segcushuwa emva kwexesha kunokwenzeka ukuba baphuhlise ezinye izifo kunye nezifo.

Iingxaki zale meko zibandakanya:

• Ukungakwazi ukunxibelelana okanye ukunxibelelana nabanye
• Ukwenzakala ngenxa yokuxhuzula okanye ukuwa
• Ukungakwazi ukuzikhathalela

Fowunela umboneleli wakho ukuba uyazi ukuba ukhe wabhencwa kwi-syphilis okanye olunye usulelo oludluliselwa ngesondo kwixa elidlulileyo, kwaye awuzange unyangwe.

Fowunela umnikezeli wakho ukuba unengxaki yeenkqubo zeemvakalelo (ezinje ngengxaki yokucinga), ngakumbi ukuba uyazi ukuba wosulelwe yi-syphilis.

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

Ukunyanga i-syphilis ephambili kunye nosulelo lwesibini lwe-syphilis kuya kuthintela i-paresis ngokubanzi.

Ukuziqhelanisa nokwabelana ngesondo okukhuselekileyo, njengokunciphisa amaqabane kunye nokusebenzisa ukhuselo, kunokunciphisa umngcipheko wokosuleleka ngegcushuwa. Kuphephe ukunxibelelana ngqo nolusu nabantu abanegcushuwa yesibini.

I-paresis ngokubanzi yempambano; Ukukhubazeka ngokubanzi kwegeza; Ukuwohloka kwengqondo

• Inkqubo ye-nervous central kunye ne-peripheral system

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 (iTreponema 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.