Neurosyphilis: yintoni, iimpawu eziphambili, unyango kunye nendlela yokuthintela

Umxholo

• Iimpawu eziphambili
• Uqinisekisa njani
• Unyango lwenziwa njani
• Iingxaki ezinokwenzeka
• Uthintelo lwe-neurosyphilis

I-Neurosyphilis yingxaki yegcushuwa, kwaye ivela xa ibhaktiriya I-Treponema pallidum Ingena kwinkqubo yemithambo-luvo, ifikelela kwingqondo, kwiminyango nakumqolo. Obu bunzima buhlala buvela emva kweminyaka emininzi yokuphila neebhaktiriya ngaphandle konyango olululo, olukhokelela ekubonakaleni kweempawu kunye neempawu ezinje ngokusilela kwememori, uxinzelelo, ukukhubazeka okanye ukuxhuzula.

Ukunyanga i-neurosyphilis, ugqirha uya kuncoma amayeza okubulala iintsholongwane, njenge-crystalline Penicillin, ngqo emthanjeni, malunga neentsuku ezili-10 ukuya kwezi-14. Emva kweenyanga ezimbalwa zonyango, kuya kufuneka ukuba kubekwe iliso kumanqanaba osulelo ngokugqobhoza ulusu lwe-cerebrospinal fluid ukuvavanya ukuba lukhona na unyango.

I-Syphilis sisifo esinganyangekiyo esosulelayo esifunyanwa ikakhulu ngokudibana ngokwesondo, kwaye sinokuvela ngeendlela ezahlukeneyo ngokwamanqanaba ahlukeneyo, kubandakanya ukwenziwa kwezilonda kumalungu esini, amabala esikhumba okanye umkhuhlane, umzekelo, notshintsho olukhulu njengeengxaki zentliziyo okanye iziganeko ze-Neurological zenzeka ngakumbi amanqanaba aphezulu esi sifo. Fumanisa ngakumbi ngamanqanaba e-syphilis kuyo yonke into malunga negcushuwa.

Iimpawu eziphambili

Iimpawu zokuqala kunye neempawu ze-neurosyphilis zihlala zivela phakathi kweminyaka emi-5 ukuya kwengama-20 emva kokosulelwa ngu I-Treponema pallidum, kuphela xa umntu osulelekileyo engafumananga unyango olwaneleyo ngeli xesha. Ezinye zeempawu eziphambili kunye neempawu zibandakanya:

• Ukuphazamiseka kombono kunye nokungaboni;
• Ukusilela kwememori kunye nesifo sengqondo esixhalabisayo;
• Utshintsho kuhambo;
• Uxinzelelo;
• Ukungahambi kakuhle komchamo;
• Ukucaphuka
• Intloko ebuhlungu;
• Ukudideka kwengqondo;
• Ukukhubazeka;
• Ukuxhuzula;
• Intamo elukhuni;
• Iinyikima;
• Ubuthathaka;
• Ukuba ndindisholo emilenzeni nasezinyaweni;
• Ubunzima bokugxila;
• Ukuqhubela phambili ukukhubazeka ngokubanzi;
• Utshintsho lomntu;
• Abafundi abaphenduli ekukhanyeni;
• Utshintsho kwindlela oziva ngayo.

Njengokuba iimpawu kunye neempawu ze-neurosyphilis zahlukahlukene kakhulu, esi sifo sinokubhidaniswa nezifo ezininzi zemithambo-luvo, ezinje nge-Alzheimer's, sclerosis, meningitis, ithumba lobuchopho, isifo sika-Parkinson, ukubetha (ukubetha) okanye izifo zengqondo, ezinje nge-schizophrenia kunye noxinzelelo.

Funda ngakumbi ngamanqanaba esi sifo kule vidiyo ilandelayo:

Uqinisekisa njani

Ukuxilongwa kwe-neurosyphilis kwenziwa ngokuhlalutya i-CSF, okanye i-cerebrospinal fluid, ebonisa utshintsho kwisifo, kwaye yenziwa nge-lumbar puncture.

Ukulinganisa iimviwo, ezinje ngecomputer tomography, magnetic resonance kunye ne-cerebral angiography, kuyacetyiswa kakhulu ukuvavanya utshintsho lobuchopho kunye nokuqhubela phambili kwesifo. Uvavanyo lwegazi, olufana ne-FTA-ABS kunye ne-VDRL, luvavanyo lwe-serological olunceda ekuchongeni ii-antibodies ezinxulumene ne-syphilis. Funda indlela yokuqonda iziphumo zovavanyo lwe-VDRL.

Unyango lwenziwa njani

Unyango lwe-neurosyphilis kufuneka lwenziwe esibhedlele, luqukethe inaliti yemihla ngemihla kumthambo wee-antibiotics ezinjenge-crystalline Penicillin G okanye iCeftriaxone, kangangeentsuku ezili-10 ukuya kwezi-14.

Emva konyango lwe-neurosyphilis, ugqirha unokwenza uvavanyo lwegazi kwiinyanga ze-3 ne-6, kunye nakanye ngonyaka, iminyaka emi-3. Ukongeza, i-lumbar punctures inokwenziwa rhoqo kwiinyanga ezi-6 ukuqinisekisa unyango losulelo.

Jonga ukuba unyango lwenziwa njani kumanqanaba ahlukeneyo egcushuwa.

Iingxaki ezinokwenzeka

Nangona uninzi lweempawu ze-neurosyphilis zibuyela umva, xa unyango lungenziwa ngokufanelekileyo, esi sifo sinokubangela utshintsho olukhulu kwinkqubo ye-nervous system, ekhokelela kwi-sequelae ebandakanya:

• Ukukhubazeka kwemimandla yomzimba;
• Ukulahleka kombono;
• Isifo sengqondo esixhalabisayo, utshintsho oluqhubekayo kwimemori okanye kwindlela yokuziphatha
• Ukungeva;
• Ukungabi namandla ngokwesondo;
• I-Psychosis kunye nezinye iingxaki zengqondo;
• Ukuphazamiseka kwentshukumo
• Ukungahambi kakuhle komchamo;
• Iintlungu ezingapheliyo.

Iingxaki ze-neurosyphilis zixhomekeke kwindlela esiqhube ngayo esi sifo kumntu ngamnye, ixesha losulelo kunye nexesha lokulinda ukuba unyango luqale.

Uthintelo lwe-neurosyphilis

I-Neurosyphilis sisifo esinokuba neziphumo ezibi empilweni kwaye, ke ngoko, kufuneka sithintelwe ngonyango olufanelekileyo. Ke, abaguli abane-syphilis kufuneka balandele imiyalelo kagqirha, ukuthintela usulelo ekubeni lufikelele kwinkqubo yeemvakalelo, ngakumbi kwimeko yezigulana ezinamajoni omzimba aguqukileyo.

Uthintelo lwegcushuwa lwenziwa ngokusetyenziswa kweekhondom ngexesha lokwabelana ngesondo, kwaye kuthathelwa ingqalelo ukunqanda ungcoliseko ngegazi nangokwemfihlo, kunye nezinto ezinokungcoliseka, ezinje ngeesirinji kunye neenaliti, akufuneki kwabelwane ngazo, ukongeza kwangaphambi kokuba ukubeka esweni -ukuzalwa ngokufanelekileyo, kwimeko yabasetyhini abakhulelweyo. Jonga isikhokelo ngakumbi malunga nendlela ugqithiso olwenzeka ngayo kunye nendlela yokuthintela igcushuwa.