I-syphilitic aseptic meningitis

I-syphilitic aseptic meningitis, noma i-syphilitic meningitis, iyinkinga ye-syphilis engalashwa. Kubandakanya ukuvuvukala kwezicubu ezihlanganisa ubuchopho nomgogodla obangelwa yilesi sifo segciwane.

I-syphilitic meningitis iwuhlobo lwe-neurosyphilis. Lesi simo siyinkinga esongela impilo yokutheleleka kukagcunsula. Ugcunsula yisifo esithathelwana ngocansi.

I-syphilitic meningitis ifana ne-meningitis ebangelwa amanye amagciwane (izinto eziphilayo).

Izingozi ze-syphilitic meningitis zifaka ukutheleleka okwedlule nge-syphilis noma ezinye izifo ezithathelwana ngocansi njenge-gonorrhea. Ukutheleleka kukagcunsula ikakhulu kusakazwa ngocansi nomuntu onegciwane. Kwesinye isikhathi, zingadluliselwa ngokuxhumana nabesilisa nabesifazane.

Izimpawu ze-syphilitic meningitis zingafaka:

• Izinguquko kumbono, njengokufiphalaza, kwehlise umbono
• Imfiva
• Ubuhlungu bekhanda
• Izinguquko zesimo sengqondo, kufaka phakathi ukudideka, ukunciphisa isikhathi sokunaka, nokucasula
• Isicanucanu nokuhlanza
• Intamo eqinile noma amahlombe, izinhlungu zemisipha
• Ukuquleka
• Ukuzwela ekukhanyeni (photophobia) nemisindo ephezulu
• Ukulala, ukukhathala, kunzima ukuvuka

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Lokhu kungakhombisa izinkinga ngezinzwa, kufaka phakathi izinzwa ezilawula ukuhamba kwamehlo.

Ukuhlolwa kungafaka:

• I-Cerebral angiography ukuhlola ukuhamba kwegazi ebuchosheni
• I-Electroencephalogram (EEG) ukukala umsebenzi kagesi ebuchosheni
• Iskena sekhanda le-CT
• Thepha umgogodla ukuthola isampula le-cerebrospinal fluid (CSF) ukuze ihlolwe
• Ukuhlolwa kwegazi le-VDRL noma ukuhlolwa kwegazi kwe-RPR ukuze kuhlolwe ukutheleleka kogcunsula

Uma ukuhlolwa kokuhlolwa kukhombisa ukutheleleka kukagcunsula, kwenziwa ukuhlolwa okuningi ukuqinisekisa ukuxilongwa. Izivivinyo zifaka:

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

Izinhloso zokwelashwa ukwelapha ukutheleleka nokuyeka izimpawu ukuthi ziba zimbi kakhulu. Ukwelapha ukutheleleka kusiza ukuvimbela ukulimala okusha kwezinzwa futhi kunganciphisa izimpawu. Ukwelashwa akuwuguquli umonakalo okhona.

Imithi okungenzeka inikezwe ifaka phakathi:

• I-penicillin noma amanye ama-antibiotic (njenge-tetracycline noma i-erythromycin) isikhathi eside ukuqinisekisa ukuthi ukutheleleka kuyaphela
• Imithi yokuquleka

Abanye abantu bangadinga usizo lokudla, ukugqoka nokuzinakekela. Ukudideka nezinye izinguquko zengqondo kungathuthukisa noma kuqhubeke isikhathi eside ngemuva kokwelashwa kwama-antibiotic.

Ugcunsula osezingeni lesikhathi esedlule ungadala ukulimala kwezinzwa noma kwenhliziyo. Lokhu kungaholela ekukhubazekeni nasekufeni.

Izinkinga zingafaka:

• Ukungakwazi ukuzinakekela
• Ukungakwazi ukuxhumana noma ukuhlanganyela
• Ukuquleka okungadala ukulimala
• Unhlangothi

Iya egumbini lezimo eziphuthumayo noma ushayele ku-911 noma inombolo ephuthumayo yendawo uma unesifo sokuwa.

Shayela umhlinzeki wakho uma unekhanda elibi kakhulu ngomkhuhlane noma ezinye izimpawu, ikakhulukazi uma unomlando wokutheleleka ngogcunsula.

Ukwelashwa okufanele nokulandelwa kwezifo zikagcunsula kuzonciphisa ubungozi bokuthola lolu hlobo lwe-meningitis.

Uma uya ocansini, zijwayeze ukwenza ucansi oluphephile futhi usebenzise amakhondomu njalo.

Bonke abesifazane abakhulelwe kufanele bahlolwe ugcunsula.

Meningitis - ugcunsula; I-Neurosyphilis - i-syphilitic meningitis

• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo
• Ugcunsula oyinhloko
• Ugcunsula - okwesibili ezintendeni zezandla
• Ugcunsula osezingeni eliphezulu
• Ukubalwa kwamaseli e-CSF
• Ukuhlolwa kwe-CSF ngogcunsula

UHasbun R, van de Beek D, uBrouwer MC, uTunkel AR. I-meningitis enamandla. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 87.

URadolf JD, iTramont EC, uSalazar JC. Ugcunsula (I-Treponema pallidum). Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 237.