Amathebhu dorsalis

Amathebhu dorsalis ayinkinga yenkinga yokwelashwa engalashwa efaka ubuthakathaka bemisipha nemizwa engajwayelekile.

Amathebhu dorsalis awuhlobo lwe-neurosyphilis, okuyinkinga yokutheleleka ngogcunsula esiteji sekwephuzile. Ugcunsula ukutheleleka kwamagciwane okusakazeka ngokocansi.

Lapho ugcunsula ungalashwa, amabhaktheriya alimaza intambo yomgogodla nezicubu zomzimba ezinohlangothi. Lokhu kuholela ezinkomba zamathebhu dorsalis.

Amathebhu dorsalis manje aseyivelakancane ngoba ugcunsula uvame ukwelashwa kusenesifo.

Izimpawu zamathebhu we-dorsalis zibangelwa ukulimala kohlelo lwezinzwa. Izimpawu zifaka noma yikuphi okulandelayo:

• Imizwa engajwayelekile (paresthesia), evame ukubizwa ngokuthi "izinhlungu zombani"
• Izinkinga zokuhamba ezifana nemilenze iqhelelene kakhulu
• Ukulahlekelwa kokuxhumanisa nokucabanga
• Ukulimala okuhlangene, ikakhulukazi kwamadolo
• Ubuthakathaka bemisipha
• Umbono uyashintsha
• Izinkinga zokulawula isinye
• Izinkinga zomsebenzi wezocansi

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa ngokomzimba, egxile ohlelweni lwezinzwa.

Uma kusolwa ukutheleleka kukagcunsula, izivivinyo zingafaka okulandelayo:

• Ukuhlolwa kweCerebrospinal fluid (CSF)
• I-Head CT, i-spine CT, noma i-MRI scan yobuchopho nomgogodla ukukhipha ezinye izifo
• I-Serum VDRL noma i-serum RPR (esetshenziswa njengokuhlola ukuhlolwa kokutheleleka kukagcunsula)

Uma i-serum VDRL noma i-serum RPR test inesifo, esinye sezi zivivinyo ezilandelayo sizodingeka ukuqinisekisa ukuxilongwa:

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

Izinhloso zokwelashwa ukwelapha ukutheleleka nokunciphisa isifo. Ukwelapha ukutheleleka kusiza ukuvimbela ukulimala okusha kwezinzwa futhi kunganciphisa izimpawu. Ukwelashwa akubuyisi emuva ukulimala kwezinzwa okukhona.

Imithi okungenzeka inikezwe ifaka phakathi:

• I-penicillin noma amanye ama-antibiotic isikhathi eside ukuqinisekisa ukuthi ukutheleleka kuyaphela
• Ama-painkillers wokulawula izinhlungu

Izimpawu zokulimala kwesistimu yezinzwa ezikhona zidinga ukwelashwa. Abantu abangakwazi ukudla, ukugqoka, noma ukuzinakekela bangadinga usizo. Ukuvuselelwa, ukwelashwa ngokomzimba, kanye nokwelashwa okusebenzayo kungasiza ngokubuthakathaka kwemisipha.

Uma kungalashwa, amathebhu e-dorsalis angaholela ekukhubazekeni.

Izinkinga zingafaka:

• Ubumpumputhe
• Ukukhubazeka

Shayela umhlinzeki wakho uma une:

• Ukulahlekelwa kokuxhumana
• Ukwehla kwamandla emisipha
• Ukulahlekelwa umuzwa

Ukwelashwa okufanele nokulandelwa kwezifo zikagcunsula kunciphisa ubungozi bokwenza amathebhu e-dorsalis.

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

Bonke abesifazane abakhulelwe kufanele bahlolwe ugcunsula.

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

• Imisipha yangaphandle engaphezulu
• Ugcunsula oyinhloko
• Ugcunsula osezingeni eliphezulu

UGhanem KG, Hook EW. Ugcunsula. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 303.

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.