I-paresis ejwayelekile

I-paresis ejwayelekile iyinkinga yokusebenza kwengqondo ngenxa yokulimala ebuchosheni kusuka kugcunsula ongelashwa.

I-paresis ejwayelekile iyindlela eyodwa ye-neurosyphilis. Imvamisa kwenzeka kubantu asebenesifo sogcunsula esingalashwa iminyaka eminingi. Ugcunsula ukutheleleka kwamagciwane okuvame ukusakazwa ngokuxhumana ngocansi noma kwabesilisa nabesifazane. Namuhla, i-neurosyphilis ayivamile kakhulu.

Nge-neurosyphilis, amagciwane ogcunsula ahlasela ubuchopho nesistimu yezinzwa. I-paresis ejwayelekile ivame ukuqala cishe eminyakeni eyi-10 kuye kwengu-30 ngemuva kokutheleleka ngogcunsula.

Ukutheleleka kukagcunsula kungalimaza izinzwa eziningi ezahlukene zobuchopho. Nge-paresis ejwayelekile, izimpawu zivame ukuba eze-dementia futhi zingafaka:

• Izinkinga zememori
• Izinkinga zolimi, njengokusho noma ukubhala amagama ngokungalungile
• Ukwehla kokusebenza kwengqondo, njengezinkinga zokucabanga nokwahlulela
• Ukushintsha kwemizwelo
• Izinguquko zobuntu, njengokukhohlisa, ukubona izinto ezingekho, ukucasuka, ukuziphatha okungafanele

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa ngokomzimba abuze ngomlando wakho wezokwelapha. Ngesikhathi sokuhlolwa, udokotela angahlola ukusebenza kwesistimu yakho yezinzwa. Ukuhlolwa kokusebenza kwengqondo nakho kuzokwenziwa.

Ukuhlolwa okunga-oda ukuthola i-syphilis emzimbeni kufaka:

• I-CSF-VDRL
• I-FTA-ABS

Ukuhlolwa kwesistimu yezinzwa kungafaka:

• I-Head CT scan neMRI
• Ukuhlolwa kokuqhutshwa kwemizwa

Izinhloso zokwelashwa ukwelapha ukutheleleka futhi kunciphise ukugula ukuthi kube kubi kakhulu. Umhlinzeki uzonikeza i-penicillin noma amanye ama-antibiotic ukwelapha ukutheleleka. Ukwelashwa kungenzeka kuqhubeke kuze kube yilapho ukutheleleka sekuqede ngokuphelele.

Ukwelapha ukutheleleka kuzonciphisa ukulimala okusha kwezinzwa. Kepha ngeke kulaphe umonakalo osuvele wenzekile.

Ukwelashwa kwezimpawu kuyadingeka ekulimaleni kwesistimu yezinzwa ekhona.

Ngaphandle kokwelashwa, umuntu angakhubazeka. Abantu abanezifo ugcunsula sekwephuzile maningi amathuba okuthi bahlakulele ezinye izifo nezifo.

Izinkinga zalesi simo zifaka:

• Ukungakwazi ukuxhumana noma ukuxhumana nabanye
• Ukulimala ngenxa yokuquleka noma ukuwa
• Ukungakwazi ukuzinakekela

Shayela umhlinzeki wakho uma wazi ukuthi uvezwe ugcunsula noma esinye isifo esidluliswa ngocansi esikhathini esedlule, futhi awukaze welashwe.

Shayela umhlinzeki wakho uma unezinkinga zesistimu yezinzwa (njengokukhathazeka ekucabangeni), ikakhulukazi uma wazi ukuthi ungenwe ugcunsula.

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

Ukwelapha ukutheleleka okuyisisekelo kanye nokutheleleka okuyisithupha okuyisisekelo kuzovimbela i-paresis ejwayelekile.

Ukwenza ucansi oluphephile, njengokunciphisa abalingani nokusebenzisa ukuvikela, kunganciphisa ubungozi bokutheleleka nge-syphilis. Gwema ukuthintana ngqo kwesikhumba nabantu abane-syphilis yesibili.

I-paresis ejwayelekile yemisangano; Ukukhubazeka okujwayelekile komhlanya; Ukuwohloka komqondo okhubazekile

• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo

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 (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.