I-Neurosyphilis: kuyini, izimpawu eziyinhloko, ukwelashwa nokuthi ungakuvimbela kanjani

-Delile

• Izimpawu eziyinhloko
• Ungaqinisekisa kanjani
• Yelashwa kanjani
• Izinkinga ezingenzeka
• Ukuvimbela i-neurosyphilis

I-Neurosyphilis iyinkinga ye-syphilis, futhi ivela lapho amabhaktheriya I-Treponema pallidum ihlasela isistimu yezinzwa, ifinyelele ebuchosheni, kuma-meninges nakumgogodla. Le nkinga ivame ukuvela ngemuva kweminyaka eminingi yokuphila namagciwane ngaphandle kokwelashwa okufanele, okuholela ekubonakaleni kwezimpawu nezimpawu ezinjengokuhluleka kwememori, ukudangala, ukukhubazeka noma ukuquleka.

Ukwelapha i-neurosyphilis, udokotela uzoncoma imishanguzo yama-antibiotic, njenge-crystalline Penicillin, ngqo emthanjeni, izinsuku ezingaba yishumi kuya kwezingu-14. Ngemuva kwezinyanga ezimbalwa zokwelashwa, kuzodingeka ukuthi kubhekwe amazinga okutheleleka ngokusebenzisa ukubhoboza i-lumbar ketshezi lwe-cerebrospinal ukuhlola ukuthi ngabe belikhona yini ikhambi.

Ugcunsula yisifo esingelapheki esithathelwanayo esitholwa ikakhulu ngokuxhumana ngokocansi, futhi singashintsha ngezindlela ezehlukene ngezigaba ezahlukahlukene, kufaka phakathi ukwakheka kwezilonda ezithweni zangasese, amabala esikhumba noma imfiva, ngokwesibonelo, ngezinguquko ezinkulu ezinjengezinkinga zenhliziyo noma imicimbi yeNeurological yenzeka kokuningi izigaba ezithuthukile zesifo. Thola okuningi mayelana nezigaba zikagcunsula kuyo yonke into mayelana nogcunsula.

Izimpawu eziyinhloko

Izimpawu nezimpawu zokuqala ze-neurosyphilis zivame ukuvela phakathi kweminyaka emihlanu kuya kwengu-20 ngemuva kokutheleleka ngo I-Treponema pallidum, kuphela lapho umuntu onegciwane engakatholi ukwelashwa okwanele ngalesi sikhathi. Ezinye zezimpawu nezimpawu eziyinhloko zifaka:

• Ukuphazamiseka kombono nokungaboni;
• Ukwehluleka kwememori kanye nokuwohloka komqondo;
• Shintsha ku-gait;
• Ukudangala;
• Ukungasebenzi komchamo;
• Ukuthukuthela;
• Ikhanda;
• Ukudideka kwengqondo;
• Ukukhubazeka;
• Ukudlikizela;
• Intamo eqinile;
• Ukuthuthumela;
• Ubuthakathaka;
• Ukuba ndikindiki emilenzeni nasezinyaweni;
• Kunzima ukugxila;
• Ukukhubazeka okujwayelekile okuqhubekayo;
• Izinguquko zobuntu;
• Abafundi abaphenduli ekukhanyeni;
• Ukuguqulwa kokucabanga kwemizwa.

Njengoba izimpawu nezimpawu ze-neurosyphilis zihlukahlukene kakhulu, lesi sifo singadidaniswa nezifo eziningana zemizwa, njenge-Alzheimer's, multiple sclerosis, meningitis, isimila sobuchopho, isifo sikaParkinson, isifo sohlangothi (stroke) noma izifo zengqondo, ezifana ne-schizophrenia kanye nokudangala.

Funda kabanzi ngezigaba zesifo kule vidiyo elandelayo:

Ungaqinisekisa kanjani

Ukuxilongwa kwe-neurosyphilis kwenziwa ngokuhlaziya i-CSF, noma i-cerebrospinal fluid, ekhombisa ukuguqulwa okusikisela lesi sifo, futhi yenziwa nge-lumbar puncture.

Ukulingisa izivivinyo, njenge-computed tomography, i-magnetic resonance kanye ne-cerebral angiography, kunconywa kakhulu ukuhlola ushintsho lobuchopho kanye nokuqhubekela phambili kwezifo. Ukuhlolwa kwegazi, okufana ne-FTA-ABS ne-VDRL, ukuhlolwa kwe-serological okusiza ukukhomba amasosha omzimba ahlobene nogcunsula. Funda ukuthi ungayiqonda kanjani imiphumela yokuhlolwa kwe-VDRL.

Yelashwa kanjani

Ukwelashwa kwe-neurosyphilis kufanele kwenziwe esibhedlela, okubandakanya imijovo yansuku zonke emthanjeni wama-antibiotic afana ne-crystalline Penicillin G noma iCeftriaxone, izinsuku ezingaba yishumi kuya kwezingu-14.

Ngemuva kokwelashwa kwe-neurosyphilis, udokotela angenza ukuhlolwa kwegazi ezinyangeni ze-3 ne-6, kanye kanye kanye ngonyaka, iminyaka emi-3. Ngaphezu kwalokho, i-lumbar punctures ingenziwa njalo ezinyangeni eziyisithupha ukuqinisekisa ukwelashwa kokutheleleka.

Bona futhi ukuthi ukwelashwa kwenziwa kanjani ezigabeni ezihlukene zikagcunsula.

Izinkinga ezingenzeka

Yize izimpawu eziningi ze-neurosyphilis zibuyiselwa emuva, uma ukwelashwa kungenziwanga kahle, lesi sifo singadala ushintsho olunzima ohlelweni lwezinzwa oluphakathi, okuholela ekulandeleni okubandakanya:

• Ukukhubazeka kwezifunda zomzimba;
• Ukulahleka kombono;
• I-Dementia, ushintsho oluqhubekayo kwimemori noma ekuziphatheni
• Izithulu;
• Ukungabi namandla ocansini;
• I-Psychosis nezinye izifo zengqondo;
• Izinkinga zokuhamba
• Ukungasebenzi komchamo;
• Izinhlungu ezihlala njalo.

Izinkinga ze-neurosyphilis zincike ekutheni isifo sesiqhubekele kanjani kumuntu ngamunye, isikhathi sokutheleleka nesikhathi sokulinda ukuthi kuqale ukwelashwa.

Ukuvimbela i-neurosyphilis

I-Neurosyphilis ukutheleleka okungaba nemiphumela emibi yezempilo ngakho-ke, kufanele kuvinjelwe ngokwelashwa okufanele. Ngakho-ke, iziguli ezine-syphilis kufanele zilandele imiyalo kadokotela, zivimbele ukutheleleka ekufinyeleleni kohlelo lwezinzwa, ikakhulukazi ezimweni zeziguli ezinamasosha omzimba ashintshiwe.

Ukuvinjelwa kogcunsula kwenziwa ngokusetshenziswa kwamakhondomu ngesikhathi sokuya ocansini, futhi kunakekelwa ukuze kugwenywe ukungcoliswa ngegazi nangoketshezi, nezinto zokwakha ezingangcoliswa, njengezirinji nezinaliti, akufanele kwabelwane ngazo, ngaphezu kwalokho ukuqapha. -ukuzalwa kahle, uma kwenzeka abesifazane abakhulelwe. Bheka ukuqondiswa okwengeziwe kokuthi ukudluliswa kwenzeka kanjani nokuthi ungakuvimbela kanjani ugcunsula.