Syphilitic aseptic meningitis

Syphilitic aseptic meningitis, kapa syphilitic meningitis, ke bothata ba syphilis e sa alafshoang. E kenyelletsa ho ruruha ha lisele tse koahelang boko le lesapo la mokokotlo le bakoang ke tšoaetso ena ea baktheria.

Syphilitic meningitis ke mofuta oa neurosyphilis. Boemo bona ke bothata bo sokelang bophelo ba tšoaetso ea syphilis. Syphilis ke tšoaetso e tšoaetsanoang ka thobalano.

Syphilitic meningitis e tšoana le meningitis e bakoang ke likokoana-hloko tse ling.

Likotsi tsa syphilitic meningitis li kenyelletsa tšoaetso e fetileng ea syphilis kapa mafu a mang a tšoaetsanoang ka thobalano a kang gonorrhea. Ts'oaetso ea syphilis e hasana haholo ka thobalano le motho ea nang le tšoaetso. Ka linako tse ling, li ka fetisoa ka ho ikopanya le batho ba bong bo fapaneng.

Matšoao a syphilitic meningitis a kenyeletsa:

• Liphetoho ponong, joalo ka pono e lerootho, pono e fokotsehileng
• Feberu
• Ho opeloa ke hlooho
• Maemo a kelello a fetoha, ho kenyeletsoa pherekano, ho fokotsa nako ea tlhokomelo, le ho teneha kapele
• Ho nyekeloa le ho hlatsa
• Molala o thata kapa mahetla, bohloko ba mesifa
• Ho oa
• Ho nahanela khanya (photophobia) le lerata le phahameng
• Ho robala, ho otsela, ho thata ho tsoha

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Sena se ka bonts'a mathata ka methapo, ho kenyeletsoa methapo e laolang motsamao oa mahlo.

Liteko li ka kenyelletsa:

• Cerebral angiography ho lekola phallo ea mali bokong
• Electroencephalogram (EEG) ho lekanya ts'ebetso ea motlakase bokong
• Hlooho ea CT scan
• Pompo ea mokokotlo ho fumana sampole ea mokelikeli oa cerebrospinal fluid (CSF) bakeng sa tlhahlobo
• Teko ea mali ea VDRL kapa tlhahlobo ea mali ea RPR ho lekola tšoaetso ea syphilis

Haeba liteko tsa ho hlahloba li bontša tšoaetso ea syphilis, ho etsoa liteko tse ling ho netefatsa tlhahlobo ea ona. Liteko li kenyelletsa:

• FTA-ABS
• MHA-TP
• TP-PA
• TP-EIA

Morero oa kalafo ke ho folisa tšoaetso le ho emisa matšoao ho mpefala. Ho phekola tšoaetso ho thusa ho thibela tšenyo e ncha ea methapo mme ho ka fokotsa matšoao. Kalafo ha e etsolle ts'enyo e teng.

Meriana e ka fanoang e kenyelletsa:

• Penicillin kapa lithibela-mafu tse ling (joalo ka tetracycline kapa erythromycin) nako e telele ho netefatsa hore tšoaetso ea fela
• Meriana ea ho oa

Batho ba bang ba ka hloka thuso ea ho ja, ho apara le ho itlhokomela. Pherekano le liphetoho tse ling tsa kelello li ka ntlafatsa kapa tsa tsoelapele nako e telele kamora kalafo ea lithibela-mafu.

Syphilis ea morao-rao e ka baka tšenyo ea methapo kapa ea pelo. Sena se ka baka bokooa le lefu.

Mathata a ka kenyelletsa:

• Ho hloleha ho itlhokomela
• Ho se khone ho buisana kapa ho sebelisana
• Lits'oaetso tse ka bakang kotsi
• Leqeba

E-ea kamoreng ea maemo a tšohanyetso kapa letsetsa 911 kapa nomoro ea ts'ohanyetso ea lehae haeba u oa.

Bitsa mofani oa hau haeba u tšoeroe ke hlooho e matla ka feberu kapa matšoao a mang, haholo haeba u na le nalane ea tšoaetso ea syphilis.

Kalafo e nepahetseng le ts'alo ea ts'oaetso ea syphilis li tla fokotsa menyetla ea ho ba le mofuta ona oa meningitis.

Haeba u etsa thobalano, ikoetlise ka tsela e sireletsehileng 'me u sebelise likhohlopo kamehla.

Basali bohle ba baimana ba lokela ho hlahlojoa lefu la syphilis.

Meningitis - syphilitic; Neurosyphilis - syphilitic meningitis

• Sisteme ea methapo e bohareng le methapo ea methapo
• Syphilis e ka sehloohong
• Mokaola - mahareng ka liatla tsa
• Syphilis ea morao-rao
• Palo ea lisele tsa CSF
• Teko ea CSF bakeng sa syphilis

Hasbun R, van de Beek D, Brouwer MC, Tunkel AR. Ho tšoaroa ke meningitis e bohloko. Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 87.

Radolf JD, Tramont EC, Salazar JC. Syphilis (Treponema pallidum). Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 237.