Litaele dorsalis

Tabes dorsalis ke bothata ba syphilis e sa sebetsanoeng e amanang le bofokoli ba mesifa le maikutlo a sa tloaelehang.

Tabes dorsalis ke mofuta oa neurosyphilis, e leng bothata ba tšoaetso ea syphilis ea morao-rao. Syphilis ke tšoaetso ea baktheria e jalang ka thobalano.

Ha syphilis e sa alafuoe, libaktheria li senya lesapo la mokokotlo le lisele tsa methapo ea kutlo. Sena se lebisa ho matšoao a li-tab tsa dorsalis.

Tabes dorsalis ha e sa fumaneha haholo hobane syphilis hangata e phekoloa qalong ea lefu lena.

Matšoao a li-tab dorsalis a bakoa ke tšenyo tsamaisong ea methapo. Matšoao a kenyelletsa tse latelang:

• Maikutlo a sa tloaelehang (paresthesia), a atisang ho bitsoa "bohloko ba lehalima"
• Mathata a ho tsamaea joalo ka maoto a arohane haholo
• Tahlehelo ea khokahano le maikutlo
• Tšenyo e kopaneng, haholoholo mangole
• Bofokoli ba mesifa
• Pono ea fetoha
• Mathata a ho laola senya
• Mathata a ts'ebetso ea thobalano

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele, a shebile tsamaiso ea methapo.

Haeba ho belaelloa tšoaetso ea syphilis, liteko li ka kenyelletsa tse latelang:

• Tlhatlhobo ea Cerebrospinal fluid (CSF)
• Hlooho ea CT, mokokotlo oa CT, kapa MRI ea boko le lesapo la mokokotlo ho felisa mafu a mang
• Serum VDRL kapa serum RPR (e sebelisoa e le tlhahlobo ea ho hlahloba tšoaetso ea syphilis)

Haeba serum VDRL kapa teko ea RPR ea serum e le ntle, ho tla hlokahala e 'ngoe ea liteko tse latelang ho netefatsa tlhahlobo ea lefu lena:

• FTA-ABS
• MHA-TP
• TP-EIA
• TP-PA

Morero oa kalafo ke ho folisa tšoaetso le ho liehisa lefu. Ho phekola tšoaetso ho thusa ho thibela tšenyo e ncha ea methapo mme ho ka fokotsa matšoao. Kalafo ha e fetole tšenyo e teng ea methapo.

Meriana e ka fanoang e kenyelletsa:

• Penicillin kapa lithibela-mafu tse ling nako e telele ho netefatsa hore tšoaetso ea fela
• Li-painkillers ho laola bohloko

Matšoao a tšenyo e teng ea sistimi ea methapo a hloka ho phekoloa. Batho ba sa khoneng ho ja, ho apara kapa ho itlhokomela ba ka hloka thuso. Ntlafatso, kalafo ea 'mele le kalafo ea mosebetsing li ka thusa ka bofokoli ba mesifa.

Taba ea dorsalis ha e sa alafatsoe e ka lebisa ho bokooa.

Mathata a ka kenyelletsa:

• Bofofu
• Ho shoa litho

Bitsa mofani oa hau haeba u na le:

• Tahlehelo ea khokahano
• Ho felloa ke matla ha mesifa
• Ho lahleheloa ke maikutlo

Kalafo e nepahetseng le ts'alo ea ts'oaetso ea syphilis li fokotsa menyetla ea ho hlahisa li-tab dorsalis.

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

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

Locomotor ataxia; Syphilitic myelopathy; Syphilitic myeloneuropathy; Myelopathy - syphilitic; Tabetic neurosyphilis

• Mesifa ea ka ntle e kantle
• Syphilis e ka sehloohong
• Syphilis ea morao-rao

Ghanem KG, Hook EW. Syphilis. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 303.

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.