Neurosyphilis: ke eng, matšoao a mantlha, kalafo le mokhoa oa ho e thibela

Litaba

• Matšoao a mantlha
• Mokhoa oa ho netefatsa
• Kalafo e etsoa joang
• Mathata a ka bang teng
• Thibelo ea neurosyphilis

Neurosyphilis ke bothata ba syphilis, mme e hlaha ha baktheria Treponema pallidum hlasela tsamaiso ea methapo, fihla bokong, mening le lesapo la mokokotlo. Bothata bona hangata bo hlaha kamora lilemo tse ngata tsa ho phela le libaktheria ntle le kalafo e nepahetseng, e lebisang ho hlaha ha matšoao le matšoao a joalo ka ho hloleha ha memori, khatello ea maikutlo, ho holofala kapa ho oa.

Ho phekola neurosyphilis, ngaka e tla khothaletsa meriana ea lithibela-mafu, joalo ka kristalline Penicillin, ka kotlolloho mothapong, matsatsi a ka bang 10 ho isa ho a 14. Kamora likhoeli tse 'maloa tsa kalafo, ho tla hlokahala ho lekola maemo a tšoaetso ka ho phunya lumbar ea mokelikeli oa cerebrospinal ho lekola hore na pheko e bile teng.

Syphilis ke lefu le sa foleng le tšoaetsanoang le fumanoang haholo-holo ka thobalano, 'me le ka fetoha ka litsela tse fapaneng ka methati e fapaneng, ho kenyeletsoa ho thehoa ha liso tsa kahare, likoli tsa letlalo kapa feberu, mohlala, ka liphetoho tse tebileng joalo ka mathata a pelo kapa liketsahalo tsa Neurological li etsahala ho feta mehato e tsoetseng pele ea lefu lena. Fumana lintlha tse ling ka methati ea syphilis ho tsohle ka syphilis.

Matšoao a mantlha

Matšoao a pele a neurosyphilis hangata a hlaha lipakeng tsa lilemo tse 5 ho isa ho tse 20 kamora ho tšoaetsoa ke Treponema pallidum, ke feela ha motho ea tšoaelitsoeng a sa fumana kalafo e lekaneng nakong ena. Tse ling tsa matšoao le matšoao a kenyelletsa:

• Mathata a pono le bofofu;
• Ho hloleha ho hopola le 'dementia';
• Phetoho ho gait;
• Ho tepella maikutlo;
• Ho hloka taolo ea mosese;
• Ho teneha;
• Hlooho e bohloko;
• Pherekano ea kelello;
• Ho shoa litho;
• Ho tsitsipana;
• Molala o thata;
• Litšisinyeho;
• Bofokoli;
• Ho ba bohatsu maotong le maotong;
• Ho thata ho tsepamisa mohopolo;
• Tsoelo-pele e akaretsang ea ho holofala;
• Botho boa fetoha;
• Barutoana ba sa arabeleng ho leseli;
• Ho fetoha ha maikutlo a methapo.

Kaha matšoao a neurosyphilis a fapane haholo, lefu lena le ka ferekanngoa le maloetse a mangata a methapo, a kang Alzheimer's, multiple sclerosis, meningitis, hlahala ea boko, lefu la Parkinson, stroke (stroke) kapa mafu a kelello, joalo ka schizophrenia le khatello ea maikutlo.

Ithute haholoanyane ka methati ea lefu lena video e latelang:

Mokhoa oa ho netefatsa

Ho fumanoa ha neurosyphilis ho etsoa ka ho hlahloba CSF, kapa cerebrospinal fluid, e bonts'ang liphetoho tse hlahisang lefu lena, mme e etsoa ka ho phunya lumbar.

Ho etsa litlhahlobo tsa liteko, joalo ka computed tomography, magnetic resonance le cerebral angiography, ho khothaletsoa haholo ho lekola liphetoho tsa boko le kholo ea mafu. Liteko tsa mali, joalo ka FTA-ABS le VDRL, ke liteko tsa serological tse thusang ho khetholla lithibela-mafu tse amanang le syphilis. Ithute ho utloisisa sephetho sa tlhahlobo ea VDRL.

Kalafo e etsoa joang

Kalafo ea neurosyphilis e lokela ho etsoa sepetlele, e nang le liente tsa letsatsi le letsatsi mothapong oa lithibela-mafu tse kang crystalline Penicillin G kapa Ceftriaxone, matsatsi a ka bang 10 ho isa ho a 14.

Kamora kalafo ea neurosyphilis, ngaka e ka etsa liteko tsa mali likhoeling tsa 3 le 6, hammoho le hanngoe ka selemo, bakeng sa lilemo tse 3. Ntle le moo, li-punctures tsa lumbar li ka etsoa likhoeli tse ling le tse ling tsa 6 ho netefatsa pheko ea ts'oaetso.

Bona hape hore na kalafo e etsoa joang methating e fapaneng ea syphilis.

Mathata a ka bang teng

Le ha matšoao a mangata a neurosyphilis a ka khutlisoa, ha kalafo e sa etsoa ka nepo, lefu lena le ka baka liphetoho tse kholo tsamaisong ea methapo ea mantlha, 'me la baka sequelae e kenyeletsang:

• Ho shoa litho tsa libaka tsa 'mele;
• Pono ea tahlehelo;
• Dementia, liphetoho tse sa khaotseng mohopolong kapa boitšoarong
• Batho ba sa utloeng litsebeng;
• Ho hloka matla ka thobalano;
• Psychosis le mathata a mang a kelello;
• Mathata a tsamaiso
• Ho hloka taolo ea mosese;
• Bohloko bo sa feleng.

Mathata a neurosyphilis a ipapisitse le hore na lefu le hatetse pele joang ho motho ka mong, nako ea ts'oaetso le nako ea ho emela kalafo hore e qale.

Thibelo ea neurosyphilis

Neurosyphilis ke tšoaetso e ka bang le litlamorao tse mpe bophelong, ka hona e tlameha ho thibeloa ka kalafo e nepahetseng. Kahoo, bakuli ba nang le syphilis ba lokela ho latela litaelo tsa ngaka, ho thibela tšoaetso ho fihlela tsamaiso ea methapo, haholo maemong a bakuli ba nang le boits'ireletso ba mmele.

Thibelo ea syphilis e etsoa ka ts'ebeliso ea likhohlopo nakong ea thobalano, 'me ho nkuoa tlhokomelo ho qoba tšilafalo ka mali le ka liphiri,' me lisebelisoa tse ka silafatsoang joalo ka li-syringe le linalete ha lia lokela ho arolelanoa ntle le ho beha leihlo. -ho tsoala hantle, maemong a bakhachane. Hlahloba tataiso e eketsehileng mabapi le hore na tšoaetso e etsahala joang le hore na u ka thibela syphilis joang.