Tabes dorsalis

Tabes dorsalis mubatanidzwa weiyo isina kurapwa syphilis iyo inosanganisira kushomeka kwemhasuru uye kusanzwisisika kwekunzwa.

Tabes dorsalis chimiro cheiyo neurosyphilis, inova iri dambudziko rekunonoka hutachiona hwechirwere. Syphilis chirwere chehutachiona chinopararira pabonde.

Kana syphilis ikasarapwa, mabhakitiriya anokuvadza musana wesipinha uye nehunhu hwemhashu. Izvi zvinotungamira kune zviratidzo zvetabhesi dorsalis.

Tabes dorsalis ikozvino haichawanzo kuwanikwa nekuti syphilis inowanzorapwa kutanga kwechirwere.

Zviratidzo zvetabhesi dorsalis zvinokonzerwa nekukuvara kune tsinga system. Zviratidzo zvinosanganisira chero cheanotevera:

• Kusanzwisisika kwekunzwa (paresthesia), inowanzozonzi "marwadzo emheni"
• Zvinetso zvekufamba senge nemakumbo kure kure
• Kurasikirwa kwekubatana pamwe nekufungisisa
• Joint kukuvara, kunyanya kwemabvi
• Tsvina kushaya simba
• Chiono chinoshanduka
• Matambudziko ekudzora dundira
• Zvepabonde basa matambudziko

Anopa hutano anoita bvunzo dzepanyama, achitarisa kuhurongwa hwetsinga.

Kana chirwere che syphilis chiri kufungidzirwa, bvunzo dzinogona kusanganisira zvinotevera:

• Cerebrospinal fluid (CSF) kuongorora
• Musoro CT, musana CT, kana MRI scans yehuropi uye musana musana kuti ubate zvimwe zvirwere
• Serum VDRL kana serum RPR (inoshandiswa seyedzo yekuongorora hutachiona hwechirwere)

Kana iyo serum VDRL kana serum RPR bvunzo iri yakanaka, imwe yeiyi miedzo inotevera ichadikanwa kusimbisa kuongororwa.

• FTA-ABS
• MHA-TP
• TP-EIA
• TP-PA

Zvinangwa zvekurapa ndezvekuporesa hutachiona uye kunonoka chirwere. Kurapa hutachiona kunobatsira kudzivirira kukuvara kwetsinga kutsva uye kunogona kudzikisa zviratidzo. Kurapa hakudzosere kukuvara kwenzara kuripo.

Mishonga inogona kupihwa inosanganisira:

• Penicillin kana mamwe maantibiotic kwenguva yakareba kuti ave nechokwadi chekuti hutachiona hwapera
• Marwadzo ekudzora marwadzo

Zviratidzo zvehutachiona hwehurongwa huripo hunoda kurapwa. Vanhu vasingakwanise kudya, kuzvipfekedza, kana kuzvitarisira vangangoda rubatsiro. Kuvandudza, kurapa kwemuviri, uye kurapa kwebasa kunogona kubatsira nekushomeka kwemhasuru.

Kuruboshwe kusarapwa, tabo dorsalis inogona kutungamira mukuremara.

Zvinetso zvinogona kusanganisira:

• Bofu
• Kuoma mitezo

Fonera mupiki wako kana iwe uine:

• Kurasikirwa kwekubatana
• Kurasikirwa kwesimba remhasuru
• Kurasikirwa kwekunzwa

Kurapa kwakakodzera uye kuteedzerwa kwehutachiona hwe syphilis kunoderedza njodzi yekukudziridza tabo dorsalis.

Kana iwe uchiita zvepabonde, ita zvepabonde zvakachengeteka uye gara uchishandisa kondomu.

Vakadzi vese vane nhumbu vanofanirwa kuongororwa ne syphilis.

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

• Mashura epamberi epamusoro
• Chirwere chepuraimari
• Late-danho njovhera

Ghanem KG, Hook EW. Njovhera. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 303.

Radolf JD, Tramont EC, Salazar JC. Njovhera (Treponema pallidum). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 237.