Neurosyphilis: chii icho, chikuru zviratidzo, kurapwa uye maitiro ekudzivirira

Zvemukati

• Zviratidzo zvikuru
• Maitiro ekusimbisa
• Kurapwa kunoitwa sei
• Zvinogona kuitika
• Kudzivirira neurosyphilis

Neurosyphilis imhinganidzo yesyphilis, uye inomuka apo bhakitiriya Treponema pallidum inopinda mutsinga, kusvika kuuropi, meninges uye musana. Uku kusangana kunowanzo kumuka mushure memakore mazhinji ekurarama nemabhakitiriya pasina kurapwa kwakakodzera, izvo zvinotungamira mukuonekwa kwezviratidzo nezviratidzo sekutadza kuyeuka, kushushikana, kuoma mitezo kana kubatwa.

Kurapa neurosyphilis, chiremba anokurudzira mishonga yemishonga inorwisa mabhakitiriya, senge crystalline Penicillin, zvakananga mutsinga, kwemazuva gumi kusvika gumi nemana. Mushure memwedzi mishoma yekurapwa, zvichave zvakafanira kuti uongorore huwandu hwehutachiona kuburikidza ne lumbar puncture ye cerebrospinal fluid kuongorora kana kwave nemushonga.

Syphilis chirwere chisingaperi chinotapukira chinowanikwa kunyanya kuburikidza nekusangana pabonde, uye chinogona kuchinja nenzira dzakasiyana pamatanho akasiyana, kusanganisira kuumbwa kwezvironda zvepamuviri, maronda eganda kana fivha, semuenzaniso, nekuchinja kwakakomba senge matambudziko emoyo kana zviitiko zveNeurological zvinoitika mune zvakawanda matanho epamberi echirwere. Tsvaga zvimwe pamusoro pematanho esyphilis mune Zvese nezve syphilis.

Zviratidzo zvikuru

Zviratidzo zvekutanga nezviratidzo zveeurosyphilis zvinowanzoonekwa pakati pemakore mashanu kusvika makumi maviri mushure mekutapukirwa Treponema pallidum, chete kana munhu ane hutachiona asina kuwana kurapwa kwakakwana munguva iyi. Zvimwe zvezviratidzo nezviratidzo zvinosanganisira:

• Kuona kusaona uye hupofu;
• Kukundikana kwekuyeuka uye kuora mwoyo;
• Chinja mu gait;
• Kushungurudzika;
• Urinary kusagadzikana;
• Kutsamwa;
• Kurwadziwa nemusoro;
• Kuvhiringidzika kwepfungwa;
• Kuoma mitezo;
• Kubvunda;
• Mutsipa wakaoma;
• Kudengenyeka;
• Kushaya simba;
• Kunzwisisika mumakumbo nemakumbo;
• Dambudziko rekutarisa;
• Kufambira mberi kuora mitezo.
• Hunhu hunochinja;
• Vadzidzi vasingateereri kuchiedza;
• Shanduko mukutya kwekufungisisa.

Sezvo zviratidzo nezviratidzo zveeurosyphilis zvakasiyana kwazvo, chirwere ichi chinogona kuvhiringidzika nezvirwere zvakasiyana siyana zvetsinga, senge Alzheimer's, multiple sclerosis, meningitis, tumarara hwehuropi, chirwere cheParkinson, sitiroko (sitiroko) kana chirwere chepfungwa, senge schizophrenia uye kushushikana.

Dzidza zvakawanda pamusoro pematanho echirwere muvhidhiyo inotevera:

Maitiro ekusimbisa

Kuongororwa kweiyo neurosyphilis kunoitwa nekuongorora CSF, kana cerebrospinal fluid, iyo inoratidza shanduko inoratidzira chirwere ichi, uye inoitwa kuburikidza nekupwanywa kwechiuno.

Kufungidzira bvunzo, senge computed tomography, magnetic resonance uye cerebral angiography, zvinokurudzirwa zvikuru kuongorora shanduko yehuropi uye kuwedzera kwechirwere. Ropa bvunzo, senge FTA-ABS uye VDRL, ndiwo maserological bvunzo ayo anobatsira kuona maantibhakitiriya ane hukama ne syphilis. Dzidza maitiro ekunzwisisa mhedzisiro yeVDRL bvunzo.

Kurapwa kunoitwa sei

Kurapa kweiyo neurosyphilis kunofanirwa kuitwa muchipatara, inosanganisira majekiseni ezuva nezuva mutsinga yemishonga inorwisa mabhakitiriya senge crystalline Penicillin G kana Ceftriaxone, kwemazuva gumi kusvika gumi nemana.

Mushure mekurapwa kweiyo neurosyphilis, chiremba anogona kuita ongororo yeropa pamwedzi wechitatu nechitanhatu, pamwe kamwe chete pagore, kwemakore matatu. Uye zvakare, lumbar punctures inogona kuitwa yega yega mwedzi mitanhatu yekusimbisa kurapwa kwehutachiona.

Onawo marapirwo anoitwa mumatanho akasiyana echirwere.

Zvinogona kuitika

Kunyangwe akawanda zviratidzo zveeurosyphilis achichinjika, kana kurapwa kusingaitwe nemazvo, chirwere ichi chinogona kukonzera shanduko dzakakomba mukati mehurongwa hwepakati, zvichikonzera sequelae iyo inosanganisira:

• Kuoma nhengo dzomuviri;
• Chiratidzo kurasikirwa;
• Dementia, inoramba ichichinja mundangariro kana maitiro
• Matsi;
• Kushaya bonde;
• Psychosis uye zvimwe zvinetso zvepfungwa;
• Kushungurudzika kwekufamba
• Urinary kusagadzikana;
• Kugara uchirwadziwa.

Zvinetso zveeurosyphilis zvinoenderana nekuti chirwere ichi chafambira mberi sei mumunhu mumwe nemumwe, nguva yehutachiona uye nguva yekumirira kurapwa kuti utange.

Kudzivirira neurosyphilis

Neurosyphilis hutachiona hunogona kuve nemhedzisiro inokanganisa hutano uye, nekudaro, inofanirwa kudzivirirwa kuburikidza nekurapwa kwakakodzera. Nekudaro, varwere vane syphilis vanofanirwa kuteedzera kuraira kwachiremba, kudzivirira hutachiona kuti usvike kune hunyanzvi, kunyanya mune varwere vane immune system yakachinja.

Kudzivirirwa kwesyphilis kunoitwa nekushandiswa kwemakondomu panguva yekusangana pabonde, uye kutarisirwa kunotorwa kudzivirira kusvibiswa kuburikidza neropa uye zvakavanzika, uye zvinhu zvingangoshatiswa, senge majekiseni netsono, hazvifanirwe kugoverwa, kuwedzera kune pre- kuongorora. -zvakanaka kuberekwa, mune vakadzi vane pamuviri. Tarisa uone rumwe gwara pamusoro pekuti kutapurirana kunoitika sei uye nzira yekudzivirira njovhera.