Chinzonono aseptic oumitsa khosi

Syphilitic aseptic meningitis, kapena syphilitic meningitis, ndi vuto la chindoko chosachiritsidwa. Zimakhudza kutukusira kwa minofu yomwe imaphimba ubongo ndi msana wam'mimba chifukwa cha matendawa.

Syphilitic meningitis ndi mtundu wa neurosyphilis. Vutoli ndi vuto lowopsa la matenda a syphilis. Chindoko ndi matenda opatsirana pogonana.

Syphilitic meningitis ndi ofanana ndi meninjaitisi yoyambitsidwa ndi majeremusi ena (zamoyo).

Zowopsa za syphilitic meningitis zimaphatikizapo matenda akale a syphilis kapena matenda ena opatsirana pogonana monga gonorrhea. Matenda a Syphilis amafalikira makamaka pogonana ndi munthu yemwe ali ndi kachilomboka. Nthawi zina, amatha kupitilizidwa ndi kukhudzana ndi amuna kapena akazi okhaokha.

Zizindikiro za syphilitic meningitis zitha kuphatikizira:

• Kusintha kwa masomphenya, monga kusawona bwino, kuchepa kwa masomphenya
• Malungo
• Mutu
• Kusintha kwa malingaliro, kuphatikizapo kusokonezeka, kuchepa kwa chidwi, komanso kukwiya
• Nseru ndi kusanza
• Khosi lolimba kapena mapewa, kupweteka kwa minofu
• Kugwidwa
• Kuzindikira kuwala (photophobia) ndi phokoso lalikulu
• Kugona, kutopa, kuvuta kudzuka

Wothandizira zaumoyo adzayesa. Izi zitha kuwonetsa mavuto ndimitsempha, kuphatikiza mitsempha yomwe imayang'anira kuyenda kwa diso.

Mayeso atha kuphatikiza:

• Cerebral angiography kuti muwone kuthamanga kwa magazi muubongo
• Electroencephalogram (EEG) kuyeza zamagetsi muubongo
• Mutu wa CT
• Mpopi wapamphepete kuti mupeze mtundu wa cerebrospinal fluid (CSF) kuti muwunike
• Kuyezetsa magazi kwa VDRL kapena kuyesa magazi kwa RPR kuti athe kuwona ngati ali ndi chindoko

Ngati kuyezetsa magazi kukuwonetsa matenda a syphilis, amayesedwa kwambiri kuti atsimikizire kuti ali ndi matendawa. Mayeso ndi awa:

• FTA-ABS
• MHA-TP
• TP-PA
• TP-EIA

Zolinga zamankhwala ndi kuchiza matenda ndikuletsa zizindikilo kuti zikuwonjezeke. Kuchiza matendawa kumathandiza kupewa kuwonongeka kwa mitsempha yatsopano ndipo kumatha kuchepetsa zizindikilo. Chithandizo sichimasintha zomwe zawonongeka kale.

Mankhwala omwe angaperekedwe ndi awa:

• Penicillin kapena maantibayotiki ena (monga tetracycline kapena erythromycin) kwa nthawi yayitali kuti atsimikizire kuti matendawa atha
• Mankhwala okomoka

Anthu ena angafunike kuthandizidwa pakudya, kuvala, komanso kudzisamalira. Kusokonezeka ndi kusintha kwina kwamaganizidwe kumatha kusintha kapena kupitilira kwakanthawi pambuyo pa chithandizo cha maantibayotiki.

Chindoko chochedwa mochedwa chingayambitse mitsempha kapena kuwonongeka kwa mtima. Izi zitha kubweretsa kulemala ndi kufa.

Zovuta zingaphatikizepo:

• Kulephera kudzisamalira
• Kulephera kulumikizana kapena kulumikizana
• Kugwidwa komwe kungayambitse kuvulala
• Sitiroko

Pitani kuchipinda chodzidzimutsa kapena itanani 911 kapena nambala yadzidzidzi yakomweko ngati mukugwidwa.

Itanani omwe akukuthandizani ngati mukudwala mutu kapena malungo kapena zina, makamaka ngati muli ndi matenda a chindoko.

Mankhwala oyenera komanso kutsatira kwa matenda a syphilis kumachepetsa chiopsezo chotenga matendawa.

Ngati mukugonana, yesetsani kugonana mosamala ndipo nthawi zonse mugwiritse ntchito kondomu.

Azimayi onse ayenera kuyezetsa chindoko.

Meninjaitisi - syphilitic; Neurosyphilis - syphilitic meningitis

• Central dongosolo lamanjenje ndi zotumphukira zamanjenje
• Chindoko chachikulu
• Chindoko - yachiwiri pa kanjedza
• Chindoko chakumapeto
• Kuwerengera kwa maselo a CSF
• CSF mayeso a chindoko

Hasbun R, van de Beek D, Brouwer MC, Tunkel AR. Pachimake meninjaitisi. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 87.

Radolf JD, Tramont EC, Salazar JC. Chindoko (Treponema pallidum). Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 237.