Masamba dorsalis

Masamba dorsalis ndi vuto la chindoko chosachiritsidwa chomwe chimakhudza kufooka kwa minofu ndikumverera kwachilendo.

Masamba dorsalis ndi mtundu wa neurosyphilis, womwe ndi vuto la matenda a chindoko mochedwa. Chindoko ndi matenda omwe amabwera chifukwa chogonana.

Chindoko chikapanda kuchiritsidwa, mabakiteriya amawononga msana ndi zotumphukira zaminyewa. Izi zimabweretsa zizindikilo za ma torsoris.

Matenda a dorsalis tsopano ndi osowa kwambiri chifukwa chindoko nthawi zambiri chimachiritsidwa koyambirira kwa matendawa.

Zizindikiro za ma torsoris amayamba chifukwa cha kuwonongeka kwa mitsempha. Zizindikiro zimaphatikizapo izi:

• Zovuta zachilendo (paresthesia), zomwe nthawi zambiri zimatchedwa "zowawa za mphezi"
• Mavuto kuyenda monga ndi miyendo yakutali
• Kutayika kwa mgwirizano ndi malingaliro
• Zowonongeka zonse, makamaka mawondo
• Minofu kufooka
• Masomphenya akusintha
• Mavuto owongolera chikhodzodzo
• Mavuto ogwirira ntchito

Wopereka chithandizo chamankhwala ayesa thupi, moyang'ana dongosolo lamanjenje.

Ngati mukukayikira matenda a syphilis, mayesero atha kuphatikizira izi:

• Kufufuza kwa Cerebrospinal fluid (CSF)
• Mutu CT, msana wa CT, kapena ma MRI aubongo ndi msana kuti athetse matenda ena
• Seramu VDRL kapena seramu RPR (yogwiritsidwa ntchito ngati kuyesa kuyesa kachilombo ka syphilis)

Ngati seramu ya VDRL kapena seramu RPR ndiyabwino, chimodzi mwazoyeserera izi chidzafunika kutsimikizira kuti ali ndi matendawa:

• FTA-ABS
• MHA-TP
• TP-EIA
• TP-PA

Zolinga zamankhwala ndi kuchiza matenda ndikuchepetsa matendawa. Kuchiza matendawa kumathandiza kupewa kuwonongeka kwa mitsempha yatsopano ndipo kumatha kuchepetsa zizindikilo. Chithandizo sichimasokoneza kuwonongeka kwa mitsempha komwe kulipo.

Mankhwala omwe angaperekedwe ndi awa:

• Penicillin kapena maantibayotiki kwa nthawi yayitali kuti atsimikizire kuti matendawa atha
• Opweteka opewera ululu

Zizindikiro za kuwonongeka kwamanjenje komwe kumakhalapo ziyenera kuthandizidwa. Anthu omwe sangathe kudya, kuvala, kapena kudzisamalira angafunike thandizo. Kukonzanso, chithandizo chamankhwala, komanso chithandizo chantchito zitha kuthandizira kufooka kwa minofu.

Ngati sanalandire chithandizo, ma torses a dorsalis atha kubweretsa kulemala.

Zovuta zingaphatikizepo:

• Khungu
• Kufa ziwalo

Itanani omwe akukuthandizani ngati muli ndi:

• Kutaya kwa mgwirizano
• Kutaya mphamvu ya minofu
• Kutaya chidwi

Chithandizo choyenera ndikutsata matenda a chindoko kumachepetsa chiopsezo chokhala ndi ma torsoris.

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

Azimayi onse ayenera kuyezetsa chindoko.

Woyendetsa ataxia; Syphilitic myelopathy; Syphilitic myeloneuropathy; Myelopathy - syphilitic; Matenda a neurosyphilis

• Minofu yakunja yakunja
• Chindoko chachikulu
• Chindoko chakumapeto

Ghanem KG, Hook EW. Chindoko. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 303.

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.