General paresis

General paresis ndimavuto amisala chifukwa cha kuwonongeka kwa ubongo kuchokera ku chindoko chosachiritsidwa.

General paresis ndi mtundu umodzi wa neurosyphilis. Nthawi zambiri amapezeka mwa anthu omwe akhala ali ndi chindoko osachiritsidwa kwazaka zambiri. Chindoko ndi matenda a bakiteriya omwe nthawi zambiri amafalikira kudzera mukugonana kapena osagonana. Masiku ano, neurosyphilis ndiyosowa kwambiri.

Ndi neurosyphilis, mabakiteriya a syphilis amalimbana ndi ubongo ndi dongosolo lamanjenje. General paresis nthawi zambiri amayamba pafupifupi zaka 10 mpaka 30 pambuyo pa matenda a chindoko.

Matenda a Syphilis amatha kuwononga mitsempha yambiri yamaubongo. Ndi paresis wamba, zizindikilo nthawi zambiri zimakhala za matenda amisala ndipo zimatha kuphatikiza:

• Mavuto okumbukira
• Mavuto azilankhulo, monga kunena kapena kulemba mawu molakwika
• Kuchepetsa ntchito kwamaganizidwe, monga mavuto kuganiza ndi chiweruzo
• Khalidwe limasintha
• Kusintha kwa umunthu, monga zonyenga, kuyerekezera zinthu m'maganizo, kukwiya, machitidwe osayenera

Wothandizira zaumoyo adzakuyesani ndikufunsani za mbiri yanu yamankhwala. Mukamamuyesa, adokotala amatha kuwona momwe dongosolo lanu lamanjenje limagwirira ntchito. Kuyesa kwamalingaliro kumathandizanso.

Mayeso omwe atha kulamulidwa kuti azindikire chindoko mthupi ndi awa:

• CSF-VDRL
• FTA-ABS

Kuyesedwa kwamanjenje kungaphatikizepo:

• Mutu wa CT scan ndi MRI
• Kuyesa kwamitsempha kwamitsempha

Zolinga zamankhwala ndikuthandizira kuchiza matenda ndikuchepetsa vutoli. Woperekayo apatseni penicillin kapena maantibayotiki ena kuti athetse matendawa. Chithandizo chitha kupitilirabe mpaka matenda atachira.

Kuchiza matendawa kumachepetsa mitsempha yatsopano. Koma sichithandiza kuwonongeka komwe kwachitika kale.

Chithandizo cha zizindikiro ndizofunikira pakuwonongeka kwamanjenje komwe kulipo.

Popanda chithandizo, munthu akhoza kukhala wolumala. Anthu omwe ali ndi matenda otchedwa syphilis amatha kukhala ndi matenda ena.

Mavuto amtunduwu ndi awa:

• Kulephera kulumikizana kapena kucheza ndi ena
• Kuvulala chifukwa cha kugwidwa kapena kugwa
• Kulephera kudzisamalira

Itanani omwe akukuthandizani ngati mukudziwa kuti mwakhala mukudwala syphilis kapena matenda ena opatsirana pogonana m'mbuyomu, ndipo simunalandirepo chithandizo.

Itanani omwe akukuthandizani ngati muli ndi vuto lamanjenje (monga zovuta kuganiza), makamaka ngati mukudziwa kuti mwakhala ndi kachilombo.

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

Kuchiza matenda oyambitsa matenda a syphilis ndi yachiwiri kumateteza paresis wamba.

Kuchita zogonana motetezeka, monga kuchepetsa zibwenzi ndi kugwiritsa ntchito chitetezo, kumachepetsa chiopsezo chotenga kachilombo. Pewani kukhudzana khungu ndi anthu omwe ali ndi syphilis yachiwiri.

General paresis wamisala; Ziwalo zambiri zamisala; Matenda a ziwalo

• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

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.