Neurosyphilis: ndi chiyani, zizindikiro zazikulu, chithandizo ndi momwe mungapewere

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire
• Momwe mankhwalawa amachitikira
• Zovuta zotheka
• Kupewa kwa neurosyphilis

Neurosyphilis ndi vuto la chindoko, ndipo limayamba pakakhala mabakiteriya Treponema pallidum imalowerera dongosolo lamanjenje, kufikira ubongo, meninges ndi msana. Vutoli limayamba pambuyo pokhala ndi mabakiteriya kwazaka zambiri osalandira chithandizo choyenera, chomwe chimabweretsa kuwonekera kwa zizindikilo monga kulephera kukumbukira, kukhumudwa, kufooka kapena kugwidwa.

Pofuna kuchiza matenda amisala, adotolo amalimbikitsa mankhwala a maantibayotiki, monga crystalline Penicillin, mwachindunji mumitsempha, kwa masiku pafupifupi 10 mpaka 14. Pambuyo pa chithandizo cha miyezi ingapo, padzakhala kofunikira kuwunika kuchuluka kwa matenda kudzera pakuboola kwa lumbar kwa madzi amadzimadzi kuti muwone ngati pakhala pali mankhwala.

Chindoko ndi matenda opatsirana omwe amapezeka makamaka kudzera pakugonana, ndipo amatha kusintha mosiyanasiyana mosiyanasiyana, kuphatikiza mapangidwe azilonda zam'mimba, zotupa pakhungu kapena malungo, mwachitsanzo, ndikusintha kwakukulu monga mavuto amtima kapena zochitika za Neurological zimachitika kwambiri magawo apamwamba a matendawa. Dziwani zambiri za magawo a chindoko mu Chilichonse chokhudza chindoko.

Zizindikiro zazikulu

Zizindikiro zoyamba za neurosyphilis nthawi zambiri zimawoneka pakati pa 5 mpaka 20 patadutsa matenda kuchokera Treponema pallidum, pokhapokha munthu yemwe ali ndi kachilomboka asanalandire chithandizo chokwanira panthawiyi. Zina mwazizindikiro zazikulu ndi monga:

• Matenda masomphenya ndi khungu;
• Kulephera kukumbukira zinthu ndi matenda amisala;
• Sinthani mayendedwe;
• Matenda okhumudwa;
• Kusadziletsa kwamikodzo;
• Kukwiya;
• Mutu;
• Kusokonezeka maganizo;
• Kufa ziwalo;
• Kupweteka;
• Khosi lolimba;
• Kugwedezeka;
• Zofooka;
• Kukomoka m'miyendo ndi m'mapazi;
• Zovuta kukhazikika;
• Kupita patsogolo pang'ono ziwalo;
• Kusintha umunthu;
• Ophunzira samvera kuwala;
• Kusintha kwamalingaliro amanjenje.

Popeza zizindikilo za neurosyphilis ndizosiyanasiyana, matendawa amatha kusokonezedwa ndi matenda angapo amitsempha, monga Alzheimer's, multiple sclerosis, meningitis, chotupa chaubongo, matenda a Parkinson, stroke (stroke) kapena matenda amisala, monga schizophrenia ndi kukhumudwa.

Dziwani zambiri za magawo a matendawa muvidiyo yotsatirayi:

Momwe mungatsimikizire

Kuzindikira kwa neurosyphilis kumachitika pofufuza CSF, kapena cerebrospinal fluid, yomwe imawonetsa kusintha kwa matendawa, ndipo imachitika kudzera pakuboola kwa lumbar.

Kuyerekeza mayeso, monga computed tomography, magnetic resonance ndi ubongo angiography, amalimbikitsidwa kwambiri kuti athe kuyesa kusintha kwaubongo komanso kukula kwa matenda. Kuyezetsa magazi, monga FTA-ABS ndi VDRL, ndi mayeso a serological omwe amathandiza kuzindikira ma antibodies okhudzana ndi syphilis. Phunzirani momwe mungamvetsere zotsatira za mayeso a VDRL.

Momwe mankhwalawa amachitikira

Chithandizo cha neurosyphilis chikuyenera kuchitidwa mchipatala, chopangidwa ndi jakisoni wa tsiku ndi tsiku mumtsinje wa maantibayotiki monga crystalline Penicillin G kapena Ceftriaxone, kwa masiku pafupifupi 10 mpaka 14.

Mukalandira chithandizo cha neurosyphilis, adokotala amatha kuyesa magazi pamwezi wachitatu ndi wachisanu ndi chimodzi, komanso kamodzi pachaka, kwa zaka zitatu. Kuphatikiza apo, ma lumbar puncture amatha kutheka miyezi isanu ndi umodzi iliyonse kuti atsimikizire kuchira kwa matendawa.

Onaninso momwe mankhwalawa amachitikira m'magulu osiyanasiyana a chindoko.

Zovuta zotheka

Ngakhale zizindikiro zambiri za neurosyphilis zimasinthidwa, ngati chithandizo sichichitike moyenera, matendawa amatha kusintha kwambiri dongosolo lamanjenje, ndikupangitsa sequelae yomwe ikuphatikizapo:

• Kufooka kwa zigawo za thupi;
• Kutaya masomphenya;
• Dementia, kusintha kosalekeza pokumbukira kapena machitidwe
• Ogontha;
• Kugonana;
• Psychosis ndi matenda ena amisala;
• Matenda oyenda
• Kusadziletsa kwamikodzo;
• Zowawa zonse.

Zovuta za neurosyphilis zimadalira momwe matendawa apitilira mwa munthu aliyense, nthawi yoti atenge matenda komanso nthawi yodikirira kuti ayambe kulandira chithandizo.

Kupewa kwa neurosyphilis

Neurosyphilis ndi matenda omwe amatha kukhala ndi zotsatira zoyipa m'thupi, chifukwa chake, ayenera kupewedwa pogwiritsa ntchito mankhwala oyenera. Chifukwa chake, odwala omwe ali ndi chindoko ayenera kutsatira malangizo a dokotala, kupewa kuti matendawa asafike ku ubongo, makamaka kwa odwala omwe ali ndi chitetezo chamthupi.

Kupewa chindoko kumachitika pogwiritsa ntchito kondomu nthawi yogonana, ndipo chisamaliro chimatengedwa kuti zisawonongeke kudzera m'magazi ndi katulutsidwe, komanso zinthu zomwe zingawonongeke, monga ma syringe ndi singano, siziyenera kugawidwa, kuwonjezera pa Kuwunika - kubereka bwino, kwa amayi apakati. Onani malangizo owonjezera pa momwe kufala kumachitika komanso momwe mungapewere matenda a chindoko.