E aʻo e pili ana i ka Neurosyphilis, kahi pilikia o ka syphilis e hoʻopilikia ai i kou lolo a me ka ʻōnaehana nerve!

Ua noʻonoʻo paha ʻoe i ke koʻikoʻi o kekahi mau maʻi inā ʻaʻole mālama pono ʻia? I kekahi manawa, ʻoiai kahi maʻi i laha ma ke ʻano moekolohe (STI) a mākou e nānā ʻole ai, inā ʻaʻole mālama ʻia i ka manawa kūpono, hiki ke hana i nā kūlana koʻikoʻi e hiki ke hoʻopilikia i kou ola. I kēia lā e kamaʻilio mākou e pili ana i ka neurosyphilis , kahi pilikia weliweli e hiki ke hana inā ʻaʻole mālama pono ʻia ka maʻi i laha ma ke ʻano moekolohe i kapa ʻia ʻo syphilis. He mea kēia e hoʻopilikia ai i ko mākou lolo a me ke kaulahao iwi kuamoʻo, ʻo ia hoʻi, ka ʻōnaehana nerve waena.

He aha ka neurosyphilis? Pehea e pili ai i ka syphilis?

I ka ʻōlelo maʻalahi, he pilikia koʻikoʻi ka neurosyphilis , hiki ke hoʻoweliweli i ke ola o ka syphilis. ʻO Syphilis, e like me kou ʻike, he maʻi i laha ma ke ʻano moekolohe. Hoʻokumu ʻia ka syphilis e kahi bacteria i kapa ʻia ʻo Treponema pallidum. No laila, loaʻa ka neurosyphilis i ka wā e komo ai kēia bacteria i kou lolo a/a i ʻole ke kaula spinal. Akā he mea nui e hoʻomanaʻo ʻaʻole nā ​​​​mea āpau e loaʻa i ka syphilis e loaʻa i ka neurosyphilis. ʻO Neurosyphilis a me syphilis ʻelua mau kūlana pili, akā ʻokoʻa. Hoʻopilikia pololei ʻo Neurosyphilis i kāu ʻōnaehana nerve waena (CNS), ʻo ia kou lolo a me ke kaula spinal. No laila, pili nā hōʻailona e kū mai ana i ka ʻōnaehana nerve. ʻOiai he maʻi i laha ma ke ʻano moekolohe ka syphilis, ʻokoʻa kona mau hōʻailona.

ʻO ka mea nui loa, inā ʻaʻole mālama ʻia, hiki i ka neurosyphilis ke alakaʻi i ka maʻi lolo mau loa, ka dementia , a me ka make . No laila, he mea nui e ʻimi i ke kōkua lapaʻau i ka wā e ʻike ai ʻoe i kekahi mau hōʻailona o ka syphilis a i ʻole neurosyphilis.

He aha nā ʻano nui o ka neurosyphilis?

Ua hoʻokaʻawale nā ​​kauka i ka neurosyphilis i ʻelima mau ʻano nui. Ua māhele ʻia kēia mau mea i ʻelua mau pūʻulu: ka neurosyphilis mua a me ka neurosyphilis hope .

Neurosyphilis mua

No kēia mahele kēia:

• ʻAsymptomatic Neurosyphilis (ANS): He ʻano kēia ʻaʻohe hōʻailona neurological . Hiki ke hana ʻia kēia ʻano ma mua o ka puka ʻana o nā hōʻailona syphilis. ʻIke nā kauka i kēia ma ka ʻike ʻana i ka wai cerebrospinal (CSF)Inā wale nō he hōʻike o ka maʻi syphilis ma hope o ka hoʻāʻo ʻana, akā ʻaʻohe hōʻailona o ka mea maʻi. Inā loaʻa iā ʻoe ka syphilis a ʻaʻole i mālama ʻia, hiki i kēia kūlana 'ANS' ke ulu i loko o nā pule mua a i kekahi mau makahiki ma hope o ka maʻi .

• ʻO Meningeal Neurosyphilis: ʻO kēia ka manawa e hoʻopilikia ai ka bacteria syphilis i kāu meninges , nā membrane ʻekolu e uhi a pale i kou lolo a me ke kaula spinal. E noʻonoʻo iā ia e like me ka uhi pale a puni kou lolo e pehu ana . ʻO ia ka manawa e hoʻomaka ai nā hōʻailona e like me ke poʻo ʻeha , ka nausea , a me ka luaʻi . Inā waiho ʻole ʻia ka syphilis, hiki iā ia ke ulu i loko o nā mahina a i ʻole nā ​​​​makahiki o ka maʻi.

• Meningovascular Neurosyphilis: Ma kēia, hoʻoulu ka bacteria syphilis i ka mumū o nā paia o ke kīʻaha koko (endarteritis) i loko o nā meninges. Hiki i kēia ke alakaʻi i nā ʻūpā koko (thrombosis), kahi e ālai ai i nā kīʻaha koko a hōʻemi i ke kahe koko i ka ʻiʻo lolo. Hiki i kēia ke alakaʻi i nā pilikia like ʻole, e like me ka hahau ʻana . Inā waiho ʻole ʻia, hiki nō hoʻi i kēia ke ulu i loko o nā mahina a i nā makahiki o ka maʻi.

Neurosyphilis Hope Loa

No kēia mahele kēia:

• ʻO ka Paresis Laulā: Hana ʻia kēia e ka luku mālie ʻana o ka ʻiʻo o ka lolo ma muli o ka mumū lōʻihi o nā meninges (meningoencephalitis). Hoʻoulu kēia i nā hōʻailona a me nā kūlana noʻonoʻo like ʻole. ʻO nā hōʻailona mua e pili ana i nā loli o ke ʻano a me nā loli o ke ʻano . Inā ʻaʻole mālama ʻia ka syphilis, hiki ke hana ma waena o 3 a me 30 mau makahiki ma hope o ka maʻi mua.

• ʻO Tabes Dorsalis: ʻO kēia ke ʻano koʻikoʻi loa o ka neurosyphilis. Pili ia i ka luku ʻia ʻana o nā ʻiʻo i loko o ke kolamu dorsal a me nā aʻa aʻalolo. Hiki i kēia ke hana i kekahi mau hōʻailona, ​​​​me ka paʻakikī i ka hele wāwae, ka ʻeha aʻalolo, a me ka paʻakikī i ka kaohi ʻana i ka mimi. Inā ʻaʻole mālama ʻia ka syphilis, hiki i ka tabes dorsalis ke ulu ma waena o 5 a me 50 mau makahiki ma hope o ka maʻi.

ʻO wai ka mea e loaʻa pinepine ai ka neurosyphilis?

Hiki i kekahi mea i loaʻa i ka syphilis ke hoʻomohala i ka neurosyphilis, ʻoiai inā ʻaʻole i mālama ʻia ka syphilis no nā mahina a i ʻole nā ​​​​makahiki.ʻOi aku ka nui o ka pilikia o ka poʻe i moe kolohe me ka pale ʻole i ka loaʻa ʻana o ka syphilis. ʻO ka syphilis ka mea maʻamau i waena o nā kāne e moe kolohe me nā kāne (MSM). Ua hōʻike ʻia e ka noiʻi e hiki i ka poʻe me ka HIV ke loaʻa koke nā hōʻailona o ka neurosyphilis ma mua o ka poʻe me ka ʻole o ka HIV. ʻAʻole ʻike ʻia ke kumu pololei no kēia, akā ua manaʻo ʻia e hoʻonāwaliwali paha ka HIV i ka ʻōnaehana pale.

Pehea ka maʻamau o kēia ʻano?

He mea paʻakikī i nā kānaka noiʻi ke ʻōlelo pololei i kona ʻano maʻamau no ka mea ʻaʻole kūlike ka hōʻike ʻana i nā hihia. Akā aia ka ʻikepili e pili ana i ka maʻamau o ka syphilis. ʻO ia kekahi o nā maʻi maʻamau i hoʻoili ʻia ma ke ʻano moekolohe. ʻO ke ʻano maʻamau o ka neurosyphilis ʻo ia ka asymptomatic neurosyphilis (ANS) . Me ka holomua o ka ʻepekema lapaʻau i ka pale ʻana, ka nānā ʻana, a me ka mālama ʻana i ka syphilis, ʻo nā ʻano koʻikoʻi e like me ka paresis laulā a me ka tabes dorsalis ua emi iki ka maʻamau.

He aha nā hōʻailona o Neurosyphilis?

ʻOkoʻa kēia mau hōʻailona mai nā hōʻailona o ka syphilis. ʻOkoʻa nā hōʻailona pololei ma muli o ke ʻano o ka neurosyphilis. I nā pae mua, ʻaʻohe hōʻailona o ka maʻi, ʻaʻohe hōʻailona o ka neurosyphilis.

Nā hōʻailona o ka meningeal neurosyphilis:

• ʻEha poʻo
• Ka luaʻi a me ka luaʻi
• ʻOʻoleʻa o ka ʻāʻī
• ʻIke i ka mālamalama (photophobia)
• Paʻakikī i ka ʻike ʻana a i ʻole ka lohe ʻana
• Ka hana ʻino ʻana o ke aʻalolo cranial

Nā hōʻailona o ka Meningovascular Neurosyphilis:

Ma waho aʻe o nā hōʻailona meningeal-like, hiki i kēia ke komo pū me:

• Vertigo
• Hahau
• Ka nāwaliwali o nā ʻiʻo a i ʻole ka ʻōpala ('atrophy'), ʻoiai ma nā wāwae

Nā hōʻailona Paresis Laulā:

Hoʻokaʻawale nā ​​kauka i kēia mau hōʻailona i ʻelua mau māhele: mua a me ka hope. Hiki ke ʻike mālie a koke paha kēia mau mea. Nā hōʻailona mua:

• Nā loli o ke ʻano, e like me ka huhū
• Nā loli o ke ʻano
• Nā loli i nā ʻano hiamoe
• Ka poina ʻana

Nā hōʻailona ma hope:

• Nā ʻano loli ʻole
• Poho hoʻomanaʻo
• Ka hiki ke hoʻoholo i ka hoʻohaʻahaʻa ʻia
• Ka huikau
• Nā kuhihewa
• ʻEpilepsy (nā hopu ʻana)

Hiki i kēia ʻano ke hana i nā maʻi noʻonoʻo e like me:

• Kaumaha
• Delirium
• Hyperactivity a me ka mania
Nā maʻi noʻonoʻo e like me ka schizophrenia (psychosis)

Nā hōʻailona o ka maʻi Tabes Dorsalis:

• Ka nalowale o ke kaulike i ka wā e hele ana (ataxia)
• ʻEha nui o ke aʻalolo
• Ka paʻakikī o ka kaohi ʻana i ka mimi
• Nā manaʻo ʻē aʻe e like me ke kuni ʻana, ka numbness (paresthesia)
• Nā loli o ka ʻike
• Nā maʻi maka, e like me nā ʻano ʻē o ka lens ('Argyll Robertson pupils') a me nā maʻi maka
• Ka nalowale o ke kaulike a me nā reflexes
• ʻO ka arthropathy neuropathic / ka hui Charcot
• Paʻakikī ka hele wāwae

No laila he aha nā hōʻailona o ka syphilis?

ʻOkoʻa nā hōʻailona o ka syphilis ma muli o ke kahua o ka maʻi. I ke kahua mua: Hoʻokumu ʻia kahi ʻeha liʻiliʻi, ʻeha ʻole (chancre) ma nā ʻōpū. I ke kahua ʻelua: ʻIke ʻia kahi ʻulaʻula poni, puʻupuʻu, a ʻāʻī ma ka ʻili. Loaʻa pinepine kēia mau mea ma nā poho lima a me nā kapuwaʻi o nā wāwae. Hiki ke hele pū ʻia me nā hōʻailona e like me ke kuni:

• Luhi
• kuni
• ʻeha ka ʻāʻī
• ʻEha ʻiʻo

He mea nui loa ia e ʻimi i ke kōkua lapaʻau i ka wā e ʻike ai ʻoe i kekahi o kēia mau hōʻailona. Inā ʻike ʻoe ua loaʻa i kāu hoa moe ka syphilis, pono ʻoe e hoʻāʻo ʻia no kahi maʻi i laha ma ke ʻano moekolohe (STI).

He aha ke kumu o ka neurosyphilis?

Hoʻokumu ʻia ka neurosyphilis e kahi bacteria i kapa ʻia ʻo Treponema pallidum . ʻO ke kikoʻī, hoʻouka kēia bacteria i kāu ʻōnaehana nerve waena (CNS) a hoʻoulu i nā hōʻailona e pili ana i ka ʻōnaehana nerve. ʻO ia ka bacteria like e hoʻoulu ai i ka syphilis. Hiki i kēia bacteria ke komo i kou kino ma o kou anus, vagina, penis, waha, a i ʻole ma o kahi haki ʻili. Hiki ke loaʻa ka neurosyphilis i kēlā me kēia pae o ka syphilis. Hōʻike ka noiʻi ʻana he hapa nui o ka poʻe me ka syphilis i loaʻa kēia bacteria e hoʻopilikia ana i kā lākou ʻōnaehana nerve waena, pinepine ma mua o ko lākou hoʻomohala ʻana i kekahi mau hōʻailona o ka syphilis. Eia nō naʻe, i kekahi poʻe, hiki i kēia maʻi ʻōnaehana nerve waena ke hoʻopau iā ia iho me ka ʻole o ka hoʻoulu ʻana i kekahi mumū a i ʻole nā ​​​​hōʻailona neurological. Eia nō naʻe, ʻaʻole hiki ke ho'ōla ʻia ka syphilis me ka ʻole o ka lāʻau antibiotic. ʻO ka lōʻihi o kou noho ʻana me ka syphilis me ka ʻole o ka lāʻau lapaʻau, ʻoi aku ka nui o kou pilikia o ka hoʻomohala ʻana i ka neurosyphilis symptomatic.

He maʻi lele anei ka neurosyphilis?

ʻAʻole laha pololei ka neurosyphilis mai kekahi kanaka a i kekahi kanaka. He pilikia ia o ka syphilis. Akā, laha ka syphilis. Hoʻolaha ʻia ma o ka moekolohe me kahi kanaka i loaʻa i ka maʻi. ʻO ka moekolohe vaginal, anal, a waha paha i pale ʻole ʻia e hoʻonui i ka pilikia o ka loaʻa ʻana o ka syphilis.

Pehea e ʻike pono ai i kēia maʻi?

Hoʻoponopono pinepine nā kauka i ka neurosyphilis ma muli o kāu mau hōʻailona a me kahi hoʻāʻo cerebrospinal fluid (CSF).Ma muli o nā hualoaʻa. ʻO ka 'CSF' kahi wai moakaka e hoʻopuni ana i kou iwi kuamoʻo a me kou lolo. E nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. E hana ʻo ia i kahi hoʻokolokolo kino a me kahi hoʻokolokolo neurological. Inā kānalua ʻia ka syphilis a i ʻole neurosyphilis, e kauoha ʻia nā hoʻokolohua aʻe:

• Nā hoʻāʻo koko e ʻimi i nā hōʻike o ka bacteria e hoʻoulu ai i ka syphilis.
• He hoʻāʻo i kapa ʻia he lumbar puncture (spinal tap) . Ma kēia hoʻāʻo, hoʻokomo ke kauka i kahi nila lahilahi loa i loko o kou kua haʻahaʻa a lawe i kahi hāpana o CSF.
• ʻO ka nānā ʻana i ka wai cerebrospinal kahi hoʻāʻo e nānā ai i ka hāpana CSF ma lalo o kahi microscope e ʻike ai inā he bacteria i loko.

Ke ʻōlelo nei ke kikowaena no ka mālama ʻana i nā maʻi (CDC) o ʻAmelika Hui Pū ʻIa i nā kānaka a pau me ka syphilis, ʻoiai inā ʻaʻole lākou i ʻike i ko lākou kūlana HIV, e hoʻāʻo ʻia no ka maʻi HIV, ʻoiai inā ua hoʻāʻo mua ʻia lākou he maikaʻi ʻole no ka maʻi HIV.

Pehea e mālama ai? (Lapaʻau)

ʻO ka mea nui loa hiki iā ʻoe ke hana e hoʻōki i ka neurosyphilis a pale aku i ka ʻino ʻana, ʻo ia ka mālama ʻana i ka maʻi syphilis. Hoʻohana nā kauka i nā antibiotics e mālama i ka syphilis a me nā maʻi bacteria ʻē aʻe. ʻO ka antibiotic maʻamau i kuhikuhi ʻia ʻo penicillin , i hāʻawi ʻia ma ke ʻano he injection IV (intravenous) a i ʻole he injection i loko o kahi ʻiʻo. ʻO kekahi antibiotic maʻamau i hoʻohana ʻia e mālama i ka syphilis ʻo ceftriaxone . Ma hope o ka mālama ʻana, pono ʻoe e loaʻa i kekahi mau hoʻāʻo koko i nā manawa like ʻole, e like me kēlā me kēia ʻekolu mahina a me kēlā me kēia ʻeono mahina, e hōʻoia i ka pau loa o ka maʻi. Pono nō hoʻi ʻoe e loaʻa i kahi lumbar puncture e hoʻāʻo i kāu CSF i kēlā me kēia ʻeono mahina e hōʻoia i ka ʻaʻohe maʻi i loko o ka ʻōnaehana nerve waena.

E haʻi aku kāu kauka iā ʻoe i nā mea hou aʻe e pili ana i kēia mau hoʻokolohua hahai. Mai makaʻu e nīnau i nā nīnau e pili ana i kēia kaʻina hana.

Hiki ke hoʻohuli ʻia ka pōʻino i hoʻokumu ʻia e ka neurosyphilis?

Hiki i ka lāʻau antibiotic ke pale aku i ka neurosyphilis mai ka ʻoi aku ka ʻino. Eia nō naʻe, ʻaʻole hiki ke hoʻohuli piha i ka pōʻino i ka ʻōnaehana nerve i hana mua ʻia. ʻO ka poʻe me ka asymptomatic a i ʻole meningeal neurosyphilis e hoʻōla pinepine inā mālama pono ʻia. Eia nō naʻe, ʻo ka poʻe me ka meningovascular neurosyphilis, general paresis, a i ʻole tabes dorsalis e ʻike paha i kahi hoʻomaikaʻi ʻana i kā lākou mau hōʻailona ma hope o ka lāʻau lapaʻau, akā ʻaʻole paha lākou e hoʻōla piha.

Pehea e pale ai iā ʻoe iho mai kēia kūlana? (Ka pale ʻana)

ʻO ke ala wale nō e pale aku ai i ka neurosyphilis ʻo ia ke pale aku i ka ulu ʻana o ka syphilis.ʻO ke ala kūpono loa e pale aku ai i ka syphilis, ʻo ia ka haʻalele ʻana i ka moekolohe. Inā ʻoe e hana moekolohe, hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana o ka syphilis ma ka hoʻohana ʻana i nā ʻano palekana i kēlā me kēia manawa āu e moe ai. He mea nui e hoʻohana pono i ka condom (kāne a wahine paha) e hōʻemi i ka pilikia o ka maʻi. He mea nui hoʻi e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau a me ka mālama ʻana i ka wā e loaʻa ai iā ʻoe nā hōʻailona o ka syphilis. Hiki i ka mālama mua ke pale i ka neurosyphilis mai ka lilo ʻana i mea ʻino.

He aha ka wānana inā loaʻa iā ʻoe ka neurosyphilis?

ʻO ke ʻano o ka neurosyphilis e pili ana i ke ʻano o ka neurosyphilis āu e loaʻa ai a me ka wikiwiki o ka loaʻa ʻana o ka lāʻau lapaʻau. ʻO ka poʻe me ka asymptomatic a i ʻole meningeal neurosyphilis e loaʻa ana ka lāʻau lapaʻau kūpono e hoʻōla pinepine me ka ʻole o nā hōʻailona neurological mau loa a i ʻole nā ​​​​pilikia. ʻOi aku ka nui o ka poʻe me ka meningovascular syphilis, general paresis, a i ʻole tarsis dorsalis e hoʻomohala i nā hōʻailona neurological mau loa a i ʻole nā ​​​​pilikia. Eia nō naʻe, hiki i ka lāʻau lapaʻau ke kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona a pale i ka neurosyphilis mai ka ʻino ʻana. Inā waiho ʻole ʻia ka syphilis, hiki i ka tarsis dorsalis ke make.

He aha nā manawa kūpono loa e ʻike ai i ke kauka?

Inā ʻike ke kauka iā ʻoe me ka neurosyphilis, pono ʻoe e hoʻopau i kahi papa hana piha no ka syphilis. Pono ʻoe e loaʻa i kekahi mau hoʻokolohua hahai e hōʻoia ʻaʻohe hōʻailona o ka bacteria i loko o kou kino. He mea nui loa ia e mālama i kēia mau manawa. Inā loaʻa iā ʻoe nā hōʻailona neurological mau a i ʻole nā ​​​​maʻi ma muli o ka neurosyphilis, pono ʻoe e ʻike pinepine i kāu hui lapaʻau e loaʻa ka lāʻau no kēlā mau kūlana kikoʻī.

Hiki ke hilahila ke kamaʻilio ʻana me ke kauka e pili ana i nā maʻi i laha ma ke moekolohe. Eia nō naʻe, inā manaʻo ʻoe he syphilis kou, he mea nui loa ia e ʻike i ke kauka no ka hoʻāʻo ʻana a me ka mālama ʻana. Inā ʻaʻole i hoʻāʻo ʻia a mālama ʻia i ka wā mua, hiki iā ia ke alakaʻi i nā pilikia olakino lōʻihi, e like me ka neurosyphilis. E kamaʻilio me kāu kauka e pili ana i ka hoʻāʻo pinepine ʻia no ka syphilis a me nā maʻi ʻē aʻe i laha ma ke moekolohe (STIs). Hiki i kēia ke hōʻemi i kou pilikia o nā pilikia. Mai makaʻu e nīnau i nā nīnau. Aia lākou ma laila e kōkua iā ʻoe, me ka hoʻohewa ʻole.

Leka Lawe-Home

• He pilikia weliweli ka neurosyphilis o ka syphilis i mālama ʻole ʻia. Hoʻopilikia ia i kou lolo a me ke kaula spinal.
• ʻO ka Syphilis kahi maʻi i laha ma ke ʻano moekolohe i hoʻokumu ʻia e ka bacteria Treponema pallidum .
• Aia nā ʻano like ʻole o ka neurosyphilis, hiki i kekahi o ia mau mea ke hiki mua a ʻo kekahi ma hope. ʻOkoʻa nō hoʻi nā hōʻailona.
• ʻO ka ʻike mua a me ka mālama ʻana i ka syphilisHiki ke pale ʻia ka neurosyphilis.
• He mea nui loa nā hana moekolohe palekana a me nā hoʻokolohua lapaʻau maʻamau.
• Inā loaʻa iā ʻoe nā hōʻailona o ka syphilis a i ʻole neurosyphilis, mai hilahila a e ʻimi koke i ke aʻo lapaʻau. Hiki i ka mālama koke ke pale i nā pilikia koʻikoʻi.