Kua whakaarohia e koe te kino o ētahi āhuatanga hauora mēnā kāore e rongoatia? Ahakoa he mate pāwera ira tangata (STI) e ahua iti ana i te tīmatanga, ka taea e ia te whakarerekē i te ora, te kino hoki mēnā kāore e arohia. I tēnei rā, i Nirogi Lanka , kei te kōrero mātou mō tētahi raruraru kino o te syphilis kāore i rongoatia: Neurosyphilis . Ka pā tika tēnei āhuatanga ki tō pūnaha io matua—ina koa tō roro me tō taurakira.
He aha te Neurosyphilis, ā, he aha tōna hononga ki te Syphilis?
I roto i ngā kupu māmā noa, he raruraru kino te Neurosyphilis , ā, he mate pea e pāngia ai te ora o te syphilis. E mōhio ana pea koe, he mate STI te syphilis nā te huakita Treponema pallidum i hua mai. Ka puta te neurosyphilis ina uru mai tēnei huakita ki tō roro me/ranei ki tō taurakira . He mea nui kia mōhio koe, ehara i te mea ko te hunga katoa e pangia ana e te syphilis ka pāngia e tēnei raruraru.
Ahakoa he hononga te syphilis me te neurosyphilis, he rerekē ngā mate e rua. Ka aro motuhake te Neurosyphilis ki tō Pūnaha Io Matua (CNS) , ka puta ai ngā tohu neurological, engari he rerekē ngā tohu o te mate syphilis noa.
He mea nui, ki te kore e rongoatia, ka taea e te neurosyphilis te arahi ki te pararutiki tuturu, te ngaronga mahara (te ngaronga mahara), tae noa ki te mate. Nō reira, he mea nui kia rapu awhina hauora tonu mēnā ka kite koe i ētahi tohu o te syphilis, te neurosyphilis rānei.
He aha ngā momo matua o te Neurosyphilis?
E whakarōpūtia ana e ngā tohunga hauora te neurosyphilis kia rua ngā wāhanga matua: Te Neurosyphilis Tōmua me te Neurosyphilis Tōmuri .
Neurosyphilis mō ngā tau tōmua
Kei roto i tēnei kāwai:
- Neurosyphilis Kore-Āhua (ANS): I tēnei wāhanga, kāore he tohu e pā ana ki te pūnaha io . Ka puta pea i mua i te putanga mai o ngā tohu syphilis paerewa. Ko te tikanga ka kitea tēnei e ngā tākuta mā te whakamātautau wai cerebrospinal (CSF) e whakaatu ana i ngā tohu o te mate. Mena kua kore he syphilis i rongoatia, ka puta pea tēnei i roto i ētahi wiki ki ētahi tau i muri i te mate tuatahi.
- Te Mate Pūkahukahu Meningeal: Ka puta tēnei ina mumura ngā meninges i ngā huakita syphilis — arā, ngā kiriuhi tiaki e toru e hipoki ana i tō roro me tō taurakira. Whakaarohia tēnei hei te arai tiaki e karapoti ana i tō roro e pupuhi ana. Ka puta ngā tohu pēnei i te ānini , te whakapairuaki , me te ruaki . Ka taea te whanake i roto i ngā marama ki ngā tau i muri i te mate tuatahi.
- Te Mate Pūnaha Meningovascular Neurosyphilis: I konei, ka puta te mumura i roto i ngā pakitara o ngā oko toto e tuku ana ki te roro (endarteritis) i ngā huakita. Ka taea e tēnei te arahi ki ngā toto totoka (thrombosis), ka aukati i ngā oko toto me te whakaiti i te rere o te toto ki te kiko roro, ka puta pea he whiu . Pērā i ētahi atu momo, ka taea te whanake i ngā marama ki ngā tau i muri i te mate tuatahi.
Neurosyphilis mutunga
Kei roto i tēnei kāwai:
- Paresis Whānui: Ka puta mai tēnei i te mumura roa o te kiko roro (meningoencephalitis), ka arahi ki te whakangaromanga haere o ngā kiko roro. Ka hua ake ngā tohu hinengaro nui, ka tīmata me ngā huringa wairua me ngā huringa o te tuakiri . I te nuinga o te wā ka puta mai i muri i te 3 ki te 30 tau i muri i te mate tuatahi kāore i rongoatia.
- Tabes Dorsalis: Koinei te momo neurosyphilis tino kino . Kei roto ko te pirau o ngā pou tuarā o te taurakira me ngā pakiaka io, ka arahi ki te uaua ki te hikoi, te mamae io mau tonu, me ngā raruraru whakahaere mimi. Ka puta pea i roto i te 5 ki te 50 tau i muri i te mate tuatahi.
Ko wai te hunga tino mōrearea ki te mate Neurosyphilis?
Ka pāngia te tangata e te mate syphilis e te neurosyphilis, engari he nui ake te mōrearea mena ka kore e rongoatia te mate mō ngā marama, mō ngā tau rānei .
He nui ake te tūponotanga o te pangia e te mate syphilis e te hunga e moe tāne ana, kāore he ārai. Hei tāpiri, he nui ake te tūponotanga o te mate syphilis e te tāne e moe tāne ana (MSM).
E whakaatu ana ngā rangahau he tere ake te puta o ngā tohu neurosyphilis i te hunga whai HIV i te hunga kāore he HIV, nā te ngoikore pea o te pūnaha ārai mate.
He pēhea te noa o tēnei āhuatanga?
Nā te mea he rerekē te pūrongo mō te neurosyphilis, he uaua ki te whakatau i te whānui o te horapa. Heoi, e mōhio ana tātou he tino noa te syphilis i roto i ngā mate tuku iho. Ahakoa he iti ake te kitea o ngā momo kino pēnei i te General Paresis me te Tabes Dorsalis i ēnei rā nā te pai ake o ngā tikanga tātaritanga me te maimoatanga, ko te Asymptomatic Neurosyphilis tonu te momo e kitea pinepine ana.
He aha ngā tohu o te Neurosyphilis?
Ko te pūnaha io te nuinga o ngā tohu, ā, he rerekē i ngā tohu o te syphilis noa. Ka rerekē ēnei i runga i te momo neurosyphilis e kitea ana. Kia maumahara, kāore he tohu e whakaatuhia ana e te Asymptomatic Neurosyphilis.
Ngā tohu o te mate hinengaro meningeal:
- Ngā mamae o te upoko
- Whakapairuaki me te ruaki
- Kaki maro
- Te aro nui ki te mārama (photophobia)
- Ngā uauatanga o te tirohanga, o te whakarongo rānei
- Te ngoikore o te io angaanga
Ngā Tohu o te Neurosyphilis Meningovascular:
Haunga ngā tohu e rite ana ki te meningeal neurosyphilis, ka pā pea ki a koe:
- Pōuriuri
- Whiu
- Te ngoikore o te uaua, te ngoikore rānei o te uaua, inā koa i ngā waewae
Ngā tohu o te paresis whānui:
Ka whakarōpūhia ēnei tohu e ngā tākuta ki ngā wāhanga tōmua me ngā wāhanga tōmuri. Ka puta mārire, ka puta ohorere rānei.
Ngā Tohu Tūatahi:
- Ngā huringa wairua, pērā i te riri
- Ngā huringa o te tuakiri
- Ngā tauira moe kua pōrearea
- Te warewaretanga
Ngā Tohu o Mutunga:
- Te āhua koretake (ngā huringa tere, nui rawa o te āhua)
- Ngaronga o te mahara
- Ngā āheinga whakatau kua ngoikore
- Pōhēhētanga
- Ngā whakaaro pohehe, ngā moemoeā rānei
- Ngā mate hopuhopu
Ka taea hoki e tēnei āhuatanga te arahi ki ngā āwangawanga hauora hinengaro e whai ake nei:
- Te pouri
- Pōrangi
- Mania (te hihiko nui me te wairua teitei)
- Te hinengaro pōuri (pērā i ngā tohumate schizoaffective-like)
Ngā tohu o te Tabes Dorsalis:
- Ataxia (ngaronga o te taurite me te taurite)
- Te mamae nui o te io
- Ngā take whakahaere pūkahukahu
- Paresthesia (ngā kare ā-roto rerekē pērā i te wera, te ngau rānei)
- Ngā huringa tirohanga
- Ngā raruraru kanohi, pērā i ngā ākonga o Argyll Robertson (ngā ākonga kāore e aro ki te mārama) me ngā pararutiki kanohi
- Te ngaronga o te taurite me ngā urupare
- Te hononga o Charcot (te hononga neuropathic)
- Te uaua ki te hikoi
He aha ngā tohu o te Syphilis?
He rerekē ngā tohu o te syphilis i runga i te wāhanga o te mate.
Wāhanga tuatahi: Ka puta he mariao iti, kāore he mamae e kiia nei ko te chancre ki te wāhi i pangia ai te mate.
Wāhanga Tuarua: Tērā pea ka kite koe i tētahi ponana taratara, whero-parauri, i te nuinga o te wā i runga i ngā kapu o ō ringaringa, i ngā kapu rānei o ō waewae. Tērā pea ka haere tahi mai ētahi atu tohu rewharewha:
- Ngenge
- Kirika
- Korokoro mamae
- Ngā mamae uaua
He mea nui kia rapu tohutohu hauora tonu atu mēnā ka kite koe i ēnei tohu. Mēnā ka mōhio koe he mate syphilis tō hoa moepuku, me whakamātau tonu koe mō ngā mate tuku iho i te moepuku (STI).
He aha te take o te Neurosyphilis?
Ko te huakita Treponema pallidum te pūtake o te neurosyphilis. Ina koa, ka uru atu tēnei huakita ki tō pūnaha io matua (CNS), ka puta ai ngā tohumate io. Koia anō te mate e puta ai te syphilis, ka uru ki roto i tō tinana mā te pūkahukahu, te tara, te ure, te waha, ngā whara kiri rānei.
Ka taea e te neurosyphilis te whanake i tetahi wāhanga o te mate syphilis.
E ai ki ngā rangahau, i roto i te nuinga o ngā mate syphilis, ka pangia e ngā huakita te pūnaha io matua, i mua i te puta o ngā tohu. Heoi, i roto i ētahi tāngata, ka memeha noa iho tēnei mate CNS me te kore e puta he mumura, he tohu rānei.
Heoi, kāore e taea te whakaora i te syphilis me te kore he rongoā paturopi. Ki te roa koe e kore e rongoatia te mate syphilis, ka nui ake tō tūponotanga ki te whakawhanake i ngā tohu neurosyphilis.
He mate hopuhopu te Neurosyphilis?
Ehara te neurosyphilis i te mea hopuhopu tika ; he raruraru noa iho ia nō te mate syphilis.
Heoi, he mea hopuhopu te mate syphilis. Ka horapa mā te moepuku ki te tangata kua pangia. Mā te moepuku tara, te moepuku, te moepuku ā-waha rānei kāore i te tiakina ka nui ake te tūponotanga o te pangia e te mate syphilis.
Me pēhea te tautuhi i tēnei mate?
Ko te tikanga, ka tātaritatia e ngā tākuta te neurosyphilis i runga i ō tohu me ngā hua o te whakamātautau wai cerebrospinal (CSF) . Ko te CSF te wai mārama e karapoti ana i tō roro me tō taurakira.
Ka arotakehia e tō tākuta ō tohu me tō hītori hauora, ka tirotirohia ō tinana, ā, ka aromatawaihia hoki ō pūnaha io. Mēnā kei te whakapaehia he syphilis, he neurosyphilis rānei, ka tonoa pea e rātou:
- Ngā whakamātautau toto hei kimi i ngā paturopi, i ngā taunakitanga rānei mō ngā huakita e hua ai te syphilis.
- He pokanga lumbar (spinal tap) , ka whakamahia e te tākuta he ngira angiangi ki tō tuara o raro hei kohi tauira o te CSF.
- Te tātaritanga wai cerebrospinal , te wāhi e tirohia ai te tauira hei tirotiro mō ngā tohu o te mate.
E taunaki ana te CDC kia whakamātauria te hunga katoa e pangia ana e te mate syphilis mō te HIV, ahakoa te āhua e mōhiotia ana.
Me pēhea te rongoā?
Ko te huarahi matua ki te aukati i te haere whakamua o te neurosyphilis ko te rongoā whai hua i te mate syphilis taketake.
Ka whakamahia e ngā tākuta ngā paturopi hei rongoā i te syphilis me ētahi atu mate kitakita. Ko te penicillin te rongoā e tino tohua ana, e tukuna ana mā te uaua (IV) mā te werohanga uaua rānei. Ko tētahi atu paturopi e whakamahia whānuitia ana ko te ceftriaxone .
I muri i te maimoatanga, me whai whakamātautau toto whai muri i ngā wā katoa (hei tauira, e toru marama, e ono marama) kia mōhio ai kua kore te mate. Tērā pea ka hiahiatia he poka i te hope o te hope hei whakaū kāore he mate i roto i te pūnaha io matua.
Mā tō tākuta koe e whakamārama ki te tukanga whai muri. Kaua e wehi ki te pātai mō tētahi wāhanga o tō maimoatanga.
Ka taea te whakakore i ngā kino o te Neurosyphilis?
Ka taea e te rongoā paturopi te aukati i te kino haere o te neurosyphilis. Heoi, kāore pea e taea te whakakore katoa i te kino o te io.
Ko te hunga kāore he tohu o te mate, ko te hunga rānei e whiwhi ana i te rongoā meningeal neurosyphilis i te wā tika, ka hoki anō ki tō rātou āhua hauora o mua. Mēnā he meningovascular neurosyphilis, he general paresis, he tabes dorsalis rānei, ka taea e te rongoā te whakapai ake i ngā tohu, engari kāore pea e taea te whakaora katoa ki tō āhua i mua i te pangia.
Me pēhea taku ārai i tēnei āhuatanga?
Ko te huarahi anake hei ārai i te neurosyphilis ko te karo i te pangia e te syphilis . Ko te huarahi tino whai hua hei ārai i te syphilis ko te kore e moe tāne, wahine rānei.
Mena kei te moe tāne koe, mā te whakamahi tonu i ngā tikanga ārai ka taea te whakaiti i te tūponotanga o te pangia e te mate syphilis. He mea nui te whakamahi tika i ngā ure tāne, wahine rānei hei whakaiti i te tūponotanga o te pangia.
Hei tāpiritanga, he mea nui te rapu awhina hauora i te wā tonu ka kitea e koe ngā tohu. Ko te maimoatanga wawe te mea nui hei ārai i te kino haere o te neurosyphilis.
He aha te matapae mō te Neurosyphilis?
Ko te matapae mō te neurosyphilis e whakawhirinaki ana ki te momo kei a koe me te tere o te whiwhinga maimoatanga.
Ko te hunga kāore he tohu o te mate, ko te hunga rānei he meningeal neurosyphilis, ā, e whiwhi ana i te tiaki tika, ka ora tonu rātou me te kore he kino roa o te pūnaha io, he raruraru nui rānei.
Mena kua tāpaetia koe he mate meningovascular syphilis, he mate whānui, he mate tabes dorsalis rānei, tera pea ka pāngia koe e ngā tohumate pūnaha io tuturu, e ngā raruraru roa rānei. Heoi anō, mā te maimoatanga tika ka āwhina i te whakahaere i ō tohumate me te ārai i te whanaketanga tonu o tō neurosyphilis. He mea nui kia mōhio koe, ki te kore e rongoatia, ka taea e ngā āhuatanga pēnei i te tabes dorsalis te noho hei mate mōrearea.
Āhea koe me toro atu ki te tākuta?
Ki te whakaūtia e tō tākuta he neurosyphilis tōu, he mea nui kia whakaotia e koe te maimoatanga katoa mō te mate syphilis. Tērā pea me haere tonu koe ki ngā wā tirotiro me ngā whakamātautau tātaritanga kia mōhio ai kua whakakorea katoatia ngā huakita i roto i tō tinana. He mea nui te haere ki ēnei haerenga tirotiro mō tō hauora.
Mena ka puta he tohumate io pumau ki a koe nā te neurosyphilis, me toro atu koe ki tō tīma hauora i ia wā, i ia wā, kia pai ai te whakahaere i ēnei āhuatanga.
I ētahi wā, ka ahua whakamā, ka ahua whakama rānei te kōrero mō ngā mate pāwera ira tangata. Heoi, ki te whakaaro koe he mate pūkahukahu tōu, he mea nui kia toro atu koe ki tētahi tohunga hauora mō te whakamātautau me te maimoatanga. Ki te kore he wawaotanga wawe, ka taea e te pūkahukahu kore rongoā te arahi ki ngā raruraru hauora mō te wā roa pērā i te neurosyphilis. Tena koa kōrero ki tō kaiwhakarato ratonga hauora i Nirogi Lanka mō te tirotiro auau mō te pūkahukahu me ētahi atu mate pāwera ira tangata; koinei te huarahi pai ki te whakaiti i tō tupono ki ngā raruraru. Kaua e wehi ki te pātai - kei konei mātou hei tautoko i a koe me te kore whakahē.
Ngā Kaupapa Matua mō tō Hauora
- He raruraru nui te neurosyphilis o te syphilis kāore i rongoatia, ā, ka pā ki tō roro me tō taurakira.
- He mate urutā te syphilis i te ira tangata, ā, i puta mai i te huakita 'Treponema pallidum' .
- He maha ngā huarahi e puta ai te neurosyphilis, ka rerekē ngā tohu i runga i te tīmatanga, i te mutunga rānei o te mate.
- Ko te kitenga wawe me te rongoā i te syphilis ngā huarahi tino whai hua hei ārai i te neurosyphilis.
- He mea nui te mahi i te moe haumaru me te whai i ngā whakamātautau hauora auau hei tiaki i tō hauora mō te wā roa.
- Ki te kite koe i ētahi tohu o te syphilis, neurosyphilis rānei, rapua wawetia he tohutohu hauora. Ko te maimoatanga wawe te mea nui hei ārai i ngā raruraru hauora kino, kāore e taea te whakatika.
