Akohia te Neurosyphilis, he raruraru o te syphilis e pā ana ki tō roro me tō pūnaha io!

Kua whakaaro kē koe ki te kino o ētahi mate mēnā kāore e rongoatia tika? I ētahi wā, ahakoa he mate pāwera ira tangata (STI) kāore tātou e aro nui ana ki tēnei mate, ki te kore e rongoatia i te wā tika, ka pā mai pea he mate kino ka pā ki tō oranga. I tēnei rā ka kōrero tātou mō te neurosyphilis , he raruraru kino ka puta mēnā kāore e rongoatia tika te mate pāwera ira tangata e kiia nei ko te syphilis. He mea tēnei e pā ana ki tō tātou roro me te taurakira, arā, te pūnaha io matua.

He aha te neurosyphilis? He aha tōna hononga ki te syphilis?

I te whakarapopototanga, he raruraru kino, he mate pea te neurosyphilis o te syphilis. E mōhio ana koe, he mate tuku iho te syphilis. Ko te syphilis te hua o te syphilis i te wā e uru ana tēnei huakita ki roto i tō roro me/ranei ki te taurakira . Engari he mea nui kia mahara ehara i te mea ko te hunga katoa e pāngia ana e te syphilis ka pāngia e te neurosyphilis. He mate e rua e pā ana, engari he rerekē te neurosyphilis me te syphilis. Ka pā tika te neurosyphilis ki tō pūnaha io matua (CNS), arā, tō roro me tō taurakira. Nō reira, ko ngā tohu e puta mai ana e pā ana ki te pūnaha io. Nā te mea he mate tuku iho te syphilis, he rerekē ōna tohu.

Ko te mea nui, ki te kore e rongoatia, ka taea e te neurosyphilis te arahi ki te pararutiki tuturu, te mate wareware , tae noa ki te mate . Nō reira, he mea nui kia rapu awhina hauora i te wa tonu ka kite koe i tetahi tohu o te syphilis, te neurosyphilis rānei.

He aha ngā momo matua o te neurosyphilis?

E wehea ana e ngā tākuta te neurosyphilis kia rima ngā momo matua. E rua ngā rōpū o ēnei: ​​te neurosyphilis tōmua me te neurosyphilis tōmuri .

Neurosyphilis mō ngā tau tōmua

Nō tēnei kāwai ēnei:

• Ko te Neurosyphilis Kore-Āhua (ANS): He āhuatanga tēnei kāore he tohu neurological . Ka puta pea tēnei āhuatanga i mua i te putanga mai o ngā tohu syphilis. Ka kitea tēnei e ngā tākuta mā te kimi i te wai cerebrospinal (CSF)Mena kei te kitea he tohu o te mate syphilis i muri i te whakamātautau, engari kāore he tohu o te tūroro. Mena kei a koe te syphilis, ā, kāore i rongoatia, ka puta pea tēnei mate 'ANS' i roto i ngā wiki tuatahi ki ētahi tau i muri i te pangia .

• Te Mate Pūkahukahu Meningeal: Koinei te wā e pangia ai ō meninges e te huakita syphilis, arā, ngā kiriuhi e toru e hipoki ana, e tiaki ana i tō roro me tō taurakira. Whakaarohia he rite ki te taupoki tiaki e karapoti ana i tō roro e pupuhi ana . Koinei te wā ka tīmata te puta mai o ngā tohu pēnei i te ānini , te whakapairuaki , me te ruaki . Ki te kore e rongoatia te syphilis, ka taea te whanake i roto i ngā marama ki ngā tau rānei o te pangia.

• Te Mate Pūkahukahu Meningovascular: I roto i tēnei, ka puta te mumura o ngā pakitara o ngā oko toto (endarteritis) i roto i ngā meninges nā te huakita syphilis. Ka taea e tēnei te arahi ki te toto totoka (thrombosis), ka aukati i ngā oko toto me te whakaiti i te rere o te toto ki te kiko roro. Ka taea e tēnei te arahi ki ngā raruraru maha, pērā i te whiu . Ki te kore e rongoatia, ka taea hoki tēnei te puta i roto i ngā marama ki ngā tau rānei o te pangia.

Neurosyphilis Mutunga

Nō tēnei kāwai ēnei:

• Paresis Whānui: Ka puta tēnei i te whakangaromanga āta haere o te kiko roro nā te mumura roa o ngā meninges (meningoencephalitis). Ka puta mai i tēnei ngā tohu me ngā āhuatanga hinengaro maha. Ko ngā tohu tōmua ko te hurihanga o te wairua me ngā huringa o te tuakiri . Ki te kore e rongoatia te syphilis, ka puta pea i waenga i te 3 me te 30 tau i muri i te mate tuatahi.

• Tabes Dorsalis: Koinei te momo neurosyphilis tino kino . Kei roto ko te whakangaromanga o te kiko i te pou tuara me ngā pakiaka io. Ka taea e tēnei te whakaputa i te maha o ngā tohu, tae atu ki te uaua ki te hikoi, te mamae o te io, me te uaua ki te whakahaere i te mimi. Ki te kore te syphilis e rongoatia, ka taea e te tabes dorsalis te whanake i waenga i te 5 me te 50 tau i muri i te pangia.

Ko wai te mea tino tūpono ka pāngia e te neurosyphilis?

Ka taea e te tangata kua pangia e te syphilis te whakawhanake i te neurosyphilis, ina koa mēnā kua roa te syphilis kāore i rongoatia 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. Ko te syphilis te mea tino kitea i waenga i ngā tāne e moe tāne ana (MSM). Kua whakaatuhia e ngā rangahau ka tere ake te puta o ngā tohu o te neurosyphilis i te hunga whai HIV i te hunga kāore he HIV. Kāore i te mōhiotia te take tuturu mō tēnei, engari e whakaarohia ana ka ngoikore pea te pūnaha ārai mate e te HIV.

He pēhea te noa o tēnei āhuatanga?

He uaua ki ngā kairangahau te kī tika i tōna auautanga nā te mea he rerekē te pūrongo o ngā kēhi. Engari kei reira ngā raraunga mō te auautanga o te syphilis. Ko tētahi o ngā mate urutā tino noa ko te neurosyphilis asymptomatic (ANS) . Nā te whanaketanga o te pūtaiao hauora ki te ārai, te tautuhi, me te rongoā i te syphilis, kua iti ake te auautanga o ngā momo kino pēnei i te paresis whānui me te tabes dorsalis.

He aha ngā tohu o te Neurosyphilis?

Ko ngā tohu o te neurosyphilis ka pā ki tō pūnaha io. He rerekē ēnei i ngā tohu o te syphilis. Ka rerekē ngā tohu tuturu i runga i te momo neurosyphilis. I ngā wāhanga tōmua, arā, kāore he tohu, kāore he tohu o te neurosyphilis.

Ngā tohu o te Meningeal Neurosyphilis:

• Ānini
• Whakapairuaki me te ruaki
• Te pakari o te kaki
• Te aro nui ki te mārama (photophobia)
• Te uaua ki te kite, ki te whakarongo rānei
• Te ngoikore o te io angaanga

Ngā tohu o te Meningovascular Neurosyphilis:

Haunga ngā tohumate rite ki te meningeal, ka uru atu pea tēnei ki:

• Pōuriuri
• Whiu
• Te ngoikore o te uaua, te ngenge rānei ('atrophy'), inā koa i ngā waewae

Ngā tohu o te paresis whānui:

E rua ngā wāhanga o ēnei tohu e wehea ana e ngā tākuta: te wawe me te mutunga. Ka puta mārire, ka puta ohorere rānei ēnei. Ngā tohu wawe:

• Ngā huringa wairua, pērā i te riri
• Ngā huringa o te tuakiri
• Ngā huringa o ngā tauira moe
• Te warewaretanga

Ngā tohu o muri mai:

• Ngā kare ā-roto e kore e nekeneke
• Ngaronga o te mahara
• Te ngoikore o te kaha whakatau
• Pōhēhētanga
• Ngā tinihanga
• Mate haurangi (ngā mate hopuhopu)

Ka taea hoki e tēnei āhuatanga te whakaputa i ngā mate hinengaro pēnei i:

• Te pouri
• Pōrangi
• Te hihiko nui me te mania
Ngā mate hinengaro pērā i te schizophrenia (psychosis)

Ngā tohu o te Tabes Dorsalis:

• Te ngaronga o te taurite i te wā e hikoi ana (ataxia)
• Te mamae nui o te io
• Te uaua ki te whakahaere i te mimi
• Ngā kare ā-roto rerekē pērā i te wera, te ngoikore (paresthesia)
• Ngā huringa tirohanga
• Ngā mate kanohi, pērā i ngā rerekētanga o te karu ('ngā ākonga o Argyll Robertson') me ngā pararutiki kanohi
• Te ngaronga o te taurite me ngā urupare
• Te hononga neuropathic / te hononga Charcot
• Te uaua ki te hikoi

Na, he aha ngā tohu o te syphilis?

He rerekē ngā tohu o te syphilis i runga i te wāhanga o te mate. I te wāhanga tuatahi: Ka puta he mariao iti, kāore he mamae (chancre) ki ngā ira tangata. I te wāhanga tuarua: Ka puta he ponana māwhero, pupuhi, taratara ki te kiri. Ko te nuinga o ēnei ka kitea i ngā kapu o ngā ringa me ngā kapu o ngā waewae. Tērā pea ka haere tahi mai me ngā tohu rite ki te kirika:

• Ngenge
• Kirika
• Korokoro mamae
• Mamae uaua

He mea tino nui kia rapu tohutohu hauora i te wā tonu ka kite koe i tētahi o ēnei tohu. Mēnā ka kitea e koe he mate syphilis tō hoa moepuku, me whakamātau koe mō te mate tuku iho i te moepuku (STI).

He aha ngā take o te neurosyphilis?

Ko te neurosyphilis te huakita e kiia nei ko Treponema pallidum . Ina koa, ka uru atu tēnei huakita ki tō pūnaha io matua (CNS) ka puta ngā tohu e pā ana ki te pūnaha io. Koinei anō te huakita e puta ai te syphilis. Ka taea e tēnei huakita te uru ki roto i tō tinana mā tō nono, tō tara, tō ure, tō waha, mā te pakaru kiri rānei. Ka puta te neurosyphilis i tētahi wāhanga o te syphilis. E whakaatu ana ngā rangahau ko te nuinga o te hunga whai syphilis kei te pangia e tēnei huakita tō rātou pūnaha io matua, i mua i te puta o ngā tohu o te syphilis. Heoi, i roto i ētahi tāngata, ka taea e tēnei mate pūnaha io matua te whakakore i a ia anō me te kore e puta he mumura, he tohu neurological rānei. Heoi, kāore e taea te whakaora i te syphilis me te kore he maimoatanga paturopi. Ko te roa o tō pangia e te syphilis me te kore he maimoatanga, ka nui ake tō tūponotanga ki te whakawhanake i ngā tohu neurosyphilis.

He mate hopuhopu te neurosyphilis?

Kāore te neurosyphilis e horapa tika mai i tētahi tangata ki tētahi atu. He raruraru tēnei nō te syphilis. Engari ka horapa te syphilis. Ka horapa mā te moe tāne me te wahine kua pangia. Mā te moe tāne, te moe ā-waha, te moe ā-waha rānei kāore i te tiakina ka nui ake te tūponotanga o te whakawhanake i te syphilis.

Me pēhea te tautuhi tika i tēnei mate?

Ko te tikanga ka tātaritatia e ngā tākuta te neurosyphilis i runga i ō tohu me te whakamātautau wai cerebrospinal (CSF).I runga i ngā hua. He wai mārama te `CSF` e karapoti ana i tō taurakira me tō roro. Ka pātai atu te tākuta ki a koe mō ō tohu me tō hītori hauora. Ka tirotirohia e ia te tinana me te pūnaha io. Mena kei te whakapaetia he syphilis, he neurosyphilis rānei, ka whakaritea ēnei whakamātautau e whai ake nei:

• Ngā whakamātautau toto hei rapu taunakitanga mō ngā huakita e puta ai te syphilis.
• He whakamātautau e kiia nei ko te lumbar puncture (spinal tap) . I tēnei whakamātautau, ka werohia e te tākuta he ngira angiangi rawa ki roto i tō tuara o raro, ka tangohia he tauira o te CSF.
• Ko te tātari wai cerebrospinal he whakamātautau e tirotiro ana i te tauira CSF i raro i te karuārai hei tirotiro mēnā he huakita kei roto.

E taunaki ana te US Centers for Disease Control and Prevention (CDC) kia whakamātauria te hunga katoa e pangia ana e te syphilis, ahakoa kāore rātou i te mōhio ki tō rātou tūnga HIV, ahakoa kua whakamātauhia i mua he kino te HIV.

Me pēhea te rongoā? (Te rongoā)

Ko te mea nui rawa atu ka taea e koe te mahi hei aukati i te neurosyphilis me te ārai i tōna kino haere ko te rongoā i te mate syphilis. Ka whakamahia e ngā tākuta ngā paturopi hei rongoā i te syphilis me ētahi atu mate kitakita. Ko te paturopi tino noa e tohua ana ko te penicillin , ka hoatu hei werohanga IV (intravenous) ka werohanga rānei ki roto i te uaua. Ko tētahi atu paturopi noa e whakamahia ana hei rongoā i te syphilis ko te ceftriaxone . I muri i te rongoā, me whai koe i ētahi whakamātautau toto i ngā wā rerekē, pērā i ia toru marama me ia ono marama, kia tino ngaro katoa ai te mate. Me whai hoki koe i te lumbar puncture hei whakamātautau i tō CSF i ia ono marama kia tino kore ai he mate i roto i te pūnaha io matua.

Mā tō tākuta koe e kōrero atu mō ēnei whakamātautau whai muri. Kaua e wehi ki te pātai mō tēnei tukanga.

Ka taea te whakakore i te kino i puta mai i 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 pūnaha io kua pā mai. Ko te hunga kāore he tohu, ko te meningeal neurosyphilis rānei ka ora tonu mēnā ka tika te rongoā. Heoi, ko te hunga meningovascular neurosyphilis, general paresis, tabes dorsalis rānei, tera pea ka pai ake ō rātou tohu i muri i te rongoā, engari kāore pea rātou e tino ora.

Me pēhea te tiaki i a koe i tēnei āhuatanga? (Ārai)

Ko te huarahi anake hei ārai i te neurosyphilis ko te ārai i te whanaketanga o te syphilis.Ko te huarahi tino whai hua hei ārai i te mate syphilis ko te karo i te moe tāne. Mena he tangata moe tāne koe, ka taea e koe te whakaiti i tō tupono ki te whakawhanake i te syphilis mā te whakamahi i ngā tikanga haumaru i ia wā ka moe tāne koe. He mea nui kia tika te whakamahi i te ure tāne (tāne, wahine rānei) hei whakaiti i te tupono o te mate. He mea nui hoki kia rapu tohutohu hauora me te maimoatanga i te wā tonu ka puta ngā tohu o te syphilis. Mā te maimoatanga wawe ka ārai i te kino haere o te neurosyphilis.

He aha te āhua o te mate mēnā ka pāngia koe e te neurosyphilis?

Ko te tirohanga mō te neurosyphilis e whakawhirinaki ana ki te momo neurosyphilis kei a koe me te tere o te whiwhi maimoatanga. Ko te hunga kāore he tohu, he meningeal neurosyphilis rānei e whiwhi ana i te maimoatanga tika, ka ora tonu me te kore he tohu neurological pumau, he raruraru rānei. Ko te hunga e pangia ana e te meningovascular syphilis, te general paresis, te tarsis dorsalis rānei, he nui ake te tūponotanga ka pāngia e ngā tohu neurological pumau, ngā raruraru rānei. Heoi, ka taea e te maimoatanga te āwhina i te whakamamae i ngā tohu me te ārai i te kino haere o te neurosyphilis. Ki te kore e rongoatia te syphilis, ka mate pea te tarsis dorsalis.

He aha ngā wā pai rawa atu hei toro atu ki te tākuta?

Ki te tākuta he mate neurosyphilis tōu, me whakaoti e koe te maimoatanga katoa mō te syphilis. Me whai koe i ētahi whakamātautau whai muri kia kore ai he tohu o te huakita i roto i tō tinana. He mea tino nui kia mau tonu ki ēnei wā whakarite. Ki te puta tonu ngā tohumate io, ngā mate rānei nā te neurosyphilis, me toro atu koe ki tō tīma hauora i ia wā kia whiwhi maimoatanga mō aua mate.

He mea whakama te kōrero ki te tākuta mō ngā mate tuku iho i te taatai. Heoi, ki te whakaaro koe he mate syphilis tōu, he mea tino nui kia kite koe i te tākuta mō te whakamātautau me te maimoatanga. Ki te kore e whakamātautauhia, e rongoatia wawetia rānei, ka arahi pea ki ngā raruraru hauora mō te wā roa, pērā i te neurosyphilis. Kōrero ki tō tākuta mō te whakamātautau auau mō te syphilis me ētahi atu mate tuku iho i te taatai ​​(STI). Ka taea e tēnei te whakaiti i tō tupono ki ngā raruraru. Kaua e wehi ki te pātai. Kei reira rātou hei āwhina i a koe, me te kore whakahē.

Karere Tangohia ki te Kāinga

• He raruraru kino te neurosyphilis o te syphilis kāore i rongoatia. Ka pā ki tō roro me tō taurakira.
• He mate urutā te syphilis i te taatai, ā, ka puta mai i te huakita Treponema pallidum .
• He rerekē ngā momo neurosyphilis, ko ētahi ka puta wawe, ko ētahi ka puta i muri mai. Ka rerekē anō hoki ngā tohu.
• Te tautuhi wawe me te maimoatanga o te syphilisKa taea te ārai i te neurosyphilis.
• He mea tino nui ngā mahi moe haumaru me ngā tirotiro hauora auau.
• Ki te pāngia koe e ngā tohu o te syphilis, te neurosyphilis rānei, kaua e whakamā, me rapu tohutohu hauora wawe tonu. Mā te maimoatanga tere ka ārai i ngā raruraru nui.