Dziwani za Neurosyphilis, vuto la syphilis lomwe limakhudza ubongo wanu ndi dongosolo lanu la mitsempha!

Kodi munayamba mwadzifunsapo kuti matenda ena angakhale oopsa bwanji ngati sanachiritsidwe bwino? Nthawi zina, ngakhale matenda opatsirana pogonana (STI) omwe sitiwasamala kwambiri, ngati sanachiritsidwe pa nthawi yake, angayambitse matenda aakulu omwe angakhudze moyo wanu. Lero tikambirana za neurosyphilis , vuto loopsa lomwe lingachitike ngati matenda opatsirana pogonana otchedwa syphilis sanachiritsidwe bwino. Ichi ndi chinthu chomwe chimakhudza ubongo wathu ndi msana, kutanthauza, dongosolo lapakati la mitsempha.

Kodi neurosyphilis ndi chiyani? Kodi imakhudzana bwanji ndi syphilis?

Mwachidule, neurosyphilis ndi vuto lalikulu lomwe lingayambitse matenda a syphilis lomwe lingayambitse imfa. Monga mukudziwa, syphilis ndi matenda opatsirana pogonana. Syphilis imayambitsidwa ndi bakiteriya yotchedwa Treponema pallidum. Chifukwa chake, neurosyphilis imachitika pamene bakiteriyayi ilowa muubongo wanu ndi/kapena msana . Koma ndikofunikira kukumbukira kuti si aliyense amene ali ndi syphilis amene adzadwala neurosyphilis. Neurosyphilis ndi syphilis ndi matenda awiri ofanana, koma osiyana. Neurosyphilis imakhudza mwachindunji dongosolo lanu la mitsempha (CNS), lomwe ndi ubongo wanu ndi msana. Chifukwa chake, zizindikiro zomwe zimawonekera zimagwirizana ndi dongosolo la mitsempha. Popeza syphilis ndi matenda opatsirana pogonana, zizindikiro zake zimasiyana.

Chofunika kwambiri n'chakuti, ngati sichinachiritsidwe, matenda a neurosyphilis angayambitse ziwalo zofewa , matenda amisala , komanso imfa . Chifukwa chake, ndikofunikira kupita kuchipatala mwamsanga mukaona zizindikiro zilizonse za syphilis kapena neurosyphilis.

Kodi mitundu ikuluikulu ya neurosyphilis ndi iti?

Madokotala amagawa matenda a neurosyphilis m'magulu asanu akuluakulu. Awa amagawidwa m'magulu awiri: matenda a neurosyphilis oyambirira ndi matenda a neurosyphilis ochedwa .

Matenda a Neurosyphilis Oyambirira

Izi zili m'gulu ili:

• Matenda a Neurosyphilis (ANS): Uwu ndi matenda omwe palibe zizindikiro za mitsempha . Matendawa amatha kuchitika zizindikiro za chindoko zisanayambe. Madokotala amazindikira izi pozindikira madzi a m'mitsempha ya ubongo (CSF)Pokhapokha ngati pali umboni wa matenda a syphilis mutayesa, koma wodwalayo alibe zizindikiro. Ngati muli ndi syphilis ndipo simunalandire chithandizo, vutoli la `ANS` likhoza kukulirakulira mkati mwa milungu ingapo yoyambirira mpaka zaka zingapo mutatenga matendawa .

• Matenda a Meningeal Neurosyphilis: Apa ndi pamene mabakiteriya a syphilis amalowa m'matumbo anu, nembanemba zitatu zomwe zimaphimba ndikuteteza ubongo wanu ndi msana. Taganizirani izi ngati chophimba choteteza ubongo wanu chomwe chimatupa . Pamenepo ndi pomwe zizindikiro monga mutu , nseru , ndi kusanza zimayamba kuwonekera. Ngati syphilis sichiritsidwa, imatha kukula mkati mwa miyezi ingapo mpaka zaka zambiri kuchokera pamene matendawa ayamba.

• Matenda a Meningovascular Neurosyphilis: Mu izi, mabakiteriya a syphilis amayambitsa kutupa kwa makoma a mitsempha yamagazi (endarteritis) m'magawo a meninges. Izi zingayambitse magazi kuundana (thrombosis), zomwe zimatseka mitsempha yamagazi ndikuchepetsa kuyenda kwa magazi kupita ku minofu ya ubongo. Izi zingayambitse mavuto osiyanasiyana, monga sitiroko . Ngati sanalandire chithandizo, izi zitha kuchitikanso mkati mwa miyezi mpaka zaka kuchokera pamene matenda ayamba.

Matenda a Neurosyphilis Ochedwa

Izi zili m'gulu ili:

• General Paresis: Izi zimachitika chifukwa cha kuwonongeka pang'onopang'ono kwa minofu ya ubongo chifukwa cha kutupa kwa meninges kwa nthawi yayitali (meningoencephalitis). Izi zimayambitsa zizindikiro zosiyanasiyana zamaganizo ndi matenda. Zizindikiro zoyambirira zimaphatikizapo kusintha kwa maganizo ndi kusintha kwa umunthu . Ngati chindoko sichichiritsidwa, chikhoza kuchitika pakati pa zaka 3 ndi 30 kuchokera pamene kachilombo koyamba kanayamba.

• Tabes Dorsalis: Iyi ndi mtundu woopsa kwambiri wa neurosyphilis. Imakhala ndi kuwonongeka kwa minofu m'mbali mwa dorsal ndi mizu ya mitsempha. Izi zingayambitse zizindikiro zingapo, kuphatikizapo kuvutika kuyenda, kupweteka kwa mitsempha, komanso kuvutika kulamulira kukodza. Ngati syphilis sichitha, tabes dorsalis imatha kukula pakati pa zaka 5 ndi 50 mutatenga kachilomboka.

Ndani amene ali ndi mwayi waukulu wokhala ndi neurosyphilis?

Aliyense amene ali ndi matenda a chindoko akhoza kukhala ndi matenda a neurosyphilis, makamaka ngati chindoko sichinachiritsidwe kwa miyezi kapena zaka zambiri.Anthu omwe amagonana mosadziteteza ali pachiwopsezo chachikulu chotenga matenda a chindoko. Chindoko ndi chofala kwambiri pakati pa amuna omwe amagonana ndi amuna (MSM). Kafukufuku wasonyeza kuti anthu omwe ali ndi kachilombo ka HIV amatha kukhala ndi zizindikiro za neurosyphilis mwachangu kuposa anthu omwe alibe kachilombo ka HIV. Chifukwa chenicheni cha izi sichikudziwika, koma akuganiza kuti kachilombo ka HIV kangafooketse chitetezo cha mthupi.

Kodi vutoli ndi lofala bwanji?

Matenda a neurosyphilis ndi ovuta kwa ofufuza kunena momwe matendawa alili ofala chifukwa malipoti a milandu sakugwirizana. Koma pali deta yokhudza momwe matenda a syphilis alili ofala. Ndi amodzi mwa matenda opatsirana pogonana. Mtundu wofala kwambiri wa matenda a neurosyphilis ndi matenda a neurosyphilis (ANS) . Ndi kupita patsogolo kwa sayansi ya zamankhwala popewa, kuzindikira, ndi kuchiza matenda a syphilis, mitundu yoopsa monga general paresis ndi tabes dorsalis tsopano ndi yochepa.

Kodi zizindikiro za Neurosyphilis ndi ziti?

Zizindikiro za neurosyphilis zimakhudza kwambiri mitsempha yanu. Izi ndi zosiyana ndi zizindikiro za syphilis. Zizindikiro zenizeni zimasiyana malinga ndi mtundu wa neurosyphilis. Poyamba, zomwe sizili ndi zizindikiro, neurosyphilis ilibe zizindikiro konse.

Zizindikiro za Meningeal Neurosyphilis:

• Mutu
• Kusanza ndi kusanza
• Kuuma kwa khosi
• Kusamva kuwala (photophobia)
• Kuvuta kuona kapena kumva
• Kulephera kwa mitsempha ya cranial

Zizindikiro za Meningovascular Neurosyphilis:

Kuwonjezera pa zizindikiro zofanana ndi meningeal, izi zingaphatikizeponso:

• Chizungulire
• Stroke
• Kufooka kwa minofu kapena kufooka kwa minofu (`atrophy`), makamaka m'miyendo

Zizindikiro za General Paresis:

Madokotala amagawa zizindikirozi m'magulu awiri: koyambirira ndi mochedwa. Izi zimatha kuwonekera pang'onopang'ono kapena mwadzidzidzi. Zizindikiro zoyamba:

• Kusintha kwa maganizo, monga kukwiya
• Kusintha kwa umunthu
• Kusintha kwa machitidwe ogona
• Kuiwala

Zizindikiro zamtsogolo:

• Maganizo a labile
• Kutaya kukumbukira
• Kulephera kupanga zisankho
• Chisokonezo
• Zonyenga
• Khunyu (khunyu)

Vutoli lingayambitsenso matenda amisala monga:

• Kuvutika maganizo
• Kusokonezeka maganizo
• Kusachita zinthu mopitirira muyeso komanso kusokonezeka maganizo
Matenda amisala monga schizophrenia (psychosis)

Zizindikiro za Tabes Dorsalis:

• Kutaya mphamvu poyenda (ataxia)
• Kupweteka kwakukulu kwa mitsempha
• Kuvuta kulamulira mkodzo
• Zomverera zachilendo monga kutentha, dzanzi (paresthesia)
• Kusintha kwa masomphenya
• Matenda a maso, monga kusokonekera kwa ma lens (`Argyll Robertson pupils`) ndi matenda a maso
• Kutaya kulinganiza bwino ndi kusinthasintha maganizo
• Matenda a mitsempha / malo olumikizirana mafupa a Charcot
• Kuyenda movutikira

Nanga zizindikiro za syphilis ndi ziti?

Zizindikiro za chindoko zimasiyana malinga ndi gawo la matenda. Pa gawo loyamba: Chilonda chaching'ono, chopanda ululu (chancre) chimapangika pa ziwalo zoberekera. Pa gawo lachiwiri: Ziphuphu zofiirira, zotupa, komanso zokwawa zimaonekera pakhungu. Izi nthawi zambiri zimapezeka m'manja ndi pansi pa mapazi. Zingakhalenso ndi zizindikiro zofanana ndi malungo:

• Kutopa
• Malungo
• Chikhure
• Kupweteka kwa minofu

Ndikofunikira kwambiri kufunafuna upangiri wa dokotala mwamsanga mukangoona zizindikiro izi. Ngati mwapeza kuti mnzanu wogonana naye ali ndi syphilis, muyeneradi kuyezetsa matenda opatsirana pogonana (STI).

Kodi n’chiyani chimayambitsa matenda a neurosyphilis?

Matenda a Neurosyphilis amayamba chifukwa cha bakiteriya wotchedwa Treponema pallidum . Makamaka, bakiteriyayu amalowa m'thupi lanu la mitsempha (CNS) ndipo amayambitsa zizindikiro zokhudzana ndi mitsempha. Iyi ndi bakiteriya yomweyi yomwe imayambitsanso syphilis. Bakiteriyayu amatha kulowa m'thupi lanu kudzera m'malo opumira, kumaliseche, mbolo, pakamwa, kapena kudzera pakhungu. Matenda a Neurosyphilis amatha kuchitika pagawo lililonse la syphilis. Kafukufuku akuwonetsa kuti anthu ambiri omwe ali ndi syphilis ali ndi kachilomboka komwe kamakhudza mitsempha yawo ya mitsempha, nthawi zambiri asanayambe zizindikiro za syphilis. Komabe, mwa anthu ena, matenda a mitsempha ya mitsempha iyi amatha okha popanda kuyambitsa kutupa kapena zizindikiro za mitsempha. Komabe, syphilis singathe kuchiritsidwa popanda mankhwala opha maantibayotiki. Mukapitirizabe kutenga kachilomboka popanda chithandizo, chiopsezo chanu chokhala ndi matenda a neurosyphilis chikukula.

Kodi neurosyphilis imafalikira?

Matenda a neurosyphilis safalikira mwachindunji kuchokera kwa munthu wina kupita kwa wina. Ndi vuto la matenda a syphilis. Koma matenda a syphilis amafalikira. Amafalikira kudzera mu kugonana ndi munthu amene ali ndi kachilomboka. Kugonana kosadziteteza m'mimba, m'mako, kapena mkamwa kumawonjezera chiopsezo chotenga matenda a syphilis.

Kodi mungadziwe bwanji matendawa molondola?

Madokotala nthawi zambiri amazindikira matenda a neurosyphilis kutengera zizindikiro zanu komanso mayeso a cerebrospinal fluid (CSF).Kutengera ndi zotsatira zake. `CSF` ndi madzi omveka bwino omwe amazungulira msana wanu ndi ubongo. Dokotala adzakufunsani za zizindikiro zanu ndi mbiri yanu yachipatala. Iye adzakuyezani thupi lanu ndi kuyeza mitsempha. Ngati mukukayikira kuti muli ndi syphilis kapena neurosyphilis, mayeso otsatirawa adzalamulidwa:

• Kuyezetsa magazi kuti apeze umboni wa mabakiteriya omwe amayambitsa chindoko.
• Kuyezetsa kotchedwa lumbar puncture (msana) . Mu mayesowa, dokotala amaika singano yopyapyala kwambiri kumbuyo kwanu ndipo amayesa CSF.
• Kusanthula kwa madzi a m'mitsempha ya ubongo ndi mayeso omwe amafufuza chitsanzo cha CSF pansi pa maikulosikopu kuti awone ngati pali mabakiteriya.

Bungwe la US Centers for Disease Control and Prevention (CDC) limalimbikitsa kuti aliyense amene ali ndi syphilis, ngakhale atakhala kuti sakudziwa momwe alili ndi kachilombo ka HIV, ayenera kuyezetsa kachilombo ka HIV, ngakhale atapezeka kuti alibe kachilombo ka HIV.

Kodi chithandizo ndi chiyani? (Chithandizo)

Chinthu chofunika kwambiri chomwe mungachite kuti muchepetse matenda a neurosyphilis ndikuletsa kuti asakule kwambiri ndi kuchiza matenda a syphilis. Madokotala amagwiritsa ntchito maantibayotiki pochiza matenda a syphilis ndi mabakiteriya ena. Mankhwala opha tizilombo omwe amaperekedwa kwambiri ndi penicillin , omwe amaperekedwa ngati jakisoni wa IV (m'mitsempha) kapena ngati jakisoni mu minofu. Mankhwala ena opha tizilombo omwe amagwiritsidwa ntchito pochiza syphilis ndi ceftriaxone . Mukalandira chithandizo, muyenera kuyezetsa magazi kangapo nthawi zosiyanasiyana, monga miyezi itatu iliyonse ndi miyezi isanu ndi umodzi iliyonse, kuti muwonetsetse kuti matendawa atha kwathunthu. Muyeneranso kupunthwa lumbar kuti muyese CSF yanu miyezi isanu ndi umodzi iliyonse kuti muwonetsetse kuti palibe matenda mu dongosolo la mitsempha.

Dokotala wanu adzakuuzani zambiri zokhudza mayeso otsatirawa. Musaope kufunsa mafunso okhudza njira imeneyi.

Kodi kuwonongeka komwe kumachitika chifukwa cha neurosyphilis kungathetsedwe?

Chithandizo cha maantibayotiki chingalepheretse neurosyphilis kuti isakule kwambiri. Komabe, sizingatheke kuthetsa kwathunthu kuwonongeka kwa mitsempha komwe kwachitika kale. Anthu omwe ali ndi neurosyphilis yopanda zizindikiro kapena meningeal neurosyphilis nthawi zambiri amachira ngati atalandira chithandizo choyenera. Komabe, anthu omwe ali ndi meningovascular neurosyphilis, general paresis, kapena tabes dorsalis amatha kuwona kusintha pang'ono mu zizindikiro zawo atatha kulandira chithandizo, koma sangachire mokwanira.

Kodi mungadziteteze bwanji ku vutoli? (Kupewa)

Njira yokhayo yopewera matenda a neurosyphilis ndikuletsa kuti syphilis isakule.Njira yothandiza kwambiri yopewera matenda a chindoko ndi kupewa kugonana. Ngati mukuchita zogonana, mutha kuchepetsa chiopsezo chanu chokhala ndi matenda a chindoko pogwiritsa ntchito njira zotetezeka nthawi iliyonse mukagonana. Ndikofunikira kugwiritsa ntchito kondomu (yamwamuna kapena yaikazi) moyenera kuti muchepetse chiopsezo cha matenda. Ndikofunikanso kufunafuna upangiri wachipatala ndi chithandizo mukangoyamba zizindikiro za chindoko. Kuchiza koyambirira kungalepheretse neurosyphilis kukhala yoopsa kwambiri.

Kodi zizindikiro zake zimakhala zotani ngati mutayamba matenda a neurosyphilis?

Chiyembekezo cha neurosyphilis chimadalira mtundu wa neurosyphilis yomwe muli nayo komanso momwe mumalandira chithandizo mwachangu. Anthu omwe ali ndi neurosyphilis yopanda zizindikiro kapena meningeal neurosyphilis omwe amalandira chithandizo choyenera nthawi zambiri amachira popanda zizindikiro kapena zovuta zilizonse za mitsempha. Anthu omwe ali ndi meningovascular syphilis, general paresis, kapena tarsis dorsalis ali ndi mwayi waukulu wokhala ndi zizindikiro kapena zovuta za mitsempha. Komabe, chithandizo chingathandize kuchepetsa zizindikiro ndikuletsa neurosyphilis kuti isakule kwambiri. Ngati syphilis sichiritsidwa, tarsis dorsalis ikhoza kupha.

Kodi nthawi zabwino zokaonana ndi dokotala ndi ziti?

Ngati dokotala wakupezani ndi neurosyphilis, muyenera kumaliza chithandizo chonse cha syphilis. Muyenera kuyesedwa kangapo kuti muwonetsetse kuti palibe zizindikiro za mabakiteriya m'thupi lanu. Ndikofunikira kwambiri kusunga nthawi yokumana ndi dokotala. Ngati mukukhala ndi zizindikiro kapena matenda amitsempha omwe akupitiliza chifukwa cha neurosyphilis, muyenera kuwona gulu lanu lachipatala nthawi zonse kuti mupeze chithandizo cha matenda amenewo.

Kulankhula ndi dokotala za matenda opatsirana pogonana kungakhale kochititsa manyazi. Komabe, ngati mukuganiza kuti muli ndi syphilis, ndikofunikira kwambiri kupita kwa dokotala kuti akakuyezeni ndi kukupatsani chithandizo. Ngati simunayesedwe ndi kulandira chithandizo msanga, zingayambitse mavuto azaumoyo kwa nthawi yayitali, monga neurosyphilis. Lankhulani ndi dokotala wanu za kuyezetsa matenda a syphilis nthawi zonse ndi matenda ena opatsirana pogonana (STIs). Izi zitha kuchepetsa chiopsezo chanu cha mavuto. Musaope kufunsa mafunso. Alipo kuti akuthandizeni, popanda kuweruza.

Uthenga Wopita Nawo Kunyumba

• Matenda a Neurosyphilis ndi vuto loopsa la chindoko chosachiritsidwa. Limakhudza ubongo wanu ndi msana wanu.
• Chindoko ndi matenda opatsirana pogonana omwe amayamba chifukwa cha bakiteriya wotchedwa Treponema pallidum .
• Pali mitundu yosiyanasiyana ya neurosyphilis, ina yomwe ingachitike msanga komanso ina mochedwa. Zizindikiro zimasiyananso molingana.
• Kuzindikira msanga ndi kuchiza matenda a syphilisMatenda a neurosyphilis amatha kupewedwa.
• Kuchita zinthu zogonana motetezeka komanso kukayezetsa kuchipatala nthawi zonse n'kofunika kwambiri.
• Ngati muli ndi zizindikiro za syphilis kapena neurosyphilis, musachite manyazi ndipo funsani upangiri wa dokotala mwachangu. Chithandizo chachangu chingapewe mavuto aakulu.