Funda nge-Neurosyphilis, inkinga ye-syphilis ethinta ubuchopho bakho kanye nesistimu yezinzwa!

Wake wazibuza ukuthi ezinye izifo zingaba zimbi kangakanani uma zingelashwa kahle? Ngezinye izikhathi, ngisho nokutheleleka ngocansi (STI) esingakunaki kakhulu, uma kungelashwa ngesikhathi, kungabangela izimo ezingathi sína ezingathinta impilo yakho. Namuhla sizokhuluma nge -neurosyphilis , inkinga eyingozi engenzeka uma isifo esidluliselwa ngocansi esibizwa ngokuthi i-syphilis singelashwa kahle. Lokhu kuyinto ethinta ubuchopho bethu kanye nomgogodla, okungukuthi, uhlelo lwezinzwa oluphakathi.

Iyini i-neurosyphilis? Ihlobene kanjani ne-syphilis?

Kalula nje, i-neurosyphilis iyinkinga enkulu, engase isongela impilo ye-syphilis. I-Syphilis, njengoba wazi, iyisifo esithathelwana ngocansi. I-Syphilis ibangelwa igciwane elibizwa ngokuthi i-Treponema pallidum. Ngakho-ke, i-neurosyphilis yenzeka lapho leli gciwane lingena ebuchosheni bakho kanye/noma emgogodleni . Kodwa kubalulekile ukukhumbula ukuthi akuwona wonke umuntu othola i-syphilis ozoba ne-neurosyphilis. I-Neurosyphilis kanye ne-syphilis ziyizimo ezimbili ezihlobene, kodwa ezihlukile. I-Neurosyphilis ithinta ngqo uhlelo lwakho lwezinzwa oluphakathi (i-CNS), oluyingqondo yakho kanye nomgogodleni. Ngakho-ke, izimpawu ezivelayo zihlobene nohlelo lwezinzwa. Njengoba i-syphilis iyisifo esithathelwana ngocansi, izimpawu zayo zihlukile.

Okubaluleke kakhulu, uma ingelashwa, i-neurosyphilis ingaholela ekukhubazekeni okungapheli, ekulahlekelweni yingqondo , ngisho nasekufeni . Ngakho-ke, kubalulekile ukufuna usizo lwezokwelapha ngokushesha nje lapho ubona noma yiziphi izimpawu ze-syphilis noma i-neurosyphilis.

Yiziphi izinhlobo eziyinhloko ze-neurosyphilis?

Odokotela bahlukanisa i-neurosyphilis ngezinhlobo ezinhlanu eziyinhloko. Lezi zihlukaniswe ngamaqembu amabili: i-neurosyphilis yasekuqaleni kanye ne-neurosyphilis yasekupheleni .

I-Neurosyphilis Yasekuqaleni

Lezi zingaphansi kwalesi sigaba:

• I-Neurosyphilis Engenazimpawu (i-ANS): Lesi yisimo lapho kungekho khona izimpawu zemizwa . Lesi simo singavela ngaphambi kokuba kuvele izimpawu ze-syphilis. Odokotela bakuthola lokhu ngokuthola uketshezi lwe-cerebrospinal (CSF)Kuphela uma kukhona ubufakazi bokutheleleka nge-syphilis ngemva kokuhlolwa, kodwa isiguli singenazo izimpawu. Uma une-syphilis futhi ungelashwanga, lesi simo se-'ANS' singakhula phakathi kwamasonto ambalwa okuqala kuya eminyakeni eminingana ngemva kokutheleleka .

• I-Meningeal Neurosyphilis: Yilapho igciwane le-syphilis lithelela khona i-meninges yakho, ama-membrane amathathu amboza futhi avikele ubuchopho bakho kanye nomgogodla. Cabanga ngakho njengesivikelo esizungeze ubuchopho bakho esivuvukalayo . Yilapho izimpawu ezifana nekhanda elibuhlungu , isicanucanu , nokuhlanza ziqala ukuvela. Uma i-syphilis ingelashwa, ingakhula phakathi nezinyanga kuya eminyakeni yokutheleleka.

• I-Meningovascular Neurosyphilis: Kulokhu, amagciwane e-syphilis abangela ukuvuvukala kwezindonga zemithambo yegazi (endarteritis) kuma-meninges. Lokhu kungaholela ekuqhekekeni kwegazi (thrombosis), okuvimba imithambo yegazi futhi kunciphise ukugeleza kwegazi ezicutshini zobuchopho. Lokhu kungaholela ezinkingeni ezahlukahlukene, njengesifo sohlangothi . Uma kungelashwa, lokhu kungakhula futhi phakathi nezinyanga kuya eminyakeni yokutheleleka.

I-Neurosyphilis Yasekupheleni

Lezi zingaphansi kwalesi sigaba:

• I-General Paresis: Lokhu kubangelwa ukubhujiswa kancane kancane kwezicubu zobuchopho ngenxa yokuvuvukala kwesikhathi eside kwe-meninges (i-meningoencephalitis). Lokhu kubangela izimpawu nezimo zengqondo ezahlukahlukene. Izimpawu zokuqala zifaka phakathi ukushintshashintsha kwemizwelo kanye nokushintsha kobuntu . Uma i-syphilis ingelashwa, ingenzeka phakathi kweminyaka emi-3 nengama-30 ngemva kokutheleleka kokuqala.

• I-Tabes Dorsalis: Lolu uhlobo olubi kakhulu lwe-neurosyphilis. Luhilela ukubhujiswa kwezicubu ekholomu yangemuva kanye nezimpande zemizwa. Lokhu kungabangela izimpawu eziningana, okuhlanganisa ubunzima bokuhamba, ubuhlungu bemizwa, kanye nobunzima bokulawula ukuchama. Uma i-syphilis ingelashwa, i-tabes dorsalis ingakhula phakathi kweminyaka emi-5 nengama-50 ngemva kokutheleleka.

Ubani okungenzeka kakhulu ukuthi athole i-neurosyphilis?

Noma ubani one-syphilis angaba ne-neurosyphilis, ikakhulukazi uma i-syphilis ingelashwa izinyanga noma iminyaka.Abantu abenza ucansi olungavikelekile basengozini enkulu yokuthola i-syphilis. I-syphilis ivame kakhulu phakathi kwabesilisa abalala nabesilisa (MSM). Ucwaningo lukhombisile ukuthi abantu abane-HIV bangase babe nezimpawu ze-neurosyphilis ngokushesha kunabantu abangenayo i-HIV. Isizathu esiqondile salokhu asaziwa, kodwa kucatshangwa ukuthi i-HIV ingase yenze buthaka isimiso somzimba sokuzivikela.

Sivame kangakanani lesi simo?

I-Neurosyphilis kunzima kubacwaningi ukusho ukuthi ivame kangakanani ngoba ukubikwa kwamacala akuhambisani. Kodwa kukhona idatha yokuthi ivame kangakanani i-syphilis. Ingenye yezifo ezithathelwana ngocansi ezivame kakhulu. Uhlobo oluvame kakhulu lwe-neurosyphilis yi-neurosyphilis engenazimpawu (i-ANS) . Ngokuthuthuka kwesayensi yezokwelapha ekuvimbeleni, ekuxilongeni, nasekwelapheni i-syphilis, izinhlobo ezimbi njenge-general paresis kanye ne-tabes dorsalis manje azivamile.

Ziyini izimpawu ze-Neurosyphilis?

Izimpawu ze-neurosyphilis zithinta kakhulu uhlelo lwakho lwezinzwa. Lezi zihlukile ezimpawu ze-syphilis. Izimpawu eziqondile ziyahlukahluka kuye ngohlobo lwe-neurosyphilis. Ezigabeni zokuqala, ezingabonakali izimpawu, i-neurosyphilis ayinazo nhlobo izimpawu.

Izimpawu ze-Meningeal Neurosyphilis:

• Ikhanda elibuhlungu
• Isicanucanu nokuhlanza
• Ukuqina kwentamo
• Ukuzwela ukukhanya (i-photophobia)
• Ubunzima bokubona noma ukuzwa
• Ukungasebenzi kahle kwemizwa ye-cranial

Izimpawu ze-Meningovascular Neurosyphilis:

Ngaphezu kwezimpawu ezifana ne-meningeal, lokhu kungafaka phakathi:

• I-Vertigo
• Isifo sohlangothi
• Ubuthakathaka noma ukuwohloka kwemisipha (`atrophy`), ikakhulukazi emilenzeni

Izimpawu Ezijwayelekile Ze-Paresis:

Odokotela bahlukanisa lezi zimpawu zibe yizigaba ezimbili: ekuqaleni nasekupheleni kwesikhathi. Lezi zingavela kancane kancane noma ngokuzumayo. Izimpawu zokuqala:

• Ukushintsha kwesimo sengqondo, njengokucasuka
• Izinguquko zobuntu
• Izinguquko emaphethini okulala
• Ukukhohlwa

Izimpawu zakamuva:

• Izimo zengqondo zokungasebenzi kahle
• Ukulahlekelwa yinkumbulo
• Ikhono lokwenza izinqumo elingasebenzi kahle
• Ukudideka
• Ukukhohlisa
• Isifo sokuwa (ukuquleka)

Lesi simo singadala nezifo zengqondo ezifana nalezi:

• Ukucindezeleka
• Ukuphambana kwengqondo
• Ukungakhathali kanye nokuhlanya
Izifo zengqondo ezifana ne -schizophrenia (`psychosis`)

Izimpawu ze-Tabes Dorsalis:

• Ukulahlekelwa ibhalansi lapho uhamba (ataxia)
• Ubuhlungu obukhulu bemizwa
• Ubunzima bokulawula umchamo
• Imizwa engavamile njengokusha, ukungazweli (i-paresthesia)
• Izinguquko zombono
• Izinkinga zamehlo, njengokukhubazeka kwelensi (`abafundi baka-Argyll Robertson`) kanye nokukhubazeka kwamehlo
• Ukulahlekelwa ibhalansi kanye nokusabela okubukhali
• I-neuropathic arthropathy / i-Charcot joint
• Ubunzima bokuhamba

Ngakho-ke ziyini izimpawu ze-syphilis?

Izimpawu ze-syphilis ziyahlukahluka kuye ngesigaba sokutheleleka. Esigabeni sokuqala: Kuvela isilonda esincane, esingenabuhlungu (i-chancre) ezithweni zangasese. Esigabeni sesibili: Kuvela ubomvu obupinki, obunamaqhubu, obuqinile esikhumbeni. Lokhu kuvame ukutholakala ezintendeni zezandla nasematheni ezinyawo. Kungase futhi kuhambisane nezimpawu ezifana nomkhuhlane:

• Ukukhathala
• Imfiva
• Umphimbo obuhlungu
• Ubuhlungu bemisipha

Kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha nje lapho ubona noma yiziphi zalezi zimpawu. Uma uthola ukuthi umlingani wakho wocansi une-syphilis, kufanele nakanjani uhlolwe ukutheleleka ngocansi (STI).

Yini ebangela i-neurosyphilis?

I-Neurosyphilis ibangelwa yibhaktheriya ebizwa ngokuthi i-Treponema pallidum . Ngokukhethekile, leli bhaktheriya lihlasela uhlelo lwakho lwezinzwa oluphakathi (i-CNS) futhi libangele izimpawu ezihlobene nohlelo lwezinzwa. Leli yibhaktheriya elifanayo elibangela i-syphilis. Leli bhaktheriya lingangena emzimbeni wakho nge-anus yakho, isitho sangasese sowesifazane, ipipi, umlomo, noma ngokuphuka kwesikhumba. I-Neurosyphilis ingenzeka kunoma yisiphi isigaba se-syphilis. Ucwaningo lubonisa ukuthi abantu abaningi abane-syphilis banaleli bhaktheriya elithelela uhlelo lwabo lwezinzwa oluphakathi, ngokuvamile ngaphambi kokuba babe nezimpawu ze-syphilis. Kodwa-ke, kwabanye abantu, lokhu kutheleleka kohlelo lwezinzwa oluphakathi kungaxazululeka ngokwako ngaphandle kokubangela noma yikuphi ukuvuvukala noma izimpawu zemizwa. Kodwa-ke, i-syphilis ayikwazi ukwelashwa ngaphandle kokwelashwa ngama-antibiotic. Uma uhlala uthelelekile nge-syphilis isikhathi eside ngaphandle kokwelashwa, kulapho ingozi yakho yokuthola i-neurosyphilis enezimpawu ikhula khona.

Ingabe i-neurosyphilis iyathelelana?

I-Neurosyphilis ayisabalali ngokuqondile isuka komunye umuntu iye komunye. Kuyinkinga ye-syphilis. Kodwa i-syphilis iyasabalala. Isabalala ngokuxhumana ngokocansi nomuntu onegciwane. Ucansi olungavikelekile lwesitho sangasese sowesifazane, i-anal, noma lomlomo kwandisa ingozi yokuthola i-syphilis.

Ungasithola kanjani lesi sifo ngokunembile?

Odokotela bavame ukuxilonga i-neurosyphilis ngokusekelwe ezimpawu zakho kanye nokuhlolwa koketshezi lwe-cerebrospinal (CSF).Ngokusekelwe emiphumeleni. I-`CSF` iwuketshezi olucacile oluzungeze umgogodla wakho kanye nobuchopho. Udokotela uzokubuza ngezimpawu zakho kanye nomlando wezokwelapha. Uzokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwezinzwa. Uma kusolwa ukuthi i-syphilis noma i-neurosyphilis, kuzoyalwa ukuhlolwa okulandelayo:

• Ukuhlolwa kwegazi ukuze kutholakale ubufakazi bamagciwane abangela i-syphilis.
• Ukuhlolwa okubizwa ngokuthi ukubhoboza i-lumbar (umpompi womgogodla) . Kulokhu kuhlolwa, udokotela ufaka inalithi encane kakhulu emhlane wakho ongezansi bese ethatha isampula ye-CSF.
• Ukuhlaziywa koketshezi lomgogodla ukuhlolwa okuhlola isampula ye-CSF ngaphansi kwesibonakhulu ukuze kubonakale ukuthi kukhona yini amabhaktheriya kuyo.

I-US Centers for Disease Control and Prevention (CDC) incoma ukuthi wonke umuntu one-syphilis, noma ngabe akasazi isimo sakhe se-HIV, kufanele ahlolwe i-HIV, noma ngabe wake wahlolwa ukuthi akanayo i-HIV ngaphambilini.

Ukwelashwa kanjani? (Ukwelashwa)

Into ebaluleke kakhulu ongayenza ukuze umise i-neurosyphilis futhi uyivimbele ukuthi ingaqhubeki iwukwelapha ukutheleleka kwe-syphilis. Odokotela basebenzisa ama-antibiotic ukwelapha i-syphilis nezinye izifo ezibangelwa amagciwane. I-antibiotic evame kakhulu enikezwa yi -penicillin , noma inikezwa njengomjovo we-IV (intravenous) noma njengomjovo emisipheni. Enye i-antibiotic ejwayelekile esetshenziswa ukwelapha i-syphilis yi -ceftriaxone . Ngemva kokwelashwa, kuzodingeka ukuthi uhlolwe igazi izikhathi eziningana ngezikhathi ezahlukene, njengangezinyanga ezintathu kanye nezinyanga eziyisithupha, ukuqinisekisa ukuthi ukutheleleka sekuphelile ngokuphelele. Kuzodingeka futhi ukuthi uhlinzwe i-lumbar ukuze uhlole i-CSF yakho njalo ezinyangeni eziyisithupha ukuqinisekisa ukuthi akukho ukutheleleka ohlelweni lwezinzwa oluphakathi.

Udokotela wakho uzokutshela okwengeziwe ngalezi zivivinyo zokulandelela. Ungesabi ukubuza imibuzo ngale nqubo.

Ingabe umonakalo obangelwa yi-neurosyphilis ungabuyiselwa emuva?

Ukwelashwa ngama-antibiotic kungavimba i-neurosyphilis ukuthi ingabi yimbi kakhulu. Kodwa-ke, kungase kungenzeki ukubuyisela ngokuphelele umonakalo ohlelweni lwezinzwa osuvele wenzeke. Abantu abane-neurosyphilis engenazimpawu noma i-meningeal neurosyphilis bavame ukululama uma bephathwa kahle. Kodwa-ke, abantu abane-meningovascular neurosyphilis, i-general paresis, noma i-tabes dorsalis bangase bathole ukuthuthuka okuthile ezimpawu zabo ngemva kokwelashwa, kodwa bangase bangalulami ngokugcwele.

Ungazivikela kanjani kulesi simo? (Ukuvimbela)

Okuwukuphela kwendlela yokuvimbela i-neurosyphilis ukuvimbela i-syphilis ukuthi ingakhuli.. Indlela ephumelela kakhulu yokuvimbela i-syphilis ukuyeka ukuya ocansini. Uma uhlanganyela ocansini, unganciphisa ingozi yakho yokuthola i-syphilis ngokusebenzisa izindlela eziphephile njalo uma uya ocansini. Kubalulekile ukusebenzisa ikhondomu (yabesilisa noma yabesifazane) ngendlela efanele ukuze unciphise ingozi yokutheleleka. Kubalulekile futhi ukufuna iseluleko sezokwelapha kanye nokwelashwa ngokushesha nje lapho uthola izimpawu ze-syphilis. Ukwelashwa kusenesikhathi kungavimbela i-neurosyphilis ukuthi ibe nzima kakhulu.

Kuyini ukubikezela uma unesifo se-neurosyphilis?

Umbono we-neurosyphilis uncike ohlotsheni lwe-neurosyphilis onayo nokuthi uthola ukwelashwa ngokushesha kangakanani. Abantu abane-neurosyphilis engenazimpawu noma i-meningeal neurosyphilis abathola ukwelashwa okufanele bavame ukululama ngaphandle kwezimpawu noma izinkinga ze-neurological ezihlala njalo. Abantu abane-meningovascular syphilis, i-general paresis, noma i-tarsis dorsalis banamathuba amaningi okuthola izimpawu noma izinkinga ze-neurological ezihlala njalo. Kodwa-ke, ukwelashwa kungasiza ekunciphiseni izimpawu futhi kuvimbele i-neurosyphilis ukuthi ibe yimbi kakhulu. Uma i-syphilis ingelashwa, i-tarsis dorsalis ingaba yingozi ngisho nakubo bonke.

Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?

Uma udokotela ekuxilonga ukuthi une-neurosyphilis, kuzodingeka uqedele ukwelashwa okuphelele kwe-syphilis. Kuzodingeka wenze izivivinyo eziningana zokulandelela ukuqinisekisa ukuthi azikho izimpawu zamagciwane emzimbeni wakho. Kubaluleke kakhulu ukugcina lezi zikhathi zokuqokwa. Uma uba nezimpawu noma izimo eziqhubekayo ze-neurosyphilis ngenxa ye-neurosyphilis, kuzodingeka ubone ithimba lakho lezokwelapha njalo ukuze uthole ukwelashwa kwalezo zimo ezithile.

Ukukhuluma nodokotela ngezifo ezithathelwana ngocansi kungaba yinto ebangela amahloni. Kodwa-ke, uma usola ukuthi une-syphilis, kubaluleke kakhulu ukubona udokotela ukuze ahlolwe futhi aphathwe. Uma ingahlolwanga futhi ingelashwa kusenesikhathi, ingaholela ezinkingeni zempilo zesikhathi eside, njenge-neurosyphilis. Khuluma nodokotela wakho mayelana nokuhlolwa njalo kwe-syphilis nezinye izifo ezithathelwana ngocansi (STIs). Lokhu kunganciphisa ingozi yakho yezinkinga. Ungesabi ukubuza imibuzo. Bakhona ukukusiza, ngaphandle kokwahlulela.

Umlayezo Wokuya Nawe Ekhaya

• I-Neurosyphilis iyinkinga eyingozi ye-syphilis engelashwa. Ithinta ubuchopho bakho kanye nomgogodla.
• I-Syphilis isifo esithathelwana ngocansi esibangelwa yibhaktheriya i- Treponema pallidum .
• Kunezinhlobo ezahlukene ze-neurosyphilis, ezinye zazo zingase zivele kusenesikhathi kanti ezinye zingase zenzeke kamuva. Izimpawu nazo ziyahlukahluka ngokufanele.
• Ukuxilongwa kusenesikhathi kanye nokwelashwa kwe-syphilisI-Neurosyphilis ingavinjelwa.
• Imikhuba yocansi ephephile kanye nokuhlolwa njalo kwezokwelapha kubaluleke kakhulu.
• Uma unezimpawu ze-syphilis noma i-neurosyphilis, ungabi namahloni futhi funa iseluleko sezokwelapha ngokushesha. Ukwelashwa okusheshayo kungavimbela izinkinga ezinkulu.