Tabes dorsalis

ʻO Tabes dorsalis kahi pilikia o ka syphilis i hana ʻole ʻia e pili ana i ka nāwaliwali o nā mākala a me nā ʻano ʻē.

ʻO Tabes dorsalis kahi ʻano o neurosyphilis, kahi pilikia o ka maʻi syphilis pae hope loa. ʻO Syphilis kahi maʻi bacteria i hohola ʻia i ka moekolohe.

Ke mālama ʻole ʻia ka syphilis, hoʻopōʻino ka bacteria i ka iwi kuamoo a me nā aʻa hopohopo peripheral. Ke alakaʻi nei kēia i nā ʻōuli o nā ʻaoʻao dorsalis.

ʻAno loa ʻo Tabes dorsalis no ka mea mālama pinepine ʻia ka syphilis i ka maʻi.

Hoʻokumu ʻia nā ʻōuli o nā kapu dorsalis e ka hōʻino ʻana i nā ʻōnaehana. Pākuʻi ʻia nā ʻōuli i kekahi o kēia mau mea:

• Nā sensations normal (paresthesia), i kapa pinepine ʻia he "ʻeha uila"
• Ke hele nei nā pilikia e like me nā wāwae i kahi kaʻawale
• Loaʻa ka hoʻohui a me nā reflexes
• Poino hui, ʻoi loa o nā kuli
• Nāwaliwali ka ʻiʻo
• Hoʻololi ka hihiʻo
• Nā pilikia hoʻomalu o ka ʻōpū
• Nā pilikia pili i ka moekolohe

E hana ka mea mālama ola i kahi hoʻokolohua kino, e kia ana i ka ʻōnaehana hopohopo.

Inā manaʻo ʻia ʻo ka maʻi syphilis, hiki i nā hoʻokolohua ke hoʻopili i kēia mau mea:

• Ninaninau wai Cerebrospinal (CSF)
• Head CT, spine CT, a i ʻole MRI scans o ka lolo a me ka ʻula o ke kuamoʻo e kāpae i nā maʻi ʻē aʻe
• Serum VDRL a serum RPR (hoʻohana ʻia ma ke ʻano he hōʻike loiloi no ka maʻi syphilis)

Inā maikaʻi ka serum VDRL a serum RPR hōʻoia paha, e pono ana kekahi o nā hōʻike aʻe e hōʻoia i ka ʻike.

• FTA-ABS
• MHA-TP
• TP-EIA
• TP-PA

ʻO nā pahuhopu o ka mālama ʻana e hōʻola i ka maʻi a hoʻolohi i ka maʻi. ʻO ka mālama ʻana i ka maʻi e kōkua i ka pale ʻana i ka hōʻino hou o ke aʻa a hōʻemi paha i nā ʻōuli. ʻAʻole hiki i ka mālama ʻana ke hoʻohuli i nā ʻino nerve i kū.

Hāʻawi ʻia nā lāʻau i loko:

• Penicillin a i ʻole nā ​​lāʻau ʻaloʻalo ʻē aʻe no ka manawa lōʻihi e ʻike pono e hele aku ka maʻi
• ʻO nā painkillers e kaohi i ka ʻeha

Pono e mālama ʻia nā ʻōuli o ka hōʻino ʻōnaehana kū i kēia manawa. ʻO ka poʻe hiki ʻole ke ʻai, ʻaʻahu iā lākou iho, a mālama paha iā lākou iho pono paha i ke kōkua. Hiki ke kōkua i ka hoʻoponopono hou ʻana, ka hoʻōla kino ʻana, a me ka hana ʻoihana me ka nāwaliwali o nā mākala.

Inā haʻalele ʻole ʻia, nā ʻaoʻao dorsalis e alakaʻi i ke kīnā.

Komo pū nā pilikia:

• Makapō
• Pālolo

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Lilo o ka hoʻohui ʻana
• Loaʻa ka ikaika o ka mākala
• Lilo o ka naʻau

ʻO ka mālama kūpono a me ka mālama ʻana i nā maʻi syphilis e hōʻemi i ka makaʻu o ka hoʻomohala ʻana i nā ʻaoʻao dorsalis.

Inā hana kolohe ʻoe, e hoʻomaʻamaʻa i ka wahine palekana a hoʻohana mau i ka pale pale.

Pono e nānā i nā wahine hāpai āpau no ka syphilis.

Locomotor ataxia; Myelopathy Syphilitic; Syphilitic myeloneuropathy; Myelopathy - syphilitic; Neurosyphilis Tabetic

• Nā mākala mua ma mua
• Syphilis mua
• Syphilis pae hope

ʻO Ghanem KG, Hoʻolaha EW. Syphilis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 303.

Radolf JD, Tramont EC, Salazar JC. Syphilis (Treponema pallidum). I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 237.