Neurosyphilis: he aha ia, nā hōʻailona nui, ka mālama ʻana a pehea e pale ai

Anter

• Nā hōʻailona nui
• Pehea e hōʻoia ai
• Pehea e hana ai i ka lāʻau
• Nā pilikia i hiki
• Kāohi ʻana o neurosyphilis

ʻO Neurosyphilis kahi pilikia o syphilis, a kū aʻe i ka wā o ka bacteria Treponema pallidum komo i ka ʻōnaehana ʻōnaehana, hiki i ka lolo, meninges a me ka iwi kuamoo. Kū pinepine kēia pilikia ma hope o nā makahiki he nui o ka noho ʻana me nā bacteria me ka ʻole o ka mālama pono ʻana, a hiki i ke ʻano o nā hōʻailona a me nā ʻōuli e like me ka maikaʻi ʻole o ka hoʻomanaʻo ʻana, ke kaumaha, ka palapū a me ke kaʻi ʻana.

E mālama i ka neurosyphilis, e paipai ke kauka i nā lāʻau antibiotic, e like me ka crystalline Penicillin, pololei i ka aa, no kahi o 10 a 14 mau lā. Ma hope o kekahi mau mahina o ka mālama ʻana, pono e nānā i nā pae o ka maʻi ma o ka lumbar puncture o ka wai cerebrospinal e nānā ai inā he lapaʻau.

ʻO Syphilis kahi maʻi maʻi maʻi mau i loaʻa ma o ka hoʻopili kolohe ʻana, a hiki ke ulu i nā ala like ʻole ma luna o nā ʻanuʻu like ʻole, e like me ka hoʻokumu ʻia ʻana o nā ulcer genital, nā ʻili a me nā fiva, no ka laʻana, me nā loli koʻikoʻi e like me nā pilikia puʻuwai a i ʻole hanana Neurological hanana i ʻoi aku. nā pae holomua o ka maʻi. E ʻike hou aʻe e pili ana i nā pae o ka syphilis i nā mea āpau e pili ana i ka syphilis.

Nā hōʻailona nui

ʻO nā hōʻailona mua a me nā ʻōuli o ka neurosyphilis ʻike pinepine ʻia ma waena o 5 a 20 mau makahiki ma hope o ka maʻi maʻi e Treponema pallidum, wale nō ke loaʻa ʻole o ka lāʻau kūpono i ka mea maʻi i kēia wā. ʻO kekahi o nā hōʻailona nui a me nā hōʻailona me:

• Nā pilikia ʻike a me nā makapō;
• Hāʻule nā ​​hoʻomanaʻo a me nā dementia;
• Hoʻololi i ka hele wāwae;
• Kaumaha;
• Urinary incontinence;
• Huhū;
• ʻEha poʻo poʻo;
• Huikau noʻonoʻo;
• Lōlō;
• Huikau;
• ʻĀʻī ʻoʻoleʻa;
• Nā haʻalulu;
• Nāwaliwali;
• Pōpō i nā wāwae a me nā wāwae;
• Paʻa ka noʻonoʻo ʻana;
• Paralysis laulaha holomua;
• Hoʻololi ka pilikino;
• ʻAʻole pane nā haumāna i ka mālamalama;
• Hoʻololi i nā reflexes makaʻu.

ʻOiai he ʻano like ʻole nā ​​ʻōuli a me nā ʻōuli o ka neurosyphilis, hiki ke huikau kēia maʻi me nā maʻi neurological, e like me Alzheimer, sclerosis maha, meningitis, tumo lolo, maʻi ʻo Parkinson, stroke (stroke) a i ʻole nā ​​maʻi psychiatric, e like me schizophrenia a me ke kaumaha.

E aʻo hou aʻe e pili ana i nā pae o ka maʻi i kēia wikiō.

Pehea e hōʻoia ai

Hana ʻia ke kuhi o neurosyphilis e ke kālailai ʻana iā CSF, a i ʻole ka wai cerebrospinal, e hōʻike ana i nā hoʻololi e hōʻike ana i ka maʻi, a hana ʻia ma o ka lumbar puncture.

ʻO nā hoʻokolohua kiʻi, e like me ka tomography compute, magnet resonance a me ka cerebral angiography, paipai nui ʻia e loiloi i nā loli o ka lolo a me ka holomua o ka maʻi. ʻO nā hoʻokolohua koko, e like me FTA-ABS a me VDRL, he mau hoʻokolohua serological ia e kōkua ai e ʻike i nā mea pale e pili ana i ka syphilis. E aʻo pehea e maopopo ai ka hopena o ka hōʻike VDRL.

Pehea e hana ai i ka lāʻau

Pono e mālama ʻia ka lāʻau neurosyphilis i loko o kahi haukapila, ʻo ia hoʻi nā injection i kēlā me kēia lā i loko o ke aa o nā antibiotic e like me crystalline Penicillin G a i ʻole Ceftriaxone, ma kahi o 10 a 14 mau lā.

Ma hope o ka mālama ʻana no neurosyphilis, hiki i ke kauka ke hana i nā hoʻokolohua koko ma ka 3 a me ka 6 mau mahina, a ʻo ka manawa hoʻokahi ia o ka makahiki, no 3 mau makahiki. Hoʻohui ʻia, hiki i nā lumbar punctures ke hoʻokō ʻia i kēlā me kēia 6 mau mahina e hōʻoia i ka hoʻōla o ka maʻi.

E ʻike pū i ka hana ʻia ʻana o ka lāʻau i nā pae ʻokoʻa o ka syphilis.

Nā pilikia i hiki

ʻOiai ʻo ka hapanui o nā ʻōuli o neurosyphilis i hoʻohuli ʻia, ke hana maikaʻi ʻole ʻia ka mālama ʻana, hiki i ka maʻi ke hana i nā loli koʻikoʻi i ka ʻōnaehana puʻuwai waena, e hopena ana i ka sequelae e komo pū ana:

• Paralysis o nā wahi o ke kino;
• Lilo ka hihiʻo;
• Dementia, nā hoʻololi mau i ka hoʻomanaʻo a me ka lawena
• Kuli;
• Hoʻoikaika kino ʻole;
• Psychosis a me nā maʻi psychiatric ʻē aʻe;
• Nā pilikia neʻe
• Urinary incontinence;
• ʻEha mau.

Pili nā pilikia o ka neurosyphilis i ka holomua o ka maʻi i kēlā me kēia kanaka, ka manawa o ka maʻi a me ka manawa e kali ai no ka hoʻomaka ʻana o ka lāʻau.

Kāohi ʻana o neurosyphilis

ʻO Neurosyphilis kahi maʻi i hiki ke loaʻa i nā hopena olakino koʻikoʻi a, no laila, pono e pale ʻia ma o ka lapaʻau kūpono. No laila, ʻo nā mea maʻi me ka syphilis e hāhai i nā ʻōlelo a ke kauka, e pale ana i ka maʻi mai ke hiki ʻana i ka ʻōnaehana, keu hoʻi i nā hihia o nā mea maʻi me kahi ʻōnaehana pale i hoʻololi ʻia.

Hana ʻia ka pale ʻana i ka syphilis me ka hoʻohana ʻana i nā condom i ka wā o ka moekolohe ʻana, a mālama ʻia e pale i ka haumia ma o ke koko a me nā huna, a me nā mea i hoʻohaumia ʻia, e like ʻole me nā syringes a me nā nila, ʻaʻole e kaʻana like ʻia, me ka hoʻohui ke kiaʻi ʻana. -ka hānau kūpono ʻana, i ka manawa o nā wahine hāpai. E nānā i nā alakaʻi hou aʻe e pili ana i ka hopena o ka lawe ʻana a pehea e pale ai i ka syphilis.