Neurosyphilis ndi chiyani? Zizindikiro, mitundu, chithandizo, zotsatira

Pansi chindoko amatanthauza matenda venereal chilengedwe zomwe akuswa ena machitidwe mkati limba. Popeza mankhwala woyenera patapita nthawi yochepa kuti angathe neurosyphilis, yodziwika ndi malowedwe matenda mu wamanjenje dongosolo. Ndi zoopsa kwambiri kudwala thanzi la munthu, kuopseza okwana kulumala kapena imfa.

neurosyphilis ndi chiyani?

Pansi neurosyphilis amatanthauza matenda a dongosolo chapakati mantha wa munthu. Chitukuko cha matenda amayamba ndi malowedwe a thupi causative wothandizila a chindoko. The matenda angatengere mbali mu ndondomeko pathological zigawo zonse za wamanjenje dongosolo kuchokera ku ubongo, kutsiriza ndi maganizo. Kukomoka, matenda akuwonetseredwa angapo a matenda a ubongo: chizungulire, kufooka kwa thupi, ziwalo, khunyu, maganizo.

Kwa nthawi yoyamba za chindoko akulankhula mu Ages Middle. Masiku amenewo asayansi sankadziwa chimene neurosyphilis. Ankadwala matenda, ophunzira a Nkhondo za Mtanda. Pa zaka handiredi nkhondo chindoko mwinamwake izo amatchedwa matenda a French, monga British "anabweretsa" izo ku Chile. zaka zambirimbiri zapitazo, chindoko ankaona chiweruzo kufalikira. Chifukwa chitukuko mofulumira sayansi lero, matenda angathe kuchiritsidwa mu masabata ochepa. Komabe, pali patsogolo nthawi zambiri chifukwa cha imfa. Makamaka zogwirizana mlingo mkulu imfa ya neurosyphilis.

Matendawa akhoza kufotokoza nokha mu nthawi iliyonse matenda chinzonono. Matendawa zachokera zotsatira za njira serological kafukufuku ndi mawonetseredwe matenda. Zochizira mankhwala amagwiritsidwa ntchito ndi yopapatiza-sipekitiramu. Today neurosyphilis matenda amapezeka kwambiri kamodzikamodzi kuposa m'nthawi zakale. Ichi ndi chifukwa cha kusintha kwa khalidwe la odwala matenda njira mayeso a anthu, mankhwala oyambirira.

The chikuchititsa mavuto a matenda

Tizilomboto neurosyphilis - wotumbululuka treponema bakiteriya. Infection kumachitika mwachindunji kwa munthu wodwala. Childs, izi zimachitika kudzera kugonana mosadziteteza kugonana. Tizilomboto alowa m'thupi la munthu kudzera zotupa pa nembanemba mucous kapena khungu. The matenda kenako kufalikira pamodzi m'magazi.

thupi sagwirizana mabakiteriya achilendo ndi kupanga oteteza. Ndi kuchepetsa magazi mu ubongo chotchinga wotumbululuka treponema anadzetsa wamanjenje dongosolo. Choncho pang'onong'ono neurosyphilis.

Zimayambitsa matenda amathanso kuvala nonspecific. Development wa matenda anachedwa mankhwala amalimbikitsa mitundu kale matendawa, kuvutika maganizo, chitetezo chokwanira yafupika, kuvulala mutu, kutopa maganizo.

The njira yaikulu matenda:

1. Kugonana. Ndi mawonekedwe ambiri HIV. Tizilomboto likulowerera nembanemba mucous ndi microdamages pa khungu. Mtundu wa kukhudzana kugonana zambiri si udindo wapadera. Ntchito chotchinga kulera (kondomu) amachepetsa chiopsezo kuipitsidwa, koma sizichepetsa kuti ziro.
2. Kuika (magazi, mwai mano).
3. Banja. Matenda kudzera tsiku ndi tsiku muyenera kukhudzana kwambiri ndi munthu odwala. Si lilibe kufala kudzera mathawulo, zinthu wamba banja, ntchito lumo kapena wamsuwachi.
4. Transplacental (mayi kutengerapo mwachindunji kwa mwana wosabadwayo).
5. Professional. Choyamba, izo nkhawa akatswiri thanzi omwe anakumana zonse ndi madzi a m'thupi (magazi, umuna, malovu). Infection n'zotheka obstetrics, zikunena opaleshoni, autopsy.

kulankhulana ndi munthu kachilombo neurosyphilis, nthawi zonse amanyamula kuopseza.

chithunzi matenda

Zizindikiro za neurosyphilis akhoza kutchulidwa kapena achotsa, pamene matenda ndi pa siteji oyambirira chitukuko. Zizindikiro zina wamba khalidwe la matenda, madokotala zimachitika mutu kobwereza, kutopa, dzanzi ya nthambi.

Akatswiri kusiyanitsa oyambirira, mochedwa ndipo kobadwa nako zosinthika matendawa. Poyamba kwa zaka zambiri matenda. Zina amatchedwa mesenchymal akhala makamaka nawo ziwiya pathological ndondomeko ndi nembanemba ubongo. Mochedwa mawonekedwe a kudwala kumaonekera pafupi zaka zisanu kuchokera malowedwe a Treponema pallidum mu thupi. Iwo limodzi ndi chotupa maselo mitsempha ndi ulusi. Kobadwa nako neurosyphilis akufotokozera chifukwa cha transplacental kufala kwa matenda kuchokera mayi kwa mwana wosabadwayo ndi zoonekeratu mkati miyezi yochepa ya moyo.

The neurosyphilis oyambirira

Izi mawonekedwe a matenda zambiri akufotokozera mwa zaka 2-5 pambuyo malowedwe matenda m'thupi. chikhalidwe ichi limodzi ndi chotupa cha nembanemba ubongo ndi mitsempha ya magazi. mawonetseredwe Aika ndi chinzonono meninjaitisi, ndi chindoko ndi neurosyphilis zobisika. Zizindikiro ndi zizindikiro khalidwe lililonse mawonekedwe, tiganizire mfundo zinanso.

1. Asymptomatic (zobisika) neurosyphilis akhoza kutchedwa "mwachisawawa" kupeza. Mu chikhalidwe ichi, zizindikiro khalidwe si anaona ndi matenda akhoza anakhazikitsa kokha mwa kusintha zikuchokera mowa ndi.
2. meninjaitisi chinzonono nthawi zambiri anapezeka ku achinyamata. Mwa zizindikiro woyamba tingaone kunyansidwa ndi kusanza, kupweteka mutu kwambiri. Kutentha thupi limatuluka kawirikawiri. N'zotheka okhudzidwa mu ndondomeko pathological wa misempha cranial akuwonekera bwinobwino ndi chitukuko cha sensorineural kumva imfa.
3. chindoko A amakhala ndi makutu magazi mu ubongo. Chipatala kudwala akuwonetseredwa chisokonezo kwenikweni, kuchuluka bongo, utachepa chidwi ndi kuwonongeka kukumbukira. Kupanda chithandizo yake kungachititse kusisita ischemic. Kawirikawiri izo yoyamba mutu kwambiri, kugona kuwonongeka, nkotheka khunyu.

mochedwa neurosyphilis

kudwala chimenechi ogaŵikana njira zosiyanasiyana:

• Progressive ziwalo.
• Tabes dorsalis.
• Gummy neurosyphilis.
• Manja kwa mitsempha chamawonedwe.
• neurosyphilis Meningovascular (zizindikirozo ofanana ndi maonekedwe oyambirira a matenda).

Pankhani ziwalo zimafa pang'onopang'ono, munthu meningoencephalitis aakulu. Iye kawirikawiri akufotokozera patapita zaka 5-15 pambuyo matenda ndi chindoko. Chifukwa chachikulu mawonekedwe matenda - wotumbululuka treponemes malowedwe mu maselo a mu ubongo ndipo chitayiko chawo wotsatira. Poyamba, odwala wapezeka kusintha ntchito apamwamba mantha (kuwonongeka chidwi ndi kukumbukira, irritability). Monga kudwala matendawa akulowa matenda a m'maganizo (maganizo, zinyengo ndi kuyerekezera zinthu m'maganizo). Mwa zizindikiro ubongo akhoza taonera kugwedeza lilime, dysarthria ndi kusintha cholembedwa. Matendawa akufotokozera kwambiri ndipo m'miyezi yochepa ndi amapha.

Ngati amakhudza dorsal muzu ndi zingwe msana, madokotala kuti tabes dorsalis. Chipatala kudwala kumaonekera mwa mawonekedwe a imfa ya bongo m'miyendo, Kusakhazikika mu malo Romberg. Chifukwa cha kusintha gait anthu. N'zotheka zikamera wa chamawonedwe mitsempha manja. matenda khalidwe linanso ndi zilonda trophic.

Manja a mitsempha chamawonedwe , zina, amachita monga maonekedwe osadalira pa matenda monga neurosyphilis. Zotsatira za matendawa kwambiri amachepetsa khalidwe la moyo. Koyamba pathological ndondomeko amakhudza diso limodzi, koma patapita kanthawi kumakhaladi amgwirizano. Yafupika zithunzi acuity. Popeza mankhwala yake kukhala khungu.

Gummy neurosyphilis. Gummi ndi anamaliza formations amene anapanga chifukwa cha kutupa chifukwa treponema. Zikukhudzira ubongo ndi msana, compressing misempha. Chipatala kudwala akuwonetseredwa ndi ziwalo za miyendo ndi matenda m'chiuno.

kobadwa nako neurosyphilis

Izi mawonekedwe a matenda amawapeza kawirikawiri. Woyembekezera, ndi woyembekezera latsopano mayi mobwerezabwereza akukumana ndi mayesero kudziwa matenda. Ngati matenda intrauterine kwachitika, n'zosavuta kwambiri kuti azindikire. Chithunzi matenda amakhala ndi zizindikiro zofanana ndi odwala wamkulu, kupatula tabes dorsalis.

Kobadwa nako mawonekedwe a matenda ali ndi zizindikiro zapadera. Izi otchedwa hydrocephalus ndi Hutchinson wa ku: kugontha, keratitis ndi mapindikidwe wa incisors chapamwamba. mankhwala panthawi yake akhoza kulepheretsanso matenda, koma zizindikiro ubongo apitiriza moyo.

matenda a neurosyphilis

neurosyphilis Kodi ife tawuzidwa. Kodi kutsimikiza matenda? matenda okhazikika akhoza potengera muyezo waukulu atatu: khalidwe matenda chithunzi, zotsatira za mayeso chifukwa chindoko, akudzizindikiritsa kusintha zikuchokera madzimadzi cerebrospinal. kuwerengetsa chokwanira cha alili umakhala pambuyo kuona ubongo.

Pankhani mayesero choyezera, iwo akutsatiridwa comprehensively. Nthawi zina, mayeso kubwerezabwereza. Kwambiri nkhani zasayansi njira yodziwira monga RPR-kusanthula RIBT, RIF, ndi chizindikiritso cha nthumwi opatsirana mu nkhani za khungu anakhudzidwa.

Popeza zizindikiro kutchulidwa anachita lumbar puncture. Neurosyphilis mu CSF amasonyeza kukwezeka Kuchuluka kwa mapuloteni, ndi causative wothandizira wa matenda - wotumbululuka treponemu.

Kujambula ndi CT jambulani wa chingwe msana Kwalamulidwa kwa odwala onse ndi neurosyphilis ankaganizira. Matendawa ndi apparatuses wapadera limasonyeza manja hydrocephalus ndi ubongo mankhwala.

Mmene tingagonjetsere neurosyphilis?

Chithandizo cha mitundu oyambirira a matenda zachokera a mtopola mankhwala opha tizilombo. Chifukwa chaichi, kukonzekera penicillin ndi cephalosporin zino. Childs, mankhwala ndi zovuta zimaphatikizapo kugwiritsa ntchito mankhwala angapo pa nthawi yomweyo. Chiwembu mwachizolowezi: "Penicillin", "Probenecid", "Ceftriaxone". mankhwala onse kutumikiridwa m'nsinga. Majekeseni "Penicillin" muzipatula ngalande msana. The njira ya mankhwala zambiri kumatenga masabata awiri. Kenako, wodwalayo amaloŵamo kukonzanso bwinobwino zimene inu mukhoza kuweruza zotsatira za mfundo kaya n'zotheka kupambana neurosyphilis. Chithandizo kupitiriza ngati cerebrospinal madzimadzi chionetsero wotumbululuka treponemu.

Pa tsiku loyamba la mankhwala akhoza kuvutika zizindikiro ubongo (mutu, nyamuka kutentha, tachycardia). Zikatero, chithandizocho lowonjezera ndi mankhwala odana ndi yotupa ndi corticosteroids.

Pofuna mitundu mochedwa neurosyphilis ntchito mankhwala ndi Arsenic ndi bismuth, yodziwika ndi kawopsedwe mkulu.

Mapa ndi zotsatira

mitundu oyambirira neurosyphilis amalabadira chithandizo, kuchira zonse ndi zotheka. Nthawi zina, anapitiriza otchedwa zotsatira yotsalira mu mawonekedwe a paresis ndi dysarthria zomwe zingachititse chilema.

mitundu kutsogoloku kudwala bwino mankhwala kuchipatala. Zizindikiro ubongo amakonda kukhala ndi mtima ndi moyo.

Progressive ziwalo zaka zingapo zapitazo zinachititsa ziyende amapha. Lero, kugwiritsa ntchito mankhwala a penicillin zimathandiza kuchepetsa mawonetseredwe a zizindikiro ndi neurosyphilis pang'onopang'ono.

Photo odwala ndi matenda ichi ndi mankhwala maphunziro amatithandiza kudziwa kuopseza kudwala akubweretsa kwa thupi. Ndicho chifukwa chake aliyense ayenera kudziwa momwe mungapewere matenda.

zodzitetezera

Popewa matenda, madokotala analimbikitsa kusiya kusalankhula kugonana. Ndi ndi mwapadera kuti ukhondo. Anthu kachilombo Treponema pallidum, pa maziko kuvomerezedwa ayenera kukayezetsa Kupenda njira ndi matenda okhudza ubongo a.

neurosyphilis ndi chiyani? Izi ndi matenda oopsa yodziwika ndi CNS. Popeza mankhwala yake angayambe mavuto moyo pachiswe, zomwe zimakhudza khalidwe la moyo, ndipo nthawi zina amatha kufa. Choncho muyenera Yesetsani kupewa matenda, ndipo pambuyo matenda yomweyo kuchipatala.