Yintoni neurosyphilis? Iimpawu, iifomu, unyango, iziphumo

Phantsi negcushuwa ibhekisa indalo isifo neegcushuwa, leyo waphula ezinye iinkqubo omzimba lwangaphakathi. Xa engekho unyango abanobuchule emva kwexesha elifutshane elo nxeba neurosyphilis, luphawulwa kwii-sifo kulo luvo. Kuyingozi kakhulu ngezifo impilo yabantu, ukusongela ukukhubazeka iyonke okanye ukufa.

Yintoni neurosyphilis?

Phantsi neurosyphilis ibhekisa sisifo esosulelayo kwinkqubo luvo womntu. Uphuhliso sifo sibangelwa kwii yomenzeli causative umzimba negcushuwa. Usuleleko uthatha inxaxheba kwinkqubo zophendlo lwezifo zonke iinxalenye luvo yobuchopho kunye nesiphelo kunye izivamvo. Ngokwezonyango, esi sifo kuboniswa kwinani zizigulo zemithambo: nesiyezi, buthathaka kwezihlunu, ukukhubazeka, ukuxhuzula, sengqondo esixhalabisayo.

Kuba okokuqala malunga negcushuwa ethetha bamaXesha Aphakathi. Ngaloo mihla kweyezazi babengazi ukuba yintoni neurosyphilis. Uphethwe sesi sifo, nxaxheba Zomnqamlezo. Ngexesha Iminyaka Elikhulu War negcushuwa oku ngenye indlela kuthiwa isifo French, njengoko yaseBritani "wenza" kwi nezwe. kangangamashumi eminyaka eyadlulayo, negcushuwa njengento isivakalisi licham. Ngenxa kuphuhliso okukhawulezileyo kwenzululwazi namhlanje, esi sifo sinokunyangeka apha kwiiveki ezimbalwa. Nangona kunjalo, uhlobo oluphambili zidla unobangela wokufa. Sifaneleka ukuba izinga eliphezulu lokufa neurosyphilis.

Esi sifo uziveze kulo naliphi na ixesha na usuleleko syphilitic. Uxilongo isekelwe kwiziphumo iindlela serological yophando kunye kubonakaliswa lwezonyango. Kuba unyango antibiotics ezisetyenziswa ngokuqhelekileyo zimxinwa-omoya. Namhlanje isifo neurosyphilis kwenzeka kakhulu alufane ngakumbi kwinkulungwane edluleyo. Oku kungenxa kuphuculo umgangatho weenkqubo zokuxilonga, iimviwo othintelo yabantu, unyango kwangoko.

Eyona eziphambili ezibangela zosulelo

neurosyphilis lwegciwane - luthuthu treponema igciwane. Usulelo lwenzeka kumntu ogulayo ngqo. Ngokuqhelekileyo, oku kwenzeka ingokwabelana ngesondo ngokungakhuselekanga. Lwegciwane ungena umzimba womntu ngokusebenzisa unezilonda imifinya okanye isikhumba yangaphakathi. Usuleleko ke ukuba kuye kwanwenwa ecaleni egazini.

Umzimba uyiphendula iintsholongwane angaphandle ngokuthi imveliso omzimba. Ngokunciphisa umqobo igazi-nobuchopho kuba luthuthu treponema eyaziswa luvo. Ngoko kancane kancane neurosyphilis.

Ubangelwa esi sifo naye makanxibe nonspecific. Uphuhliso isifo unyango kwalibaziseka kukhuthaza iintlobo ngaphambi sifo, ukudandatheka, kunciphise sifo, ukonzakala entloko, ukudinwa kwengqondo.

Yeendlela eziphambili zosulelo:

1. Ngesondo. Yeyona lolona hlobo luqhelekileyo yokosulela. Lwegciwane ingena inwebu yangaphakathi kunye microdamages apha esikhumbeni. Uhlobo contact ngokwesondo zidla ukudlala indima ekhethekileyo. Ukusetyenziswa zokucwangcisa ngumqobo (ikhondom) lunciphisa ubungozi yongcoliseko, kodwa ningalinciphisi, ku nothi.
2. Ezinye (ukutofelwa igazi, zazo zamazinyo).
3. Household. Kuba kusulelo ngemihla sidinga obukhulu kunye nomntu ogulayo. It is hhayi ngaphandle transmission nge iitawuli, izinto zasekhaya eqhelekileyo, sebenzisa sokucheba okanye ibhrashi yamazinyo.
4. Transplacental (mother-transfer ngqo olungekazalwa).
5. Professional. Okokuqala, kumayelana iingcali zempilo abo bahlale kunye neencindi zomzimba (igazi, amadlozi, ematheni). Usulelo kunokwenzeka nokubeleka, ungenelelo zotyando, kwesidumbu.

Nayiphi Ngokudibana onesibetho neurosyphilis, usoloko ethwele usongo.

picture clinical

Iimpawu neurosyphilis nga kubhengezwa okanye acinywe, xa sifo kwibakala lokuqala lophuhliso. Ezinye iimpawu eziqhelekileyo iimpawu zesi sifo, oogqirha bathi intloko ebuhlungu nezolo, ukudinwa, antsi le imilenze.

Iingcali bahlule ekuqaleni, lobeko kade kunye naso esi sifo. Okokuqala kuphuhliswa iminyaka eliqela emva kokosuleleka. Kungenjalo ibizwa ngokuba mesenchymal ziye kakhulu inxaxheba izitya kwinkqubo zophendlo lwezifo kunye nemisipha ebuchotsheni. uhlobo kade leengxaki esizibonakalisa emihlanu ukususela kwii-Treponema pallidum emzimbeni. It sikhatshwa sisilonda esidumbileyoesingaphakathi iiseli zemithambo-luvo kunye imicu. neurosyphilis azalwa ikhula ngenxa yokosulela transplacental osulelo ukusuka kumama ukuya kwimveku kwaye kuyacaca ngaphakathi kwiinyanga zokuqala ezimbalwa zobomi.

Le neurosyphilis ekuqaleni

Olu hlobo esi sifo ngokuqhelekileyo eyenzeke kwiminyaka 2-5 emva kwii zokugula emzimbeni. Le meko sikhatshwa sisilonda esidumbileyoesingaphakathi lweenwebu ingqondo imithambo yegazi. obubonakala ezona meningitis syphilitic, a ngegcushuwa kunye neurosyphilis angasebenzi. Iimpawu nemiqondiso uphawu ifomu nganye, cinga iinkcukacha ezithe vetshe.

1. Nazimpawu (ebhekiswe) neurosyphilis ingabizwa i "random" ukufumana. Kulo meko, iimpawu uphawu bangabi sathi, kwaye kuzinza uxilongo kuphela utshintsho nokwakheka utywala.
2. Syphilitic meningitis amaninzi olufunyanwa abadala abasebatsha. Olunye lweempawu zokuqala ziyakwazi ukuchongeka isicaphucaphu nokugabha, iintloko ezibuhlungu kakhulu. Iqondo lobushushu emzimbeni liphuma kunqabile kakhulu. inxaxheba kangangoko kule nkqubo zophendlo lwezifo ze-luvo cranial ibonakalisiwe abangaboni kakuhle kunye nophuhliso ubuthulu sensorineural.
3. A negcushuwa luphawulwa kakuhle igazi kwegazi ebuchotsheni. ngezifo lwezonyango wabonakalaliswa zemizwa, ukwanda ikhaliphe, sinciphise ingqalelo kunye nememori sokunciphisa. Yokunqongophala konyango kwangexesha kungakhokelela stroke kobuchopho. Kudla kokuba landulelwa enentloko engapheliyo, ukulala ongaboniyo, kunokwenzeka ukuxhuzula.

neurosyphilis emva kwexesha

Le ngezifo kwakhona yahlulwe ngeendlela ezininzi:

• ekukhubazekeni okuqhubekayo.
• Tabes dorsalis.
• Gummy neurosyphilis.
• Yome ka-luvo optic.
• neurosyphilis Meningovascular (iimpawu ezifanayo uhlobo ekuqaleni kwesi sifo).

Xa kuziwa ekukhubazekeni okuqhubekayo, ziquka meningoencephalitis esinganyangekiyo. Uye emva kweminyaka 5-15 emva kokuba usulelo kunye negcushuwa. Esona sizathu siphambili olu hlobo isifo - lisuke labuna treponemes ungekafiki owama kwizisele zobuchopho kwaye intshabalalo zabo ezilandelayo. Ekuqaleni, izigulane kubonakele utshintsho yomsebenzi ephakamileyo luvo (ukonakala ingqalelo kunye memory, ukuba nochuku). Njengoko ukuqhubela phambili kwesifo bazihlanganisa ukuphazamiseka (ukudakumba, iimfeketho zokufeketha kunye nemibono). Olunye lweempawu luvo ukuze kuphawulwe ulwimi lafa, dysarthria notshintsho yokubhala. Isifo iphuhlisa ngokukhawuleza yaye kwiinyanga nje ezimbalwa lelibulalayo.

Ukuba ichaphazela ingcambu amanakani neentambo spinal, oogqirha bathi tabes dorsalis. ngezifo lwezonyango esizibonakalisa ngohlobo zokulahleka ikhaliphe zamaqatha, kozinzo kwi Romberg sikhundla. Ngenxa yokutshintsha iqinelwa kwabantu. Kusenokwenzeka ukuvela kwe-luvo yoma optic. Esinye isifo uphawu lo izilonda trophic.

Yoma of the luvo optic , kwezinye iimeko, wenza njengoko ifom oluzimeleyo sifo njengoko neurosyphilis. Imiphumo sifo kakhulu kunciphisa umgangatho wobomi. Inkqubo yokuqala zophendlo lwezifo kuchaphazela unaliso linye kuphela, kodwa emva komzuzwana kuba abambiseneyo. Ukuncipha acuity ezibonwayo. Xa engekho unyango ngexesha yokuvela ziimfama.

Gummy neurosyphilis. Gummi na Iziseko ajikelezayo ezithi akhiwa ngenxa komtshiso okubangelwa treponema. Bachaphazela ingqondo kunye umnqonqo, ngokuveza luvo. ngezifo lwezonyango kuboniswa ukushwabana imilenze nokuphazamiseka zangasese.

neurosyphilis naso

Olu hlobo isifo eso kunqabile kakhulu. Ngexa lokukhulelwa, unina omtsha okhulelweyo ngokuphindaphindiweyo lokholo ukuchonga usulelo. Ukuba usuleleko intrauterine kwenzeke, kulula kakhulu ukuba baqaphele. Lo mfanekiso kwezonyango luphawulwa iimpawu efanayo naleyo izigulane abadala, ngaphandle tabes dorsalis.

uhlobo naso esi sifo uneempawu ezikhethekileyo. Oku njalo-ebizwa hydrocephalus kunye hutchinson triad: ukungeva, keratitis kunye deformation le siphume eliphezulu. unyango ngexesha elifanelekileyo enokuthintela inkqubo usuleleko, kodwa iimpawu luvo baqhubeka ubomi.

isifo neurosyphilis

Yintoni neurosyphilis, sixelelwa. Indlela ukuqinisekisa esi sifo? Uxilongo esichazayo ekunokuthi kusekelwe kwindlela ezintathu eziphambili: umfanekiso mpawu lwezonyango, iziphumo zeemvavanyo ze negcushuwa, ekuchongeni utshintsho ekwakhiweni kolwelo fluid. uvavanyo olwaneleyo imeko yomguli isemthethweni kuphela emva koviwo luvo.

Ngokumalunga neemvavanyo elebhu, ukuba yenziwa ngokubanzi. Kwezinye iimeko, uvavanyo-phindo. Elebhu kakhulu ulwazi iindlela zokuxilonga ziquka RPR-analysis RIBT, RIF, kunye nokuchongwa yomenzeli ezosulelayo kwi imixholo isikhumba ochaphazelekayo.

Xa ukungabikho kweempawu endibuthethileyo eyenziwa empontshwa. Neurosyphilis in CSF show eziphakamileyo amanqanaba kwiproteni, kwaye arhente causative lwesifo - lipholi treponemu.

MRI kunye CT scan umnqonqo imiselwe kuzo zonke izigulane neurosyphilis besola. Uxilongo ngu kwezixhobo ezizodwa utyhila yoma hydrocephalus kunye nempahla ebuchotsheni.

Indlela ukuwina neurosyphilis?

Unyango iintlobo yokuqala sifo isekelwe an unyango ndlongo isibulala-zintsholongwane. Ukulungiselela le njongo, amalungiselelo penicillin kunye cephalosporin series. Ngokuqhelekileyo, unyango unzima kwaye kubandakanya ukusetyenziswa amayeza ezininzi ngexesha elinye. Iskim yesiqhelo: "penicillin", "Probenecid", "Ceftriaxone". Yonke imithi Administrator yegazi. Iinaliti "penicillin" kuyiphelisa lomsele spinal. Ikhosi lonyango ngokuqhelekileyo ithatha iiveki ezimbini. Emva koko, isigulana ivavanywa kwakhona yoviwo, apho unako kugweba iziphumo yokuba ingaba kwakunokwenzeka ukuphumelela neurosyphilis. Treatment uyolule ukuba umboniso kulwelo lwe- cerebrospinal lipholi treponemu.

Ngosuku lokuqala unyango ngamachiza inokuba mandundu iimpawu luvo (intloko ebuhlungu, ukunyuka kwamaqondo obushushu, tachycardia). Kwiimeko ezinjalo, unyango zincediswe amachiza-ukudumba kunye corticosteroids.

Ukuphelisa iintlobo kade neurosyphilis basebenzisa iziyobisi kunye iarseniki kunye bismuth, ebonakala letyhefu eliphezulu.

Wezulu kunye nemiphumela

iintlobo kwangoko neurosyphilis basabela kakuhle kunyango, ukuchacha ngokupheleleyo kunokwenzeka. Kwezinye iimeko, igcinwe imiphumo ekuthiwa-intsalela ngokohlobo paresis kunye dysarthria ezinokubangela ukukhubazeka.

iintlobo Kamva leengxaki kakubi kuthomalaliso zonyango. Iimpawu luvo badla ukuhlala kunye isigulane ubomi.

Progressive uhlangothi kwiminyaka embalwa edlulileyo kubangele esibulalayo. Namhlanje, ukusetyenziswa antibiotics penicillin ivumela ukunciphisa ngokubonakala iimpawu kunye neurosyphilis ezicothayo.

Photo of izigulane kunye nale isifo kwaye ngokwamaqela unyango ukuvumela ukuba siqonde ngezifo usongo kuzisa umzimba. Kungenxa yoko le nto wonke umntu kufuneka akwazi nokuba ungayinqanda njani le sifo.

amanyathelo othintelo

Ukuthintela usuleleko, oogqirha bacebisa ukuba bashiye neentlobano yesini. Ke ingqalelo ekhethekileyo ngococeko. Abantu abanentsholongwane Treponema pallidum, qho mandatory kufuneka bangenele iimviwo othintelo yi luvo.

Yintoni neurosyphilis? Esi sisifo eyingozi esibonakala CNS. Xa engekho unyango ngexesha kusenokwenzeka ukuba ukuphuhlisa kubunzima ezisongela ubomi, nto leyo echaphazela ngqo umgangatho wobomi, kwaye ngamanye amaxesha kukhokelela ekufeni. Ngoko ke, kufuneka lokukhathalela yokuthintela isigulo, yaye emva kokuba usulelo nangoko funa uqwalaselo lwamayeza.