Kiwon lafiya, Cututtuka da kuma Yanayi
Mene ne neurosyphilis? Alamun, siffofin, magani, sakamakon
Karkashin syphilis tana nufin venereal cuta hali, wanda ya karya wasu ciki sashin jiki tsarin. A rashin m magani bayan wani gajeren lokaci shi yana iya ci gaba neurosyphilis, halin da shigar azzakari cikin farji daga kamuwa da cuta a cikin juyayi tsarin. Yana da matukar hatsari ga lafiyar dan adam Pathology ƙyacẽwa, jimlar tawaya ko mutuwa.
Mene ne neurosyphilis?
Karkashin neurosyphilis na nufin wani cutar da tsakiya m tsarin mutum. A ci gaba da cuta ne ya sa ta shigar azzakari cikin farji na jiki causative wakili na syphilis. Kamuwa da cuta za a hannu a cikin pathological aiwatar da dukkan sassa na juyayi tsarin daga kwakwalwa da kuma kawo karshen tare da hankula. Asibiti, cutar aka bayyana ta a yawan neurological cuta: dizziness, tsoka rauni, inna, seizures, gigin-tsufa.
A karo na farko game da syphilis magana a tsakiyar zamanai. A waɗannan kwanaki da alchemists bai san abin da neurosyphilis. Sha wahala daga cutar, mahalarta na Jihadi. A lokacin da shekara ɗari War syphilis in ba haka ba shi ya kira Faransa cuta, kamar yadda Birtaniya "ya kawo" shi daga ɓangaren duniya. Da dama da suka gabata da suka wuce, syphilis aka dauke a jumla ga contagion. Saboda da m cin gaban kimiyya yau, wannan cutar za a iya warkar da a cikin 'yan makonni. Duk da haka, ci-gaba siffofin ne sau da yawa a cikin hanyar mutuwa. Musamman dacewa ga high mace-mace kudi na neurosyphilis.
Cutar na iya bayyana kanka a wani lokaci na syphilitic kamuwa da cuta. Ganewar asali dogara ne a kan sakamakon serological hanyoyin bincike da kuma na asibiti manifestations. Domin lura da amfani maganin rigakafi ne kunkuntar-bakan. Yau neurosyphilis cuta auku sosai kasa akai-akai fiye da a baya karni. Wannan shi ne saboda da kyautata ingancin bincike hanyoyin, m Nazarin na yawan jama'ar, farkon far.
Babban haddasawa kamuwa da cuta
Pathogen neurosyphilis - kodadde treponema kwayoyin. Kamuwa faruwa kai tsaye daga wani rashin lafiya mutum. Yawanci, wannan na faruwa ne ta kuranye jima'i. Pathogen shiga cikin jikin mutum ta hanyar raunuka a kan mucous membranes ko a fata. Kamuwa da cuta sa'an nan shimfidawa tare da jini.
A jikin reacts zuwa kasashen waje kwayoyin da antibody samar. By rage jini-kwakwalwa shãmaki kodadde treponema gabatar a cikin juyayi tsarin. Kamar haka hankali tasowa neurosyphilis.
A Sanadin wannan cuta na iya ma sa nonspecific. Development cuta jinkirta jiyya da inganta harkokin baya siffofin da cutar, wani tunanin wahala, rage rigakafi, shugaban raunuka, shafi tunanin mutum da gajiya.
Babban hanyoyi na kamuwa da cuta:
- Jima'i. Shi ne ya fi kowa nau'i na watsa. Pathogen ratsa cikin mucous membranes da microdamages a kan fata. Irin jima'i lamba yawanci ba wasa na musamman rawa. A amfani da shãmaki hana (kwaroron roba) rage hadarin na samu, amma ba ya rage shi da sifili.
- Transfussion (jini, hakori jan).
- Household. Domin kamuwa da cuta ta hanyar yau da kullum bukatar sosai kusa lamba tare da rashin lafiya mutum. Ba a cire watsa via tawul din, kowa gidan abubuwa, yi amfani da reza ko buroshin hakori.
- Transplacental (uwa-canja wurin kai tsaye zuwa tayin).
- Professional. Da farko, shi ya shafi kiwon lafiya kwararru da suka kasance a akai lamba tare da jiki ruwaye (jini, da maniyyi, yau). Kamuwa ne zai yiwu a cutukan, m shisshigi, autopsy.
Duk wani lamba tare da wani mutum kamu da neurosyphilis, ko da yaushe daukawa barazana.
asibiti hoto
Alamun neurosyphilis za a iya furta ko share, a lokacin da cutar ne a wani wuri mataki na ci gaba. Wasu daga cikin na kowa bayyanar cututtuka halayyar da cuta, da likitoci a sakamakon maimaita ciwon kai, gajiya, numbness na wata gabar jiki.
Masana sun bambanta farkon, marigayi, kuma nakasar bambance-bambancen da cutar. Da farko raya shekaru da dama bayan kamuwa da cuta. In ba haka ba shi ne ake kira mesenchymal aka farko da hannu a cikin pathological aiwatar tasoshin da kuma kwakwalwa membranes. Late nau'i na Pathology bayyana kanta a game da shekaru biyar tun shigar azzakari cikin farji na Treponema pallidum a cikin jiki. An tare da wani rauni daga cikin jijiya Kwayoyin kuma zaruruwa. Nakasar neurosyphilis tasowa a sakamakon transplacental watsa daga kamuwa da cuta daga uwa zuwa tayin da ya bayyana daga cikin na farko da 'yan watanni na rayuwa.
A farkon neurosyphilis
Wannan nau'i na cutar yawanci tasowa a cikin 2-5 shekaru bayan shigar azzakari cikin farji daga kamuwa da cuta a cikin jiki. Wannan yanayin da aka tare da wani rauni na kwakwalwa membranes da jini. Its main bayyananen ne syphilitic meningitis, a syphilis kuma latent neurosyphilis. Alamun da kuma ãyõyinSa da halayyar kowane nau'i, la'akari da a kara daki-daki.
- Asymptomatic (latent) neurosyphilis iya kira a "bazuwar" sami. A wannan yanayin, da halayyar bayyanar cututtuka ba su kiyaye, da kuma bincike da za a iya kafa ne kawai da wani canji a cikin abun da ke ciki na da sayar da giya.
- Syphilitic meningitis ne mafi sau da yawa bincikar lafiya a matasa. Daga cikin na farko da bayyanar cututtuka za a iya gano tashin zuciya da kuma amai, mai tsanani ciwon kai. A yanayin jiki yakan sosai da wuya. Matsaloli da hannu a pathological aiwatar da girman jijiyoyi aka bayyana gani sosai da kuma ci gaban sensorineural ji hasara.
- A syphilis ne halin da sosai jini wurare dabam dabam a cikin kwakwalwa. Clinical Pathology bayyana azanci shine disturbances, ya karu da numfashinsa, rage da hankali da kuma memory hanawa. Rashin dace magani iya kai wa ga ischemic bugun jini. Yawancin lokaci shi ne wadda ta gabãta daga tsananin ciwon kai, barci hanawa, zai yiwu seizures.
marigayi neurosyphilis
Wannan Pathology kuma zuwa kashi dama siffofin:
- Progressive inna.
- Tabes dorsalis.
- Gummy neurosyphilis.
- Atrophy na na gani jijiya.
- Meningovascular neurosyphilis (bayyanar cututtuka su ne kama da farkon nau'i na cutar).
Idan ya zo ga m inna, unsa na kullum meningoencephalitis. Ya yawanci tasowa bayan 5-15 shekaru bayan kamuwa da cuta da syphilis. Babban dalilin wannan nau'i na cutar - kodadde treponemes shigar azzakari cikin farji cikin kwakwalwa Kwayoyin da m hallaka. Da farko, da marasa lafiya ana gano canje-canje na mafi girma m aiki (tabarbarewar da hankali da kuma memory, irritability). Kamar yadda da ci gaban da cutar suna shiga tabin hankali cuta (ciki, r ?? i kuma hallucinations). Daga cikin neurological cututtuka iya lura tremor harshe, dysarthria da kuma canji da rubutun hannu. Haka kuma cutar tasowa cikin sauri da kuma a cikin 'yan watanni ne m.
Idan rinjayar da dorsal tushen da kuma kashin baya igiya, likitoci sun ce tabes dorsalis. Clinical Pathology bayyana kanta a cikin irin asarar idon reflexes, rashin zaman lafiya a cikin Romberg matsayi. A sakamakon canza mutum Gait. Yana yiwuwa fitowan na na gani jijiya atrophy. Wani halayyar cuta ne trophic ulcers.
Atrophy na da na gani jijiya , a wasu lokuta, abubuwa a matsayin mai zaman kanta nau'i na cutar kamar yadda neurosyphilis. A sakamakon cutar muhimmanci rage ingancin rayuwa. A farko pathological aiwatar rinjayar daya kawai ido, amma bayan wani lokaci ta zama dangantakar. Rage na gani acuity. A rashin dace magani daga tasowa makanta.
Gummy neurosyphilis. Gummi ne taso tsarin da ake kafa a sakamakon da kumburi lalacewa ta hanyar treponema. Su shafi kwakwalwa da kuma laka, compressing jijiyoyi. Clinical Pathology aka bayyana ta inna da wata gabar jiki da kuma pelvic cuta.
nakasar neurosyphilis
Wannan nau'i na cutar da ake bincikar lafiya sosai da wuya. A lokacin daukar ciki, da expectant sabon uwa akai-akai jurewa gwaje-gwaje don gane cututtuka. Idan intrauterine kamuwa ya faru, yana da matukar sauki gane. The asibiti hoto ne halin da wannan bayyanar cututtuka kamar cewa daga adult marasa lafiya, fãce tabes dorsalis.
Nakasar nau'i na cutar yana rarrabe bayyanar cututtuka. Wannan ake kira hydrocephalus da Hutchinson triad: nauyi, keratitis da nakasawa daga cikin manya incisors. Dace magani iya dakatar da kamuwa da cuta tsari, amma neurological cututtuka dage dukan rayuwarsa.
ganewar asali neurosyphilis
Mene ne neurosyphilis, muna gaya wa. Yadda za a tabbatar da cuta? Tabbatacce ganewar asali za a iya dogara ne a kan uku babban sharudda: halayyar asibiti hoto, sakamakon gwaje-gwaje domin syphilis, gano canje-canje a cikin abun da ke ciki na cerebrospinal ruwa. Isasshen kima na haƙuri da yanayin ne kawai inganci bayan da neurological jarrabawa.
Game da dakin gwaje-gwaje gwaje-gwaje, da suka suna da za'ayi fahimce. A wasu lokuta, a gwajin maimaitawa. A mafi m dakin gwaje-gwaje bincike hanyoyin hada RPR-analysis RIBT, RIF, da kuma ganewa na dauke da kwayar cutar wakili a cikin abinda ke ciki na shafa fata.
A cikin rashi na furta cututtuka yi lumbar huda. Neurosyphilis a CSF show dagagge matakan na gina jiki, da kuma causative wakili na cuta - kodadde treponemu.
MRI da CT scan na laka an wajabta, a dukan marasa lafiya da ake zargin neurosyphilis. Ganewar asali da musamman apparatuses bayyana atrophy hydrocephalus da kwakwalwa abu.
Yaya lashe neurosyphilis?
Jiyya na farkon siffofin da cutar dogara ne a kan wani m kwayoyin far. A saboda wannan dalili, shirye-shirye na penicillin da cephalosporin jerin. Yawanci, far ne hadaddun da ya shafi yin amfani da dama magunguna a lokaci guda. A saba makirci: "penicillin", "Probenecid", "Ceftriaxone". All kwayoyi suna gudanar intravenously. Injections "penicillin" ma sa kashin baya canal. A hanya na lura yawanci yana da makonni biyu. Bayan nan, da mãsu haƙuri shigarsu a sake jarrabawa, a cikin abin da za ka iya yin hukunci da sakamakon da gaskiya ko ya yiwu lashe neurosyphilis. Jiyya tsawanta idan cerebrospinal ruwa nuna kodadde treponemu.
A rana ta farko na miyagun ƙwayoyi far iya worsen neurological cututtuka (ciwon kai, Yunƙurin a zazzabi, tachycardia). A irin haka ne, magani ne complemented anti-kumburi kwayoyi da kuma corticosteroids.
Don magance marigayi siffofin neurosyphilis amfani da kwayoyi tare da arsenic da bismuth, halin high yawan guba.
Forecast da kuma sakamakon
Farkon siffofin neurosyphilis amsa da kyau zuwa magani, cikakken maida shi ne zai yiwu. A wasu lokuta, riƙe abin da ake kira saura effects a cikin nau'i na paresis kuma dysarthria cewa zai iya sa tawaya.
Daga baya siffofin Pathology talauci to likita far. Neurological cututtuka ayan kasance tãre da mãsu haƙuri ga rayuwa.
Progressive inna a 'yan shekaru da suka wuce sa a wani m sakamako. Yau, da yin amfani da maganin rigakafi penicillin damar magance bayyanuwar cututtuka da kuma jinkirin neurosyphilis.
Photo da marasa lafiya tare da wannan bincike da kuma bayan lura da darussa da damar mu mu fahimci barazana Pathology ya kawo jiki. Wannan shi ne dalilin da ya sa kowa da kowa ya san yadda za a hana wannan cuta.
m matakan
Don hana kamuwa da cuta, da likitoci bayar da shawarar rabuwa da uncontrolled jima'i. Yana da da kulawa ta musamman ga na sirri kiwon lafiya. Mutanen da suka kamu da Treponema pallidum, a kan wani m-akai ya kamata sha m jarrabawa da wani neurologist.
Mene ne neurosyphilis? Wannan ne mai hadarin gaske cuta halin da CNS. A rashin dace magani kusantar wajen samar da rayuwa-barazanar rikitarwa, wanda kai tsaye shafi ingancin rayuwa, da kuma wani lokacin kai ga mutuwa. Saboda haka, ya kamata ka ba sakaci da rigakafin rashin lafiya, da kuma bayan kamuwa da cuta nan da nan nemi magani.
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