Neurosyphilis

Neurosyphilis waa infakshan bakteeriya oo ku dhaca maskaxda ama laf-dhabarka. Badanaa wuxuu ku dhacaa dadka sanado badan qabay waraabowga.

Neurosyphilis waxaa sababa Treponema pallidum. Tani waa bakteeriyada keenta waraabowga. Neurosyphilis wuxuu caadi ahaan dhacaa 10 ilaa 20 sano kadib marka ugu horeysa ee qofka uu ku dhaco waraabow. Ma aha in qof kasta oo qaba waraabowga uu ku dhaco cilladan.

Waxaa jira afar nooc oo kala duwan oo ah neurosyphilis:

• Asymptomatic (qaabka ugu caansan)
• General paresis
• Meningovascular
• Tabeelada dorsalis

Asymptomatic neurosyphilis wuxuu dhacaa kahor waraabowga astaamaha ah. Asymptomatic waxaa loola jeedaa inaysan jirin wax calaamado ah.

Astaamuhu badanaa waxay saameeyaan nidaamka neerfaha. Waxay kuxirantahay nooca neurosyphilis, astaamaha waxaa kamid noqon kara mid ka mid ah kuwan soo socda:

• Socod aan caadi ahayn (socodka), ama aan socon karin
• Kabuubyo suulasha, cagaha, ama lugaha
• Dhibaatooyinka xagga fikirka, sida jahwareerka ama feejignaanta oo liidata
• Dhibaatooyinka maskaxda, sida diiqadda ama xanaaqa
• Madax xanuun, qalal, ama qoor adag
• Luminta kontoroolka kaadiheysta (kaadiheys la'aanta)
• Gariir, ama daciifnimo
• Dhibaatooyinka aragga, xitaa indho la'aanta

Bixiyaha xanaanada caafimaadkaaga ayaa sameyn doona baaritaan jireed waxaana laga yaabaa inuu helo waxyaabaha soo socda:

• Dareen-celin aan caadi ahayn
• Murqo-xanuun
• Murqaha muruqyada
• Isbedelada maskaxda

Baadhitaanada dhiigga ayaa la samayn karaa si loo ogaado walxaha ay soo saarto bakteeriyada keenta waraabowga, tan waxaa ka mid ah:

• Treponema pallidum tijaabinta isku-darka agglutination (TPPA)
• Shaybaarka baaritaanka cudurada xubnaha taranka (VDRL)
• Nuugista unugyada jirka ee loo yaqaan 'Fluorescent treponemal antibody absorption' (FTA-ABS)
• Dhiig-baxa plasma deg-degga ah (RPR)

Cudurka 'neurosyphilis', waxaa muhiim ah in la tijaabiyo dheecaanka laf-dhabarka calaamadaha cudurka waraabowga.

Tijaabooyinka lagu raadinayo dhibaatooyinka nidaamka dareenka waxaa ka mid noqon kara:

• Cudurka 'angiogram'
• Madaxa CT scan
• Daloolida lumbar (lafdhabarta laf-dhabarka) iyo falanqaynta dareeraha maskaxda (CSF)
• Skaanka MRI ee maskaxda, maskaxda, ama laf-dhabarka

Antibiyootikada penicillin waxaa loo isticmaalaa in lagu daaweeyo neurosyphilis. Waxaa loo bixin karaa siyaabo kala duwan:

• Lagu duray xididka dhowr jeer maalintii 10 ilaa 14 maalmood.
• Afka 4 jeer maalintii, oo ay weheliso irbado muruq maalinle ah, labadaba waxaa la qaataa 10 ilaa 14 maalmood.

Waa inaad sameysaa baaritaanno dhiig oo dabagal ah 3, 6, 12, 24, iyo 36 bilood si aad u hubiso in cudurka uu dhammaaday. Waxaad ubaahan doontaa dabagalka dusha sare ee lumbar ee falanqaynta CSF 6dii biloodba mar. Haddii aad qabtid HIV / AIDS ama xaalad kale oo caafimaad, jadwalkaaga dabagalka ayaa ka duwanaan kara.

Neurosyphilis waa dhibaato nafta halis gelisa oo ah waraabowga. Sida ugu wanaagsan ee aad wax u qabato waxay kuxirantahay inta daran ee neurosyphilis-ka uu yahay daaweynta kahor. Ujeedada daaweyntu waa in laga hortago in sii xumaato. Qaar badan oo ka mid ah isbedeladan lama soo celin karo.

Calaamadaha ayaa si tartiib tartiib ah uga sii dari kara.

Wac adeeg bixiyahaaga haddii aad hore waraabow u yeelatay oo hadda aad leedahay calaamado dhibaatooyin habdhiska neerfaha ah.

Si dhakhso ah u ogaanshaha iyo daaweynta cudurka asalka ah ee asalka ah ayaa ka hortagi kara neurosyphilis.

Waraabow - neurosyphilis

• Nidaamka neerfaha iyo nidaamka neerfaha ee durugsan
• Waraabowga marxaladda dambe

Euerle BD. Daweynta lafdhabarta iyo baaritaanka dareeraha maskaxda. Gudaha: Roberts JR, Custalow CB, Thomsen TW, eds. Nidaamka Caafimaadka ee Roberts iyo Hedges ’ee Daawada Degdegga ah iyo Daryeelka Ba’an. 7aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 60.

Machadka Qaranka ee Cudurrada Neerfaha iyo Websaydhka Stroke. Neurosyphilis. www.ninds.nih.gov/Disorders/All-Disorders/Neurosyphilis-Information-Page. La cusbooneysiiyay Maarso 27, 2019. Waxaa la helay Febraayo 19, 2021.

Radolf JD, Tramont EC, Salazar JC. Waraabowga (Treponema pallidum). Gudaha: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, iyo Bennett Mabaadi'da iyo Ku Dhaqanka Cudurada faafa. 9aad. Philadelphia, PA: Elsevier; 2020: cutubka 237.