Tabeelada dorsalis

Tabes dorsalis waa dhibaato ka timaadda waraabowga oo aan la daaweyn oo ku lug leh daciifnimada murqaha iyo dareenka aan caadiga ahayn.

Tabes dorsalis waa nooc ka mid ah neurosyphilis, taas oo dhibaato ku ah infekshanka marxaladda dambe ee waraabowga. Syphilis waa infekshan bakteeriya oo ku faafa galmada.

Marka waraabowga aan la daaweyn, bakteeriyada waxay dhaawacdaa laf-dhabarka iyo unugyada neerfaha ee durugsan. Tani waxay keeneysaa astaamaha tabes dorsalis.

Tabes dorsalis hadda aad ayey dhif u tahay maxaa yeelay waraabowga badanaa waxaa lagu daaweeyaa goor hore cudurka.

Calaamadaha tabta dorsalis waxaa sababa dhaawac soo gaara nidaamka neerfaha. Calaamadaha waxaa ka mid ah kuwa soo socda:

• Dareenno aan caadi ahayn (paresthesia), oo badanaa loo yaqaan "hillaac xanuun"
• Dhibaatooyinka socodka sida lugaha oo kala fog
• Luminta isuduwidda iyo falcelinta
• Dhaawaca wadajirka ah, gaar ahaan jilbaha
• Murqaha oo daciifa
• Aragtida ayaa isbadalaysa
• Dhibaatooyinka kontoroolka kaadiheysta
• Dhibaatooyinka xagga galmada

Bixiyaha daryeelka caafimaadku wuxuu sameyn doonaa baaritaan jireed, isagoo diirada saaraya nidaamka neerfaha.

Haddii laga shakisan yahay infekshinka infekshanka, baaritaannada waxaa ka mid noqon kara kuwa soo socda:

• Baadhitaanka dheecaanka maskaxda (CSF)
• Madaxa CT, laf-dhabarka CT, ama baaritaanka maskaxda ee maskaxda iyo xudunta laf-dhabarka si looga saaro cudurrada kale
• Serum VDRL ama serum RPR (waxaa loo isticmaalaa baaritaanka baaritaanka cudurka waraabowga)

Haddii serum VDRL ama serum RPR baaritaanka uu yahay mid wanaagsan, mid ka mid ah tijaabooyinka soo socda ayaa loo baahan doonaa si loo xaqiijiyo cudurka:

• FTA-ABS
• MHA-TP
• TP-EIA
• TP-PA

Ujeeddooyinka daaweyntu waa in la daaweeyo infekshinka lana yareeyo cudurka. Daweynta infekshanku waxay ka caawisaa ka hortagga dhaawaca cusub ee dareemayaasha waxayna yareyn kartaa calaamadaha. Daaweyntu ma beddeleyso dhaawaca dareemayaasha jira.

Daawooyinka ay u badan tahay in la bixiyo waxaa ka mid ah:

• Penicillin ama antibiyootiko kale waqti dheer si loo hubiyo in cudurka uu ka baxo
• Xanuun baabiyeyaasha si loo xakameeyo xanuunka

Calaamadaha jiritaanka nidaamka neerfaha ee hadda jira ayaa u baahan in la daweeyo. Dadka aan awoodin inay wax cunaan, labistaan, ama naftooda daryeelaan waxay u baahan karaan gargaar. Baxnaaninta, daaweynta jireed, iyo daaweynta shaqadu waxay ka caawin kartaa daciifnimada muruqyada.

Haddii aan la daaweyn, tabs dorsalis waxay u horseedi kartaa naafonimo.

Dhibaatooyinka waxaa ka mid noqon kara:

• Indho la’aan
• Curyaannimo

Wac adeeg bixiyahaaga haddii aad leedahay:

• Luminta isuduwidda
• Lumida awooda murqaha
• Dareenka oo luma

Daaweynta saxda ah iyo la socoshada infekshinka waraabowga waxay yareyneysaa halista ah inuu ku dhaco tabes dorsalis.

Hadaad tahay galmo firfircoon, samee jimicsi badbaado leh marwalbana isticmaal kondhom.

Dhammaan haweenka uurka leh waa in laga baaraa waraabowga.

Locomotor ataxia; Cudurka 'Syphilitic myelopathy'; Syphilitic myeloneuropathy; Myelopathy - waraabow; Tabsiri neurosyphilis

• Muruqyada hore ee dusha sare
• Waraabowga koowaad
• Waraabowga marxaladda dambe

Ghanem KG, Hook EW. Waraabow. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 303.

Radolf JD, Tramont EC, Salazar JC. Waraabow (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.