He aha ka neurosyphilis? Symptoms, ano, lapaʻau, ka hopena

Ma lalo o syphilis pili i venereal maʻi ano, i uhai aku i kekahi na hui, nenoai. I ka wa e kaawale aku o kupono lapaʻau ma hope o ka pōkole manawa mea e ulu neurosyphilis, wehewehe aku ma ka anal o ka maʻiʻaʻai i loko o ka'emi ko kahua. He pilikia loa ke kanaka ola pathology, weliweli huina kīnā o ke kino a me ka make.

He aha ka neurosyphilis?

Ma lalo o neurosyphilis pili i ka infectious mai o ka Central ko mākou hopohopo nenoaiu o ke kanaka. Ka hooulu ana o ka maʻi ua kena ae la ma ka anal o ke kino causative Agena o syphilis. Ka maʻiʻaʻai hiki ke komo i loko o ka pathological kaʻina o nā wahi a pau o ka'emi'ōnaehana mai o ka lolo a me ka loa a me ka makaukau. Clinically, ka maʻi ua hoikeia ma ka helu o neurological kāna hana: pōniuniu, Muscle nawaliwali, lōlō, ke kāʻili 'ana, dementia.

No ka mea mua manawa e pili ana i na syphilis e kamailio ana ma ka Middle Ages. I ia mau lā i nā alchemists i ole i mea neurosyphilis. I ae mai o ka maʻi, i komo o ka Crusades. Iloko o ka makahiki Kaua syphilis haneri ai ole ia kapa i ka Palani mai, e like me ka mea Beritania "lawe" ia, mai ka pelapela. Mau makahiki aku nei, syphilis Ua noʻonoʻo i ka hoʻopaʻi no ka contagion. Aie i ka kokololio kūpono 'ana o ka' epekema i kēia lā, i kēia maʻi hiki ke hoola iho la i loko o kekahi mau pule. Eia naʻe, uaʻelemakule ia i kālā e pinepine i ke kumu o ka make. Pakahi aku la ia i pili no ka mea kiʻekiʻe make ana o neurosyphilis.

I ka maʻi ke hoike ia oe iho i loko o kekahi au o syphilitic maʻiʻaʻai. ʻike, ua nānā 'ana ma luna o ka hopena o serological ano o ka noiʻi a me ka lapaʻau hoike ana. No ka iapaau ana o mau hoʻohana antibiotics i ololi-pae. I kēia mau lā neurosyphilis maʻi ia lŘlŘ nui emi pinepine ia ma mua i loko o ke kenekulia i hala iho nei. O ke kumu ho i ka hana ana i ka pono o ka lapaʻau 'ana i ke kaʻina hana, kāohi examinations o ka lehulehu, i kakahiaka nui Inc.

I ka papa kuhikuhiE kumu o ka maʻiʻaʻai

Pathogen neurosyphilis - pale treponema bacterium. Maʻiʻaʻai ia lŘlŘ 'ana mai o ka maʻi kanaka. Nō kāu, keia ia lŘlŘ ma unprotected moe ke keakea ole. Pathogen komo i ke kanaka kino ma lesions ma mucous membranes a me ka ili. Ka maʻiʻaʻai laila hohola ma ke koko.

Ke kino reacts i na koʻohune ma ka lāʻau lapaʻau kino? Iecaianoaaiiuo. Ma ka hoemi i ke koko-lolo'ākeʻakeʻa pale treponema hoʻolauna i loko o ka'emi ko kahua. Pela no ke kiʻekiʻe o ka ulu 'neurosyphilis.

Nā kumu o kēia maʻi i komo nonspecific e. ? Ac? O ka maʻi hoolohi lapaʻau paipai 'ia ka ano mua o ka maʻi,' ehaʻeha o ka pilikia, hoemiia e hoʻonele, poo nā palapū, noʻonoʻo luhi.

I ka papa kuhikuhiE aoao o ka maʻiʻaʻai.

1. Ka moe. He ka loa e like me ka ano o ka EYI. Pathogen komo iloko o ka mucous membranes a me microdamages ma luna o kaʻili. Ano o ka moe hui 'ana, aole pāʻani i ke kūlana kūikawā. I ka hoʻohana 'ia o ke'ākeʻakeʻa mai contraceptives (condom) ho'ēmi i kā ka pilikia o ka mea hoʻohaumia, akā,' aʻole e ho'ēmi ia i ka 'Aʻohe.
2. Transfusion (koko transfusions, kahua niho manipulations).
3. Ko ka hale ona. No ka maʻiʻaʻai ma maʻamau o pono loa kaua'ō'ō ihe me ka maʻi kanaka. Ua ua i hoʻokoe 'EYI Via pepa, e like me ka hale' ikamu, ke hoʻohana i ka pahi kahi a toothbrush.
4. Transplacental (makuahine-hoolilo ana i ka fetus).
5. 'Oihana. Mua o nā mea a pau, e pili ana i ke ola 'Oihana e noho ana ma ka ikaika hui' ana me kino fluids (koko, semen, tuha). Maʻiʻaʻai mea hiki i ka obstetrics,ʻoki lāʻau lapaʻau uao ai ', autopsy.

Kekahi hui 'ana me kekahi kanaka mailoko o me neurosyphilis, mau hāpai i ka make māinoino.

lapaʻau kiʻi

Symptoms o neurosyphilis hiki ke haʻi a holoiia, i ka wa a ka maʻi mea ma ka kakahiaka kahua o ka? Acaeoey. Kekahi o ka mea pono symptoms ano o ka maʻi, kauka wahi recurrent headache, luhi, numbness o na lala.

Poe akamai i maopopo i kakahiaka nui, a me ka hopena o congenital Lolina o ka maʻi. First hoʻomohala no kekahi mau makahiki ma hope o maʻiʻaʻai. I ole ia ka mea, ua kapaʻia mesenchymal i ua kuhikuhi komo i loko o nā ipu a me ka kaʻina pathological lolo membranes. Late ano o ka pathology hoike mai ai ia ia iho i loko o kahi o elima makahiki mahope mai o ka anal o Treponema pallidum i loko o ke kino. Ua Ua pu ma ka lesion o ke aʻalolo keena a me ka olona,. Congenital neurosyphilis e hoʻomōhala ana i like me ka hopena o transplacental EYI o ka maʻiʻaʻai mai ka makuahine, e fetus a mea'ē aʻe i loko o ka mua mau mahina o ke ola.

Ke kakahiaka nui neurosyphilis

Kēia palapala no ka maʻi ana e hoʻomōhala ana i loko o 2-5 makahiki ma hope o ka anal o ka maʻiʻaʻai i loko o ke kino. Keia ano ua pu ma ka lesion o ka lolo membranes a me nā ipu koko. Kona papa kuhikuhiE hoike ana i syphilitic meningitis, he syphilis a me latent neurosyphilis. Symptoms a me na hoailona ano o kela a me keia palapala, noonoo ma hou au mamuli.

1. Asymptomatic (latent) neurosyphilis i ke kapaʻia he "huikau ka" loaʻa. Ma keia ano, eʻaʻole hoʻi i mālama i ke ano symptoms, a me kaʻike, hiki ke hoʻokūpaʻa wale ma ka loli i loko o ka haku mele 'ana o ka lama.
2. Syphilitic meningitis ua loa pinepine diagnosed ma opiopio makua. Mawaena o na symptoms mua hiki ke hōʻike 'nausea a me ka luaʻi, loa headaches. Ke kino mehana loa kākaʻikahi. Hiki komo i loko o ka pathological kaʻina hana o ka cranial nā aʻalolo ua hoikeia visually hihia hoʻi a me ka hooulu ana o sensorineural hālāwai hoʻolohe manaʻo me keia poho.
3. A syphilis Ua wehewehe aku ma ka hihia hoʻi ke koko holo i loko o ka lolo. Lapaʻau pathology hoike aku sensory haunaele, a mahuahua nui reflexes, ua hoʻemi maliu a iaiyoe hoʻopilikia. Ka nele o ka 'eleu lapaʻau ke alakai i ka ischemic hahau ana. IeAUPIIe, IAa IO ka mea, ua mua ia e loa headaches, hiamoe hoʻopilikia, hiki ke kāʻili 'ana.

hopena o neurosyphilis

Kēia pathology Ua i puunaueia i loko o kekahi mau 'ano apau loa.

• E holumua ai lōlō.
• Tabes dorsalis.
• Gummy neurosyphilis.
• Atrophy o ka optic nā aʻalolo.
• Meningovascular neurosyphilis (na symptoms e like me ke kakahiaka ano o ka maʻi).

I ka wa e hele mai i ka holumua ai lōlō, pū maʻi meningoencephalitis. He IeAUPIIe, IAa IO e hoʻomōhala ana i hope 5-15 makahiki ma hope maʻiʻaʻai me syphilis. Ke kumu nui no keia palapala o ka maʻi - pale treponemes anal i ka lolo keena a me kā lākou mahope luku. Initially, ua 'akomi i nā mea maʻi loli o kona kiʻekiʻe ma ko mākou hopohopo aayoaeuiinoe (mea hōʻemi o ka noonoo ana, a iaiyoe, irritability). E like me ka Holomua o ka maʻi e hui psychiatric kāna hana (kaumaha, delusions a me hallucinations). Mawaena o ka neurological symptoms i ke kaulana tremor elelo, dysarthria a me ka loli a lima. I ka maʻi e hoʻomōhala ana i hoʻomaka koke a loko o kekahi mau mahina mea ona.

Inā ka mea, e loli ai ka dorsal kumu a me na kaula spinal, kauka nei tabes dorsalis. Lapaʻau pathology hoike mai ai ia ia iho i loko o ka palapala o ke poho ana o na puupuu wawae reflexes, instability i loko o ka Romberg kulana. E like me ka hopena o ka hoʻololi kanaka gait. He mea hiki i ka muli o ka optic nā aʻalolo atrophy. Kekahi ano maʻi o ka trophic ulcers.

Atrophy o ka optic nā aʻalolo , ma kekahi hihia, hana me he kuokoa ano o ka maʻi i neurosyphilis. Ka hopena o ka maʻi me ka nui loa ho'ēmi i kā ka mea e like ai o ke ola. Ka loiloi mua pathological kaʻina e loli ai maka hoʻokahi wale nō, akā, ma hope o ka manawa ia iʻeluaʻaoʻao. Hoemiia pilikia makapō acuity. I ka wa e kaawale aku o ka 'eleu lapaʻau o ka ulu makapo.

Gummy neurosyphilis. Gummi i ua hoʻokōʻia me ka ho okumu i i hanaʻia e like me ka hopena o ka li nui, kena ae la ma ka treponema. Ka mea, he aha ka mea o ka lolo a me ka spinalʻaha, compressing nä olonä. Lapaʻau pathology ua hoikeia aku ai e lōlō o na lala a me ka pelvic kāna hana.

congenital neurosyphilis

Kēiaʻano o ka maʻi ua diagnosed loa kākaʻikahi. Ma hāpai keiki, ka expectant hou makuahine pinepine ae la oia undergoing e ho'āʻo ai e kuhikuhi i nā mea palahēhē. Inā intrauterine maʻiʻaʻai ua ana, ia mea loa maʻalahi eʻike. Ka lapaʻau kiʻi Ua wehewehe aku ma ka mea hookahi symptoms me ia i kanaka makua nā mea maʻi, koe wale tabes dorsalis.

Congenital ano o ka maʻi i kiʻiona symptoms. Kēia no laila,-kapa hydrocephalus a me Hutchinson triad: pepeiao kuli, keratitis a me deformation o ke keena incisors. 'Eleu lapaau hiki ana i ka maʻiʻaʻai kaʻina hana, akā, neurological symptoms hoomau anei oukou ma ke ola.

ʻike, o ka neurosyphilis

He aha ka neurosyphilis, mākou i haʻi. Pehea e hookoiaʻi ka maʻi? Definitiveʻike, hiki ke nānā 'ana i ka papa kuhikuhiE ekolu ana hoʻohālike: ke ano lapaʻau kiʻi, ka hopena o ka ho'āʻo ma no syphilis, nä loli ma o ka haku mele' ana o cerebrospinal loli. E pono auhau o ka hoʻomanawanui kaʻano mea i pololei ia wale nō ma hope o ka neurological ninaninau.

Me ka pili ana i keʻena hoʻokolohua ho'āʻo ma, e lawe ka mea, mai comprehensively. I kekahi manawa, he hoʻokolohua repetition. Ka loa informative keʻena hoʻokolohua PalekanaEND_LINK ki ina hana like nā RPR-Ka Ikepili RIBT, RIF, a me ka 'ike o ka infectious Agena i loko o kahi o ka loli ana i kaʻili.

I ka wa e kaawale aku o haʻi symptoms hula lumbar puncture. Neurosyphilis ma CSF hōʻike ke kiekie pae o ka kumuʻiʻo, a me ka causative Agena o ka maʻi - pale treponemu.

MRI a HI scan NineManga.com o ka spinalʻaha ua kuhikuhi i nā mea maʻi a pau me kēia neurosyphilis. ʻike, ma ka kūikawā apparatuses hōʻike atrophy hydrocephalus a me ka lolo waiwai.

Pehea e loaa neurosyphilis?

Lapaʻau o kakahiaka ano o ka maʻi ua me ka nānā 'ana ma kekahiʻano pākīkē antibiotic Inc. No keia mea, hoʻomākaukau o penicillin a me ka cephalosporin moʻo. Nō kāu, Inc mea eiiieaena, a komo ai i ka hoʻohana 'ana o kekahi mau lapaʻauʻia i ka ia manawa. Ke mau noaia: "Penicillin", "Probenecid", "Ceftriaxone". All ai 'ka lawelaweia ana intravenously. Injections "Penicillin" kekahi e ka spinal Canal. I ka papa o ka lapaʻau 'ana mau no elua pule. Mahope, i ka hoʻomanawanui undergoes ka hou-keia hookolokolo ana, ma ka i 'oe e hoohewa aku i ka hopena o ka mea ina ka mea, ua hiki ke loaa neurosyphilis. Lapaau hooloihi ina ka cerebrospinal loli hōʻike nō ia o pale treponemu.

Ma ka lā mua o ka lāʻau Inc i worsen neurological symptoms (headache, e ala i loko o ke ana wela, tachycardia). Ma na hoopii, lapaʻau ua complemented e Anati-hoʻoʻino ai 'a me corticosteroids.

E hakakā hopena ano o neurosyphilis hoʻohana ai 'me ka arsenic a me ka bismuth, wehewehe aku ma kiʻekiʻe kaʻawahia.

Forecast a me ka hopena

I ano o neurosyphilis pane pono i ka lapaʻau, piha ke ola me ke kūʻokoʻa. Ma kekahi mau hihia, hoopaa iho la i ka ai-kapaia koena 'ole i loko o ka palapala o ka paresis a me ka dysarthria e hiki i kīnā o ke kino.

Hope ano o ka pathology poorly i ka 'inikua Inc. Neurological symptoms kamaʻilioʻana, e noho ana me ka hoʻomanawanui i ke ola.

E holumua ai lōlō he mau makahiki aku nei kūpono i loko o ka ona e hoʻokūkū. I keia la, i ka hoʻohana 'ana o antibiotics penicillin e leie aku mitigate i ka hoike ana o symptoms a me ka lohi neurosyphilis.

Photo o nā mea maʻi i kēiaʻike, a me ka hope o lapaʻau papa ae mākou e maopopo i ka make māinoino pathology lawe ai i ke kino. I mea no ke aha la kela kanaka keia kanaka e ike pehea e ole i kēia maʻi.

kāohi ana

E pale aku maʻiʻaʻai, kauka paipai aku, e haʻalele kipiʻia e. Ua mea me ka nānā 'ana i ka kou niho. People iho mailoko me Treponema pallidum, ma ka OAXA 'aelike e undergo kāohi ka ninaninau ma ka neurologist.

He aha ka neurosyphilis? He He mea pepehi maʻi wehewehe aku e CNS. I ka wa e kaawale aku o ka 'eleu lapaʻau paha e hoʻomōhala ola-hooweliweli complications, a pono pili i ka pono o ke ola, a me kekahi manawa, alakai i ka make. No laila, 'oe e hoʻohemahema wale mai i ka Kāohiʻana o ka maʻi, a ma hope o maʻiʻaʻai koke imi' inikua noonoo.