Chii neurosyphilis? Zviratidzo, nezvimiro, kurapwa, migumisiro

Under njovhera rinoreva venereal chirwere hunhu, iyo inotanga vamwe womukati nenhengo dzawo. Pasina ruzivo kurapwa mushure kwenguva pfupi anogona kuva neurosyphilis, inozivikanwa nokuda kupinda chirwere kupinda tsinga. Zviri ngozi chaizvo vanhu utano zvokurwara, kutyisidzira zvachose kuremara kana rufu.

Chii neurosyphilis?

Under neurosyphilis inotaura zvirwere zviri nechepakati tsinga womunhu. Kukura chirwere anokonzerwa kupinda muviri causative nomumiririri njovhera. The chirwere chinogona kubatanidzwa mune pathological muitiro zvikamu zvose tsinga kubva uropi uye anopera pfungwa. Akaora, hosha kunoratidzwa vanoverengeka chetsinga zvirwere: dzungu, tsandanyama simba, muviri, nezvipusha, dementia.

Kokutanga pamusoro njovhera kutaura kuMiddle Ages. Mumazuva iwayo masayendisiti havana kuziva chii neurosyphilis. Akatambura kubva chirwere, vatori pakati muHondo. Panguva Makore Zana War njovhera zvimwe nayo inonzi chirwere French, sezvo British "akauya" kubva yakaoma. Emakore akapfuura, njovhera kwainzi mutongo nokuda contagion. Nokuda kukurumidza kukura sayenzi nhasi, chirwere ichi chinogona kurapwa mune shomanana. Zvisinei, kazhinji dzakabudirira siyana vari chinokonzera rufu. Zvichinyanya kushanda vapamatunhu wokufa mwero neurosyphilis.

The chirwere unogona kutaura pachako chero nguva syphilitic noutachiona. Chirwere inobva migumisiro serological nzira yokutsvakurudza uye zvekuchipatara kuratidzwa. Nokuti pakurapa inowanzoshandiswa mishonga ndivo yakatetepa-chakarondedzera. Nhasi neurosyphilis chirwere kunoitika ndoda kazhinji pane muzana remakore rapfuura. Izvi imhaka kuvandudzika ari unhu chirwere nzira, chokudzivirira bvunzo vokuparidzira, mangwanani kurapa.

The kukonzera chirwere

Utachiona hwakakura neurosyphilis - hapana treponema utachiona. Chirwere kunoitika zvakananga kubva munhu anorwara. Kazhinji, izvi zvinoitika kuburikidza kudzivirirwa zvepabonde. Utachiona hwakakura anopinda muviri kuburikidza maronda ari mucous membranes kana ganda. The chirwere ipapo anopararira pamwe muropa.

The muviri ikasakendenga utachiona vatorwa antibody kugadzirwa. Akaroromesawo ropa-uropi chipingamupinyi hapana treponema chakaunzwa tsinga. Saka zvishoma nezvishoma kuva neurosyphilis.

The zvinokonzera chirwere ichi zvinogona kupfeka nonspecific. Development zvirwere kunonoka kurapa inosimudzira kwokutanga siyana chirwere, mupfungwa, akaderedza kutapata, kukuvara musoro, mupfungwa kuneta.

The chikuru nzira chirwere:

1. Sexual. It ndicho chimiro hutachiwana. Utachiona hwakakura kupinda munharaunda yacho mucous membranes uye microdamages paganda. Type zvepabonde kuonana kazhinji asingadi vane basa rinokosha. Kushandiswa chipingamupinyi nhumbu (kondomu) kunoderedza ngozi yokusvibiswa, asi hazvideredzi kuti razero.
2. Transfusion (kuwedzerwa ropa, mazino manipulations).
3. Household. Nokuti chirwere kuburikidza nezuva vanoda pedyo chaizvo kuonana munhu anorwara. Hazvina dziripowo hutachiwana Via matauro, zvakajairika zvemumba, shandisa reza kana chikwesheso.
4. Transplacental (mai-chinja zvakananga mudumbu).
5. Professional. Chokutanga, hazvina chokuita noutano nenyanzvi ari vari kugara vachionana dzomumuviri (ropa, urume, mate). Chirwere zvichigoneka Obstetrics, kuvhiya kupindira, kuvhuya chitunha.

Kuwadzana munhu nechirwere neurosyphilis, nguva dzose anotakura kutyisidzira.

zvekuchipatara mufananidzo

Zviratidzo neurosyphilis zvinogona kutaurwa kana kudzimwa, kana hosha yava vachiri padanho kukura. Vamwe vanhuwo zviratidzo yo chirwere, vanachiremba raibva idzokororo nemusoro, kurukutika, chiveve maoko nemakumbo.

Nyanzvi kusiyanisa mangwanani, kunopera uye vachiberekwa musiyano wezvinyorwa pamusoro chirwere. First yakatanga kwemakore anoverengeka pashure chirwere. Zvikasadaro inonzi mesenchymal vave achinyanya muzvirongwa pathological muitiro midziyo uye pfungwa membranes. Late chimiro zvokurwara kunooneka pacharo makore anenge mashanu kubva kupinda pakati Treponema pallidum pamuviri. Zvinonzi kubatana lesion pakati masero etsinga uye fibers. Vachiberekwa neurosyphilis kukura somugumisiro transplacental kupararira chirwere kubva amai Fetus uye zviri pachena mukati mwedzi yokutanga muupenyu.

The mangwanani neurosyphilis

Ichi chimiro chirwere kazhinji anova mukati mumakore 2-5 mushure kupinda chirwere pamuviri. Ichi chirwere ari kubatana lesion uropi membranes nemidziyo ropa. Kuratidza Its chikuru vane syphilitic yomumuzongoza, mumwe njovhera uye Isimba rakadini rinogona kubudiswa neurosyphilis. Zviratidzo nezviratidzo yo mumwe mufananidzo, funga zvimwe zvakadzama.

1. Asymptomatic (Isimba rakadini rinogona kubudiswa) neurosyphilis unganzi "chero" kuwana. In ichi, kuti maitiro zviratidzo zvisina kuchengetwa, uye chirwere chinogona kusimbiswa chete nokuchinja mune Kuronga doro.
2. Syphilitic yomumuzongoza kakawanda chirwere mune vechiduku. Pakati rokutanga zviratidzo vangazivikanwa kuda kurutsa uye kurutsa, yakanyanya nomusoro. The tembiricha muviri rinobuda chaizvo kashoma. Possible kubatanidzwa mune pathological muitiro womunhu cranial tsinga kunoratidzwa nemaziso vasingadzoreki uye kukura sensorineural kusanzwa.
3. A njovhera kunoratidzwa vasingadzoreki kweropa muuropi. Clinical zvokurwara akaratidza kutsinga dzinouya vachivavhiringidza, wakawedzera hunenge, ungaderedza hanya uye ndangariro vanotaura. Kushaya nenguva kunokwanisa kukonzera ischemic sitiroko. Kazhinji pakurukurwa kwazvo nomusoro, hope vanotaura, zvinogoneka pfari.

kunonoka neurosyphilis

zvokurwara ichi chiri rakakamurwa dzakawanda:

• Progressive dzomuviri.
• Tabes dorsalis.
• Gummy neurosyphilis.
• Atrophy of optic etsinga.
• Meningovascular neurosyphilis (zviratidzo dzakafanana mangwanani chimiro chirwere).

Kana totaura mberi muviri, zvinosanganisira chirwere meningoencephalitis. Kazhinji anovandudza makore 5-15 pashure chirwere pamwe njovhera. Chikuru Chikonzero chimiro ichi chirwere - hapana treponemes kupinda muzvitokisi pfungwa uye kuparadzwa kwavo. Pakutanga, varwere aonekwa rokuchinja yakakwirira kutya basa (Kuipa hanya uye ndangariro, kugumbuka). Sezvo kuchiita chirwere vari kubatana vairwara nepfungwa (kuora mwoyo, zvinovadadira uye fungidziro). Pakati chetsinga zvingaratidza kucherechedzwa rurimi tremor, dysarthria uye kuchinja manyorero. The chirwere hwapedyo nokukurumidza uye mumwedzi mishomanana rakaipa.

Kana zvinokanganisawo dorsal midzi uye musana netambo, vanachiremba vanoti tabes dorsalis. Clinical zvokurwara kunooneka pacharo muchimiro kurasikirwa neketani hunenge, kusagadzikana mune Romberg chinzvimbo. Somugumisiro kuchinja gait kwevanhu. Zvinogoneka chidzoke ari optic etsinga atrophy. Chimwe chirwere maitiro ndiwo trophic maronda.

Atrophy pakati ari optic etsinga , mune zvimwe zviitiko, anoita somunhu yakazvimirira chimiro chirwere sezvo neurosyphilis. Migumisiro hosha yekudyidzana akazoita mararamiro. The kutanga pathological muitiro kunokanganisa ziso rimwe chete, asi pashure penguva yakati yava bilateral. Neb chinooneka acuity. Pasina nenguva kurapwa kuti dzichiri upofu.

Gummy neurosyphilis. Gummi vari woita idzodzo izvo aumba somugumisiro chokutsva anokonzerwa treponema. Ivo zvazvinoita uropi uye musana, compressing tsinga. Clinical zvokurwara kunoratidzwa kuoma kwemaoko nemakumbo uye pelvic zvirwere.

vachiberekwa neurosyphilis

chimiro ichi zvirwere kunokwanisa kuonekwa chaizvo kashoma. Panguva pamuviri, amai vatsva vanepamuviri kakawanda tawirwa nemiedzo kuziva zvirwere. Kana intrauterine chirwere harina zviri nyore chaizvo kuziva. The mufananidzo zvekuchipatara kunoratidzwa zviratidzo zvimwechete kuti varwere akura, kunze tabes dorsalis.

Vachiberekwa chimiro chirwere ane nevamwe zviratidzo. Izvi zvinonzi hydrocephalus uye Hutchinson vanamwari vatatu vatatu: kusanzwa, keratitis uye deformation okumusoro incisors. Panguva Chaiyo kunokwanisa kumisa chirwere muitiro, asi chetsinga zviratidzo zvikaramba hwose.

kuongorora chirwere kuti neurosyphilis

Chii neurosyphilis, tinoudzwa. How kuzosimbisa chirwere? Zvachose chirwere chinogona kwakavakirwa huru nzira nhatu: maitiro kunotoda mufananidzo, migumisiro nemiedzo nokuda njovhera, kuziva zvachinja Zvinoumba cerebrospinal mvura. Yakakwana tinyatsonzwisisa murwere ezvinhu ndiyo chete inoshanda pashure chetsinga kuongorora.

Panyaya sokuongorora kwomurabhoritari, vari kuitwa comprehensively. Mune zvimwe zviitiko, rimwe bvunzo kudzokorora. Chinonyanya zvakwo rabhoritari chirwere nzira inosanganisira RPR-ongororo RIBT, Rif, uye kuziva kuti zvinotapukira mutumwa iri zviri sei ganda.

Pasina akazivisa zviratidzo anoitwa lumbar ponji. Neurosyphilis mu CSF zvinoratidza akakwidziridzwa kwevari puroteni, uye causative nomumiririri chirwere - hapana treponemu.

MRI uye CT scan pamusoro musana iri ushandiswe varwere vose vanofungidzirwa neurosyphilis. Chirwere ne chaiwo apparatuses inoratidza atrophy hydrocephalus uye pfungwa fuma.

How kukunda neurosyphilis?

Mabatirwo mangwanani siyana hosha chinobva hwehasha mishonga inorwisa mabhakitiriya kurapa. Nokuti chinangwa ichi, kugadzirirwa kuti penicillin uye cephalosporin dzakatevedzana. Kazhinji, kurapa yakaoma uye kunosanganisira kushandisa mishonga akawanda panguva imwe chete. Zvatinosiita Zano: "Penicillin", "Probenecid", "Ceftriaxone". zvinodhaka Vose raitongwa nomutsinga. Majekiseni "Penicillin" uyewo kuti musana mugero. Yawapiwa kazhinji kunotora kwevhiki mbiri. Zvadaro, murwere kaviri munhu apiwa kubvunzurudza, umo munogona kutonga migumisiro chokwadi kana zvaigoneka kuti kuhwina neurosyphilis. Treatment achawedzera kana cerebrospinal mvura zviratidzwa hapana treponemu.

Pazuva zvinodhaka mishonga wokutanga anogona achiipa chetsinga zviratidzo (nemusoro, kuwedzera kupisa, tachycardia). Muzviitiko zvakadaro, kurapwa iri nechimwe Anti-anogumbura zvinodhaka uye corticosteroids.

Kuti tikurire mukupera siyana neurosyphilis vaishandisa zvinodhaka Arsenic uye bismuth, dzinoratidzwa kumusoro toxicity.

Kushurudzira nemigumisiro

Early siyana neurosyphilis vanobvuma zvakanaka kurapwa, kupora yakazara kunobvira. Mune zvimwe zviitiko, rakaramba anonzi residual anokonzerwa muchimiro paresis uye dysarthria anogona kukonzera kuremara.

Gare gare marudzi zvokurwara havaratidzi kuti zvokurapa kurapa. Chetsinga zviratidzo vanowanzotevedzera kuramba murwere upenyu.

Progressive nourema makore mashoma apfuura kwakaguma zvinouraya mugumisiro. Nhasi, kushandisa mishonga inorwisa mabhakitiriya kuti penicillin inobvumira vasanyanya kuratidzwa zviratidzo uye anononoka neurosyphilis.

Photo varwere nechirwere ichi uye pashure kurapwa makosi unotipa kunzwisisa kutyisidzira zvokurwara kunoita kuti muviri. Ndokusaka munhu wose azive kuti kudzivisa chirwere ichi.

matanho

Kuti hutachiwana, vanachiremba vanoti kusiya kusingadzorwi zvepabonde. Ndizvo chaizvo pfungwa utsanana. Vanhu nechirwere Treponema pallidum, iri madikanwa hwaro vanofanira kumbotambudzika chokudzivirira kuongororwa pedyo wetsinga.

Chii neurosyphilis? Uyu chirwere ngozi dzinoratidzwa CNS. Pasina nenguva kurapwa zvichida kutanga yematambudziko zvinouraya, izvo zvakananga kukanganisa mararamiro, uye dzimwe nguva kurufu. Naizvozvo, haufaniri kuregeredza kudzivisa chirwere, uye pashure chirwere pakarepo kwachiremba.