Neurosyphilis: nws yog dab tsi, cov tsos mob tseem ceeb, kev kho mob thiab yuav tiv thaiv li cas

Zoo Siab

• Cov tsos mob tseem ceeb
• Yuav qhia li cas
• Yuav kho tus mob li cas
• Muaj teeb meem tshwm sim
• Kev tiv thaiv ntawm neurosyphilis

Neurosyphilis yog kev nyuaj siab ntawm mob syphilis, thiab tshwm sim thaum cov kab mob Treponema pallidum ntxeem tsis tau cov hlab hlwb, nce mus rau hauv lub hlwb, cov leeg hlwb thiab pob txha caj qaum. Qhov kev mob tshwm sim no feem ntau tshwm sim tom qab ntau xyoo nyob nrog cov kab mob tsis muaj kev kho kom zoo, uas ua rau cov tsos mob tshwm sim xws li nco tsis ua haujlwm, kev nyuaj siab, tuag tes tuag taw lossis qaug dab peg.

Txhawm rau kho neurosyphilis, tus kws kho mob yuav pom zoo rau cov tshuaj tua kab mob, xws li siv lead ua Penicillin, ncaj qha rau hauv cov leeg ntshav, kwv yees li 10 mus rau 14 hnub. Tom qab ob peb hlis ntawm kev kho mob, nws yuav tsum tau soj ntsuam theem ntawm kev sib kis los ntawm lumbar puncture ntawm cerebrospinal kua los ntsuam xyuas seb puas muaj tau kho tau.

Syphilis yog ib hom mob sib kis uas kis tau yooj yim los ntawm kev sib deev, thiab tuaj yeem hloov kho ntawm ntau cov theem sib txawv, suav nrog kev tsim cov mob rau ntawm lub cev, ua kom tawv nqaij lossis ua npaws, piv txwv li, nrog kev hloov pauv loj xws li teeb meem plawv lossis cov xwm txheej ntawm Neurological tshwm sim ntau dua theem siab kawg ntawm tus kab mob. Tshawb nrhiav paub ntau ntxiv txog theem ntawm mob syphilis hauv Txhua yam hais txog mob syphilis.

Cov tsos mob tseem ceeb

Thawj cov tsos mob thiab tsos mob ntawm tus mob neurosyphilis feem ntau tshwm sim li ntawm 5 txog 20 xyoo tom qab kis tau tus mob Treponema pallidum, tsuas yog thaum tus neeg kis tau tsis tau txais kev kho zoo nyob rau lub sijhawm no. Muaj qee cov cim tseem ceeb thiab tsos mob muaj xws li:

• Pom kev tsis meej thiab dig muag;
• Nco ua tsis tau zoo thiab dementia;
• Hloov pauv hauv gait;
• Kev Nyuaj Siab;
• Cov zis tsis ua haujlwm;
• Kev tsis paub qab hau;
• Mob taub hau;
• Lub siab tsis meej pem;
• Tuag tes tuag taw;
• Kev nrawm nrawm;
• Caj dab caj dab;
• Ntsuas Hluav Taws;
• Tsis muaj zog;
• Loog ntawm ob txhais ceg thiab ob txhais ceg;
• Nyuaj tsis yooj yim lag luam;
• Zaug dav dav tuag tes tuag taw;
• Cwm pwm hloov;
• Cov tub ntxhais kawm tsis teb rau lub teeb;
• Kev hloov pauv hauv cov hlab ntsha tsis zoo.

Raws li cov cim qhia thiab cov tsos mob ntawm tus mob neurosyphilis muaj ntau yam sib txawv, tus kab mob no tuaj yeem nkag siab nrog ntau cov kab mob neurological, xws li Alzheimer, ntau yam sclerosis, mob hlwb, mob hlwb, hlav hlav Parkinson tus kab mob, mob stroke (mob stroke) lossis mob hlwb, xws li schizophrenia thiab kev nyuaj siab.

Xav paub ntau ntxiv txog cov theem ntawm tus kab mob hauv cov yeeb yaj kiab hauv qab no:

Yuav qhia li cas

Kev kuaj mob ntawm neurosyphilis yog tsim los ntawm kev txheeb xyuas CSF, lossis cerebrospinal kua, uas qhia kev hloov pauv ntawm tus kab mob, thiab tau ua los ntawm lumbar puncture.

Pom kev ntsuas, xws li xam tomography, sib nqus resonance thiab cerebral angiography, pom zoo kom ntsuas lub hlwb hloov thiab kab mob kev loj hlob. Kev kuaj ntshav, xws li FTA-ABS thiab VDRL, yog cov kev kuaj ntshav uas pab txheeb xyuas cov tshuaj tiv thaiv kabmob ntsig txog mob syphilis. Kawm kom nkag siab qhov tshwm sim ntawm VDRL kev soj ntsuam.

Yuav kho tus mob li cas

Kev kho mob ntawm neurosyphilis yuav tsum tau nqa tawm hauv tsev kho mob, suav nrog kev txhaj tshuaj txhua hnub rau hauv cov leeg ntawm cov tshuaj tua kab mob xws li crystalline Penicillin G lossis Ceftriaxone, ntev li 10 txog 14 hnub.

Tom qab kho tus mob neurosyphilis, tus kws kho mob tuaj yeem kuaj ntshav thaum lub sijhawm thib 3 thiab 6 lub hlis, ntxiv rau ib xyoos ib zaug, rau 3 xyoos. Tsis tas li ntawd, txhaj tshuaj lumbar tuaj yeem ua txhua 6 lub hlis kom paub tseeb tias kho tus mob.

Saib seb kev kho yog ua li cas nyob rau ntau theem ntawm mob syphilis.

Muaj teeb meem tshwm sim

Txawm hais tias feem ntau cov tsos mob ntawm neurosyphilis yog qhov thim rov qab, thaum kev kho tsis tau ua tiav, tus kab mob tuaj yeem ua rau muaj kev hloov pauv ntau ntawm lub hauv nruab nrab cov hlab hlwb, ua rau muaj tshwm sim uas suav nrog:

• Paralysis ntawm lub cev cheeb tsam;
• Lub zeem muag poob;
• Kev tsis nco qab, pheej hloov pauv hauv txoj kev nco qab lossis tus cwj pwm
• Lag Ntseg;
• Kev sib deev ntawm lub siab;
• Kev mob hlwb thiab lwm yam kev puas siab ntsws;
• Zog txav tsis meej
• Cov zis tsis ua haujlwm;
• Txau mob ib txwm.

Teeb meem ntawm cov neurosyphilis nyob ntawm seb tus kab mob tau ua li cas hauv txhua tus neeg, lub sijhawm ntawm kev kis tus mob thiab lub sijhawm tos kev kho pib.

Kev tiv thaiv ntawm neurosyphilis

Neurosyphilis yog ib qho mob uas tuaj yeem cuam tshuam loj rau kev noj qab haus huv thiab yog li, yuav tsum tau tiv thaiv los ntawm kev kho mob tsim nyog. Yog li, cov neeg mob syphilis yuav tsum ua raws li kws kho mob cov lus qhia, tiv thaiv kev kis kab mob kom mus txog rau cov hlab ntsha hlwb, tshwj xeeb yog cov neeg mob lub cev tsis muaj zog.

Kev tiv thaiv mob syphilis yog ua nrog kev siv hnab looj thaum sib deev, thiab kev saib xyuas yog kom zam kom tsis txhob kis los ntawm cov ntshav thiab cov ntshav, thiab cov khoom uas yuav paug, xws li koob txhaj tshuaj thiab koob, yuav tsum tsis txhob sib koom, ntxiv rau kev tiv thaiv ua ntej soj ntsuam. -yog muaj qhov tsis taus tus me nyuam, cev xeeb tub. Tshawb xyuas cov lus qhia ntxiv txog yuav ua li cas kev sib kis tau tshwm sim thiab yuav tiv thaiv mob syphilis.