Neurosyphilis

Neurosyphilis cuta ce ta kwayar cuta ta kwakwalwa ko laka. Yawanci yakan faru ne ga mutanen da suka yi shekaru da yawa suna fama da cutar yoyon fitsari.

Neurosyphilis yana haifar da Treponema pallidum. Wannan kwayar cutar ce ke haifar da cutar sankara. Neurosyphilis yawanci yakan faru ne kimanin shekaru 10 zuwa 20 bayan mutum ya fara kamuwa da cutar ta syphilis. Ba duk wanda ke da cutar sankara ba ne ke haifar da wannan matsalar.

Akwai nau'ikan nau'ikan neurosyphilis daban-daban guda huɗu:

• Asymptomatic (mafi yawan nau'i)
• Janar paresis
• Maganin jijiyoyin jini
• Tabes dorsalis

Asymptomatic neurosyphilis yana faruwa kafin bayyanar cututtukan syphilis. Asymptomatic yana nufin babu alamun bayyanar.

Kwayar cutar yawanci yakan shafi tsarin mai juyayi. Dangane da nau'in neurosyphilis, alamun cututtuka na iya haɗawa da ɗayan masu zuwa:

• Tafiya mara kyau (gait), ko kasa tafiya
• Nuna a cikin yatsun kafa, ƙafa, ko ƙafa
• Matsaloli tare da tunani, kamar rikicewa ko ƙarancin nutsuwa
• Matsalolin tunani, kamar ɓacin rai ko rashin hankali
• Ciwon kai, kamuwa, ko wuya mai wuya
• Rashin ikon fitsari (rashin nutsuwa)
• Girgizar ƙasa, ko rauni
• Matsalar gani, har da makanta

Mai ba da lafiyar ku zai yi gwajin jiki kuma zai iya samun waɗannan masu zuwa:

• Abubuwa mara kyau
• Atwayar tsoka
• Ragewar jijiyoyin jiki
• Canjin tunani

Ana iya yin gwajin jini don gano abubuwan da ƙwayoyin cuta ke haifar da cutar ta syphilis, wannan ya haɗa da:

• Treponema pallidum Gwajin ƙwayar cuta (TPPA)
• Gwajin dakin binciken cututtukan mata (VDRL)
• Fluorescent treponemal antibody sha (FTA-ABS)
• Saurin saurin jini (RPR)

Tare da neurosyphilis, yana da mahimmanci a gwada ruwan kashin baya don alamun syphilis.

Gwaje-gwaje don neman matsaloli tare da tsarin mai juyayi na iya haɗawa da:

• Cutar ƙwaƙwalwar ƙwaƙwalwa
• Shugaban CT scan
• Lumbar huda (kashin baya) da bincike na ruwa mai kwakwalwa (CSF)
• Binciken MRI na kwakwalwa, ƙwaƙwalwar kwakwalwa, ko ƙashin baya

Ana amfani da maganin penicillin na rigakafi don magance neurosyphilis. Ana iya ba shi ta hanyoyi daban-daban:

• Allura a jijiya sau da yawa a rana tsawon kwana 10 zuwa 14.
• Ta baki sau 4 a rana, hade da allurar tsoka kowace rana, duka ana daukar su kwanaki 10 zuwa 14.

Dole ne kuyi gwajin jini na gaba a cikin watanni 3, 6, 12, 24, da 36 don tabbatar da cewa cutar ta tafi. Kuna buƙatar bibiyar punctures na lumbar na gaba don nazarin CSF kowane watanni 6. Idan kana da kanjamau / kanjamau ko wata cuta ta daban, jadawalin binka na iya zama daban.

Neurosyphilis cuta ce mai barazanar rayuwa na cutar sikari. Yaya za ku iya yi ya dogara da yadda neurosyphilis yake da tsanani kafin magani. Makasudin magani shine don hana ci gaba da lalacewa. Yawancin waɗannan canje-canjen ba masu juyawa bane.

Alamomin na iya zama sannu a hankali.

Kira mai ba ku sabis idan kuna da cutar syphilis a baya kuma yanzu kuna da alamun matsalolin tsarin damuwa.

Gaggauta ganewar asali da kuma maganin asalin cutar sankarau na iya hana neurosyphilis.

Syphilis - neurosyphilis

• Tsarin juyayi na tsakiya da tsarin juyayi na gefe
• Marigayi-karshen cutar sikila

Euerle BD. Raunin jijiyoyin jikin mutum da kuma gwajin ruwa na mahaifa. A cikin: Roberts JR, Custalow CB, Thomsen TW, eds. Hanyoyin Clinical na Roberts da Hedges a cikin Magungunan gaggawa da Kulawa Mai Girma. 7th ed. Philadelphia, PA: Elsevier; 2019: babi na 60.

Cibiyar Nazarin Neurowararrun Neurowararrun andwararraki da Yanar gizo. Neurosyphilis. www.ninds.nih.gov/Disorders/All-Disorders/Neurosyphilis-Information-Page. An sabunta Maris 27, 2019. An shiga cikin Fabrairu 19, 2021.

Radolf JD, Tramont EC, Salazar JC. Syphilis (Treponema pallidum). A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 9th ed. Philadelphia, PA: Elsevier; 2020: babi na 237.