Neurosyphilis

Neurosyphilis o se siama siama o le faiʻai poʻo le ua tua. E masani ona tupu i tagata ua leva na le maua i le syphilis.

Neurosyphilis e mafua mai Treponema pallidum. Ole siama lea e mafua ai le syphilis. Neurosyphilis masani lava ona tupu pe a ma le 10 i le 20 tausaga talu ona muamua aafia se tagata i le syphilis. E leʻo tagata uma e maua i le syphilis e tupu lenei faʻafitauli.

E fa ituaiga eseese o neurosyphilis:

• Faʻailoga (masani masani)
• Paresis aoao
• Faigama
• Tabes dorsalis

Ole faʻaletonu ole neurosyphilis e tupu i luma ole faʻailoga ole syphilis. Asymptomat o lona uiga e leai ni faʻailoga.

Faʻailoga e masani lava ona aʻafia le neula. Faʻamoemoeina i le ituaiga o neurosyphilis, faʻailoga ono aofia ai soʻo se tasi o mea nei:

• Le savali masani (savali), pe le mafai ona savali
• Nati i tamatamaivae, vae, po o vae
• Faʻafitauli i mafaufauga, pei o le le mautonu poʻo le le lelei o le faʻamaonia
• Faʻafitauli o le mafaufau, e pei o le faʻanoanoa poʻo le itaitagofie
• Ulu o le ulu, faoa faamalosi, pe ua maaa
• Leiloa o le pulea o le tagāmimi (incontinence)
• Faʻafitauli, poʻo vaivaiga
• Faʻafitauli vaʻaia, e oʻo lava i le tauaso

O lau fomaʻi tausi soifua o le a faia se faʻataʻitaʻiga tino ma ono maua mea nei:

• Faʻatonutonu le masani ai
• Faʻalavelave i maso
• Faʻaliliuga o maso
• Suiga o le mafaufau

Toto mafai ona faia e iloa ai vailaʻau gaosia e siama e mafua ai syphilis, e aofia ai:

• Treponema pallidum tofotofoga faʻaputuputuga fasimea (TPPA)
• Suʻesuʻega o le falesuesue o faamaʻi Venereal (VDRL)
• Tuiina o le antibody treponemal Fluorescent (FTA-ABS)
• Vave plasma reagin (RPR)

Faʻatasi ai ma neurosyphilis, e taua le faʻataʻitaʻia o le suavai o le tuasivi mo faʻailoga o syphilis.

Suʻega e vaʻai ai faʻafitauli ma le neula e ono aofia ai:

• Cerebral angiogram
• Ulu CT vaʻai
• Lumbar puncture (ivitaua tap) ma cerebrospinal suavai (CSF) auiliiliga
• MRI vaʻai i le faiʻai, faiʻai, poʻo le uaula

O le vailaʻau vailaʻau penicillin e faʻaaogaina e togafitia ai neurosyphilis. E mafai ona tuʻuina mai i auala eseʻese:

• Na lavea i se uaua i le tele o taimi i le aso mo le 10 i le 14 aso.
• I le gutu 4 taimi ile aso, tuʻufaʻatasia ma tui maso i aso uma, e ave uma ile 10 ile 14 aso.

E tatau ona i ai ni suʻega o le toto tulitatao i le 3, 6, 12, 24, ma le 36 masina e faʻamautinoa ai ua uma le siama. Oe o le a manaʻomia tulitatao lumbar punctures mo CSF ​​auiliiliga uma 6 masina. A faʻapea ua e maua ile HIV / AIDS poʻo seisi tulaga faʻafomaʻi, e ono ese le faʻatulagaina o lau siaki.

Neurosyphilis o se lamatiaga ola o le syphilis. O le lelei o lau faʻamoemoe e faʻamoemoe i le ogaoga o le neurosyphilis o loʻo i luma o togafitiga. O le faʻamoemoe o togafitiga o le puipuia lea o le atili leaga. Tele o nei suiga e le mafai ona toe faʻafoʻi.

O faʻailoga e mafai ona lemu lemu.

Valaʻau lau tautua pe a fai na e maua i le syphilis i taimi ua tuanaʻi ma ua iai foʻi faʻailoga o faʻafitauli o neula.

O le vave maua mai ma faʻataʻitaʻia le muamua siama syphilis e mafai ona puipuia le neurosyphilis.

Syphilis - neurosyphilis

• Nofoʻaga popolevale ma faiga lautele neula
• Syphilis mulimuli-tulaga

Euerle BD. Toso tuga ma tui cerebrospinal suavai suʻesuʻega. I totonu: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts ma Hedges 'Taualumaga Togafitiga i Faʻafuaseʻi Faʻafomaʻi ma Togafitiga. 7th ed. Filatelefia, PA: Elsevier; 2019: chap 60.

National Institute of Neurological Disorder ma Stroke 'upega tafaʻilagi. Neurosyphilis. www.ninds.nih.gov/Disorder/All-Disorder/Neurosyphilis-Information-Page. Faʻafouina Mati 27, 2019. Avanoa ia Fepuari 19, 2021.

Radolf JD, Tramont EC, Salazar JC. Syphilis (Treponema pallidum). I totonu: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, ma Bennett's Mataupu Faavae ma Faʻataʻitaʻiga o Faamaʻi pipisi. 9th ed. Filatelefia, PA: Elsevier; 2020: chap 237.