I-syphilis yokuzalwa

I-syphilis yokuzalwa yintlobo yesifo apho ukusuleleka kwe-intrauterine yentsholongwane kuvela nge-syphilis ngexesha lokukhulelwa kumama ogulayo. I-pale treponema inonakalisa umqobo we-placental, umntwana uzalwa sele egula. Akunjalo ukuba umntwana uzalelwa kwaye uya kuhlala. Ngokwezibalo zonyango, ngaphezu kwe-40% yokukhulelwa okunjalo kubangele ukukhulelwa, ukuzalwa kwangaphambi kokuzalwa, ukuzalwa kwangasemva komntwana okanye ukufa komntwana kwiiyure zokuqala zokuphila.

Njengoko kubonakaliswe ukubonakaliswa kweempawu zekliniki kunye nezibonakaliso zesifo se-syphilis yokuzalwa, kuyacetyiswa ukuhlukanisa ixesha elithile le sifo:

1. I-Syphilis yobusana (ixesha lokuzalwa ngaphambi kokuzalwa).
2. Ukuzalwa kwe-syphilis yokuqala (ukususela ekuzaleni ukuya kwiminyaka emine).
3. Ukuphela kwesifo sokuzalwa esisenyongweni (ukususela kwiminyaka emi-5 ukuya kwe-17).

Iimpawu zokuqala kwe-syphilis yokuzalwa

Ngaphambi kokuvela kweempawu zonyango zangaphandle, ukukhulelwa komntwana osemntwaneni kumnxeba unokrokra ngohlobo lwayo jikelele. Abantwana abanjalo banobuthakathaka kakhulu, ulusu lwabo luba luhlaza, banobunzima obukhulu, abanaso isondlo, ukugaya ukutya kukuphazamisekile, ukushisa komzimba kuphakama ngaphandle kwesizathu.

I-syphilis yokuzalwa engabonakaliyo ibonakalisa njengokutshatyalaliswa ngokupheleleyo: ingqondo, isikhumba kunye neembumba zamanqatha, izitho ezininzi kunye neenkqubo zomzimba. Iimpawu zangaphandle ze-syphilis yokuzalwa ziqala ukuvela emva kweentsuku / iiveki / iinyanga emva kokuzalwa komntwana:

1. I-Syphilitic pemphigus iyaqhubeka. I-Serous-purulent (ngamanye amaxesha i-blister) i-blisters ibonakala kwiintendelezo kunye neengqayi, kwaye isasazeka kuwo wonke umzimba.
2. Kwiinyanga ezi-2-3 emva kokuzalwa, ulusu luye lwachaphazeleka yi-syphilitic ezininzi ezahlukileyo zobomvu obomvu.
3. Ngokuhamba kwexesha, ukungenelela kukufumana ukuqina okunamandla kunye nokuqhekeka, ukushiya izikrakra ezikhazimulayo.
4. Kukho ukukhuphuka okukhulu okanye okulinganiselwe ngendlela ye-roseola, i-papules kunye / okanye i-pustules.
5. Umqathango jikelele wesantya unzima: ukushisa komzimba kuphakama, i-rhinitis ye-syphilitic ivela, i-septum yangasese iphosakele kwaye ichithekele, inkqubo ye-musculoskeletal ichaphazelekayo.
6. Isibindi kunye neengxube ziyakwandiswa kwaye zihlanganiswe, isisu sithukuthele, i-syphilitic pneumonia ivela, izintso, intliziyo, inkqubo ye-nervous, iphepheni yesisu ichaphazelekayo.

Iimpawu zentsholongwane yokuqala ye-syphilis kubantwana abaneminyaka engaphezu kwe-1:

• i-condylomas malunga ne-anus;
• ukuphosa iifoto ezinqabileyo kwiifolthi;
• iinombolo zesigxina (gum) kwiisishu zangaphantsi;
• ukwandiswa kwamathambo;
• ukuxhwaba;
• isifo esingumzimba esingapheliyo;
• ukulahlwa kwengqondo ;
• ukungabonakali;
• ukuguqa.

Ixesha elidala lokuzalwa kunye neempawu zalo

I-syphilis yokuzalwa engaphantsi ikhula ngenxa yohlobo olusaphathwa kakubi, olungaphendulwanga okanye olungaphendulwanga. Izibonakaliso ezintathu zokufunda ezizimeleyo zesifo se-syphilis esasemva kokuzalwa:

• amazinyo afakwe emgqeni kunye nenotshi ecaleni eliphantsi;
• ukuvuvukala kwe-cornea yamehlo;
• ukungazithulu okubangelwa kukutshatyalaliswa kwendlebe yeendlebe.

Ekupheleni kwe-syphilis yokuzalwa, iimpawu zekliniki zibonwa, izibonakaliso kwezinye izifo: i-gazi ephakamileyo eneetempile eziphezulu, i-gothic esibhakabhakeni, i-tibia iboshwe ngendlela ye-arc (i-saber-like shins). Ngenxa yokutshatyalaliswa kwenkqubo yesantya, umntwana uhlala ecatshulwa ngokwengqondo, intetho yakhe iphukile kwaye kukho ezinye iziphazamiso zesistim somhlaba.

Unyango lwe-syphilis yokuzalwa

Unyango lwe-syphilis engumntanakho inokwenzeka kuphela ngoncedo lwe-antibacterial therapy, ngokukodwa, uphando oluninzi luye lwaqinisekisa ukuba i-treponema ephahlayo ayinakulinganiswa ngokubhekiselele kwii-antibiotics ezivela kwiqela le-penicillin. Ukunciphisa iimpawu zentsholongwane yokuzalwa, i-10-day course ye-penicillin idla ngokufunekayo.

Ukufumana unyango olupheleleyo lwe-syphilis yokuqala ye-congenital, 6 zezifundo ziyimfuneko, kunye nezifundo zokuzalwa zesifo se-syphilis - 8. Ukongeza kwonyango olusisiseko, izigulana zifuna ukunakekelwa kakuhle, ukutya okunomsocoko olulungileyo, ukulungiswa kwemigomo yesondlo, ukulala nokuvuka.