Izifo ze-Venereal zihlala kwindawo yokuqala. Ezi zifo zichaphazela ikakhulukazi inxalenye yokuzala yoluntu. Nangona kunjalo, akuzona zonke izifo ezaziwa ngokufanayo. Yintoni i-syphilis, izigulane ezininzi ziya kufumana kuphela xa zijongene nayo.
Iyintoni i-syphilis kwaye iyadluliselwa njani?
Isifo sesifo sesifo sibhekisela kwisifo se-venereal izifo zendalo. I-Pathology inomvelaphi osulelayo-kubangelwa zizifo ezifo. Xa ukuphuhliswa kwesifo kuchaphazela ulusu, izibilini zomzimba, izitho zangaphakathi, inkqubo yeentlanzi kunye nenkqubo ye-musculoskeletal. Esi sifo sibonakaliswe kwikhosi elide kunye nexesha lokuxhatshazwa nokuxolelwa.
Indlela ephambili yokudluliselwa kwesulelo isondo. Usulelo lwe-90% yezigulane zenzeka ngokuziphatha okungavumelekanga. Kule meko, izigulane ngokwazo zifunda ngesifo kuphela emva kwexeshana - eso sifo sinexesha lokuxubusha . Isikhathi saso siphumelele kwimeko yomzimba womzimba, ubukho bezinye iinkqubo ezingapheliyo ezichaphazelayo kunye nokuvuvukala emzimbeni.
I-Syphilis yi-agent agent
Ukuze uqonde ukuba yintoni i-syphilis, kufuneka uqwalasele isizathu sesifo. I-agent causative yesi sifo i-treponema eluhlaza. Le ncinci ibhekisela kuma-spirochetes. Ngaphakathi komzimba womntu, unokuhlala ixesha elide. Njengoko ukuphindaphinda, ukwanda kwindlela yokugonywa kwe-pathogen kubonakala kunye nomfanekiso wesithotholo. I-pathogen iphazamise ngokukhawuleza izitho zangaphakathi, ukusasazeka kwiimeko ezininzi ziqala ngeembrane ezinamaqabunga. Ngoku i-lymph pathogen ifinyelela kwisifo sokuphefumula, sisisigxina, sisekela inkqubo yomzimba.
I-trealema ye-pale ayixhomeki ukuma, amaqondo aphezulu aphezulu. Ngokukhawuleza bafa ngokubilisa. Nangona kunjalo, i-microorganism ayimelana namaqondo okushisa aphantsi kunye neqhwa. Kufunyenwe ukuba i-treponema ibonise umsebenzi wonyaka emva kokuqhwala nokugcina kwiqondo lokushisa kwama-degrees -780. Emva kokungena emzimbeni, i-pathogen ayilanga impendulo yomzimba. Oku kuchaza ukuba kungenzeka ukusuleleka kwintsholongwane ka-treponema, ukuphindaphinda kwe-syphilis.
I-syphilis idluliselwa njani?
Njengoko kuphawuliwe ngasentla, i-syphilis isasazeka kakhulu ngokulala ngesondo. Ngethuba lokuqhagamshelana olungakhuselekanga, i-pathogen kwiimbrane ezinamaqabunga eqabane elichaphazelekayo lingena kumzila wesini somzimba. Ukusetyenziswa kweikhondom njengendlela yokulungisa kunciphisa umngcipheko wesifo, kodwa asiyikufaka ngaphandle. Kukho ezinye iindlela zokusasazeka kwezi zifo zentsholongwane, phakathi kwazo:
- ukumpontshelwa igazi - ukumpontshelwa kwegazi lomphathiswa kwisigulane esinempilo;
- indlela ehambayo-ukusuka kumama ogulayo kuye kumntwana ngexesha lokubeleka;
- nge saliva;
- ngokucoceka kobuqu (inqabileyo);
- ngokusebenzisa izinto zasendlini (ezinqabileyo kakhulu).
Syphilis Primary
Xa kukho usulelo lwe-syphilis, ezininzi izigulane zifumana kunzima ukuphendula. Oku kubangelwa ubukho bexesha lokunyusa. Emva kokuba ungene emzimbeni uhamba phambili ixesha elide unokungavumeli ukwazi ngawe. Ngokweziganeko ze-venereologists, eli xesha lingahlala kwiiveki ezi-2-4. Ngeli xesha i-pathogen isasazeka ngokusesikweni ngomzimba ngokusebenzisa iinkqubo ezijikelezayo kunye ne-lymphatic.
Ekupheleni kwexesha lokutshatyalaliswa, iifom ezinzima, ezingenalubuhlungu kwimizimba emzimbeni kwisiza sokusungulwa kwe-pathogen, i-chancre enesilonda - ukubonakaliswa kokuqala kwe-syphilis. Ukususela ngeli thuba, ixesha le-syphilis yokuqala liqala. Emva kweentsuku ezili-10, i-treponema esuka kwisilonda, njengoko ichazwe ngentla, ifike kwii-lymph nodes ezikufuphi. Ngenxa yoko, inkqubo yokuvuvukala ikhula, kwaye umzimba wesigulane ubonakala intlungu evela kwisilonda kwi-lymph node. I-chancre enzima (i-ulcer), i-lymph node evuliwe, i-lymph evela kwiinqanawa ze-lymph iphela kwiiveki ezi-6-7 (ubude bexesha eliphambili).
Siphilisi yesibini
Zonke iinyanga ze-syphilis zibonakaliswe ngomfanekiso wabo weklinikhi. Ngoko, into ehlukileyo yefom ye sibini yinto yokubonakala kwe- syphilitic rash . I-chancre enzima ilahleka emva kweveki ezi-1-2 ukusuka kwimeko yokubonakala kwayo. Isici esichaphazelekayo sokuqhaqhaqhaqhaba kukuxhaphaka kuwo wonke umzimba. Kule meko, uhlobo lwamaqhosha e-rashes luyahlukahluka: amabala, ama-abscesses, iigununu.
Ezi zinto azidluli phantsi kwezenzo zamanyathelo okulwa nezicathulo zendawo (amafutha, ama-creams). Ixesha le-rashes ne-syphilis lihlala kwiinyanga ezi-2. Ngethuba elithile, i-rash ingalala, kodwa ibuye ibuye. Ukuxelela okokuphi ulwalamano lwesibini, oogqirha baqwalasela ubude beli xesha. Ingadlulela iminyaka emi-2-4, kuxhomekeke ekusebenzeni kwonyango.
I-syphilis efihliweyo
Ukuba abaninzi bayazi ukuba yiyiphi i-syphilis, akubona wonke umntu ovile ngefom elandelayo. Olu hlobo lokuphuhliswa kwesifo se-syphilitic lubonakala ngokusweleka okupheleleyo komfanekiso weklinikhi. I-syphilis yesondo kule meko ifunyenwe kuphela ngexesha lokuxilonga kwebhubhoratri. Uvavanyo lwegazi lwe-syphilis lubonisa ubukho bempawu ze-pathogen. Kule meko, ukuxilongwa kusekelwe kwi:
- idatha ye-anamnesis;
- iziphumo zempendulo ethile kwi-syphilis (i-RIBT, uvavanyo lwe-RPR).
Syphilis Symptoms
Kunzima ukusho ngokungathandabuzeki ukuba i-syphilis ibonakala ngathi, yintoni ukubonakaliswa kwayo: isifo singatshintsha okanye singaniki iimpawu. Ukongezelela, iimpawu ze-syphilis zivela kwiiveki ezimbalwa emva kokusuleleka. Nangona kunjalo, izigulane ezininzi azibakhathaleli kakhulu. Uninzi lufunda malunga nobukho besi sifo ekwakheni i-chancre eqinile, ebonakala emva kokuphuhliswa kwefom yeprayimari.
Xa kuqhutywe uphando lwabhoratri kakade kwinqanaba lokuqala utshintsho kwi-formula yegazi (ukukhula kwama-leucocytes, ukudandatheka kwe-hemoglobin) kungabonwa. Ezi ziqhamo zihlobo oluqhelekileyo, kwaye akunakwenzeka ukuchonga i-syphilis kubo. Ekupheleni kwexesha eliphambili, iziguli zikhalaza malunga:
- intloko;
- ubuthathaka kunye neentlungu;
- intlungu kwiimisipha kunye namalungu;
- ukwanda kwinqempa lomzimba ukuya kuma-38 degrees.
Impawu zokuqala ze-syphilis
Xa i-syphilis ikhula, i-chancre yenye yeyona nto yokuqala yeempawu zentsholongwane. Olu lwakhiwo lubuhlungu besincinci esincinci. Yenziwe ngokuthe ngqo kwisiza sokusungulwa kwe-treponem emzimbeni: kubasetyhini-kwi-labia okanye emlonyeni wesibeleko, kumadoda-kummandla we-glans penis. Uqeqesho lunokulimaza, kodwa kaninzi alubangela ukuba uzive. Kwisiseko se-chancre kukho ukungena okuqinileyo, ngoko kuye kwafumana igama elinjalo. Phakathi kwezinye iintlobo zokuqala ze-syphilis zingabonwa:
- I-edema enomdaka yindlela yokwakhiwa kwelabi okanye ijwabu. Kwiimeko ezininzi zine-cyanotic okanye i-tinge ebomvu.
- U-Amygladalite - ukunqotshwa kwe-syphilis yeetoni nge-carrier ye treponema. Ivela ngenxa yesondo lomlomo. Ubuhlungu ngexesha lokugwinya, ukushisa komzimba ophezulu, ubuthathaka, ikhanda elibi liyabonwa.
Amanyathelo okuphilisa
Ngokuxhomekeka kwindlela i-syphilis ebonakalisa ngayo, ziphi iimpawu ezibonwayo, oogqirha banokwazi ukuchonga isigaba sesifo:
- Isigaba sokuqala (i-syphilis yokuqala) - iqala ngosulelo, luquka ixesha lokutshala xa iimpawu zingekho. Ubude beli nqanaba lifikelela kwiiveki ezi-7. Eyaziwayo ngokubunjwa kwe-chancre, echazwe ngasentla, i-lymph nodes ekhulisiweyo.
- Isigaba sesibini (i-syphilis yesibini) ibonakaliswe ukuqhuma kuwo wonke umzimba, oya kupheka ngokukhawuleza aze aphinde avele.
- Isigaba sesithathu - sikhula iminyaka embalwa emva kokusuleleka xa kungabikho unyango olufanelekileyo, ukuthunyelwa kugqirha. Kungekudala, i-syphilis ephakamileyo yemfundo sele ixhaphake kakhulu ngenxa yokuhamba kwamanzi.
Yintoni eyingozi kwi-syphilis?
Ukuba i-syphilis ayiphathwe ixesha elide, iziphumo zesifo ziyakuchukumisa impilo yakho. Uluhlu lweengxaki ezinokwenzeka, kwaye akunakwenzeka ukuba kusekwe ngokuthe ngqo ukuba yiyiphi imiphumo yobungqina be-treponema emzimbeni womntu. Phakathi kweziphumo eziqhelekileyo zesifo:
- ukungabikho;
- ukunciphisa ijwabu;
- ukuphazamiseka kwezixhobo zokusebenza;
- I-CNS izilonda - neurosyphilis;
- umonakalo kwengqondo;
- ukufa.
I-Syphilis - ukuxilongwa
Emva kokuqonda ukuba yiyiphi i-syphilis, indlela ebonakala ngayo, kubalulekile ukufumanisa indlela enokwenzeka ngayo ukuba uhlolisise eso sifo. Kunzima ukubona i-pathology ngokuzimeleyo-ngokuqhelekileyo eso sifo siqhubeka ngendlela efihlakeleyo, siyifumene kunye noviwo lokukhusela ngengozi. Isiseko soxilongo yindlela yebhubhoratri. Ukuphuculwa kobuchule obukhoyo kwenza ukuba kube lula ukubonakalisa ubukho be-arhente emzimbeni ngaphandle kokubonakaliswa kwangaphandle. Igalelo isebenza njengento yokufunda. Uhlalutyo lwe-syphilis lungenziwa ngenye yeendlela:
- RPR;
- I-RW ( uvavanyo lweWasserman );
- I-RIF (i-enzyme immunoassay);
- iimpendulo zentlupheko;
- PCR.
I-Syphilis - unyango
Unyango lwe-syphilis lwenziwa esibhedlele. Inkqubo yonyango ikhethwe ngabanye kwaye igqitywe kwisigaba sesi sifo, ubukho be-pathologies edibeneyo, imeko yesigulane. Isiseko sokonyango iziyobisi ezichasayo. I- pale treponema iyanqabile kwi-antibiotics yechungechunge lwe-penicillin. Nangona kunjalo, ezi ziyobisi ziye zanda ukwanda kwe-allergenicity. Njengabafaka indawo bangasetyenziswa:
- i-macrolides (i-Azithromycin, i-Erythromycin);
- i-tetracycline (i-Doxycycline, iTetracycline);
- i-fluoroquinolones (iLevofloxacin, i-Sparfloxacin).
Kwiinkqubo ezinzima zonyango, amanye amaqela eziyobisi asetyenziswa rhoqo:
- i-immunostimulants (Immunal, Immunomax);
- okuchasayo (i-naproxen, i-surg);
- iivithamini (B6, B12, ascorbic acid).
Ngaba kunokwenzeka ukuphilisa i-syphilis?
Lo mbuzo uvame ukucelwa ngalawo ma-placenta apho i-syphilis emva kokuba unyango luphuhlise olutsha. Njengoko kuphawuliwe ngasentla, ukukhuseleka kwesi sifo esilungileyo kumzimba womntu akuvelwanga, ngenxa yoko, emva kwexesha lokuphela kwenkqubo yokonyango, iimpawu ze-syphilis zingavela kwakhona. Nangona kunjalo, unyango oluqalile ngexesha, ukuthotyelwa ngokugcwele nemigqaliselo yonyango kunye neengcebiso ezivela kwisigulane siqinisekiso sokubuyisela ngokupheleleyo. Izibalo malunga nendlela unyango oluphathwa ngayo luboniswa kwitheyibhile elingezantsi.
I-Syphilis - iziyobisi
Kwimeko nganye, indlela yokuphatha i-syphilis - inquma i-venereologist. Unyango luxhomekeke ngokupheleleyo kwifom, isigaba sesifo. Kule meko, impembelelo yonyango ixhomeke kakhulu ekukhethweni okuchanekileyo kwirejimenti yonyango. Kukho amaqhinga amaninzi awamkelwayo akhokela oogqirha kunyango lwe-syphilis. Imigangatho esemgangathweni yamazwe ngamazwe ekunyango kwesi sifo sesifo, esibonisa ukuba amayeza kunye namayeza anikezelwa kwitheyibhile elingezantsi.
I-Syphilis - ukukhusela
Ukuthintela ukusuleleka kwezifo kuhloswe ekupheliseni ukuhanjiswa kwesifo.
Ukukhusela i-syphilis yasekhaya, kufuneka:
- Sebenzisa izixhobo ezihlukeneyo (ngokuziqwalasela kakuhle emva kokutya).
- Sebenzisa iimveliso zokucoceka.
- Gweba ukuxhatshazwa ngokwesondo, ukumanga nomntu ogulayo.
Kwimeko xa ukulala ngesondo kunye nesigulane kwenzeka, kuyimfuneko:
- Ukuphatha izitho zangaphandle zesini kunye nesisombululo se-Chlorhexidine.
- Emva kweeveki ezingama-2-3 zidlule ukuhlolwa kolawulo lwe-syphilis.