I-Syphilis yisifo esithathelwana ngocansi. I-agent yalo causative yi-microorganism ye-bacteria - treponema ephaphathekile. Cabanga ngalesi sifo ngokuningiliziwe, sizobiza izindlela zokuxilongwa, thola ukuthi kungani isifo sofuba kwenzeka ngesikhathi sokukhulelwa.
Ukuhlaziywa kwe-syphilis kwabesifazane abakhulelwe
Ukuze kutholakale ukuthi lesi sifo sifinyelele ngesikhathi esifanele futhi siqale kanjani inqubo yokwelapha, ukuhlaziywa kwe-syphilis ngesikhathi sokukhulelwa kunikezwa ekuvakasheni kokuqala kumgogeni wamazinyo, ukubhaliswa. Ucwaningo lungenziwa ngezindlela eziningana, phakathi kwazo:
- I-RIF (ukusabela okungafani ne-immunofluorescence reaction), isungula lesi sifo esiteji sokuqala;
- I-PCR - iyasiza ekuboneni ukuthi kukhona ama-DNA amagciwane egazini, ukukhomba izifo ngaphambi kokuba kuvele isithombe somtholampilo;
- I-RPHA (ukusabela kwe-agglutination ye-aggression) - ibonisa lesi sifo nganoma yisiphi isigaba sokuthuthukiswa;
- I-ELISA (i-enzyme immunoassay) - isiza ekusunguleni isigaba senqubo yokwelashwa, isabelwe njengesifundo esengeziwe.
Ukuhlaziywa okungamanga kwe-syphilis ekukhulelweni
Into efana nokuhlaziywa okungaqondakali kwe-syphilis, ekukhulelweni - akuvamile. Ukuze kukhishwe umphumela wamanga, ukuphikisana okungamanga kwamanga ekukhulelwe, emva kokuthola impendulo enhle ngemva kokutadisha kokuqala, kunqunywe i-RIBT - ukusabela ekugqugquzelweni kwama-trypanomas aphuzi. Phakathi kwezizathu zomphumela ongalungile, odokotela bayabiza:
- izinqubo ezingapheliyo eziphathelene nezifo ezithinta izicubu;
- isifo senhliziyo;
- izinqubo ezithathelwanayo emzimbeni;
- Ukugonywa kwakamuva;
- isifo sikashukela.
Ukuhlaziywa okunembile kwe-syphilis ekukhulelweni
Ukuhlolwa okuhle kwe-syphilis kwabesifazane abakhulelwe kuyisibonakaliso sokubuyiselwa kabusha. Uma kwenzeka okwesibili esampula yegazi kune-agent, owesifazane uthathwa ukuze alawulwe. Kulesi simo, kunqunywa ukuhlolwa okuphelele, okubandakanya ukucaciswa kwamagciwane, isigaba sesifo. Ngokusekelwe emiphumeleni etholakalayo, kuqhutshwa inkambo ngayinye yokwelapha. Ngesiqalo esifike ngesikhathi sokwelashwa, kungenzeka ukuba ukhiphe ukuqhubeka kwesifo, ukuthwala nokubeletha ingane enempilo.
I-syphilis ithinta kanjani ukukhulelwa?
Ukufunda ithonya le-syphilis ekukhulelwe, odokotela bafika ekuphethweni ukuthi isikhathi sokuqala kwenqubo yokwelapha kubalulekile. Uma isifo sitholakalayo esigabeni sokuhlela ukukhulelwa noma ekuqaleni, kungenzeka ukuba uqede ngokuphelele umthelela omubi we-pathogen ebusweni. Kumele kukhunjulwe ukuthi isifo samaphilisi ngesikhathi sokukhulelwa kwamanje senza ukungalingani ezingeni lamahomoni emzimbeni womama ozayo. Ngenxa yalokho, ingozi yentuthuko iyanda:
- ukulethwa ngaphambi kwesikhathi ;
- ukukhipha isisu okuzenzekelayo;
- izinsongo zokuhlukumeza.
Ngaphezu kwalokho, inqubo yokuzala umntwana kwabesifazane abane-syphilis ivame ukuhambisana ne-anemia ne-toxicosis ephuzile. Ukukhathazeka okukhulu odokotela ukuthi kungenzeka ukuthelela ingane kumama - i-pathogen iyangena e-placenta. Amathuba amaningi okubeletha umntwana onempilo yilabo besifazane abakhulelwe abaphathwa ngokushesha (amasonto angama-16).
Imiphumela ye-syphilis ekukhulelwe
Isifo esinjengesihlahla se-syphilis ngesikhathi sokukhulelwa sidinga inkambo ethile yokwelashwa, okumele iqalwe ngokushesha ngemuva kokuxilongwa. Kulokhu, umuntu angagwema imiphumela ebuhlungu, phakathi kwayo:
- ukukhulelwa kwesisu;
- ukulethwa ngaphambi kwesikhathi;
- i-stillbirth;
- ukufa kwezingane ezisanda kuzalwa esikhathini sokuqala sokuphila;
- ukukhubazeka okunzima okukhulu;
- ukuzalwa kwengane ene-syphilis yokuzalwa.
Ingabe i-syphilis idluliselwe kumntwana?
I-Syphilis kwabesifazane abakhulelwe ibhekene nokuthuthukiswa kwesifo esifanayo emntwaneni. Izimpawu zesifo se-syphilis esalimazile zilotshwe ngokushesha ngemva kokuzalwa komntwana:
- umonakalo esikhumbeni;
- ukuguqulwa kokuqala;
- ukunqotshwa kwamathambo;
- isifo sesibindi;
- izifo zesimiso sezinzwa.
Izingane ezinjalo zihamba kancane kancane, zihlala ziphumula, zilele kabi, zisesimweni sokukhathazeka, zihlala zikhala, kuyilapho zikhala ngokukhalipha, ukubhoboza. Ngokuvamile, lesi sifo siholela emhubheni obulalayo ngenxa yokuphazamiseka kwenqubo yokuthuthukiswa kwesimiso sokuphefumula ngisho nasesiteji sokuthuthukiswa kwe-intrauterine. I-syphilis yokuzalwa yangemva kwesikhathi ingahlolwa futhi eminyakeni emibili ngemuva kokuvela komntwana, kodwa kaningi kwenzeka emkhakheni weminyaka engu-7-14.
Ngaphambi kwalesi sikhathi, akukho ukubonakaliswa kwesifo somama akulungisi. Izimpawu ezinokwenzeka zokuphuza, isifo se-syphilis esandulela:
- ukulimala ekusizeni ukuzwa;
- izifo zamehlo;
- ukulahlekelwa kwamazinyo.
Indlela yokuphatha i-syphilis ngesikhathi ukhulelwe?
Ukwelashwa kwe-syphilis ngesikhathi ukhulelwe kwenziwa kabili. Inkambo yokuqala yenziwa esibhedlela, ngokushesha ngemva kokuthola lesi sifo. Owesibili yi-prophylactic, eyenziwa ngesineke ngemuva kokufinyelela isonto lama-20-24. Ukuze uthole ukwelashwa, kusetshenziswe amalungiselelo e-penicillin, i-Ceftriaxone. Ukwelashwa kwe-syphilis kwabesifazane abakhulelwe kwenziwa ngabanye. Udokotela unquma uhlobo lwezidakamizwa, umvuthwandaba walo wokulinganisa kanye nobude bokusetshenziswa.
Ukuvimbela i-syphilis kwabesifazane abakhulelwe
Izinyathelo zokuzivikela uma kwenzeka ukuqala kokubeletha kuhloswe ukuxilongwa kwesifo ngokushesha. Ngokuqondile ngakho-ke kungenzeka ukuthi wembule i-syphilis esivamile lapho ukhulelwe. Uhlaziya lolu hlobo kuyo yonke inkathi yokubeletha umntwana umama olindelekile unikela kathathu. Ukuqaphela ikakhulukazi kukhokhwa ekuboneni lesi sifo ngesikhathi sokuhlela ukukhulelwa, ukuvimbela. Ukuze ugweme ukutheleleka, ungafaki i-syphilis ngesikhathi ukhulelwe, izakhamuzi ze-venereologists zincoma:
- Sebenzisa izindlela zokukhulelwa ngokwemishini (ikhondomu).
- Gwema ubulili obungavamile.
- Uma usolwa ngokutheleleka, phatha izitho zangasese nge-chlorhexidine ngokushesha ngemuva kwesenzo.