I- syphilis ephakeme ivela emaphesenti amancane weziguli ezingazange zithole ukwelashwa nhlobo, noma ngubani owathola ukwelashwa okungalungile. Ukuthuthukiswa kwalesi sigaba sesifo kuhlinzekwa yizikhathi ezinjengalezi: iminyaka yobudala noma ingane, ukuhlukunyezwa, izifo ezingapheli, ukuphuza utshwala. Ngokuvamile, inkathi ephakeme ye-syphilis ivuka eminyakeni engu-5-10 emva kokutheleleka, ekhonjiswe ngezikhathi ezide zesikhathi eside.
Ukubonakaliswa nezici zesifo
Ukubonakaliswa kwemitholampilo yesiteji semfundo ephakeme ye-syphilis kungokwemvelo yendawo. Lesi sigaba sesifo sibonakala ngesimo se-granulomas esithathelwanayo, kubhubhisa izicubu ezivela kuwo. Ama-granulomas angafakwa ezindaweni ezinengqondo, amathambo, izitho zangaphakathi, kancane kancane azibhubhise ngisho nokuholela emphumela wokubulala.
Izimpawu ze-syphilis ephakeme
I-syphilis ephakeme ikhonjiswe yi-syphilis ephakeme kakhulu yesikhumba, egcina ekuqothuleni, ishiya izicubu ezinzima. I-Syphilis ifana nezilonda bese ufaka amafomu amabili:
- I-Bugorkovye - yakhiwe esikhumbeni;
- ukuvama - kuthinta noma yiziphi izicubu, zibhubhise ngisho namathambo kanye ne-cartilage, ngokuvamile zifakwe emagunyeni omlomo nomphuzi, okwenza ukuphuma kwegazi, i-rhinitis ye-purulent, ukukhubazeka kobuso, ubunzima bokukhuluma nokudla.
Izilonda zezitho zangaphakathi zidala i- myocarditis , i-aortitis, i-osteomyelitis, i-arthritis, izilonda zesisu, isifo sofuba, isifo se-hepatitis, neurosyphilis nezinye izifo, eziningi zazo ezibulalayo.
Isigaba sesithathu se-syphilis asiketshezi, ngoba i-treponema ekhona emzimbeni isendaweni ye-granulomas futhi ifa ngesikhathi sokubola kwayo. Izifo eziphakemeyo ziqala ngokuphindaphindiwe: ukuphindaphinda okungapheli kuthatha isikhathi eside sokuthula. Lesi sifo sithuthuka kancane futhi asihambisani nokuvuvukala okubuhlungu nobuhlungu. Ngakho-ke, abantu abaningi abaswele abakwazi ukucabangela isidingo sokuvakashela ochwepheshe isikhathi eside.
Ukwelashwa kwesifo
Ukwelashwa kwe-syphilis ephakeme kuyinto systemic. Okokuqala, inkambo yezinsuku ezingu-14 tetracycline noma i-erythromycin inqunywe. Ishintshwa izifundo ezimbili ze-penicillin therapy nge-interval of days 14. Izici zokwelapha zenziwa ngumchwepheshe, kucatshangelwa isimo somzimba wesandulela ngculaza. Ukwelashwa kuhambisana nokuqapha kwezitho ezithintekayo. Uma kunesidingo, ukwelapha okuvuselela noma okuphazamisayo kwenziwa.