I-Syphilis yisifo socansi esibangela ukulimala ithambo, isimiso sezinzwa, isikhumba. Lesi sifo sibonakala inkambo ende, isifo esinzima. Ake sicabangele ngokuningiliziwe isikhathi esinjalo sokukhubazeka njenge-syphilis ephakeme, ukuhlukanisa izimpawu zayo, ukubonakaliswa, izindlela zokwelapha.
Iyini "isifo se-syphilis"?
Phakathi naleso sifo, izinkathi eziningana zihlukaniswa: i-syphilis eyinhloko, yesibili, ephakeme. Uhlobo lokugcina lwe-pathology luqala ngqo ezigulini ezingathathi izifundo zokwelapha noma ukuqokwa okungagunyaziwe odokotela, izincomo zabo. Ifomu eliphakeme liyisigaba esinqatshiwe senqubo yokugulisa umzimba. Iqala cishe eminyakeni emi-3-5 kusukela ngesikhathi sokutheleleka futhi inesithombe esithile somtholampilo.
Okuphambene nalokho okushiwo ukuthi abantu abane-syphilis ephakeme basakaza kwabanye. Ku-95-98% yazo zonke izifo zokutheleleka - ukuxhumana kocansi. Indlela yasendlini (kisses, ukuxhaphaza, ukusetshenziswa kwemikhiqizo yokuhlanzeka kwesiguli, igciwane lezinto eziphambene ne-pathogenic) ayikwazi ukutheleleka nge-syphilis. Lokhu kubangelwa ukuthi i-pathogen ilahlekelwa ngokuqinile ukutheleleka kwayo njengoba iphela.
I-syphilis emphakathini - izimpawu
Ucwaningo lwamanje kanye nokubonwa kodokotela kuye kwabonisa ukuthi isifo se-high school syphilis singakhula ngisho nangemva kweminyaka engu-8-10 kusukela ngesikhathi sokutheleleka kwesiguli nge-tryponema ephukile. Lona uhlobo lwe-pathology lubonakala inkambo ende, ngezikhathi ezilindile - isikhathi lapho iziguli zingakhathazeki nganoma yini, izimpawu zesifo ziyaqina. Kunezibonakaliso ezithile ze-syphilis ephakeme.
Ukunqotshwa kwesikhumba kuyinto isifo samaphilisi esiphakeme. Ziyakhula ezinyangeni ezimbalwa, ngezinye izikhathi iminyaka. Ukuzwa okungaqondakali kweziguli akukho. Zitholakala ezindaweni ezinqunyelwe zesikhumba, kancane kancane zibuyisa, zihamba ezindaweni ezikhona. Izilonda zesikhumba zihlanganisa:
- I-Bugorkovy syphilid - i-nodule kusukela ekungeneni emdlelweni wesikhumba, okunye okuhamba phambili ngaphezu kwendawo. Ububanzi 7 mm, umbala obomvu obomvu, obunzima ngokuvumelana. Ngokuhamba kwesikhathi, iguquka izinguquko zesifo se-necrotic ngokubunjwa kwezilonda, emaphethelweni alo. Ukuphulukisa kuthatha izinyanga ngokubunjwa kwezibazi.
- I-humming syphilis - i-nodule emafutheni angaphansi, angenabuhlungu, anomuntu oyedwa. Thola indawo ebunzini, emadolweni nasezinhlangeni. Ekuqaleni, i-Gumma iselula, ilahlekelwa ukuhamba njengoba ikhula, kuvulwa ukuvulwa phakathi nendawo okukhishwa ngayo i-gelatinous liquid. Ububanzi bomgodi buyanda - i-ulcer enezingxube ezingafani.
Ukungasebenzi kwezinhlelo ze-somatic kanye nezitho zenzeka e-syphilis ephakeme emva kweminyaka eyishumi kusukela ngesikhathi sokutheleleka. Ngesikhathi esifanayo, bayashaywa:
- uhlelo lwezinhliziyo ( myocarditis );
- isibindi (isibindi);
- isisu - isilonda;
- uhlelo lwesimiso yi-neurosyphilis.
I-syphilis ephezulu yokubonakaliswa
Lapho isikhathi semfundo ephakeme sifika, isifo se-syphilis senze ukubonakaliswa. Izinguquko zithinta uhlelo lwethambo. Ngakho izinsini zingase zakhiwe endaweni ye-periosteum kanye ne-spongy substance. Zihlakulela, ikakhulukazi, emathanjeni asesigxathu, i-tubular. Ngokuvamile i-collarbone, amathambo e-skull, ihlombe nesigqoko ziyathinteka. Kulesi simo, zonke izinguquko ezitheni zamathambo ziqhubeka ngokulandela uhlobo:
- I-Periostitis - ebonakala ngokubukeka kwamathambo, okunyuka kakhulu ebusuku. Endaweni yesilonda, ukuvuvukala nokuvuvukala kwakha. Uma kungekho ukwelashwa okudingekile, ubuhlungu buyanyamalala ngemva kwamasonto amabili no-4.
- I-Osteoperiostitis - inqubo yokuvuvukala yendawo yangaphakathi ku-periosteum. Njengoba i-pathology iqhubeka, kancane kancane iguqula amathambo amathambo. Kwezinye izimo, inqubo ye-pathological ehamba phambili ingenzeka - okokuqala izicubu zethambo zithintwa, kanti i-periosteum ihileleke kule nqubo.
I-syphilis ephakeme emlonyeni womlomo
Ngokuvamile, i-syphilis yamabanga aphezulu ibonakala njengesilonda sezinambuzane zomlomo emlonyeni. Ezimweni ezinjalo, izinsini zingase zibe ngumlingisi oyedwa, okungajwayelekile ukuthi lezi zilimo eziyizigaxa zisabalala kuwo wonke umlomo womlomo. Ngokuvame ukubunjwa phezu kolimi, isibhakabhaka esinzima nesithambile. Qala amafomu amahlumela abuhlungu. Ngokuhamba kwesikhathi, landa ngesayizi, emva kwalokho livuliwe. Kusukela kwilonda, induku ye-gummy inqatshiwe. Endaweni yayo isilonda sisungulwa.
Le nqubo ithatha izinyanga ezingu-3-4. Kwezinye izimo, kuhambisane nezinzwa ezincane, ezizithobayo:
- ubuhlungu emgodini womlomo;
- ukwephula inqubo yokudla ukudla.
I-high school syphilis ephakeme
I-syphilis yasebusuku ephakeme ivele ifakwe ngendlela evulekile. Isigaba esilandelayo sinesikhathi eside, ngakho-ke iziguli zingalingeka ngokuqala kwesikhathi sokutakula. Kodwa-ke, ngemva kokuphelelwa yisikhathi, i-syphilis ephakeme (i-gum) ivela esikhumbeni futhi. Zakhiwa ngevolumu encane. Ukungena emangqamuzaneni emangcwabeni akunazo izinguquko zangaphandle futhi ekubunjweni kwazo kunomthamo omncane we-pathogen.
Ukuxilongwa kwe-syphilis ephakeme
Isiteji sezemfundo se-syphilis asidingi izinyathelo ezikhethekile zokuxilonga. Amagciwane adluliselwa kalula ngokubonakaliswa kwemitholampilo, izimpawu zenqubo yokugula. Ngaphezu kwalokho, ku-30% weziguli isifundo esikhethekile - ukuhlolwa kwe-RPR kunikeza umphumela omubi. Ngenxa yalokhu, inani eliyinhloko lokuxilonga litholakala ngo:
- REEF;
- I-RIBT (enhle ngo-90-100%).
Ukuze unqume izinga lokutheleleka kwezitho zangaphakathi nezinhlelo, ukuhlolwa okwengeziwe kwenziwa:
- I-Ultrasound yenhliziyo;
- ECG;
- i-aortography;
- I-X-ray yamathambo;
- I-ultrasound yesibindi ;
- ucwaningo lwe-cerebrospinal fluid.
I-syphilis esemfundo - ukwelashwa
Ukwelashwa kwe-syphilis ephakeme kuncike ekusebenziseni ama-antibacterial agents. Kulokhu, izidakamizwa zechungechunge lwe-penicillin zisetshenziswe ngentshiseko. Uma bengenakubekezela, izidakamizwa zikhethwe ngabanye. Udokotela ubonisa umthamo, ukuvama kokungena, isikhathi sokwelapha. Ukusebenza ngokuqondile kuncike esikhathini sokuqala kwenqubo yokwelapha, ukuqina kwesifo.
Kungenzeka yini ukuphulukisa isifo samaphilisi esiphakeme?
Ngokuvamile, iziguli ezilelesi sifo zinesithakazelo embuzweni wokuthi ngabe isifo sofuba esiphakeme siphathwa yini. Odokotela bathi impumelelo ekwelapheni inokwenzeka kuphela ekuqaleni kokuqala kokwelapha. Ngaphezu kwalokho, umphumela we-syphilis ephakeme uncike ekungenikeni komonakalo obangelwa i-agent kanye nezitho. Ngokuvamile, umgomo wemisebenzi yokwelashwa oqhubekayo ukuqinisa, ukumisa ukuqhubeka kwe-syphilis.
Ukwelashwa kwe-syphilis ephakeme
Amathebulethi ane-syphilis ephakeme kufanele athathwe ngokuhambisana nemigomo yezokwelapha. Kulolu daba, udokotela ukhetha uhlelo lokwelapha olulodwa. Phakathi kokuvamile:
- Ukwelashwa kokulungiselela - izinsuku ezingu-14 ezithola i- Erythromycin noma i-Tetracycline, i-2 g ngosuku (0.5 nge-reception). Emva kwezinsuku ezingu-28 u-Penicillin amayunithi angu-400,000 izikhathi ezingu-8 ngosuku. Ngemuva kwamasonto amabili - inkambo iphindaphindwa, ukunciphisa ezinsukwini ezingu-14.
- Ukulungiselela u-Erythromycin njengoba kuchazwe ngenhla, ngemuva kwalokho u-u-salisi we-Penicillin Novocaine osetshenzisiwe, amayunithi angu-600,000 izikhathi ezingu-2 ngosuku, izinsuku ezingu-42 ezilandelanayo. Inkambo iphindaphindwa - emva kwezinsuku ezingu-14 amanye amaviki amabili okulashwa ayenziwa.
- Ukulungiselela i-Erythromycin, kulandelwa ukusetshenziswa kwe-Procaine-penicillin ngamayunithi wezigidi ezingu-1.2, kanye ngosuku, izinsuku ezingu-42. Inkambo iphindaphindwa - amasonto amabili angena kabusha isidakamizwa ngemuva kwezinsuku ezingu-14 zokuphazamiseka.
- Ukwelashwa kwe-high-syphilis Extensillin kwenziwa ngomjovo owodwa wezilinganiselwa ezigidini eziyizigidi ezingu-2.4 nge-intramuscularly ezimbili-stage stage: Ukuhlakaza ngaphambilini ku-8 ml yesisombululo salinezigidi ezingu-1.2 ezigumbini ngalinye.