Ezinye izifo ze-venereal, ikakhulukazi esimweni esingapheli, kubangela izinkinga ezinkulu kanye nokuphazanyiswa okukhulu komsebenzi wezinhlelo zangaphakathi nezitho zangaphakathi. I-Syphilis ibhekisela eqenjini lamathologi eliyingozi eliholela ekulimazeni izinso, inhliziyo nesibindi. Ngenxa yalesi sizathu, odokotela bayelulekwa ukuba bazijwayele kusengaphambili ngezinqubo zokuvimbela.
I-Syphilis yi-agent causative yokutheleleka
Lesi sifo sishukunyiswa nge-gram-negative anaorobic microorganism ezivela ezinhlotsheni ze-spirochete ezibizwa ngokuthi i-treponema ephahleni. Le bacterium iye yakhula ukumelana nezinhlobo eziningi zama-antibiotic futhi uyakwazi ukuzivikela kuzo ngosizo lwegobolondo lekhanda. Iyakwazi ukuqothula i-collagen nokunamathisela kumaseli anempilo, ngakho-ke i-treponema ephahlazayo ibangela:
- ukwephulwa kokudla okuyisisindo kwamathambo;
- ukukhubazeka kwesilonda;
- i-necrosis;
- ukunciphisa amaprotheni synthesis;
- ukuguguleka komhlabathi;
- izilonda zezitho zangaphakathi.
Zithola kanjani i-syphilis?
Indlela eyinhloko yokutheleleka yikuphi ubudlelwano bobulili nomlingani ogulayo ngaphandle kokuvimbela ukuvimbela ukukhulelwa , kufaka phakathi ubulili bomlomo nobulili. Uma owesifazane ekhulelwe noma esevele esenomntwana ngenkathi ekhulelwe, ingane ingaba ne- syphilis yokubeletha - iqembu lezinhlekelele lihlanganisa abantwana abangenakekelwa ngempumelelo nomama. Enye indlela yokutheleleka kuhilela ukuxhumana okuqondile negazi lesiguli:
- ukudluliselwa;
- ukusetshenziswa kwesiringi esisodwa somjovo;
- ukusebenza kwemisebenzi yokwelashwa (umzila wokudlulisela ochwepheshe).
Kungenzeka yini ukubamba isifo se-syphilis ngendlela yasekhaya?
I-pale treponema isinda ngaphandle komzimba womuntu izinsuku ezimbalwa futhi ihlala ingavumelani namazinga okushisa aphansi. Impendulo yalo mbuzo, kungakhathaliseki ukuthi kungenzeka yini ukubamba isifo samakhemikhali ngendlela enhle, kodwa kuyisimo esingavamile kakhulu sokutheleleka. I-bacterium inobungqabavu ezintweni ezithintana ngazo izibungu ezinomuthi zomuntu ogulayo noma izilonda zayo ezivulekile:
- izitsha;
- ibhuloho lamazinyo;
- amathawula;
- i-tableware;
- umbhede wendwangu.
Uma abantu abaphilile behlala noma basebenza eduze nomuntu onegciwane, kudingeka bahlolwe ngokwezokwelapha. Ngisho uma kungekho ukutheleleka, ukuvimbela okuqondile ukulwa nesifo sofuba nokuqapha okuqhubekayo kwenziwa ngemuva kwalokho. Isiguli kufanele siqaphele ngokucophelela ukuhlanzeka kwakhe, sebenzisa kuphela izinto zangasese zomuntu ohlwini olungenhla.
Ngingathola i-syphilis ngokusebenzisa kiss?
Ama-pathogens ahlathulule isifo sofuba futhi ahlala emgodini womlomo, ikakhulukazi uma izingqamuzana zalo ezinamaqabunga ziyi-chancres ephawulekayo (ukuguguleka kwesilonda). Emibuthanweni, kungakhathaliseki ukuthi kungenzeka yini ukubamba isifo samagciwane ngamathe, nokuthi ngabe ama-treponemas aqoshiwe adluliselwa ku-kisses, ama-venereologists ayaphendula kahle. Kubalulekile ukukhipha oxhumana nabo abaseduze nomuntu ogulayo ngaphambi kokuba alulame.
Ngingathola i-syphilis ngekhondomu?
Izindlela zokuvimbela ukuvimbela izakhi zibhekwa njengendlela ephumelelayo yokuvimbela ukutheleleka, kodwa aziqinisekisi ukuvikelwa okungu-100%. Ukuthola ukuthi ungathola i-syphilis uma usebenzisa ikhondomu, udinga ukukhumbula amaqiniso alandelayo:
- isitoreji esingalungile nokusetshenziswa komkhiqizo kuholela ekuphuleni ubuqotho bayo;
- I-treponema ephahlazayo ingena emzimbeni futhi ngamathe, ngokusebenzisa amanxeba esikhumbeni noma izinambuzane ezinamakhaza;
- Amakhondomu aphansi ajwayele ukuphula;
- I-lubricants on fat isisekelo sonakalisa indaba okuvela ngayo lapho ukukhulelwa kwenzelwa.
Ngenxa yeziphakamiso ezingenhla, ukuvimbela ukulwa nesifo socansi akumele kukhawulwe ekusetshenzisweni kwemishini yokuzivikela. Isicelo sabo esingalungile, umshado wasezimboni kanye nezinye izimo zingabangela ukutheleleka kwesifo esibucayi. Ngokuvamile, iziguli ezithengiswayo azikholelwa ngisho nokutheleleka nge-treponema ephukile.
I-Syphilis - izindlela zokuvimbela
Indlela ephumelelayo yokuvimbela ukutheleleka ngalesi sifo ukulandela izincomo jikelele zesazi. Izinyathelo zokuvimbela i-syphilis:
- Gwema ubuhlobo obuseduze obuseduze.
- Sebenzisa njalo ikhondomu yekhwalithi eliphezulu kuzo zonke izinhlobo zobulili (ngomlomo, ngokobulili, engqondweni).
- Njalo uvakashele udokotela ukuthola izivivinyo ezivamile.
- Hlela ngendlela ehlelekile ukuhlolwa kwesibhedlela.
- Ungamanga abantu abangajwayelekile.
- Sebenzisa kuphela izesekeli zomuntu siqu.
- Lapho uvakashela amahhotela nezindawo ezifanayo, hlola ngokucophelela ukuhlanzwa kwamakamelo, ukuhlanzeka kwezesekeli zokugeza kanye nezindawo zokugezela.
- Uma emndenini noma emsebenzini kukhona isiguli esinama-syphilis, ungathathi izitsha zakhe, izingubo nezinto zekhaya.
I-prophylaxis ephuthumayo ye-syphilis
Uma kube nokuziphatha okungavumelekile kocansi, kubalulekile ukuthi uthathe izinyathelo zokuvimbela ukutheleleka nge-treponema ephukile. Ukuvimbela ukutheleleka nge-syphilis ezimweni ezinjalo kusikisela:
- ukugeza ngesisombululo sensipho;
- ukuvuthwa;
- ukuphathwa ngokucophelela ngezitho zangasese, ukuhlanza okujulile ngezixazululo ze-antiseptic (Gibitane, Miramistin, Cidipol nabanye).
Ukuvimbela okunjalo kwe-syphilis akuqinisekisi ukuvikelwa kwekhwalithi, ngakho-ke, esikhathini esizayo esiseduze emva kobudlelwane obuseduze kubalulekile ukwenza i-aphoyintimenti ne-venereologist futhi uchaze isimo kuye. Udokotela uzothumela izivivinyo ezidingekayo ze-laboratory futhi anikeze inkambo yokwelashwa kwezidakamizwa zokuvimbela. Le ukwelashwa kusiza ekuvimbeleni ukutheleleka okungu-100% nge-treponema ephukile nokusabalala kokutheleleka.
Ukuvimbela okuqondile kwe-syphilis
Odokotela abakaze bahlakulele izidakamizwa eziphumelelayo ezingakwazi ukuvikela umzimba ekudleni okubuzwayo isikhathi eside, njengemigomo yokulwa namagciwane. Kusengaphambili, akunakwenzeka ukuhlakulela ukuzivikela komzimba ku-syphilis - ukuvimbela uhlobo oluthile lwesifo alukho. Ngenxa yalesi sizathu, kubalulekile ukuzigcina ngenkuthalo zonke izincomo ezijwayelekile ze-venereologists ezibalwe ngenhla.
I-prophylaxis yezokwelapha ye-syphilis
Ngokusola kokutheleleka nge-treponema ephukile, lochwepheshe usungisa ukwelashwa okuvimbelayo. I-antibiotic ekhethiwe ngayinye yokuvimbela isifo se-syphilis, ama-support and antifungal agents. Isimo esibalulekile sokuqedwa okuphelele kwama-bacterium ukugcinwa njalo kwegciwane eliphezulu le-antimicrobial drug. Uma kungenjalo i-treponema ephukile iqala ukumelana nemithi.
Amathebulethi ekuvimbeleni i-syphilis akhethiwe kusuka eqenjini le- penicillin , amagciwane azwela kuloluhlobo lwe-antibiotic. Ngokuyinhloko amathuluzi alandelayo abelwe:
- procaine-benzylpenicillin;
- usawoti we-sodium we-benzylpenicillin;
- I-Novocaine usawoti we-penicillin.
Ukuvimbela i-syphilis ngesikhathi sokukhulelwa
Uma i- treponema ephukile itholakala kumama ozayo , ingozi yokulimala komntwana, ukukhubazeka kofuzo, ukubeletha kanye neminye imiphumela ebuhlungu kakhulu. Ukuvimbela izinkinga, i-prophylaxis ye-syphilis yokubeletha kufanele iqhutshwe kuze kube izinyanga ezingu-4-5 zokubeletha. Ngalesi sikhathi, ibhethrikhi ye-pathogenic iwela umgoqo ophahleni futhi ungene emzimbeni womntwana.
Yiziphi izibhamu ezenzelwe ukuvimbela isifo se-syphilis futhi uthathe amaphilisi kuleso simo, kuphela umjozi wezinkinga zomzimba kanye ne-venereologist enqume. Ama-antibiotics, nawo, akhethiwe kusuka ochungechungeni lwe-penicillin, kodwa ukuhlushwa kwabo kanye nobude benkambo yokwelapha kufanele kufane nesikhathi sokukhulelwa, isimo kanye nezinkomba zokuthuthukiswa komntwana. Isazi esithile esifanelekayo singenza imithi yokwelapha efanele ukuze ingalimazi ingane futhi iphumelele ukuqeda amakholomu we-treponem ephukile.
Ukuvimbela emva kokwelashwa kwe-syphilis
Ngisho nokuvuselelwa okuqinisekisiwe akubonakali ukunyamalala okuphelele kwe-pathogen emzimbeni. Kukhona uhlobo oluthile lwe-pathology, lapho kuhlaziywa khona okungalungile, kodwa amabhaktheriya akhona egazini nasezikhungwini ze-mucous, awakasebenzi nje okwamanje. Ukuvimbela isifo sokuvikela ukuvimbela ukuphindaphinda:
- Vakashela i-venereologist yokuhlolwa zonke izinyanga ezingu-1, 3, 6, ezingu-12 (kuye ngokuthi ifomu nesifo esibucayi). Ukulandelwa kwezinsizakalo sekugcina iminyaka engu-2-5.
- Njalo uhlole ukuhlolwa kwe-serological, okungenani isikhathi esingu-1 ezinyangeni ezingu-3. Isinqumo sokuyeka ukuhlola i-laboratory sizokwenziwa udokotela ngokusabela okubi okuqhubekayo.
- Zivikele ngokuzimela ukutheleleka. Isiguli kumele sibheke ukuvimbela okuvamile kwesiphilisi okuchazwe ngenhla.