I-Syphilis isifo esithathelwana ngesondo. I-agent yalo yokubangela i-bacterial microorganism - i-treponema eluhlaza. Cinga ngesifo ngokubanzi, siza kuthiwa iindlela zokuxilonga, fumana ukuba kungani i-syphilis ibonakala ngexesha lokukhulelwa.
Uhlalutyo lwe-syphilis kwabasetyhini abakhulelweyo
Ukuxilongwa ngokukhawuleza kwesi sifo kunye nokuqaliswa kokuqala kwenkqubo yokwelapha, ukuhlaziywa kwe-syphilis ngexesha lokukhulelwa kunikezelwa ekutyelelweni kokuqala kwintlobo yesifo somzimba, ubhaliso. Isifundo sinokuqhutywa ngeendlela ezininzi, phakathi kwazo:
- I-RIF (i-immunofluorescence reaction), isungula eso sifo kwisigaba sokuqala;
- I-PCR - inceda ukuchonga ubukho be-DNA kwi-blood, ukuchonga i-pathology ngaphambi kokubonakala komfanekiso weklinikhi;
- I-RPHA (ukusabela kwintlupheko engapheliyo) - ibonakalisa isifo nawaphi na amanqanaba okuphuhlisa;
- I-ELISA (i-enzyme immunoassay) - inceda ukusekwa kwinqanaba leprogram ye-pathological, linikezelwe njengesifundo esongezelelweyo.
Uhlalutyo oluhle lobuxoki lwe-syphilis ekukhulelweni
Into efana nohlalutyo olubizayo lwe-syphilis, ekukhulelweni-akuqhelekanga. Ukuze ukwazi ukulawula isiqhelo sobuxoki, isifo samagciwane amanga ngokukhulelwa, emva kokufumana impendulo efanelekileyo emva kokufundwa kokuqala, imiselwe i-RIBT - ukuphendula malunga nokuququzelela i-trypanomas ephasika. Phakathi kwezizathu zesiphumo esingafanelekanga, oogqirha bathi:
- iinkqubo ezingapheliyo zentsholongwane kwiimpawu ezixhumeneyo;
- isifo senhliziyo;
- iinkqubo ezithathelwanayo emzimbeni;
- ukugonywa kutshanje;
- isifo sikashukela.
Uhlalutyo oluhle lwe-syphilis ekukhulelweni
Uvavanyo oluntle lwe-syphilis kwabasetyhini abakhulelweyo luphawu lokubuyiselwa kwakhona. Kwimeko apho okwesibini kwi-sampuli yegazi kukho i-arhente, umfazi uthathwa ukuze alawulwe. Kule meko, uviwo olunzulu lubekwe, olubandakanya ukuqikelela ukuxinwa kwamagciwane, isigaba sesifo. Ngokusekelwe kwiziphumo ezifunyenweyo, ikhosi nganye yonyango iphuhlisiwe. Ngethuba lokuqala lokonyango, kunokwenzeka ukuba ungabandakanyi ukuqhubela phambili kwesi sifo, ukuzalela nokuzala umntwana onempilo.
I-syphilis ithintela njani ukukhulelwa?
Ukufunda impembelelo ye-syphilis ekukhulelweni, oogqirha beza kufikelela kwisigqibo sokuba ixesha lokuqala kwenkqubo yokwelapha kubalulekile. Ukuba isifo sifumaneka kwisigaba sokucwangcisa ukukhulelwa okanye ekuqaleni kwayo, kunokwenzeka ukuphelisa ngokupheleleyo impembelelo engafanelekanga kwintsholongwane. Kufuneka ikhunjulwe ingqondo yokuba ukukhulelwa ngexesha lokukhulelwa kwangoku kubangela ukungalingani kwinqanaba lamahomoni emzimbeni womama ozayo. Ngenxa yoko, umngcipheko wophuhliso ukwanda:
- ukuhanjiswa kwangethuba ;
- ukukhipha isisu;
- izinsongelo zokulahlekelwa ngamathambo.
Ukongezelela, inkqubo yokuzala umntwana kwabasetyhini abane-syphilis ihlala ihamba ne-anemia kunye ne-toxicosis emva kwesikhathi. Ukuxhalabisa kakhulu oogqirha kuyinokwenzeka yokusulela umntwana kumama - i-pathogen iyangena kwi-placenta. Amathuba amaninzi okubeletha umntwana ophilileyo ngaba bafazi abakhulelweyo abaphathwa kunyango (ukuya kwiiveki ezili-16).
Iziphumo ze-syphilis ekukhulelweni
Isifo esinjenge-syphilis ngexesha lokukhulelwa kufuna ikhosi ethile yonyango, ekufuneka iqaliswe ngokukhawuleza emva kokuxilongwa. Kule meko, umntu unokuphepha kwimiphumo ebuhlungu, phakathi koku:
- ukukhulelwa kwesisu;
- ukuhanjiswa kwangethuba;
- kuzalwa;
- ukufa komntwana oza kusana kwiiyure zokuqala zobomi;
- iimeko ezingaphumeleli zophuhliso;
- ukuzalwa komntwana onesibeleko sokuzala.
Ngaba i-syphilis idluliselwe kumntwana?
I-Syphilis kubasetyhini abakhulelweyo baxhamle nokuphuhliswa kwesifo esifanayo kumntwana. Izibonakaliso ze-syphilis ebanjwe yintlungu ibhalwa emva kokuzalwa komntwana:
- umonakalo kwesikhumba;
- kokuqala;
- ukunqotshwa kwamathambo;
- isifo sesibindi;
- izifo zesimiso senzwa.
Abantwana abanjalo bancipha ngokukhawuleza, bahlala bephumle, balala ngokugqithiseleyo, basesimweni sokuxhalabisa, bahlala bekhala, ngelixa besenza ukukhala ngokukhawuleza. Ngokuqhelekileyo, eso sifo siphumela kwisiphumo esibulalayo ngenxa yokuphazamiseka kwinkqubo yokuphuhliswa kwenkqubo yokuphefumula ngisho kwinqanaba lokuphucula i-intrauterine. I-syphilis engaphantsi kokuzalwa ingathatyathwa kwaye i-2 emva kokuvela komntwana, kodwa ngokuphindaphindiweyo kwenzeka kwi-7-14 iminyaka.
Ngaphambi kwalo nyaka, akukho mbonakalo yesi sifo sikamama ayilungise. Iimpawu ezinokuthi zifike emva kwexesha elizayo, i-syphilis yokuzalwa yile:
- umonakalo kwinqununu yokuncedisa;
- izifo zamehlo;
- ukulahlekelwa kwamazinyo.
Indlela yokuphatha i-syphilis ngexesha lokukhulelwa?
Unyango lwe-syphilis ngexesha lokukhulelwa lwenziwa kabini. Ikhosi yokuqala iqhutyelwa esibhedlele, ngokukhawuleza emva kokufunyanwa kwesi sifo. Okwesibini yiprophylactic, eyenziwa kwisithuba sengqesho emva kokufikelela kwiveki ye-20-24. Ukulungiselela unyango, ukulungiselela i-penicillin kusetyenziswa, iCeftriaxone. Ukunyangwa kwe-syphilis kwabasetyhini abakhulelweyo kwenziwa ngabanye. Ugqirha ugqiba uhlobo lweziyobisi, ukulandelwa kwexesha kunye nokusetyenziswa kwexesha.
Ukukhusela i-syphilis kwabasetyhini abakhulelweyo
Amanyathelo okukhusela xa kwenzeka ukuthotyelwa kweso sifo kuhloswe ukuxilongwa kwangaphambili kwesi sifo. Ngokukhawuleza ngoko kunokwenzeka ukubonakalisa i-syphilis yangasemva kokukhulelwa. Uhlalutyo lolu hlobo kwithuba lonke lokuzala umntwana umama olindelekileyo unikezela kathathu. Ingqwalasela ekhethekileyo ihlawulwa ekuboniseni eso sifo kwisigaba sokucwangcisa, ukukhusela. Ukukhusela ukusuleleka, ungabandakanyi i-syphilis ngexesha lokukhulelwa, ii-venereologists zincoma:
- Sebenzisa iindlela zokuqhawula imithi (ikhondom).
- Gwema ukulala ngesondo.
- Ukuba ukrokrelwa yintsholongwane, phatha izitho zangasese nge-chlorhexidine emva kweso senzo.