I-Syphilis yintsholongwane yesondo edala umonakalo kwithambo, inkqubo yesantya, isikhumba. Esi sifo sibonakala ngekhosi eqhubekayo, ukunyanga okunzima. Makhe siqwalasele ngokungakumbi inkcazo ye-pathology njenge-syphilis ephakamileyo, ukwahlula iimpawu zayo, ukubonakaliswa, iindlela zonyango.
Yintoni "i-syphilis ephakamileyo"?
Ngethuba lesifo, amaxesha amaninzi ahlukeneyo: i-syphilis yiprayimari, yesibini, ephakamileyo. Uhlobo lokugqibela lwe-pathology lukhula ngqo kwizigulane ezingathathi iikhosi zonyango okanye ukungahambisani nokuqeshwa kwamagqirha, iingcebiso zabo. Ifom ephakamileyo ifumaneka kwinqanaba le-pathological process. Iqala malunga nama-3-5 kwiminyaka ukususela kumzuzwana wokusuleleka kwaye unomfanekiso othile weklinikhi.
Ukungalunganga kukuthi abantu abane-syphilis ephakamileyo baxhaphaza kwabanye. Ngo-95-98% yazo zonke iimeko zokusuleleka - ulwabelana ngesondo. Indlela yasendlini (ukumanga, ukuxhaphaza, ukusetyenziswa kweemveliso zonyango, osuleleke kwimizimba ye-pathogenic) ayikwazi ukusulelwa ngu-syphilis. Oku kubangelwa kukuba i-pathogen iphambuka ngokukhawuleza i-contagiosity yayo njengoko iphela.
Iimpawu zesifo se-syphilis
Uphando olutshanje kunye nokugqithwa koogqirha babonise ukuba i-syphilis ephakemeyo ingahlakulela nangemva kweminyaka eyi-8-10 ukususela kwithuba lokusuleleka kwesigulane nge-tryponema eluhlaza. Uhlobo oluthile lobunzima lubonakaliswa yinkambo edeleyo, kunye nexesha elide-ixesha apho izigulane zingakhathaleli nantoni na, i-symptomatology iphela. Kukho iimpawu ezithile ze-syphilis ephakamileyo.
Ukutshatyalaliswa kwesikhumba kuyinto ye-syphilis ephakamileyo. Ziyakhula ngeenyanga ezimbalwa, ngamanye amaxesha iminyaka. Ukuvakalelwa kwangaphakathi kwizigulane abakho. Zifumaneka kwiindawo ezinqamlekileyo zesikhumba, ngokukhawuleza ukulungiswa, ukushiya kwindawo leyo. Izilonda zesikhumba ziquka:
- I-Bugorkovy syphilid - i-nodule ukusuka ekungeneni kwi-dermis yolusu, mhlawumbi ijikeleza ngaphezulu. Ubungakanani obu-7 mm, umbala obomvu obomvu, obuninzi obumgangatho. Ngokuhamba kwexesha, lithatha utshintsho lwezonyango kunye nokubunjwa kwezilonda, ezikude zazo. Ukuphilisa kuthatha inyanga kunye nokwakhiwa kwezikhonkwane.
- I-humming syphilis - i-nodule kwi-fat-cutaneous, engenabuhlungu, inomlingisi omnye. Fumana kwindawo ebunzini, amaxolo kunye neelbow. Ekuqaleni, i-Gumma iyiselula, ilahlekelwa ukuhamba njengoko ikhula, kuvulwa ukuvula phakathi kwendawo apho ikhutshulwa i-gelatinous liquid. Ububanzi bomngxuma buyanda - isilonda esinamabhodlela angalingani.
Ukungasebenzi kwezimo ze-somatic kunye nezitho zenzeka kwi-syphilis ephakamileyo emva kweminyaka eyi-10 ukususela ngexesha lokusulelwa. Ngelo xesha, bahlaselwa:
- inkqubo ye-cardiovascular system ( myocarditis );
- isibindi (i-hepatitis);
- esiswini - isilonda;
- inkqubo ye-nervous neurosyphilis.
Ukubonakaliswa kwe-syphilis - bony
Xa ixesha eliphakamileyo lemfundo liza, i-syphilis ibonise ukubonakaliswa. Iintshintsho zichaphazela inkqubo yesithambo. Ngoko iinambuzane zingenziwa kwi-periosteum kunye ne-spongy substance. Ziyakhula, ngokuyinhloko, kumathambo aphantsi, i-tubular. Ngokuqhelekileyo i-collarbone, amathambo egazi, ihlombe kunye neenduku zichaphazelekayo. Kule meko, zonke iinguqu kwiithambo zethambo ziqhubeka ngokulandela uhlobo:
- I-Periostitis- ebonakala ngokubonakala kweentlungu zethambo, ekhuliswa ngokukhawuleza ebusuku. Kwiziko lesilonda, ukuvuvukala kunye nokuvuvukala kwenziwa. Ukungabikho kwonyango olufunekayo, ubuhlungu buya kulahleka emva kweentsuku ezi-2-4.
- I-Osteoperiostitis - inkqubo yokuvuvukala yendawo yendawo kwi-periosteum. Njengoko i-pathology iqhubekela phambili, itshintshe ngokuthe ngcembe kwimizimba yethambo. Kwezinye iimeko, inkqubo ye-pathological process is inokwenzeka - okokuqala izicubu zethambo zichaphazelekayo, ngoko i-periosteum ibandakanyeka kwinkqubo.
I-syphilis ephakamileyo emlonyeni womlomo
Ngokuqhelekileyo, i-syphilis ephakamileyo yemfundo ibonakalisa njengesilonda seembrane zomlomo. Kwiimeko ezinjalo, iigums zingabomntu omnye, ngokungaqhelekanga iifabercles zisasazeka kulo lonke umlomo. Eyona nto idla ngobunzima beelwimi, isibhakabhaka esinzima nesibhakabhaka. Okokuqala iifom ezibuhlungu. Emva kwexesha, landa ngobukhulu, emva koko luvulwe. Ukususela kwilonda, intonga ye-gummy iyanqatshwa. Kwindawo yayo isilonda senziwa.
Le nkqubo ithatha iinyanga ezili-3-4. Kwezinye iimeko, ihamba neengxaki ezincinci:
- intlungu emlonyeni womlomo;
- ukuphulwa kwenkqubo yokutya.
Isitifiketi esiphezulu se-syphilis
I-syphilis ephakamileyo yemfundo iqhutyelwa rhoqo kwifom evulekileyo. Isigaba esivumelekileyo sinexesha elide, ngoko ke izigulane zingalingeka ngokuqala kwexesha lokubuyisela. Nangona kunjalo, emva kokuphelelwa kwexesha, i-syphilis ephakamileyo (i-gum) ivela kwesikhumba kwakhona. Ziyakhelwe ngomthamo omncinci. Ukungena kwiimbumba ze-mucous akukho zinguqu zangaphandle kunye nokubunjwa kwazo ziqukethe umthamo omncinci we-pathogen.
Ukuxilongwa kwe-syphilis ephakamileyo
Isigaba se-high school syphilis asifuni iimpawu ezizodwa zokuxilonga. Oogqirha abanezifo baqatshelwa lula ngokubonakaliswa kweeklinikhi, iimpawu zenkqubo ye-pathological. Ukongezelela, kwi-30% yezigulane isifundo esikhethekileyo - uvavanyo lweRPR lunikeza umphumo ombi. Ngenxa yalokhu, ixabiso eliphambili lokuxilonga lithengwa ngu:
- REEF;
- I-RIBT (i-positive kwi-90-100%).
Ukuze kuqinisekiswe isantya sosulelo lwezitho zangaphakathi kunye neenkqubo, iimvavanyo ezongezelelweyo zenziwa:
- I-Ultrasound yentliziyo;
- ECG;
- i-aortography;
- X-ray yamathambo;
- I-ultrasound yesibindi ;
- uphando lwe-cerebrospinal fluid.
Unyango lwe-syphilis
Unyango lwe-syphilis ephakamileyo usekelwe ekusebenziseni i-antibacterial agents. Kule meko, izidakamizwa zechungechunge lwe-penicillin zisetyenziswa ngokuthe tye. Xa bengenakuxhomekeka, iziyobisi zikhethwe ngabanye. Ugqirha ubonisa umyinge, ubukhulu bokuba kwamkelwa, ubude bonyango. Ukusebenza ngokuthe ngqo kuxhomekeke ngexesha lokuqala kwenkqubo yokwelapha, ubunzima besifo.
Ngaba kunokwenzeka ukuphilisa i-syphilis ephakamileyo?
Ngokuqhelekileyo, izigulane ezinezi sifo zinomdla kumbuzo wokuba i-syphilis ephakemeyo iyaphathwa. Oogqirha bathi impumelelo kwonyango inokwenzeka kuphela kuphela ekuqaleni kokunyango. Ukongezelela, isiphumo se-syphilis ephakamileyo ixhomekeke kwisilinganiso somonakalo obangelwa yi-arhente kunye namalungu. Ngokuqhelekileyo, injongo yezokwelapha eziqhubekayo kukuzinzisa, ukuyeka ukunyuka kwe-syphilis.
Unyango lwe-syphilis ephakamileyo
Iibhulile ezine-syphilis ephakamileyo kufuneka zithathwe ngokungqinelana nemimiselo yonyango. Kule meko, ugqirha ukhetha isicwangciso socwangciso lweyeza. Phakathi kwezona ziqhelekileyo:
- Ulwaphulo lwe-Preparatory - iintsuku ezili-14 ezitholwa ngu-Erythromycin okanye iTetracycline, 2 g ngosuku (0.5 nge-reception). Emva kweentsuku ezingama-28 zePenicillin ii-400,000 iiyunithi ezili-8 ngosuku. Emva kweeveki ezimbini - ikhosi iphindaphindiwe, ukunciphisa iintsuku ezi-14.
- Ukulungiselela i-Erythromycin njengoko kuchaziwe ngasentla, emva koko i-Penicillin Novocaine ityuwa isetyenziswe, iiyunithi ezingama-600,000 amaxesha 2 ngosuku, iintsuku ezingama-42 ezilandelanayo. Ikhosi iphindaphindiwe - emva kweentsuku ezili-14 ezinye iiveki ezimbini zonyango zenziwa.
- Ukulungiselela i-Erythromycin, ilandelwa ukusetyenziswa kweprocaine-penicillin kwiiyunithi eziyizigidi eziyi-1.2, kanye ngosuku, iintsuku ezingama-42. Ikhosi iphindaphindiwe - iiveki ezi-2 ziphinde zifake izilwanyana emva kweentsuku ezili-14 zokuphazamiseka.
- Ukwelashwa kwe-syphilis yase-Extensillin yenziwa nge-injection esisodwa yezigidi eziyi-2.4 zezigqeba ngeendlela ezingaphantsi kwe-intramuscularly: ukuchithwa kwangaphambili kwi-8 ml yesisombululo se-saline kwisigidi esingu-1.2 yezigidi kwiindawo zonke.