Chiwopsezo ndi matenda owopsa omwe amachitidwa ndi treponema wotumbululuka ndi kupititsidwa kwambiri pogonana. Matenda oopsa kwambiri angayambitse dongosolo la mitsempha, ziwalo zamkati, mafupa ndi ziwalo. Ichi ndi chifukwa chake ndizofunika kwambiri pokhapokha atayang'ana zizindikiro zoyamba kapena ngati akuganiza kuti akhoza kutenga chithandizo kuti awonetse dokotala kuti ayambe kuchipatala msanga ndi kuchiza matendawa.
Kodi mankhwalawa amapezeka bwanji?
Kusanthula kwa chiphuphu kumaphatikizapo:
- kusanthula madandaulo odwala;
- kufufuza kwa wodwalayo;
- ntchito za kuyesa ma laboratory.
Choyamba, dokotala amamufunsa wodwalayo za zizindikiro za matendawa, amasangalatsidwa ndi odwala naye, matenda a chiwewe m'banja.
Kenaka amadziwitsa zizindikiro zomwe zimayendera matendawa: khungu pa khungu, chancre yamphamvu, ma lymph node.
Wodwalayo amaikidwa kuyesa ma laboratory kuti afotokoze za matenda a syphilis ndipo amasiyanitsa ndi matenda ena omwe ali ndi zizindikiro zofanana (matenda oopsa a dermatitis, herpes wamimba, trichomoniasis ndi ena).
Laboratory (microbiological) matenda a syphilis
Posiyanitsa kusiyana kwa syphilis, njira zosiyanasiyana zimagwiritsidwa ntchito:
- Choyamba, osati mankhwala otchedwa seropemal serological analytics, omwe magazi a wodwalayo amafufuzidwa kuti akhalepo ndi ma antibodies omwe thupi lawo limatulutsa phospholipid ya matenda omwe amaonongeka ndi matenda ndi lipid ya memphane yomwe imatuluka (Wasserman reaction, kuyesa kwapadera kwa magazi). VDRL);
- Kachiwiri, treponemal serological kusanthula, komwe magazi amafufuzidwa chifukwa cha ma antibodies oletsa tizilombo toyambitsa matenda (RIF, RIBT, RPGA, ELISA matenda a syphilis);
- Chachitatu, njira zogwiritsira ntchito mankhwala opangidwa kuchokera ku amniotic fluid, ma lymph nodes, CSF (ma CDR (diagnostic syphilis), njira yowonongeka yowonongeka, microscopy yamdima).
Chidziwitso chomaliza chimapangidwa ndi a venereologist, pofufuza zonse zomwe anapeza - anamnesis, chithunzi cha matendawa, data ya ma laboratory, zomwe ziyenera kuphatikizapo kudziwa za kutulukira kwa treponema, zotsatira za kafukufuku wa serological.
Musanayambe kuchiza matendawa, ndikofunikira kuti matenda a syphilis atsimikizidwe ndi deta ya data.