Matenda ambiri, matenda opatsirana pogonana, kwa nthawi yaitali sapereka zizindikiro. Pakati pa mankhwalawa ndi matenda a venereal, omwe odwala amaphunzira pa nthawi yofufuza mwangozi. Komabe, n'zotheka kudziwa matendawa ndi zizindikiro zina.
Siphila ndi wothandizira
Wothandizira matendawa ndi wotumbululuka. Tizilombo toyambitsa matenda timatanthawuza tizilombo toyambitsa matenda, timawoneka ngati mabakiteriya ofanana ndi mawonekedwe a microscope. Kawirikawiri, pali 8-14 kutembenuka mu kapangidwe, ndipo kutalika kwathunthu sikudutsa 14 μm. Ndi matenda oterewa monga syphilis, wothandizira matendawa ali m'kati mwa nthawi yaitali, kupanga mapepala, ma L.
Kusintha kwa treponema koteroko kumakhala kwa nthawi yayitali m'magulu a m'madera am'deralo, mchere wambiri wa munthu wodwala matenda. Momwe zinthu zimayendera tizilombo toyambitsa matenda (kuchepetsa kuteteza chitetezo cha matenda, matenda aakulu), kutsegulira kwapadera kumachitika ndipo pulogalamu yogwira ntchito ya syphilis imakhala ndi chithunzi chodziwika bwino komanso chithunzi cha mankhwala.
Chizindikiro - njira zopatsira anthu
Pofuna kuteteza matenda, munthu aliyense ayenera kulingalira momwe treponema imatuluka. Njira yaikulu ndi kugonana, ndi kugonana kosatetezeka. Komabe, n'zosatheka kutchula kwathunthu kuthekera koti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda, timagwiritsa ntchito njira zaukhondo, pokhapokha ngati timagwiritsa ntchito zowonongeka zokha kapena zochepetsera. Kutuluka kwa tizilombo toyambitsa tizilombo timene timayambitsa matendawa amapezeka kudzera mu timadzi timene timene timapanga tizilombo toyambitsa matenda. Mwa njira zosazolowereka za matenda, malo otchedwa venereologists amatchedwa:
- kuika magazi (kuika magazi ndi zigawo zikuluzikulu kwa wodwalayo);
- (panthawi yomwe ali ndi mimba ndi kubala, kuchokera kwa mayi kupita kwa mwana).
Kodi ndi chirombo chiti?
Kumva mawu awa, odwala nthawi zambiri amakhala ndi chidwi ndi madokotala, ngati pali chithunzithunzi chobisika ndi mtundu wanji wa matenda. Tanthawuzo la "syphilis latentheka" limagwiritsidwa ntchito popereka mawonekedwe a matenda omwe mawonetseredwe am'chipatala, zizindikiro ndi zizindikiro za matenda sizingatheke, koma zotsatira za kafukufuku wa labotolo zimasonyeza kupezeka kwa wothandizira m'thupi. Kawirikawiri kusintha magazi kumatuluka patapita miyezi iwiri mutatha kutenga kachilombo. Posakhalitsa kuchokera nthawi ino akuyamba kuwerengera kwa nthawi ya nthawi yopuma ya syphilis.
Kawirikawiri, kupezeka kwa matenda kumachitika mwadzidzidzi, pakuyesa mayesero, omwe ali oyeneredwa kuti apezedwe kafukufuku (magazi pa RW). Akazi akhoza kukayikira za matendawa ndi mayi wa amai pa nthawi yoyesedwa. Komabe, mwachizoloŵezi, mawonekedwe amodzi a syphilis amadziwika pozindikira kuti kusintha kwa ziwalo za mkati (mtima, chiwindi, chithokomiro, ma musculoskeletal system).
Kodi kachilombo ka latent kathanzi?
Ambiri amanena molakwika kuti kusowa kwa zizindikiro za matenda ndizofunikira kwambiri pa thanzi labwino. Pachifukwachi, funso lodziwika ndilo limayamba: kodi mankhwala a chiwewe amatha kusintha? Venereologists amanena kuti matenda omwe ali ndi syphilis ndi otheka. Komabe, kupatsirana kwa tizilombo toyambitsa matenda kumachitika m'njira ziwiri zokha:
- ndi magazi;
- pa kugonana.
Tiyenera kudziŵa kuti chiopsezo chotenga kachilombo ka HIV ndi chachikulu kwambiri m'kati mwa zaka ziwiri zoyambirira kuchokera pa nthawi ya chitukuko cha matenda. Mukapeza kuti pa nthawi ino, yemwe amagonana ndi matendawa, madokotala akukulangizani kuti musagonana komanso muzifufuza mozama. Kufufuza koyambirira kwa mankhwala ndi kuyambitsidwa kwa nthawi yoyenera kumapangitsa zotsatirapo.
Sirifi yoyambirira yobisika
Mawu oti "syphilis oyambirira" amatanthauza nthawi ya matenda, yomwe ikufanana ndi nthawi kuchokera kuchipatala chachikulu kupita ku chithunzithunzi chachiwiri. Madokotala amayankhula za syphilis oyambirira, pakatha zaka ziwiri kuchokera pamene matendawa akupezeka. Odwala panthawiyi alibe maonekedwe a matendawa, koma amaimira ngozi yomwe ingakhalepo mliriwu.
Pa nthawi iliyonse, njira yoyamba ya syphilis imatha kulowa m'ntchito yogwira ntchito, yomwe imawoneka phokoso la khungu komanso zizindikiro zauchidakwa. Makhalidwe a chiwombankhanga muli chiwerengero chachikulu cha mawonekedwe otumbululuka, osankhidwa omwe angayambitse matenda a omwe akukumana ndi omwe ali ndi kachilomboka. M'pofunika kudziwa kuti oyambirira odwala syphilis amapezeka mwachisawawa kwa odwala omwe ali ndi zaka zoposa 40, akutsogolera moyo wokhudzana ndi chiwerewere.
Chilonda chachedwa latent
Kachilombo kam'mbuyo kawonekedwe kameneka kakulembedwa pambuyo pa miyezi 24 ndi zina zowopsa. Pamene matendawa akulowa m'thupi, zizindikiro ndi kachipatala ka syphilis zapamwamba zimawonedwa. Ndi mawonekedwe awa, ziwalo zamkati ndi dongosolo la mitsempha (neurosyphilis) nthawi zonse zimavutika. Pa zokhudzana ndi khungu, pakhoza kukhala tizilombo toopsa kwambiri, tizilombo toyambitsa matenda. Ngati chikhulupiliro chawo chimasokonekera, n'zotheka kudzipatula matope otumbululuka, matenda a ena omwe akukumana ndi wodwalayo.
Kusungidwa kwachilombo kobadwa
Chilombo chaching'ono mwa ana sichipezeka kawirikawiri. Kutenga kumapezeka kuchokera kwa mayi wodwala. Pankhaniyi, mkaziyo akhoza kudwala asanayambe kutenga mimba kapena panthawi yobereka mwana. Kwa mwana wosabadwayo, tizilombo toyambitsa matenda timalowa kudzera mu mitsempha ya umbilical kapena kudzera m'matumbo am'mimba. Kusintha kwa chiberekero mu ziwalo ndi zipsinjo za mwana wamtsogolo zingathe kulembedwa pa mwezi wa 5 mpaka 6, mwamsanga.
Komabe, kawirikawiri mawonekedwe obisika amadziwika bwino kuyambira ali mwana. Izi zisanachitike, kupezeka kwa matenda kungatheke kupyolera mu maphunziro a serological, kusanthula zamoyo (cerebrospinal fluid). Kawirikawiri chizindikiro chosonyeza kuti mwanayo akuyang'anitsitsa bwino ndi kuzindikira kuti Wasserman akuchitapo kanthu mwamsanga pa nthawi yobereka kapena pamene ali ndi mimba.
Siphila yosadziwika yosadziwika
Kupezeka kwa "sipphi" yosadziwikidwe "kumapangidwa ngati wodwalayo alibe chidziwitso pa nthawi yothetsera matenda. Madokotala amaonanso kuti n'zovuta kudziwa nthawi ya matendawa. Odwala amapatsidwa zovuta za maphunziro a serological, pomwe maonekedwe a treponema amachititsa kuganiza za mtundu wa matenda. Chinyezi chomwe sichidziwike pamtunda wothamanga ungapereke chinyengo chenichenicho chosagwirizana ndi ma serological, choncho chisanafike chidziwitso chomaliza chimabwerezedwa.
Sirifi yabisika - zizindikiro
Zizindikiro za syphilis yosakhalitsa kwa nthawi yaitali sizidzimva okha. Pa mazira ndi khungu la zilonda zam'mimba, zinyama sizimayang'aniridwa, komabe kusintha kumatha kulembedwa m'ziwalo zenizeni, dongosolo la mitsempha, minofu ya minofu. Zina mwazizindikiro zosamveka za mawonekedwe oyambirira a tizilombo ta syphilis otchedwa:
- Kukhalapo kwa anamnesis of eruptions, omwe sankatha kudziŵa kale.
- Chithandizo cha matenda opatsirana pogonana, gonorrhea kale.
- Kupezeka kwa chithunzithunzi chokhala ndi kachilombo kwa wogonana.
- Zomwe zimapweteka pofufuza za cerebrospinal fluid.
Iyenso amavomerezedwa kusiyanitsa pakati pa zizindikiro zosalongosoka zomwe zikuwonetsera kumbuyo:
- kusintha kosasintha kwa madzi akumwa;
- zotsatira zabwino za machitidwe a serological.
Kuphatikiza apo, zochitika zotsatirazi zikhoza kusonyeza chisa:
- kuwonjezeka kwa kutentha kwa thupi kwa madigiri 38 osadziwika bwino;
- kuwonjezeka kwa ma lymph nodes (palibe kupweteka);
- kupweteka;
- kufooka kwakukulu, kupsinjika maganizo.
Kusanthula kwa chirombo chaposachedwa
Momwe mungadziwire kuti syphilis yobisika pazochitika zina - madokotala amadziŵa malinga ndi chikhalidwe cha kukayikira, zizindikiro zosadziwika. Chidziwitso chomaliza chimapangidwa pa maziko a zotsatira za kafukufuku. Zina mwa njira zazikulu zowonetsera ndi izi:
- Chitetezo chodziwika bwino cha hemagglutination (RPHA) - maselo ofiira a magazi amagawidwa ndi seramu ya wodwalayo. Ngati zotsatirazo ndi zabwino, maselo amamatirana pamodzi.
- Kusanthula kwa Immunoenzyme (ELISA) - puloteni wapadera imaphatikizidwa ku samule ya wodwalayo, yomwe imasintha mtundu ndi zotsatira zabwino.
- RIF (immunofluorescence reaction) - chizindikiro cha luminescence chiripo mu chitsanzo cha odwala.
Momwe mungachitire chisala chobisika?
Ndi chithandizo chamatenda a latent, cholinga chachikulu ndicho kuthetsa chifukwa cha matendawa. Kuchotsa zotsatira (mafupa osokonekera, machitidwe a manjenje, kuwonongeka kwa mtima) amatenga nthawi yambiri, ndipo ena mwa iwo sangathe kuwongolera. Chithandizo cha mochedwa latent syphilis chimadalira kugwiritsa ntchito mankhwala opha tizilombo, omwe amasankhidwa poganizira momwe polojekiti imayendera. Pamwamba pake pali gome lomwe limasonyeza chithandizo cha mankhwala omwe amapezeka mochedwa retopsy, ndi mayina a mankhwala ndi mlingo. Komabe, m'pofunika kuganizira kuti maimidwe onse amaperekedwa ndi dokotala yekha.