Chiwindi ndi matenda opatsirana opatsirana pogonana omwe amachitidwa ndi treponema yotumbululuka, yomwe imawonetseredwa ndi maonekedwe a khungu. Komabe, kuphulika kwa khungu ndi syphilis kumangokhala maziko operekera wodwalayo ku kafukufuku wapadera wa labotale, ndipo matenda opatsirana opaleshoni amatha kukhazikitsidwa pamene zotsatira zabwino za zomwe Wasserman anachita zimapezeka. Mu nkhani yathu, tidzayesa kufotokozera mwatsatanetsatane mawonetseredwe ofanana a syphilis.
Kodi chithunzithunzi chachikulu chikuwonetsa bwanji pakhungu?
Mawonetseredwe oyambirira a khungu pa khungu amaonekera pambuyo pa masiku 25-40 mutatha kutenga kachilombo ku malo a matenda. Kawirikawiri, izi ndizo zimbudzi, anus, mucous membrane ya pamlomo. Chizindikiro choyamba cha syphilis chosakanizidwa amatchedwa hard chancre, pangakhale angapo. Imafanana ndi trophic chilonda, ili ndi m'mphepete mwa mzere ndi zowoneka pansi, zazikulu za chancre kuyambira 0,5 mpaka 2 masentimita. Mapangidwewa alibe zopweteka, samawonjezeka ndipo samatuluka magazi. Patatha masiku owerengeka, pamodzi ndi chirombo chachikulu, malo am'mimba (regional lymphadenitis) akuwonjezeka. Pambuyo pa masabata 2-3, chilondacho chimakhala m'malo mwa chancre yovuta.
Zisamba pa khungu - syphilis wachiwiri
Zizindikiro za syphilis chachiwiri pakhungu zimawoneka ngati mphutsi yapamwamba yomwe imapezeka pampando, kumbuyo, kumtunda ndi kumapeto. Kuwoneka kwa mphutsi ndi chifukwa cha poizoni wa treponema wotumbululuka pa zotengera za khungu lachitatu. Kuthamanga koteroko kungakhale ndi mawanga, mavuvu ndi serous kapena mdima wofiira. Zomwe zili m'mabuku amenewa zili ndi treponemia yotumbululuka. Ngati palibe chithandizo, kachilombo ka HIV kamatha kudutsa kwambiri - gawo lachitatu, lomwe likuwonetsedwa ndi kugonjetsedwa kwa ziwalo za mkati.
Choncho, khalidweli limasintha pa khungu komanso malingana ndi anamnesis (osagwirizana, osagwiriridwa) ayenera kulimbikitsa mkazi kuti ayesedwe kwa syphilis.