Isifo ugcunsula: imiphumela, Ihlahlubo nokwelashwa izici

Naphezu ezahlukene zokuvimbela inzalo, ikakhulukazi amakhondomu, amadoda nabesifazane abaningi balahlekelwe ingqondo awo, angayinaki ukusetshenziswa kwabo ngesikhathi beya ocansini nabalingani engahloliwe. Ethembele inhlanhla, noma nje hhayi abacabanga ngekusasa, bayaqiniseka ukuthi ukungcoliswa Venereal isifo spectrum kungukuthi ezisengozini. Kodwa lesi sifo, izifo ezidluliselwa ngocansi, musa Ewufrathe out, futhi abantu batheleleke nge abaningi njalo ngonyaka. Ubude besikhathi nobukhali phezu ubuholi iminyaka igcina ugcunsula, imithelela okuyizinto lubonakale ngisho ukususa le nkinga ngeshwa, ukukhohlwa ngakho kuze kube phakade akunakwenzeka ukuba aphumelele.

ugcunsula

Treponema pallidum kuyinto amagciwane ayingozi kakhulu ezibangela isifo. Kuyasebenza futhi olunamandla silwanyana kungenziwa ngokuthi kuphela uma emzimbeni womuntu, kodwa ukumelana ngaphandle bacterium abakwazi ukuqhosha. A ebukhali lokushisa iconsi kanye nokuntuleka esanele umswakama nethonya elilimazayo Treponema.

Ukuthola emzimbeni womuntu, treponema siyingozi usongo olukhulu abanye esigabeni sokuqala nentuthuko yayo kanye ukubunjwa, isikhathi okuyinto engaba mibili ngokwesilinganiso. Yashaya izitho nogwali kakhulu izinhlelo, lesi sifo has a imvamisa zesikhathi nesenzakalo of exacerbations futhi ngaphandle ukwelashwa okufanelekile ukunakwa kuba amahlala khona.

ukudluliswa endleleni

Isikhathi esiningi kuba yisifo esithathelanayo ngocansi ngesikhathi ngocansi, futhi indima enkulu eyadlalwa izilonda ezincane esikhumbeni futhi nolwelwesi lwamafinyila. Ugcunsula, ngemiphumela lapho udlulele ngale emkhakheni Venereology, kungokwalabo esigabeni ka esithathelwana ngocansi. Nokho, ithuba ukutheleleka, kungakhathaliseki ukuthi kuncane, kuyisici esihlupha nezinye, izimo evamile ngaphezulu (nendlu, ukumpontshelwa igazi, phakathi nezinqubo amazinyo).

Izinguquko lokuqala emzimbeni

Phakathi nenyanga yokuqala emva kokutheleleka, khona ugcunsula ngokuvamile imperceptible. izimpawu wakhe wokuqala ngokuvamile kungabonwa esikhumbeni nesineke. At the site sokungena kwakhiwa isilonda treponema umbala ekhululekile obomvu base obukhulu okuqinile. Okubizwa ngokuthi chancre - the ulceration efanayo, okuyinto maduze zinyamalale ngaphandle kokungenela yezokwelapha futhi kwenza iziguli iphutha acabange ukuthi bonke la imiphumela emibi lesi sifo ngemva.

Njengoba uma lulling elibukhali lomlindi umuntu abathintekayo, le gciwane iyashesha wonke umzimba. Nakuba okhanyayo treponema liphindaphindeke ukushaya wonke izicubu zangaphakathi kanye nezinhlaka, isiguli kuphela azizwe engakhululekile, e ukubonakaliswa yayo okusikhumbuza ukuthuthukiswa izinkinga zokuphefumula. Kukhona ikhanda, imfiva, ubuthakathaka jikelele kanye ukukhathala, okuyinto efika kuqala kubonakale izimpawu ngempela ayinangozi umkhuhlane.

isiqalo Lost yokwelashwa ngalesi nesigaba lesi sifo ikhuthaza avelayo kule ukuqubuka esiseduze esizayo, izilonda nolwelwesi lwamafinyila, nezinyawo nezintende zezandla.

Ukuxilongwa ugcunsula. RW

Nge izinsolo kancane engaba igciwane, odokotela linqume indlela elula futhi enokwethenjelwa ukuxilonga khona izifo ezithile. It Wasserman. Ukusetshenziswa Its for the ukuthola ukutheleleka okujwayelekile izifundo zokwelapha.

Kodwa ungakhohlwa ukuthi ukusabela okungekuhle yokubakhona sifo ngemva esifushane emva kokutheleleka Kungenzeka ukuba iplanethi. Kulokhu, lokhu akwenze ngokunemba okukhulu ingafinyelelwa assays ngokuthatha scrapings kusuka chancre ebusweni uzingela Treponema pallidum.

A yi omuhle RW nobuntu Engxenyeni yesibili esigabeni sokuqala lesi sifo, yingakho pass olulodwa RW-test akuqinisekisi kuthembeke cwaningo futhi kudingeka uphindwe.

chancre Ukwelapha esikhundleni ukubukeka papules - pink izindawo ezihlala esikhumbeni. Lona oluvamile kakhulu esigabeni yesibili ugcunsula kuyinto kobuhlungu kuza ngemuva kwenyanga ukudlula izilonda. ngokuvamile Papules Niyaphaphalaza ngoba ukusabela iguliswa ngenxa nokungabi khona kwanoma yiliphi ukungakhululeki (ukulunywa, evutha, isikhumba ukuvuvukala).

Ngesikhathi uphethwe ukunciphisa ingozi enkulu ukusabela Wasserman ngoba ugcunsula. Ngemiphumela engase yezinkinga engelapheki luqedwe ngu uphethwe ngesikhathi esifanele.

Imiphumela eyinhloko esigabeni sokuqala ugcunsula ezingabantu

Ngokuvamile ngenxa yezinkinga ezinkulu zesifo abazihlanganisa ekubhujisweni ezengeziwe amagciwane. Ezimweni eziningi, baze azibonakalisa amadoda:

• izicubu edema nokuvuvukala;
• phimosis (ukuvaleka ijwabu);
• paraphimosis (sokwephulwa kwe ikhanda, okubangela necrosis);
• esibhibhayo we zangasese besilisa.

Izibonakaliso esigabeni sesibili lesi sifo ukuthi kungaholela ezinkingeni ezinkulu zempilo, zihlanganisa nokuqhuma pustular. Kwesobunxele ngaphandle ukunakwa ngendlela efanele, kungaba ephelezelwa ubuhlungu bekhanda, imfiva, ubuthakathaka jikelele futhi babekhathele kakhulu. Futhi, amadoda ungathola impandla olubanzi, ukulahlekelwa izwi.

Lezi zinkinga kuvamile ezingabantu, okuholela ukuphila kokuziphatha okubi, ukusebenzisa kabi utshwala, akukho kuthathwa izinyathelo ezifanele ukuze unqobe ugcunsula. Imiphi imiphumela silindele abesifazane futhi kuwufanele ayaphenya.

Imiphumela yokuhlaselwa ugcunsula kwabesifazane

Yezinkinga lokuqala isifo zenzeka nolwelwesi lwamafinyila esifazane izitho zangasese. Sangasese, wesibeletho nangaphandle labia embozwe chancre. Ukuzivumelanisa umzimba omusha, treponema kuyaqhubeka kuwohloza ke ngokushaya imithambo yegazi kanye lymph node.

Uma isikhathi sokufuna usizo lochwepheshe bezokwelapha, ngemiphumela ugcunsula iphathwa phakathi kwabesifazane zisekhona sina ngempela. Lesi sifo kungaba yingozi hhayi kuphela abezindaba. Ngisho nangemva kokuba uwaqede yokwelashwa ngeke ayiqede inkinga yokuntuleka ingozi kokuzalwa umntwana unina isiguli, kwavele isifo. Kodwa noma kunjalo kuba ongenakuqhathaniswa nge ingozi futhi umonakalo owenziwe-fetus kweziguli umama ugcunsula. Cishe ingxenye yesine yalabo ukukhulelwa iphele kokuphazamiseka zemvelo esikhathini emasontweni 12-16. Okuningi kakhulu izingane ogulayo ushona ngaphandle ephile, futhi izinsuku ezintathu.

Ngenxa yala maqiniso zonke kowesifazane okhulelwe zidinga ukuthi zihlolelwe ugcunsula, imiphumela yalo engabeka engozini izimpilo ezimbili.

yezinkinga Irreparable ephakeme

Isici esikhethekile sale nesigaba lesi sifo akunakugwenywa esokufa izinguquko umzimba, ezihlanganisa neurosyphilis nogcunsula visceral.

meningitis Syphilitic (neurosyphilis) kuyinto isinyathelo:

• befa amangqamuzana obuchopho;
• ukuncipha okukhulu ngamakhono bokusungula;
• inkumbulo ukungakhuli;
• ukukhubazeka yezingalo nemilenze;
• yoma we emsipheni optic.

Ngo ugcunsula visceral ekwandiseni aorta, ukuhluleka kwenhliziyo eba, okuholela inqubo sokuvuvukala kwemithambo. Futhi eziwohlokayo wamaphaphu, umsebenzi izinso, futhi inhliziyo valve.

Izici ukwelashwa namuhla

Iqiniso ima kwelokuthi bobabili ukuze banqobe noma iziphi isifo kulula ukukhuluma ngokulawula indlela ekuqaleni kwayo, futhi uchaza izici ekwelapheni ugcunsula. Indlelanchubo yekusebentisa lamanje ukuze inqubo yokutakula sihamba ukutshalwa endleleni sibhekiswe kusenesikhathi inkinga. Imiphumela ekwelapheni ugcunsula ngesikhathi esifanayo kufanele kube ingozi esigulini.

Njengoba ngaphambili, esibaluleke kakhulu plan ukwelashwa ahlale imithi ingashintshiwe equkethe eside esebenza penicillin akuzange kusize. Lokhu amalungiselelo Igumbi kokuba ukubunjwa benzathine yayo benzylpenicillin.

Izindlela inqubo yokwelapha ngokwamaqiniso kusaqalwa isifo

Lanamuhla Igumbi amalungiselelo angadingi izincomo ezikhethekile ku isicelo. Nokho, lapho ukuxilongwa okujuli- isiguli kanye ngokucophelela kwangaphambilini isifo ukucaciseleka esiteji kokuthola imithi enjalo kunomphumela omuhle emva imithelela ugcunsula. Of imithi Igumbi iphathwa ngomjovo kanye kuphela ngesonto futhi ebekiwe zabo ezimweni fresh ugcunsula elele noma nesigaba lesi sifo yesibili. Isikhathi esiphezulu inkambo isesikhathini 3 imijovo. Ukuphumelela le mithi sitjengise reception yabo prophylactically. Engingakusho nje okokufaka eyodwa izidakamizwa ukuze unciphise ingozi yokutheleleka ngesikhathi contact yamuva nesiguli.

Ngesikhathi esifanayo ukwelapha ukubonakaliswa yansukuzonke lesi sifo, ngokusho kodokotela abaningi basebenzisa izindlela ezifanayo penicillin, kuba cishe engenakwenzeka, ngoba ayinawo isiqinisekiso okugcwele ngokuya kokukhipha isifo umgogodla intambo uketshezi.

Ukuphumelela inkambo ukwelashwa ezigabeni kamuva

Imiphumela ugcunsula sitholakale esigabeni sesibili, kunzima kakhulu kangakanani ukuba banqobe. Izinkinga kubangelwa ukutheleleka, ukuthuthukisa hhayi kuphela izitho zangaphakathi. Sichayeke usongo isimiso sezinzwa esiyinhloko. Ngokuvamile, iziguli ezinemishini ifomu okunzima lesi sifo ezifanele kunazo imodi umile futhi eziyinkimbinkimbi ukwelapha ngenhlanganisela ehlanganisa amanzi-encibilikayo imithi elwa namagciwane penicillin akuzange kusize iqembu tetracycline, macrolides, cephalosporins, amalungiselelo equkethe bismuth. Kwakamuva zivimbela umsebenzi umsebenzi lwegciwane ukuphila nomphumela eqeda ukuvuvukala. Nokho, "ukushaqeka" amandla abo eshiya izibazi, okubangela ukuphazamiseka endocrine, kunciphise namasosha omzimba futhi ezithinta isibalo chromosome isiguli. Kukho konke ukuphila kwakhe, mhlawumbe khona nokuncane ukusabela okuhle, ezithinta imiphumela lokuma ukuhlolwa.

Ngakho-ke, impoqo ukwelashwa lwemithi ukuqoka immunomodulating ejenti asekelayo imisebenzi okuvikela umzimba. Kodwa nokho, ukuba aluqede ngokuphelele imiphumela emva ekwelapheni ugcunsula, ukuze elimazayo kakhulu empilweni, ngeke uphumelele.