Zvirwere zvinowanzoitika pakutanga pakupararira. Izvirwere izvi zvinonyanya kuitika chikamu chekubereka kwevanhu. Zvisinei, haisi zvirwere zvose zvakafanana. Chii chinonzi syphilis, varwere vazhinji vachawana chete kana vasangana naro.
Chii chinonzi syphilis uye chinoparidzirwa sei?
Utachiona hwechirwere hunoreva zvirwere zvehutachiona zvinokonzerwa nehupenyu husingaperi. Chirwere chetachiona chinotanga kubuda-chinokonzerwa nemakiriniki. Apo kukura kwechirwere kunokanganisa ganda, mucous membrane, nhengo dzomukati, hurongwa hwemagetsi uye musishuloskeletal system. Chirwere ichi chinoratidzwa nekanguva yakareba nenguva dzekuwedzera uye kuregererwa.
Nzira huru yekuendesa kwehutachiona ndeyepabonde. Kuvharirwa kwevarwere vanopfuura 90% kunowanikwa vasina unzenza. Muchiitiko ichi, varwere pachavo vanodzidza nezvechirwere chete mushure mechinguva - chirwere chine nguva yekudzivirira . Nguva yaro inokonzerwa nehutachiona hwehutachiona, hupo hwehumwe hutachiona hwehutachiona hwehutachiona huri mumuviri.
Sirifi inonzi causative agent
Kuti unzwisise chinonzi chirwere, unofunga kufunga nezvechikonzero chechirwere. Icho causative agent wechirwere ichocho chiripo che treponema. Iyi microorganism inoshandiswa kune spirochetes. Mukati memuviri womunhu, inogona kuvapo kwenguva yakareba. Sekuwedzera, kuwedzera mumusana wepathogen inoratidzika uye chimiro chemakiriniki emufananidzo. Iyo pathogen inokurumidza kukuvadza nhengo dzomukati, kupararira mumatambudziko akawanda kunotanga ne mucous membrane. Nemazuva ano e-lymph pathogen inopinda mumhepo yekufema, yakanyanyisa, inotsigira urongwa hwemuviri.
Pale treponema haibvumiri kuoma, kutonhora kwakanyanya. Vanokurumidza kufa nokubikira. Zvisinei, microorganism inopesana nekudzikira kwakadzika uye kupisa. Yakawanikwa kuti treponema yakaratidza basa kwegore mushure mokunge ichitonhora uye kuchengetedza pakushambidzika -780 degrees. Mushure mekunge vapinda mumuviri, pathogen haisi mitezo yakasimba yomuviri. Izvi zvinotsanangura kuvepo kwekudzokorora utachiona ne treponema, kudzokorora kwechiphilisisi.
Siripi inopfuudzwa sei?
Sezvakataurwa pamusoro apa, chirwere chinoparidzirwa zvikuru kuburikidza nepabonde. Panguva yekushamwaridzana kusina kudzivirirwa, pathogen kubva mumakumbo emukati wemukati unopindira inopinda muchikamu chemuviri wehutano. Kushandiswa kwemakondomu semagadziro kunoderedza ngozi yechirwere, asi hachibvumiri. Kune dzimwe nzira dzekutumira kwehutachiona hwepabonde, pakati pawo:
- kuwedzerwa ropa - kuwedzerwa ropa remutakuri kune murwere ane utano;
- nzira yakananga - kubva kuna amai vane utachiwana kuenda kumwana panguva yekuberekwa;
- nemate;
- kuburikidza nehutano hwehupenyu (kazhinji);
- kuburikidza nezvinhu zveimba (zvisingawanzoitiki).
Primary syphilis
Apo paiva nechirwere chechirwere, varwere vazhinji vanoona zvakaoma kupindura. Izvi zvinokonzerwa nekuvapo kwekudzivirira nguva. Mushure mokupinda mumuviri kutengesa kwenguva yakareba ungasaita kuti uzive nezvako. Maererano nekucherechedza kweveereologists, nguva iyi inogona kupedza mavhiki maviri kusvika mana. Panguva ino pathogen inopararira kuburikidza nemuviri kuburikidza ne circulatory uye lymphatic systems.
Pakupera kwekudzivirira nguva, zvakaoma, zvinorwadza mafomu mumutumbi panzvimbo yepathogen sumo, chironda-chakasimba chancre - kutanga kuratidzwa kwechiphilisisi. Kubva panguva ino, nguva yechirwere chinotangira inotanga. Mushure memazuva gumi, treponema kubva pachironda, sezvinotsanangurwa pamusoro apa, inopinda mumakirini emakiromita ari pedyo. Somugumisiro, chirwere chinoputika chinowedzera, uye mumuviri wemurwere unoonekwa marwadzo kubva pachirwere mu lymph node. Chikumbi chancre (ulcer), ine lymph node inopisa, lymph kubva mumidziyo ye lymph inopera kwemavhiki matanhatu kusvika ku7 (kureba kwenguva yekutanga).
Secondary syphilis
Nguva dzose dzechirwere dzinozivikanwa nekliniki yavo yemifananidzo. Saka, izvo zvakasiyana-siyana zvechimiro chechipiri ndiko kuonekwa kwechisimba chechiphilitic . Hard chancre inonyangarika mushure mevhiki mbiri kubva panguva yekuonekwa kwayo. Chimwe chinhu chinosvika pakuputika ndiko kupararira kwomuviri wose. Muchiitiko ichi, maitiro ezvinhu zvemashure anogona kunge akasiyana: mavara, abscesses, nodules.
Zvinhu izvi hazviperi kunyange pasi pekuita kwezvirwere zvinopesana nekuvhiringidza munzvimbo dzomunharaunda (mafuta, marashi). Nguva yeharura ine syphilis inosvika kumwedzi 2. Kwenguva yakati, kupisa kunogona kupera, asi kunowedzera. Kutaura kuti chii chinonzi syphilis yechipiri, vanachiremba vanocherechedza nguva yenguva ino. Inogona kupedza makore 2-4, zvichienderana nekubudirira kwehutano.
Syphilis yakavanzwa
Kana vakawanda vachiziva kuti chirwere chii, havasi vose vakanzwa nezvechimiro chechirwere chechirwere. Izvi zvakasiyana-siyana zvekuvandudzwa kwehutachiona hwechirwere hunoratidzwa nekushaikwa kwakakwana kwechirwere chechipatara. Chirwere chepabonde muchiitiko ichi chinowanikwa chete panguva yebato rekuongorora. Kuongororwa kweropa kwechiphilis kunoratidza kuvapo kwezviitiko zvepathogen. Muchiitiko ichi, kuongororwa kunobva pane:
- data of anamnesis;
- migumisiro yekusarudzwa kwakananga kune syphilis (RIBT, RPR test).
Syphilis Zviratidzo
Zvakakosha kutaura zvisina kufanira kuti siripi inoratidzika sei, iyo inoratidzirwa ndeiyi: chirwere chinogona kuchinja kana kusapa zviratidzo zvachose. Mukuwedzera, zviratidzo zvechirwere zvinouya mavhiki mashoma mushure moutachiona. Zvisinei, varwere vazhinji havakwanisi kutarisa kwavari. Vakawanda vanodzidza pamusoro pekuvapo kwechirwere mukuumbwa kwehangu chancre, iyo inowanikwa mushure mekuvandudzwa kwenzira yekutanga yehutachiona.
Pakuberekwa kwema laboratori tsvakurudzo kakangotanga pamatanho ekutanga kuchinja mumutambo weropa (kukura kweLeucocytes, kuora mwoyo kweHemoglobin) kunogona kuonekwa. Izvi zvinowanzoitika, uye hazvibviri kuziva saruphi kwavari. Pakupera kwekutanga nguva, varwere vanonyunyuta pamusoro:
- headaches;
- utera uye malaise;
- kurwadziwa mumasumbu uye manhengo;
- kuwedzera mumuviri wekushisa kusvika kune digirii 38.
Zviratidzo zvekutanga zvechirwere
Apo sarfrika inokura, chancre ndeimwe yekutanga zviratidzo zvehutachiona. Izvi zvakagadzirwa nehutu hwediki shoma. Inoumbwa zvakananga panzvimbo yekuiswa kwe treponem mumuviri: mumadzimai - mumadzimai kana mumukati, mune varume - munharaunda ye glens penis. Kuumba kunogona kukuvadza, asi kazhinji hakukonzeri kunzwa kunorwadza. Pasi peda che chancre kune yakasimba yakapindira, saka yakagamuchira zita rakadaro. Pakati pekuratidzwa kwekutanga kwechirwere kunogona kuonekwa:
- Edema inoshamisira ndeyokuumbwa kwebibia kana cheputi. Muzviitiko zvakawanda zvine kanotic or pinkish tinge.
- Amygladalite - kukundwa kwechirwere chemaswoni nemutakuri we treponema. Inoitika semagumisiro emuromo wepabonde. Marwadzo panguva yekumedza, kutonhora kwemuviri, kusava nesimba, kuora musoro kwakanyanya kunoonekwa.
Nhanho dzechirwere
Zvichienderana nekuti syphilis inoratidza sei, zviratidzo zvipi zvinowanikwa, vanachiremba vanogona kuziva chirwere chechirwere ichi:
- Nharaunda yekutanga (chirwere chepiritsi) - inotanga nehutachiona, inosanganisira nguva yekudzivirira kana zviratidzo zvisipo. Nguva yenguva ino iri kusvika masvondo manomwe. Inozivikanwa nekuumbwa kwekancre, yakatsanangurwa pamusoro apa, yakakura yakawanda yerymph nodes.
- Chikamu chechipiri (yechirwere chechipiri) chinoratidzirwa nekuputika mumuviri wose, iyo inopera nguva nenguva uye inowanikwa.
- Chikamu chechitatu - chinokura makore mashomanana mushure mekutachiona pasina kushandiswa kwakakodzera, kutumira kune chiremba. Munguva pfupi yapfuura, siriphi yepamusoro yakanyanya kuwanda nekuda kwekufamba kwenguva.
Ndeipi ngozi kune syphilis?
Kana chirwere chisina kutorwa kwenguva yakareba, migumisiro yechirwere inogona kukuvadza hutano hwako. Nhamba yezvinetso zvinogona kuitika zvakanaka, uye haisi nguva dzose kugona kujekesa zvakazoitika pakuvapo kwe treponema mumuviri womunhu. Pakati pemigumisiro yakawanda yechirwere ichi:
- kusabereka;
- chikamu chepamberi;
- kushungurudzika kwemagetsi;
- CNS zvinyorwa - neurosyphilis;
- kukanganisa kuuropi;
- rufu.
Sirifi - kuongororwa
Sezvo wanyatsonzwisisika kuti chii chinyorwa, kuti chinoratidzika sei, zvinokosha kuziva kuti nenzira ipi inokwanisika kuongorora chirwere chacho. Zvakaoma kuziva chirwere chekuzvidzivirira - kazhinji chirwere ichi chinowedzera nenzira yakaderera, chinowanikwa nechiitiko chekudzivirira chiitiko. Chikonzero chekuongororwa ndeye nzira dze laboratori. Kuvandudza maitiro akange aripo kunoita kuti zvive nyore kuona kuti kuvapo kwemugadziri mumuviri kana kusina kwekuzviratidza kwekunze. Ropa rinoshanda sechinhu chekudzidza. Kuongororwa kwechiphilisisi kunogona kuitwa neimwe yenzira:
- RPR;
- RW ( Wasserman test );
- RIF (enzyme immunoassay);
- kugadzirisa kwekusateerera agglutination;
- PCR.
Sirifi - kurapwa
Kurapa kwechirwere kunoitwa muchipatara. Nzira yekurapa inosarudzwa mumwe nomumwe uye inotsanangurwa nechigarire chechirwere, kuvapo kwekugadzikana kwechirwere, chirwere chemurwere. Nheyo yehutano ndeye antibacterial drugs. Pale treponema inonzwisisika nemishonga inorwisa mabhakitiriya een penicillin. Zvisinei, mishonga iyi yakawedzera kukura. Sevashanduri vanogona kushandiswa:
- macrolides (Azithromycin, Erythromycin);
- tetracyclines (Doxycycline, Tetracycline);
- fluoroquinolones (Levofloxacin, Sparfloxacin).
Mukutambudzika kwakaoma kwechirwere, mamwe mapoka emishonga inowanzoshandiswa:
- immunostimulants (Immunal, Immunomax);
- anti-inflammatory (naproxen, gorogi);
- vitamini (B6, B12, ascorbic acid).
Zvinokwanisika here kurapa sarufi?
Mubvunzo uyu unowanzobvunzwa neavo placentas umo saruphi mushure mokurapa yakagadzirisa zvakare. Sezvakataurwa pamusoro apa, kudzivirira kweiyi pathogen mumuviri womunhu haisi kubereka, somugumisiro, imwe nguva mushure mekupera kwemaitiro ekurapwa, zviratidzo zvechirwere zvinogona kuonekwa zvakare. Zvisinei, kutengesa nguva yakakodzera, kunyatsoteerera mitemo yezvechiremba uye mazano kubva kumurwere ndeye chivimbo chekuzorora zvakakwana. Nhamba dzekuti syphilis inobatwa sei inoratidzwa mu tafura iri pasi apa.
Sirifi - zvinodhaka
Munyaya imwe neimwe, maitiro ekubata chirwere chinoshandiswa sei - inogadzira venereologist. Chirwere chinotarisana zvachose nechimiro, chirwere chechirwere chacho. Muchiitiko ichi, chiitiko chekurapa chinoenderana zvikuru nekusarudzwa kwakarurama kwerapi regimen. Iko kune maitiro akawanda anowanzogamuchirwa anotungamira vanachiremba mukurapa kwechiphilisisi. Iyo maitiro makuru emarudzi ose ekurapwa kwechirwere ichi chinotyisa, zvichiratidza kuti mishonga uye madhairi anopiwa mu tafura iri pasi apa.
Sirifi - kudzivirira
Kudzivirirwa kweveereal zvirwere zvinotarisirwa kubvisa kutapurirwa kwechirwere.
Kuchengetedza mhuri syphilis, unoda:
- Shandisa midziyo yakasiyana (nyatsogadzira ivo mushure mekudya).
- Shandisa zvigadzirwa zvehutsanana.
- Dzivisa kugonana, kutsvoda nemunhu anorwara.
Muchiitiko chacho apo kuita zvepabonde nemurwere kwakaitika, zvinokosha:
- Tora nhengo dzepabonde dzekunze nemhinduro yeChlorhexidine.
- Mushure memasvondo matatu apfuura chirongwa chokudzivirira chirwere.