Congenital syphilis

Congenital syphilis ndeimwe yemhando dzechirwere umo utachiona hwemukati hweutrauterine hunoitika neshiphilis panguva yekuzvitakura kubva kuna amai vanorwara. Pale treponema inoparadza chikamu chinopisa, mwana anoberekwa atove arwara. Haisi chokwadi chokuti mwana anoberekwa uye achararama. Maererano nehuwandu hwezvokurapa, zvinopfuura 40% zvekuzvimba kwakadaro zvinokonzera kuora mwoyo, kuberekwa kusati kwapera, intrauterine fetal death rufu kana kufa kwomwana mumaawa ake okutanga ehupenyu.

Zvichienzaniswa nehuwandu hwekuratidzwa kwezviriniki uye zviratidzo zvekudzivirira kwechirwere chekuzvarwa, zvinonzwisisika kusiyanisa dzimwe nguva dzechirwere ichi:

1. Siripi ye fetus (kusati yaberekwa nguva).
2. Kutanga kusangana kwechirwere (kubva pakuberekwa kusvika kumakore mana).
3. Kwapera makore congenital syphilis (kubva pamakore mashanu kusvikira kumakore gumi nemakumi mashanu nemashanu).

Zviratidzo zvekusangana kwechirwere chepakutanga

Kunyangwe kusati kwatanga zviratidzo zvekurapa kunze, congenital syphilis mumwana inogona kunyungurudzwa nemamiriro ayo ose. Vana vakadaro vane simba kwazvo, ganda ravo rinenge rakapfava, vanowana uremu husina kunaka, havana chido, kugadzikana kunogumbura, utanho hwemuviri hunomuka pasina chikonzero.

Congenital syphilis inozviratidza sekukundikana zvachose: uropi, ganda uye mucous membrane, nhengo dzakawanda uye zvirongwa zvemuviri. Zviratidzo zvekunze kwechirwere chepachibereko zvinotanga kuonekwa shure kwemazuva mashomanana / masvondo / mwedzi mushure mokuberekwa kwechecheche:

1. Syphilitic pemphigus inotanga. Zvirwere zvinonzi Serous-purulent (dzimwe nguva zvinopa ropa) zvinowanikwa pamichindwe nemaruva, zvino zvinopararira mumuviri wose.
2. 2-3 mwedzi mushure mekuberekwa, ganda rinokanganiswa ne-multiple diffuse syphilitic infiltrates yemhangura-mutsvuku.
3. Nokufamba kwemazuva, inopinda kuva nekunyanyisa kwakasimba uye kuparara, kusiya zvikwangwani zvinopenya.
4. Kune zvipembenene zvakakura kana zvisingakwanisi mumhando ye roseola, papules uye / kana pustules.
5. Mamiriro ezvinhu ose echecheche anorema: kutonhora kwemuviri kunomuka, syphilitic rhinitis inoratidzika, iyo nasal septum yakaora uye inoparadzwa, mushuloskeletal system inoshandiswa.
6. Chiropa uye chirwere chinowedzera uye chakabatanidzwa, chironda chinoputika, syphilitic pneumonia inosuka, itsvo, moyo, nervous system, mapuropa emimba inokanganiswa.

Zviratidzo zvekusangana kwechirwere chepakutanga muvana vakwegura kupfuura 1 gore:

• kunyunyuta kunopoteredza anus;
• kupora mapundu emvura mumapfudzi;
• nodes yehutano husina kumira (gum) mumatumbu mashomanana;
• kuwedzera brittleness yemapfupa;
• kuora mwoyo kwakagumburwa;
• chronic meningitis;
• kukanganisa kwepfungwa ;
• kuonekwa kusakanganisika;
• mhanza.

Kwapera nguva senyeni yepenital uye zviratidzo zvayo

Kutevedzana kwepisital syphilis inokura pamusana pekusaremekedzwa, kusatorwa kana kusati kwamboitwa zvisina kufanira. Zviratidzo zvitatu zvakazvimiririra zviratidzo zvekupedzisira kwechirwere chekuzvarwa:

• meno akaumbwa nemubhairi ane chinyorwa pamwe chete nechepasi;
• kuputika kwekonoa yemeso;
• matsi inokonzerwa nokukundwa kwebyara ear.

Mukupera kwechirwere chekuberekwa, zviratidzo zvemakiriniki zvinonzwika, zvinoratidzwa nezvimwe zvirwere: shangu yakakosheta ine temberi dzakakwirira, denga re gothic, tibia rakagadzirirwa mufananidzo wearc (saber-like shins). Nokuda kwekukundwa kwenheyo yehutano, mwana wacho anogara achingozvidya mwoyo mupfungwa, kutaura kwake kwakaputsika uye pane zvimwe zvinetso zvepakati remagetsi.

Kuchengetedzwa kwechirwere chekuzvarwa

Kurapa kwechirwere chekuzvarwa kunokwanisika bedzi kuburikidza nemubatsiro wea antibacterial therapy, kunyanya, zvidzidzo zvakawanda zvakatsigira kuti treponema yakanyanyisa haina kunyatsogadzikana nekuremekedza ma antibiotics kubva muboka repenicillin. Kuti udzivirire zviratidzo zvekuzvarwa kwechirwere, chirwere chemazuva gumi chepenicillin chinowanzodiwa.

Kuti pave nemishonga yakakwana yekusangana kwechirwere chepakutanga, 6 dzidzo dzakadaro dzinodiwa, nekunonoka kwechirwere syphilis - 8 zvidzidzo. Mukuwedzera pane kurapwa kwakanyanya, varwere vanoda kutarisirwa kwakanaka, kudya kwakakwana kwemavitamini, kugadziriswa kwehurongwa hwekudya, kurara nekumuka.