Chiphuphu ndi matenda opatsirana pogonana omwe amachititsa kuti mafupa, manjenje, khungu liwonongeke. Matendawa amadziwika ndi nthawi yaitali, mankhwala ovuta. Tiyeni tiwone mwatsatanetsatane nthawi imeneyi ya matenda monga syphilis chapamwamba, kusiyanitsa zizindikiro zake, mawonetseredwe, njira za mankhwala.
Kodi "syphilis chapamwamba" ndi chiyani?
Pa nthawi ya matendawa, nthawi zingapo zagawanika: syphilis primitive, secondary, secondary. Mtundu wamakono wa matendawa umayamba mwachindunji kwa odwala omwe samalandira mankhwala kapena osankhidwa a madokotala, malingaliro awo. Chiphunzitso chapamwamba ndi gawo losavomerezeka. Zimayamba pafupifupi zaka 3-5 kuchokera nthawi yomwe imakhala ndi matenda ndipo imakhala ndi chithunzi china.
Zolakwika ndizomwe anthu omwe ali ndi syphilis zapamwamba akulandira ena. Mu 95-98% mwa matenda onse - kugonana. Kunyumba (kumpsompsona, kugwedeza dzanja, kugwiritsira ntchito mankhwala oyeretsa, ndi matenda okhudzana ndi matenda) sangathe kutenga kachilombo ka syphilis. Izi zili choncho chifukwa chakuti tizilombo toyambitsa matenda timatha kutaya matendawa mosavuta.
Matenda akuluakulu - zizindikiro
Kafukufuku waposachedwa ndi madokotala awonetsa kuti tizilombo tating'ono tingapangitse ngakhale patatha zaka 8 mpaka 10 kuchokera nthawi ya matenda a wodwala wotulukira tsamba. Mtundu womwewo wa matendawa umakhala ndi ulendo wautali, ndi nthawi yochepa - nthawi imene odwala samasamala kanthu, zizindikiro zimatha. Pali zizindikiro zina za sukulu yapamwamba.
Kugonjetsedwa kwa khungu ndi syphilis yapamwamba. Iwo amakula mu miyezi ingapo, nthawi zina zaka. Maganizo omvera mwa odwala sapezeka. Ali pa malo osawerengeka a khungu, pang'onopang'ono amayambiranso, kuchoka pa malo omwe alipo. Zilonda zapakhungu zikuphatikizapo:
- Bugorkovy syphilid - nkhono kuchokera kumalo oundana a khungu, mwinamwake akuzungulira pamwamba. Kukula 7 mm, mtundu wofiira-bulauni, wandiweyani mosasinthasintha. M'kupita kwa nthawi, imachitika kusintha kwa chisokonezo ndi mapangidwe a zilonda, zomwe zili m'mphepete mwake. Machiritso amatenga miyezi ingapo popanga zipsera.
- Chithunzithunzi chodzichepetsa - chiguduli mu mafuta ochepa, osapweteka, ali ndi khalidwe limodzi. Lembani pamphumi, mawondo ndi mitu. Poyambirira, Gumma ndiyotayika, imataya kuyenda pamene ikukula, kutseguka kumapangidwa pakati pomwe gelatinous madzi amamasulidwa. Dera la dzenje likuwonjezeka - chilonda ndi mapiri osagwirizana amapangidwa.
Kusokonekera kwa machitidwe ndi ziwalo zimayambira ku syphilis yapamwamba patapita zaka 10 kuchokera nthawi ya matenda. Panthaŵi imodzimodziyo, amawakhudza:
- matenda a mtima ( myocarditis );
- chiwindi (hepatitis);
- m'mimba - chilonda;
- dongosolo la manjenje ndi neurosyphilis.
Mapiritsi apamwamba - mawonetseredwe a bony
Pamene maphunziro apamwamba akafika, syphilis yatulutsa mawonetseredwe. Zosintha zimakhudza mafupa. Choncho zimbudzi zingapangidwe mu nthawi yokhala ndi masiponji komanso masiponji. Amakhala makamaka m'mapapu osalimba, mchere. Nthawi zambiri mafupa a chigaza, mapewa ndi zikopa amakhudzidwa. Pachifukwa ichi, kusintha konse mu minofu ya mafupa kumapitirira monga mwa mtundu:
- Periostitis - yodziwika ndi maonekedwe a mafupa, omwe akuwonjezeka kwambiri usiku. Pamalo a lesion, kutupa ndi kutupa zimapangidwa. Ngati palibe mankhwala oyenera, kupweteka kumatha pakapita masabata 2-4.
- Osteoperiostitis - njira yotupa imapezeka m'dera lanu. Pamene matendawa amakula, amayamba kusintha mafupa. Nthawi zina, njira zowonongeka zimatheka - choyamba minofu ya mfupa imakhudzidwa, ndiye pulogalamuyo imakhudzidwa.
Nsonga yapamwamba pamlomo
Kawirikawiri, syphilis yapamwamba imadziwonetsera ngati chotupa cha mucous membranes pakamwa. Zikatero, chingamu chingakhale cha khalidwe limodzi, kawirikawiri ma tubercles amafalikira m'kamwa. Nthawi zambiri zimapangidwa pamwamba pa lilime, thambo lolimba komanso lofewa. Choyamba ndi mawonekedwe opweteka kwambiri. Patapita nthawi, imakula kukula, kenako ikatsegulidwa. Kuchokera pa chilonda, ndodo yamakono imakana. Kumalo ake chilonda chimapangidwa.
Izi zimatenga miyezi 3-4. Nthawi zina, zimaphatikizidwa ndi zochepa, zomwe zimamveka:
- ululu m'kamwa;
- Kuphwanyidwa kwa ndondomeko ya chakudya.
Matenda akuluakulu otchedwa syphilis
Tizilombo tating'ono taulendo tomwe timaphunzira kawirikawiri timapezeka mofanana. Gawo lachilendo limatha nthawi yaitali, kotero odwala akhoza kuyesedwa ndi kuyamba kwa nthawi yochira. Komabe, patapita nthawi, chiphuphu chapamwamba (gum) chikuwonekera pakhungu kachiwiri. Zimapangidwa ndi mawu ochepa. Amalowa m'ziwalo zamkati mulibe kusintha kwapadera ndipo m'zolemba zawo muli ndi kachilombo kakang'ono ka tizilombo toyambitsa matenda.
Kuzindikira za syphilis yapamwamba
Pulogalamu yapamwamba ya syphilis safuna zochitika zapadera. Madokotala amadziwika mosavuta ndi mawonetseredwe a chipatala, zizindikiro za matenda. Kuonjezera apo, odwala 30% amaphunzira chapadera - kuyesa RPR kumapereka zotsatira zoipa. Chifukwa chaichi, mtengo wapatali wothandizira umapezedwa ndi:
- REEF;
- RIBT (zabwino mu 90-100%).
Pofuna kudziwa kuchuluka kwa matenda a ziwalo ndi machitidwe, ziyeso zowonjezera zimachitika:
- Ultrasound ya mtima;
- ECG;
- zojambula;
- X-ray la mafupa;
- Ultrasound pachiwindi ;
- kufufuza kwa cerebrospinal madzi.
Matenda apamwamba - mankhwala
Chithandizo cha syphilis chapamwamba chimagwiritsa ntchito kugwiritsa ntchito antibacterial agents. Pankhaniyi, mankhwala ozunguza penicillin amagwiritsidwa ntchito mwakhama. Ngati ali osakondera, mankhwala osankhidwawo amasankhidwa payekha. Dokotala amasonyeza mlingo, kuvomereza kwafupipafupi, nthawi ya mankhwala. Kuchita bwino mwachindunji kumadalira nthawi yoyamba ya chithandizo cha chithandizo, kuopsa kwa matendawa.
Kodi n'zotheka kuchiza syphilis yapamwamba?
Kawirikawiri, odwala omwe ali ndi matendawa amakhala ndi chidwi ndi funso lakuti ngati tizilombo ta sukulu tikuchiritsidwa. Madokotala amanena kuti kupambana mwachipatala n'zotheka kokha ndi kuyamba koyambirira kwa chithandizo. Kuonjezera apo, zotsatira za sukulu yapamwamba ya syphilis zimadalira kuchuluka kwa kuwonongeka kochokera kwa wothandizira ndi ziwalo. Kawirikawiri, cholinga cha ntchito zachipatala nthawi zonse ndizokhazikika, kuchepetsa kupititsa patsogolo kwa syphilis.
Kuchiza kwa sukulu ya sukulu
Mapiritsi okhala ndi syphilis yapamwamba ayenera kutengedwa molingana ndi malamulo a zachipatala. Pankhani imeneyi, dokotala amasankha njira yothandizira munthu aliyense. Zina mwazofala kwambiri:
- Thandizo lokonzekera - masiku 14 akulandira Erythromycin kapena Tetracycline, 2 g pa tsiku (0,5 pa phwando). Pambuyo masiku 28 Penicillin mayunitsi 400,000 8 pa tsiku. Pambuyo pa masabata awiri - maphunzirowo akubwerezedwa, kuchepetsa masiku 14.
- Kukonzekera kwa Erythromycin monga tafotokozera pamwambapa, pambuyo pake penicillin Novocaine mchere wagwiritsidwa ntchito, ma unit 600,000 2 pa tsiku, masiku 42 otsatizana. Maphunzirowa abwerezedwa - patadutsa masiku khumi ndi anayi ndi masabata awiri a mankhwala akuchitidwa.
- Kukonzekera kwa Erythromycin, kenaka kugwiritsa ntchito Procaine penicillin kwa majekiti 1.2 miliyoni, kamodzi patsiku, kwa masiku 42. Maphunzirowa abwerezedwa - masabata awiri abwererenso mankhwala pambuyo pa masiku 14 osokoneza.
- Chithandizo cha sukulu yapamwamba ya syphilis Extensillin imapangidwa ndi jekeseni imodzi yokha ya miyendo 2.4 miliyoni ndi njira yopangira njira ziwiri: kutsuka kale mu 8 ml ya saline solution 1.2 million unit mu nsomba iliyonse.