Matenda ena amtunduwu, makamaka mu mawonekedwe osalekeza, amachititsa mavuto aakulu ndi kusokonezeka kwakukulu kwa ntchito za mkati ndi ziwalo. Chiwindi chimatanthauza gulu loopsa lomwe limayambitsa kuwonongeka kwa impso, mtima ndi chiwindi. Pa chifukwa chimenechi, madokotala akulangizidwa kuti adziwe momwe angadzitetezere.
Siphila ndi amene amachititsa matenda
Matendawa amakwiyidwa ndi tizilombo toyambitsa matenda a gram-negative ana ochokera ku mtundu wa spirochete wotchedwa treponema wotumbululuka. Bakiteriyawa ayamba kutsutsana ndi mitundu yambiri ya maantibayotiki ndipo amatha kudziteteza okha mothandizidwa ndi chipolopolo cha membrane. Amatha kuthetsa collagen ndikugwirizanitsa ndi maselo abwino, kotero kuti treponema yotumbululuka imayambitsa:
- Kuphwanya zakudya zoperewera zamatenda;
- zolepheretsa zilonda zam'mimba;
- necrosis;
- kuchepetsa mapuloteni;
- kukokoloka kwa nthaka;
- zilonda zam'kati.
Kodi amapeza bwanji syphilis?
Njira yaikulu ya chiopsezo ndi kugonana kulikonse ndi wodwala wodwalayo popanda chopinga chithandizo cha kulera , kuphatikizapo kugonana kwa m'kamwa ndi kamene. Ngati mayi atenga mimba kapena ali ndi mwana panthawi ya matenda, mwanayo amatha kukhala ndi kachilombo ka HIV - gulu loopsya limaphatikizapo ana omwe amayi awo sanawathandize. Kusiyana kwina kwa matenda kumakhudzana kwambiri ndi magazi a wodwalayo:
- kuika;
- kugwiritsa ntchito syringe imodzi ya jekeseni;
- Kugwiritsa ntchito njira zachipatala.
Kodi n'zotheka kugwiritsira ntchito kaswiti pakhomo?
Treponema yapamwamba imapulumuka kunja kwa thupi la munthu kwa masiku angapo ndipo imakhala yosagonjetsedwa ndi kutentha. Yankho la funsoli, ngati n'zotheka kugwira kachilombo kachitidwe ka banja, zabwino, koma ndizochitika zosavuta kwambiri. Bakiteriya ali ndi mphamvu pa zinthu zomwe zimakhala ndi mazira a munthu wodwala kapena zilonda zake zotseguka:
- mbale;
- mabotolo;
- matawulo;
- chithunzi;
- nsalu ya bedi.
Ngati anthu okhwima amakhala kapena akugwira ntchito limodzi ndi munthu wodwala, ayenera kuyesedwa kuchipatala. Ngakhale ngati palibe matenda, chitetezo chodziwika cha syphilis ndi kuyang'anitsitsa nthawi zonse ndizochitika. Wodwala mwiniyekha ayenera kusamala mosamala ukhondo wake, agwiritse ntchito zinthu zokha zapakhomo pamndandanda womwe uli pamwambapa.
Kodi ndingapeze syphilis mwa kupsompsona?
Tizilombo toyambitsa matenda tikunena kuti tizilombo toyambitsa matenda timakhala tizilombo toyambitsa matenda, makamaka ngati tizilombo toyambitsa matenda timakhala tizilombo toyambitsa matenda (ulcerous inflation). Pa mafunso, ngati n'zotheka kugwira nsomba pamsana, komanso ngati zotengera zofiira zimapatsirana pa kukupsompsona, malo obwera m'matumbo amavomereza bwino. Ndikofunika kupatula oyanjana ndi odwala omwewo asanayambe kuchira.
Kodi ndingapeze kondomu ndi kondomu?
Njira zothandizira kulera zimayesedwa kuti ndi njira yothandiza yotetezera matenda, koma siziteteza chitetezo cha 100%. Kupeza ngati mutha kupeza kachilombo pogwiritsa ntchito kondomu, muyenera kukumbukira mfundo zotsatirazi:
- kusungidwa kosayenera ndi kugwiritsira ntchito mankhwalawa kumabweretsa kuswa kwa umphumphu wake;
- Mtundu wa treponema wotuluka mumalowa mumatumbo, kudzera mabala pa khungu kapena mucous membrane;
- makondomu otsika kwambiri amatha kuswa;
- Mafuta pa mafuta amawononga zinthu zomwe njira ya kulera imapangidwira.
Poganizira zokhudzana ndi izi, kupewa kansalu ya chiwerewere sikuyenera kugwiritsidwa ntchito pokhapokha kugwiritsa ntchito zipangizo zoteteza chitetezo. Ntchito yawo yolakwika, maukwati ogulitsa mafakitale ndi zina zotero zingayambitse matendawa. Nthawi zambiri, odwala amtunduwu sakhulupirira kuti matendawa ndi treponema.
Sipulo - njira zothandizira
Njira yabwino kwambiri yopezera matenda ndi matendawa ndi kutsatira ndondomeko za katswiri. Njira zothetsera syphilis:
- Pewani ubale wapamtima wapamtima.
- Nthawi zonse mugwiritse ntchito makondomu apamwamba pa mitundu yonse ya kugonana (m'kamwa, chiwerewere, anal).
- Nthawi zonse pitani kuchipatala kukayezetsa machitidwe.
- Mwapang'onopang'ono perekani kuyamwa kwa mayeso a labotale.
- Musapsompsone anthu osadziwika.
- Gwiritsani ntchito zipangizo zokha zaukhondo.
- Mukapita kukaona maofesi ndi malo omwewo, yang'anani mosamala za zipinda, ukhondo wa zipangizo zoyambira komanso malo osambira.
- Ngati m'banja kapena kuntchito muli wodwala wodwalayo, musatenge mbale, zovala ndi zinthu zapakhomo.
Matenda oopsa a syphilis
Pamene panalibe kugonana mosatetezeka, ndi kofunika kuti mutenge nthawi yomweyo kuti muteteze matenda opatsirana pogonana. Kupewa kachilombo ka HIV kumakhala ngati:
- kusamba ndi sopo yankho;
- kukonzera;
- kusamala mosamala za ziwalo zoberekera, kupukuta kwawo kwakukulu ndi njira zowonongeka (Gibitane, Miramistin, Cidipol ndi ena).
Kupewa chithandizo cha syphilis sikungateteze chitetezo chapamwamba, choncho, posachedwa mutatha kukhala paubwenzi wapamtima ndikofunikira kupanga nthawi yokambirana ndi munthu wodzaza malowa ndikufotokozera vutoli. Dokotala atumiza mayeso oyenerera a ma laboratory ndikupereka mankhwala othandizira mankhwala. Mankhwalawa amathandiza kuteteza matenda 100% ndi treponema yotuluka ndi kufalikira kwa matenda.
Kupewa kwenikweni kwa syphilis
Madokotala asanakhalepo ndi mankhwala othandiza omwe angateteze thupi ku matendawa kwa nthawi yayitali, monga katemera wa antibairal. Pasanapite nthawi, sikutheka kuti chitetezo cha mthupi chitetezeke ku syphilis - kupewa mtundu wina wa matenda palibe. Pachifukwa ichi, nkofunika kuyesetsa kutsata ndondomeko yonse ya anthu omwe akupezeka pamwambapa.
Medical prophylaxis ya syphilis
Ndikayikira za matenda opatsirana otchedwa treponema, katswiri akukonzekera njira yothetsera vutoli. Mankhwala osankhidwa payekha payekha pofuna kupewa tizilombo, othandizira komanso osakaniza. Chinthu chofunikira kwambiri kuti athetse mabakiteriya onse ndikumangika nthawi zonse mankhwala osokoneza bongo m'magazi. Apo ayi kupweteka kwapadera kumapangitsa kukana mankhwala.
Mapiritsi oletsa kupewa syphilis amasankhidwa ku penicillin gulu , tizilombo ta tizilombo timayamwitsa mankhwalawa. Zida makamaka zimaperekedwa:
- procaine-benzylpenicillin;
- sodium salt wa benzylpenicillin;
- Mankhwala a Novocaine a penicillin.
Kuteteza kachilombo pa mimba
Ngati mankhwala otsekemera akupezeka m'mayi amtsogolo , chiopsezo cha kuwonongeka kwa fetus, kusokonezeka kwa chibadwa, kubadwa ndi zotsatira zina zoipa ndizopamwamba. Pofuna kupewa zovuta, kuchepa kwa nthendayi kumakhala kwa miyezi 4-5 yokha. Panthawiyi, tizilombo toyambitsa matenda tizilombo timene timadutsa pamtunda ndikulowa m'thupi la mwana.
Kodi ndi zotani zomwe zimapangitsa kupewa kachilombo ndi kumwa mapiritsi mumkhalidwe uwu, kokha katswiri wa amayi ndi wodwalayo akuganiza. Maantibayotiki, nawonso, amasankhidwa kuchokera ku pulojekiti ya penicillin, koma kuti nthawi yawo yothandizidwa ndi nthawi yayitali ikhale yofanana ndi nthawi ya mimba, chikhalidwe ndi zizindikiro za kukula kwa mwana. Katswiri wodziwa bwino kwambiri angathe kupanga mankhwala abwino kwambiri kuti asamuvulaze mwanayo komanso kuti athetse maulendo ake.
Kupewa pambuyo pa chithandizo cha syphilis
Ngakhalenso kutsimikiziranso kuchira sikuwonetsa kutaya kwathunthu kwa tizilombo toyambitsa matenda kuchokera ku thupi. Pali njira yowonongeka yomwe imakhala yosasintha, koma mabakiteriya ali m'magazi ndi mucous membrane. Kupewa kachirombo pofuna kupewa kubwereza:
- Pitani ku malo odzaza malowa kuti muyambe kukayezetsa miyezi yonse, 3, 6, 12 (malinga ndi mawonekedwe ndi kuopsa kwa matendawa). Kuwunikira kwapadera kumatenga zaka 2-5.
- Nthawi zonse yesetsani kuyesedwa kwa mphamvu ya serological, makamaka nthawi imodzi mu miyezi itatu. Chigamulo chosiya kuyesa ma laboratory chidzapangidwa ndi dokotala ndi zovuta zowonongeka.
- Muzidziletsa mobisa. Wodwala ayenera kutsatira njira yowonongeka ya syphilis yomwe yafotokozedwa pamwambapa.