Chiwopsezo ndi matenda owopsa omwe amafalitsa kugonana komanso kawirikawiri ndi njira zapakhomo. Chifukwa cha zochitika zamankhwala zamakono, chiwewe sichiyambidwa ngati matenda oopsa kwa nthawi yaitali, koma, ngakhale izi, n'kosatheka kuchiritsa pamasitepe amtsogolo. Pakapita nthawi, matendawa amakhudza ubongo ndi dongosolo la manjenje, zomwe zingakhale ndi zotsatira zoopsa ngakhale phindu la mankhwala. Choncho, ndikofunikira kuzindikira zizindikiro za matenda oopsawa kumayambiriro oyambirira, zomwe zimathandiza kwambiri kuti chithandizo chitheke komanso kuchepetsa mavuto. Chimodzi mwa zizindikiro zoterezi ndi ziphuphu zamtundu pa khungu, zomwe zimapangidwira pomwe chiyambi cha chisala. Kuyang'ana pa zithunzi zosiyanasiyana, kuthamanga kwa syphilitic kumawoneka bwanji, zimatha kuzindikira kuti mitundu yosiyanasiyana ya misampha yomwe imakhala ndi kachilombo ikhoza kusokoneza kwambiri matendawa. Komabe, maonekedwe a rashes, ngakhale kutali kwambiri ofanana ndi chipsinjo cha syphilitic, ndi chifukwa chothandizira dokotala. Kuperewera kwa nthawi yodzidziwiratu komanso kudzipangira yekha mankhwalawa kungangowonjezera vutoli komanso kumabweretsa mavuto.
Pali mitundu yambiri ya misampha, ndipo nthawi zambiri pamakhala maonekedwe a mitundu yosiyana. Mwa njira yomwe chiwombankhanga chimayang'ana, mungathe kuzindikira momwe matendawa akuyendera. Chinyezi chachikulu chimakhala ndi maonekedwe a chancre, m'dera la matenda. Shankr amaimira kugwirizana kwa pakati pa necrosis kupitirira pamwamba pa khungu. Komanso pachilombo choyambirira chimakhala ndi kuwonjezeka kwa maselo a mitsempha, kumapeto kwa nyengo pali malaise ambiri, malungo, kupweteka. Zizindikiro zoterezi zimayambitsa kusamba kwa kachilombo kachisanu, kamene kali ndi maonekedwe a khungu. Panthawi imeneyi ya syphilis, kutukuka kungakhale ngati mawanga a pinki, pustules (pulesules) kapena bulges (papules) zamkuwa, zofiira kapena zitsulo zamagetsi, malo ozungulira omwe amakhala oposa 1 masentimita, komanso wofiira, grayish kapena magetsi a magetsi. Kawirikawiri ziphuphu zimapezeka kumalo ndi mapazi. Panthawiyi, chiwindi cha syphilitic chimangoyamba kapena chimapweteka kwambiri. Mapepala amatha kupweteka ndi kupanikizika, koma nthawi zambiri mphutsi ndi zopweteka, sizimayambitsa nthawi yaitali, zomwe zingayambitse dokotala mwamsanga. Chimodzi mwa zizindikiro za kutupa kwachilombo ndi zamkuwa, mawanga amatha kutha, amasanduka mapepala kapena mapepala a mawonekedwe. Mofananamo, mphukira ikhoza kubisala, kuphimba ndi nkhanambo zakuda kapena zofiirira. Kuthamanga kumasonyeza kuti thupi liri ndi tizilombo toyambitsa matenda, timatenda tawonekedwe, koma ngati tizilombo toyambitsa matenda timapanga ndipo chiwerengero cha tizilombo ta tizilombo toyambitsa matenda chifupika, mphutsi imatha. Mwamsanga pokhapokha kuchuluka kwa treponem kukuwonjezereka, kutuku kumawonekera, komwe kumatayikanso ndi nthawi. Pogwiritsa ntchito mobwerezabwereza, mtundu wa mphutsi umatha kusintha, ziphuphu zimakhala zazikulu, zimatha kupanga khungu kapena ovals pakhungu. Chirombo cha sekondi chimatha mpaka zaka 4, pomwe mphutsi idzawonekera ndi kutha. Pachifukwa ichi, chithandizo cha kutupa kwa syphilitic chiyenera kukhala chovuta cha mankhwala ambiri. Ngati palibe chithandizo pakadali pano, chiphuphu chapamwamba chimasanduka, chomwe khungu lina limatulutsa ngati ma tubercles ndi zisindikizo zamkati mwachitsulo ndilo khalidwe. Bugra akhoza kupanga mphete, pakati pa necrosis imayamba ndipo chilonda chimapangidwa. Zisindikizo zamkati zimakhala pafupifupi 1.5 masentimita awiri, pamwamba pake pali mdima wofiira. Patapita nthawi, chilonda chimapangidwa pakati pa compaction.
Chithandizo cha kutupa kwa syphilitic
Chithandizo cha kuthamanga kwa syphilitic chiyenera kulamulidwa ndi dokotala, pokhapokha atapeza ndikudziwitsanso masitepe ndi chikhalidwe cha matendawa. Kuti mupeze lingaliro lachidziwitso momwe kuthamanga kwa syphilitic kumawonekera, mukhoza kuona zithunzi zoperekedwa muzolemba zachipatala. Izi sizowonjezera kokha kuchiza nthawi yake pakudziwika kwa zizindikiro za nkhawa, komanso pofuna kudziteteza ku matenda, popeza ngakhale ziwalo zina za chiphuphu zimatha kukhala ndi tizilombo toyambitsa matenda. Poyambirira, mankhwala opangidwa ndi mercury ankagwiritsidwa ntchito pochiza matenda a syphilitic , omwe anali ndi zotsatira zambiri ndipo, komatu, sanathetseretsa kuti matendawa athetsedwe, ndipo sanalepheretse kufalikira kwa matendawa. Njira zamakono zitha kuthetsa mavuto, komanso zimachiza matenda omwe ali ndi kachilombo ka HIV.