I-Syphilitic roseola: iifoto, iimpawu, inkcazo, iintlobo, indawo, ukuxilongwa ngokungafani, unyango

I-Syphilis yenye yezona zifo eziqhelekileyo nezoyikrakra zekhulu lama-20. Ngexesha, lesi sifo sabangela inani elikhulu lokufa. Iibalo ezipheleleyo zithintela isifo eRashiya, kwaye emkhosini inkunzi yesibini inesifo. Esi sifo sesifo se-venereal, esasasazwa ngocansi okanye kwi-utero. Kodwa kunokwenzeka ukuba unentsholongwane kwaye usebenzise izinto ezihlambulukileyo zokuzihlambulula, ukukhawulwa, kunye nokumpontshelwa igazi. Izifo zinokuthi zenzeke ngendlela efihlakeleyo kwiminyaka emashumi, ngokuthe gqolo zihamba ukusuka kwelinye isigaba ziya kwelinye, ziyikrakra kunye neempawu zayo kunye nokubonakaliswa kwangaphandle.

Igosa elidala

I-chancre enzima, ukuvuvukala kweenqanawa ze- lymphatic, i- syphilitic roseola (ama-syphilids angamabala), ama-papules, i-nodes kunye ne-pustules ziphela zeembonakalo zangaphandle ze-syphilis yangundoqo kunye nesibini. Kodwa okwenyaniso umonakalo ulusu, iziko zangaphakathi kunye neenkqubo ziyi-spirocheta - treponema ephahleni (Treponema pallidum). I-microorganism yafunyanwa kuphela ngo-1905. Inomzimba womzimba kunye namafriji, okwenza ukuba ukwazi ukuhamba. Okokuthi, i-pathogen inokuhamba ngokukhululekile ngaphakathi kwimbutho yomhlali, ingene kwiintsebenziswano ze-intercellular kunye nefuthe kwizitho zangaphakathi, iinqanawa kunye nezicubu zomntu.

Siphilisi yesibini

Isi sifo sinezigaba ezintathu zokuhamba. I-syphilis yaseprayimari ibonakaliswe ngokufakwa ngokuthe ngcembe kwe-pathogen emzimbeni. Kwisiza sokusungulwa kwe-treponema kwakha i-chancre eqinile-isilonda esibuhlungu. Emva kweeveki ezingama-6-10 emva kokusuleleka, isilonda se-systemic yesilwanyana senzeke. Zonke izitho zangaphakathi zihluphekile (kubandakanya amathambo, i-nervous, i-lymphatic system, ukuva kunye nombono). Kulo thuba apho ukugqithisa okuphazamisayo kuvela emzimbeni, enye yeentlobo ze-syphilitic roseola. Iifoto zezigulane, isikhumba saso sigqubuthe nge-rashes, sibonakala singathandeki. Ukukhawuleza kwenzeka ngenxa yokuba inxalenye ye-microbe ibhujiswe phantsi kokuhlaselwa kweeseli zamasosha omzimba kwaye ifihla i-endotoxin, inetyhefu eyingozi kunye nepropati ye-angioparalytic. Le mpawu ye-syphilis itholakala kwi-80% yazo zonke iimeko kwixesha lesibini.

Iqumrhu lisoloko lilawula ukunciphisa i-arhente yesikhombiso, mhlawumbi, ngenxa yesifo eso sidlulayo kwisithuba esilandelayo (latent). Ukuqhaqhaqhabalaka kwanyamalala kwithuba elithile ukubuyela ngokukhawuleza. Ukuzaliswa kwe-microorganism kuvinjelwe, kodwa ukukhuthala kwe-immunity kubangela ukubuyela kwakhona. Yonke into yokuba i-immune system yodwa ayinakuyitshintsha ngokupheleleyo eso sifo. Ukongeza, ukushisa komzimba womntu kukhululekile ngokufanelekileyo kwimpilo ye-microbe. Ixesha lesibini lingahlala kwiminyaka emi-2 ukuya kwe-4, ukukhupha i-wavy nokuqokelela zonke iimpawu zeklinikhi ezintsha.

Ziziphi izifo zesikhumba ongazidibanisa ngazo?

I-syphilitic roseola ifana nezinye izifo zesikhumba, ebonakala ngokugqithisa okubompu:

• Inetyhefu yedermatitis njengempendulo yokuthatha amayeza, ukutya, iikhemikhali zendlu. Ukwahluka kweendawo ezichasayo kukuba baxhomekeke ekuhlanganyeleni, badibanisa, badibana.
• I-pink lichen ibonakaliswe ngolu hlobo lweendawo ezijikelezayo ezijikelezayo. Le ngxaki yesikhumba esingenayo ingozi yecala elidlula ngokwayo ngaphandle kwonyango. Kule meko, kukho rhoqo i-plaque yomama (ukuya ku-1 cm ububanzi), efunyenwe kuqala kwaye inobungakanani obukhulu. Izinto eziseleyo zibonakala kancane kancane, imilo kunye nobukhulu bawo bunokuhluka kwaye zihluke komnye.
• Ukuxubusha kwesikhumba kunokwenzeka ngokuphendula kwi-hypothermia kubantu abaphilileyo. Ngaphandle kwesikhumba, ama-capillari awandisiweyo alulaza, ayinika umthunzi weemabula. I-syphilitic roseola emva kwe-trituration enamandla yamaphephelo iya kukhanya ngakumbi, kwaye iphethini yemarble, ngokuchaseneyo, iyalala.
• Amabala okubandezeleka (ahlukeneyo) ayenombala obomvu, kodwa ngamanye amaxesha athola umthunzi wekhofi kunye nobisi. Zitholakala ngasemva, esifubeni kwaye ngokuphindaphindiweyo kwisiqingatha esiphezulu somzimba. Zivela emlonyeni wezinwele zeenwele, ziqine kakhulu, ngokungafani nokubonakaliswa kwe-syphilis.
• Ubungqina bentambo ye-pubic iboniswa yimitsalane ukusuka ekubizeni kombazi. Ephakathi kwimibala yegrey-violet, unako ukuqaphela inqaku elincinci. Imizila ayidluli xa ucinezela kuzo.
• Nge-rubella, ukugqithwa akufumani kuphela emzimbeni, kodwa nakubuso. Ikhupha encinci ngaphezu kwengubo, ichaphazela i-pharynx ize ipheleka ngosuku lwesithathu. Ukushisa komzimba kuphakama, i-conjunctivitis ivela, i-lymph nodes zanda.
• Iimfucu zikwabonakala ngokunyuka okukrakra kweqondo lokushisa, i-edema yeenkophe, ukuvuvukala kweembrane zendlela yokuphefumula, ukuphefumula ubunzima kunye nokudibanisa. Ukugqithwa okukhulu, kulungele ukucoca, amachashaza amhlophe ayabonakala kwiimbumba zomlomo kunye neentlobo.
• I-Typhus kunye nomkhuhlane we-typhoid kwenzeka ngokuxhalabisa ngokubanzi komzimba, umkhuhlane kunye nobuthathaka. Ukuba utyhafa ngeesisombululo se -iodine, bafumana umthunzi omnyama.

I-Syphilitic roseola: ukuxilongwa ngokuhlukileyo

U-Roseola, obangelwa yi-syphilis, kufuneka ahlukaniswe (eyahlukileyo) kwezinye iindidi zokukhawuleza, ukubonakala okufana. Kwaye kuvela kwizinambuzane, ukugulisa, izifo ezithathelwanayo (i-herpes, i-gonorrhea). Iimbangela zokubonakala kwezinye iindawo ezihlukileyo zihluke ngokupheleleyo, njengokuba ziyimpawu zobonakaliso, ukubonakala, iimpawu eziqhelekileyo kunye neendlela zokonyango.

Ngoncedo lweendlela zelabhoratri zinganqunywa ukuba ukukhawuleza kuluhlu lwe-syphilitic. Uluhlu. Uxilongo lwenziwe ngesiseko seemvavanyo zegazi ze- serological ngokufumana i-antigens kunye ne-antibodies kwi-pathogen. Umphumo we-100% unikezelwa uhlalutyo lwe-RIF. Ukwenza oku, igazi lomvundla osuleleke kwi-pathogen yesifo kunye neserum ekhethekileyo yongezwa kwisampuli segazi lesiguli. Xa kubonwa kwi-microscope ye-luminescent, ubukho emzimbeni we-treponema buqinisekisa ukukhanya kwe-fluorescence. Ukungabikho kwintsholongwane kubonakaliswa ngokukhanya okuluhlaza okwesibhakabhaka.

Inyaniso enomdla: ukuba isigulane singenwe nge-3 ukuya ku-5 ml ye-nicotinic acid (isisombululo se-0.5%), iindawo ziya kukhanya. Kwakhona kubaluleke kakhulu ukuxilongwa kukuba kukho ezinye iimpawu zesiphilisi sesibini. Kwaye kunye nokwakhiwa kwe-chancre eqinile kwinqanaba le-syphilis ephambili.

Ezinye iimpawu zesifo

Iintlobo zepinki okanye umbala obomvu wobunjwa obujikeleziweyo zibonisa i-syphilitic roseola. Iimpawu ze- syphilis yesibini ziquka:

• I-alopecia encinci okanye igxile kwi-alopecia (ivela kwi-20% yezigulane kwaye idlula ngokuqala kweyeza);
• "Umkhombe weVenus" entanyeni, ngokungafaneki kumagxa, izitho kunye nomva wezantsi;
• Syphillis;
• Pustular syphilis;
• Ukutshatyalaliswa kweentambo zezwi kunye nezwi elikhukhulayo.

Iimpawu zokuhlaselwa

I-Syphilitic roseola, enezithombe ezinikwe kwinani elikhulu kwi-intanethi, ibonakaliswe yimpawu ezithile:

• Ubungakanani bendawo nganye ukuya kwi-1 cm;
• Iintlanzi zineziqendu ezingaqhelekanga;
• Umgangatho weendawo uhamba ngokukhawuleza;
• Ezi nkcazo zijikeleze kwaye zilinganiselwe;
• Akukho zixhobo ezidibeneyo;
• Amabala awunqabile ngaphezu kwesikhumba;
• Musa ukukhula ngeenxa zonke;
• Xa ucinezela, ukukhanya okulula komthunzi kunokwenzeka, kodwa kungekhona ixesha elide;
• Akukho ntlungu, ukukhwaza kunye nokubetha.

Ixesha elide ngaphandle kokudlula i-roseola lingafumana i-tinge ebomvu. Ngabo ngokwabo i-rashes ayiyi kuzisa ingozi kwaye ayiyi kuba yingozi. Nangona kunjalo, ziyimpawu zomzimba efuna uncedo oluphuthumayo.

I-Syphilitic roseola: indawo yokuhlaselwa

Iindawo ezizithandayo zendawo yokuhlala ziyizitho kunye neendawo ezisecaleni zesiqu (isifuba, isisu). Ingaba kwiintsimbi zeenyawo, ukubetha inxalenye esemilenzeni. U-Roseola akafaneki ngeenyawo, izandla kunye nobuso. Indawo yokuqhaqhazeka ingonakali kwaye ininzi. Ibonakala ngokuthe ngcembe, ifikelele ekuphunyezweni kwayo kokugqibela kwiintsuku eziyi-8-10. I-syphilitic roseola yeentlobo, kuye kuxhomekeka kwimibala yeendawo.

Iindidi ze-syphilitic roseola

Zikhona iindidi ezilandelayo ze-roseol:

• Olutsha (lubonakala ngethuba lokuqala), ukugqithisa okukhulu kombala;
• Urticaria, okanye i-edematic (ifana nemifuno);
• I-roseola ye-syphilitic ene-Ring ebonakaliswa ngamabala ngeendlela zamakhanda okanye iimigodi, i-arcs kunye ne-garlands;
• Ngokuphindaphinda okanye ukukhupha i-roseola, amabala amaninzi kakhulu, kwaye umbala unamandla kakhulu, kodwa inani labo lincinci.

Kunqabile kakhulu, izigulane zikhula nge-scaly roseola ezigubungele izikali ze-lamellar, kwaye zikhangeleka njengama-blister aphakama ngaphezu kwesikhumba.

Kwiimbumba ezinamaqabunga zivame ukuhlakulela i-erythematous syphilitic angina. Emqaleni, kuvela i-erythema umbala obomvu obomvu, ngamanye amaxesha nge-blue tinge. Umncintiswano wabo uphawule umda kwimigangatho ephilileyo yembrane. Isigulane asizive zintlungu, ayinayo intsholongwane, kwaye imeko jikelele ayiyi kuphulwa.

Unyango

Ukuba ukrokrela uhlobo lwe-syphilitic ye-rash, kubalulekile ukudibana nogqirha ngokukhawuleza. Ukuxilongwa kukwenziwa yidermatologist okanye i-venereologist.

Ukugqithisa kwanyamalala ngokukhawuleza emva kweentsuku ezimbalwa (ngezinye iinyanga), ngokutshintsha ngokutshintsha umthunzi. Emva koko, akukho mvelaphi elukhumbeni. Kubalulekile ukuphathwa kakubi, kodwa izizathu zazo. Ngethamsanqa, i-agent ye-syphilis ye-syphilis yi-microorganism engabonakaliyo engakhange ikwazi ukumelana neziza-antibiotics. I-syphilitic roseola, ephathwa nge-penicillin eqhelekileyo (ityhuladiyali), iyakwazi ukucima amandla. Kakade emva kokusungulwa kweejoyile zokuqala zentramuscular, i-rash ithola umbala obomvu obomvu. Isigulane sinokungena komkhuhlane. Kwaye kwakhiwa amabala kulowo malungu omzimba, apho ngaphambili bebengekho. Njengengxenye yonyango oluyinkimbinkimbi, kunye neminyaka elishumi eyadlulayo, ukusetyenziswa kwe-arsenic (i-Novarsenol, i-Miarsenol) i-intravenous infusions. Kwakhona isisombululo se-iodide usawoti kunye namanye amalungiselelo encedisayo asetyenziswa. Unyango luyenzeka kwimeko yokumisa, okukuvumela ukuba uqaphele rhoqo impilo yomguli.

Iinkalo zonyango

Unyango kufuneka uqhutyelwe kwizifundo, ukutshintshana kunye nokuphazamiseka kunye nokuba kude. Inkqubo yonyango ikhethwe ngabanye ingqalelo kwiimpawu zeklinikhi zesifo. Ukuphelisa ukugqithwa kwemida kulungiselelwe i-lubrication kunye namafutha e-mercury, ukuhlamba iisombululo zetyuwa kunye nokunyamekela ngononophelo.

Ukuxela ukubuyiswa

Ukuphatha kakuhle i-syphilis kwimpilo kunye nabantu abatsha abanomzimba oqinileyo. Kubantwana kunye nabalupheleyo, kunzima ukuqikelela isiphumo esihle. Isimo sesigulane sinokugqithiswa phambi kwentsholongwane yesifo senhliziyo, isifo sikashukela, isifo sesifo, isibindi, i-rickets kwi-anamnesis. Ukongeza, isigulane kufuneka ishiye ukusela utywala kunye nokutshaya ukutshaya ngexesha lokunyanga.

Iziphumo zentsholongwane

Kubalulekile ukuba uqonde ukuba i-syphilitic roseola yinto ephazamisayo eyenzekayo xa isifo sele sisisisulu. Ukuba awuyi kuqali unyango ngeli nqanaba, kuya kubakho kwimiphumo engenakucinganiswa, ukuphazamiseka okungapheliyo kwengqondo kunye nomgudu womgudu, inkqubo yokujikeleza kunye nezinye izitho zangaphakathi. I-Syphilis isisigxina kwaye iyakwazi ukugqithisela kwisigaba sesithathu, esingazange sinikeze unyango. I-syphilis ephakamileyo, eyenziwa ngama-40% amacala, kunokwenzeka kuphela ukugcina imisebenzi ebalulekileyo yomzimba nokuzinzisa imeko. Njengezifo ezininzi ze-venereal, i-syphilis ivame ukuphelisa ukukhubazeka okanye umphumo obulalayo.

Thintelo

I-Syphilis isifo esibalulekileyo, sonyango kuphela kwizigaba zokuqala. Ngezilonda zesistim, xa unyango lwemihla yonke ingasebenzi, i-rose-syphilitic roseola ingqina. Inkcazo yamanyathelo okukhusela ayimilinganiselo yazo zonke iintlobo zesifo esithathelwana ngesondo. Okokuqala, kubalulekile ukukhusela ubudlelwane bezesondo obuphathekayo, abathintana nabo ngokwesondo. Indlela yokukhusela isithintelo isisona ndlela esona sikhokelo sokuqapha. Ukusebenzisa iikhondom, umntu akagcini nje ukukhusela kwisifo, kodwa ukhusela nokusuleleka kwintsholongwane yesondo. Emva kwakho konke, akuwona wonke umntu ongu-100% oqinisekileyo ukuba uphilile ngokupheleleyo, ngenxa yokuba ezinye izifo zinexesha elide lokuxubusha ngaphandle kwempawu.