Zvirwere zvakawanda, zvirwere zvepabonde, kwenguva refu hazvipi zviratidzo. Pakati peiyo uye syphilis yakavanzika chirwere chinonzi venereal, icho vanorwara vanodzidza pamusoro penguva yekuongororwa kuongororwa. Zvisinei, zvinokwanisika kuongorora chirwere nezvimwe zviratidzo.
Sirifi inonzi causative agent
Icho causative agent wechirwere ichocho chiripo che treponema. Iyo microorganism inoshandiswa kune spirochetes, inoratidzika semubhakanyi akafanana nemhepo iri pasi pe microscope. Pakati pavhesi, pane 8-14 inotendeuka muchimiro, uye urefu hwakareba hahupfuuri 14 μm. Nekufamba kwechirwere chechirwere chakadai senyuchi, sarudzo ye causative yehutachiona iri mumamiriro asina kushandiswa kwemazuva mazhinji, kuita ma cysts, ma-fomu.
Kuchinja kwakadaro kwe treponema kunokwanisa kugara kwenguva yakareba mumakirini emagariro emunharaunda, cerebrospinal fluid yemunhu ane utachiona. Pasi pemamiriro ezvinhu anofanirwa kwepathogen (yakaderedzwa utachiona, zvirwere zvisingaperi), treponem kushandiswa kunoitika uye chiitiko chinoshanda chechiphilis chinoumbwa nehutano hwechipatara uye zviratidzo.
Sphiri - nzira dzekufambisa
Kuti udzivirire utachiona, munhu wese anofanirwa kufungidzira kuti kutapisa treponema kunoparidzirwa sei. Nzira huru ndeyepabonde, nekuita zvepabonde zvisina kudzivirirwa. Zvisinei, hazvibviri kubvisa zvachose kukwanisa kupfuudza pathogen nedzimba, kana uchishandisa zvinhu zvehutsanana bedzi kana nechekucheka. Kupindira kwepathogen kunowanikwa kuburikidza nemuchu membrane, pamusoro penzvimbo iyo pane microcurrents, kuputsana. Pakati pezvinhu zvisingaoneki zveutachiona, venereologist dzinonzi:
- kuwedzerwa (kuwedzerwa ropa rine utachiona uye zvikamu kune murwere);
- transplacentary (panguva yekudzivirira uye kubereka, kubva kuna amai kuenda kumwana).
Chii chinonzi "syphilis"?
Kunzwa izwi iri, varwere vanowanzofarira vanachiremba, kana kune chirwere chekusvibiswa uye rudzi rwechirwere chii. Tsanangudzo ye "latent syphilis" inoshandiswa kuratidza chimiro chechirwere umo kliniki inoratidzika, zviratidzo nezviratidzo zvechirwere hazvipo, asi migumisiro yeongororo yeongororo inoratidza kuvepo kwemujambi mumuviri. Kazhinji kuchinja muropa kunoonekwa pashure pemwedzi miviri mushure moutachiona. Nenguva ino kubva panguva ino inotanga kuverengwa kwehuwandu hwenguva yakasara yeuchivi.
Muzviitiko zvakawanda, kuonekwa kwehutachiona kunowanzoitika pangozi, kana kupfuura kuongororwa, izvo zvinomiririra kudzivirira kudzivirira (ropa paRW). Vakadzi vanogona kunge vachifungidzirwa nezvechirwere ichi ne gynecologist munguva inotevera yekuongorora. Zvisinei, muchiito, chimiro chechirwere chechirwere chinowanikwa mukutsvaga kwekuchinja kwemuviri wenyama (mwoyo, chiropa, utachiona, musculoskeletal system).
Inonzi syphilis yakagadzikana inopikisa here?
Vakawanda vanokanganisa kuratidza kuti kusavapo kwezviratidzo zvezvirwere ndicho chikonzero chikuru chehutano hwakakwana. Nokuda kwechikonzero ichocho, mubvunzo unowanzobuda unotevera: chirwere chinonzi latent chinoshandiswa here? Venereologists vanoti utachiona hwechirwere ichi chinokwanisika. Zvisinei, kutapurirwa kwepathogen kunoitika nenzira mbiri chete:
- ane ropa rine utachiona;
- pakubata zvepabonde.
Zvinofanira kuonekwa kuti njodzi yehutachiwana inowanikwa mukati memakore maviri ekutanga kubva panguva yekukura kwechirwere. Paunenge uchitarisa panguva ino, wepabonde wechirwere, vanachiremba vakakurudzira iwe kuti urege kuita zvepabonde uye unoongorora zvakakwana. Kutanga kufungidzirwa kwepakutanga nekugadziriswa kwenguva yakakodzera kwerapi kunokonzera kubudirira.
Chakavanzika chechiviphi yakatanga
Izwi rokuti "syphilis yakatanga" rinoreva nguva yechirwere, iyo inofanirana nenguva kubva kune hutachiwana hwehutachiona hwechirwere chechipiri chinonzi syphilis. Vanachiremba vanotaura nezvechirwere chekutanga, apo mamwe makore maviri apfuura kubva kuhutachiona. Varwere panguva ino havana zviratidzo zvechirwere ichi, asi vanomiririra njodzi inogona kuitika munharaunda.
Penguva ipi zvayo, chimiro chekutanga chinonzi syphilis chinogona kupinda muchikamu chinoshingaira, chinowanzoonekwa seganda rakasviba uye zviratidzo zvekudhakwa. Muchidimbu chemhanje ine nhamba huru ye treponem yakajeka, kusarudzwa kweiyo kunogona kukonzera kutapurirwa kweavo vari kusangana nevanhu vane utachiona. Zvakakosha kuziva kuti mazamu ekupedzisira anonyanya kufanana nevarwere vari pasi pemakore makumi mana, vachitungamirira upenyu hwepabonde hwepabonde.
Late latent syphilis
Chirwere chemazuva mashoma chimiro chakanyorwa chakanyorwa pashure pemwedzi 24 uyezve pashure pokutapukirwa. Apo chirwere chinopinda muchikamu chinoshingaira, zviratidzo uye kliniki yeptiary syphilis inoonekwa. Nechimiro ichi, nhengo dzomukati uye chirwere chetsitsi (neurosyphilis) nguva dzose inotambura. Pamusoro pekutaurirana kweganda, panogona kunge ine chirwere chinosuruvarisa chinonzi syphilis, tubercles, gums. Kana kuvimbika kwavo kuchikanganisa, zvinokwanisika kuparadzanisa teteemene dzakashata, utachiona hwevamwe vari kusangana nemurwere.
Akavanzwa kusangana kwechirwere
Congenital syphilis muvana inowanzoonekwa. Utachiona hunobva kuna amai vane utachiona. Muchiitiko ichi, mukadzi wacho anokwanisa kurwara asati aberekwa kana panguva yekubereka mwana. Kumwana wakaberekwa, pathogen inopinda nepamuviri wembilical kana kuburikidza nemakumbo echiremera. Kuchinja kwechirwere mumatunhu uye mishonga yevana remangwana inogona kubhadharwa pamwedzi we 5-6 wekuita muviri, panguva ye ultrasound.
Zvisinei, kakawanda chimiro chakavanzika chinozvizivisa pachavo achiri muduku. Izvi zvisati zvaitika, kuonekwa kwehutachiona kunokwanisika kuburikidza neongororo yepurologi, kuongorora kwezvinhu zvakasikwa (cerebrospinal fluid). Kazhinji chiratidzo chekuongorora kwakakwana kwomwana ndiko kuonekwa kwemaitiro akanaka eWasserman muna amai munguva yekusununguka kwenguva kana panguva yekuzvitakura.
Sirifi isingazivikanwi isingazivikanwi
Kuongororwa kwe "sirifi" isingazivikanwi inogadzirwa kana murwere asina ruzivo pamusoro penguva yakakwana yeutachiona. Vanachiremba vanoonawo zvakaoma kuziva nguva yechirwere ichi. Varwere vanogoverwa dambudziko rekuongorora zvidzidzo zvepurologi, panguva iyo morphological forms ye treponema inofungidzira nezvechirwere chechirwere. Sirifi isina kufanirwa mukati mekufamba kwenguva inogona kupa manyepo akanaka asiri chaiwo maitiro ezvechiitiko, naizvozvo vasati vaona kuonekwa kwekupedzisira vanodzokororwa.
Syphilis yakavanzwa - zviratidzo
Zviratidzo zvekunyora kwenguva refu kwenguva refu hazviiti kuti vazvinzwe. Pamuchu membrane uye ganda rezvironda, mashizha haatauri, zvisinei, kuchinja kunogona kunyorerwa munhengo dzomukati, nervous system, musculoskeletal system. Pakati pezviratidzo zvisingazivikanwi zvekutanga kwema latent syphilis vanachiremba vanoshevedza:
- Kuvapo muamamnesis ekuputika, izvo zvisingakwanisi kuongororwa kare.
- Kurapa kwezvirwere zvepabonde, gonorrhea kare.
- Kuvapo kwechimiro chinoshandiswa chechiphilis muwanano wepabonde.
- Kugadzikana kwekuvhiringidza mukutsvaga kweperebrospinal fluid.
Inogamuchirwawo kusiyanisa pakati pezviratidzo zvisingaoneki zvinoratidza nguva yekupedzisira:
- kuchinja kunokanganisa mumvura huru;
- chibereko chakanaka chekushushikana kwechiitiko.
Mukuwedzera, zviitiko zvinotevera zvinogona kuratidza sarfisi:
- kuwedzera kwenguva refu kutsimba kwemuviri kusvika kune digirii 38 yejenisisi isingazivikanwi;
- kuwedzera kweripharia lymph nodes (pasina kuora);
- kurasikirwa nokurema;
- kushaya simba, kunyanya kuora mwoyo.
Kuongororwa kwechirwere chinonzi latent
Nzira yekuziva syphilis yakavanzwa mune imwe mamiriro ezvinhu - vanachiremba vanoona zvichienderana nemamiriro ekufungidzira, zviratidzo zvisingaoneki. Ikupedzisira kuongororwa kunoitwa pamusana pekuongororwa kwakazara kwemigumisiro yekutsvakurudza. Pakati pezvinonyanya kukosha ndezvi:
- Izvozvo zvisingazivikanwi hemagglutination reaction (RPHA) - yakagadzirirwa masero matsvuku eropa anovhenganiswa neserum yemurwere. Kana chigumisiro chakanaka, masero anonamatira pamwechete.
- Immunoenzyme analysis (ELISA) - imwe enzyme inowedzera yakawedzerwa kumurwere serum sampuli, iyo inoshandura ruvara nemugumisiro wakanaka.
- RIF (immunofluorescence reaction) - chimiro chinonzi luminescence chinowanikwa mumuenzaniso wevarwere.
Nzira yekurapa syphilis yakavanzika sei?
Nekurapa kwechirwere chinonzi latent, chinangwa chikuru ndechokubvisa chikonzero chechirwere. Kubvisa migumisiro (kutadza kwepafupa, chirwere chemagetsi, mwoyo wekukuvara) kunotora nguva yakawanda, uye vamwe vavo havagoni kugadziriswa kururamisa. Mushonga wekupedzisira latent syphilis unobva mukushandiswa kwemishonga inorwisa mabhakitiriya, iyo inosarudzwa ichifunga nezvenhandare yezvirwere. Pamusoro pane tafura inoratidza chirongwa chekurapa kwechirwere chinonzi latent late syphilis, nemazita emishonga uye madheji. Zvisinei, zvakakosha kufunga kuti zvose kugadzwa kunoitwa chete nechiremba.