Imiqondiso kunye neempawu ze-syphilis zihambelana nesigaba sosulelo. Isigaba sokuqala kubandakanya ukubonakala kwesifo esingenabuhlungu kwizitho zangasese, umqubu, okanye umlomo. Emva kokuba isifo siphulule, isigaba sesibini siya kubonakala ngokukhawuleza. Ekugqibeleni, emva kwexesha elide lingenayo impawu, isigaba sesithathu sinokuphuthuma ngokukhawuleza, kubangele umonakalo omkhulu kwingqondo, iimbilini, amehlo okanye intliziyo.
Ngenxa yokuba iimpawu ze-syphilis zisoloko zingezizo (okanye zifanise ezinye iimeko ezifana ne-psoriasis, i-hemorrhoids, kunye nezilonda zomnxeba ), izifo zihlaselwa ngamanye amaxesha kwaye zishiywa zingakhange ziphathwe. Kungenxa yesi sizathu sokuba i-syphilis idlalwa ngokuba "ngumxelisi omkhulu."
Yiyiphi i-syphilis ibonakala kwaye ivakalelwa njengenguqu njengoko iguquka, kwaye ingahluka phakathi kweentlobo ezahlukeneyo.
ISyphilis Primary
I-syphilis yaseprayimari iya kuqalisa ngokubonakala kwesikhanti naphi na ukusukela kwiintsuku ezintathu ukuya kwii-90 emva kokugqitywa kokuqala (iintsuku ezingama-21 eziqhelekileyo). Isifo siya kukhula kwinqanaba lokuqhagamshelana, ngokuqhelekileyo kwisibeleko somzimba, isini, ipeni, i-anus, i-rectum, okanye umlomo.
Kukho nokuba omnye okanye ezininzi izilonda eziphakathi kobukhulu ukusuka kwesibhozo sesentimitha ukuya kwisentimitha okanye ngaphezulu. Ngenxa yokuba izilonda azibuhlungu, ziyakwazi ukuphoswa lula xa zifakwe ngaphakathi. Ingqungquthela ye-lymph iguqa nayo iyakwenzeka, ngokuqhelekileyo isondele kwisiza sosulelo.
Ngaphandle kwonyango , i-chancre iya kuphilisa naphi na kwiiveki ezintathu ukuya ezintandathu.
Syphilis Secondary
Ukuba ishiywe ingaphathwa, unyango oluphambili luya kuqhubela phambili kwi-syphilis yesibili. Iimpawu zibonakaliswa kwiiveki ezine ukuya kwezi-10 zokubonakala kwe-chancre. Ngeli nqanaba, umntu unokuziva egule kwaye abe nemfiva, umqala, ukukhathala, ukulahleka kwesisindo kunye nentloko. Ukuvuvukala okuqhelekileyo kwe-lymph node (i- lymphadenopathy jikelele ) iqhelekile.
Esinye sezibonakaliso zobuninzi be-syphilis yinto exhaphakileyo, engeyiyo ehlambulukileyo kwi-trunk, ezinyilweni, kwaye (ngokugqithisileyo) kwiintende kunye neengcambu zeenyawo . Xa kuthethwa oko, ukubonakala kwe-rash kungahluka ngokuphawulekayo. Izilonda zinokuba ziqhekeza okanye ziphakanyiswe, i-scaly okanye i- hive-like , kwaye ziyakwazi ukubonakaliswa nge-blisters ezizaliswe ngamathambo (ama-pustules). Naluphi na ukubonakala, izilonda zinegalelo kwaye zikwazi ukuphululela eso sifo kwabanye.
Ezinye izibonakaliso zentetho ziquka ukulahleka kweenwele ezingachazwanga (i-syphilitic alopecia) kunye nezilonda eziphahliweyo kwikona yomlomo (cheissitis ye-fissure).
I-syphilis yesiSekondari ingabonakalisa kwiindlela ezinqabileyo, ezingaqhelekanga kunye neendlela ezahlukahlukeneyo ezinxulumene nesibindi, izintso, amathambo kunye nenkqubo yesantya-eyona nto ibizwa ngokuba "ngumxelisi omkhulu" okanye "umgcini omkhulu."
Iimpawu zesipilisi yesibini ziza kusombulula ngaphandle kwonyango kwiiveki ezintathu ukuya ezintandathu.
Syent
I-sythelis yaseLatente isigaba sesithathu sosulelo oluchazwe ngokungabikho kweempawu kodwa ukuhlolwa kwegazi. Ikwahlukana ngakumbi zibe zigaba ezimbini:
- I-latent syphilis yasekuqaleni yithuba elingaphantsi konyaka ukusuka ekuhlolweni kwegazi lokugqibela. Iimpawu zesekondari ngezinye izihlandlo zihlala ziphinda ziphinda ziphinda ziphinde zenzeke ngexesha lokuqala.
- I-latent syphilis elambileyo yithuba elingaphezu konyaka ukususela kuvavanyo lokugqibela lwegazi. Iyakwazi ukuhlala iminyaka kunye namashumi eminyaka kungekho zibonakaliso zezifo.
Nangona usulelo luyakwazi ukudluliselwa ngexesha lokuqala, asikwazi ukwenza njalo ngexesha lexesha lokugqibela.
Ubungakanani be-latency buguquke kakhulu, kwaye izazinzulu aziqinisekanga ukuba kutheni. Enye yezinto ezaziwa ngokukhawuleza ukuqhubela phambili kukusuleleka ngoGawulayo . Ngakolunye uhlangothi, i-chancre sore evulekile inika i-HIV indlela elula emzimbeni. Ngolunye uhlangothi, ukuba ne-HIV kunye ne-syphilis ndawonye kwandisa ingozi yokuxhatshazwa kwexesha elide nakwixesha lokuqala losulelo.
Isitifiketi esiphezulu
I-syphilis ephakamileyo iyona nqanaba elibi kakhulu lokusuleleka kwaye libonakaliswe ngeengxaki ezintathu ezinkulu:
- I-Gummatous syphilis ibangela ukwakheka kwezilonda ezinqabileyo, ezinjenge-tumor ezibizwa ngokuba yi-gummas. Ezi zilonda ezingenayo umdlavuza zingabangela izilonda ezinkulu zesilonda emlonyeni nasemlonyeni, kwaye zilahle izicubu zentliziyo, isibindi, izihlunu, amathambo kunye nezinye izitho ezibalulekileyo. Iimpawu ziyakhula ngokukhawuleza kunyaka olandelayo emva kokutshatyalaliswa okanye kwiminyaka engama-50 kamva.
- I-syphilis ye-Cardiovascular can provoke ukuvuvukala okukhulu kwe-aorta kunye nophuhliso lwe- aneurysm ye-aortiki (ukuvuvukala nokunyanzeliswa kwodonga lwe-aortic). Iimpawu ze-syphilis ye-cardiovascular usually appear 10 to 30 years after infection.
- I-Neurosyphilis iyichaphazela inkqubo ye-nervous central kwaye ihlala ikhula kwiminyaka emine ukuya kwe-25 yesifo. Nangona abanye abantu beza kuhlala bengenazo izibonakaliso, abanye banokufumana iimpawu ezinobungozi ezinobuchopho ezinjenge- meningitis (ukuvuvukala komlenze ojikeleze ingqondo kunye nomthambo womthambo) okanye i-tabes dorsalis (imeko ebonakaliswe yintlungu yesifo, ukulahlekelwa kwezakhono zamandla, ukukhubazeka okubonakalayo, ukungaboni, nokungabikho). Ukutshatyalaliswa, ukuguquka komntu, ukuguqulwa komzimba , ukugula komzimba , isifo schizophrenia, kunye nesifo sobungozi nako kwenzeka.
Nangona isifo se-syphilis singasuswa ngexesha lesiteji sezemfundo, nayiphi na umonakalo obangelwa entliziyweni, izintso kunye nezinye izitho zingasigxina kwaye zikhokelela ekupheleni komzimba. Utyando luchongwa ngohlobo kunye nobukhulu bomonakalo.
I-Syphilis ayithenganga ngexesha lesithathu.
Iingxaki kwiintsana
I-syphilis yokuzalwa yimeko embi apho umama okhulelwe onesihlunu ewela iT. pallidum kwintsana yakhe ekhulayo.
I-syphilis engabonakaliyo ngexesha lokukhulelwa ngethuba ngamanye amaxesha kungakhokelela ekuphumuleni komzimba okanye ukuzala. Kwiintsana ezizalwe nge-syphilis, ubuninzi bezibini zesithathu aziyi kuba nezimpawu ngexesha lembini yokuqala yobomi. Ukuba ayishiywanga ingaphendulwa, iimpawu zingabandakanya:
- Ukwandiswa kwesibindi kunye nesipelisi
- I-Petechia (iindawo zokukhupha izikhumba ezibangelwa ama-capillaries aqhekekileyo)
- Ukuqhekeza kwamanzi emzimbeni (okubizwa ngokuba yi-syphilitic "i-snuffles") kunye nokukhutshwa kwe-mucus enokusuleleka
- Neurosyphilis
- Ukuqhaqha kwamathambo
- I-jaundice (ukuphuka kwesikhumba kunye namehlo)
- Ukuxhamla
Ngeminyaka emi-2, umntwana unokuba nokukhubazeka komzimba okanye ukukhubazeka okubonakalayo, kuquka:
- Amazinyo angaphezulu angama-front (aziwa ngokuba ngamazinyo eHutchinson)
- Ukuwa kwebony inxalenye yempumlo (impumlo yekhanda)
- Umhlathi wesiqhelo kunye nomhlathi ophezulu
- Ithambo elibonakalayo elingaphambi kwekrele (i-frontal bossing)
- Amadolo aguqa
- Ukuqubuda kwamathambo ama-shin (i-saber shins)
- Ukuvuvukala kunye nokuqhwala kwe-cornea (i-keratitis ye-interstitial)
- Glaucoma
- ZiThulu
- Ukulibaziseka okuphuhlisayo
Ukufa okufanayo kula bantwana kubangelwa kubangelwa yimiphunga yamaphaphu.
Nini ukubona iDokotela
Ngenxa yokuba iimpawu zesifo se-syphilis zilahleka lula okanye zifumani kakubi, kufuneka uthabathe inxaxheba ukuba ucinga ukuba usulelekile. Ukuba ukhona okanye uke wengozini yokuxhatshazwa ngokwesondo-nokuba ngenxa yesondo esingakhuselekanga, ukuba neqabane elithile, okanye unentsholongwane kaGawulayo-kufuneka uqikelele ukufumana iskrini se-STD nokuba unayo impawu okanye awukho.
Ngaphezu koko, isisombululo sezimpawu akufanele sithathwe njengesityhilwa ukuba usulelo luye lwacinywa. Ukuba ungathandabuzeki, zenzele uxabiso kwaye uvavanywe. Iimvavanyo zilula kwaye zidla ngokuphindaphinda iziphumo ezinsukwini ezimbalwa zeentsuku.
Imithombo:
> Basu, S. kunye no-Kumar, A. "Iinkcazo ezahlukahlukeneyo zeSikhuseli sokuQala." 2013; 59 (3): 250-4. INGXELO: 10.1093 / tropej / fms076.
> Lee, K .; I-Nyo-Metzger, Q. Wolff, T. et al. Izifo ezithathelwana ngesondo: Iziphakamiso ezivela kwi-US Preventive Services Task Force. " Amer Fam Phys. 2016; 94 (11): 907-915.
> Workowski, B. kunye noBolan, G. "Izifo ezithathelwana ngesondo ngo-2015." MMWR . 2015 Aug 28; 64 (33): 924.