I-Syphilis iphathwa ngokugqithiswa nge-penicillin, isilwanyana esifanayo esisetyenziselwa ukunyanga intsholongwane ukususela ngo-1943. Nangona isifo se-bacteria singaphathwa nezinye iintlobo ze-antibiotics, kukho imeko apho ipenicillin yodwa kuphela. Umlingane womntu osulelekileyo unako ukuphathwa ngokusesikweni ukuze alondoloze ukhuseleko. Ngaphandle kwamagciwane, akukho nenye indlela yokwelapha isebenza ngokucacileyo ekususeni intsholongwane ka-syphilis.
Mayeza
Ukunyangwa kwama-Syphilis kufuna ukuba ijoyi enye. Inkqubo yonyango ijoliswe ikakhulu kwisigaba sentsholongwane (eziprayimari, ezisekondari, ezisemgangathweni, ezemfundo ephakamileyo) kunye nezinye izinto ezichaphazelayo.
I-Penicillin G ithathwa njengeziyobisi ezikhethiweyo. Ukuze abantu baphelelwe i-penicillin , ezinye iziyobisi ezifana ne-doxycycline, i-tetracycline, i-azithromycin kunye ne-ceftriaxone zingasetyenziswa. Ukuphela kwezinto eziza kuba yi- neurosyphilis (inkcazo yexesha elidlulileyo elichaphazela ingqondo kunye nenkqubo yesantya ephakathi) okanye isifo se-congenital (apho usulelo lususwe ukusuka kumama ukuya kumntwana ngexesha lokukhulelwa) apho ipenicillin yindlela kuphela.
Kwiimeko ezininzi, isilwanyana siya kuhanjiswa ngejoyi ye-intramuscular (IM), ngokuqhelekileyo kwi-gluteal muscle (buttocks). Kwiimeko ezinzima, isichengisiso sinokunikezwa nge-intravenously (nge-IV).
Ngokungafani nentsholongwane yebhaktheriya apho abantu bacinga ukuba baphiliswa emva kokuzalisa unyango, abantu abane-syphilis kufuneka bafumane iimvavanyo zokulandela ukuqinisekisa ukuba usulelo luye lwacinywa.
Nangona umntu engacatshangiswanga ngamayeza emva kweeyure ezingama-24 emva kokuzalisa unyango, abanye oogqirha baya kuncoma ukuba bangazibambeli kude kube zivavanywe.
Iingcebiso Zonyango
Ngo-2015, amaZiko okuLawulwa kweNtsholongwane kunye nokuVikela (i-CDC) akhuphe iingcebiso ezihlaziyiweyo kunyango lwe-syphilis elandelwayo namhlanje:
- I-syphilis yaseprayimari, yesibini, okanye yangaphambili: Inye ye-intramuscular injection ye-Benzathine penicillin G
- I-late lat syphilis, i-syphilis yangasemva kokungaziwa , okanye i-syphilis ephakamileyo: Iilisi ezintathu ze-Benzathine penicillin G zanikela ngeveki
- I-neurosyphilis okanye i-syphilis ye-ocphilis: i- crystalline penicillin G IV i-infusion ihambisa iiyure ezine kwiintsuku ezili-10 ukuya kwezi-14, ezinokulandelwa ngenye yejoza ye-Benzathine penicillin G; unyango olungakumbi kunye neprocaine penicillin G linokuqwalaselwa kwezinye iimeko
Ngelixa i-penicillin G ithathwa ngempumelelo ekukhuseleni isifo sosulelo, abanye abantu bangadinga unyango olongezelelweyo ukuba iimvavanyo zokulandelela ngoku zibonisa ukulahla okulindelekileyo kwi-volume (titer) ye-antibodies. Ukongezelela, iingxaki ezinzulu zeengqondo kunye neengqondo ziyakwenzeka kwaye ziqhubeke nangona emva kokuba usulele unyango.
Iingcebiso ezi ngasentla zezifundo eziphambili, ezisekondari, zakuqala, kunye ne-syphilis esele zifike emva kwexesha zisebenza kwiintsana nabantwana, kwakunye nabantu abadala. Ngenxa yokuba ixesha phakathi kosulelo olusisiseko kunye ne-syphilis ephakamileyo lide kakhulu (ngokuphindaphindiweyo iminyaka engaphezulu kwe-10 ukuya kwe-20), i-syphilis ephambili idlula kakhulu kwizingane.
Abafazi abakhulelweyo
Unyango lwe-syphilis oluxilongwa ngexesha lokukhulelwa lilandela iziphakamiso ezifanayo kubantu abadala abadweliswe ngasentla. Nangona kunjalo, kuphela i-penicillin G yaziwa ukuba iyasebenza ekukhuseleni ukuhanjiswa kwintsana engakazalwa.
Ukuba unina unobungozi kwi-penicillin, ugqirha wakhe uya kufuneka ukuba amthintele uchungechunge lwezinto zokungabikho komzimba . Oku kuya kubandakanya ukumisa umama kwiincinci ezincinci ze-penicillin kunye nokwandisa i-dosage ngokukhawuleza ukwakha ukunyamezela ukwenzela ukuba ekugqibeleni angaphathwa nge-antibiotic.
Ixhalaba
Kwiminyaka yakutshanje, kukho ukukhathazeka okukhulayo malunga nosongelo lwe-antibiotic resistant drug in therapy of disease transmitted diseases.
Uninzi lweengxakini ezibangelwa ukusetyenziswa kwamachiza e-antibiotic ngomlomo ekunyangeni i-gonorrhea, umkhangeli okhokelela ekuchaseni ngokubanzi kunye nokushiywa kwendlela ye-pilisi enye. Ngenxa yoko, i-gonorrhea yanamhlanje iyaphathwa kunye nenhlanganisela ye-antibiotics egwenywayo kunye nomlomo.
Kule ndlela, akukho nto ibonisa ukuba oku kwenzekayo nge-syphilis kunye ne-penicillin. Nangona kunjalo, kukho izibonakaliso zokungaxhatshazwa kwe- azithromycin , ininzi inxulumene nemimandla engamelana ne-syphilis eyaqala ukuqala ngawo-1950 kunye nokuqaliswa kwee-antibiotics.
Ngoko ke, ngelixa izidumbu ze-epidemiologists ziqhubeka zibeka iliso ngempawu zokuchasana ne-antibiotics, i-penicillin kufuneka ithathwa njengendlela ekhuselekileyo kunye neyona ndlela inokuthenjelwa yokuphatha i-syphilis.
Abalingani bezesondo
Ukuba ufumene unyango, amaqabane akho ezesondo kufuneka aziswe kwaye aphathwe ngokusekelwe, kwakhona, kwisigaba sakho sosulelo:
- Nge-syphilis yokuqala , isaziso sifanele sithunyelwe kuso nabani na obenesondo kunye neentsuku ezingama-90 phambi kokubonakala kweempawu.
- Nge-syphilis yesibili , isaziso sifanele sithunyelwe kunoma ubani obenesondo kunye neenyanga ezintandathu phambi kokubonakala kweempawu.
- Ngethuba lokuqala le-syphilis , isaziso kufuneka sithunyelwe nabani na obenesondo kunye nonyaka ngaphambi kokubonakala kweempawu.
Ngokwonyango, oogqirha abaninzi baphatha nantoni na isondo njengesifo esichengileyo, kuba singathatha iintsuku ezingama-90 ukufumana umphumo wovavanyo oluchanileyo . Nangona kunjalo, ukuba ukuvezwa kwenzeka emva kweentsuku eziyi-90 emva kokubonakala kweempawu, ugqirha unokukhetha ukuvavanya iqabane lokuqala.
Ngenxa yokuba umngcipheko wokusuleleka usulelo unciphisa ngokukhawuleza emva konyaka wokuqala, isaziso somlingani sinokuthi okanye singayi kulandelwa. Njengesifo esichazayo , ugqirha wakho ufunwa ngumthetho ukubonelela ngolwazi malunga nokusuleleka kummandla wezempilo loluntu; Nangona kunjalo, igama lakho alifakiwe kule ngxelo.
> Imithombo:
> Amacandelo okuLawula nokuLawula izifo. "Izifo zoThutho zoTyhulozo zika-2015: I-Syphilis." E-Atlanta, eGeorgia; hlaziywa ngoJuni 27, 2017.
> Stamm, L. "I-Global Challenge ye-Treponema pallidum ye-antibiotic-resistant." I- Antimicrob Agent Chemo. 2010; 54 (2): 583-589. INGXELO: 10.1128 / AAC.01095-09.