Sirifi ishutachiona chepabonde chinokonzera kukanganisa pfupa, nervous system, ganda. Chirwere chacho chinoratidzwa nekanguva refu, chirwere chakaoma. Ngationgororei zvakadzama nguva yakadaro yehutachiona sechirwere chepamusoro, kusiyanisa zviratidzo zvayo, zviratidzo, nzira dzerapi.
Chii chinonzi "chirwere chepamusoro"?
Munguva yechirwere, nguva dzakasiyana dzakaparadzana: syphilis primary, secondary, secondary. Rudzi rwechipiri rwehutano hunoerekana rwunoenda kune varwere vasingatori zvidzidzo zverapi kana kuti vasingateereri magwaro ezvechiremba, mazano avo. Icho chidzidzo chepamusoro chikamu chisina hanya cheitiro yehutano. Inotanga inenge inenge makore 3-5 kubvira panguva yekutapukira uye ine chirairo chaiyo yechipatara.
Mhosva ndeyekuti vanhu vane chirwere chesupiriti chepamusoro vanoparadzira kune vamwe. Muna 95-98% yezviitiko zvose zvehutachiona - kusangana pabonde. Nzira yemhuri (kutsvoda, kushamwaridzana, kushandiswa kwemishonga yehutano hwehutachiona, inotapukirwa nemapatigenic material) haigoni kutapukirwa nechirwere. Izvi zvinokonzerwa nekuti iyo pathogen inonyatsorasikirwa nehupachiviri hweyo iyo inopera.
Chirwere chepamusoro - zviratidzo
Zvidzidzo zvemazuva ano uye kuongororwa kwechiremba zvakaratidza kuti siriphi yepamusoro inogona kukura kunyange pashure pemakore 8-10 kubva panguva yekutapukirwa kwemurwere nepojaya tryponema. Icho chimiro chehutachiona chinoratidzirwa nedzimwe nguva, nguva dzisina nguva - nguva apo varwere vasina hanya nechinhu chipi nechipi, zviratidzo zvinopera. Iko kune zvimwe zviratidzo zvechirwere chechikoro chepamusoro.
Kukundwa kweganda ndiko chirwere chepamusoro chechiphilis. Vanokura mumwedzi mishomanana, dzimwe nguva makore. Kunzwa kwakanakira kune varwere hakusipo. Ari pane nzvimbo dzisina kukwana dzeganda, zvishoma nezvishoma kugadzirisa, zvichibva panzvimbo ino. Zvipembenene zveganda zvinosanganisira:
- Bugorkovy syphilid - chigunha kubva pakunyura mumvura yeganda, zvichida ichifamba kumusoro. Kukura kwema 7 mm, ruvara rwebhuruu-ruvara, ruvara rwekusagadzikana. Nokufamba kwenguva, inosangana necrotic shanduko nekuumbwa kwezvironda, iyo mativi ayo kunyange. Kuporesa kunotora mwedzi nekuumbwa kwezvinotyisa.
- Kushandiswa kwehupiritsi - huputi muhutsetse hwakashata, husina tsitsi, hune unhu humwe chete. Dzidzai pahuma, mabvi uye zvindori. Pakutanga, Gumma inofamba, inorasikirwa nekufamba sezvainokura, muzaruri inoumbwa mukati umo iyo gelatinous liquid inosunungurwa. Iyo yakareba yegomba inowedzera - chironda chisina kukwana.
Kusagadzikana kwemamwe maitiro uye nhengo dzinowanikwa muhureti yepamusoro pashure pemakore gumi kubva panguva yechirwere. Panguva imwe chete, vanorohwa:
- cardiovascular system ( myocarditis );
- chiropa (hepatitis);
- mudumbu - ulcer;
- iyo nervous system is neurosyphilis.
Syphilis yepamusoro - bony zviratidzo
Apo nguva yepamusoro yepamusoro inosvika, sirifi inoratidza zviratidzo. Kuchinja kunobata pfupa. Saka gums inogona kuumbwa mu periosteum uye zvinokonzerwa nemaspongy. Vanokura, kunyanya, mumapfupa akarembera, muchetura. Kakawanda korazi, mapfupa ehenya, mafudzi nehokwe zvinoshandiswa. Muchiitiko ichi, zvose zvinoshandiswa mumapfupa emapfupa zvinopfuurira maererano nemutauro:
- Periostitis - inozivikanwa nekuonekwa kwemarwadzo emapfupa, ayo anoshamisa zvikuru usiku. Panzvimbo yezvipembenene, kuzvimba uye kuzvimba zvinoumbwa. Mukushayikwa kwehutano hunodiwa, kusuruvara pachako kunopera shure kwevhiki 2-4.
- Osteoperiostitis - chirwere chokuvhiringidza chinowanika munzvimbo inonzi periosteum. Sezvo hutachiona hunobudirira, hunochinja hunoenda kumapfupa emapfupa. Mune zvimwe zviitiko, nzira yakasiyana-siyana yehutachiona hunogona kuitika - kutanga mapfupa emapfupa akabatwa, ipapo periosteum inobatanidzwa mukugadzirisa.
Siriphi yepamusoro mumuromo mutsva
Kakawanda, siriphi yepamusoro inozviratidza sechiremera chemukati memumuromo wemuromo. Mumamiriro ezvinhu akadaro, mazino angave ehumwe unhu, kazhinji ma tubercles akapararira mukati memuromo. Yakawanda inowanzoumbwa pamusoro penyika, denga rakaoma uye rakanyorova. Kutanga mhando inorwadza mazano. Nokufamba kwenguva, inowedzera muhukuru, mushure mokunge yakazarurwa. Kubva pavanga, gummy tsvimbo inorambwa. Munzvimbo yaro chironda chinoumbwa.
Izvi zvinotora 3-4 mwedzi. Mune zvimwe zviitiko, inofambidzana nezviduku, zvinonzwisisika zvinonzwa:
- kurwadziwa munyaya yemuromo;
- kukanganisa kwekudya kwekudya.
Tertiary latent syphilis
Chirwere chepashure chemashure chekare chinowanzoitika muchimiro chemazuva. Chikamu chinotora nguva chine nguva yakareba, saka varwere vanogona kuedzwa nekutanga kwekudzorera nguva. Zvisinei, mushure mekupera kwemakore, chirwere chepamusoro (gum) chinowanikwa paganda zvakare. Iyo inoumbwa mumutuku muduku. Iyo inopinda mumuchu membrane hadzina kuchinja kwekunze uye mukuumbwa kwayo ine kanyoro kadiki kanonzi pathogen.
Kuongororwa kwechirwere chepamusoro
Chikamu chepamusoro chechivili hachidi kukwanisa kuongororwa. Zvirwere vanachiremba zvinonzwisisika nekliniki zviratidzo, zviratidzo zvehutano hwehutano. Mukuwedzera, muna 30% yevarwere kuongorora kwakakosha - RPR test inopa mhinduro yakaipa. Nemhaka yeizvi, chikuru chekuongorora tsananguro inowanikwa ne:
- REEF;
- RIBT (inowanikwa mune 90-100%).
Kuti uone kuwanda kwehutachiona hwemukati nhengo uye maitiro, kuongororwa kwakawedzerwa kunoitwa:
- Ultrasound of the heart;
- ECG;
- aortography;
- X-ray yemapfupa;
- Ultrasound yechiropa ;
- tsvakurudzo ye cerebrospinal fluid.
Siriphi yepamusoro - kurapa
Kurapa kwechirwere chechikoro chepamusoro kunobva mukushandiswa kweva antibacterial agents. Munyaya iyi, zvinodhaka zvepenicillin zvakashandiswa zvakashandiswa. Kana isinganzwisisiki, zvinodhaka zvinosarudzwa pachavo. Chiremba anoratidza chiyero, kuwandisa kwekugamuchira, nguva yehutachiona. Kubudirira zvakananga kunobva panguva yekutanga kwehutano hwekurapa, kuoma kwechirwere chacho.
Zvinokwanisika here kuporesa masipiresi epamusoro?
Kakawanda, varwere vane chirwere ichi vanofarira mubvunzo wekuti chirwere chechirwere chepamusoro chichirapwa. Vanachiremba vanoti kubudirira mukurapa kunobvira chete nekutanga kwekutanga kwerapi. Mukuwedzera, mugumisiro wechirwere chechikoro chepamusoro hunoenderana nehuwandu hwekuvhiringidzika kunokonzerwa neaiti uye nhengo. Kazhinji, chinangwa chekuenderera mberi kwezvekurapa ndechekugadzikana, kumisa kufambira mberi kwechirwere.
Kurapa kwechirwere chechikoro chepamusoro
Mapiritsi ane syphilis yakakwirira inofanira kutorwa zvakakwana maererano nemirairo yezvehutano. Muchiitiko ichi, chiremba anosarudza chirongwa chemunhu mumwechete. Pakati pezvinhu zvakajairika:
- Chirongwa chekugadzirisa - mazuva 14 anogamuchira Erythromycin kana Tetracycline, 2 g pazuva (0.5 nekutambira). Mushure memazuva 28 Penicillin maundi 400,000 8 kana pazuva. Mushure memavhiki maviri - iyo inodzidzoka, kuderedza kusvika mumazuva gumi nemaviri.
- Kugadzirira kweErythromycin sezvinotsanangurwa pamusoro apa, mushure mokunge Penicillin Novocaine munyu inoshandiswa, zviyero 600 000 kaviri pazuva, makumi mana nemaviri anotevera. Dzidzo inodzokororwa - mushure memazuva gumi nemana mamwe mavhiki maviri erapi inoitwa.
- Kugadzirira kweErythromycin, inoteverwa nekushandiswa kweProcaine-penicillin kwezvikamu zvemamiriyoni 1.2, kamwe chete pazuva, kwemazuva makumi mana. Dzidzo inodzokororwa - mavhiki maviri zvakare kupinda mushonga mushure memazuva gumi nemasere ekudengenyeka.
- Kurapa kwechikoro chepamusoro-soro Extensillin inogadzirwa nejeri rimwe chete rezvikamu zvemamiriyoni 2,4 nemaitiro maviri ematambo: inopera kare mum 8 ml ye saline solution mamiriyoni 1,2 muzvikamu chimwe nechimwe.