Sirifi chirwere chepabonde. Iro causative agent iyo ibhakitiriya microorganism - yakareba treponema. Funga nezvechirwere zvakanyatsotsanangurwa, tichatumidza maitiro ekuongorora, tsvaga nei chirwere chinowanikwa panguva yekuzvitakura.
Kuongorora kwechirwere mumadzimai ane pamuviri
Kuongororwa kwenguva yakakodzera kwechirwere uye kutanga kwekurapa kwehutano hwekurapa, kuongororwa kwechirwere panguva yekuzvitakura kunopiwa pakutanga kushanyira gynecologist, kubhabhatidzwa. Kudzidza kunogona kuitwa nenzira dzinoverengeka, pakati payo:
- RIF (immunofluorescence reaction), inogadza chirwere chacho pakutanga;
- PCR - inobatsira kuona kuvepo kwezvirwere zveDNA muropa, kuziva hutano usati hwaonekwa sechirwere chechipatara;
- RPHA (iyo yekuita passive agglutination) - inoratidza chirwere pane chero chiitiko chekusimudzirwa;
- ELISA (enzyme immunoassay) - inobatsira kusimbisa nheyo yehutano hwehutano, inopiwa sechimwe chidzidzo.
Nhema kuongorora kwakanaka kwechirwere pakuberekwa
Chiitiko chakadai sekutsvakurudza kusinganzwisisiki kwechirwere, pakuberekwa - hazvisi zvisizvo. Kuti uchengete kunze kwechikonzero chenhema, siriphi yakanyatsonaka pakuberekwa, mushure mokugamuchira mhinduro yakanaka mushure mekudzidza kwekutanga, inorayirwa RIBT - maitiro ekugadziriswa kwemajaya epanpanomas. Pakati pezvikonzero zvechikonzero chinogona kukanganisa, vanachiremba vanoti:
- chisingararamiki chetachiona muzvibatanidza;
- chirwere chemwoyo;
- zvirwere zvinotapukira mumuviri;
- recent vaccination;
- chirwere cheshuga.
Kuongorora kwakanaka kwechirwere pakuberekwa
Muedzo wakanaka wechirwere mumadzimai ane pamuviri chiratidzo chekuongorora zvakare. Munyaya iyo yechipiri panguva yeropa remukati kune mujeri, mukadzi wacho anotorwa kuti atarwe. Muchiitiko ichi, kuongorora kwakanyatsorongeka, kunosanganisira kuongororwa kwehutachiona hwechirwere, chirwere chechirwere chacho. Maererano nemigumisiro yakawanikwa, imwe nzira yekurapa yakagadzirwa. Nenguva yakakodzera yekurapa, zvinokwanisika kusabvisa kufambira mberi kwechirwere, kutakura nekubereka mwana ane utano.
Siripi inobata sei pamuviri?
Kudzidza simba rechivipi pakuberekwa, vanachiremba vakasvika pakugumisa kuti nguva yekutanga kwekurapa inokosha. Kana chirwere chinowanikwa pachigamba chekudzivirira pamuviri kana pakutanga, zvinokwanisika kubvisa zvachose kukanganisa kwakaipa kwepathogen pamucheche. Inofanira kutakurwa mupfungwa kuti siripi panguva yekudzivirira kwezvino inokonzera kusaenzana mumatomu emahomoni mumuviri wemamangwana. Somugumisiro, dambudziko rekukura rinowedzera:
- kutanga kusununguka ;
- kubvisa pamuviri kamwechete;
- kutyisidzira kwekutadza kukanganisa.
Mukuwedzera, chirongwa chekubereka mwana muvakadzi vane syphilis kazhinji chinowanikwa neanemia uye rakapedzisira kuitika. Kunyanya kunetseka kwechiremba ndeyekana yekubata mwana kubva kuna amai - iyo pathogen inopinda muparcenta. Mikana yakawanda yokubereka mwana ane utano ndeyevakadzi vane pamuviri vanorapwa kare (kusvika masvondo gumi nematanhatu).
Migumisiro yenyuchi mukudzivirira
Chirwere chakadai s syphilis panguva yekuzvitakura chinoda imwe nzira yekurapa, iyo inofanira kutangwa pakarepo mushure mekunyatsoongorora. Munyaya iyi, munhu anogona kudzivisa migumisiro inosuruvarisa, pakati payo:
- kupererwa kwepamuviri;
- kutanga kusununguka;
- stillbirth;
- kufa kwechecheche muawa yekutanga yehupenyu;
- kukura kwakanyanya kukuvadza;
- kuberekwa kwecheche ane chirwere chechirwere.
Chirwere chinoshandiswa kumwana here?
Siripi mumadzimai ane pamuviri anokonzerwa nekugadzirwa kwechirwere chakafanana mumwana. Zviratidzo zvekukuvara kwechirwere yakakonzerwa yakanyorwa mushure mokuberekwa kwechecheche:
- kuparadza paganda;
- prematurity;
- kukunda mapfupa;
- chiropa chiropa;
- zvirwere zvehurongwa hwemitsipa.
Vana vakadaro vari kukurumidza kuwedzera kuwanda, vanogara vasina zororo, vanorara zvakashata, vari mumamiriro ekuzvidya mwoyo, vanoramba vachingochema, vachiita kupinza, kupopota kunoridza. Kazhinji, chirwere chacho chinotungamirira kumugumisiro unouraya nekuda kwekuvhiringidzwa kwekufambira mberi kwehutano hwehutano kunyange pane intrauterine danho rekuvandudza. Kwapera nguva senyeni yekusangana inogona kuongororwa uye 2 makore mushure mekuonekwa kwechecheche, asi kazhinji inowanikwa mumakore manomwe kusvika ku14.
Pamberi pezera iri, hapana zviratidzo zvechirwere cheamai hachigadziri. Zvimwe zviratidzo zvekupedzisira, syenlis congenital ndeyokuti:
- kukanganisa kubatsirwa kwekunzwa;
- zvirwere zveziso;
- kurasikirwa kwemeno.
Nzira yekurapa chirwere chepiritsi munguva yekuzvitakura?
Kurapa kwechirwere panguva yekuzvitakura kunoitwa kaviri. Chikoro chokutanga chinoitwa muchipatara, pakarepo mushure mekunge kuonekwa kwechirwere chacho. Chechipiri ndeyeprophylactic, inoitwa pamusana pekuguma kwemashure mushure mekusvika kwevhiki 20-24. Kurapa, penicillin magadzirira anoshandiswa, Ceftriaxone. Kurapa kwechirwere mumadzimai ane pamuviri kunoitwa mumwe nomumwe. Chiremba anogadzira rudzi rwechirwere, huwandu hwaro hwehuwandu uye nguva yekushandiswa.
Kuchengetedza nyuchi mumadzimai ane pamuviri
Matanho ekudzivirira kana chiitiko chekutanga kwekuita kwechikwata chinotarisirwa kutanga kuongororwa kwechirwere ichi. Zvakananga saka zvinobvira kuzarura chirwere chinonzi latent syphilis pakuberekwa. Kuongorora kworudzi urwu kwenguva yose yekurera mwana amai vanotarisira vanopa katatu. Kunyanya kukoshesa kubhadhara pakuziva chirwere ichi pakugadzirira chirongwa chekubata pamuviri, kubvisa kwayo. Kuti udzivise utachiona, usabvisa chirwere panguva yekudzivirira, venereologists inokurudzira kuti:
- Shandisa nzira yekugadzira mimba (kondomu).
- Dzivisa zvepabonde.
- Kana uchifungidzirwa nezvehutachiona, shandisa mazamu neklorhexidine pakarepo mushure mekuita.