I-syphilis ebusweni

I-syphilis yangasese ingenye yezinhlobo zesifo lapho ukutheleleka kwe-intrauterine kwe-fetus kwenzeka nge-syphilis ngesikhathi sokukhulelwa kumama ogulayo. I-pale treponema ilimaza umgoqo ophansi, ingane izalwa isagula. Akuyona iqiniso lokuthi umntwana uzalwa futhi uzophila. Ngokusho kwezibalo zezokwelashwa, ngaphezu kwezi-40% zokukhulelwa okunjalo kubangela ukukhubazeka, ukubeletha ngaphambi kwesikhathi, ukufa komntwana kwangaphakathi noma kokufa kwengane esikhathini sokuqala sokuphila.

Njengoba kunikezwe imvamisa yemibonakaliso yezibonakaliso zemitholampilo kanye nezicabangelo zesifo sangasese sokubeletha, kuphakanyiswa ukuhlukanisa izikhathi ezithile zesifo:

1. I-Syphilis ye-fetus (isikhathi sokuzalwa ngaphambi kokuzalwa).
2. Isifo sokubeletha esasungulwa ekuqaleni (kusukela ekuzalweni kuya eminyakeni engama-4).
3. I-syphilis yokuzalwa yangemva kwesikhathi (kusukela eminyakeni emihlanu kuya kweyishumi nambili).

Izimpawu zesifo sangempela sokubeletha

Ngaphambi kokuba kuvela izibonakaliso zangaphandle zomtholampilo, isifo sofuba esiswini emntwaneni singasolwa ngesimo sayo jikelele. Izingane ezinjalo zibuthakathaka kakhulu, isikhumba sabo siwuhlaza okwesibhakabhaka, sithatha isisindo kabi, asinaso isifiso sokudla, ukugaya kuyamcasula, izinga lokushisa lomzimba liphuma ngaphandle kwesizathu.

I-syphilis ebangelwa yi-congenital ibonakala njengokwenqotshwa okuphelele: ubuchopho, isikhumba nama-membrane e-mucous, izitho eziningi nezinhlelo zomzimba. Izibonakaliso ezingaphandle zangasese zokuzalwa ziqala ukuvela emva kwezinsuku ezimbalwa / amasonto / izinyanga emva kokuzalwa komntwana:

1. I-syphilitic pemphigus iqala. Amabhaltri e-Serous-purulent (ngezinye izikhathi abulala igazi) avela ezintendeni nasezintabeni, bese esakazeka kuwo wonke umzimba.
2. Izinyanga ezingu-2-3 emva kokuzalwa, isikhumba sithinteka yi-syphilitic eningi ehlukeneyo engena emgqeni obomvu wethusi.
3. Ngokuhamba kwesikhathi, kungenelela ukuhlangana okunamandla nokuphahlazeka, kushiya izibazi ezivuthayo.
4. Kukhona ukuqhuma okukhulu noma okulinganiselwe ngendlela yama-roseola, ama-papules kanye / noma ama-pustules.
5. Isimo esiphezulu sezingane ezinzima kakhulu: ukushisa komzimba kuphakama, i-syphilitic rhinitis ivela, i-septum nasal ikhubazekile futhi ibhujiswa, isimiso se-musculoskeletal sithintekile.
6. Isibindi nesipere zikhuliswa futhi zihlanganiswe, isisu siguqukile, i-syphilitic pneumonia ivela, izinso, inhliziyo, isimiso sezinzwa, i-tract emathunjini iyathinteka.

Izici ze-syphilis yokuqala yokubeletha ezinganeni ezindala kunonyaka owodwa:

• i-condylomas ezungeze i-anus;
• ukuphamba kwamapulangwe emaphethweni;
• ama-node wokuhambisana okunamandla (i-gum) emathisini angaphansi;
• ukwanda kwamathambo;
• ukuhlukunyezwa kwesisu;
• i-meningitis engapheli;
• ukuphuza kwengqondo ;
• ukukhubazeka okubukwayo;
• ukukhazimula.

I-syphilis yokuzalwa yangemva kwesikhathi kanye nezimpawu zayo

I-syphilis yokuzalwa yangemva kwesikhathi iqala ngenxa yesimo sangaphambili sesifo esingahambi kahle, esingelashwa noma esingalashwa. Izibonakaliso ezintathu zokuqala eziphathelene nobuhlungu bokuzalwa kwe-syphilis esanda kuzalwa:

• amazinyo afanelwe umgqomo ngesikhombisi eceleni komkhawulo ongaphansi;
• ukuvuvukala kwe-cornea yamehlo;
• isithulu esibangelwa ukunqotshwa kwe-ear ear.

Ngasekugcineni kwe-syphilis yokuzalwa, izibonakaliso zemitholampilo ziyabonakala, izici ezinye izifo: i-skull ehlangene enezethempelini eziphakeme, isibhakabhaka se-gothic, i-tibia eboshwe ngesimo se-arc (ama-saber-like shins). Ngenxa yokunqotshwa kwesimiso sezinzwa, ingane ihlale ihlehliswa ngokwengqondo, inkulumo yakhe iphukile futhi kunezinye izinkinga zesimiso sezinzwa eziphakathi.

Ukwelashwa kwe-syphilis yokuzalwa

Ukwelashwa kwe-syphilis yokuzalwa kungenzeka kuphela ngosizo lwe-antibacterial therapy, ikakhulukazi, izifundo eziningi ziqinisekisile ukuthi i-treponema ephahlazeka kakhulu kakhulu ngokuphathelene nemithi elwa namagciwane evela eqenjini le-penicillin. Ukunciphisa izimpawu zesifo sangasese sokuzalwa, isifundo sezinsuku ezingu-10 sama-penicillin ngokuvamile sidingeka.

Ukuze uthole ukwelashwa okuphelele kwe-syphilis yokuqala yokuzalwa, izifundo ezingu-6 zidingekile, ngezifundo eziyisishiyagalolunye zokuzalwa zesifo sokuzalwa. Ngaphandle kokwelashwa okuyisisekelo, iziguli zidinga ukunakekelwa okuhle, ukudla okunomsoco okuqinisekisiwe, ukulungiswa kwemigomo yokudla, ukulala nokuvuka.