I-syphilis ivame ukwelashwa nge-penicillin, umuthi ofanayo osetshenziselwa ukuphatha ukutheleleka kusukela ngo-1943. Nakuba isifo se-bacterial singelashwa nezinye izinhlobo zama-antibiotics, kunezimo lapho i-penicillin yedwa kuphela. Umlingani womuntu onegciwane angaphinde aphathwe ngokucophelela ukuze avikele ukutheleleka. Okunye ngaphandle kwama-antibiotics, ayikho enye indlela yokwelashwa ephumelelayo ekusula ukutheleleka kwe-syphilis.
Imithi
Ukwelashwa kwe-syphilis ngokuvamile kudinga injection eyodwa. Inkambo yokwelapha iqondiswe ikakhulukazi ngesigaba sokutheleleka (okuyisisekelo, sesibili, esilandelayo, ephakeme) nezinye izinto ezibangela.
I-Penicillin G ibhekwa njengesidakamizwa esizikhethelayo. Ukuze abantu bahlaselwe i-penicillin , kunezinye izidakamizwa ezifana ne-doxycycline, i-tetracycline, i-azithromycin, ne-ceftriaxone ingasetshenziswa. Ukuphela kokuphela kungaba yi- neurosyphilis (isisindo sokuphela kwesikhathi esithinta ubuchopho nesistimu yomphakathi oyinhloko) noma isifo sofuba (lapho ukutheleleka kudluliselwa kusuka kumama kuya komntwana ngenkathi ukhulelwe) lapho i-penicillin yikho kuphela.
Ezimweni eziningi, umuthi uzothunyelwa ngenjojo ye-intramuscular (IM), ngokuvamile emisipha ye-gluteal (izintambo). Ezimweni ezimbi, lesi sidakamizwa singanikezwa nge-intravenously (nge-IV).
Ngokungafani nokutheleleka kwamabhaktheriya lapho abantu bacatshangwa ukuthi baphulukiswa ngemuva kokuqeda ukwelapha, abantu abane-syphilis kudingeka bahlole ukulandelwa ukuqinisekisa ukuthi ukutheleleka kusuliwe.
Ngenkathi umuntu engacatshangwa ukuthi unesandulela ngculazi amahora angu-24 ngemuva kokuqeda ukwelashwa, odokotela abathile bayakuncoma ukuziyeka kuze kuphele ukuhlolwa kokulandela.
Izincomo Zezokwelapha
Ngo-2015, amaCenter for the Disease Control and Prevention (CDC) akhiphe izincomo ezibuyekeziwe mayelana nokuphathwa kwe-syphilis esalandela namuhla:
- I-syphilis eyinhloko, eyesibili, noma yangaphambili: Isijoka esisodwa se-intramuscular of Benzathine penicillin G
- I-syphilis esalandela, i-syphilis esingaziwa yesikhathi esingaziwa, noma i-syphilis ephakeme: Izijovo ezintathu ze-Benzathine penicillin G zanikeza isonto ngaphandle
- I-Neurosyphilis noma i-syphilis esicacile: Ukuxuthwa kwamakhemikhali e-crycalline e- penicillin G IV akhipha amahora amane ngaphezulu kwezinsuku ezingu-10 kuya kwezingu-14, okungenzeka kulandelwe umjovo owodwa we-Benzathine penicillin G; Ukwelashwa okuhlukile nge procaine penicillin G kungase kubhekwe kwezinye izimo
Ngenkathi i-penicillin G ibhekwa ngokuphumelelayo kakhulu ekuqedeni ukutheleleka kwe-syphilis, abanye abantu bangadinga ukwelashwa okwengeziwe uma ukuhlolwa okulandelwayo kubonisa manje ukwehla kwe-volume (titer) yamagciwane okulwa namagciwane. Ukwengeza, izinkinga ezinkulu ze-neurological and optical zingenzeka futhi ziqhubeke ngisho nangemva kokutheleleka.
Izincomo ezingenhla ze-primary, secondary, early latent, kanye ne-syphilis ephuzile ephuzile zisebenza ezinganeni nasezingane, kanye nabantu abadala. Ngenxa yokuthi isikhathi esiphakathi kokutheleleka okuyisisekelo kanye nesifo samaphilisi esiphakeme kakhulu (isikhathi esiningi eminyakeni engaphezu kweyishumi kuya kwezingu-20), ukuphika kwe-syphilis okuphambili kuyadlula kakhulu ezinganeni.
Abesifazane abakhulelwe
Ukwelashwa kwe-syphilis okuhlolwe ngesikhathi sokukhulelwa kulandela izincomo ezifanayo kubantu abadala okubalwe ngenhla. Kodwa-ke, i-penicillin G kuphela eyaziwa ukuthi iyasebenza ekuvimbeleni ukudluliselwa kwengane engakazalwa.
Uma umama ephikisana ne-penicillin, udokotela wakhe kuzodingeka amenzele ngenhla uchungechunge lwezidakamizwa zokungalingani . Lokhu kuzobandakanya ukuveza umama ezincane ezincane ze-penicillin bese ukwandisa umthamo kancane kancane ukwakha ukubekezela ukuze ekugcineni angaphathwa nge-antibiotic.
Ukukhathazeka
Eminyakeni yamuva, kuye kwaba khona ukukhathazeka okukhulayo mayelana nokusongela ukumelana nezidakamizwa zokulwa nezidakamizwa ekuphatheni izifo ezithathelwana ngocansi.
Ukukhathazeka okuningi okubangelwa ukusetshenziswa kwezidakamizwa zomlomo ekunakekeleni i-gonorrhea, umkhuba owaholela ekumelaneni nokusabalalisa nokulahla indlela eyodwa yokusebenzisa amaphilisi. Ngenxa yalokho, i-gonorrhea yanamuhla iphathwa ngokuhlanganiswa kwama-antibiotic ejovayo nangomlomo.
Kuze kube manje, bekubekho okubonisa ukuthi lokhu kwenzeka nge-syphilis ne-penicillin. Kodwa-ke, kunezibonakaliso zokuphikisa okuqhubekayo ku- azithromycin , ikakhulukazi ehlobene nezinkinga ezingamelana ne-syphilis ezavela kuqala kuma-1950s kanye nokwethulwa kwama-antibiotics.
Ngakho-ke, nakuba izifo ze-epidemiologists ziqhubeka nokuqapha izimpawu zokuphikisa ama-antibiotic, i-penicillin kufanele ibhekwe njengendlela ephephile futhi enokwethenjelwa kakhulu yokwelapha isilwane.
Abalingani bobulili
Uma uthola ukuthi une-syphilis, abalingani bakho bocansi kumele baziswe futhi baphathwe ngokusekelwe, futhi futhi, esiteshini sakho sokutheleleka:
- Nge-syphilis eyinhloko , isaziso kufanele sithunyelwe noma ubani owake walala naye kuze kube yizinsuku ezingu-90 ngaphambi kokubonakala kwezimpawu.
- Nge-syphilis yesibili , isaziso kufanele sithunyelwe kunoma ubani owake walala naye kuze kube izinyanga eziyisithupha ngaphambi kokubonakala kwezimpawu.
- Ngesifo sokuhlanza esasifushane , isaziso kufanele sithunyelwe noma ubani owake walala naye kuze kube unyaka ngaphambi kokubonakala kwezimpawu.
Ngokwelashwa, odokotela abaningi baphatha noma yisiphi isithandani socansi njengesifo sokutheleleka okuqinisekisiwe, ngoba kungathatha izinsuku ezingu-90 ukuthola umphumela wokuhlolwa onembile . Kodwa-ke, uma ukuvezwa kwenzeka ngemva kwezinsuku ezingaphezu kwezingu-90 emva kokuvela kwezimpawu, udokotela angakhetha ukuhlola umlingani kuqala.
Ngenxa yokuthi ingozi yokutheleleka iyancipha ngokushesha ngemva konyaka wokuqala, isaziso somlingani singase siphumelele noma singasigcini. Njengesifo esaziwayo , udokotela wakho udinga ngomthetho ukunikeza ulwazi mayelana nokutheleleka esigunyazweni sezempilo somphakathi; Nokho, igama lakho alifakiwe kulo mbiko.
> Imithombo:
> Amasevisi Okulawula Nokuvimbela Izifo. "Izifo Zengculazi Zango-2015: Izikhombandlela zokwelapha: Ukuphikisa." E-Atlanta, eGeorgia; ibuyekezwe ngoJuni 27, 2017.
> Stamm, L. "Inselelo Yomhlaba Wonke We-Antibiotic-Resistant Treponema pallidum." I- Antimicrob Agent Agent. 2010; 54 (2): 583-589. I-DOI: 10.1128 / AAC.01095-09.