Izimpawu nezimpawu ze-syphilis zihlobene nesigaba sokutheleleka. Isigaba sokuqala sihilela ukubukeka kwesifo esingenabuhlungu emzimbeni wesisu, umlomo noma umlomo. Ngemuva kokuthi lesi sifo siphulukisa, isigaba sesibili sizovame ukubonisa ukushona. Okokugcina, ngemva kwesikhathi eside esingenayo izimpawu, isigaba sesithathu singakhula ngokuzumayo, kubangele umonakalo omkhulu ebuchosheni, izinzwa, amehlo noma inhliziyo.
Ngenxa yokuthi izimpawu zesiphilisi ngokuvamile azizona eziqondile (noma zifanise nezinye izimo ezifana ne-psoriasis, ama-hemorrhoids, kanye nezilonda zomshoshaphansi ), ukutheleleka ngezinye izikhathi kungabanjwanga futhi kushiywe kungalashwa. Kungenxa yalesi sizathu ukuthi i-syphilis ivame ukubizwa ngokuthi "umlingisi omkhulu."
Iyiphi i-syphilis ebukeka futhi izwa njengezinguquko njengoba iguqukela, futhi ingahluka phakathi kwezinhlobo ezahlukene.
I-Syphilis eyinhloko
Amaphilisi ayisisekelo azoqala ngokubonakala kwe- chancre noma kuphi kusukela ezinsukwini ezintathu ukuya kwezingu-90 emva kokuchayeka kokuqala (ezinsukwini ezingu-21 ezijwayelekile). Lesi sifo sizokhula ngesikhathi sokuxhumana, ikakhulukazi emlonyeni wesibeletho, ubulili, i-penis, i-anus, i-rectum, noma umlomo.
Kungaba khona izilonda ezilodwa noma ngaphezulu ezisuka usayizi kusuka kwesishiyagalombili in intshi kuya ku-intshi noma ngaphezulu. Ngenxa yokuthi izilonda azibuhlungu, zingabhekwa kalula uma zifakwa ngaphakathi. Ama-lymph gland angaphinda avuke, ngokuvamile eseduze nendawo yesifo.
Ngaphandle kokwelashwa , i-chancre izopholisa noma kuphi kusuka emavikini amathathu kuya kwamathathu.
I-Syphilis yesibili
Uma ishiywe ingalashwa, igciwane lesandulela ngculazi lizoqhubekela phambili kusivivinywa sesibili. Izimpawu zivame ukuvela emavikini amane kuya kwangu-10 ekubukeni kwe-chancre. Phakathi nalesi sigaba, umuntu angase azizwe egula futhi abe nesifo somkhuhlane, umkhuhlane, ukukhathala, ukulahlekelwa isisindo, kanye nokukhanda ikhanda. Ukuvuvukala okujwayelekile kwe-lymph nodes (i- lymphadenopathy ejwayelekile ) nayo iyavame.
Esinye sezibonakaliso eziningi zesifo se-syphilis yisisindo esasakazekile, esingazange siphume phezu kwesiqu, izinyathelo, futhi (ikakhulukazi esivumayo) izintende zezandla nezinyawo ezinyaweni . Uma kuthiwa, ukubonakala kwe-rash kungahlukahluka kakhulu. Izilonda zingase zihlale zikhulile noma zikhuphuke, zi-scaly noma zi-hive-like , futhi zikwazi ngisho nokubonakala ngamabhalane agcwele ama-pusules (ama-pustules). Kungakhathaliseki ukubonakala, izilonda zithathelwana kakhulu futhi zingakwazi ukudlulisela lesi sifo kwabanye.
Ezinye izibonakaliso ze-telltale zihlanganisa ukulahleka kwezinwele ezingachazwanga (i-syphilitic alopecia) nezilonda ezichotshoziwe ekhoneni lomlomo (i-fissure cheilitis).
I-syphilis yesibili nayo ingabonakala ngezindlela ezingavamile, ezingavamile, nezindlela ezihlukahlukene ezithinta isibindi, izinso, amathambo, kanye nesistimu ephakathi kwemizwa-kungani ngokuvamile ibizwa ngokuthi "umlingisi omkhulu" noma "umqambi omkhulu".
Izimpawu ze-syphilis yesibili zizoxazululwa ngaphandle kokwelashwa zingakapheli amasonto amathathu kuya kweziyisithupha.
I-Syphilis Yamuva
I-syphilis yakamuva yinkathi yesithathu yokutheleleka ekhonjiswe ukungabi khona kwezimpawu kodwa ukuhlolwa kwegazi okuhle. Iphinde ihlukaniswe ngezigaba ezimbili:
- I-syphilis yasekuqaleni yesikhathi esingaphansi konyaka kusukela ekuhlolweni kwegazi lokugcina. Izimpawu zesibili ngezinye izikhathi ziphinde zibuyele ngesikhathi sokuqala.
- I-syphilis esedlule yesikhashana yisikhathi esingaphezu konyaka kusukela ekuhlolweni kwegazi lokugcina. Lingahlala iminyaka neminyaka engamashumi engenazo izifo zesifo.
Ngenkathi ukutheleleka kungadluliselwa ngesikhathi sokuqala, kungenakwenzeka ukuthi kwenzeke ngalezi zigaba kamuva ze-latency.
Ubude be-latency buhluka kakhulu, futhi ososayensi abaqiniseki kahle ukuthi kungani. Esinye sezici ezaziwa ukusheshisa ukuqhubekela phambili ukutheleleka nge-HIV . Ngakolunye uhlangothi, i-chancre sore evulekile inikeza i-HIV indlela elula emzimbeni. Ngakolunye uhlangothi, ukuba nesandulela ngculazi kanye ne-syphilis ndawonye kwandisa ingozi yezinkinga zesigaba sekwephuzile ngisho nangesikhathi sokuqala kokutheleleka.
I-Syphilis ephakeme
I-syphilis ephakeme kakhulu yisigaba esibucayi kakhulu sokutheleleka futhi sibhekene nezinkinga ezintathu ezinkulu:
- I-gummatous syphilis ibangela ukwakheka kwezilonda ezinothile, ezinjenge-tumor okuthiwa i-gummas. Lezi zilonda ezingenayo umdlavuza zingabangela izilonda ezinkulu zesilonda esikhumbeni nasemlonyeni, futhi zilahle izicubu zenhliziyo, isibindi, imisipha, amathambo nezinye izitho ezibalulekile. Izimpawu zingathuthuka kungakapheli unyaka emva kokuchayeka noma eminyakeni engaba ngu-50 kamuva.
- I-syphilis yezinhliziyo ingabangela ukuvuvukala okukhulu kwe-aorta nokuthuthukiswa kwe- aortic aneurysm (ukuvuvukala nokunciphisa udonga lwe-aortic). Izimpawu ze-syphilis ye-cardiovascular ngokuvamile zivela eminyakeni engu-10 kuya kwe-30 ngemuva kokutheleleka okuyisisekelo.
- I-Neurosyphilis ithinta isistimu yomgogodla oyinhloko futhi ivame ukukhula phakathi kweminyaka emine kuya kweyengu- 25 yesifo. Ngenkathi abanye abantu behlala bengabonakali izimpawu, abanye bangase babe nezinkinga ezinkulu ze-neurological kubandakanya i- meningitis (ukuvuvukala kwebhande elizungeze ubuchopho nomgogodla) noma amathebhu dorsalis (isimo esibonakala ubuhlungu bomzimba, ukulahlekelwa kwamakhono emoto, ukukhubazeka okubonakalayo, kanye nokungabikho). Ukuguquka, izinguquko zobuntu, ukucubungula, ukuwohloka komqondo , isifo schizophrenia, kanye nesifo sohlangothi kungase kwenzeke.
Ngenkathi ukutheleleka kwe-syphilis kungasuswa ngesikhathi sesiteji semfundo ephakeme, noma yikuphi ukulimala okubangelwa enhliziyweni, izinso kanye nezinye izitho kungase kube njalo futhi kuholele ekupheleni kwesigaba sokuhluleka komzimba. Ukwelashwa kunqunywa uhlobo nokukala komonakalo.
I-syphilis ayithelelanga ngesikhathi sesiteji semfundo ephezulu.
Izinkinga ezinsana
I-syphilis ekhulile iyisimo esibi lapho umama okhulelwe one-syphilis edlula khona uT. pallidum kumntwana okhulayo.
I-syphilis engakabikho ngesikhathi sokukhulelwa ngezinye izikhathi ingabangela ukukhulelwa kwesisu noma ukubeletha. Ezinganeni ezizalwe nge-syphilis, okuningi kokubili kwezintathu ngeke kube nezimpawu phakathi neminyaka yokuqala yokuphila. Uma ishiywe ingalashwa, izimpawu zingase zifake:
- Ukwandiswa kwesibindi nokuphuza
- I-Petechia (amahlumela esikhumba aphethwe ama-capillaries aphukile)
- Ukwehla kwamanzi omzimba (okubizwa ngokuthi i-syphilitic "ukuphefumula") ngokuxoshwa okukhulu kwe-mucus
- I-Neurosyphilis
- Ukuvuvukala kwe-Lung
- I-jaundice (i-yellowing yesikhumba namehlo)
- Ukuzizwa
Ngeminyaka engu-2, ingane ingase ibe nokukhubazeka komzimba noma ukukhubazeka okuphawulekayo, kubandakanya:
- Amazinyo angenhla angenhla (aziwa ngokuthi ama-Hutchinson 'amazinyo)
- Ukuwa kweyingxenye yempumpi yempumphu (impumulo ye-saddle)
- Umhlathi wesifuba nesifuba esiphezulu esiphezulu
- Ithambo elibonakalayo elingaphambi kwe-skull (i-frontal bossing)
- Amadolo avuvukile
- Ukuguqa amathambo ama-shin (ama-saber shins)
- Ukuvuvukala nokubhuka kwe-cornea (i-keratitis engaphakathi)
- I-glaucoma
- Ukuzizwa
- Ukubambezeleka kokuthuthukiswa
Ukufa okuhlobene kulezi zinsuku kuvame ukubangelwa yi-lung bloodmage.
Nini Ukubona Udokotela
Ngenxa yokuthi izimpawu ze-syphilis ziphuthelwa kalula noma zingaphathwa kabi, udinga ukuthatha isinyathelo uma usola ukuthi usulelekile. Uma ngabe uke waba khona engozini yokuvezwa ngokocansi-noma ngenxa yezocansi ezingavimbelwe, ukuthi ube nabalingani abaningi, noma une-HIV-udinga ukucabangela ukuthola isikrini se- STD noma ngabe unayo izimpawu noma cha.
Ngaphezu kwalokho, ukuxazulula izimpawu akufanele kubhekwe njengesibonakaliso sokuthi ukutheleleka kususiwe. Uma ungangabazi, zenzele umusa futhi uhlolwe. Izivivinyo zilula futhi ngokuvamile zingabuyisa imiphumela ezinsukwini ezimbalwa zebhizinisi.
Imithombo:
> Basu, S. kanye no-Kumar, A. "Imibukiso ehlukahlukene yeSyphilis yangaphambi kokuzalwa." I- Trop Pediatrics. 2013; 59 (3): 250-4. I-DOI: 10.1093 / tropej / fms076.
> Lee, K .; I-Nyo-Metzger, Q .; U-Wolff, u-T. et al. "Izifo Ezithathelwana Ngocansi: Izincomo ezivela e-US Preventive Services Task Force." Amer Fam Phys. 2016; 94 (11): 907-915.
> Workowski, B. kanye noBolan, G. "Izifo Zokudluliswa Ngesifo socansi," ngo-2015. I-MMWR . 2015 Aug 28; 64 (33): 924.