Treponema pallidum: iimpawu, unyango

Ngelishwa, kukho inani elikhulu labantu ehlabathini lonke yonke imihla bosulelekile zizifo ezidluliselwa ngeentlobano zesini, yaye ezinye izifo bangaba yingozi kubomi babantu. Ingakumbi sithetha negcushuwa, nto leyo ke arhente causative of treponema luthuthu. Kufuneka kuqatshelwe ukuba isifo ngasentla bobabo kudidi losulelo, kwaye uyaqhubeka ngokucwangcisekileyo, echaphazela kuphela isikhumba kodwa esikule ngamalungu angaphakathi.

kwamagciwane ayingozi

Treponema pallidum - i silwanyana obhityileyo kakhulu, elide kunye saya apho na ukuhamba eliphezulu. Ngaphambili, yena elinye igama: negcushuwa.

Treponema pallidum ihlelwa anaerobes - kuba ubomi Akuyomfuneko yena oksijini. Le bacterium kunokuba ube luvo iinqanawa nkovu kunye negazi, kwiingxondorha kunye interstices iiseli nezibilini.

"Ukuhlela" yi macrophage kunye leukocytes intsholongwane kwiimeko ezininzi ihlala iphila yaye ekugqibeleni "wabulawa" kuphela ngoncedo antibiotics. Kwezinye iiseli zamajoni omzimba libunile treponema polimembrannuyu phagosome, yaye emva iseli ibhuqiwe, inwebu enjalo abe extracellular.

Ekhuthazwa division bacterium ezinqamlezayo, yaye kwenzeka qho kwiiyure 30-32.

Ephilayo yeyona igciwane iyahlozinga kwaye kuyingozi xa unyango ubushushu (degrees 60-100 C) uyafa.

Antibodies zentsholongwane

Kufuneka kuqatshelwe ukuba, njengokuba umthetho, ukuba ukubona arhente causative of negcushuwa kwi yangaphakathi nga esingxotyeni. Ngaphezu koko, esi sifo zinokusasazwa kwabanye, hayi nje kuphela ngokwesondo. Ungaba izinto abosulelekileyo kunye nge nendlu: iitawuli, izitya, izinto nakwezempilo emntwini. Asimele silibale ukuba ubisi kumama onayo kwakhona imeko apho kukho pathogen, okt. E. Nomntwana kwakhona zosuleleke kunye ezinjengezifo ezidluliselwa ngeentlobano zesini. Le meko yandiswa ngumba wokuba ukuba kukho treponema libunile egazini, umzimba akakwazi ukumelana nezifo ku negcushuwa, nto leyo ithetha ukuba nabani na kubabamba kwakhona emva konyango.

Nakuba kunjalo, kufanele kuqatshelwe ukuba abantu abaninzi bangamaxhoba sifo ngasentla, zaveliswa antibodies negcushuwa: isiqephu yaseprayimari neyasesekondari - 88% ne-76% izigulane, ngokulandelelana. Ezinye ukhuseleko "iiseli nezigulane 'engekhoyo. Ingakumbi, le lomzimba lgM hayi bonke abo baphathwa negcushuwa ngaphambili. Noko ke, impazamo ukucinga ukuba ukunqongophala iiseli "Uyalwa" - umqondiso unyango "nekvallifitsirovannogo". Qaphela ukuba kuphela yi-20% amatyala kusenokwenzeka ukuchonga antibodies Treponema eqongeni abagxothwa esi sifo.

isigaba

Kakade ke, ingxaki enkulu lezempilo treponema luthuthu. Iimpawu zokugula ungahluka. Makhe sihlolisise ngokweenkcukacha.

Inqanaba lokuqala

Kwisigaba sokuqala izifo ebantwini kubonakala isakhiwo eqinileyo chancre emlonyeni, ezinqeni okanye incanca.

Kwakhona, isigulana ukwanda fixed kwiindawo nkovu yasekuhlaleni. Emva kweeveki 4-6 emva imiqondiso yokuqala izilonda ndibaphilise.

Isigaba sesibili

Kwisigaba phakathi sifo umntu unalo syphilitic irhashalala emzimbeni macala. Isigulane enesifo yintloko, yakhe kuphuma ubushushu bomzimba, uziva mnandi. Ukongeza, onke kwiindawo nkovu bukhulile, kwezinye iimeko kukho ilahleko iinwele, kunye Iintsumpa ngokubanzi ifomu zangasese.

Sele inyathelo lokuqala kufuneka ukuba uthathe amanyathelo unyango ngenxa yesifo eziyingozi, njengabo negcushuwa. Treponema pallidum, ukuba athe kubonakele ngexesha, kunokubangela umonakalo nepapravimy zempilo. Ngesiqhelo, oku kwenzeka kwisigaba sesithathu zesi sifo.

Isigaba sesithathu

iintlobo Advanced of negcushuwa luphawulwa kulandelayo: umntu kuchaphazela luvo, ingqondo kunye umnqonqo, kwakunye nezibilini.

ayini

Kakade ke, xa isanda akusoloko kusenzeka ukuba baqonde ukuba umzimba womntu ezikhuphile treponema luthuthu.

Unyango kule meko lifinyele ku nothi. Bekuya kuba yimpazamo bathi namhlanje akunakwenzeka ukuba ukunyanga iintlobo elinzima negcushuwa.

Kufuneka kukhunjulwe ukuba msinyane igciwane wabonakala, iya kuthatha ukubuyisela impilo ixesha ngaphantsi. Unyango kwesi sifo kwi nisaqala kuthatha umlinganiselo iinyanga 2-3, xa sithetha malunga nobume ukungahoywa, ukuvuselelwa umzimba kungathatha iminyaka 1.5-2.

antibiotics

Okokuqala, nangokukhawuleza maxa ukubulala intsholongwane ebangela negcushuwa - is antibiotics. Kunye nokusetyenziswa ngokupheleleyo iziyobisi penicillin. Ngokuqhelekileyo, amayeza ethile kufuneka icebise ugqirha kuba antibiotics ayashiyana iqondo amanyathelo antibacterial kunye nexesha isiphumo ukuba bazi-. Kwezinye iimeko, ukuqeshwa iziyobisi penitsilinnovyh na contraindicated ngenxa zobandlululo ngamnye. Ke ugqirha icebisa antibiotics iiklasi ezinye amayeza: azithromycin, fluoroquinolone, streptomycin, macrolides, tetracyclines.

Ukongeza, isigulane ukuba amisele iziyobisi senze ukomeleza amajoni omzimba.

Isibakala sokuba treponema libunile uyakwazi elikhethekileyo ukuxhathisa omzimba, titers kunjalo eziphezulu antibodies iintsholongwane musa ukuvumela ukuba ukubonisa umsebenzi ngokugqithiseleyo.

Kufuneka igxininiswe into yokuba ngexesha lonyango kuyimfuneko ukuthobela iingcebiso yococeko, ingakumbi, kufuneka uyeke lobuhlobo. Kungenjalo, ingozi iqabane lakho, emva komzuzwana ezingasosulela abantu kwakhona.

Ukuze ubone ukuba ingaba kwakunokwenzeka ukuba kunyanga negcushuwa - kwakungelula. Ingxaki kukuba iimpawu lwangaphandle esi sifo 'emoyeni' xa unyango kwenxenye sifo. Ngomhla ukusebenza unyango nga kugwetywa iziphumo zeemvavanyo ze-serological, leyo, kufanele kuphawulwe, ukuze zombini uphawu lobuxoki-HIV kunye lobuxoki-HIV.

Khumbula ukuba negcushuwa - loo nto sisifo kwezentlalo, ngoko ngonyango kufuneka wasondela kakhulu nenenkathalo.