Treponema pallidum: zizindikiro, chithandizo

Mwatsoka, nambala yaikulu anthu padziko lonse lapansi tsiku lililonse ali ndi kachilombo matenda opatsirana pogonana, ndi matenda ena akhoza kusokoneza moyo wa anthu. Makamaka tikulankhula za chindoko, ndilo wothandizila causative wa wotumbululuka treponema. Tikumbukenso kuti matenda pamwamba limabweretsa gulu matenda, ndipo atuluka systemically kukhudza osati khungu komanso minofu ya ziwalo.

mabakiteriya oopsa

Treponema pallidum - ndi zoonda, wautali ndi mwauzimu bakiteriya amene ali mkulu sayenda. Poyamba, iye anali nalo dzina lina: chindoko.

Treponema pallidum zimagawidwa monga anaerobes - moyo iye sayenera oxygen. bakiteriya Zimenezi zingakhale mu ulusi mitsempha ya lymph ndi magazi zotengera, mu Matani interstices maselo a ziwalo.

"Kumasula" ndi macrophages ndi leukocytes HIV nthawi zambiri akhala yotheka ndipo potsiriza "kuphedwa" kokha ndi thandizo la mankhwala. Mu ena maselo a chitetezo cha m'thupi ndi wotumbululuka treponema polimembrannuyu phagosome, ndipo pambuyo selo zikadzawonongedwa, zikopa wotero ungayambe extracellular.

Zimafalitsidwa bakiteriya yopingasa magawano, ndipo zimachitikadi mawola 30-32.

Chamoyo ndi tizilombo toyambitsa matenda ndi osakhazikika ndi woopsa pamene kutentha mankhwala (60-100 madigiri centigrade) amafa.

Chitetezo ku HIV

Tikumbukenso kuti, monga ulamuliro, kudziwa nthumwi causative a chindoko pa mucous akhoza m'chimake. Komanso matenda akhoza zimafalitsidwa kwa ena, osati kugonana. Mungathe kukhala ndi kachilombo ndipo kudzera katundu wa m'nyumba: mathawulo, mbale, zinthu kwa ukhondo. Tisaiwale kuti mkaka wa mayi matenda ndi kukhala malo amene pali tizilomboto, mwachitsanzo. E. Mwana komanso akhoza kukhala matenda opatsirana pogonana. Vutoli likukula chomwechi chifukwa chakuti ngati pali wotumbululuka treponema mu magazi, thupi sangathe kukhala asanazolowere chindoko, kutanthauza kuti aliyense aigwire iwo kachiwiri mankhwala.

Komabe, tisaiwale kuti anthu ambiri amene akuvutika ndi matenda pamwamba, anapangidwa chitetezo kwa chindoko: a pulayimale ndi sekondale yanthaŵi - 88% ndipo 76% odwala, motero. Ena onse odwala chitetezo "maselo kulibeko. Makamaka, oteteza lgM osati pa anthu onse amene matendawa chindoko patsogolo. Komabe, kulakwa kuganiza kuti kusowa kwa maselo "kumbuyo" - chizindikiro cha "nekvallifitsirovannogo" mankhwala. Onani kuti 20% milandu n'zotheka kudziwa chitetezo kwa Treponema pa siteji zobisika za matendawa.

siteji

Kumene, loopsa kwambiri thanzi wotumbululuka treponema. Zizindikiro za matenda zingasiyane. Tiyeni tione mwatsatanetsatane.

Gawo loyamba

Mu koyamba gawo matenda a anthu amapezeka chancre Chomangika m'kamwa, rectum kapena mbolo.

Komanso, wodwalayo amodzi kuwonjezeka mfundo m'dera lymph. Patapita masabata 4-6 zizindikiro woyamba zilonda kuchiza.

Mbali yachiwiri

Mu gawo pakati pa matenda munthuyo ali ndi chinzonono zidzolo pa thupi symmetrical. Wodwala amadwala litsipa, auka wake kutentha thupi, amamva akudwala. Komanso onse lymph mfundo ali, mu zina ndi tsitsi imfa, ndi njerewere yaikulu kupanga pa kumaliseche.

Kale mu ndime yoyamba muyenera amayesetsa mankhwala a matenda amenewa ndi oopsa, monga chindoko. Treponema pallidum, ngati si wapezeka mu nthawi, kungawononge kuti nepapravimy thanzi. Kawirikawiri, izi zimachitika mu gawo lachitatu la matenda.

Mbali yachitatu

MwaukadauloZida mitundu ya chindoko amakhala ndi zotsatirazi: munthu amakhudza wamanjenje dongosolo, ubongo ndi msana, komanso ziwalo.

zochiritsira

Kumene, pa siteji koyamba izo Sizotheka kuzindikira kuti thupi la munthu ali wotumbululuka treponema.

Chithandizo Pankhaniyi yafupika ziro. Kungakhale kulakwitsa kuti lero sikutheka kuchiza njira yovuta a chindoko.

Ziyenera adzanyamula kukumbukira kuti kufulumidwe bakiteriya ali wapezeka, nthawi zochepa kudzatenga kuti mwakale. Chithandizo cha matenda mu magawo oyambirira amatenga pafupifupi miyezi 2-3, ngati tikulankhula za mkhalidwe wa kunyalanyaza, ndi konzanso thupi akhoza kutenga zaka 1.5-2.

maantibayotiki

Choyamba ndi ogwira pa kupha tizilombo zimene zimachititsa chindoko - ndi mankhwala. Ndi ntchito mulingo woyenera wa mankhwala a penicillin. Mwachibadwa, mankhwala makamaka muyenera kulangiza dokotala chifukwa mankhwala amasiyana mlingo wa kanthu antibacterial ndi nthawi mmene amalimbikitsidwanso. Nthawi zina, poika mankhwala penitsilinnovyh ndi contraindicated chifukwa tsankho payekha. Kenako dokotalayu akuonetsa mankhwala njira pharmacological makalasi: azithromycin, fluoroquinolone, streptomycin, macrolides, tetracyclines.

Komanso wodwalayo mankhwala mankhwala kuti zinthu kulimbikitsa chitetezo cha thupi.

chakuti treponema wotumbululuka ali ndi luso lapadera kukana maselo m'thupi, titers Koma mkulu wa chitetezo kwa bakiteriya musalole ake kusonyeza ntchito kwambiri.

Kuyenera anatsindika kuti m'nthawi ya mankhwala m'pofunika kutsatira malangizo ukhondo, makamaka sayenera ubwenzi. Apo ayi, chiopsezo ndi okondedwa wanu, amene patapita kanthawi akhoza kupatsira anthu kachiwiri.

Kuti adziwe ngati kunali kotheka kuchiza chindoko - zovuta. vuto ndi kuti zizindikiro kunja matenda "asanduke nthunzi" mu tsankho mankhwala a matenda. Pa mphamvu ya mankhwala akhoza adzaweruzidwa ndi zotsatira za mayeso serological, zomwe, tisaiwale angakhale ndi onse khalidwe onyenga alibe ndi wabodza HIV.

Kumbukirani kuti chindoko - ndi matenda chikhalidwe, kotero mankhwala ake ayenera kulankhula kwambiri ndi mosamala.