Treponema pallidum: izimpawu, ukwelashwa

Ngeshwa, inombolo enkulu yabantu emhlabeni wonke nsuku zonke ukuthi utheleleke nge ezifweni ezithathelwana ngobulili, futhi abanye izifo bangalindela iwusongo lwangempela ekuphileni komuntu. Ikakhulukazi sikhuluma ugcunsula, okuyinto agent causative of treponema okhanyayo. Kufanele kuqashelwe ukuthi isifo ngenhla kungokwalabo esigabeni ukutheleleka, futhi wabe systemically, ezithinta hhayi kuphela isikhumba kodwa futhi izicubu yezitho zangaphakathi.

kwamagciwane ayingozi

Treponema pallidum - a silwanyana mncane kakhulu, isikhathi eside futhi kuvunguza esesikhundleni ukuhamba okusezingeni eliphezulu. Ngaphambili, yena waba elinye igama: ugcunsula.

Treponema pallidum libhekwa njengoba anaerobes - ngokuphila akutlhogeki umoya-mpilo. Lokhu igciwane kungaba izinzwa ka-lymph kanye igazi izitsha, ematsheni kanye interstices amaseli yezitho zangaphakathi.

"Ukuhlela" ngu-macrophage kanye leukocyte igciwane ezimweni eziningi uhlala a iphila futhi ekugcineni "ababulewe?" Kuphela ngosizo antibiotic. Kwezinye amaseli omzimba okhanyayo treponema polimembrannuyu phagosome, futhi ngemva iseli uyabhujiswa, ulwelwesi kanjalo ingaba extracellular.

Okusakazwa igciwane transverse division, futhi kwenzeka njalo ngemva kwamahora 30-32.

Umzimba kuyinto bacterium ingahlalisekanga futhi iyingozi uma ukwelashwa ukushisa (60-100 degrees centigrade) uyafa.

Amasosha Omzimba igciwane

Kufanele kuqashelwe ukuthi, njengoba umthetho, ukuthola i-ejenti causative of ugcunsula phezu lwamafinyila kungaba emgodleni. Ngaphezu kwalokho, lesi sifo angadluliselwa kwabanye, hhayi ucansi kuphela. Ungakwazi batheleleke futhi ngokusebenzisa izinto zasekhaya: amathawula, izitsha, izinto ngoba inhlanzeko yomuntu siqu. Akufanele sibakhohlwe ukuthi ubisi umama onegciwane ubuye isb. E imvelo lapho kukhona lwegciwane,. Ingane futhi kungaba batheleleke nge isifo esithathelwana ngobulili. Lesi simo sahlanganisa yokuthi uma kukhona treponema okhanyayo egazini, umzimba ayikwazi ukuthuthukisa nokuvikeleka ukuze ugcunsula, okusho ukuthi noma ubani angaba ukubamba kwabo futhi emva kokwelashwa.

Nokho, kufanele kuphawulwe ukuthi abantu abaningi abayizisulu sifo ngenhla, zavezwa amasosha ugcunsula: isiqephu zamabanga aphansi naphezulu - 88% no-76% ezigulini, ngokulandelana. Zonke ezinye ukuphepha "amaseli zeziguli nhlobo. Ikakhulu, i-omzimba lgM neze labo ababephathwe ngoba ugcunsula ngaphambili. Nokho, kuyiphutha ukucabanga ukuthi ukuntuleka amaseli "ukuzivikela" - uphawu ukwelashwa "nekvallifitsirovannogo". Qaphela ukuthi% 20 kuphela amacala kungenzeka ukuhlonza amasosha Treponema esiteji esicashile lesi sifo.

esigabeni

Yiqiniso, ibe usongo olukhulu sezempilo treponema okhanyayo. Izimpawu ukutheleleka zingahluka. Ake sihlole kabanzi.

Isigaba sokuqala

Esigabeni sokuqala izifo kubantu ivela chancre isakhiwo niqinile umlomo, ingemuva, noma ipipi.

Futhi, isiguli ukwanda esinqunyiwe emaphuzwini lymph wendawo. Ngemva kwamasonto 4-6 emva izimpawu zokuqala izilonda okuphulukisa.

Eyesibili esiteji

Esigabeni phakathi isifo umuntu unalo syphilitic ukuqubuka emzimbeni izinhlangothi zazo ziyalingana. Isiguli uhlushwa ikhanda, izinga eliphansi lokushisa komzimba wakhe liyaphuma, azizwa ezizwa engaphilile. Ngaphezu kwalokho, wonke-lymph bayanda, kwezinye izimo kukhona nezinwele, futhi warts olunzulu yakha ezithweni zangasese.

Kakade isinyathelo sokuqala udinga ukuthatha izinyathelo ekwelapheni isifo esiyingozi kanjalo, efana ugcunsula. Treponema pallidum, uma ayitholiwe ngesikhathi, kungabangela ukulimala wezempilo nepapravimy. Ngokuvamile, lokhu kwenzeka ngo-esigabeni sesithathu lesi sifo.

Isigaba sesithathu

amafomu Advanced ugcunsula libhekene okulandelayo: umuntu kuthinta isimiso sezinzwa, ubuchopho nomgogodla, kanye izitho zangaphakathi.

zokwelapha

Yiqiniso, lapho besanda kuqala akusiyo njalo kungenzeka ukuba aqaphele ukuthi umzimba womuntu eseke treponema okhanyayo.

Ukwelashwa kuleli cala kuyehla kube zero. Kungaba iphutha ukusho ukuthi namuhla akunakwenzeka ukwelapha amafomu eyinkimbinkimbi yama ugcunsula.

Kumele kukhunjulwe ukuthi ngokushesha igciwane itholwa, isikhathi esingaphansi kuzothatha ukubuyisela impilo. Ukwelashwa lesi sifo kusaqalwa kuthatha isilinganiso izinyanga 2-3, uma sikhuluma sesimeni sokunganakwa, umthwalo wokuvuselelwa ngokwendalo umzimba kungase kuthathe iminyaka engu-1.5-2.

imithi elwa namagciwane

Okokuqala futhi ngempumelelo ngesikhathi ebulala amagciwane kubangela ugcunsula - kuyinto antibiotic. Futhi sokusebenzisa izidakamizwa i-penicillin. Ngokwemvelo, imithi ethile kufanele leluleke udokotela ngoba imithi elwa namagciwane kuhluke degree of action elwa namagciwane kanye nesikhathi ukusebenza wayenethonya. Kwezinye izimo, ukuqokwa izidakamizwa penitsilinnovyh is contraindicated ngenxa yesihluku ngabanye. Khona-ke udokotela uncoma imithi elwa namagciwane okunye amakilasi kwemithi: azithromycin, fluoroquinolone, i-streptomycin, macrolides, tetracyclines.

Ngaphezu kwalokho, lesi siguli ukuba linqume izidakamizwa ukuthi isinyathelo ukuze uqinise isimiso somzimba sokuzivikela ezifweni.

Iqiniso ukuthi treponema okhanyayo unekhono eliyingqayizivele ukuba simelane amasosha omzimba titers Nokho eliphezulu amasosha amabhaktheriya ungavumeli wakhe ukubonisa umsebenzi ngokweqile.

Kufanele kugcizelelwe ukuthi ngesikhathi sokwelashwa kuyadingeka ukuze ihambisane izincomo inhlanzeko, ikakhulukazi, kufanele uyeke ukusondelana. Kungenjalo, ingozi oshade naye, okumane emva kwesikhashana kungathelela abantu futhi.

Ukuze lithole ukuthi kwakunokwenzeka ukwelapha ugcunsula - akuwona neze umsebenzi olula. Inkinga wukuthi izimpawu zangaphandle lesi sifo kungaba "shabalala" e ikhambi ngokwengxenye lesi sifo. On ukusebenza zokwelapha kungaba liyokwahlulelwa imiphumela ukuhlolwa serological, okuyinto, kufanele kuphawulwe, kungase kudingeke kokubili uhlamvu zamanga-negative neyamanga-HIV.

Khumbula ukuthi ugcunsula - iyisifo kwezenhlalo, ngakho nokwelashwa kwayo kumele wasondela sina nangokuhlakanipha.