Ugcunsula Ulimi: Izimpawu kanye Ukwelashwa

Ugcunsula ohamba emhlabeni amakhulu eminyaka, futhi kakade bawuqonda. Kuze kube manje, nezindlela ezintsha ukuxilongwa kanye nokwelashwa, kodwa namanje isibalo izisulu lukhula. Kuphela eRussia engxenyeni yokugcina yekhulu leminyaka, inombolo yabo kukhuphuke ngo izikhathi 7.

Ugcunsula olimini emlonyeni livela kancane njalo kuka ezithweni zangasese, kodwa akukho esingaphansi yingozi. Isici esiyinhloko leli fomu liwukuthi mucosa emlonyeni ulimi kuba udidekile kalula nge izifo neze ingozi, yingakho iziguli eziningi musa ugijimele udokotela, futhi wahlanganyela kule yokuzithiba medicate kanye miss isikhathi. Kodwa ugcunsula ukuphulukiswa Izibikezelo lithembela ngokuphelele ukwelashwa esifike ngesikhathi.

Cabanga indlela ugcunsula kubonakala ulimi, indlela ukubamba kwabo, indlela kuyingozi abanye, futhi lapho nezindlela zalo zokwelapha.

Portrait lwegciwane

Ugcunsula kubangela bacterium ezincane - ". Treponema okhanyayo" anaerobic, egama layo linguJehova Pale ukuyibiza ngoba Romanovsky-Giemsa ukusabela kuba pink okhanyayo. umzimba wayo ezincane ine uhlobo Kuvunguza mncane semikhawulweni ezicijile kanye-th-12 noma 14-th, 8-th akuvamile curls. Lezi yizilwanyana eziwuhlupho kukhona mobile kakhulu, kodwa hhayi olukhuni kakhulu. Bayakwazi ukumelana imvelo ne-t = 55 ° C 15 kuphela imizuzu nangaphansi Reflux, isb at t = 100 ° C no ngenhla, bayabulawa ngokusheshayo. Kubaluleke kakhulu futhi kulula ngabo ukubhubhisa ikhambi magciwane, ngisho insipho evamile. Ngakho-ke, ukuze kungabi ukubamba ugcunsula ngolimi ngokusebenzisa kwansuku, thina nje kudingeka agcine inhlanzeko. Isici esiphawulekayo treponemes ukuthi ayachuma kuphela ezindaweni efudumele futhi olumanzi. Ngo yamakhaza, kanye bedle kunemithi noma amaphilisi owaphuzayo, bakwazi ukwakha izinhlumba nokulinda in amaphiko iminyaka. Esikhathini ukushisa, ikakhulukazi ngaphandle imikhemezelo, zife njengoba omiswe substrate olumanzi. Treponema wande ukwahlukana elula, futhi, ngempela kancane. Ngokuvamile, inqubo ukuzalwa amagciwane amasha kuthatha amahora 32. Lesi sici kuthinta kuphele isikhathi bayashintshana ekufukameleni.

Izindlela ukutheleleka

Aphanjaniswe ocabanga ukuthi ulimi ugcunsula kungenziwa wacosha ngesikhathi oral sex nomlingani alithembekile kuphela. Ngokwe-WHO izibalo, ngakho abangenwe yilesi sifo, cishe isigamu iziguli. Insali itheleleke nge Treponema pallidum emlonyeni ngezinye izindlela:

• eqabula ugcunsula (esibuhlungu, ukujula);
• ukumpontshelwa igazi unscreened;
• Seen wamazinyo ngokungafanele ukusebenza amathuluzi anamagciwane;
• enza imijovo kubantu abaningi nomunye isipetu (ikakhulukazi ngokuphathelene yezidakamizwa);
• ukusetshenziswa isixubho, spoon, inkomishi, ngemva isiguli ugcunsula;
• ukudluliswa treponem kusuka kumama kuya fetus (ugcunsula azalwa naso);
• izinsana elinegciwane ngesikhathi ibele;
• ukutheleleka kubasebenzi bezempilo.

indlela ukutheleleka

ulimi ukubonakaliswa ugcunsula kungenzeka, uma Treponema pallidum wakwazi ukungena nolwelwesi lwamafinyila we ngalo ingaphakathi ngomlomo. Oral ukudluliswa ocansini indlela ilula. Treponema njalo bakamalalahlengezela ekhona isidoda isiguli, ngisho noma zibukeke umthondo akudingeki izimpawu ezikhungathekisayo zalesi sifo.

Uma emlonyeni yisisulu entsha, ama-bacterium zama zingene kwezicubu mucosal. evumayo Ikakhulukazi ukuba amagciwane, uma izilonda. Kulokhu, lesi sifo senzeka nge 100% okungenzeka. Esikhathini ngamathe yesiguli nge ugcunsula treponema Kutholwe kuphela uma umlomo wakhe has ukuqubuka isici. Ithola iphesenti kungenzeka ukutheleleka ngokwanga.

Busuka isikhala extracellular kwezicubu ukuze bacterium obusiza ukuma Kuvunguza ezithile zemizimba yabo, ngakho ukuthi "screwed" njengengonyama sokuval ibhodlela, futhi once ngaphakathi, baqala ukwanda. Amasosha omzimba eliqondisa isisulu umhlaseli amasosha omzimba, ama-macrophage, ama-lymphocyte. Uma uhlelo umuntu sokuzivikela sinamandla kakhulu, kanti ukuxhumana siguli wesikhathi esisodwa futhi ngesikhathi esifushane, mhlawumbe zokubopha isifo. Kodwa iningi ejenti wamasosha omzimba akakwazi ukubhekana ibutho ukungena emzimbeni ezidala abahlanganise ukuvikela umzimba capsule embozwe slime. Treponema ukwandiswa ekuqaleni ngokugcwalisa lymph igebe, izindlala zamanzi kusukela% 0.1 kuphela umoya-mpilo. Ngemva kwalokho, lingene egazini futhi baqala ukuhamba ngomzimba, ezithinta nezinye izitho.

ngezigaba

Ngo umkhuba ezweni, sisebenzisa ngezigaba elandelayo ugcunsula:

• eyinhloko
• yesibili (ekuseni khulu, ngemuva kwesikhathi);
• azalwa naso.

Ngayinye yalezi amafomu kuyagcinwa izimpawu zazo ugcunsula ulimi.

Ngokuvamile wasebenzisa ngezigaba elula:

• ugcunsula ekuseni (kutholakala ukuthi uphethwe yini kalula, iyathelelwana ngaphezulu, izimpawu zingase zinyamalale, kusale noluncane);
• ugcunsula Late (evame ukubuzwa yibo bonke izidumbu, nakuba ungase uqale emlonyeni).

Kwezokwelapha, zikhona eziningana ngezigaba ezahlukene ugcunsula:

• oyinhloko (seropositive futhi seronegative);
• yesibili (fresh, kufihlwe, yansukuzonke);
• Zemfundo Ephakeme (evulekile, kufihlwe);
• azalwa naso (ekuseni khulu, ngemuva kwesikhathi);
• visceral.

Inqubo sifo yahlukaniswa ngezigaba ezine:

• bayashintshana ekufukameleni;
• eyinhloko
• yesibili;
• Zemfundo ephakeme.

Ake sihlole kubo ngokuningiliziwe.

bayashintshana ekufukameleni inkathi

Izimpawu ugcunsula ngolimi ekuqaleni lesi sifo bengekho. Lesi sigaba esicashile, okuyinto Uthatha okwamanje e mucosal Ukungena bacterium ngaphambi uphawu lokuqala ezibukwayo.

Ngalesi sikhathi, Treponema ukunyusa isibalo sabo futhi kancane kancane lasakazekela ukugeleza lymph ngomzimba. Amasosha omzimba esakwazi uwagcine asebenzayo ekulweni, ukunciphisa kakhulu isibalo sabo. Le ndoda has okwamanje unomuzwa wokuthi izinkontileka, nakuba abanye kuba yingozi. Qhubeka isikhathi bayashintshana ekufukameleni kungenzeka izinsuku ezingu-15 kuya ku-60. Igama elithi isilinganiso izinsuku 20-21 of babhekwa ayibonwa. izimpawu Ngokushesha avele abantu buthaka ezinye izifo (TB, ingculaza, ukuluthwa utshwala). izimpawu Ibambezelekile kungenzeka uma isiguli sifuna enkathini ugcunsula is ukuphuza imithi elwa namagciwane ngokuphatha angina, isipatsholo nezinye izifo ezihlobene.

isikhathi eyinhloko

Yena iqala ukubonakala chancre, futhi iphela ukunyamalala kwakhe futhi ukubukeka ukuqubuka. Igama elithi "chancre" ukuhumusha kusuka Old French kusho "obukhulu." Lokhu kumiswa ngokuvamile kobuhlungu, obukhulu, livela endaweni ye Isingeniso treponemes kwezicubu. On kobuso chancre kungenzeka ngokufanele yini ekuletheni ubuhlungu ukuguguleka kwenhlabathi. Ngokufanayo, sikhonjiswa esikhathini eyinhloko ugcunsula ngolimi. Photo sikhombisa chancre phezu ulimi. Uya ngokusebenzisa izigaba eziningana ukuthuthukiswa, eziqala endaweni elincane elibomvu. Zingakapheli izinsuku ezimbili noma ezintathu maphakathi nalo kukhona uphawu, okuyinto kancane kancane kwandisa ububanzi. Okhunye okukhambisana nalokhu, e maphakathi chancre Indwangu nekrotiruetsya futhi uthola elibomvu (inyama) umbala.

Uma kusuka endaweni ukuthatha nokukhuhla, uzoboniswa izinkulungwane treponemes. Ngezinye izikhathi, ulcer maphakathi chancre ihlanganisa enamathela olumhlophe. Ngezinye indawo yayo endaweni kolimi folds kwezinye Abantu baligcina crevice ukuguguleka kwenhlabathi. Lapho isebangeni ngemuva ulimi, ngokuvamile silandela imithetho out ngaphezu kwamanzi.

Esinye isici esibaluleke iyona lymphadenitis lesifunda (lakhulisiwe zamanzi). Uma ugcunsula ludabuka ezindaweni umlomo, izindlala zamanzi ngaphansi emhlathini futhi kukhulisa esilevwini, futhi ngezinye izikhathi entanyeni.

Izici kwesikhathi eyinhloko

Izilonda olimini e ugcunsula, uma hhayi yimuphi omunye izimpawu ukutheleleka (umkhuhlane, imfiva, ikhanda, njll), iziguli eziningi ukuthatha noma yini (isib, stomatitis), kodwa hhayi izifo ezithathelwana ngobulili. Lokhu kusebenza ikakhulukazi kubantu, hhayi ukuba bahlanganyele ubulili engabazekayo abangenwe yasendlini. Ngakho baqala ukwelapha izilonda zabo rinses, sear kubo iodine. Treponem izindlela ezinjalo ungambulali, kodwa umuntu chancre olimini noma ezinye izingxenye umlomo (ku izinsini, izindebe) iba esithathelanayo kakhulu ngenxa amabhaktheriya izilonda njalo ungene ngamathe. Nokho, uma ukhwehlela noma sneezing ugcunsula ayihambi kuphela ngokusebenzisa Kissing, usikilidi izitsha.

Ukuhlaziywa RW (Wassermann ukuphendula) e esigabeni sokuqala kungenzeka ube mubi (seronegative umumo) kanye pluses ezine abukhali omuhle (ifomu seropositive).

isikhathi sesibili

Uphawula ukunyamalala chancre, ukuthi abantu abaningi azibonayo njengoba "sokuthola stomatitis." Esikhathini ugcunsula classical kulesigaba, ukuqubuka phezu zezandla, izinyawo, umzimba wonke. Ngaphezu kwalokho, kuye kwaba ukulimala isimiso sezinzwa. Emhlabeni izimpawu ezifanayo elichaza nogcunsula ngolimi. Photo libonisa ukubukeka rozeolnye izindawo ezingavela kanye papules (zingcwecwe). Uma avele kusayithi lapho papillae kuvetwa kahle, ukuthi aphume ashone ngaphezu kwezicubu ezizungezile ngesimo foci lemicu empunga elinamathela othini nge ecacile noma okuphambene nalokho, imiphetho jagged. Kodwa ngokuvamile endaweni kokunqotshwa kwe papillae bengekho, ke papule iba shiny, Pinkish-bluish, elise ngezansi izigaba eduze. ngaleyo ndlela ulimi uqala liyafana olwehlelayo umshiya izingcezu ehlukene.

Ezinye iziguli ekuqaleni kwenkathi yesibili kukhona ubuthakathaka, ikhanda elibuhlungu, imfiva, okuyinto waqonda njengoba umkhuhlane okuncane. Lokhu "ukuxilongwa" iziguli azilungiselele unethemba ikakhulukazi, uma isicelo izindawo confluent ebomvu amalaka nomphimbo, sifana angina eziwubala. Umehluko omkhulu itholakala lokuthi ukuthi ugcunsula kungekho ubuhlungu lapho uvuleka.

Isikhathi sesibili iqala cishe 9-10 amasonto emva kokutheleleka futhi 6 7 - emva chancre lokuqala, futhi ihlala iminyaka emibili noma ngaphezulu. Kulesi sigaba, kukhona ukwehluleka letindzala yezitho zangaphakathi, nesimungumungwane futhi izindawo olimini e ugcunsula ke inganyamalala ngokuphelele, khona-ke sivele.

ephakeme

Embusweni yesifo ukunganakwa kwenzeka ukunqotshwa eziningi izitho zangaphakathi (bone, isibindi, inhliziyo, ubende). Amasosha omzimba sesibuthakathaka futhi isiguli kungenzeka kakhulu kuthinte Yiqiniso lesi sifo. Nokho, exacerbation kanye ukuthethelelwa at esiteji ephakeme usukela. Imbangela kubo ukulimala, ukucindezeleka, ukudla okungenawo umsoco, ezinye izifo, isibonelo, abandayo zokucathula.

Classically isikhathi ephakeme kuqala emva kweminyaka 4.5-5.0 emva kokutheleleka, kodwa kukhona izimo eziningi lapho kwaqala eminyakeni engama-10 noma ngaphezulu. Uphawu oyinhloko Akukhona ukubukeka isiqalo sakhe gummas - izicubu node, kakhulu deforming emizimbeni. Ulimi livela ugcunsula ephakeme pretty ovamile, ngakho-ke asikwazi sizididanise khona isifo esidluliselwa ngobulili nge umkhuhlane noma umphimbo obuhlungu.

Gunma ngolimi kungabangela nodular noma glossitis ehlasela umzimba. Lesi sakamuva kubhekwa izinkinga ezinzima iningi ugcunsula emlonyeni. Ulimi isiguli ngenxa ekubhebhetselisa kokuziphatha sikhula, iba nesisindo esikhudlwana, okuyinto ungakhululekile nge yokubiza imisindo. Ngemva kwalokho, on-site kokuziphatha avele isibanda izicubu, ulimi iba ayazika efihlekile ebusweni eshelelayo kuyinto engalingani, futhi ibonisa imifantu ubuhlungu kanye nezilonda, okungase zisenza sibe izimila ebulalayo. Naphezu kwalezi zimpawu ezingemnandi, isiguli ingozi okuphansi kwabanye, njengoba e Gunma treponem cishe lapho.

ukuhlola

Ugcunsula ngolimi udokotela onolwazi kungakwenza ukunquma nge ukubonakaliswa kwangaphandle, kodwa ngokuvamile isiguli ezinqunyiwe eziningi cwaningo. Okuvame kakhulu, kodwa futhi olungalungile kakhulu - ke RW. On esigabeni serological, uJehova angakunika yalokho ongathandeki isiguli esintu izimo omuhle onempilo ezifana:

• ukhulelwe;
• sofuba;
• umalaleveva,
• izifo igazi;
• ngemva kokubulawa izinzwa;
• esesikhathini.

PCR kuyinto ukuhlaziywa esinembile, kodwa linikeza impendulo efanele kuphela izigaba zamabanga aphansi naphezulu yentuthuko ugcunsula. Ngaphezu kwalokho, ukusabela okunjalo asetshenziselwa uzingela Treponema: RIBT, Rif, TPHA, RHS, RPR, Rnc.

Ayikho kulezi zindlela akuyona kunembile ngaleso 100%, ngakho-ke ukuthola umphumela lesifanele ngokuvamile kwenziwa cwaningo ezimbili. Ukuze isiguli sabo sokuziphatha ukulahlekelwa igazi umthambo esiswini esingenalutho. Uhlobo assays ngoba ugcunsula wesibili esusa kusukela chancre, amawala, papules futhi Izigaxana, kodwa rezultativen kuphela izigaba zamabanga aphansi naphezulu lesi sifo.

A yi omuhle eboniswa "++++" noma "+++". Lokhu kudinga olunye uvivinyo confirmatory.

Imiphumela okubuzekayo esikhethiweyo "++" noma "+". Kulokhu, uphethwe iyaphindwa emva kwezinsuku 10-12.

Ukwelashwa nokuvikelwa ugcunsula ngolimi

Njengoba pallidum kakhulu ebucayi ukuze mercury ngoba ugcunsula ngaphambi kokuthola imithi ukuhlukana kwezindlu kusekelwe kuyo. Nge kokutholakala penicillin, pallidum futhi ebucayi kakhulu, lo mkhuba into yesikhathi esidlule. Kwase kuphele amashumi eminyaka ekwelapheni ugcunsula usebenzisa i-penicillin izidakamizwa. Kuphela uma isiguli yokungezwani komzimba kubo, basuke sathathelwa indawo 'Erythromycin "," Cephalosporin "" tetracycline ". Ngezinye izikhathi ukusebenzisa aminoglikozity, nabo bakwazi zinqanda ukukhula treponemes, kodwa kufanele zithathwe ebulilini kakhulu, kungaphephile isiguli.

Ngaphezu ukwelapha abantu ukuthi nginesifo ugcunsula, lapho ethola ukuthi unesifo futhi, uma kunesidingo, imishanguzo kufanele zonke abake baba naye.

ukuba nombono ongafani ngeke

Izigaba aphansi nezamabanga aphakeme of ugcunsula ulimi nge ukwelashwa okufanelekile belashwa cishe 100%, kodwa kufanele kukhunjulwe ukuthi Treponema bakwazi ukuvikela ngokumelene isenzo izidakamizwa. Uma isimo eba kabi ngabo, bavimba esinokuduma umsebenzi, ifomu izinhlumba futhi baqala ukulinda. Uma iphathwa umuntu kwenzeka kwehlisa amasosha omzimba, baphinda bakha ukuma njalo Helical futhi baqala nokuzala. Ngakho-ke, emva kokuphothulwa yokwelapha njalo ezinyangeni 3, iziguli kudlule amasampula test. Luthatha iminyaka 2. Khona-ke omunye izivivinyo ngonyaka kuyakuba njalo ezinyangeni ezingu-6. Ngemva kwalokho luhlolo ephelele isiguli, futhi kwaba nemiphumela emihle it esuswa irejista.

Isigaba ephakeme ka ugcunsula manje futhi ziphathwe, kodwa waqala nzima ulimi ayisekho walulama. Futhi, musa zinyamalale stellate izibazi ezijulile ngakwesokunxele ngemva gummas.