Roseola Syphilitic: isithombe, izimpawu, incazelo, ezihlukahlukene, kwasendaweni, umehluko ukuxilongwa, ukwelashwa

Ugcunsula - esinye sezifo ezivamile futhi ngiphelile kwekhulu XX. Okwesikhathi esithile sifo kwaba imbangela yokufa kwabantu abaningi. ERussia, ukutheleleka wahlupheka yonke izifunda, kanye empini, kwaba yilelo nalelo butho yesihlanu kwakunguShamhuti elinegciwane. Lesi sifo classical Venereal ukuthi ikakhulu ezidluliselwa ngocansi noma prenatally. Kodwa catch kungenzeka futhi usebenzisa inhlanzeko izinto abazidingayo, ukulunywa, ukumpontshelwa igazi. Lesi sifo kungavuka ifomu esicashile amashumi eminyaka, kancane kancane yokuhamba komunye esigabeni kwesinye, ethusayo izimpawu zabo futhi yini uJesu ovusiwe.

I-ejenti causative

Chancre, ukuvuvukala kwemigudu ye-lymph, roseola syphilitic (syphilides ikhombe), papules, pustules kanye ISIZINDA - lezi yizinto ezimbalwa nje ukubonakaliswa sangaphandle ugcunsula zamabanga aphansi naphezulu. Kodwa imbangela of Izilonda, izibilini izinhlelo bangempela spirochete - ukuphaphatheka treponema (Treponema pallidum). Lesi silwanyana ivulelwe kuphela ngo-1905. It has an umzimba shape side futhi fibrils, ngaleyo ndlela ikwazi motion Kuvunguza. Okungukuthi, abangabantwana lwegciwane Ungahambisa ngokukhululekile ngaphakathi umzimba aphethe, engena phakathi ukuxhumana intercellular futhi ezithinta izitho zangaphakathi, imithambo yegazi kanye izicubu womuntu.

ugcunsula yesibili

Lesi sifo has izigaba ezintathu isimo. ugcunsula Primary libhekene isingeniso kancane kancane lwegciwane emzimbeni. chancre kwakhiwa Endaweni isingeniso treponema - isilonda ezibuhlungu. Ekupheleni amasonto 6-10 emva kokutheleleka kwenzeka ukwehluleka omzimba letindzala. Vuma kwezitho zangaphakathi (kuhlanganise bone, abakaze, uhlelo lymph, yokuzwa nokubona). Kwakuphakathi nalesi sikhathi, umzimba livela ukuqubuka nenyanyekayo, ukushintshashintsha okuyinto roseola syphilitic. iziguli Photo abanesikhumba embozwe ukuqubuka, bheka amukeleke. Ukuqubuka kwenzeka ngoba ingxenye igciwane libhujiswa ekuhlaseleni amasosha omzimba amaseli bese kuqokomisa endotoxin - ushevu yingozi ukuthi ine impahla angioparaliticheskim. Lokhu uphawu ugcunsula ezitholakala 80% amacala ngesikhathi yesibili.

Umzimba ngokuvamile kungenzeka kancane ukunciphisa lwegciwane, lapho isifo siba esicashile (kufihlwe) esiteji. Ukuqubuka ubalekela okwesikhashana, ngokushesha avele futhi. Lokuzaliswa microorganism is izibambe, kodwa buthakathaka isimiso sokuzivikela komzimba kuholela kokushelela. Lokho kungenxa yokuthi siqu isimiso somzimba sokuzivikela ezifweni akakwazi unqobe ngokuphelele lesi sifo. Ngaphezu kwalokho, izinga lokushisa komzimba womuntu kuhle ukhululekile for the ukuphila we bacterium. Isikhathi sesibili ingahlala ezineminyaka engu-2 kuya ku-4, eligeleza amagagasi futhi lizuza zonke izimpawu ezintsha zokwelapha.

Yini izifo zesikhumba kungenziwa udidekile?

roseola Syphilitic kuyafana nezinye pathologies kwesikhumba, izimpawu ukuqubuka pink:

• dermatitis Toxic ngenxa yokuphatheka kumakhemikhali imithi, ukudla, yasendlini. iguliswa amabala umehluko wukuthi ithambekele uhlangane, ukulunywa, uhlangane nomunye.
• zoster Pink ububonisa njengoba izindawo lesinesitfombe-sibuko isiyingi. Lokhu ayinangozi viral Izilonda ludlulele ngaphandle kokwelashwa. Ngakho kuhlale kunethuba uqwembe umzali (ubukhulu 1 cm) okuyinto ibanjiwe kuqala futhi usayizi omkhudlwana. Tincenye letisele avele kancane kancane, isimo sabo futhi Ubukhulu zingahluka futhi ihluke nomunye.
• marbling kwesikhumba kungenzeka ekuphenduleni hypothermia kubantu engumqemane. Through the isikhumba osuke usuvulekile capillary nje angenisa ukukhanya, wasinikeza tinge marbled. roseola Syphilitic ngemva eyingqabavu ukuzihlikihla amashidi iba ngisho licace kanye sibalo zemabula, kunalokho, iphele.
• izindawo zawo zibe maholoholo (enombala) nazo wayencisha pink umbala, kodwa ngezinye izikhathi kuba umthunzi ikhofi ubisi. Basuke esisogwini ngemuva, esifubeni, futhi ngokuvamile engxenyeni yomzimba. Kwavela emilonyeni izinwele follicle kakhulu shelled ngokungafani ugcunsula ukubonakaliswa.
• Ukuba khona izintwala pubic abonisa iminonjana ploschits ukulunywa. Maphakathi a izindawo grey-purple ungahlala uqaphela ichashaza elincane. Izitekhi musa zinyamalale lapho baqhubekela.
• Lapho rubella ukuqubuka kutholakala hhayi kuphela emzimbeni kodwa ebusweni. It olubaluleke phezu nemigubuzelo kancane, kuthinta pharynx futhi iphele ngosuku lwesithathu. lokushisa umzimba liphume, kukhona conjunctivitis, ukuvuvukala zamanzi.
• Isimungumungwane nayo elinesimo ukwanda kokutheleleka kudlange kakhulu lokushisa, edema ijwabu leso, ukuvuvukala ulwelwesi we yomoya engenhla, nobunzima ukuphefumula conjunctivitis. Ukuqubuka ezinkulu, uthambekela nkinga ku nolwelwesi lwamafinyila emlonyeni nezinsini amachashazi sigqamile emhlophe.
• Typhus futhi typhoid fever kwenzeka nge ukudakwa ezinzima jikelele umzimba, imfiva kanye ubuthakathaka. Uma amafutha ndawo, kuzwakala nge isixazululo utshwala iodine, ziba umthunzi mnyama.

roseola Syphilitic: ukuxilongwa umehluko

Roseola, kubangelwa ugcunsula, kubalulekile ukuhlukanisa (ukuhlukanisa) kwezinye izinhlobo ukuqubuka zinamabala, efanayo ngokubukeka kwabo. Kanye kusuka ukulunywa yizinambuzane, komzimba, izifo ezithathelwanayo (herpes, isipatsholo). Izizathu ukuvela ezinye izintaba-mlilo ziqhume zihluke kakhulu, njengoba izici ukubonisa, ukubukeka, izimpawu ezivamile futhi izinqubo zokwelapha.

Ngosizo izindlela laboratory kungaba azimisele ukuthi ukuqubuka - lokhu roseola syphilitic. Diff. Imiphumela yaloku kuhlola okungenhla kusekelwe serological igazi uzingela antigen kanye namasosha omzimba pathogen. Rif ihlinzeka ephelele yi ukuhlaziywa. Ukuze wenze lokhu, ukuthatha umthamo wegazi lesiguli isifundo ukungezwa igazi unogwaja ingcoliswe agent causative lesi sifo, futhi serum ekhethekile. Uma kubhekwa ngendlela isibonakhulu fluorescence ebukhoneni i treponema umzimba kuqinisekisa ukukhanya - fluorescence. Ukungabikho ukutheleleka livela kukhanya eliluhlaza ngokuphuzi.

Kuvele Eqinisweni ezithakazelisayo wukuthi uma isiguli ngemithambo yegazi faka kusuka 3 kuya 5 ml nicotinic acid (0.5% isixazululo), izindawo babe luhlaza ngokucace nakakhulu. Futhi kubaluleke kakhulu ukuze kuhlonzwe kuba phambi nezinye izimpawu of ugcunsula yesibili. Futhi ukwakheka chancre ka ugcunsula oyinhloko isinyathelo.

Ezinye izimpawu

pink angcolile noma obomvu round ukuma livela syphilitic roseola. Izimpawu of ugcunsula yesibili futhi zihlanganisa:

• Alopecia microfocal noma ehlasela umzimba (ezivamile 20% eziguli luqhubeke ekuqaleni ukwelashwa);
• "Umgexo Venus" entanyeni, akuvamile emahlombe, imilenze bese wehlise emuva;
• syphilide papular;
• syphilide pustular;
• umonakalo yezwi kanye hoarseness.

izimpawu ukuqubuka

roseola Syphilitic, isithombe okuyinto ayinala ku-intanethi, libhekene ezicini ezithile:

• izindawo ngabanye osayizi kufike ku 1 cm;
• ukuqubuka kukhona wabuka ezingacacile;
• amabala ukuvundulula bushelelezi, azilingani;
• Wabuka oyindilinga kanye azilingani;
• hhayi tho kwezinye izakhi ngamunye;
• amabala musa aphume ashone ngaphezu isikhumba;
• ayibi azungeze;
• ne ingcindezi, ukuze siphungule okuncane umbala, kodwa hhayi isikhathi eside;
• ubuhlungu, uyaxebuka kanye ukulunywa.

Long roseola hhayi odlulayo angakuthola abe luhlaza ophuzi onsundu. Ngokwabo nesimungumungwane akuzona eziyingozi futhi awayona ingozi. Nokho, ziyisici isignali omzimba ukuthi lalidinga usizo oluphuthumayo.

roseola Syphilitic: kwasendaweni ukuqubuka

izindawo Izintandokazi amabala indawo kubhekwa emkhawulweni futhi ohlangothini evele of umzimba (esifubeni esiswini). Mhlawumbe phezu egoba esitho, eshaya engxenyeni engenhla imilenze. Roseola kuyaqabukela zenzeka izinyawo, izandla kanye nobuso. ukuqubuka yokuhlala isiphithiphithi futhi sihluphe mningi. Yena livela kancane kancane, ukufinyelela ukuthuthukiswa lokugcina izinsuku 8-10. Syphilitic roseola zinhlobo kusekelwe ukubukeka izindawo.

Izinhlobo roseola syphilitic

Lezi zinhlobo ezilandelayo roseola:

• fresh (ukubukeka lokuqala), ukuqubuka luningi kakhulu umbala;
• urticaria noma oedematous (sifana urticaria);
• annular roseola syphilitic libhekene nezimagqabhagqabha ngesimo izindandatho noma amasongo nengxenye, lwesikhathi kanye nemiklamo;
• nge yansukuzonke noma sokukhipha usayizi roseola izindawo, ngokuvamile elikhulu kakhulu, futhi imidwebo - bukhulu, kodwa isibalo lincane.

Kakhulu akuvamile, iziguli ziba uyaxebuka roseola embozwe plate esikhulu esikalini, kanye efana amashashaza, ezinde phezu kwesikhumba.

nolwelwesi lwamafinyila ngokuvamile eba erythematous angina syphilitic. On the erythema abakhwabanisi emphinjeni avele amnyama obomvu, ngezinye izikhathi nge Tint bluish. uhlaka zabo ngqo Umncele nge mucosa nemigubuzelo enempilo. Isiguli engazizwa ubuhlungu, akusiyo enomkhuhlane, + futhi isimo jikelele cishe ngobugebengu.

ukwelashwa

Uma usola bemvelo syphilitic yephulukundlu kubalulekile ukuze ujike kudokotela ngokushesha ngangokunokwenzeka. Ukuxilonga ukwenza wesikhumba noma Izifo Venereal.

Ukuqubuka ubalekela angesabi ngemva kwezinsuku ezimbalwa (kwesinye isikhathi izinyanga), kancane kancane kokushintsha umbala. Ngemva kwalokho, noluncane ishiywa esikhumbeni. Ukwelapha kubalulekile awahlabi, nezimbangela zabo. Ngenhlanhla, ama-ejenti causative of ugcunsula kuyinto silwanyana ezingavamile engasasetshenziselwa uwukakabi a ukumelana nemithi. roseola Syphilitic, okuyinto ukwelashwa uma kwenziwa wumuntu penicillin akuzange kusize ezivamile (i-sodium usawoti), ivame ukuba babhebhethekise. Kakade emva esicutshini umjovo ukuqubuka wokuqala kuba luhlaza obomvu ezijulile. Isiguli lingavuswa lokushisa. Ngaphezu kwalokho, izindawo akhiwa labo izingxenye zomzimba, lapho ngaphambili babengakwazi. Esikhathini yokwelapha elihlangene, kanye eminyakeni eyishumi edlule, wasebenzisa ukumnika emthanjeni arsenic compounds ( "Novarsenol", "Miarsenol"). izixazululo nosawoti iodine namanye amanxusa asizayo nazo asetshenziswa. Ukwelashwa ngizodabula ngaphansi kwezimo umile, okuvumela ukuba sihlale njalo siqaphele impilo isiguli.

ukwelashwa Izici

Ukwelashwa kufanele kube izifundo, nese amakhefu futhi lude. ukwelashwa uhlelo kuyakhethwa ngamunye izici zokwelapha lesi sifo. Ukuqeda ukufiphala ukuqubuka esimisiwe mercury wamafutha, ugeze nge nosawoti, kanye olunzulu inhlanzeko ukunakekelwa kwesikhumba.

Isibikezelo ukutakula

iphathwa ngempumelelo ugcunsula kubantu enempilo futhi abasha enomzimba onamandla. Ngo izingane nasebekhulile ukuhlaziya yalokho omuhle njalo kunzima. isimo wesiguli zingase zibe zimbi uma unalo sina izilonda senhliziyo, isifo sikashukela, isifo sezinso, isibindi, yamathambo emlandweni. Ngaphezu kwalokho, isiguli kufanele ayeke ukuphuza utshwala futhi zinciphise ukubhema ngesikhatsi ukwelashwa.

imiphumela ukutheleleka

Kubalulekile ukuqonda ukuthi roseola syphilitic - ukuqubuka, okubonakala uma isifo isivele Ezimweni ezimbi kakhulu. Uma ngalesi sigaba kungaqali ukwelashwa, lokho kuyoholela nemiphumela ungalungiseki, ngaphandle kokulimala zobuchopho nomgogodla, isimiso sokujikeleza kwegazi futhi ezinye izitho zangaphakathi. Ugcunsula ngokushelela futhi ngaphandle komzamo ukushintshela Isinyathelo sesithathu, okuyinto ngokuphelele hhayi ukwelashwa amenable. Ngo ugcunsula ephakeme, okuyinto eyenzeka ngo-40% amacala, kungenzeka kuphela ukulondoloza ezibalulekile emzimbeni imisebenzi kanye nesimo njengoba sinjalo. Njengezinye izifo eziningi ezidluliselwa ngobulili, ugcunsula ngokuvamile kuyaphela ukukhubazeka noma ukufa.

zokuvimbela

Ugcunsula - isifo esiyingozi esilaphekayo kuphela zisaqala. Mayelana izilonda letindzala lapho ukwelashwa nsuku zonke kuba ingaphumeleli, libonisa ukuqubuka - roseola syphilitic. Incazelo ejwayelekile izinyathelo zokuvimbela zonke izinhlobo izifo, izifo ezithathelwana ngobulili. Okokuqala, kufanele sigweme ukungabi nasimilo, oxhumana nabo ngokobulili ezikhululekile. Isithiyo indlela zokuvimbela inzalo namanje ikakhulukazi indlela yokuphepha. Ukusebenzisa amakhondomu, abantu, hhayi nje ukuze bazivikele ukutheleleka, kodwa futhi ivikela ezifweni okungenzeka umuntu aya naye ocansini. Phela, hhayi wonke umuntu ku-100% ukuthi usesivumelwaneni engumqemane, kulokho ezinye izifo abe bayashintshana ekufukameleni isikhathi eside ngaphandle izimpawu.