Zizindikiro za syphilis zimagwirizana ndi siteji ya matenda. Gawo loyamba limaphatikizapo maonekedwe a ululu wopanda ululu pa ziwalo zoberekera, chiberekero, kapena pakamwa. Pambuyo pa zilondazo, chigawo chachiwiri chimawonekera mwachidwi. Pomalizira, patatha nthawi yaitali popanda zizindikiro, siteji yachitatu ikhoza kukula mwadzidzidzi, kuwononga ubongo, mitsempha, maso, kapena mtima.
Chifukwa chakuti zizindikiro za syphilis nthawi zambiri sizodziwika (kapena zimatsanzira zinthu zina monga psoriasis, zotupa magazi, ndi zilonda zachitsulo ), nthawi zina matendawa amalephera ndipo amasiyidwa osatulutsidwa. Ndi chifukwa chake syphilis nthawi zambiri imatchedwa "wotsanzira wamkulu."
Kodi syphilis ikuwoneka ndikumverera ngati kusintha komwe kumasintha, ndipo imatha kusiyana pakati pa mitundu yosiyanasiyana.
Chinthu Choyambirira
Chinyezi chachikulu chimayamba ndi maonekedwe a chancre paliponse patapita masiku atatu mpaka 90 mutangoyamba kufotokoza (masiku 21). Nthendayi idzayamba kufika pamtunda, makamaka pamimba, chiberekero, mbolo, anus, rectum, kapena pakamwa.
Pakhoza kukhala zilonda chimodzi kapena zambiri zomwe zikukhala kukula kuchokera pachisanu ndi chitatu cha inchi mpaka inchi kapena kuposa. Chifukwa chakuti zilondazo sizitha kupweteka, zimatha kuphonya mosavuta ngati zikuloledwa mkati. Kutupa kwa mitsempha yamatenda imatha kupezeka, kawirikawiri pafupi ndi malo a kachilomboka.
Popanda chithandizo , chancre imachiritsa kulikonse kuyambira masabata atatu mpaka asanu ndi limodzi.
Sipulisi Yachiwiri
Ngati simukutsatiridwa, kachilombo koyambitsa matenda kakuyamba kupita kuchipatala chachiwiri. Zizindikiro zimapezeka kawirikawiri mkati mwa masabata anayi mpaka khumi a maonekedwe a chancre. Pa nthawi imeneyi, munthu akhoza kumva kudwala ndikukumana ndi malungo, zilonda, kutopa, kutaya thupi, ndi kupweteka mutu. Kutupa kwa ma lymph node ( generalized lymphadenopathy ) kumakhalanso kofala.
Chimodzi mwa zizindikiro zowonjezera kachilombo ka syphilis ndi kufalikira, kusagwedezeka kwina pa thunthu, miyendo, ndi (mochititsa chidwi) mitengo ndi manja a mapazi . Ndikunenedwa kuti, maonekedwe a kutukuka amatha kusintha mosiyana kwambiri. Zilonda zikhoza kukhala zowonongeka kapena zouma, zowopsya kapena ming†™ oma , ndipo zimatha kuwonetsetsa ndi mabelusi odzaza. Kaya maonekedwewo ndi otani, zilondazo zimakhudza kwambiri ndipo zimatha kupatsira matendawa mosavuta.
Zizindikiro zina zowonjezereka zimaphatikizapo kutaya tsitsi kosadziwika (syphilitic alopecia) ndi zowonongeka pamakona a pakamwa (fissure cheilitis).
Sipphilisiti yachiwiri ikhoza kuwonetsetsanso njira zosazolowereka, zachilendo, komanso zosiyanasiyana zomwe zimakhudza chiwindi, impso, mafupa, ndi machitidwe oyambirira a mitsempha-chifukwa chake nthawi zambiri amatchulidwa kuti "wotsanzira wamkulu" kapena "mtsogoleri wamkulu".
Zizindikiro za kachilombo kachilombo kawiri kawiri zimatha kuthetsa popanda chithandizo mkati mwa masabata atatu kapena asanu ndi limodzi.
Chizindikiro cha Latent
Chilonda cha Latent ndi gawo lachitatu la matenda omwe amapezeka chifukwa cha kuchepa kwa zizindikiro koma kuyesera magazi. Ikuphatikizidwanso mu magawo awiri:
- Kachilombo ka early latent ndi nthawi yosachepera chaka kuchokera kumayesero omaliza a magazi. Zizindikiro za sekondi nthawi zina zimatha kubwerera kumayambiriro oyambirira.
- Kachirombo kameneka kameneka ndi nthawi yoposa chaka kuchokera kumayesero omaliza a magazi. Ikhoza kukhala kwa zaka zambiri ngakhale zaka zambiri popanda zizindikiro za matenda.
Ngakhale kuti matendawa angathe kuperekedwa kumayambiriro koyambirira, sizingatheke kutero pakapita masitepe a latency.
Kutalika kwa latency kumasinthasintha, ndipo asayansi sadziwa kwenikweni chifukwa chake. Chimodzi mwa zinthu zomwe zimadziwika kuti zipititse patsogolo ndi kachirombo ka HIV . Kumbali imodzi, matenda opatsirana a chancre amapereka HIV njira yophweka m'thupi. Pachifukwa china, kukhala ndi kachilombo ka HIV ndi kachilombo kumayambitsa chiopsezo cha mavuto am'mbuyomu ngakhale panthawi yoyamba ya matenda.
Syphilis yapamwamba
Sipphila yapamwamba ndi sitepe yaikulu kwambiri ya matenda ndipo imakhala ndi mavuto aakulu atatu:
- Gummatous syphilis amachititsa mapangidwe a zotupa zofewa monga zotupa. Zilonda zopanda khansa zingayambitse zilonda zazikulu pakhungu ndi pakamwa, ndipo zimatulutsa zipsinjo za mtima, chiwindi, minofu, mafupa, ndi ziwalo zina zofunika. Zizindikiro zimatha kuyamba chaka chotsatira chitatha kapena zaka 50 pambuyo pake.
- Kachilombo ka mtima kamayambitsa kutupa kwakukulu kwa aorta ndi chitukuko cha aortic aneurysm (kutupa ndi kufooka kwa khoma la aortic). Zizindikiro za syphilis za mtima zimawoneka zaka 10 mpaka 30 mutatha kuchipatala.
- Neurosyphilis imakhudza dongosolo lalikulu la mitsempha ndipo nthawi zambiri imakula mkati mwa zaka zinayi mpaka 25 za matenda. Ngakhale anthu ena atakhalabe opanda zizindikiro, ena akhoza kukhala ndi zizindikiro zoopsa za ubongo kuphatikizapo meningitis (kutupa kwa nembanemba kozungulira ubongo ndi msana) kapena mates dorsalis (matenda omwe amamva ululu wa mitsempha, kuwonongeka kwa magalimoto, kuwonongeka, kusamva, ndi kusadziletsa). Kugonjetsa, kusintha kwa umunthu, kusokoneza maganizo , matenda a maganizo , schizophrenia, ndi kupwetekedwa mtima kungathenso kuchitika.
Ngakhale kuti kachilombo ka syphilis kamathetsedwa pa sukulu yapamwamba, zowononga mtima, impso, ndi ziwalo zina zikhoza kukhala zamuyaya ndipo zimayambitsa chiwalo chosatha. Chithandizo chimatsimikiziridwa ndi mtundu komanso kukula kwa chiwonongekocho.
Chizindikiro sichikufalitsa panthawi yophunzira.
Zovuta mwa Ana Amanda
Chithokomiro cha congenital ndi vuto lalikulu limene amayi omwe ali ndi kachilombo omwe ali ndi syphilis amapita T. pallidum kwa mwana wake amene akukula.
Kachilombo kosavomerezeka pamene ali ndi mimba nthawi zina amatha kupititsa padera kapena kubereka. Mwa ana omwe abadwa ndi syphilis, ambiri mwa magawo awiri pa atatu alionse sadzakhala ndi zizindikiro pazaka zoyambirira za moyo. Ngati simukutsatiridwa, zizindikirozo zingakhalepo:
- Kukulitsa kwa chiwindi ndi zibulu
- Petechia (mawanga a khungu omwe amayamba chifukwa cha kupunduka)
- Kuwombera kwa mchere (kumadziwika ngati syphilitic "kukupweteka") ndi kutuluka kwapopu koopsa
- Neurosyphilis
- Kutupa kwa mapuloteni
- Jaundice (khungu la khungu ndi maso)
- Kugonjetsa
Pakafika zaka ziwiri, mwanayo akhoza kukhala ndi zofooka za nkhope kapena thupi komanso kuwonongeka kwakukulu, kuphatikizapo:
- Kumayambitsanso mano apamwamba (kumatchedwa mano a Hutchinson)
- Kugwa kwa mbali ya mphuno ya mphuno (mphuno ya nsalu)
- Nsagwada yowonongeka ndi nsagwada yapamwamba
- Tsitsi lozungulira la fupa (frontal bossing)
- Kutsegula mawondo
- Kuwerama kwa mafupa obisala (mapezi a sabata)
- Kutupa ndi kupweteka kwa cornea (m'mimba mwa keratitis)
- Glaucoma
- Kusamva
- Kuchedwa kuchedwa
Imfa yofanana mwa ana amenewa nthawi zambiri imayambitsidwa ndi kutaya kwa m'mapapo.
Nthawi Yomwe Muwone Dokotala
Chifukwa chakuti zizindikiro za syphilis zimasowa mosavuta kapena zosadziwika bwino, muyenera kuchitapo kanthu ngati mukuganiza kuti mukudwala. Ngati mulipo kapena munakhalapo pachiopsezo chogonana-kapena chifukwa cha kugonana kosatetezeka, kukhala ndi zibwenzi zambiri, kapena kukhala ndi kachilombo ka HIV-muyenera kuganizira kupeza kachilombo ka HIV ngati muli ndi zizindikiro kapena ayi.
Komanso, kuthetsa zizindikiro sikuyenera kuonedwa ngati chizindikiro kuti matenda atha. Ngati mukuyika kukayikira, yesetsani kuyesedwa. Mayesero ndi osavuta ndipo kawirikawiri amabwezera zotsatira m'masiku angapo azinthu.
Zotsatira:
> Basu, S. ndi Kumar, A. "Mafotokozedwe Osiyanasiyana a Chizindikiro Choyambirira Chakumayambiriro." J Kuchiza Mankhwala. 2013; 59 (3): 250-4. DOI: 10.1093 / tropej / fms076.
> Lee, K .; Nyo-Metzger, Q .; Wolff, T. et al. Matenda opatsirana pogonana: Malangizo ochokera ku bungwe la US Preventive Services Task Force. " Amer Fam Phys. 2016; 94 (11): 907-915.
> Workowski, B. ndi Bolan, G. "Matenda opatsirana pogonana Njira Zothandizira, 2015." MMWR . 2015 Aug 28; 64 (33): 924.