Yintoni igcushuwa kunye neempawu eziphambili

Umxholo

• Iimpawu eziphambili zegcushuwa
• 1. Igcushuwa yaseprayimari
• 2. Igcushuwa yesibini
• 3. Igcushuwa ephezulu
• Iimpawu zokuzalwa nge-syphilis
• Ngaba igcushuwa inokunyangwa?
• Ungayichonga njani igcushuwa

I-Syphilis sisifo esibangelwa yintsholongwaneI-Treponema pallidumethi, kwiimeko ezininzi, idluliselwe ngesondo esingakhuselekanga. Iimpawu zokuqala zizilonda ezingenantlungu kwilungu lobudoda, endunu okanye kwilungu lobufazi, elithi, ukuba lishiywe linganyangwa, linyamalale ngokuzenzekelayo lize libuye emva kweeveki, iinyanga okanye iminyaka kwiifom zabo zamabanga aphakamileyo okanye zemfundo enomsila, nezibi kakhulu.

I-Syphilis iyanyangeka kwaye unyango lwayo lwenziwa ngenaliti ye-penicillin, ekhokelwa ngugqirha ngokwenqanaba lesifo akuso umguli. Jonga indlela yokunyanga nokunyanga esi sifo.

Iimpawu eziphambili zegcushuwa

Uphawu lokuqala lwegcushuwa sisilonda esingophi kwaye asonzakalisi, esivela emva kokudibana ngqo nenxeba lomnye umntu. Nangona kunjalo, iimpawu zihlala ziqhubeka, zahluka ngokwamanqanaba osulelo:

1. Igcushuwa yaseprayimari

Igcushuwa yaseprayimari sisigaba sokuqala sesi sifo, esivela malunga neeveki ezi-3 emva kokudibana neebhaktiriya ezijongene nesi sifo I-Treponema pallidum. Eli nqanaba liphawulwa kukuvela komhlaza onzima, ohambelana nenxeba elincinci okanye iqhuma elingonzakalisiyo okanye elibangela ukungonwabi, kwaye eliphela emva kweeveki ezi-4 ukuya kwezi-5, ngaphandle kokushiya amanxeba.

Emadodeni, la manxeba ahlala ejikeleze ijwabi, ngelixa kwabasetyhini avela kwi-labia minora nakudonga lobufazi. Kuqhelekile ukuba eli nxeba livele ezimpundu, emlonyeni, elulwimini, emabeleni naseminweni. Ngeli xesha, inokubonakala ngathi iyavela kwi-groin okanye kufutshane nommandla ochaphazelekayo. Fumana ngakumbi malunga nezona zinto zibangela izilonda kwilungu lobudoda.

2. Igcushuwa yesibini

Emva kokunyamalala kwezilonda zomhlaza onzima, elixesha lokungasebenzi kunokuhlala ukusuka kwiiveki ezintandathu ukuya kwezisibhozo, esi sifo sinokubuyela emisebenzini ukuba asichongwanga kwaye asinyangwa. Ngeli xesha, ulungelelwaniso luya kubakho kulusu nakwizitho zangaphakathi, kuba ibhaktiriya yakwazi ukuphindaphindeka yasasazeka kwamanye amalungu omzimba ngokuhamba kwegazi.

Izilonda ezintsha zibonakaliswa njengamabala apinki okanye amaqhuma amdaka amdaka avela kulusu, emlonyeni, empumlweni, ezintendeni zezandla nasezinyaweni zeenyawo, kwaye ngamanye amaxesha kunokubakho ukuxobuka okukhulu ulusu. Ezinye iimpawu ezinokuvela zezi:

• Amabala abomvu kulusu, umlomo, impumlo, iintende kunye neenyawo;
• Ukuxobuka kolusu;
• I-Lingua kuwo wonke umzimba, kodwa ikakhulu kwingingqi yesini;
• Intloko ebuhlungu;
• Ubuhlungu bemisipha;
• Umqala obuhkungu;
• Malaise;
• Umkhuhlane ophantsi, uhlala ungaphantsi kwama-38ºC;
• Ukungabikho komdla;
• Ukuhla ukusinda.

Eli nqanaba liyaqhubeka kwisithuba seminyaka emibini yokuqala yesi sifo, kwaye livela ngokohlobo loqhambuko oluye luyekelele ngokukhawuleza, kodwa oluya luhlala luhlala luhleli.

3. Igcushuwa ephezulu

Igcushuwa ephezulu ibonakala kubantu abangakhange bakwazi ukulwa ngesiquphe esi sifo kwinqanaba laso lesibini okanye abangakhange banyangwe ngokwaneleyo. Kule nqanaba, i-syphilis ibonakaliswe ngu:

• Izilonda ezikhulu kulusu, emlonyeni nasempumlweni;
• Iingxaki ngamalungu angaphakathi: intliziyo, imithambo-luvo, amathambo, izihlunu, isibindi kunye nemithambo yegazi;
• Intloko rhoqo;
• Isicaphucaphu rhoqo kunye nokugabha;
• Ukuqina kweentamo, ubunzima bokuhambisa intloko;
• Ukuxhuzula;
• Ukuva ilahleko;
• I-Vertigo, ukulala nokungazinzi;
• Ingqondo ebaxekileyo kunye nabafundi abaxubileyo;
• Ukulahlekiswa, ukubona izinto ezingekhoyo, ukunciphisa imemori yamva nje, ukukwazi ukuqhelanisa, nokwenza izibalo ezilula zeemathematika kunye nokuthetha xa kukho ipheresis ngokubanzi.

Ezi mpawu zihlala zibonakala kwiminyaka eli-10 ukuya kwengama-30 emva kosulelo lokuqala, naxa umntu enganyangwa. Ngoko ke, ukuthintela iingxaki kwamanye amalungu omzimba, unyango kufuneka lwenziwe kwakamsinya emva kokuvela kweempawu zokuqala zegcushuwa.

Ukuqonda ngcono amanqanaba egcushuwa kule vidiyo ilandelayo:

Iimpawu zokuzalwa nge-syphilis

I-syphilis ye-Congenital yenzeka xa umntwana efumana i-syphilis ngexesha lokukhulelwa okanye ngexesha lokubeleka, kwaye ihlala ibangelwa ngumfazi one-syphilis ongafumani nyango lululo sesi sifo. I-Syphilis ngexesha lokukhulelwa kunokubangela ukukhulelwa kwesisu, ukukhubazeka okanye ukufa komntwana ekuzalweni. Kwiintsana eziphilayo, iimpawu zingavela kwiiveki zokuqala zobomi ukuya ngaphezulu kweminyaka emi-2 emva kokuzalwa, kwaye zibandakanya:

• Amachaphaza ajikeleziweyo abomvu obomvu okanye umbala wepinki kulusu, kubandakanya iintende zezandla kunye neenyawo;
• Ukucaphuka lula;
• Ukuphelelwa ngumdla wokutya kunye namandla okudlala;
• Ukukrala kwemiphunga;
• Ukunqongophala kwegazi
• Iingxaki zamathambo namazinyo;
• Ukuphulukana nokuva;
• Ukukhubazeka kwengqondo.

Unyango lwe-syphilis yokuzalwa luqhele ukwenziwa kusetyenziswa inaliti ezimbini zepenicillin kangangeentsuku ezili-10 okanye inaliti ezimbini zepenicillin kangangeentsuku ezili-14, kuxhomekeke kubudala bomntwana.

Ngaba igcushuwa inokunyangwa?

I-Syphilis iyanyangeka kwaye inokunyangwa ngokulula ngenaliti ye-penicillin, kodwa unyango lwayo kufuneka luqaliswe ngokukhawuleza ukuthintela ukuvela kweengxaki ezinzulu kwamanye amalungu afana nengqondo, intliziyo namehlo, umzekelo.

Ungayichonga njani igcushuwa

Ukuqinisekisa ukuba yi-syphilis, ugqirha kufuneka ajonge kummandla osondeleyo womntu kwaye aphande ukuba ngaba wayenonxibelelwano olusondeleyo ngaphandle kwekhondom. Nokuba akukho buhlungu kumalungu okuzala okanye ezinye iinxalenye zekomityi, ugqirha unokuyalela uvavanyo olubizwa ngokuba yi-VDRL I-Treponema pallidum emzimbeni. Funda konke malunga novavanyo lwe-VDRL.

Olu vavanyo luhlala lwenziwa rhoqo kwikota yokukhulelwa kubo bonke abasetyhini abakhulelweyo kuba igcushuwa sisifo esibi esinokudluliselwa ngumama emntwaneni, kodwa sinyangeka lula ngamayeza okubulala iintsholongwane amiselwe ngugqirha.