Inyangwa njani i-Syphilis (kwinqanaba ngalinye)
Umxholo
- Kufuneka wenze ntoni xa uxabisa iPenicillin?
- Unyango ngexesha lokukhulelwa
- Unyango lwe-syphilis yokuzalwa
- Ukunyamekela ngexesha lonyango
- Iimpawu zokuphucula igcushuwa
- Iimpawu zokuba negcushuwa
- Iingxaki kunokwenzeka negcushuwa
Unyango lwegcushuwa luqhele ukwenziwa ngenaliti ye-benzathine penicillin, ekwabizwa ngokuba yi-benzetacil, ekufuneka iboniswe ngugqirha, ngesiqhelo ugqirha wezifo zabasetyhini, ugqirha wokubelekisa okanye isifo sesifo. Ubude bonyango, kunye nenani lezitofu, zinokwahluka ngokwamanqanaba esi sifo kunye neempawu ezibonisiweyo.
Xa inxeba elingophisiyo nelingonzakalisi lisekhona, thatha nje idosi enye yepenicillin ukunyanga igcushuwa, kodwa xa kufikwa kwigcushuwa yesibini okanye ephezulu, kuye kufuneke ukuya kwiidosi ezi-3.
Inaliti zifakwa kwingingqi enobukhazikhazi kanye ngeveki, ngokweengcebiso zonyango, kodwa xa kufikwa kwi-syphilis okanye kwi-neurosyphilis, ukulaliswa esibhedlele kubalulekile, kuba sisifo esihamba phambili kwaye sinezinye iingxaki ezichaphazelekayo.
Ke, kwaye ngokwe-CDC kunye nenkqubo yeklinikhi ye-STIs yoMphathiswa Wezempilo, unyango lwe-syphilis kubantu abadala kufuneka lwenziwe ngokwesi sicwangciso:
| Isigaba sesifo | Unyango olucetyiswayo | Enye indlela | Uviwo ukuqinisekisa unyango |
| Igcushuwa yaseprayimari nasesekondari | Idosi enye yeBenzetacil (iyonke iyunithi eyi-2.4 yezigidi) | I-Doxycycline 100 mg, kabini imihla ngemihla kwiintsuku ezili-15 | VDRL kwiinyanga ezi-3, 6 ne-12 |
| Igcushuwa yakutshanje | Inaliti enye ye-Benzetacil (iyonke iyunithi eyi-2.4 yezigidi) | I-Doxycycline 100 mg, kabini imihla ngemihla kwiintsuku ezili-15 | VDRL kwiinyanga ezi-3, 6, 12 kunye ne-24 |
| I-syphilis yamva nje | Inaliti e-1 yeBenzetacil ngeveki iiveki ezintathu (iyonke iyunithi yezigidi eziyi-7.2) | I-Doxycycline 100 mg, kabini imihla ngemihla kwiintsuku ezingama-30 | I-VDRL kwi-3, 6, 12, 24, 36, 48 kunye neenyanga ezingama-72 |
| Igcushuwa ephezulu | Inaliti e-1 yeBenzetacil ngeveki iiveki ezintathu (iyonke iyunithi yezigidi eziyi-7.2) | I-Doxycycline 100 mg, kabini imihla ngemihla kwiintsuku ezingama-30 | I-VDRL kwi-3, 6, 12, 24, 36, 48 kunye neenyanga ezingama-72 |
| Neurosyphilis | Inaliti yeCrystalline Penicillin kangangeentsuku ezili-14 (iiyunithi ezili-18 ukuya kwezi-24 zezigidi ngosuku) | Inaliti ye-ceftriaxone 2g kangangeentsuku ezili-10 ukuya kwezi-14 | I-VDRL kwi-3, 6, 12, 24, 36, 48 kunye neenyanga ezingama-72 |
Emva kokuthatha ipenicillin, kuqhelekile ukuba kubekho impendulo ebangela umkhuhlane, iintlungu zemisipha, intloko ebuhlungu, ukubetha kwentliziyo okukhawulezayo, ukuphefumla okuphantsi kunye nokwehla koxinzelelo. Ezi mpawu zinokuhlala iiyure ezili-12 ukuya kwezingama-24 kwaye kufuneka zinyangwe kuphela ngeParacetamol.
Kufuneka wenze ntoni xa uxabisa iPenicillin?
Kwimeko yokungezwani nepenicillin, umntu kufuneka akhethe ukungafuni penicillin kuba azikho ezinye i-antibiotics ezinokuphelisa treponema palladium. Nangona kunjalo, kwezinye iimeko ugqirha unokumisela i-doxycycline, tetracycline okanye i-ceftriaxone.
Unyango ngexesha lokukhulelwa
Unyango lwegcushuwa kwabasetyhini abakhulelweyo kufuneka lwenziwe kuphela ngamayeza okubulala iintsholongwane avela kwiPenicillin, njenge-Amoxicillin okanye i-Ampicillin, njengoko amanye amayeza okubulala iintsholongwane enokubangela ukungalunganga kwimveku.
Ukuba umfazi okhulelweyo uyaliwa yiPenicillin, ugqirha unokucebisa unyango emva kokukhulelwa, ukuba isifo sifihlekile okanye sisebenzise i-erythromycin kwifom ye-tablet kangangeentsuku ezili-15 ukuya kwezi-30, kuxhomekeke kwiveki yokukhulelwa.
Bona ezinye iinkcukacha ngonyango lwegcushuwa xa ukhulelwe.
Unyango lwe-syphilis yokuzalwa
I-syphilis engokwemvelo yinto ebonakala emntwaneni kwaye idluliselwa kumama osulelekileyo. Kule meko, unyango kufuneka lukhokelwe ngugqirha wabantwana kwaye, ngesiqhelo, luqala kanye emva kokuzalwa kwePenicillin ngqo emthanjeni rhoqo emva kweeyure ezili-12 kwiintsuku ezisi-7 zokuqala zobomi.
Ngokuqala konyango lwe-syphilis yokuzalwa, kuyinto eqhelekileyo kwezinye iintsana ukuba neempawu ezinjengomkhuhlane, ukuphefumla ngokukhawuleza okanye ukubetha kwentliziyo, okunokulawulwa ngamanye amachiza anje ngeparacetamol.
Fumana ezinye iinkcukacha malunga nonyango lwe-syphilis engokwemvelo.
Ukunyamekela ngexesha lonyango
Ngexesha lonyango, okanye kwakamsinya emva kokuchongwa kwegcushuwa, umntu kufuneka athathe amanyathelo okhuseleko anje ngala:
- Yazisa iqabane lakho ukuvavanya isifo nokuqala unyango, ukuba kukho imfuneko;
- Kuphephe ukunxibelelana ngokwesondo ngexesha unyango, nokuba ikhondom;
- Vavanyelwa i-HIV, njengoko kukho umngcipheko omkhulu wokosuleleka.
Kwanasemva konyango, isigulana sinokufumana igcushuwa kwakhona kwaye, ke ngoko, kubalulekile ukuqhubeka nokusebenzisa iikhondom ngalo lonke ixesha unxibelelwano olusenyongweni ukuthintela ukungcoliswa kwakhona yigcushuwa okanye ezinye izifo ezidluliselwa ngeentlobano zesini.
Iimpawu zokuphucula igcushuwa
Iimpawu zokuphucula i-syphilis zivela malunga neentsuku ezi-3 ukuya kwezi-4 emva kokuqala konyango kwaye zinokubandakanya ukwanda kwempilo, ukunciphisa amanzi kunye nokupholisa amanxeba, umzekelo.
Iimpawu zokuba negcushuwa
Iimpawu zokuqaqanjelwa kwegcushuwa zixhaphake kakhulu kwizigulana ezinganyangwa ngendlela eboniswe ngugqirha kwaye zibandakanya umkhuhlane ongaphezulu kwama-38ºC, iintlungu ezidibeneyo kunye nezihlunu, ukunciphisa amandla emisipha kunye nokukhubazeka okuqhubekayo.
Iingxaki kunokwenzeka negcushuwa
Iingxaki zegcushuwa zivela ikakhulu kwizigulana ezinamajoni omzimba abuthathaka ane-HIV okanye ongafumani nyango lwaneleyo, kubandakanya ukubonakala kwe-meningitis, hepatitis, ukukhubazeka ngokudibeneyo kunye nokukhubazeka.
Bukela le vidiyo ilandelayo kwaye uqonde ngcono ukuba esi sifo sikhula njani:
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