Syphilis inorapwa sei (padanho rega rega)
Zvemukati
- Chii chekuita kana paine zvinopesana nePenicillin?
- Kurapa panguva yekuzvitakura
- Kurapa kwekuzvarwa syphilis
- Kuchengeta panguva yekurapa
- Zviratidzo zvekuvandudza mu syphilis
- Zviratidzo zvekuwedzera njovhera
- Zvinogona kuitika syphilis
Kurapa kwe syphilis kunowanzoitwa nemajekiseni e benzathine penicillin, inozivikanwawo se benzetacil, iyo inofanirwa kuratidzwa nachiremba, kazhinji gynecologist, obstetrician kana infectologist. Iyo nguva yekurapa, pamwe nehuwandu hwejekiseni, zvinogona kusiyana zvichienderana nedanho rechirwere uye zviratidzo zvinoratidzwa.
Kana ronda risingabude ropa uye risingarwadzi riripo, ingotora 1 dose penicillin kurapa syphilis, asi kana zvasvika kune syphilis yechipiri kana yepamusoro, kusvika pamadosi matatu kungangodiwa.
Majekiseni anoiswa mudunhu rinobwinya kamwe chete pasvondo, zvinoenderana nemazano ekurapa, asi kana zvasvika kune yepamusoro syphilis kana neurosyphilis, kurapwa muchipatara kunokosha, nekuti chirwere chemberi uye chine zvimwe zvinonetsa zviripo.
Nekudaro, uye zvinoenderana neCDC uye kiriniki protocol yeSTI yeHurumende yehutano, kurapwa kwe syphilis muvakuru kunofanirwa kuitwa maererano nechirongwa ichi:
| Chirwere chikamu | Yakurudzirwa kurapwa | Zvimwewo | Kuongorora kusimbisa mushonga |
| Chirwere chepuraimari uye chechipiri | Imwechete benzetacil (akazara mamirioni 2.4 mauniti) | Doxycycline 100 mg, kaviri pazuva kwemazuva gumi nemashanu | VDRL pamwedzi mitatu, mitanhatu uye gumi nemaviri |
| Recent latent syphilis | 1 jekiseni rimwe reBenzetacil (akazara emamirioni mazana mana | Doxycycline 100 mg, kaviri pazuva kwemazuva gumi nemashanu | VDRL pa3, 6, 12 uye 24 mwedzi |
| Late latent syphilis | 1 jekiseni reBenzetacil pavhiki kwemavhiki matatu (akazara e7.2 mamirioni mayuniti) | Doxycycline 100 mg, kaviri pazuva kwemazuva makumi matatu | VDRL pamwedzi 3, 6, 12, 24, 36, 48 uye 72 |
| Njovhera yepamusoro | 1 jekiseni reBenzetacil pavhiki kwemavhiki matatu (akazara e7.2 mamirioni mayuniti) | Doxycycline 100 mg, kaviri pazuva kwemazuva makumi matatu | VDRL pamwedzi 3, 6, 12, 24, 36, 48 uye 72 |
| Neurosyphilis | Crystalline Penicillin majekiseni kwemazuva gumi nemana (18 kusvika 24 mamirioni mauniti pazuva) | Jekiseni re ceftriaxone 2g kwemazuva gumi kusvika gumi nemana | VDRL pamwedzi 3, 6, 12, 24, 36, 48 uye 72 |
Mushure mekutora penicillin, zvakajairika kuve nemhinduro inokonzeresa kupisa muviri, kurwadziwa kwemhasuru, kutemwa nemusoro, kurova kwemoyo nekukurumidza, kufema kwakadzika uye kudonha kwekumanikidza. Zviratidzo izvi zvinogona kugara kwemaawa gumi nemaviri kusvika makumi maviri nemana uye zvinofanirwa kurapwa chete neParacetamol.
Chii chekuita kana paine zvinopesana nePenicillin?
Mukana wekupokana nepenicillin, munhu anofanirwa kusarudza desensitize penicillin nekuti hapana mamwe maantibhakitiriya anokwanisa kubvisa treponema palladium. Zvisinei, mune dzimwe nguva chiremba anogona kupa doxycycline, tetracycline kana ceftriaxone.
Kurapa panguva yekuzvitakura
Kurapa njovhera mumadzimai akazvitakura kunofanirwa kungoitwa nemishonga inorwisa mabhakitiriya yakabva muPenicillin, senge Amoxicillin kana Ampicillin, sezvo mamwe maantibhakitiriya anogona kukonzera kusagadzikana mumwana.
Kana mukadzi ane nhumbu akanangana naPenicillin, chiremba anogona kukurudzira kurapwa mushure mekuzvitakura, kana chirwere ichi chisinganetsi kana kushandisa erythromycin mufomu yepiritsi kwemazuva gumi nemashanu kusvika makumi matatu, zvinoenderana nesvondo rekubata.
Ona zvimwe zvakawanda nezve kurapwa kwe syphilis mune nhumbu.
Kurapa kwekuzvarwa syphilis
Congenital syphilis ndiyo inoonekwa mumwana uye inopfuudzwa kubva kuna amai vane hutachiona. Mune zviitiko izvi, kurapwa kunofanirwa kutungamirirwa nachiremba wevana uye, kazhinji, kunotangwa uchangoberekwa naPenicillin zvakananga mutsinga maawa gumi nemaviri kwemazuva ekutanga manomwe ehupenyu.
Nekutanga kwekurapwa kwekuzvarwa syphilis, zvakajairika kune vamwe vana vachangozvarwa kukura zviratidzo zvakadai sefivha, kufema nekukurumidza kana kuwedzera kurova kwemoyo, izvo zvinogona kudzorwa nemimwe mishonga yakaita separacetamol.
Tsvaga rumwe ruzivo nezve kurapwa kwe congenital syphilis.
Kuchengeta panguva yekurapa
Munguva yekurapwa, kana nguva pfupi mushure mekuongororwa kwechirwere, munhu wacho anofanira kutora matanho akadai se:
- Udza mumwe wako kuyedza chirwere uye kutanga kurapwa, kana zvichidikanwa;
- Dzivisa kusangana pabonde panguva yekurapa, kunyangwe nekondomu;
- Ongororwai Mukondombera, sezvo paine njodzi huru yekutapukirwa.
Kunyangwe mushure mekurapwa, murwere anogona kuwana syphilis zvakare uye, nekudaro, zvakakosha kuti uenderere mberi nekushandisa makondomu panguva yese yekudyidzana kuitira kuti usabatiswe zvakare ne syphilis kana zvimwe zvirwere zvepabonde.
Zviratidzo zvekuvandudza mu syphilis
Zviratidzo zvekuvandudzwa kwesyphilis zvinoonekwa mazuva angangoita matatu kana mana mushure mekutanga kwekurapa uye zvinogona kusanganisira kuwedzera hutano, kuderedzwa kwemvura uye kupora kwemaronda, semuenzaniso.
Zviratidzo zvekuwedzera njovhera
Zviratidzo zvekuwedzera kwe syphilis zvakajairika kune varwere vasina kurapwa nenzira inoratidzwa nachiremba uye inosanganisira kupisa muviri pamusoro pe 38ºC, kurwadza kwemajoini nemhasuru, kuderera kwesimba remhasuru uye kuora mitezo kunofambira mberi.
Zvinogona kuitika syphilis
Matambudziko e syphilis anomuka kunyanya muvarwere vane immune system isina kusimba ine hutachiwana hweHIV kana vasiri kuwana kurapwa kwakaringana, kusanganisira kutaridzika kwechirwere chemanungo, hepatitis, kuumbana pamwe nekuremara.
Tarisa vhidhiyo inotevera uye unzwisise zvirinani kuti chirwere ichi chinokura sei:
Kuwana Kuzivikanwa
Ndinogamuchira Kushushikana Kwangu, Nekuti Icho Chikamu Changu
