Kurapa kwekuzvarwa syphilis

Zvemukati

• Kurapa kwe syphilis mumwana
• 1. Yakanyanya njodzi yekuve ne syphilis
• 2. Njodzi huru yekuve ne syphilis
• 3. Njodzi yakaderera yekuve ne syphilis
• 4. Yakanyanya njodzi yekuve ne syphilis
• Marapirwo anoitwa sei mumukadzi ane nhumbu

Kurapa kwekuzvarwa syphilis kunogara kuchikurudzirwa kana chimiro chaamai chekurapa njovhera chisingazivikanwe, apo kurapwa kwemukadzi ane nhumbu kwakangotangwa muchitatu chetatu kana kana mwana achinetseka kutevera mushure mekuzvarwa.

Izvi zvinodaro nekuti vacheche vese vanozvarwa naanaamai vane hutachiona hunogona kuratidza mibairo yakanaka pakuongororwa kwesyphilis inoitwa pakuzvarwa, kunyangwe kana vasina kutapukirwa, nekuda kwekufambiswa kwema antibody aamai kuburikidza nepacenta.

Nekudaro, pamusoro pekuongororwa kweropa zvakakoshawo kuti uzive zviratidzo zvekuzvarwa syphilis inomuka mumucheche, kusarudza nzira yekurapa yakanakisa. Ona kuti ndeapi makuru zviratidzo zvekuzvarwa syphilis.

Kurapa kwe syphilis mumwana

Kurapa kwemwana kunosiyana zvichienderana nenjodzi yekutapukirwa nenjovhera mushure mekuberekwa:

1. Yakanyanya njodzi yekuve ne syphilis

Iyi njodzi inotsanangurwa kana mukadzi ane nhumbu asina kurapwa syphilis, kuongororwa kwemuviri kwemwana hakuna kujairika, kana syphilis bvunzo yemwana ine VDRL inokoshesa kanokwana kana kupfuura amai. Mune zviitiko izvi, kurapwa kunoitwa mune imwe yeanotevera nzira:

• Jekiseni ye50,000 IU / Kg yemvura ine crystalline penicillin maawa gumi nemaviri kwemazuva manomwe, achiteverwa ne50,000 IU yemvura ine crystalline Penicillin maawa masere ese pakati pezuva rechinomwe nerechigumi;

kana

• Jekiseni re50,000 IU / Kg yeprocaine Penicillin kamwe chete pazuva kwemazuva gumi.

Chero zvazvingaitika, kana ukarasikirwa neinopfuura zuva rimwe rekurapwa, zvinokurudzirwa kutanga majekiseni zvakare, kubvisa njodzi yekusarwisa mabhakitiriya nenzira kwayo kana kutapukirwa zvakare.

2. Njodzi huru yekuve ne syphilis

Muchiitiko ichi, vese vacheche vane bvunzo dzepanyama uye syphilis bvunzo ine VDRL kukosha kwakaenzana kana kushoma kana ka4 pane amai, asi vakazvarwa kuvakadzi vane nhumbu vasina kuwana yakakwana syphilis kurapwa kana vakatanga kurapwa zvishoma , 4 mavhiki usati wasununguka.

Muzviitiko izvi, pamusoro penzira dzekurapa dzakaratidzwa pamusoro apa, imwe sarudzo inogona kushandiswa, iyo ine jekiseni rimwechete re50,000 IU / Kg ye benzathine Penicillin. Nekudaro, kurapwa uku kunogona kuitwa chete kana chiri chokwadi kuti kuongororwa kwemuviri hakuna shanduko uye mwana anogona kuperekedzwa nachiremba wevana kuti aite ongororo yesyphilis.

3. Njodzi yakaderera yekuve ne syphilis

Vacheche vari panjodzi yakaderera yekuve ne syphilis vane ongororo yemuviri, syphilis bvunzo ine VDRL kukosha kwakaenzana kana kusingasviki mana nguva amai nemukadzi vane nhumbu vakatanga kurapwa kwakakodzera kweanopfuura mavhiki mana vasati vasununguka.

Kazhinji, kurapwa kunoitwa chete nejekiseni imwe chete ye50,000 IU / kg ye benzathine Penicillin, asi chiremba anogona zvakare kusarudza kusaita jekiseni uye achingoramba achiongorora kukura kwemwana neyakajairwa syphilis bvunzo, kuti aone kana iri hutachiona chaihwo. , ipapo achirapwa.

4. Yakanyanya njodzi yekuve ne syphilis

Panyaya iyi, mwana ane ongororo yakajairwa yemuviri, syphilis bvunzo ine huwandu hweVDRL hwakaenzana kana kusapfuure kanokwana kaamai, uye mukadzi ane nhumbu akaita kurapwa kwakakodzera asati ave nepamuviri, achiratidza tsika dzakaderera dzeVDRL panguva yese yepamuviri .

Kazhinji, kurapwa hakudiwi kune ava vacheche, uye kunofanirwa kungoteedzerwa pamwe nekujairwa kwenjovhera. Kana zvisingaite kuti urambe uchiongorora, chiremba anogona kukurudzira kugadzira jekiseni rimwe chete rezviuru makumi mashanu IU / Kg zvebenzathine Penicillin.

Tarisa vhidhiyo inotevera uye dzidza zvakawanda nezvezviratidzo, kutapurirana uye kurapwa kwe syphilis:

Marapirwo anoitwa sei mumukadzi ane nhumbu

Panguva yekuzvitakura, mukadzi anofanira kuita bvunzo yeVDRL mumatanhatu matatu kuti atarise kuvapo kana kusavapo kwebhakitiriya mumuviri. Kuderera mumhedzisiro yemuedzo hazvireve kuti chirwere chakaporeswa uye, nekudaro, zvakakosha kuti urambe uchirapa kusvika mimba yapera.

Kurapa kwevakadzi vane pamuviri panguva yekuzvitakura kunoitika seinotevera:

• In chikuru njovhera: huwandu hwese hwe2,400,000 IU benzathine penicillin;
• In yechipiri njovhera: huwandu hwese hwe4,800,000 IU benzathine penicillin;
• Mune syphilis yepamusoro: huwandu hwese hwe7,200,000 IU benzathine penicillin;

Kuitisa iyo serological test ye syphilis nekutora muyero weropa kubva mu umbilical tambo kwakakosha kuti uzive kana mwana atove nechirwere ichi kana kwete. Zviratidzo zveropa zvakatorwa kubva mumwana pakuzvarwa zvakakoshawo kuti uongorore kana akatapukirwa ne syphilis kana kwete.

Mune neurosyphilis, zvinokurudzirwa kugadzira mamirioni gumi nemasere kusvika makumi maviri nemana IU pazuva remvura inonzi crystalline penicillin G, mukati mehosha, ichipatsanurwa mumadhosi emamiriyoni 3-4 eU maawa mana, kwemazuva gumi kusvika gumi nemana.

Tsvaga zvimwe nezve kurapwa, kusanganisira marapirwo anoitwa kana mukadzi ane nhumbu ari alejiki naPenicillin.