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Liteko tsa syphilis ke eng?

Syphilis ke e 'ngoe ea mafu a tšoaetsanoang ka thobalano (STDs). Ke tšoaetso ea baktheria e jalang ka thobalano, ka molomo kapa ka thobalano le motho ea nang le tšoaetso. Syphilis e hlaha ka mekhahlelo e ka nkang libeke, likhoeli kapa esita le lilemo. Mekhahlelo e ka aroloa ke nako e telele ea bophelo bo botle bo bonahalang.

Syphilis hangata e qala ka leqeba le lenyenyane le sa utloeng bohloko, le bitsoang chancre, ka har'a litho tsa botona kapa botšehali, le ka hanong. Mothating o latelang, o kanna oa ba le matšoao a kang a ntaramane le / kapa lekhopho. Mekhahlelo ea morao-rao ea syphilis e ka senya boko, pelo, lesapo la mokokotlo le litho tse ling. Liteko tsa syphilis li ka thusa ho fumana syphilis maemong a pele a ts'oaetso, ha lefu le le bonolo ho a phekola.

Mabitso a mang: plasma reagin (RPR) e potlakileng, laboratori ea lipatlisiso tsa lefu la venereal (VDRL), tlhahlobo ea fluorescent treponemal antibody (FTA-ABS), asslutination assay (TPPA), microscopy ea lefifi le lefifi

Li sebelisetsoa eng?

Liteko tsa syphilis li sebelisetsoa ho hlahloba le ho hlahloba syphilis.


Liteko tsa ho hlahloba syphilis li kenyelletsa:

  • Reagin e potlakileng ea plasma (RPR), tlhahlobo ea mali ea syphilis e batlang lithibela-mafu ho baktheria ea syphilis. Masole a mmele ke diprotheine tse entsweng ke masole a mmele ho lwantsha dintho tse kantle, joalo ka libaktheria.
  • Laboratori ea lipatlisiso tsa mafu a Venereal (VDRL) test, e hlahlobang le lithibela-mafu tsa syphilis. Teko ea VDRL e ka etsoa maling kapa mokelikeli oa mokokotlo.

Haeba tlhahlobo ea ho hlahloba e khutla e le ntle, o tla hloka liteko tse ling ho felisa kapa ho netefatsa tlhahlobo ea syphilis. Bongata ba liteko tsena tse latelang li tla sheba li-antibodies tsa syphilis. Ka linako tse ling, mofani oa tlhokomelo ea bophelo o tla sebelisa tlhahlobo e batlang libaktheria tsa 'nete tsa syphilis, ho fapana le lithibela-mafu. Liteko tse batlang libaktheria tsa 'nete ha li sebelisoe hangata hobane li ka etsoa feela litsing tse ikhethang tsa litsebi tsa tlhokomelo ea bophelo bo botle.

Hobaneng ke hloka tlhahlobo ea syphilis?

U kanna ua hloka tlhahlobo ea syphilis haeba molekane oa hau oa thobalano a fumanoe a na le syphilis le / kapa o na le matšoao a lefu lena. Hangata matšoao a hlaha libeke tse peli ho isa ho tse tharo kamora tšoaetso mme a kenyelletsa:


  • Sefuba (chancre) se senyenyane se senang bohloko liphateng tsa botona kapa botšehali, le ka hanong
  • Borekhu, bofubelu bo bofubelu, hangata liatleng tsa matsoho kapa tlase maotong
  • Feberu
  • Ho opeloa ke hlooho
  • Litšoelesa tse ruruhileng
  • Mokhathala
  • Ho fokotsa boima ba 'mele
  • Ho hlotheha ha moriri

Le ha o sena matšoao, o kanna oa hloka tlhahlobo haeba o le kotsing e kholo ea tšoaetso. Lisosa tsa kotsi li kenyelletsa ho ba le:

  • Balekane ba bangata ba thobalano
  • Molekane ea nang le balekane ba bangata ba thobalano
  • Thobalano e sa sireletsehang (thobalano ntle le ho sebelisa khohlopo)
  • Tšoaetso ea HIV / AIDS
  • Lefu le leng le tšoaetsanoang ka thobalano, le kang gonorrhea

U kanna ua hloka tlhahlobo ena haeba u imme. Syphilis e ka fetisoa ho tloha ho mme ho ea leseeng la hae le e-so hlahe. Tšoaetso ea syphilis e ka baka mathata a tebileng, 'me ka linako tse ling a bolaea masea. Litsi tsa Tlhokomelo le Thibelo ea Mafu li khothaletsa hore bakhachane bohle ba etse tlhahlobo ea pelehi nakong ea bokhachane. Basali ba nang le lisosa tsa kotsi ea syphilis ba lokela ho hlahlojoa hape khoeling ea boraro ea bokhachane (libeke tse 28-32) le nakong ea pelehi.


Ho etsahalang nakong ea tlhahlobo ea syphilis?

Teko ea syphilis hangata e le mofuta oa tlhahlobo ea mali. Nakong ea tlhahlobo ea mali ea syphilis, setsebi sa tlhokomelo ea bophelo se tla nka sampole ea mali mothapong o letsohong la hao, a sebelisa nale e nyane. Kamora hore nalete e kenngoe, ho tla bokelloa mali a manyane ka har'a pompo ea liteko. U ka ikutloa u hlaba hanyane ha nale e kena kapa e tsoa. Hangata hona ho nka nako e ka tlase ho metsotso e mehlano.

Mekhahlelo e tsoetseng pele haholo ea syphilis e ka ama boko le lesapo la mokokotlo. Haeba matšoao a hau a bontša hore lefu la hau le ka ba boemong bo tsoetseng pele haholo, mofani oa hao oa tlhokomelo ea bophelo a ka odara tlhahlobo ea syphilis ho cerebrospinal fluid ea hau (CSF). CSF ke mokelikeli o hlakileng o fumanoang bokong ba hau le mokokotlong.

Bakeng sa teko ena, CSF ea hau e tla bokelloa ka ts'ebetso e bitsoang lumbar puncture, eo hape e tsejoang e le pompo ea mokokotlo. Nakong ea ts'ebetso:

  • U tla robala ka lehlakore kapa u lule tafoleng ea litlhahlobo.
  • Mofani oa tlhokomelo ea bophelo o tla u hlatsoa mokokotlo ebe o kenya moriana o thethefatsang letlalo letlalong, ka hona o ke ke oa utloa bohloko nakong ea ts'ebetso. Mofani oa hau a ka beha tranelate ea mokokotlo mokokotlong oa hau pele ho ente ena.
  • Hang ha sebaka se mokokotlong oa hau se senyehile ka ho feletseng, mofani oa hau o tla kenya nale e tšesaane, e sekoti pakeng tsa li-vertebrae tse peli mokokotlong oa hau o tlase. Vertebrae ke masapo a mokokotlo a manyane a etsang mokokotlo oa hau.
  • Mofani oa hau o tla hula mokelikeli o monyane oa cerebrospinal bakeng sa tlhahlobo. Sena se tla nka metsotso e ka bang mehlano.
  • U tla hloka ho lula u khutsitse haholo ha metsi a ntse a huloa.
  • Mofani oa hau a ka u kopa hore u robale ka mokokotlo hora kapa tse peli kamora ts'ebetso. Sena se ka u thibela ho tšoaroa ke hlooho hamorao.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Ha o hloke litokisetso tse khethehileng bakeng sa tlhahlobo ea mali ea syphilis. Bakeng sa ho phunya lumbar, o ka kopuoa ho tšolla senya le mala pele ho tlhahlobo.

Na ho na le likotsi tsa tlhahlobo?

Ho na le kotsi e nyane haholo ea ho etsa tlhahlobo ea mali. U kanna oa ba le mahlaba a fokolang kapa ho longoa moo nale e kentsoeng teng, empa matšoao a mangata a fela kapele.

Haeba u e-na le kotlo ea lumbar, u ka ba le bohloko kapa bonolo mokokotlong oa hau moo nale e kentsoeng. U kanna oa tšoaroa ke hlooho kamora ts'ebetso.

Liphetho li bolelang?

Haeba liphetho tsa hau tsa ho hlahloba li ne li le mpe kapa li tloaelehile, ho bolela hore ha ho tšoaetso ea syphilis e fumanoeng. Kaha li-antibodies li ka nka libeke tse 'maloa ho hlaha ho arabela tšoaetso ea baktheria, o kanna oa hloka tlhahlobo e' ngoe ea ho hlahloba haeba u nahana hore u pepeselitsoe tšoaetso. Botsa mofani oa tlhokomelo ea bophelo mabapi le hore na u tla hlahlojoa neng kapa neng.

Haeba liteko tsa hau tsa ho hlahloba li bontša sephetho se setle, o tla ba le liteko tse ngata ho felisa kapa ho netefatsa tlhahlobo ea syphilis. Haeba liteko tsena li netefatsa hore u na le syphilis, mohlomong u tla phekoloa ka penicillin, mofuta oa lithibela-mafu. Boholo ba tšoaetso ea syphilis ea nako ea pele e phekoloa ka botlalo kamora kalafo ea lithibela-mafu. Syphilis ea morao-rao e boetse e phekoloa ka lithibela-mafu. Kalafo ea lithibela-mafu bakeng sa tšoaetso ea morao-rao e ka thibela lefu ho mpefala, empa e ke ke ea etsolla tšenyo e seng e entsoe.

Haeba u na le lipotso mabapi le liphetho tsa hau, kapa ka syphilis, bua le mofani oa tlhokomelo ea bophelo.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng kapa eng eo ke hlokang ho e tseba ka liteko tsa syphilis?

Haeba u fumanoa u na le syphilis, u hloka ho bolella molekane oa hau oa thobalano, hore a tle a hlahlojoe le ho phekoloa ha ho hlokahala.

Litšupiso

  1. Mokhatlo oa Amerika oa Bokhachane [Inthanete]. Irving (TX): Mokhatlo oa Amerika oa Bokhachane; c2018. Syphilis; [e ntlafalitsoeng 2018 Feb 7; e qotsitsoeng ka 2018 Mar 29]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: http://americanpregnancy.org/womens-health/syphilis
  2. Litsi tsa Tlhokomelo le Thibelo ea Maloetse [Internet]. Atlanta: Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Syphilis: Leqephe la 'Nete la CDC (Le qaqileng); [e ntlafalitsoeng 2017 Feb 13; e qotsitsoeng ka 2018 Mar 29]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.cdc.gov/std/syphilis/stdfact-syphilis-detailed.htm
  3. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2018. Liteko tsa Syphilis; [e ntlafalitsoeng 2018 Mar 29; e qotsitsoeng ka 2018 Mar 29]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/syphilis-tests
  4. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2018. Ho phunya ha Lumbar (pompo ea mokokotlo): Kakaretso; 2018 Mar 22 [e qotsitsoeng ka 2018 Mar 29]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/tests-procedures/lumbar-puncture/about/pac-20394631
  5. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2018. Syphilis: Ho hlahloba le ho phekola; 2018 Jan 10 [e qotsitsoeng ka 2018 Mar 29]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/diseases-conditions/syphilis/diagnosis-treatment/drc-20351762
  6. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2018. Syphilis: Matšoao le lisosa; 2018 Jan 10 [e qotsitsoeng ka 2018 Mar 29]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/diseases-conditions/syphilis/symptoms-causes/syc-20351756
  7. Phetolelo ea Merck Manual Consumer [Inthanete]. Kenilworth (NJ): Merck & Co., Inc .; c2018. Syphilis; [e qotsitsoeng ka la 2018 Tlhakubele 29]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.merckmanuals.com/home/infections/sexually-transmitted-diseases-stds/syphilis
  8. Phetolelo ea Merck Manual Consumer [Inthanete]. Kenilworth (NJ): Merck & Co., Inc .; c2018. Liteko tsa Brain, Spinal Cord, le Mathata a Metsing; [e qotsitsoeng ka la 2018 Tlhakubele 29]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.merckmanuals.com/home/brain,-spinal-cord,-and-nerve-disorders/diagnosis-of-brain,-spinal-cord,-and-nerve-disorders/tests-for -bongo, -e leng mokokotlong, -le-methapo-kutlo
  9. National Heart, Lung, le Setsi sa Mali [Internet]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Liteko tsa Mali; [e qotsitsoeng ka la 2018 Tlhakubele 29]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.nhlbi.nih.gov/health-topics/blood-tests
  10. Setsi sa Naha sa Ts'oaetso le Mafu a tšoaetsanoang [Marang-rang]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Syphilis; [e qotsitsoeng ka la 2018 Tlhakubele 29]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.niaid.nih.gov/diseases-conditions/syphilis
  11. Tsang RSW, Radons SM, Morshed M. Laboratori ea lefu la syphilis: Patlisiso ea ho hlahloba mefuta e mengata ea liteko tse sebelisoang Canada. Na J Infect Dis Med Microbiol [Inthanete]. 2011 [e qotsitsoeng ka 2018 la 10 Mmesa]; 22 (3): 83-87. E fumaneha ho tsoa ho: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3200370
  12. Bophelo ba UF: Univesithi ea Florida Health [Marang-rang]. Univesithi ea Florida; c2018. Syphilis: Kakaretso; [e ntlafalitsoeng 2018 Mar 29; e qotsitsoeng ka 2018 Mar 29]; [li-skrini tse ka bang 2]. E fumaneha ho: https://ufhealth.org/syphilis
  13. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2018. Health Encyclopedia: Ka potlako Plasma Reagin; [e qotsitsoeng ka la 2018 Tlhakubele 29]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=rapid_plasma_reagin_syphilis
  14. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2018. Health Encyclopedia: VDRL (CSF); [e qotsitsoeng ka la 2018 Tlhakubele 29]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=vdrl_csf
  15. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2018. Liteko tsa Syphilis: Liphetho; [e ntlafalitsoeng 2017 Mar 20; e qotsitsoeng ka 2018 Mar 29]; [li-skrini tse ka bang 8]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/syphilis-tests/hw5839.html#hw5874
  16. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2018. Liteko tsa Syphilis: Tlhatlhobo ea Teko; [e ntlafalitsoeng 2017 Mar 20; e qotsitsoeng ka 2018 Mar 29]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/syphilis-tests/hw5839.html
  17. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2018. Liteko tsa Syphilis: Hobaneng ha e etsoa; [e ntlafalitsoeng 2017 Mar 20; e qotsitsoeng ka 2018 Mar 29]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/syphilis-tests/hw5839.html#hw5852

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.

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