Ugcunsula abazalwa nabo

I-syphilis yokuzalwa iyisifo esibi, esikhubazayo, futhi esivame ukusongela impilo esibonwa ezinganeni. Umama okhulelwe onegcunsula angadlulisa ukutheleleka nge-placenta aye enganeni engakazalwa.

Ugcunsula azalwa nawo ubangelwa amagciwane I-Treponema pallidum, edluliselwa isuka kumama iye enganeni ngesikhathi sokukhula kwengane noma lapho izalwa. Kuze kube uhhafu wazo zonke izingane ezitheleleka ngogcunsula lapho zisesibelethweni zifa ngaphambi nje noma ngemuva kokuzalwa.

Ngaphandle kokuthi lesi sifo singelapheka ngemithi elwa namagciwane uma sibanjwe kusenesikhathi, ukwanda kwamazinga kagcunsula kwabesifazane abakhulelwe e-United States kukhuphule inani lezinsana ezizalwa zinesifo sozalo esizalwe naso kusukela ngo-2013.

Iningi lezingane ezinesifo ngaphambi kokuzalwa libonakala lijwayelekile. Ngokuhamba kwesikhathi, izimpawu zingakhula. Ezinganeni ezingaphansi kweminyaka emibili ubudala, izimpawu zingafaka:

• Isibindi esandisiwe kanye / noma ubende (isisu esiswini)
• Ukwehluleka ukuthola isisindo noma ukwehluleka ukuchuma (kufaka phakathi ngaphambi kokuzalwa, nge-lowweightweight)
• Imfiva
• Ukuthukuthela
• Ukuthukuthela nokuqhekeka kwesikhumba ezungeze umlomo, izitho zangasese kanye nendunu
• I-Rash iqala njengamabhamuza amancane, ikakhulukazi ezintendeni zezandla naphansi, bese kamuva ishintshela ekuqubukeni okunemibala yethusi, eyisicaba noma enamaqhuqhuva
• Ukukhubazeka kwamathambo (amathambo)
• Ayikwazi ukuhambisa ingalo noma umlenze obuhlungu
• Uketshezi olunamanzi olusuka ekhaleni

Izimpawu ezinganeni ezindala nasezinganeni ezisencane zingafaka:

• Amazinyo angafakwanga angafakwanga futhi amile okwekhonkwane, abizwa ngamazinyo kaHutchinson
• Ubuhlungu bamathambo
• Ubumpumputhe
• Clouding of the cornea (isembozo senhlamvu yeso)
• Ukwehla kokuzwa noma ukungezwa
• Ukukhubazeka kwekhala ngebhuloho elisicaba (ikhala lesali)
• Okumpunga, amabala anjenge-mucus azungeze indunu nesitho sangasese sowesifazane
• Ukuvuvukala okuhlangene
• AmaSaber shins (inkinga yamathambo omlenze ongezansi)
• Ukuqubuka kwesikhumba esizungeze umlomo, izitho zangasese, kanye nendunu

Uma kusolwa ukutheleleka ngesikhathi sokuzalwa, i-placenta izohlolwa ukuthi ayinazo yini izimpawu ugcunsula. Ukuhlolwa kwengane ngokomzimba kungakhombisa izimpawu zesibindi nokuvuvukala kobende nokuvuvukala kwamathambo.

Ukuhlolwa kwegazi ugcunsula kwenziwa ngesikhathi sokukhulelwa. Umama angathola ukuhlolwa kwegazi okulandelayo:

• Isivivinyo esenziwe nge-fluorescent treponemal antibody (FTA-ABS)
• I-plasma reagin esheshayo (RPR)
• Ukuhlolwa kwelabhoratri yesifo seVenereal (VDRL)

Usana noma ingane ingaba nokuhlolwa okulandelayo:

• I-X-ray yethambo
• Ukuhlolwa kwensimu emnyama ukuthola amagciwane ogcunsula ngaphansi kwesibonakhulu
• Ukuhlolwa kwamehlo
• Ukubhoboza i-Lumbar (umpompi womgogodla) - ukususa uketshezi lomgogodla ukuze kuhlolwe
• Ukuhlolwa kwegazi (okufana nalokho okubalwe ngenhla kumama)

I-penicillin yisidakamizwa esithandwayo ekwelapheni le nkinga. Inganikezwa nge-IV noma ngokudutshulwa noma ngomjovo. Amanye ama-antibiotic angasetshenziswa uma ingane iguliswa i-penicillin.

Izinsana eziningi ezitheleleke ekuqaleni kokukhulelwa zizelwe zingasekho. Ukwelashwa kukamama okhulelwe kwehlisa ingozi yokuba nogcunsula azalwe nalo enganeni. Izingane ezitheleleka lapho zidlula emgodini wokuzalwa zinombono ongcono kunalabo abatheleleke ekuqaleni ngesikhathi sokukhulelwa.

Izinkinga zempilo ezingaba khona uma ingane ingelashwa zifaka:

• Ubumpumputhe
• Izithulu
• Ukukhubazeka kobuso
• Izinkinga zesistimu yezinzwa

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma ingane yakho inezimpawu noma izimpawu zalesi simo.

Uma ucabanga ukuthi ungaba nogcunsula futhi ukhulelwe (noma uhlela ukukhulelwa), shayela umhlinzeki wakho khona manjalo.

Imikhuba yocansi ephephile isiza ukuvimbela ukusakazeka kogcunsula. Uma usola ukuthi unesifo esithathelwana ngocansi njenge-syphilis, funa usizo lwezokwelashwa ngokushesha ukuze ugweme izinkinga ezifana nokutheleleka kwengane yakho ngesikhathi sokukhulelwa noma sokuzalwa.

Ukunakekelwa ngaphambi kokubeletha kubaluleke kakhulu. Ukuhlolwa kwegazi ejwayelekile ngegcunsula kwenziwa ngesikhathi sokukhulelwa. Lokhu kusiza ukukhomba omama abanegciwane ukuze belashwe ukunciphisa izingozi ezinganeni nakubo ngokwabo. Izinsana ezizalwa omama abanegciwane abathola ukwelashwa okufanele ngama-antibiotic ngesikhathi sokukhulelwa zisengozini encane yokuthola ugcunsula.

Ugcunsula Fetal

UDobson SR, iSanchez PJ. Ugcunsula. Ku: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, abahleli. Incwadi kaFeigin neCherry's Pediatric Infectious Diseases. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 144.

IKollman TR, iDobson SRM. Ugcunsula. Ku: Wilson CB, Nizet V, Malonado YA, Remington JS, Klein JO, abahleli. Izifo Ezithathelwanayo ze-Remington ne-Klein ze-Fetus ne-Baby Newborn. Umhlaka 8. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 16.

UMichaels MG, uWilliam JV. Izifo ezithathelwanayo. UZitelli BJ, McIntire SC, uNorwalk AJ, ama-eds. UZitelli noDavis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2018: isahluko 13.