Yelashwa kanjani i-Syphilis (esigabeni ngasinye)
-Delile
- Yini okufanele uyenze uma kwenzeka ukungezwani komzimba nePenicillin?
- Ukwelashwa ngesikhathi sokukhulelwa
- Ukwelashwa kwe-syphilis yokuzalwa
- Ukunakekelwa ngesikhathi sokwelashwa
- Izimpawu zokwenza ngcono ugcunsula
- Izimpawu zokugcwala ugcunsula
- Izinkinga ezingenzeka ze-syphilis
Ukwelashwa kukagcunsula kuvame ukwenziwa ngemijovo ye-benzathine penicillin, eyaziwa nangokuthi i-benzetacil, okumele ikhonjiswe ngudokotela, imvamisa udokotela wezifo zabesifazane, odokotela ababelethisayo noma owelapha izifo ezithathelanayo. Isikhathi sokwelashwa, kanye nenombolo yemijovo, kungahluka ngokuya ngesigaba sesifo kanye nezimpawu eziveziwe.
Uma isilonda esingophi futhi esingalimazi sisekhona, thatha nje umthamo owodwa we-penicillin ukwelapha ugcunsula, kepha uma kukhulunywa ngogcunsula wesibili noma wasezingeni eliphakeme, kungadingeka imithamo emi-3.
Imijovo isetshenziswa esifundeni esikhazimulayo kanye ngesonto, ngokweseluleko sezokwelapha, kepha uma kukhulunywa ngogcunsula noma i-neurosyphilis ephakeme, ukulaliswa esibhedlela kuyadingeka, ngoba kuyisifo esithuthuke kakhulu futhi kunezinye izinkinga ezihilelekile.
Ngakho-ke, futhi ngokusho kweCDC kanye nenqubo yomtholampilo yezifo ezithathelana ngokocansi zoMnyango Wezempilo, ukwelashwa kukagcunsula kubantu abadala kumele kwenziwe ngokwalolu hlelo:
| Isigaba sesifo | Ukwelashwa okunconyiwe | Okuhlukile | Ukuhlolwa ukuqinisekisa ukwelashwa |
| Ugcunsula Primary kanye secondary | Umthamo owodwa weBenzetacil (amayunithi ayizigidi ezingama-2.4) | I-Doxycycline 100 mg, kabili nsuku zonke izinsuku eziyi-15 | I-VDRL ezinyangeni ezi-3, 6 nezingu-12 |
| Ugcunsula wakamuva | Umjovo owodwa ongu-1 weBenzetacil (ingqikithi yamayunithi ayizigidi ezingama-2.4) | I-Doxycycline 100 mg, kabili nsuku zonke izinsuku eziyi-15 | I-VDRL ezinyangeni ezi-3, 6, 12 nezingama-24 |
| Ugcunsula osekusile | Umjovo o-1 weBenzetacil ngesonto amaviki ama-3 (ingqikithi yamayunithi ayisigidi esingu-7.2) | I-Doxycycline 100 mg, kabili nsuku zonke izinsuku ezingama-30 | I-VDRL ezinyangeni ezi-3, 6, 12, 24, 36, 48 no-72 |
| Ugcunsula osezingeni eliphezulu | Umjovo o-1 weBenzetacil ngesonto amaviki ama-3 (ingqikithi yamayunithi ayisigidi esingu-7.2) | I-Doxycycline 100 mg, kabili nsuku zonke izinsuku ezingama-30 | I-VDRL ezinyangeni ezi-3, 6, 12, 24, 36, 48 no-72 |
| I-Neurosyphilis | Imijovo ye-Crystalline Penicillin izinsuku eziyi-14 (amayunithi ayizigidi ezingama-18 kuye kwangama-24 ngosuku) | Ukujova kwe-ceftriaxone 2g izinsuku eziyi-10 kuya kwezingu-14 | I-VDRL ezinyangeni ezi-3, 6, 12, 24, 36, 48 no-72 |
Ngemuva kokuthatha i-penicillin, kujwayelekile ukuthi kube nokuphendula okubanga umkhuhlane, ubuhlungu bemisipha, ikhanda, ukushaya kwenhliziyo okusheshayo, ukuphefumula okuphansi kanye nokwehla kwengcindezi. Lezi zimpawu zingahlala amahora ayi-12 kuye kwangama-24 futhi kufanele zelashwe kuphela ngeParacetamol.
Yini okufanele uyenze uma kwenzeka ukungezwani komzimba nePenicillin?
Uma kunenkinga yokungezwani komzimba ne-penicillin, umuntu kufanele akhethe ukwehlisa amandla i-penicillin ngoba awekho amanye ama-antibiotic akwazi ukuqeda treponema palladium. Kodwa-ke, kwezinye izimo udokotela angahle anikeze i-doxycycline, tetracycline noma i-ceftriaxone.
Ukwelashwa ngesikhathi sokukhulelwa
Ukwelashwa kukagcunsula kwabesifazane abakhulelwe kufanele kwenziwe kuphela ngama-antibiotic atholakala ku-Penicillin, njenge-Amoxicillin noma i-Ampicillin, njengoba amanye ama-antibiotic angadala ukungahleleki embungwini.
Uma owesifazane okhulelwe eguliswa yiPenicillin, udokotela angancoma ukwelashwa ngemuva kokukhulelwa, uma lesi sifo sifihlekile noma usebenzise i-erythromycin esefomini yethebhulethi izinsuku eziyi-15 kuya kwezingama-30, kuya ngeviki lokukhulelwa.
Bona imininingwane eminingi ekwelapheni ugcunsula lapho ukhulelwe.
Ukwelashwa kwe-syphilis yokuzalwa
Ugcunsula azalwa nawo yilokho okuvela enganeni futhi okudluliselwa kumama onegciwane. Kulezi zimo, ukwelashwa kufanele kuqondiswe udokotela wezingane futhi, ngokujwayelekile, kuqalwa ngemuva nje kokuzalwa noPenicillin ngqo emthanjeni njalo emahoreni ayi-12 ezinsukwini zokuqala eziyi-7 zokuphila.
Ngokuqala kokwelapha i-syphilis yokuzalwa, kuyinto ejwayelekile kwezinye izingane ezisanda kuzalwa ukuba nezimpawu ezinjengomkhuhlane, ukuphefumula okusheshayo noma ukukhuphuka kwenhliziyo, okungalawulwa nezinye izidakamizwa ezifana ne-paracetamol.
Thola imininingwane eyengeziwe mayelana nokwelashwa kwe-syphilis engokwemvelo.
Ukunakekelwa ngesikhathi sokwelashwa
Ngesikhathi sokwelashwa, noma ngemuva nje kokutholakala kukagcunsula, umuntu kufanele athathe izinyathelo ezithile zokuqapha ezifana:
- Yazisa umlingani wakho ukuhlola isifo nokuqala ukwelashwa, uma kunesidingo;
- Gwema ukuxhumana ngokocansi ngesikhathi sokwelashwa, ngisho nangekhondomu;
- Hlolela i-HIV, njengoba kunengozi enkulu yokutheleleka.
Ngisho nangemuva kokwelashwa, isiguli singathola ugcunsula futhi, ngakho-ke, kubalulekile ukuqhubeka nokusebenzisa amakhondomu phakathi kwabo bonke abantu abasondelene kakhulu ukugwema ukuphinde ungcoliswe ugcunsula noma ezinye izifo ezithathelwana ngocansi.
Izimpawu zokwenza ngcono ugcunsula
Izimpawu zokwenza ngcono kugcunsula zivela cishe ezinsukwini ezi-3 kuye kwezingu-4 ngemuva kokuqala kokwelashwa futhi zingafaka inhlalakahle eyandisiwe, ukunciphisa amanzi nokuphulukiswa kwamanxeba, isibonelo.
Izimpawu zokugcwala ugcunsula
Izimpawu zokugcwala ugcunsula zivame kakhulu ezigulini ezingatholi ukwelashwa ngendlela ekhonjiswe ngudokotela futhi zifaka imfiva engaphezu kuka-38ºC, ubuhlungu bamalunga nemisipha, ukwehla kwamandla emisipha nokukhubazeka okuqhubekayo.
Izinkinga ezingenzeka ze-syphilis
Izinkinga ze-syphilis zivela ikakhulu ezigulini ezinamasosha omzimba abuthakathaka ane-HIV noma angatholi ukwelashwa okwanele, kufaka phakathi ukubonakala kwe-meningitis, hepatitis, deformity and paralysis.
Buka le vidiyo elandelayo bese uqonda kangcono ukuthi lesi sifo siqala kanjani:
-Nconyisile
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