I-Syphilis yisifo esiyingozi esibangelwa i- treponema ephaphathekile futhi idluliselwa kakhulu ngenxa yobulili. Izifo ezinzima kakhulu zingaholela ekulimaleni kwesimiso sezinzwa, izitho zangaphakathi, amathambo namalungu. Yingakho kubaluleke kakhulu ngemuva kokubonakala kwezimpawu zokuqala noma ukuvela kwamacala okuba nokuthola isifo sokuhlanza isifo sokuthola isifo sofuba ukubona udokotela ukuba ahlolwe ngokushesha futhi aphathwe lesi sifo.
I-syphilis ihlolwe kanjani?
Ukuxilongwa kwe-syphilis siqukethe:
- ukuhlaziywa kwezikhalazo zesineke;
- ukuhlolwa kwesiguli;
- ukuhlolwa kwezivivinyo ze-laboratory.
Okokuqala, udokotela ubuza isiguli mayelana nezimpawu zalesi sifo, unesithakazelo kubalingani bezocansi zesiguli, amacala we-syphilis emndenini.
Bese beqhubeka bekhomba izimpawu zesifo: ukukhwehlela esikhumbeni, i-chancre eqinile, i-lymph nodes ekhulisiwe.
Isiguli sesabelwe ukuqhuba ukuhlolwa kwelabhoratri ukucacisa ukuxilongwa kwe-syphilis nokuhlukanisa nezinye izifo ezinezimpawu ezifanayo (i-allergic dermatitis, i- herpes ngokobulili , i-trichomoniasis nabanye).
I-laboratory (microbiological) ukuxilongwa kwe-syphilis
Ekuhlunguleni ukuhlukana kwe-syphilis, kunezindlela ezihlukahlukene:
- Ucwaningo lokuqala lwe-non-treponemal serological, lapho igazi lesiguli lihlolwe khona ukuba khona kwamagciwane okukhiqizwa ngumzimba ngokumelene ne-phospholipids yamathishu ebhubhisa ukutheleleka kanye ne-lipids ye-treponema membrane ephaphathekile (ukusabela kwe-Wasserman, ukuhlolwa okusheshayo kwe-plasma reactivity (ukuxilongwa okusheshayo kwe-syphilis), ukuhlolwa okulinganiselwe I-VDRL);
- okwesibili, ukuhlaziywa kwe-treponemal serological, lapho igazi lihlolwe khona ukuba khona kwama-antibodies ngokumelene nama-antigens we-pathogen (RIF, RIBT, RPGA, i-ELISA i-diagnosis of syphilis);
- Okwesithathu, izindlela ezihloswe ekutholeni i-treponema ephukile emithini yezinto eziphilayo ezathathwa amniotic fluid, lymph nodes, CSF (i-PCR ukuhlonza i-syphilis, ukuphendula ngokuqondile kwe-immunofluorescence, microscopy emnyama).
Ukuhlolwa kokugcina kwenziwa ngumuntu we-venereologist, ukuhlola yonke idatha etholakalayo - anamnesis, isithombe somtholampilo sesifo, idatha yelabhuthrikhi, okumele ifake ulwazi mayelana nokutholakala kwe-treponema ephukile, imiphumela yokuhlolwa kwe-serological.
Ngaphambi kokwelashwa kwalesi sifo, kubaluleke kakhulu ukuthi ukuxilongwa kwe-syphilis kuqinisekiswa yi-data laboratory.