Tus mob syphilis yog thawj theem ntawm kev txhim kho pathology. Feem ntau, tib neeg nco cov tsos mob thaum ntxov ntawm tus kab mob vim lawv tsis paub txog nws. Tab sis tus kab mob yuav tsum muaj peev xwm paub txog thaum ntxov kom muaj peev xwm rov zoo los ntawm nws yam tsis muaj kev loj hlob ntawm qhov tshwm sim loj. Ib qho ntawm cov tsos mob ntawm tus mob syphilis yog qhov tsim ntawm ib qho nyuaj chancre thiab indurated edema.
Kawm muaj kab mob
Syphilis pib pom thawj zaug peb lub lis piam tom qab tus neeg kis tus kab mob. Nyob rau ntawm qhov chaw uas daj ntseg treponema (tus neeg sawv cev ntawm tus kab mob) nkag mus rau hauv lub cev, ib qho chaw, uas nyob rau hauv xya hnub hloov mus rau hauv ib tug rwj. Yog li ntawd muaj ib tug nyuaj chancre. Ib lub lim tiam tom qab no, cov qog nqaij hlav nyob ib sab ntawm chancre pib mob thiab loj tuaj. Lymphatic hlab ntsha, los ntawm kev kis tus kab mob nkag mus rau hauv cov leeg, kuj nce, indurative edema tsim. Hauv tshuaj, qhov tshwm sim no hu ualymphangitis.
Yog li, chancre, lymphangitis, thiab cov qog nqaij hlav o yog cov qauv ntawm thawj tus mob syphilis.
Kev piav qhia thiab yam ntxwv ntawm qhov teeb meem
Indurative edema nyob rau hauv syphilis yog ib hom kab mob tshwj xeeb ntawm cov hlab ntsha lymphatic ntawm daim tawv nqaij, nyob ze ntawm qhov tawv nqaij tawv nqaij, lossis ib qho kev ywj pheej ntawm thawj tus mob syphilis. Feem ntau, qhov tshwm sim no tau pom nyob rau hauv qhov chaw mos: hauv cov poj niam hauv labia thiab clitoris, hauv cov txiv neej - ntawm daim tawv nqaij ntawm scrotum thiab foreskin.
Cov kab mob no yog tus yam ntxwv los ntawm kev nce qhov loj ntawm thaj chaw cuam tshuam los ntawm plaub zaug, nws cov ntaub so ntswg ua ntom thiab tawv. o ntawm thaj chaw sib raug zoo tshwm sim vim muaj ntau ntawm cov hlab ntsha me me hauv cheeb tsam no. Nyob rau tib lub sijhawm, nws tsis mob, cov txheej txheem inflammatory tsis tsim. Palpation ntawm edema kuj tsis ua rau mob rau tus neeg mob; thaum nias rau ntawm qhov chaw cuam tshuam, fossa tsis nyob.
Indurative edema tshwm sim vim kev ua txhaum ntawm cov ntshav tawm thiab cov qog ntshav vim kev loj hlob ntawm thawj tus mob syphilis. Xws li ib tug pathology feem ntau tsim nyob ib ncig ntawm ib tug nyuaj chancre, thaum lub pathological cheeb tsam ua ntom. Ib qho infiltrate los ntawm ib tug tawv chancre kis tshaj nws, provoking cov tsos ntawm puffiness.
Cov tsos mob ntawm pathology
Ib khaus feem ntau tshwm sim nrog indurative edema. Cov tawv nqaij hauv cheeb tsam no muaj xim liab tsaus, qee zaum xiav tint tuaj yeem pom. Qhov tshwm sim no tau pom txog li ob lub lis piam, tab sis tsis muaj kev kho mob, nws tuaj yeem nyob mus txog rau qhov kev loj hlob ntawm tus mob syphilis thib ob. Hauv ntau tus neeg mob, pathology yog qhov nyuaj los ntawm kev sib ntxiv ntawm cov kab mob thib ob. Nyob rau tib lub sijhawm, inductive edema, ib daim duab uas tuaj yeem pom nyob rau hauv cov chaw kho mob gynecological lossis venereological, tau koom nrog polyadenitis, uas muaj cov qog ntshav ntau ntxiv thoob plaws lub cev. Qhov ze ntawm cov qog ntshav mus rau chancre, lawv loj dua.
Tsis ntev los no, kev sib deev hauv cheeb tsam ntxiv ntawm chancre thiab edema tau ntsib, piv txwv li, ntawm daim tawv nqaij thiab mucous daim nyias nyias ntawm qhov quav, plab lossis ncej puab, ntiv tes ntawm sab sauv, hauv qhov ncauj kab noj hniav.
Ntau zaus tus neeg mob cov tonsils loj, lawv tau txais cov xim tooj liab, lawv tsim chancre-amygdalite. Hauv lwm qhov xwm txheej, kev tsim cov chancre ntawm ib qho ntawm cov phalanges ntawm cov ntiv tes tuaj yeem ua tau. Cov neeg raug mob syphilis pab o cov qog ntshav thiab tsim cov edema.
Kev nyuaj siab
Nyuaj chancre thiab indurative edema ntawm labia hauv cov poj niam ua rau kev loj hlob ntawm bartholinitis, hauv cov txiv neej - phimosis, balanitis, gangrenization. Ntawm palpation ntawm daim tawv nqaij sweetness ntawm foreskin, qhov twg edema tau tsim, ib tug infiltrate yog txiav txim siab uas tsis ua mob. Nrog paraphimosis, qhov edema no ua rau muaj kev cuam tshuam ntawm lub taub hau, uas tuaj yeem ua rau nws cov necrosis. Nyob rau hauv cov ntaub ntawv no, cov ntshav ntws thiab lymphatic rhiab heev, thiab indurative edema nce. Nws ciam teb ua fuzzy, daim tawv nqaij ua cyanotic.
Thaumnecrosis nyob rau hauv qab ntawm lub chancre tsim gangrene, ib tug dub scab tshwm. Tom qab nws ntog, cov ntaub so ntswg tsis xws luag tseem nyob ntawm qhov chaw cuam tshuam. Tus kab mob thib ob feem ntau koom nrog cov txheej txheem no.
ntsuas ntsuas
Kev kuaj mob ntawm tus mob syphilis yog qhov nyuaj vim muaj teeb meem. Tus kws kho mob tshuaj xyuas keeb kwm ntawm tus kab mob, tshuaj xyuas thiab xam phaj tus neeg mob. Lub xub ntiag ntawm tus mob syphilis yog qhia los ntawm peb lub cim tseem ceeb: tawv chancre, indurated edema, thiab o lymph nodes. Cov kev kuaj sim yuav tsum tau kuaj xyuas kom raug. Thaum lub sij hawm kev soj ntsuam, tus kws kho mob txiav txim seb tus naj npawb ntawm cov neeg koom nrog kev sib deev thiab kev sib deev nyob rau hauv 6 lub hlis dhau los.
Lab kuaj mob
Cov kauj ruam tseem ceeb tshaj plaws hauv kev txiav txim siab thawj tus mob syphilis yog kev sim kuaj. Tus kws kho mob sau cov hauv qab no:
- PCR thiab ELISA;
- dark field microscopy (TFM);
- RMP thiab RPR.
Thaum thawj lub limtiam ntawm kev tsim chancre, kev kuaj ntshav hauv chav kuaj yuav tsis pom tias muaj tus kabmob syphilis thawj zaug, yog li kev tshem tawm ntawm lub qhov txhab thiab xa mus rau TMT lossis PCR.
Yog tias pom tus kab mob chancre rau peb lub lis piam, ces RPR thiab ELISA cov kev ntsuam xyuas raug siv los kuaj xyuas zaum kawg.
Differential Diagnosis
Cov kev kho mob tshwj xeeb ntawm tus mob syphilis ua rau nws muaj peev xwm ntseeg tau qhov sib txawv ntawm tus kab mob nrog cov kev hloov pauv hauv qhov chaw mos xws li kab mob kab mob, tuberculous lossis gummous ulcer, qog, chincroid,herpes thiab lwm yam. Tab sis nws yog ib qho tsim nyog los ua cov kev sim kuaj.
Kev kho mob
Kev kho mob ntawm qhov chaw sib raug zoo thiab qhov tawv nqaij tawv nqaij yuav tsum tau ua kom sai li sai tau, vim tias cov cim qhia no qhia txog kev loj hlob ntawm tus kab mob loj uas ua rau muaj kev phom sij rau kev noj qab haus huv thiab lub neej ntawm tus neeg mob.
Txoj kev tseem ceeb ntawm kev kho yog kev kho kab mob tua kab mob, thiab nws tsis tuaj yeem cuam tshuam cov chav kawm. Pale treponema yog rhiab heev rau cov tshuaj penicillin, yog li cov tshuaj tua kab mob no tau siv los kho tus mob syphilis. Feem ntau cov tshuaj yog muab txhua peb teev rau ib hnub. Yog tias kev kho mob tsis zoo, tus kws kho mob tau sau lwm cov tshuaj tua kab mob. Tsis tas li ntawd hauv kev kho mob syphilis, immunomodulators, vitamin thiab mineral complexes yog siv. Kev kho mob yog li peb lub hlis.
kuaj ntshav ib ntus yog ua los ntsuas qhov ua tau zoo ntawm kev kho mob. Nws yog txwv tsis pub muaj kev sib deev thaum lub sij hawm kho. Txhua tus neeg koom nrog kev sib deev ntawm tus neeg mob yuav tsum tau kuaj mob syphilis, thiab lawv yuav tsum tau txais kev kho mob prophylactic. Txwv tsis pub, qhov kev pheej hmoo ntawm rov tshwm sim nce ntau zaus. Yog li ntawd, nws yog ib qho tseem ceeb kom qhia rau koj cov neeg koom nrog kev sib deev txog qhov muaj tus kab mob syphilis kom lawv tuaj yeem kuaj tau raws sijhawm.
Tom qab kev kho mob tas mus li, cov neeg mob yuav tsum nyob hauv kev saib xyuas kev kho mob rau ib mus rau peb xyoos. Kev tswj xyuas kev kho mob tau ua tiav thaum lub sijhawm soj ntsuam tag nrho siv RPR xeem.
Huab cua thiab tiv thaiv
Tus mob syphilis thaum ntxov teb tau zoo rau kev kho mob, yog li kev kho mob tau zoo thiab raws sijhawm ua rau muaj txiaj ntsig zoo. Thaum tsis muaj kev kho mob, cov teeb meem pib tshwm sim, tus kab mob kis mus rau theem tom ntej ntawm kev loj hlob.
Txoj kev tiv thaiv kev ntseeg siab tshaj plaws yog kev siv cov tshuaj tiv thaiv kab mob. Nws tseem yog ib qho tseem ceeb uas yuav tau mus kuaj xyuas raws sij hawm thaum sib cuag nrog cov neeg uas muaj tus kab mob. Yog tias pom thawj cov tsos mob ntawm pathology, koj yuav tsum mus ntsib kws kho mob tam sim ntawd thiab tsis txhob hnov qab qhia koj tus khub kev sib deev txog cov kab mob kom nws tuaj yeem kuaj xyuas sai li sai tau.
Zoo kawg
Tus neeg sai sai uas xav tias mob syphilis los ntawm qhov muaj cov tsos mob xws li tawv chancre, indurated edema thiab o cov qog nqaij hlav, qhov yooj yim dua nws yuav kho tau tus kab mob thiab txo qhov tsis zoo thiab cov teeb meem yuav tshwm sim. Yog vim li cas nws thiaj tseem ceeb kom paub tias dab tsi yog thawj cov tsos mob ntawm tus mob syphilis.
Txawm tias ib qho rwj hauv qhov chaw mos lossis qhov ncauj yuav tsum ceeb toom rau tus neeg. Yog tias, tom qab qee lub sijhawm, edema tsim nyob ze thiab cov qog nqaij hlav loj, nws muaj peev xwm ua rau tus mob syphilis thawj zaug. Yog tias koj xav tias tus kab mob no, koj tsis tas yuav cia txhua yam ua tiav, nws yog qhov yuav tsum tau mus ntsib kws kho mob venereologist thiab ua raws li kev tshuaj xyuas los ntawm nws. Kev kho mob sai sai ntawm pathology pib, qhov zoo dua nws qhov kev cia siab yuav yog. Yuav tsum tau tshuaj xyuas thiabkev sib deev tus khub los txo qhov kev pheej hmoo ntawm kev rov tshwm sim ntawm pathology yav tom ntej. Los ntawm kev ua raws li tag nrho cov cai thiab cov lus pom zoo, koj tuaj yeem zam kev mob hnyav.
