Syphilitic roseola: photo, zviratidzo, description, siyana, localization, differential nechirwere, kurapwa

Njovhera - mumwe rakajairika nokukarudza zvirwere XX remakore. Kwechinguva chirwere yaiva mhosva yerufu vanhu vazhinji. MuRussia, utachiona akatambura yose maruwa, uye muhondo, musoja ose wechishanu waiva utachiona. Ichi chekare venereal chirwere kuti vainyanya pabonde kana prenatally. Asi kuchizoshamisa kunogoneka uye kushandisa utsanana zvinhu, ikaruma, kuisira ropa. The chirwere munogona Isimba rakadini rinogona kubudiswa muchimiro kwemakumi emakore, zvishoma nezvishoma kutamira kubva padanho mumwe, zvinotyisa nezviratidzo zvavo pakuonekwa.

The causative mumiririri

Chancre, kuzvimba nhengo dzinobudisa midziyo, syphilitic roseola (makwapa syphilides), papules, pustules uye nodes - izvi zvinongova zvimwe chokunze kuratidzwa nesekondari njovhera. Asi chaikonzera ganda maronda, nhengo dzomukati uye hurongwa hwechokwadi spirochete - hapana treponema (Treponema pallidum). The microorganism mukana chete muna 1905. It ane elongated muviri chimiro uye fibrils, saka vanokwanisa zononoka inofamba. Ndiko, nayo utachiona inogona kufamba takasununguka mukati hondo muviri, rakapinza muruoko intercellular kubatana uye anokanganisa nhengo dzomukati, tsinga uye tishu kwevanhu.

Secondary njovhera

The chirwere ane zvinhanho zvitatu vavimbezve. Primary njovhera kunoratidzwa zvishoma nezvishoma kutanga nayo utachiona mumuviri. akaumba chancre In nzvimbo okutanga treponema - kunorwadza urikanwi. Pakapera vhiki 6-10 pashure chirwere kunoitika muviri systemic kukundikana. Kutambudzika zvose zvomukati (kusanganisira pfupa, huta, nhengo dzinobudisa maitiro, kunzwa uye kuona). Zvaive munguva iyi, muviri sokuti sembura mapundu, imwe nzira iyo iri syphilitic roseola. Photo varwere vane ganda wakafukidzwa rashes, tarisa zvinakidze. The mapundu kunoitika nokuti chikamu utachiona rinoparadzwa kurwisa zvirwere masero uye anosimbisa imwe endotoxin - nengozi muchetura kuti ane angioparaliticheskim pfuma. Izvi njovhera chiratidzo inowanikwa 80% nyaya panguva yechipiri nguva.

Kazhinji zvinogoneka muviri zvishoma kuderedza utachiona hwakakura, mauri chirwere anova Isimba rakadini rinogona kubudiswa (zvakavanzika) Danho. The mapundu haazombotaurwi kwekanguva, munguva pfupi kuonekwa zvakare. Kubereka zvigare zvadzorwa, asi kwakaderera dziviriro yezvirwere mumuviri kunoita kuti kuitazve. Nokuti wavo zvirwere asingakwanisi kukurira chose chirwere. Uyezve, muviri womunhu tembiricha iri Zvakanakisa vakasununguka kuti upenyu microbe. Second nguva hunogara kubva 2 kusvika 4 makore, inoyerera mafungu, uye kuwana zvose zvitsva zviratidzo zvekuchipatara.

Chii ganda zvirwere zvinogona kuvhiringidzwa?

Syphilitic roseola akafanana nevamwe pathologies ganda, ayo ne blue mapundu ichazivikanwa:

• Hunokachidza dermatitis sezvo maitiro mishonga, zvokudya, mhuri makemikari. sema echitema musiyano ndechokuti avanotarisira kubatanidza, kuvaviwa, batanidza pamwe nomumwe.
• Pink zoster kunoratidza somunhu symmetric tenderera makwapa. Izvi chisingakuvadzi nemavhairasi ganda maronda inopfuura pasina kurapwa. Saka nguva dzose pane mubereki Dombo (dhayamita 1 cm) iyo kutanga kuona uye hune saizi. The yasara zvinhu kuonekwa zvishoma nezvishoma, chimiro chavo uye kukura zvingava zvakasiyana uye zvakasiyana nemumwe.
• marbling ganda kunogona kuitika semhinduro hypothermia vanhu zvakakwana hwakanaka. Kuburikidza ganda dilated capillaries chete translucent, zvichiriita marbled tinge. Syphilitic roseola pashure simba vachidzipukuta machira inova kunyange chichiwedzera uye machena nomufananidzo, pamusoro Zvakatosimbisa nokupera.
• Scaly mavara (mavara) dziri nokunyima ruvara vaaleanpunainen, asi anowana dzimwe nguva munhu mumumvuri kofi nomukaka. Vari iri shure, chipfuva, uye kakawanda pazuva yokumusoro hafu muviri. Zvinobva kuna miromo bvudzi follicles zvakasimba shelled kusiyana njovhera kuratidzwa.
• Kuvapo pubic inda kunoratidza kungoda ploschits ikaruma. In musimboti vachena dzepepuru makwapa unogona nguva dzose kuona chiduku dot. Zvisaririra regai kunyangarika kana Vanosundira.
• Kana rubella upundu chinowanikwa kwete chete pane muviri asi chiso. It inodarika pamusoro zvishoma nezvifukidziro, rinokanganisa pharynx uye haarambi pazuva retatu. tembiricha muviri rinobuda, pane conjunctivitis, kuzvimba node nodes.
• Gwirikwiti zvakare dzinoratidzwa unopinza kuwedzera kupisa, fungiro edema, kuzvimba membranes okumusoro Airways, zvakaoma kufema uye conjunctivitis. Mapundu guru, asingatani zvikasabudiswa pamusoro mucous membranes mumuromo uye mazino pachena Dots chena.
• Typhus uye sefivha kunoitika zvakaoma. vakawanda kudhaka muviri, fivha uye utera. Kana girisi echitema ane doro mhinduro pamusoro ayodhini, vanova zvasviba mumvuri.

Syphilitic roseola: differential kuongorora chirwere

Roseola, kukonzerwa njovhera, zvakakosha kusiyanisa (kusiyanisa) nevamwe mhando madodzi madodzi mapundu, zvakafanana chitarisiko chavo. Uyewo zvipembenene ikaruma, nezvimwe zvinhu, zvirwere (herpes, mwandabvu). Zvikonzero chidzoke vemamwe kwemakomo zvakasiyana nokure, sezvo zvinoitwa vakaratidza, chitarisiko, zvakajairika zviratidzo uye kurapwa nzira.

Achibatsirwa Murabhoritari nzira zvinogona tsunga kuti mapundu - ichi syphilitic roseola. Diff. chirwere pazvikanganiso serological neropa Detective maantigen uye antibodies kuna nayo utachiona. Rif inopa akakwana mugumisiro kuongorora. Kuti aite izvi, muna kutora ropa murwere chidzidzo akawedzera tsuro ropa kwakasvibiswa chete causative mutumwa chirwere, uye rinokosha serum. Kana kuonekwa ari fluorescence maikorosikopu pamberi ane muviri treponema inosimbisa kudzvokora - fluorescence. Kusavapo chirwere rinowanika yero Naiwo mufaro.

An dzinonakidza Chokwadi ndechokuti kana murwere nomutsinga kupinda kubva 3 kusvika 5 ml nicotinic asidhi (0.5% mhinduro), kuti mavara kuva wakajeka Hue. Uyewo zvikuru nokuti chirwere ndiye kuvapo zvimwe zviratidzo yechipiri njovhera. Uyewo paumbwe chancre chinonyanya njovhera padanho.

Other zviratidzo

Stained blue kana tsvuku kumativi chimiro anooneka syphilitic roseola. Zviratidzo zviri njovhera yechipiri zvinosanganisirawo:

• microfocal kana diffuse alopecia (zvakajairika 20% wevarwere uye kunosvika kune mavambo mishonga);
• "Chishongo Venus" iri pamutsipa, kashoma pamafudzi, makumbo uye tikarega shure;
• papular syphilide;
• pustular syphilide;
• zvakakanganisika pahuro zvinokonzera uye hoarseness.

upundu zviratidzo

Syphilitic roseola, pikicha zvacho zvakawanda paIndaneti, kunoratidzwa zvimwe:

• nomumwe makwapa Sizes kusvika 1 cm;
• rashes hadzinzwisisiki contours;
• echitema dzinongobuda mvere, asymmetrical;
• woita contours uye asymmetrical;
• kwete fused kune mumwe zvinhu;
• echitema regai protrude pamusoro ganda;
• regai kukura pamusoro arikunze;
• kushushikana, zvishomanana kwokungoderedza ruvara, asi kwete kwenguva refu;
• hapana marwadzo, peeling uye kuvaviwa.

Long kwete kupfuura roseola anogona yero mashava Hue. Pachavo rashes havasi kunokuvadza uye havasi ngozi. Zvisinei, ndivo chiratidzo muviri kuti aifanira kubatsirwa nokukurumidza.

Syphilitic roseola: localization mapundu

Favorite nzvimbo ikaona nzvimbo vaiona kumugumo uye divi hukawanika muviri (chipfuva uye dumbu). Zvichida uri muzvidimbu Bends, achirova yokumusoro chikamu makumbo. Roseola kashoma musiwa tsoka, maoko uye chiso. pekugara chimbi zvisakafanira uye mafashafasha. Iye anooneka zvishoma nezvishoma, richisvika yokupedzisira kukura kwamazuva 8-10. Syphilitic roseola howa anobva chimiro mavara.

Mhando syphilitic roseola

Zvinotevera mhando roseola:

• kutsva (kuonekwa), zvikuru zhinji mapundu inobwinya ruvara;
• urticaria kana oedematous (afanane urticaria);
• annular syphilitic roseola kunoratidzwa makwapa akasvibirika muchimiro maringi kana hafu marin'i, arcs namaruva kumasuo;
• pamwe idzokororo kana wopedza roseola saizi makwapa, kazhinji yakakura, uye kupenda - zvikuru, asi nhamba iri duku.

Very kashoma, varwere kuva peeling roseola rakafukidza ndiro zviyero, uyewo akafanana Maronda akasiyana, chirefu kupfuura ganda.

Mucous membranes kazhinji anovandudza erythematous syphilitic angina. On the Drain huro erythema kuonekwa rima tsvuku, dzimwe nguva ane rinokwanisa kucheneruka tint. hurukuro dzavo zvikuru bordered pamwe utano mucosa nezvifukidzo zvameso. Murwere haasi kunzwa marwadzo, hazvina nefivha, uye mukuru nezvevakafa kushanda akavhuniwa.

mabatiro

Kana uchifungidzira munhu syphilitic yezvakaita mapundu zvakakosha kuenda chiremba nokukurumidza sezvingabvira. Diagnostics iri avimbiswa dermatologist kana venereal zvirwere.

The mapundu nokupera nomuzvarirwo pashure pemazuva mashoma (dzimwe nguva mwedzi), zvishoma nezvishoma kuchinja ruvara. Naizvozvo, hapana zvisaririra inosaririra ganda. Kurapa zvakakodzera Usakurumidza, uye avo zvinokonzera. Sezvineiwo causative nomumiririri njovhera haiwanzowaniki microorganism iyo harisati yakatanga kuramba nemishonga. Syphilitic roseola, iyo kurapwa rinoitwa neboka kwakajairika kuti penicillin (sodium munyu), zvinowanzoita kuti sembura. Nechekare pashure yokutanga intramuscular jekiseni mapundu anova yakadzika dzvuku Hue. Murwere vanogona kumutsirwa tembiricha. Uyezve, mavara ari kuumbwa munzvimbo idzo muviri, apo kare havana. Munguva yaisanganisa kurapa, uyewo gumi apfuura, akashandisa intravenous aizomupa Arsenic yeimwe ( "Novarsenol", "Miarsenol"). zvingaitwa kuti ayodhini munyu uye dzimwe ebetsero yomuchipatara vari kushandiswa. Treatment anofanira kupfuura pasi mira ezvinhu, izvo zvinoita kuti nguva dzose kuongorora utano murwere.

kurapa Features

Treatment inofanira makosi, rakatumbuka nokungozorora uye ave mazhinji. kurapa zano anosarudzwa nomumwe chete zvekuchipatara zviri chirwere. Kubvisa akamhanya mapundu yakatarwa mekuri mafuta, kugeza sesaline, uyewo kwazvo utsanana ganda kutarisirwa.

The for kupora

Zvinobudirira zvakaipa njovhera mune utano uye vechidiki vane muviri simba. In vana uye vakwegura kuti ramangwana yakanaka mugumisiro iri nguva dzose zvakaoma. Murwere nemamiriro anogona achiipa kana ane chakakomba mwoyo maronda, chirwere cheshuga, hosha yeitsvo, chiropa, kusimba munhau. Mukuwedzera, murwere vanofanira kurega kunwa doro uye kukutadzisa kusvuta panguva kurapwa.

zvakaipira chirwere

Zvakakosha kunzwisisa kuti syphilitic roseola - a mapundu, unowanikwa kana hosha yatova Muzviitiko zvakaipisisa. Kana panguva ino hakutangi kurapwa, zvichakutungamirira kune irreparable nemigumisiro, kusingarapiki kwazvinoita uropi uye musana, kweropa maitiro uye dzimwe nhengo dzomukati. Njovhera zvakanaka uye miganhu chinja kuti danho rechitatu, riri zvachose kwete amenable kurapa. In tertiary njovhera, kunoitika muna 40% nyaya, zvinokwanisika chete kuramba rinokosha muviri mabasa uye Kudzikamiswa mamiriro. Kufanana zvirwere zvizhinji zvepabonde, njovhera kazhinji kunoguma kuremara kana rufu.

dziviriro

Njovhera - chirwere chakakomba rinorapika chete chichiri kutanga. About systemic maronda kana kurapa ose zuva riri basa, anoratidza mapundu - syphilitic roseola. Description yemabhii matanho kuti ose zvirwere, zvirwere zvinotapuriranwa pabonde. Chokutanga, unofanira kudzivisa unzenza, zvachero zvepabonde neshamwari. A chipingamupinyi nzira pamuviri achiri kunyanya nzira matanho. Kushandisa makondomu, vanhu kwete chete kuti vazvidzivirire kubva chirwere, asi kunodzivirira zvichibvira noutachiona dzepabonde nemumwe. Pashure pezvose, kwete vanhu 100% nechokwadi chokuti ndiye chose utano, vakapiwa kuti zvimwe zvirwere vane refu incubation nguva pasina chinhu zviratidzo.