Buvae syphilis. Syphilis: designation, etiology, clinical characteristics and treatment. Immune System Immunity

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Character, which is mainly transmitted through sexual contact, including oral and anal sex. In some cases, it is possible to get infected through a kiss, or to make close physical contact with a person, as if you could get sick.

It has long been known that the disease "syphilis" is transmitted after direct contact with virazkami, which results in it. Ale varto means that most of these faces are left unmarked for people.

Even more often a person, already infected with these ailments, does not show it. The worst thing is that through such a lack of information about your country of origin, you are not aware of infecting your sexual partner. And what about their sprat… Do you show the scale of the problem?

Of course, the infection can be similar from mother to child. Tobto, as an infected woman, who is still resting in the womb, can also be infected. This form of syphilis is called congenital and in some cases it can cause even serious defects in the development of a baby. Any child can learn to live.

Why blame syphilis? Vіn vinikaє zabudnik zahvoryuvannya - bіdu treponemu, scho resemble the genus of spirochetes.

How wide is the disease "syphilis"?

Tse may have a chronic leak and often lead to the appearance of serious complications. Arthritis, brain damage, blindness and more can be seen before them. Not long ago, syphilis, having become a majestic nebezpeka for lonely people, even though there was no hopeful exultation.

This situation lasted until the 1940s, before the winemaking of the antibiotic under the name penicillin, which nefariously fought against these ailments.

On this day, there are fewer people on the syphilis disease of Daedal. Wanting to sometimes be afraid of okremi spalah ailments.

Symptoms of syphilis

Tsya ailment sounds through three stages:

Primary or early syphilis. During this period, on the shkіrі, typical only for this yakі are called “hard shanker”. Such virazki wash the texture, may not hurt and appear in 10-90 days after the infection has become. If you don’t spend a liturgy, syphilis won’t go anywhere, wanting to go through months through the second time (moreover, by powerful forces), without leaving the scars and scars of the year.
Secondary syphilis. This stage is most often three in one to three months. On the top there are centers of erysipelas. Characteristic of the place of roztashuvannya її - pіdosvi nіg ta lonі. In addition, warts can appear in the groin that grow in the groin, with white color in the middle of the mouth emptying, an increase in the size of the lymphoma nodes, vrata vaga and lihomania. Similar to the primary stage, the second stage also passes on its own without any kind of merriment.
Third syphilis. Everything is different here: if you don’t begin to exaggerate this form, you can blame the serious complication of the brain and spinal cord, heart and nervous system. In addition, the third stage of syphilis can cause paralysis, blindness, deafness, bewilderment, impotence, and even worse - a lethal result.

Okremo see latent (or addictive) syphilis. This period is characterized by a number of symptoms.

What is the lure of syphilis?

As from that moment, as you were infected, less fate has passed, then for relief from illness, better for everything, to take one dose of penicillin. If you have an allergic reaction to any antibiotic, you can change it to doxycycline or tetracycline.

If the ailment "syphilis" has passed to a larger stage, more doses of liquor will be needed and a three-month period for likuvannya will be needed.

Syphilis (Lues) - infectious disease, which may be trivaly, ill-like illness. For the general infection of the body, syphilis is brought to systemic illnesses, and for the main route of transmission - to venereal ones. The whole organism is attacked: the skins are twisted and the mucous membranes, the heart-vessel, the central nervous system, the grass, the musculoskeletal system.

What is it for the illness, the first signs that cause the development, and also look like hanging syphilis on the skin of a grown-up person, and what they mean as exaltation - we can look at the distance from the article.

What is syphilis?

Syphilis is the most important venereal disease, which is characterized by a bugatory flow that attacks all human organs.

In the middle of the day, the syphilis can live in the presence of a vologer for a long time, and even if it’s in the vineyard with hanging, high temperatures, disinfectants. Vіn save your life for an hour of freezing for a few days.

Illness is more contagious in the incubation period

The symptoms of syphilis on the floor are different, it is difficult to get rid of them on the go. With the development of ailments, show important changes: from a painless first stage to important disorders of the psyche in a zanedbano form. One and the same sign itself is seen in various ailments in a fallow way in the form of immunity, a place of guilt, or to inspire the status of people.

Classification

Perebіg syphilis - trivaliy khvilepodіbniy, s cherguvannyam periods of active and addicted manifestation of ailment. In the development of syphilis, periods are seen that are affected by a set of syphilides — different forms of skin streaks and erosions, which are seen in the body of bleed spirochetes.

Fallow at the hour, after passing the moment of infection, they distinguish:

early syphilis - up to 5 years,
more than 5 years - piznіy.

For typical symptoms, syphilis is subdivided into:

pervinny (hard chanker, scleradenitis i),
secondary (papular and pustular visip, widened disease on all internal organs, early neurosyphilis)
third (gumi, hitting internal organs, cystic and subglobal systems, neurosyphilis).

Recognition, as if looking at syphilis, is possible only after the end of the incubation period. Zagalom in ailment chotiri stage, skin disease is characterized by its own symptoms. The three-month incubation period is three years 2-6, and sometimes the illness can develop into fates, especially if you take antibiotics when you have ailments, and enjoy in the case of infectious colds. At the same time, laboratory testing will not give a reliable result.

Primary syphilis

Trivae 6-8 years, characterized by the appearance on the site of penetration of the primary syphilomas or hard chanker and further enlargement of adjacent lymphatic nodes.

Second stage

Tsya stage of illness is three years old, close to 2 - 5 years. For her, a characteristic malaise-like break - the symptoms of syphilis now and then appear. Before the main signs of which stage, you can see the appearance of the visipu. Visipannya can be set up in different areas of the shkir, including the area of the coat, legs, arms and navіt disguise.

In case of secondary syphilis, it is often possible to diagnose syphilitic roseola - it is a kind of round, pale erysipelas, which can reach 10 mm in diameter. Such whips can be on the be-like dilyantsi of the body of the ailing.

The characteristic feature of syphilitic roseola is the tse її step-by-step manifestation of 10-12 patches for extraction for a stretch of seven days. Push it on the roseola, it will come out.

The following indicate that secondary syphilis can have a number of different types:

Tretinna stage

The tertiary syphilis is manifested by the middle collapse of the mucus and skin covers, whether parenchymatous empty organs, great clods, the nervous system. The main signs are papular drooping and gums that degrade with rough scarring. It appears rarely, develops for a stretch of 5-15 years, as there was no annual celebration.

Vrogene form

The births of syphilis can be divided into sprat species:

An early form of ailment, as a rule, manifests itself already in the first two months of a baby's life. The first signs of syphilis are the disappearance of papular visipu, as well as damage to the mucous membrane of the nose. To more serious complications, one can see a partial or external collapse of the nasal septum, hydrocephalus, hepatosplenomegaly, and rosacea and physical development.
The so-called Getchinson triad is typical for the congenital form of congenital syphilis. Such children are afraid of damage to the horn, pathology of teeth, and develop labyrinth deafness.

Incubation period

For a long incubation period, independently of that, like a long time ago, a person is contagious. Since the patient has been diagnosed, he can inform about his state partners.

The trivality of the incubation period is changing under the influx of wealthy officials. Shorten due to low reasons:

Secondary infection after total syphilitic infection (superinfection).
State infections (especially gonorrhea).
Severe concomitant illness (cirosis, tuberculosis, malaria).
evil narcotic speeches and alcohol.
The presence is more than two average penetration of treponemia.

Please check your wines through the following officials:

Summer Vіk (55-60 years). Tse z v'yanennyam exchange processes in the body.
Trival illness, which is accompanied by a weakened immune system. Rescheduled operations.
Individually reduced susceptibility to bacteria spirochetes. The cause of such a phenomenon has not been established.
Implantation of antibiotics (for pneumonia, tonsillitis, influenza, statin infections). It masks the disease and improves the development of the buddnik.

How syphilis manifests itself: the first signs

The appearance of syphilitic visipu on the hands

An hour between infections and the appearance of the first signs of syphilis to lie down due to the immunity of the person and the way in which the bacteria were transmitted. As a rule, it will be due in a month, but it may show up earlier than later, or more likely on the next day.

The first signs on the way to follow the respect:

The most visible symptom of syphilis is a rash, which appears where the syphilitic bacteria have entered.
Parallel fire a lymphatic vuzol, a hand-stitched handrail, and behind it - a lymphatic vessel. In medicine, this stage is seen in the first period.
After 6-7 days it will pass, the protea will spread to all lymph nodes, and the visip will appear. Thus begins the second period. Three wines from 2 to 4 years.

One sign, vindication of a solid shanker on the face

In people, the appearance of a painless visor, as a hard shanker is called. Її roztashuvannya practically zavzhdy falls on the state of the organ. Chancre may appear on the head, extreme body, on the penis itself, and may appear on the scrotum.

The shanker itself is round and hard on a dot, the beast was covered with a greasy sludge. For its consistency, it is cartilaginous. May you always be alone, maybe a little bit of other virazok will appear not far from each other.

In women, skin manifestations are characterized by a hard chanker on the articular organs. Also, the first signs of infection appeared in the appearance of a chanker on the lips or a nipple on the breasts. Sometimes one wins a sprat of small flares, sometimes one by one.

Cause a vindictive

The ailment of illness is a bacterial microorganism, Treponemapallidum (treponema pallidum). Gets into the body of a person with a crisis of microcracks, sores, wounds, veins, from lymphatic nodes near the deep blood circulation, attacking the mucus surfaces, skin twists, internal organs, the nervous system, the skeleton.

Imovirnist infection deposit in the number of bacteria that have been consumed in the body, so that regular contact with the disease increases the risks.

After drinking a sick person on the skin or the mucous membranes of a healthy person, the worker is passed through microscopic injuries to the surface and expands throughout the body. Whom has folding immune processes. However, if a stable immunity is not formed, then syphilis can be infected more than once.

Zovnіshni virazki, erozії, papules are more contagious. If a healthy person has microtraumas of the mucosa, then with a dotik to sick wines, there is a risk of infection.

The shelter of a sick person is contagious for syphilis from first to rest of the day ill, therefore, the transmission of infection can occur not only during transfusion, but also during trauma to the mucous membranes and twisting of the skin.

How is syphilis transmitted?

Syphilis is transmitted in the following ways:

statevim (95%) after contact with an ill partner;
using the same way, it is possible to get sick with syphilis only rarely (this is due to the fact that the bacterium of the gyne without the necessary minds when hanging);
intrauterine - this is how children are infected in the womb
across breast milk from a sick mother to a child;
pіd pologіv at the period of passage of the child by ancestral paths;
through the shelter, yaku vikoristovuyut for transfusion.

The most contagious diseases- patients with primary and secondary periods of illness. Under the hour of the tertiary period, the concentration of similar treponema in the sight of the ailing person sharply decreases.

Symptoms of syphilis

Syphilis dosit raznomanіtny at manifestations. Tse to lie in low factors, beginning to become immune to people, as if fighting treponema, and ending the number of alarms that penetrate the body.

The first symptoms of syphilis of the disease are characteristic, so that they can be recognizable. Even if you turn to a venereologist for the first suspicions, you can get away with a lot of inaccuracies and you can really get sick of this illness.

See the skins, show syphilis and internal damage. Typical symptoms include:

vyniknennya hard shanker - smooth painless visor with rounded slightly raised edges up to a centimeter in diameter, bluish-red color, sometimes you can get sick;
improvement of lymph nodes;
head bіl, unwell, bіl in m'yazakh and swamps;
increased temperature;
decrease in hemoglobin, blood loss;
іndurativny nabryak;
felon - inflamed nail bed, so that the sprat of tizhniv does not burn;
amygdalitis - hard, swollen, blackened tonsils, difficult forging.

Like looking at syphilis on people's skins: photo

So looking visip on the valleys

Signs of the primary form of syphilis

Most of the symptoms of the disease appear on the spot, through which treponema has entered the body of a person. There, a painless collar is formed with slit edges - a solid chanker. Most of the faults are in the area of the state organs - on the skin and mucous membranes.
After a week, after the formation of the scrotum, the inguinal humerus grows, and then a group of lymph nodes develops. The trivality of this period becomes the second month.

After 5-6 days after the vindication, the first chanker miraculously turns on, winds up without exuberance. This is one of the main problems for syphilis - people care that everything is safe, but the main ones clinical symptoms blame it better.

Symptoms of secondary syphilis

Pershy visipannya (papules or roseoli) often leak from surplus manifestations of hard chanker and scleradenitis. After 1-2 months, the stench will pass without a trace, and the period of early attached syphilis will begin. After a few days (months) there is a chill of generalized visipans (secondary syphilis), for about 1-3 months.

Most likely seep buvaє:

roseolous - in looking rounded erysipelas;
papular - erysipelas, and then bluish-red-red bumps, which, behind the shape of those roses, guess the opium or a pea;
pustular - pustules, rotting on a slit base, which can be folded and folded with a shrill fold, and when folded, it often fills a scar.

At the same time, various elements of visipu can appear, for example, papules and pustules, but be some kind of visipan revenge on a large number of spirochetes and arc contagious.

The first wave of visipan (secondary fresh syphilis) sounds most jaskrava, lyasna, accompanied by generalized lymphadenitis.
Piznіshі hanging (secondary recurrent syphilis) bіdіshi, often asymmetric, rotting at the visible arches, garlands in the areas that are razdratuyutsya (inguinal folds, mucous membranes of the mouth and organs).

Irrespective of those who in this period suffer from daily skin symptoms, treponema disease, which affected all tissues of the organ, may be different forms:

meningitis,
pathology of the liver (zhovtyanichny or without Zhovtyanichny),
lipoid nephrosis or other illnesses,
syphilitic gastritis,
as well as different damage to the bones and suglobiv.

Symptoms in the third stage

Although ailments for syphilis were not exalted, or the exacerbation was incomprehensible, then after a few years after infection, the symptoms of tertiary syphilis appear in a new one. There are serious damage to the organs of the prosecutor's office and systems, the condition of the ailing is reduced, the wine becomes disabled, in important cases a lethal result is possible.

For the tertiary form, gumi is characteristic - rounded, large, painless syphilides. The stench can appear both on the surface of the skids and on the internal organs. Tse destroy the work of the heart, nirok, herbal system.

One of the typical symptoms of lung syphilis- Ruinuvannya side of the nose, through which the profile takes on a characteristic shape.

After a few hours, an infection of the nervous system begins to appear. Neurosyphilis lead to progressive degeneration of the entire nervous system:

damaged sensitivity,
reflex changes,
pardons of organs,
paralysis,
change in character,
weakened memory,
bewilderment.

Second and third periods may be practically the same symptoms. Significance in symptoms for men and women is less present in the primary period, if there is a hard chanker on the organs:

chanker on the cervix. Signs of syphilis, when a solid chanker on the mother's matts is spread in women, it is practically daily and can be detected only for an hour of a gynecological examination;
gangrenous chanker on the penis - the possibility of self-amputation of the distal part of the penis;
a shanker in the urethra is the first sign of syphilis in a human being, as it is manifested by visions from a sechivnik, a slit penis and an inguinal bubo.

complication

The most serious symptoms of syphilis:

nasampered, damage to the central nervous system. You can bring it to manifestations, neuritis,.
Even more often in patients with neurosyphilis, the functioning of the organs of hearing and functioning is disrupted.
To milk often as a result of syphilis, osteoarthritis manifests itself.
The cardiovascular system is also subject to complications: sometimes syphilitic myocarditis is manifested, the functioning of the aortic valves is later disrupted, attacks are periodically blamed. As a result of a broken blood flow in a sick person, myocardium is present.

Diagnostics

With the appearance of visipu or virazki on the skin, it is necessary to turn to a dermatologist. Quite often, patients are taken to see a urologist or a gynecologist. Physicians of all these specialties, following the analysis of syphilis and syphilis, direct the sick person to a venereologist.

Before laboratory methods diagnostics are seen:

Analysis for syphilis. In the taken biomaterial (blood, spinal cord, visualization of the skin elements) under a microscope, a treponema bluish is detected.
Wasserman reaction test for swedish plasma reagents. The patient is blooding for syphilis, where antibodies are found in a sick person, as they vibrate against parts of treponemia and tissues, which are destroyed by the alarm clock.
PLR - polymerase lanzug reaction - a method of laboratory diagnostics, which allows the diagnosis of treponema in the material taken from the patient.
Different types of serological reactions: RPHA, RIBT, RIF, IFA.

Celebration

The main method of treating syphilis is antibacterial therapy. At the moment, like before, there are antibiotics of the penicillin series (short and prolonged penicillin or long-term penicillin drug use).

In that case, if this type of treatment appears to be ineffective, or the patient has an individual intolerance to a group of drugs, he is prescribed drugs and a reserve group (macrolide, fluoroquinolone, azithromycin, tetracycline, streptomycin and other.)

Varto designate what at an early stage of syphilis antibacterial treatmentє most effective and bring to full dressing.

There are two main methods of treating syphilis: non-stop (permanent) and intermittent (course). In the process of obov'yazkovi control analysis of blood cross-section, patients self-perceive and the work of organ systems. Perevaga is recommended for complex therapy, which includes:

Antibiotics (specific treatment for syphilis);
Zagalnozmіtsnyuyuchі (immunomodulators, proteolytic enzymes, vitamin-mineral complexes);
Symptomatic diseases (pain-relieving, anti-inflammatory, hepatoprotective).

Preparations in tablets, which are the most common:

Rovamycin. The dose is determined by the doctor. It is impossible to vicorate when the liver is compacted and when it is vaccinated. An overdose may appear in a person who looks like a vomit and a nudoti.
Sumamed. Negatively pour into the liver and nirki. Treatment is carried out at an early stage of syphilis, often victorious as an additive to strong drugs.
Cefotaxime. Dosage varies in staleness in the stage of venereal disease and in the type of patient's reaction to licks. Conserved in case of allergy to penicillins.
Amoxicillin. Weakly effective compared with penicillin and other similar drugs. Farrowed and taken at once with antibacterial drugs.

Prevention

Behind the scenes, syphilis is impossible. There are no vaccines against these diseases, no other methods of active prevention. It is important to follow the rules of carefree sex, to be guided by the vipadkovyh zv'yazkiv.

Community prevention is due to be carried out regularly until sweeping rules fight against venereal diseases Warehouses of such prevention:

obov'yazykovy appearance of the sick,
the members of yoga sіm'ї that osіb, yakі tried with him in close contact,
hospitalization of infected people and guarding them for the coming months,
post-dispensary control and watchfulness for the bliss of the sick on patients.

If you are embarrassed to be in close contact with a person, like an illness for syphilis, then it is important to live in all the entries, so that the illness does not expand. For whom it is difficult to achieve all the rules of hygiene, as well as unique close bodily contacts from contagious ailments. As soon as you comply with all these rules, the risk of infection will change markedly.

Syphilis is even more unsafe for infectious diseases, both for the people themselves, and for the sick people. It is important when the first signs appear to turn to a dermatologist or a venereologist for staging accurate diagnosis, the task of analyzing that on the cob of the right favor for help medicinal preparations.

Syphilis luis (luis) - a venereal infection, which can be attributed to chronic systemic illnesses, manifests itself in lesions of the mucous membranes, skin, nervous system, bones and all, without blame, internal organs. Ailments, like syphilis, have a few stages of development, the bacterium Treponema pallidum is the culprit.

Light medicine is supported by three hypotheses based on the following principles: European, African and American.

The first row can be called the American hypothesis. It is clear that the sailors of Columbus themselves brought luis to Europe. And the stench of their time contracted syphilis from the indigenous aborigines of Haiti. Some of these sailors then went to serve before Charles VIII, and themselves in the same army, at the hour of the battle for Naples, having burned the first bedroom in Europe. After the blows, the soldiers became rosy across Italy, and by the same token they themselves adopted a wider lues. Then the spalahs were fixed in France, Poland, Austria, Nymechchyna, Ugorshchyna and Switzerland. At the beginning of the 16th century, over 7 million people died, and luis viishov far beyond the boundaries of these powers, inspired Japan. The scourge of the Age of Resurrection, becoming the very lyuїs syphilis.

Africa is also claiming the role of the Fatherland Lues. Vidpovidno to the hypothesis of the hypothesis of the workers of tropical treponematoses (Lewis) є sporidnenimi lews. The spread of ailments has become a burden to the slave trade and pilgrims. In the middle of the 19th century, the French teachings of Ricor conducted a number of achievements, as they allowed to see syphilis like a disease, which is good for medical doctors. Proteo yoga methods and experiments on people were judged by the community and colleagues.

Adepts of the European hypothesis oppose the fact that syphilis luis or luis bouv was known to doctors in ancient times. In their judgments, the stench rushes to the works of Celsus, Hippocrates, Avecenni and other doctors. And also describe scenes from the Bible, de striking characters similar to syphilitic ones. At the port of Kingston-upon-Hull, the remains of chentsiv were found, at the bones of yak, along the path of radio-carbon deposits, showed signs of damage characteristic of the lues. The ship's logs of the English port recorded numerical records about sailors who arrived from distant places; key moment have a wide ailment.

And in vіdomі vchenі physicians srednіovіchchya vzagali gave lues to astrological adventures.

Prevention of syphilis
It's no secret that the best way to get healthy is prevention. Like the innocent, they didn’t get sick, yogo exalted ... Cause blame for syphilis
Syphilis, the cause of blaming some kind of treponema blaze, is blamed when the alarm hits on the soft skin, or the mucus membranes.

Suggestions and comments

Oh, what a troublesome wine. God forbid you get infected.

Chi didn’t even realize how this type of syphilis looks like a great one?

Positive RW in patients with prognosis - tse so-called serological scar and can be saved for a long time. It’s worth to lay it down depending on how much you need to get medical assistance, how high the titer of antibodies at the time of the beginning of drug therapy, and also on the individual immunological features of the patient - in all in a different way.

Perebіg syphilis khvilepopodіbniy, z cherguvannyam periods aggravated that subsidence of symptoms of ailment. In important cases, the disease can cause damage to the internal organs, cystic-loamy and nervous systems.

Etiology and way of infection

A wake-up call to syphilis - a treponema blemish, is called out like that to that which is invisible through a light microscope when fermenting with wonderful barnacles.

Most of the infection is caused by a path through the contact with an acute middle infection (hard chancre, syphilitic gum). Alarm clock transmission is also possible let's hit the road(For example, when vikoristanny zagalny utensils), through blood preparations, as well as from the mother to the fetus (in which case we can talk about congenital syphilis). Through the entrance gate of the infection (microtrauma on the groin of the inguinal region, the tunic, the mucous membrane of the mouth emptying, the organs of the body), the bud is taken into the lymph nodes, and then into the systemic bloodstream.

Symptoms

The incubation period becomes the average close to 3-6 days. The first sign of ailment is the adoption on the site of a solid chanker of a painless slotted rounded flare with a diameter of 0.5-2 cm, with a smooth, glossy bottom. So virazki sing not to bleed and shilni to anger. During the first week of September, after the appearance of a solid chanker, the lymph nodes of the affected area (vinica regional) increased. This period of illness is called primary syphilis. Some of the primary pits may not burn up, otherwise the stench is found on the internal organs of the body (for example, on the walls of the piss of women), which complicates the diagnosis.

Syphilitic Viraza can infect suddenly. This process is accompanied by pronounced sagging, blackening in the area of the chanker, from the surface of the cracks, rot can become creamy. In the analysis of the water-creaming from the region of viraz, it is possible to call a cloud of treponema, through which it is possible to pardon the visnovi about the presence of syphilis.

Approximately after 2-3 months at the moment of infection, if a generalized whisker appears on the skin and mucous membranes, we can talk about the transition of the disease in the second period. At that hour, the first middles, ring out, ring out, overflowing with scars on their own. Shkіrnі show a secondary syphilis with a judge's change in the deep balls of the shkіri. Visip is localized on the tulub, kіntsіvkah, on the faces, as well as on the soles and soles. Visipannya can be swollen, puffy, or pustular, and may be dark-red zabarvlennya, as if it were pale for an hour. Hanging pits are formed on an unchanging background, the rim of the elements is not strong to the point of anger. Even seldom appearing visipu accompanies severbіny.

When analyzing the streponema from the secondary syphilides, a treponema blaze is revealed, which is to say about their contagiousness. In 10% of cases, there is a growth of elements on the mucous membranes, under the milk deposits, in the areas of inguinal depressions, in the anus; then we will start to get wet. These ranks are wide condylomata, which are characterized by a high level of contagiousness.

Appearing visipu sometimes accompanied by mild ailments, slight temperature rises. Trivality of the second period of ailment becomes a few days. Without treatment, the disease passes into a latent (asymptomatic) form.

ailments latent form syphilis is contagious, transmission of infection from mother to fetus is also possible. During this period, which may take a few lives, or inspire all life, antibodies appear in the blood to the ailment of the ailment.

Approximately 30% of ailments go on to the third period, which is characterized by severe destructive damage to internal organs and systems. Tertiary syphilides (humi) on the shkіrі є alone, painless, slit humps, which choke on the biggest balls of the shkіri and the pidshkіrno-fat ball. At the center of the gumi, it often causes a necrosis with a distant formation of a rough retracted scar. So gumi can appear in any internal organ. Most of the process, the cystic-cartilaginous tissues and the nervous system are affected. At the first vapadka, open the door to the hard and soft palate, the cartilages of the nose and larynx.

Infection of the nervous system (neurosyphilis) causes damage to the meninges, development of paresis and paralysis, as well as mental disorder before the onset of symptoms. Utvorennya gumma in the cardiovascular system threaten the development of aneurysms, inflammation of the aortic wall, ringing of the vessels of the heart.

Diagnostics

Use of anonymous blood tests that allow the detection of syphilis. All stinks are based on the presence of specific antibodies and are divided into two groups: non-treponemal and treponemal. For mass obstezhennia, the so-called yakіsnu nontreponemal Wasserman reaction (RW) with cardiolipin antigen is called. For the singing minds, the result of this analysis can be positive. In this case, it is necessary to confirm for additional treponemal investigations (RW with treponemal antigen, RIBT), the results of which are positive after the disease has been transferred before. If allergic to penicillin, antibiotics with low macrolides or cephalosporins are prescribed. Preparations are administered intravenously or tablets.

Treatment of active forms of illness occurs in stationary minds, patients with a latent form can take outpatient therapy. Trivality of glee to lie in the stage of illness and may take a few years for a few years.

The report of the doctor about infectious venereal disease - syphilis. During the interview, you will know everything about syphilis - show ailments, as if you were diagnosing at once, and as a therapy, you will be stunned for exaltation.

- To Viktor Ivanovich, today's rozmov about syphilis - an illness that got away from the recessions to the current world from the depths of the middle, and as a matter of fact, it has not lost its relevance. Hocha for stay rocky And the incidence of infection has decreased, but the statistics of the Ministry of Health still lie, for one hundred thousand inhabitants of our fatherland, 26 people are sick with syphilis. Tell me, who is to blame for not informing our population, or simply baiduzhіst and vpevnenіst, why not get stuck?

— So, it’s true that the statistics are laky, but for the remaining ten years, the incidence of infection has significantly decreased, especially in the middle of the risk group - podlitkiv. It became possible to start special programs for informing about roses and explaining and preventive work. Reproductive health classes are held regularly at schools in Wisah. And the axis became more often ill in the age category of 40 years, as if, as you seem, to think that you can’t hook them up. And it is banal not to inform the population;

— Your smallest and largest patient?

- You can say from zero to more. The sickness of the sickness is not like that, which was infected in the womb of the mother, or at the end of the day, in the summer of the patient. But if you talk about the quiet, who came to the reception independently, then the youngest one is 13 years old and the oldest person is 80 years old. Otzhe, syphilis all vіki pokіrnі).

- What if the fallowness spalahiv zahvoryuvannya that time of fate?

- So, the best hour of the year is the end of summer, the ear of autumn, if the period of admission is over and you are informed that I can’t go back to the doctor.

- Who is most likely to turn before you?

— There is no unequivocal evidence on the food chain. Among the patients there are decent people, and social elements, which may have a skin ailment. But most of the time, people with shkidlivimi zvichkami, I can not say that all drunkenness, after hitting the brain with alcohol, think of repairing other parts of the body. The axis of tsomu th polygaє nebezpeka.

Ways of infection

- From your tightness about parts of the body, it is possible to grow whiskers, which is the widest route of infection through the article of contact with infectious diseases?

- So, in 95% of cases, the infection occurs on its own.

- Could you tell us more, for our readers, about the ways of transmission of infection and what do you mean for non-safety?

- As I have already shown the main route of infection - articles. On the right, in what is loved by the concentration of the buddnik in the body, there are all the native mediums - sperm, vaginal vision, blood and sling. Under the hour of the state act, the greatest amount of infection is through the exchange of partners with sperm and vaginal motherland.

- Before rozmoyu with you, I read comments on the Internet on the subject of infection with syphilis, and bugatorase zestrichala porada, in which I recommend interrupting sex before having sex. I think that this method protects against infections. Chi so tse?

- Definitely not. This is a deep pardon, through that very same not informing the population. At the state contact, the mucosal organs of the mucosa are closed, as if it were oily, which is seen when awake, and there is a large concentration of the wakefulness. For the presence of minimal lesions on the mucous membranes, there will be a mittve infection.

- What is the possibility of getting infected after the first sexual contact with the sick?

- Across the temple, 30-40% of the infection occurs after the first one once. It is to blame for the fact that infection can also occur during oral sex and the risk of illness is no less. With this way of sex, such a exchange of mothers and sins can be revenged no less than a wake-up caller, lower sperm or vaginal motherhood.

- What about anal sex?

- The statistics seem to be that infection during anal sex is not more common, lower than the most significant. Homosexuality itself is included to the group risk, the stench of illness is more frequent. On the right, in the fact that the alarm penetrates through the mucosal mucosa and the scruff of the skin, and the micro cracks near the rectum are visible on the right.

- From the above-mentioned blame for food, but what can you get infected with kissing?

- Possibility is even low, but may be, the shards of activity and health of the worker before reproduction are taken from the watery mediums, which and є slin. For the presence of the ear of the mouth empty, infection is observed.

- In what ways is the infection transmitted?

- With less frequent infection, infection can be:

Let's make a path. For this person, the risk is minimal, for that the microorganism-album is sensitive to minds dovkilla, or else you can save activity in the middle of the body, until it hangs. For example, a canteen of an infected person will be infected with a deadly disease until he hangs on to the new one. Nebezpeka mozhe pіdsterіgati with vikoristanny svіlnyh poddіv pobut that zasobіv special hygiene, pіd hour priynyattya bath spilno s ill аbo pіslja new, pіd hіvіrostannya spilny sleeping mіstsya.
Malukiv infection- the problem is expanded and a painful topic for physicians, as it will require a more detailed review, more importantly to marvel at the new people with symptoms of syphilis. Infection at times occurs during the period of pregnancy from an ill mother to a child, through the placenta and during the period of birth activity at the hour of the passage of a child through the birth path.

What is syphilis

- To Viktor Ivanovich, let's move on, straight to the point. What kind of terrible animal is being called for syphilis?

- The infection is not only a sebaceous system, as someone who enters through a specific route of infection, ill, it affects the entire body - bone and cartilage tissue, skin folds, all systems of the body, including the central nervous system, and internal organs. The ailment is a disease of treponema, a pathogenic microorganism, which is absorbed into the body by concentration in the lymphocytes, and then through the walls of the blood vessels penetrates the bloodstream and spreads throughout the body.

- After what hour does syphilis appear after infection?

- Incubation of the disease, or the asymptomatic period may last from 10 to 90 decibels, after the first symptomatology of the disease appears. Ale in the middle incubation three times 20 to 45 days.

- And why such ambiguous terms will show ailments?

- So, really, the clock frame has already been expanded and lie down in the presence of various factors. The first symptomatology will appear at the reach of an alarming concentration in the body, and if it happens, I will become immune and more like warehouses. For example, to increase the incubation of concomitant illness with increased body temperature and the intake of antibacterial agents, and to reduce the terms - weak immunity and getting into the body of a large number of the sick person.

- What are the signs of syphilis?

- On what nutritional varto, a report is made, if the topic is large, it will require a detailed review. Syphilis is more likely to become ill with symptoms, as it may be timchasovo, and then it does not mean that the disease has entered, on the contrary, it will progress further and more hostile to the body. Fallow in the river, the development of syphilis is divided into sprat stages.

Primary syphilis

The first stage of infection manifests itself to newborns in the sphere of penetration of infection. This is the name of the “entrance gate”, through which the infection enters. The stench can spread all over the place, starting from the organs of the mouth and emptying the mouth and ending up like a mist on the skin's curve. The new creation is a hard shanker, the first sign of syphilis.

— Have you ever seen a hard shanker at which little smart mister?

- Ts_kave pitannya, here everything is stale with fantasy infections. In my bagatorichny practice, the first sign of syphilis was buzzing between the fingers on the nose, in the area of the auricle, on the chest.

— What kind of a solid chanker looks like?

- This is a peculiar pattern of erosion with a diameter of up to 10 mm and a characteristic blue-red color. Yogo vіdmіnna rice - raptov's appearance that far away zniknennya without any exuberance. Two days after the appearance of syphilomas (chancre), the ignition process begins in the lymph nodes adjacent to the new area. For example, like a syphiloma on the organs of the body - the inflammation of the inguinal lymph nodes, when it is common in the empty mouth - the inflammation of the puddles.

- What to hurt with syphilis of the first stage?

— That’s why I’m ill, because the first stage rarely shows itself as painful sensations. In the arc rare fluctuations a hard shanker feels pain during mechanical infusion and inflammation of the lymph nodes, and does not cause discomfort. Therefore, most ailments do not go to the doctor for help, writing off symptoms for allergies and other illnesses, even more so that syphiloma is known independently.

- How does the first syphilis manifest itself?

- If there are symptoms, then at the first stage there is no more, only a hard shanker can have an atypical form:

inductive snag- subshkirne erysipelatous erysipelas in the area of treponemia penetration;
felon- syphiloma on the nail plate, manifested as plumpness on the fingers with a burgundy tint;
amygdalitis- syphiloma, which affects the tonsils with commemorative indentations and plumpness (in other cases, the fault can blame the temperature and weakness)

For example, in the first stage, there may be symptoms of disease of the upper wild ways GRVI.

“Does it mean what is undead and coughing for syphilis?”

- So, cough, as a rule, is delayed in the lower stages, and undead with syphilis of another stage is a wider manifestation, which is also called syphilitic undead. Vіn protіkaє z vіdіlennâ nіynyh and mucosal vіdіlen.

- Chi є temperature pid hour syphilis?

- At the first stage of contagion, hyperthermic reactions do not flare up, or the temperature rises to an unfamiliar sign of 37-37.2 ° C before the cob of secondary syphilis and the appearance of skin visipans. The symptom lasts for a few days, before the appearance of a wisp on the skin, it appears.

- Why pierce the body with syphilis?

- Definitely not.

Secondary syphilis

Another stage of syphilis is manifested by multiple flutters, which are characterized by a periodic flow, which appear and occur after 30-60 days. From the skin's new plumage, the visipu is pale, exuding clearness and is less broadened along the body.

— How does the visip look?

- Shkirnі visipannya chi sifіlіdi can appear in different ways.

Table number 1. See visipu with syphilis of another stage:

Viglyad visipu	Description
	Hanging irregularly shaped, as a rule, the tuluba swells up and may have a pale erysipelas.
	Shkіrna visipka at the papules with hairy and dry surface, part companion of roseola.
	The flame has a slit structure and a cone shape, on the spot of its appearance, the pigmentation of the shkir.
	The main area of rotting is the area of sebaceous deposits. The surface is covered with small pieces of wood and picks.
	Gniynikov's damage to the skin.
	Namysto venus with syphilis is a pigmented lesion of the skin in the area of the neck, which is called leukoderma. Vaughn may look at the white flames of a round or oval shape, as if they are creating hostility.

— Through take mass destruction shkіrnih pokrivіv vinikaє pitanya, chi є verbіzh with syphilis of another stage?

— Neither for primary, nor for secondary syphilis, no symptom is present. As if a sick person is suffering from syphilis, if there is a concomitant illness on aphids, the immune system is weakened by treponema, as it will require an okremoy of diagnostics and a viable treatment. Further, after the skin manifestations, the inflamed lymph nodes in everything, the shards of the lymphatic system - first, which is hostile to the treponema. Inflamed lymphovuzoles in syphilis are called "syphilitic bubo". For an hour I will look around the vines of the elastic and rickety, slotted structure.

- Why are you sick at the lymph nodes with syphilis?

- Inflammation in the lymph nodes with syphilis does not cause painful sensations and in most patients the passage is unmarked. On a par with the damage to the skin covering, syphilis attacks and mucous membranes, it appears:

erythematous sore throat, as if it were the enemy of the sky, that migdaliki;
papular angina - showing at a glance papules in the gaps of the throat, as if step by step transforming into erosion;
pustular angina - purulent lesions of the mucous membrane of the throat;
pharyngitis - syphilides that oppose the voices of the voice (you can call it to waste your voice).

Another stage is characterized by the appearance of all hairline curves. I have a vein of treponema, as it penetrates into the skin, and ruynuє tsibuliny hair. Vipadanya hairy with syphilis or syphilitic obliation is divided into two types - dribnooseredkove and diffuse.

Table number 2. Tipi vipadanna hair:

Type	Characteristics of rice
	Characteristic features are the middle parts of the leaf with a diameter of not more than 1.5 cm, irregularly shaped and without regular shading. The fossa of the wound is subject to frequent hair loss, when the colors of the skin are inflamed, and there is a general discomfort in the look of the sverbly. Dribnooseredkove vipadannya hair does not stick to the hairy curve of the cream of the head.
	To this type of oblisinnya is as well as a head, and th eyebrows, vus, vії. It is disturbed by a sharp decrease in the number of hairs, with which the follicles are damaged during the day. During the year, maybe more oblisinnya, but more often hair loss, troch more than the norm for a change in their structure. With this, the hairline will be fragile and inanimate.

- Hair curl to ruin without renewal?

- No, for adequate therapy, the hair is restored again.

- What are the symptoms of secondary syphilis?

- On what clinical picture of another period of this good will come to an end. Dodatkova symptomatology is manifested only in patients with a weakened immune system through the wrong way of life or chronic diseases. In these cases, syphilis is characterized by a malignant transition and is characterized by an extravagina and symptoms of acute intoxication to the body.

Third syphilis

The third stage of the disease is more serious problems zі zdorov'yam. During this period, the disease of treponema affects the whole organism, beginning with the cystic and cartilaginous tissue and ending with all systems and internal organs, and pathological changes in the organism of the child are non-werewolves. The tertiary syphilis does not appear hanging on the skin, but may have a different appearance.

- And how they look manifest your own syphilis in the third stage?

- Shkіrniy visip change shkіrnі sifіlіdi, yakі appear:

Tubercular dentures- all the seals at the lower balls of the shkir. Mothers can be like a group, so single-handedly. Near the area of the hillock there is a characteristic burgundy tinge, and when pressed, pain is felt.
Vuzlovі osviti- a strong, unruly vuzol at the lower balls of the shkiri, maє rozmіr walnut pea and with zniknennі overwhelms the scar tissue.

Mucous lesions in case of tertiary syphilis are called syphilitic gums - the whole nodes of the uterus, which develop in the lower fatty cells, deform the soft tissues and produce calcifications. At the cob stage, gummous syphilide does not appear on the skin cover and mucous membranes, but in the process of development it settles down, which protrudes above the skin, up to 4 cm in diameter.

The middle gum of mucus is divided:

gumu tongue - strengthening of the fabric, which is to bring to the new unruliness and deformation:
nasal gum deforms the cartilaginous tissue, which leads to the complete collapse of the nose;
the gumma of the soft bottom is made up in deep balls of fabric, the folded is the unruliness of the bottom;
the gum of the pharynx, like in the old forward slopes, to bring to new unruliness and compressing forging.

Syphilitic gums affect not only the skin, but also internal organs, cartilage and bone tissues, judges and smut, leading to their complete destruction.

- To Viktor Ivanovich, why do the globules hurt with syphilis, as if it were a blow to the bones and globules?

- So loud. It is necessary to guess what the infection of suglobiv and cysts is at all stages of syphilis, but in the first two periods of the ignition process rukhovy apparatus are asymptomatic. When syphilis is distinguished:

Infection of the cysts and hard lumps at the early stages is manifested in less than 15% of patients and manifests as an ache in the body and slight pain in the cysts.
Lesions in secondary syphilis are more common and may appear as mild swelling in the affected areas (often the shoulders and kolіnі driftwood), and change on x-rays during the day. In even more lonely moods of a sick person, a strong increase in body temperature can be observed, with which pathologies do not settle, that inflammation proceeds benignly, and with adequate treatment, it becomes normal.
Damage to the cystic-loamy tissue in the third period important notes. Ailing follow strong pain syndrome and change in case of any pathological. There is a lesion of the ocular, cerebral and spongy speech.

- How does it manifest itself?

- Tse manifests itself:

Striking ridges - in a severe depression, there is unruliness and constant attack-like pain.
Damage to the bones of the skull and thoracic cells.
Damage to the nose and hard palate.

Tse is not the whole picture of the damage to the musculoskeletal apparatus and the bone tissue. usі ts_ pathological changes without a hard examination lead to disability. In a row with the cystic tissue, all the internal organs of the system are affected.

At zv'azku z tsim separate:

CNS lesions or neurosyphilis can be blamed on any stage of illness, which is more characteristic of tertiary syphilis. After the penetration of treponemia into the nerve tissue, damage to the nerve cells and fibers begins, which is manifested by paralysis of the dorsal tabes, atrophy of the optic nerve and other.
Syphilitic damage to the organs of the mucosal-intestinal tract, as it can be characterized by a wide symptomatology, similar to other diseases of the organs of poisoning - the cost of nuisance, attacks of vomiting, loss of appetite. It’s not surprising, but to bring on the passage with syphilis is a very possible symptom, the shards are damaged by etching.
Liver damage can be blamed for all stages of illness. In case of primary and secondary syphilis, it is not so critical and manifests itself as a zhovtyanitsa, as after two or three tizhnі therapy it turns into a disease, only in a few episodes it can turn into atrophy, which is accompanied by symptoms of severe intoxication and coma. At the third stage, the liver is attacked by gums and interstitial hepatitis is suspected, as a result, adhesions of the liver are blamed, the work of the liver is destroyed and liver failure sets in, a possible lethal kinets.
Porazka legenii are rarely feared, but they may be miserable, tse illness is called syphilis legeni. It is important to diagnose it, but it can be insignificant on radiographs in the appearance of minimal darkening and changes in the root of the legenia.

- Tell me, what are the symptoms of a leg infection? Can you blame the cough on syphilis?

— The clinical picture of the disease is not legen fresh rice and is similar to the manifestation of other illnesses, but the cough is manifested in some kind of depression. You can get a symptom of backache, hyperthermia and seeing a small amount of mucus.

- What are the consequences of the remaining stage of syphilis without proper treatment?

- It is necessary to say that the third syphilis develops very rarely, the shards of modern diagnostics allow you to recognize the disease at the early stages, but still there is a risk group present - these are homeless people, drug addicts and alcoholics. Without diligent timely therapy, the ailing person develops a rosy deity, hearing disappears, paralysis of the brain, and the fourth stage is present - death.

— Viktor Ivanovich, can you tell me what are the principles of the viability of human and female syphilis?

— Recognition between human and female syphilis can be less at the first stage of infection with the appearance of a primary chanker and less for state infection. In humans, erosion (hard shanker) is localized on the head of the penis or on the foreskin, in women on the lips of the uterus, or on the walls of the penis.

- Say female organism as if it especially reacts to infection with treponema blea? For example, how does menstruation occur with syphilis?

- Do not change the menstrual cycle for symptoms of illness, and then do not wart any more, so that the normal cycle guarantees a healthier body. Not all illnesses, zocrema and venereal diseases infuse the same physiological state. Months in case of syphilis, especially in the first stages, pass without change and at the primary hour and only at the last (third) can start more and pass with a broken cycle. The third stage of syphilis can take up to ten years and it sounds like a woman has forty years and changes in the cycle are written off for menopause.

- And what did you do to the women under the hour of infection?

— Yes, I see. In other cases of ailment, the stink of ZPSh stinks with a thick structure similar to rot and an unacceptable smell. Some visions are accompanied by liver and discomfort in the sphere of state organs.

Syphilis and vagity

- To Viktor Ivanovich, for statistics, syphilis is not rarely heard in the period of pregnancy and our readers chime in with this topic. What is not safe for maybe mami that baby, like a legacy of infection, and what kind of congenital syphilis?

- So, it's a great pity, such temperaments trap, although not often, to the point that during the period of pregnancy, the translation of obov'lzkovyh analyzes includes a reaction to syphilis, sometimes up to three times for nine months.

- Why are you so shy, like when you have syphilis when you are vaccinated?

- At the same time, the manifestation of an illness guarantees the future child's health, that people without a sign of syphilis. Even if the mother’s future is not to go through her own rejoicing, otherwise the therapy starts in another that third trimester, even if it’s a wake-up call, and may be 100% remission of congenital syphilis, or even more of a legacy - that’s the dead child’s day. Congenital syphilis is distinguished early and late.

Symptoms of early congenital syphilis appear in the wake of the people:

damage to the skinny curve;
syphilitic undead;
damage to the cystic tissue;
damage to internal organs and the central nervous system.

Symptoms of congenital syphilis are manifested by the first two years of life or up to 14 years:

damage to the zore nerve;
deafness;
damage to teeth;
damage to all organs.

- How real is the exultation of the future mother in the case of illness?

- Modern medicine is able to recover from ailments and minimize the risk for a child may have a hundred thousand flus, and even more so for an hourly disease that one’s own therapy. Infected woman to take two courses of healing - the main one after the manifestation of ailment and prophylactic in the last terms of pregnancy.

- Why would you want an abortion in case of syphilis and in some kind of depression?

- There are no change of mind for abortion under the hour of pregnancy. Since syphilis is detected in early terms, adequate therapy is necessary to exclude all negative signs of illness. When ailments are manifested in other terms, more importantly, you can’t talk about abortion. In this mood, exaltation is assigned, as if pouring not only on the matir, but on the child through the placenta. Modern medicine can be in its order of medical preparations, which are effective at any stage of ailment, so the doctor’s qualifications are not to be pleased with the overtreatment of vaginess.

- How to plan the pregnancy after a proliferated syphilis?

- We will turn to the doctor and give the necessary analyses. As soon as adequate therapy for the disease was carried out, more than two years passed, the risk of infection to the fetus is minimal. In case of healing, if less than two years have passed, the doctor’s judgment may suggest prophylactic therapy (after 20 years of pregnancy), in order to turn off the infection.

Illness diagnosis

— To Viktor Ivanovich, how do you diagnose an illness?

- We should not take anamnesis, although we don’t give a result in the most cases, the majority of the patients will add details of their intimate life. We gave low laboratory visits to confirm the diagnosis:

Looking around, at the same time, signs of illness appear - hard chancres, fuses at the lymph nodes and visips on the body.
Polymerase-lanzug reaction or PLR is a sensitive method of diagnostics, which may, with 100% result, indicate the presence of DNA of treponemia bluid in the body. For follow-up, take the native media of the body - navcoloplid water, spinal cord. Puncture in case of syphilis on the doslidzhennya spinal cord is shown only for the chained illness.
Serological diagnostics to identify the presence of antibodies to the alarm. To finish victorious blood serum - serum.
Wasserman's reaction - RW. The following material is blood from a vein. For the presence of illness, RV gives a positive result. In the course of the analysis of vicorist, the difference in the concentration of serum for acidic and calciferous formulations and the titer of reagents is determined to be the maximum concentration. Titris in case of syphilis are indicated for intercourse at 1:2 to 1:800
Immunofluorescence reaction - RIF.
Reaction of immobilization of blіdi treponemas - RIBT
RPHA - passive agglutination reaction.

- What is the titri for syphilis?

- Antibody titer - blood serum dilution, in which case the activity of antibodies is shown before the infection. At their low concentration, illness is not confirmed, and at higher numbers, one can speak about the possibility of illness. Also, the titer victorious is used to control the dynamics of liquor in case of yogo decrease.

- What is a serological scar in syphilis?

- A serological scar or a scar - the presence of antibodies to sickness in the blood. Tse means that a person who has fallen ill has developed immunity to illness in looking at antibodies. Dosvіdcheny lіkar for tsim pokaniknіk zaznaє prescription of the infection.

- Say, without specific analyses, is it possible to detect illness? At global analysis What will be the rise of leukocytes in syphilis?

- Syphilis will require special diagnostics and indications of leukocytes, as in the sich, so it is found in the blood in the boundaries of the norm.

— Even more often sound chibno-positive and chibno-negative results of analyses. Why can an analysis for syphilis be hybno-negative and hybno-positive?

- Skin laboratory diagnostics can give positive results. This is due to the presence of concomitant illnesses (tuberculosis, Vovchak, etc.). To that, in order to get rid of the pardon diagnosis, one needs to take a decal of laboratory tests and, on the basis of that, it is confirmed or else one can be ill. As the results of the doctor call sumniv, additional charges are assigned.

Table No. 3. The most common analyzes for syphilis and the interpretation of the results:

follow-up method			What does lower results mean?
RW	RIF	RPGA
+	—	—	False result RW, ill not confirmed.
+	+	—	The first stage of illness is being transferred. For clarification of the diagnosis, additional data RIBT, IFA are assigned
+	+	+	Illness confirmed.
+	—	+	I was diagnosed with the first stage of illness.
—	+	+	The stage of pizny syphilis, or it has long been diagnosed with illness.

— To Viktor Ivanovich, often in the comments of readers they complain about doctors, like they confuse syphilis with other illnesses. Is it possible?

- So, in deyaky vipadkah it is possible. Syphilis, for its symptoms, is similar to the impersonal other diseases and not obov'yazkovo venereal. I’ll give you more examples:

urologists confuse herpes, with syphilis of the first stage, if a hard chanker is manifested;
when looking around, the therapist can take roseola of secondary syphilis for rubella and dermatitis;
gynecologists with the appearance of erosions on the state organs to make a diagnosis of thrush or trichomoniasis;
ENT doctors stomatitis, with syphilis of another stage, stray from syphilitic lesions of the oral cavity (virazki, pustular hanging).

Okremo varto say about the diagnosis of syphilitic gums, as they often get confused with:

cancerous eyes, their appearance in the form of gum metastases, which are not seen with gums, as well as an irregular shape and a humpy bottom;
tubercular streaks, in the presence of fistulas, on the days of the tuberculous streak, bleeding granulation and the presence of a gummous shear.

Illness therapy

- To Viktor Ivanovich, let's move on to the exhilaration of being ill. What methods and methods are used to heal syphilis and how can you get rid of ailments?

— Modern medicine can have a wide range of methods and medicinal preparations against treponemia, even though it takes a long time. For example, the first syphilis is celebrated up to two months, and the second - up to two years. The success of the therapy is dependent on the stage of illness and the timing of the exaltation. Therapy for a skin patient is prescribed individually, according to the composition of the sing scheme and under the constant control of a venereologist.

- Where is the cure for syphilis?

- In the fall, in the stage of illness, and the recognition of drugs, therapy can be both outpatient, and in the minds of a hospital.

- To help with research in medical care and to tell you how to stop drugs against syphilis?

- The main reason for the diagnosis of treponema is the recognition of antibacterial diseases, most importantly from the group of penicillins, which are the most sensitive. Ale, with allergic reactions of the patient and ineffectiveness of penicillin (in some cases), preparations from other groups are prescribed.

Table number 4. Preparations for the treatment of syphilis:

A drug	Description
	Penicillin in syphilis is the most effective against treponemia, but is also used for protection allergic reactions. Before administering the drug, an allergy test is indicated for the diagnosis. Penicillin is quickly soaked into the blood, and after a short interval of time it is excreted. To this, the support of a post-therapeutic dose of yoga should be administered to the skin for three years. Antibiotic rejoice less in the minds of the hospital, it is still allowed to outpatient rejoicing through parts of the injection. The price of the drug and its effectiveness against co-morbid treponemia play an important role in its popularity and wide demand.
	The drug is widely used for testing for syphilis. Released in different concentrations, if allowed to be taken likarsky zasib fallow vіd clinical picture I will become a patient. Fallow in the concentration of fluffy speech to be introduced from different periodicity. Bicilin 5 - one injection to maintain a therapeutic dose in tissues for 4 days, Bicilin 1 - to be injected randomly
	Amoxicillin in case of syphilis is a synthetic drug with an adequate replacement of the penicillin series, reducing the synthesis of the clitin wall of the bud and increasing its reproduction. Through the rise of acidity, it is stagnant orally, which is more convenient for outpatient treatment. The maximum concentration of fluffy speech in tissues is reached in a year after taking it.
	Cefazolin in case of syphilis as penicillin - ruynuyu synthesis of the wall of the microorganism and the spread of infection. Since the drug is a synthetic antibiotic from the cephalosporin group, the maximum therapeutic dose of drugs in the body is reached within a year after the intravenous injection, and practically immediately after the injection by the vein.
	Azithromycin in syphilis - antibacterial treatment of the remaining generation. Active against most ailments, including against treponemia. Porivnyann with penicillin may have a minimal negative impact on the body.
	Erythromycin in syphilis is prescribed for intolerance to penicillins, since it is similar in type to this group. However, penicillins are less effective, so they are used in combination with other drugs of the antibacterial group at the cob stages of infection. Advantages of the drug - minimal side effects on the body
	Doxycycline in syphilis is one of the main drugs, but it does not stagnate in outpatient treatment, but it can lead to frequent administration (it is easy to inject from the body and not gradually increase the necessary therapeutic dose). Instructions for taking the drug, including rebuking for sleep
	Tetracycline in syphilis began to zastosovuvaty recently, through the transformation of treponema immunity to penicillins. Which drug is prescribed, most importantly at the early stages (primary and secondary). The drug can be zastosovuvati for treatment in ambulatory minds, as a form of release of a tablet. Z side effects the drug is prescribed increased sensitivity shkiri to ultraviolet (it is necessary to change the room to sun).
	Sumamed in case of syphilis, the drug is directed to the use of protein synthesis in the stool bugs. The drug is the most effective at the early stages of the development of the disease. With more zanedbanih forms of infection, it rarely zastosovuetsya or in the complex as an additive zasib to other antibiotics.
	Vilprafen in case of syphilis most often zastosovuetsya under the hour of vagity, there are no signs of side effects on the body.
	Rocephin for syphilis. therapeutic efficacy has been achieved only in cases of fresh syphilis and in prophylactic rejoicing. As the main zasіb likuvannya treponems do not win.
	Ciprofloxacin with syphilis may be an antibacterial and bactericidal injection on the body. The action is directed to the DNA biosynthesis, growth and reproduction of bacteria. Zastosovuєtsya as in the period of activity of the worker, so in the period of calm.

— How do you dosing doxycycline in case of syphilis and how do you treat it?

- It is impossible to say exactly the dosage of Doxycillin and other drugs. For a skin patient, an individual treatment scheme and an individual preparation are selected, in some cases it is suitable, all to be deposited in:

stages of illness;
forms at the yakіy protіkaє ailment;
age-old power of the patient;
the presence of concurrent ZPSSh;
presence of chronic diseases;
individual response to drugs

- How does the ailment leak on aphids of other chronic diseases and surgical intervention, how can you perform an operation for syphilis?

- During the period of therapy, syphilis is contraindicated whether it is surgical insertion, until full dressing. Vinyatki to establish emergency operations, without which there could be a lethal end.

- The first and most important recommendation is not to drag out the splendid illness and immediately turn for help. The first two stages of illness with adequate and proper therapy are subject to total acclaim, while the third stage is already characterized by pathological non-negotiable effects, and therapy can only improve the state of the disease. More next:

Do not interrupt the intake of antibacterial drugs and follow the strict regimen prescribed by the doctor. It is necessary to maintain a constant therapeutic concentration of drugs in the body. Otherwise, the health worker develops an immunity to the medication and becomes ill, it is important to receive a treat.
Keep all partners free of any infection with syphilis. When diagnosing ailing primary syphilis, all partners are overthrown for three months, as if they were ill at another stage - all those who came into contact with the ailment for the rest of the fate.
Get lost in the article contacts.
Dotrimuvatisya special hygiene, to escape the infection of otochuyuchih.

Video in this article - laboratory diagnosis of illness.