Kodi Syphilis imathandizidwa bwanji (gawo lililonse)
Zamkati
- Zoyenera kuchita ndi zovuta za penicillin?
- Chithandizo pa mimba
- Chithandizo cha kobadwa nako chindoko
- Kusamalira panthawi ya chithandizo
- Zizindikiro za kusintha kwa chindoko
- Zizindikiro za chindoko
- Zotheka mavuto a chindoko
Chithandizo cha syphilis nthawi zambiri chimachitidwa ndi jakisoni wa benzathine penicillin, wotchedwanso benzetacil, yemwe amayenera kuwonetsedwa ndi adotolo, nthawi zambiri azachipatala, azachipatala kapena opatsirana. Kutalika kwa chithandizo, komanso kuchuluka kwa jakisoni, kumatha kusiyanasiyana kutengera gawo la matendawa komanso zizindikilo zomwe zimaperekedwa.
Chilonda chomwe sichikutuluka magazi komanso chosapweteka chikadalipo, ingotengani mlingo umodzi wa penicillin kuti muchiritse chindoko, koma zikafika pa chindoko chachiwiri kapena chapamwamba, pangafunike mlingo umodzi.
Majakisoni amagwiritsidwa ntchito mdera lokongola kamodzi pamlungu, malinga ndi upangiri wa zamankhwala, koma zikafika ku chindoko kapena neurosyphilis, kulandila anthu kuchipatala ndikofunikira, chifukwa ndi matenda opita patsogolo kwambiri ndipo amakumana ndi zovuta zina.
Chifukwa chake, malinga ndi CDC komanso njira yothandizira matenda opatsirana pogonana a Unduna wa Zaumoyo, chithandizo cha syphilis mwa akuluakulu chikuyenera kuchitidwa motere:
| Gawo la matenda | Chithandizo chovomerezeka | Njira | Kuyeza kutsimikizira machiritso ake |
| Chindoko choyambirira ndi chachiwiri | Mlingo umodzi wa Benzetacil (mayunitsi athunthu 2.4 miliyoni) | Doxycycline 100 mg, kawiri pa tsiku kwa masiku 15 | VDRL pa miyezi 3, 6 ndi 12 |
| Chindoko chaposachedwa | 1 jakisoni umodzi wa Benzetacil (okwanira mayunitsi 2.4 miliyoni) | Doxycycline 100 mg, kawiri pa tsiku kwa masiku 15 | VDRL pa miyezi 3, 6, 12 ndi 24 |
| Chindoko chakumapeto | Jakisoni 1 wa Benzetacil sabata iliyonse kwa milungu itatu (mayunitsi onse 7.2 miliyoni) | Doxycycline 100 mg, kawiri tsiku lililonse kwa masiku 30 | VDRL pa miyezi 3, 6, 12, 24, 36, 48 ndi 72 |
| Chindoko chapamwamba | Jakisoni 1 wa Benzetacil sabata iliyonse kwa milungu itatu (mayunitsi onse 7.2 miliyoni) | Doxycycline 100 mg, kawiri tsiku lililonse kwa masiku 30 | VDRL pa miyezi 3, 6, 12, 24, 36, 48 ndi 72 |
| Matenda osokoneza bongo | Majakisoni a Crystalline Penicillin masiku 14 (mayunitsi 18 mpaka 24 miliyoni patsiku) | Jekeseni wa ceftriaxone 2g masiku 10 mpaka 14 | VDRL pa miyezi 3, 6, 12, 24, 36, 48 ndi 72 |
Mukatenga penicillin, zimakhala zachilendo kukhala ndi zomwe zimayambitsa malungo, kupweteka kwa minofu, kupweteka mutu, kugunda kwamtima, kupuma pang'ono komanso kutsika kwa kuthamanga. Zizindikirozi zimatha kukhala maola 12 mpaka 24 ndipo zimayenera kuthandizidwa ndi Paracetamol.
Zoyenera kuchita ndi zovuta za penicillin?
Ngati nthenda ya penicillin imadana, munthu ayenera kusankha kusiya penicillin chifukwa palibe maantibayotiki ena omwe angathetseretu treponema palladium. Komabe, nthawi zina adokotala amatha kupereka mankhwala a doxycycline, tetracycline kapena ceftriaxone.
Chithandizo pa mimba
Chithandizo cha syphilis mwa amayi apakati chiyenera kuchitika kokha ndi maantibayotiki ochokera ku Penicillin, monga Amoxicillin kapena Ampicillin, chifukwa maantibayotiki ena amatha kuyambitsa vuto m'mimba.
Ngati mayi wapakati ali ndi vuto la Penicillin, adokotala amalimbikitsa kulandira chithandizo atakhala ndi pakati, ngati matendawa abisika kapena agwiritse ntchito erythromycin mu piritsi kwa masiku 15 mpaka 30, kutengera sabata la bere.
Onani zambiri zamankhwala othandizira chindoko ali ndi pakati.
Chithandizo cha kobadwa nako chindoko
Chindoko chobadwa nacho ndichomwe chimapezeka mwa mwana ndipo chimafalikira kuchokera kwa mayi yemwe ali ndi kachilomboka. Pakadali pano, mankhwala ayenera kutsogozedwa ndi adotolo ndipo, nthawi zambiri, amayamba atangobadwa ndi Penicillin m'mitsempha maola 12 aliwonse m'masiku asanu ndi awiri oyamba amoyo.
Ndi kuyamba kwa chithandizo cha chindoko chobadwa nako, sizachilendo kwa ana obadwa kumene kukhala ndi zizindikilo monga kutentha thupi, kupuma msanga kapena kugunda kwa mtima, komwe kumatha kuwongoleredwa ndi mankhwala ena monga paracetamol.
Dziwani zambiri zamankhwala othandizira kubadwa kwa chindoko.
Kusamalira panthawi ya chithandizo
Mukamalandira chithandizo, kapena atangopeza matenda a syphilis, munthuyo ayenera kusamala monga:
- Dziwitsani mnzanu kuyesa matendawa ndikuyamba chithandizo, ngati kuli kofunikira;
- Pewani kugonana pa nthawi ya chithandizo, ngakhale ndi kondomu;
- Kayezetseni HIV, popeza pali chiopsezo chachikulu chotenga kachilomboka.
Ngakhale atalandira chithandizo, wodwalayo amatha kupezanso chindoko ndipo, chifukwa chake, ndikofunikira kupitiliza kugwiritsa ntchito kondomu nthawi zonse kuti mupewe kudwalanso ndi chindoko kapena matenda ena opatsirana pogonana.
Zizindikiro za kusintha kwa chindoko
Zizindikiro zakusintha kwa chindoko zimawoneka pakadutsa masiku 3 kapena 4 mankhwala atayamba ndipo atha kukhala ndi thanzi labwino, kuchepetsa madzi ndi kuchiritsa mabala, mwachitsanzo.
Zizindikiro za chindoko
Zizindikiro za chindoko zomwe zikukulirakulira ndizofala kwambiri kwa odwala omwe samalandira chithandizo monga momwe adanenera ndipo amaphatikizapo malungo opitilira 38ºC, kupweteka kwa mafupa ndi minofu, kuchepa kwamphamvu kwa minofu ndi kupuwala pang'onopang'ono.
Zotheka mavuto a chindoko
Zovuta za chindoko zimayamba makamaka mwa odwala omwe ali ndi chitetezo chamthupi chofooka chomwe chili ndi HIV kapena omwe sakulandila chithandizo chokwanira, kuphatikiza mawonekedwe a meningitis, hepatitis, kupunduka molumikizana ndi ziwalo.
Onerani vidiyo yotsatirayi kuti mumvetsetse bwino momwe matendawa amakulira.
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