Iyini i-Sifilisi? Izimpawu, Izimbangela, & Ukwelashwa

I-Sifilisi iwumkhuhlane odluliselwa ngocansi (STI) obangelwa yibhaktheriya engaphiliswa ngokuphelele ngokwelashwa okulungile. Nakuba kungase kuzwakale kuyesabekayo, lo mukhuhlane uyaphiliswa kalula uma utholakala ekuqaleni, futhi izigidi zabantu baye bawunqoba ngempumelelo ngokunakekelwa komtholampilo okufanele.

Lo mukhuhlane obangelwa yibhaktheriya udluliselwa ngokuxhumana kocansi futhi uqhubeka ngezigaba ezahlukene uma ungaphathwa. Izindaba ezinhle ukuthi i-sifilisi iphendula kahle kuma-antibiotics, futhi ngokwelashwa okusheshayo, ungalindela ukuphulukiswa ngokuphelele ngaphandle kwemiphumela yesikhathi eside.

Iyini i-Sifilisi?

I-Sifilisi iwumkhuhlane obangelwa yibhaktheriya enesimo se-spiral ebizwa nge-Treponema pallidum. Le bhaktheriya ingena emzimbeni wakho ngezinhlungu ezincane noma izikhala eziqhekekile esikhunwini sakho noma e-mucous membranes ngesikhathi sokuhlangana kocansi.

Umkhuhlane uqhubeka emzimbeni wakho ngezigaba, ngalinye linezimpawu ezahlukene. Cabanga ngakho njengesahluko encwadini - isinyathelo ngasinye sinezimpawu zaso, kodwa ukwelashwa okuqala kungavimba indaba ekuqhubekeni iye ezahlukweni ezinzima kakhulu.

Okwenza i-sifilisi ilawuleke ngokukhethekile ukuthi ingenye ye-STIs ephilisa kakhulu ezitholakalayo namuhla. Ngokwelashwa okufanele kwe-antibiotic, ibhaktheriya ingasuswa ngokuphelele emzimbeni wakho.

Ziyini Izimpawu ze-Sifilisi?

Izimpawu ze-sifilisi zishintsha kuye ngesigaba somkhuhlane obuhlangabezana naso. Abantu abaningi abaziboni izimpawu zokuqala, kungakho ukuhlolwa okuvamile kubalulekile uma uhlanganyela ngocansi.

Nanku engase uhlangabezane nako ngesigaba ngasinye:

Izimpawu Zesigaba Sokugcina

Isinyathelo sokuqala sivame ukuvela emavikini amathathu ngemuva kokutheleleka, nakuba kungase kuhluke kusukela ezinsukwini eziyi-10 kuya kwezingu-90. Uzovame ukubona isifo esisodwa, esingenabuhlungu esibizwa nge-chancre endaweni lapho ibhaktheriya ingene khona emzimbeni wakho.

• Isibazi esijikelezile, esingenabuhlungu (chancre) ezingutsheni, emgodini, noma emlonyeni
• Isibazi sizizwa siqine futhi asibuhlungu noma asikhanyi
• Amathumbu alukhuni eduze kwesibazi
• Isibazi siyaphola ngokwalo ezinyangeni ezingu-3-6, ngisho noma kungenayo imithi

Ungavumeli ukuphulukiswa kukukhohlisa - ukutheleleka kusaphila emzimbeni wakho ngisho nangemva kokuba isibazi sihamba. Yingakho ukuhlolwa nokuphathwa kuhlala kubalulekile kuleli qophelo.

Izimpawu Zesigaba Sesibili

Uma kungenakuphathwa, izimpawu zesibili zivame ukuvela emavikini angu-2-8 ngemva kokuba isibazi sokuqala siphulukile. Leli qophelo lilimaza wonke umzimba wakho njengoba ibhaktheriya isakazeka egazini lakho.

• Ukushaqeka okukhulu, okubomvu-nsundu ezandleni nasezinzwini zezinyawo
• Ukushaqeka kwezinye izingxenye zomzimba wakho okungakhanyi
• Ukuqina komzimba nokukhathala
• Ubuhlungu bomphimbo namathumbu alukhuni
• Ukuwa kwezinwele
• Ubuhlungu ekhanda nasemisipha
• Ukwehla kwesisindo nokuntuleka kwesifiso sokudla

Lezi zimpawu zingaba zingandile futhi zidukise kalula kwezinye izimo. Njengesigaba sokuqala, izimpawu zesibili zizophela ekugcineni ngaphandle kokwelashwa, kodwa ukutheleleka kuyaqhubeka kuqhubeka ngokuthula.

Isigaba Esingabonakali

Kulesi sigaba esifihlekile, ngeke ube nazimpawu ezibonakalayo, kodwa ibhaktheriya ihlala emzimbeni wakho. Leli qophelo lingathatha iminyaka, futhi usengadlulisela ukutheleleka kubalingani bakho ekuqaleni kwaleli qophelo.

Ngisho noma uzizwa uphelele, ibhaktheriya iyaqhubeka ikhula futhi ingalimaza izitho zakho zangaphakathi uma ingaphathwa.

Izimpawu Zesigaba Sesithathu

Leli qophelo elikhulayo livela eminyakeni noma amashumi eminyaka ngemva kokutheleleka kokuqala cishe ku-15-30% yabantu abangaphathwayo. Ibhaktheriya manje ingalimaza izinhlelo ezininzi zezitho emzimbeni wakho.

• Izinkinga zenhliziyo kufaka phakathi ukulimala kwamalungu enhliziyo nemisipha yegazi
• Izinkinga zobuchopho nesistimu yezinzwa (neurosyphilis)
• Izinkinga zamehlo ezingabangela ubuthakathaka
• Ukulahlekelwa ukuzwa
• Ukushintsha kwempilo yengqondo kufaka phakathi i-dementia
• Ukulimala kwamafu nomgogodla
• Amaqhubu amakhulu (gummas) ezikinini, emathanjeni, noma ezihlokweni

Nakuba i-syphilis yesigaba sesithathu idumaze, khumbula ukuthi ithatha iminyaka eminingi ukuthuthuka futhi ingavinjelwa ngokuphelele ngokwelashwa okuqondile ezigabeni zokuqala.

Yini ebangela i-Syphilis?

I-Syphilis ibangelwa uhlobo olulodwa lwabakthriya oluthiwa yi-Treponema pallidum. Laba bakthriya bangaphila kuphela endaweni efudumele, emanzi emzimbeni womuntu futhi bafa ngokushesha uma bevezwe emoyeni.

Ibhaktheriya yasakazeka ngokuxhumana ngqo namaqhubu e-syphilis ngesikhathi sobulili. Lokhu kufaka phakathi ubulili besikhumba, ubulili besikhumba, nobulili bomlomo, njengoba amaqhubu angabonakala ezitho zangasese, emgodini, ezindebeni, noma ngaphakathi emlonyeni.

Ungathola futhi i-syphilis ngokuxhumana negazi, njengokwabelana ngezinsimbi nabantu abane-infection. Abesifazane abakhulelwe bangadlulisela i-syphilis kubantwana babo abangazalwanga, okuthiwa yi-syphilis yokuqala.

Kubalulekile ukwazi ukuthi i-syphilis ayikwazi ukusakazeka ngokuxhumana okuvamile njengokuqabulana, ukwabelana ngezitsha, noma ukusebenzisa izindawo zokuhlanza ezifanayo. Ibhaktheriya idinga ukuxhumana ngqo namaqhubu ashayeke noma izinto eziphuma emzimbeni ukuze idlulisele.

Nini okufanele ubona udokotela nge-Syphilis?

Kufanele ubona umhlinzeki wezempilo ngokushesha nje lapho uqaphela amaqhubu angavamile, isihlungu, noma izimpawu ezingase zibonise i-syphilis. Ukutholakala kwangaphambi kwesikhathi nokuphathwa kwenza umehluko omkhulu ekuvinjeni izinkinga.

Funani ukunakekelwa kwezokwelapha uma uhlangabezana nanoma yiziphi lezi zimo:

• Uma uqaphela amaqhubu angapheli lusizi ezingutsheni zakho zobulili, emgodini wakho, noma emlonyeni wakho
• Uthuthukisa isihlungu esingachazwanga, ikakhulukazi ezandleni noma ezinyaweni
• Uthandekayo wakho wokuthandana uyakutshela ukuthi une-syphilis noma enye i-STI
• Ukhulelwe futhi awukakahlolwa i-syphilis
• Unabo abalingani abaningi bobulili noma uhileleka ekuziphatheni okuyingozi kobulili

Ungalindi izimpawu zibe zimbi noma zihambe zodwa. Khumbula, izimpawu ze-syphilis zingaphela ngaphandle kokwelashwa, kodwa ukutheleleka kuyaqhubeka nokukhula nokwenza umzimba wakho ube mubi.

Uma ukhuthele ngokobulili, ukuhlolwa okuvamile kwe-STI yindlela enye engcono kakhulu yokubamba i-syphilis kusenesikhathi, ngisho nangaphambi kokuba kuvele izimpawu. Abanikezeli bezempilo abaningi bancoma ukuhlolwa minyaka yonke kwabantu abakhuthele ngokobulili.

Iyini Izingozi Ze-Syphilis?

Noma ubani okhuthele ngokobulili angatheleleka yi-syphilis, kodwa izinto ezithile zingandisa ingozi yakho yokutheleleka. Ukuqonda lezi zinto ezingozi kuzokusiza wenze izinqumo ezinolwazi mayelana nempilo yakho yobulili nesisombululo sokuhlola.

Nawa amaphuzu ayinhloko angandisa ingozi yakho:

• Ukwenza ubulili obungavikelekile (ukungasebenzisi ama-condom njalo)
• Ukuba nabalingani abaningi bobulili
• Ukuba indoda eyalala nabanye amadoda
• Ukuba nomlando wezinye izifo ezithathelwana ngobulili
• Ukusebenzisa izidakamizwa noma utshwala ngaphambi kokuthandana
• Ukushintshana ngobulili ngemali noma izidakamizwa
• Ukuba nomlingani wokuthandana onayo i-syphilis

Ngaphezu kwalokho, ezinye izingozi ezingavamile zihlanganisa:

• Ukuphila ezindaweni ezinobuningi obukhulu bokuthathwa kwe-syphilis
• Ukusebenzisa izindlela ezifanayo zokusebenzisa izidakamizwa
• Ukuba ne-HIV, okungakwenza ube lula ukutheleleka ezinye izifo ezithathelwana ngobulili
• Ukuboshwa, lapho amanani e-STI angaphezulu khona

Ukuba nezingozi akusho ukuthi uzoba nesifo sesiphilisisi ngokuqinisekile, kodwa kusho ukuthi kufanele uqaphele kakhulu mayelana nokuhlolwa okuvamile kanye nezindlela zokuphepha ubulili. Umhlinzeki wakho wezinsizakalo zezempilo angakusiza ukuthi uhlole ingozi yakho siqu futhi akukhuthaze uhlelo olufanele lokuhlolwa.

Ziyini Izingozi Ezingase Zenzeke Ngosifo Sesiphilisisi?

Uma kuphathwa ngokushesha, isiphilisisi sihlala singabangeli zinkinga ezihlala njalo. Noma kunjalo, uma kushiywa singaphathwa izinyanga noma iminyaka, ukutheleleka kungabangela izinkinga ezinkulu zezempilo ezihlasela ingxenye eziningi zomzimba wakho.

Izingozi ezivamile kakhulu zihlanganisa:

• Izinkinga zenhliziyo ezihlanganisa ukulimala kwevalvu yenhliziyo ne-arteries ezinkulu
• I-Neurosyphilis ehlasela ubuchopho kanye nomgogodla
• Izingozi zamehlo ezingabangela izinkinga zobumhlophe noma ubuthakathaka
• Ukwehluleka kokuzwa noma izinkinga zokulinganisela
• Ukulimala kwama-bone kanye namajwayelekile
• Ukulimala kwesikhumba kanye nokulimala kwamalungu angaphakathi

Ezinye izingozi ezingavamile kodwa ezinzima zingase zivele:

• I-Stroke ngenxa yokulimala kwe-blood vessel ebuchosheni
• Ukwehluleka kwenhliziyo ngenxa yokuthi inhliziyo ihilelekile kakhulu
• Ukuhlupheka noma ukuqina ngenxa ye-neurosyphilis ephambili
• Ubuhlanya kanye nokuhlukahluka komuntu siqu
• Ukufa ezimweni ezinkulu zesiphillisisi esingaphathwanga se-tertiary

Kubantu abakhulelwe, isiphilisisi esingaphathwanga singabangela ukulahleka kwesisu, ukufa kwengane, noma izinkinga ezinkulu zokuzalwa ezinganeni. Kungakho ukuhlolwa kwesiphillisisi ngaphambi kokuzala kuyisigaba esiqinisekisiwe sokukhathalela ukukhulelwa.

Izindaba ezimnandi ukuthi zonke lezi zingozi zingavinjelwa ngokuphelele ngokwelashwa ngesikhathi. Ngisho noma une-syphilis izinyanga eziningi, ukwelashwa kusengavinjelela ukuqhubekela ezinyathelweni ezinzima kakhulu.

Singavikeleka Kanjani Esiphilisisini?

Ukuvimbela isiphilisisi kuhilela ukuzivikela ngesikhathi sobulili nokuhlala unolwazi ngesimo sakho sempilo yobudlelwane bobulili. Izindlela ezisebenzayo kakhulu zokuvimbela zilula futhi zitholakala kuwo wonke umuntu.

Nawa izindlela ezinokwethenjwa kakhulu zokuvimbela:

• Sebenzisa amakhondomu e-latex noma e-polyurethane ngokufanele kuyo yonke imisebenzi yobulili
• Khawukhawulelise inani labangane bakho bobulili
• Hlola njalo izifo ezithathelwanayo ngocansi bese ubuza abalingani bakho ngomlando wabo wokuhlolwa
• Gwema ukuxhumana ngokobulili nanoma ubani onamaqhubu noma izilonda ezibonakalayo
• Ungabelani ngezinsimbi uma usebenzisa izidakamizwa eziqanjwe
• Xhumana ngokukhululekile nabalingani bakho bobulili ngesimo se-STI

Ukuze uthole isivikelo esengeziwe, cabanga ngalezi zindlela:

• Hlolwa ndawonye nabalingani abasha ngaphambi kokuba ube nobulili obungavikelekile
• Yiba nobudlelwano obuqotho nobungqongqo nomuntu ohlinzwe ngokuthi akakabi nayo leyo nto
• Gwema ukuhlanganisa utshwala noma izidakamizwa nomsebenzi wobulili, njengoba kungalimaza ukwahlulela
• Funda ukuqaphela izimpawu zokuqala ze-STIs kuwe nakubalingani bakho

Khumbula ukuthi amakhondomu anciphise kakhulu ingozi yakho kepha awaniki isivikelo esingu-100%, ngoba izilonda zesifilisis zingabonakala ezindaweni ezingagqunywe amakhondomu. Kungakho ukuhlanganisa ukusetshenziswa kwamakhondomu nokuhlolwa njalo nokuxhumana okuvulekile kudala uhlelo oluqinile kakhulu lokuvimbela.

Isifililis Kuhlolwa Kanjani?

Ukuxilongwa kwesifilisis kuhilela ukuhlolwa kwegazi okuthola ibhaktheriya ngokwayo noma impendulo yomzimba wakho ekuthelelekeni. Umhlinzeki wakho wezempilo angase futhi ahlole noma yiziphi izilonda ezibonakalayo bese uthatha amasampula ukuze ahlolwe elabhoratri.

Inqubo yokuxilonga ngokuvamile ihlanganisa lezi zinyathelo:

1. Ukuhlolwa komzimba ukubukela izilonda, amaqhubu, noma ezinye izimpawu
2. Ukuhlolwa kwegazi ukuthola ama-antibodies umzimba wakho owenza ngokumelene nesifilisis
3. Ukuhlolwa ngqo kwefulethi evela ezilondeni ngaphansi komkhiqizo okhethekile
4. Izivivinyo ezengeziwe uma kukhona ukungabaza ngesifilisis se-neurosyphilis

Izivivinyo zegazi ezivamile kakhulu yi-RPR (Rapid Plasma Reagin) noma i-VDRL (Venereal Disease Research Laboratory) izivivinyo, kulandelwe izivivinyo ezithile njenge-FTA-ABS noma i-TP-PA ukuqinisekisa ukuxilongwa.

Uma unezimpawu ze-neurosyphilis, udokotela wakho angase akukhuthaze ukwenza i-lumbar puncture (ukuthunga umgogodla) ukuhlola i-cerebrospinal fluid. Lokhu kuzwakala kukhulu kunalokho okuyikho, futhi kusiza ukuqinisekisa ukuthi uthola ukwelashwa okulungile.

Imivimbo yokuhlola ivame ukuthatha izinsuku ezimbalwa kuya kwesonto. Phakathi nalesi sikhathi sokulinda, kubalulekile ukugwema ubuhlobo bobulili ukuvimbela ukusabalalisa ukutheleleka kwabanye.

Iyini Ukwelashwa kwe-Syphilis?

Ukuphathwa kwe-syphilis kunomphumela omkhulu futhi kulula, ikakhulukazi uma kubanjwe ezingxenyeni zokuqala. Ukwelashwa okuyinhloko yi-penicillin, i-antibiotic ehlanza ngokuphelele ibhaktheriya ye-syphilis emzimbeni wakho.

Ukuphathwa kuyahluka kuye ngesigaba sokutheleleka:

Ukuphathwa kwe-Syphilis Yokuqala

Ngokuqala, okwesibili, noma i-syphilis efihliwe yokuqala (ngaphansi konyaka), uzovame ukuthola ukugonywa okukodwa kwe-penicillin ehlala isikhathi eside ebizwa nge-benzathine penicillin G. Lokhu kugonywa kunikezwa emsisipha wakho we-buttock futhi kunikeza amazinga e-antibiotic ahlala isikhathi eside amasonto amaningi.

Uma unokuziphatha okungafani ne-penicillin, udokotela wakho angakubhalela ezinye izidakamizwa ezinjenge-doxycycline, i-tetracycline, noma i-azithromycin ethathwa ngomlomo amasonto angu-2-4.

Ukuphathwa kwe-Syphilis Sekuphelile

Nge-syphilis efihliwe kamuva noma i-syphilis yesithathu, uzodinga ukugonywa okutathu kweviki le-benzathine penicillin G. Lokhu kuphathwa okuhlala isikhathi eside kuqinisekisa ukuthi ibhaktheriya isusiwe ngokuphelele ngisho nasezindaweni ezijulile.

I-Neurosyphilis idinga ukwelashwa okukhulu nge-penicillin ye-intravenous enikezwa esibhedlela izinsuku ezingu-10-14. Lokhu kuvumela ukuba kube namanani aphezulu e-antibiotic afinyelele ebuchosheni bakho nasemgogodleni wakho.

Okufanele Ukulindele Phakathi Nokwelashwa

Abantu abaningi bazizwa kangcono ezinsukwini ezimbalwa nje ngemuva kokuqala ukwelashwa. Noma kunjalo, kungathatha amasonto noma izinyanga ukuze zonke izimpawu ziphele ngokuphelele, ikakhulukazi isihlungu noma amaqhubu.

Abanye abantu baye bahlangabezane nesimo esiphelileyo esibizwa ngokuthi i-Jarisch-Herxheimer reaction phakathi namahora angu-24 emva kokwelashwa. Lokhu kungafaka ubushushu bomzimba, ukuthuthumela, ubuhlungu bekhanda, nobuhlungu bemisipha njengoba umzimba wakho uphendula kubhaktheriya eziyifa. Lezi zimpawu ziyajwayelekile futhi zivame ukuqeda ngaphakathi kosuku olulodwa.

Kufanele Uzinakekele Kanjani Ngesikhathi Sokwelashwa I-Sifilis?

Ukuzinakekela ngesikhathi sokwelashwa i-sifili isihlanganisa ukulandela imiyalo yodokotela wakho ngokucophelela nokusekela inqubo yokwelapha yomzimba wakho. Abantu abaningi baqhubeka nemisebenzi yabo evamile ngenkathi belapha i-sifili ngempumelelo.

Nawa amaqhinga okuzinakekela ngesikhathi sokwelashwa:

• Thatha wonke amaphilisi owawaphiwe ngokuqondile njengoba uyalelwe, ngisho noma uzizwa kangcono
• Gwema ubuhlobo bobulili kuze kube yilapho udokotela wakho eqinisekisa ukuthi awusabi isisulu
• Thula kahle ukuze usize isimiso sakho sokuvikela umzimba silwe nokutheleleka
• Hlala uthambile futhi udle ukudla okunomsoco ukuze usekele ukwelapha
• Gcina zonke izikhathi zokuhlola okulandelayo ukuze uhlolwe kabusha

Uma uhlangabezana ne-Jarisch-Herxheimer reaction, la manyathelo angakusiza uzizwe ukhululekile:

• Thatha imithi yokunciphisa ubuhlungu ongayithenga ngaphandle kwelayisensi njenge-acetaminophen noma i-ibuprofen
• Faka izikhwama ezibandayo ukuze unciphise ubushushu bomzimba
• Phumula uphuze amanzi amaningi
• Xhumana nodokotela wakho uma izimpawu zinzima noma zihlala isikhathi esingaphezu kwamahora angu-24

Khumbula ukwazisa bonke abalingani bakho bobulili abasha ukuze bakwazi ukuhlolwa futhi baphathwe uma kudingeka. Lokhu kusiza ukuvimbela ukutheleleka kabusha futhi kuvimbele ukusabalala kwe-sifili emphakathini wakho.

Kufanele Uzilungiselele Kanjani Ukuya Kulodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza uqinisekise ukuthi uthola ukuxilongwa okuchane kakhulu nokuphathwa okuqondile. Ukuba ovulekile noqotho nomhlinzeki wakho wezempilo kubalulekile ekunakekelweni okuqondile, futhi khumbula ukuthi ulapho ukuzosiza, hhayi ukwahlulela.

Ngaphambi kwe-aphoyintimenti yakho, buza lolu lwazi oluqakathekile:

• Uhlu lwazo zonke izimpawu ozibonile nokuthi zaqala nini
• Amagama nolwazi lokuxhumana labangane bakho bobulili abasha
• Uhlu lwawo wonke amayeza kanye nezithasiselo ozithatha njengamanje
• Ulwazi mayelana nanoma yiziphi izifo ezingalawuleki, ikakhulukazi i-penicillin
• Imininingwane mayelana nomlando wakho wobulili kanye nezindlela zakho
• Nanoma yiziphi iziphumo zokuhlolwa kwe-STI ngaphambili

Bhala phansi imibuzo ofuna ukuyibuza udokotela wakho, njengalezi:

• Ukuphathwa kuzothatha isikhathi esingakanani futhi kufanele ngilindele ini?
• Ngingabuya nini ngokuphephile emisebenzini yobulili?
• Kufanele ngihlolwe kaningi kangakanani ngemva kokwelashwa?
• Yiziphi izimpawu zokuthi ukwelashwa kusebenza?
• Ngingayivimba kanjani ukutheleleka kabusha esikhathini esizayo?

Ukuba ulungile kuzokusiza ukuba usebenzise kahle isikhathi sakho sokuqokwa futhi kuqinisekise ukuthi ushiya uqonda kahle ukuxilongwa kwakho kanye nelenkaneli yokwelashwa.

Iyini i-Key Takeaway Mayelana ne-Syphilis?

Into ebaluleke kakhulu okumele uyikhumbule mayelana ne-syphilis ukuthi iyaphiliswa ngokuphelele ngokwelashwa ngama-antibiotic afanele, ikakhulukazi uma itholakala ngokushesha. Nakuba ingabangela izinkinga ezinzima uma ingaphathwa, izigidi zabantu ziye zaphumelela ekuqedeni lolu tshwayo ngaphandle kwemiphumela ehlala njalo.

Ukutholakala kwangaphambi kwesikhathi ngokuhlolwa okuvamile kwe-STI yindlela yakho engcono kakhulu yokulwa nezinkinga. Uma usebenza ngokobulili, ikakhulukazi nabalingani abaningi, ukuhlolwa okuvamile kufanele kube yingxenye yokunakekelwa kwakho kwempilo njengokuhlolwa kwaminyaka yonke.

Ungavumeli ukwesaba noma ukuhlanya kukuvimbe ekuphishekeleni ukunakekelwa uma ucabanga ukuthi ungase ube udluliselwe. Abahlinzeki bezempilo banolwazi ekwelapheni i-STIs futhi bagxile ekutholeni impilo yakho, hhayi ukwahlulela izinqumo zakho zomuntu siqu.

Ngokwelashwa okufanele nokunakekelwa okulandelayo, ungalindela ukubuyela impilo ephelele nokubuyela empilweni yobulili evamile. Isifiso ukwenza ngokushesha lapho izimpawu zivele noma ngemva kokudluliselwa okungenzeka.

Imibuzo Evame Ukubuzwa Mayelana ne-Syphilis

Ungathola yini isiphililishi ngaphezu kweyodwa?

Yebo, ungathola isiphililishi izikhathi eziningi ekuphileni kwakho. Ukuba nesiphililishi kanye akusho ukuthi awusoze waphinde uthole ukutheleleka. Kungakho kubalulekile ukuqhubeka nokwenza ubulili obulondekile nokuhlolwa njalo ngisho nangemva kokwelashwa okuphumelelayo. Ukutheleleka ngakunye kudinga indlela yaso yokwelashwa.

Kuthatha isikhathi esingakanani ukuba isiphililishi sibonakale ekuhlolweni?

Izivivinyo zegazi lesiphililishi eziningi zingalithola ukutheleleka phakathi kwamasonto angu-3-6 ngemva kokubekwa engcupheni, nakuba ngezinye izikhathi kungathatha izinyanga ezingu-3. Le nkathi ngaphambi kokuba ukuhlolwa kube okuhle ibizwa ngokuthi "iwindow period." Uma ucabanga ukuthi ubekwe engcupheni muva nje, udokotela wakho angase akukhuthaze ukuthi uphinde uhlolwe emavikini ambalwa uma ukuhlolwa kokuqala kungekuhle.

Ingabe isiphililishi singadluliselwa ngokuthambisana?

Yebo, isiphililishi singadluliselwa ngokuthambisana uma kukhona amaqhubu esi phililishi (amachancres) emlonyeni, ezindebeni noma olimini. Noma kunjalo, lokhu akukuthi kwenzeke njalo njengokudluliselwa ngokuthinta izitho zangasese. I-bacteria idinga ukuxhumana ngqo namaqhubu athelelekile ukuze isakazeke, ngakho ukuthambisana okuvamile nomuntu onesi phililishi kodwa engenamaqhubu emlonyeni kunengcupo encane.

Kuphephile yini ukukhulelwa ngemva kokwelashwa kwesi phililishi?

Yebo, kuphephile ukukhulelwa ngemva kokwelashwa okuphumelelayo kwesi phililishi. Udokotela wakho uzofuna ukuqinisekisa ukuthi ukwelashwa bekuphumelela ngokusebenzisa izivivinyo zegazi zokulandelela ngaphambi kokuba uzame ukuthola umntwana. Uma usuphiliswe, isiphililishi ngeke sibe nomthelela ekukhulelweni kwakho noma ekukwazini kwakho ukuba nokukhulelwa okunempilo. Noma kunjalo, kufanele uqhubeke nokwenza ubulili obulondekile ukuvimbela ukutheleleka kabusha.

Kwenzekani uma ukwelashwa kwesi phililishi kungasebenzi?

Ukwehluleka kokwelashwa kuyinto engavamile ngesi phililishi, kodwa kungenzeka ngezinye izikhathi. Uma izivivinyo zakho zegazi zingabonisi ukuthuthuka ngemva kokwelashwa, udokotela wakho angase akukhuthaze ukusebenzisa i-antibiotic ehlukile noma izilinganiso ezengeziwe. Ngezinye izikhathi lokho okuvela njengokwehluleka kokwelashwa empeleni kuyinto yokutheleleka kabusha evela kumlingani ongawelashwanga, kungakho ukwelashwa komlingani kubaluleke kakhulu.