How are infected with syphilis
The most common method of infection - throughsexual contact. But it is also possible to become infected through blood transfusions. In a very rare and severe cases the patient's mother can pass syphilis child. Infected by contact, ie with a handshake, a kiss on the cheek, is not possible. This is due to the fact that the causative agent of syphilis, treponema pale, can not exist in the open air, and instantly dies, leaving the body of the carrier.
rift in the lute
Syphilis is dangerous because it is difficult to notice. The fact is that from the moment of infection to the first symptoms of syphilis 2-6 weeks pass. During this period, the disease actively affects the body. Then, at the site of the penetration of the disease, several small ulcers with a dense bottom arise. These ulcers are called hard chancre. Ulcers can appear on the head of the penis, on the vulva, in the mouth, in the area of the anus - depending on what sex was like with a syphilitic patient.
Women are much more difficult to find atsyphilitic chancre, since it may form on the cervix, and see it can only be a gynecologist during the inspection. After 1-2 weeks after the onset of ulcers increases coming to ulcers lymph nodes - inguinal, submandibular. After that ulcers heal on their own in 3-6 weeks, and the person does not bother, simply because no visible symptoms remains. This is the main danger of syphilis - the early stages of its flow so easily and painlessly, that not everyone will suspect at this disease.
After ulcer healing takes about 4-10 weeks and a period of secondary syphilis. It lasts 2-5 years.
The first symptoms of syphilis in this period are a rash ofwhole body. Pale pink rash stars appear even on the palms and soles. The rash is accompanied by poor health, fever. Now the lymph nodes throughout the body are enlarging, and genital warts appear - genital tract growths - extensive growths on the skin.
Secondary syphilis occurs with relapses and remissions lasting (when all symptoms disappear).
If the patient does not seek help over the years,symptoms will increase and syphilis enters its final stage. From the onset of the disease and to the development of tertiary syphilis passes about 10 years (if left untreated).
In tertiary syphilis pale treponema strikesthe nervous system of the patient suffers brain - degradation starts, and then the disintegration of the personality. Tertiary syphilis causes paralysis, deafness, insanity - the patient is depressed, is experiencing extraordinary creative impulse.
Patient gumma formed - under the skin of the nodes,which expand and then burst, forming a non-healing ulcer. Under the skin there are syphilitic granulomas - clumps of cells. They ulcerate depth in the bone tissue, and when ulcers heal, they give irreversible skeletal deformities. For example, mouth ulcers cause the destruction of the nasal bones - a well-known failed the syphilitic nose. The result is not cured of syphilis is always a painful death - in a frenzy, in pain and agony. But now, no one will bring the disease to a stage, the earlier a person to see a doctor, the faster will recover.
Diagnosis of syphilis
If a person had a strange sore onpenis or near the vagina, the doctor will prescribe a study purulent sores, enlarged lymph nodes puncture. If syphilis has moved into the second step to analyze the contents taken vesicles (pustules and papules) rash on the patient. The initial form of syphilis is well reveal non-treponemal tests - in addition, they allow you to monitor how the treatment is progressing effectively.
Enzyme-linked immunosorbent assay also allows you to monitordynamics of treatment. A blood test for RW - a Wasserman reaction, allows you to diagnose any stage of syphilis. If RW gives "++++" - this is a very positive reaction; "+++" - positive; "++" - slightly positive; “+” - doubtful; and finally, “-” is negative. Secondary syphilis always gives four crosses (++++).
The reaction of immunofluorescence (RIF). Today it is the most accurate diagnosis. RIF detects syphilis, in the very early stages, and late latent syphilis.
The reaction of immobilization pale treponem (RIBT) -this is a very expensive method, which requires special equipment, so it is not carried out in a conventional clinics. Also, only in the laboratory may carry out the reaction of passive hemagglutination (PHA).
Where necessary, spinal puncture is performed when analyzing cerebrospinal fluid is taken - investigated the number of cells, various tests are carried out.
Treatment of syphilis
If you start to treat syphilis early,It can be cured in 2-3 months, but the later stages of the disease may require 1.5-2 years of therapy. The treatment is prescribed individually. Doctor continuously monitors the course of the disease, adjusting its destination. Syphilis is treated with antibiotics (penicillin, tetracycline, erythromycin, sumamed), plus immunomodeliruyuschie stimulating drugs.
Many doctors of private clinics promise a cure for"Three or four sessions," but it is fundamentally the wrong approach, pulling money out of the patient. Syphilis requires long-term treatment in a hospital under constant supervision of a physician.
Doctor prescribes a medication long-term courses - so,in the treatment of syphilis is penicillin antibiotics the patient is administered medication every three hours for 24 days (or more, if required by the disease).
If the patient has an intolerancepenicillin antibiotics, other medications used. For example, in the treatment of early-stage syphilis used sumamed. This antibiotic rapidly reaches high concentrations in the body tissues and a sustained effect. After a single application sumamed remains in affected organs of not less than 5 days. Regimen sumamed roughly as follows: 1 g one hour before meals on the first day, followed by 0.5 g once daily for 7 days, followed by another 250 mg of 10 days. If the patient is treated with tetracycline, he will appoint two-week course, 4 x 500 mg per day of tetracycline.
Of course the patient is obliged to comply with alldestination and not have sex for the duration of the treatment of syphilis. Doses of antibiotics get sick, they are very strong, so that the syphilis is treated successfully and without delay.
Depending on what stage wassyphilis at the beginning of treatment depends on how long the doctor will have to be observed after the end of treatment - from several months to several years. Depending on the treatment, the Wasserman reaction may remain positive for 1.5-2 years after cure.
Immunity to syphilis exists. Those who had been ill once again and can get sick.
Prevention of syphilis
The surest way to protect yourself from syphilis -to be faithful to your partner, and always use a condom during casual sex. If you suspect that your partner is casual sick with syphilis, you should immediately go to the hospital. There will wash genitals disinfectants, take test for syphilis.