Syphilitic roseola: photo, le matšoao, tlhaloso, tse fapa-fapaneng, diriswa, differential tepelletse maikutlong, kalafo

Mokaola - e mong oa mafu a ho atileng ka ho fetisisa le ho tšaba ba lekholong la XX. Ka nako e itseng le lefu lena e ne e le sesosa sa lefu la batho ba bangata. Russia, tšoaetso a utloa bohloko literekeng lohle, 'me ka lebotho, mong le e mong oa lesole ea bohlano e ne e le nang le tšoaetso. Sena classic venereal lefu hore haholo-holo ka ho kopanela liphate a tšoaetsanoang kapa prenatally. Empa tšoasa ka etsahala le ho sebelisa lintho tse seqo bohloeki, ho longoa ke, tšelo ea mali. Lefu lena le ka etsahala ka foromo latent ka lilemo tse mashome, butle-butle ho fallela ho tloha sethaleng e mong ho e mong, e tšosang matšoao a bona le ponahalo.

The moemeli causative

Chancre, ho ruruha ha methapo ea lymphatic, syphilitic roseola (bona syphilides), papules, pustules le nodes - tsena ke feela ba bang ba sa liponahatso Link tsa mokaola mathomo le se mahareng. Empa le bakoa 'nete ea diso letlalo, litho tse ka hare le litsamaiso ke spirochete - palo treponema (Treponema pallidum). The kokoana-hloko e bulehileng feela ka 1905. Ho na le o molelele o 'mele sebopeho le fibrils, ka tsela eo ba nang le bokhoni ba tshisinyo spiral. Ke hore, pathogen ka susumetsa ka bolokolohi ka hare ho moamoheli phelang e phunyeletsang, ka dikgokelo intercellular le amang litho tse ka hare, methapo ea mali le dinama tse nyenyane tse ea batho.

mokaola mahareng

Lefu lena le na le mekhahlelo e meraro ea leqhubu le. mokaola mathomo e tšoauoa ka selelekeleng butle-butle ba pathogen 'meleng. thehoa chancre Ka sebaka sa selelekela treponema - bohloko seso. Qetellong ea libeke tse 6-10 ka mor'a tshwaetso le hlaha ea 'mele ea systemic hloleha. Hlokofatsoa ke litho tse ka hare tsohle (ho akarelletsa lesapo, ke tšohile, tsamaiso lymphatic, utloa 'me mahlong a). E ne e nakong ena, 'mele o bonahala nyonyehang lekhopho, ho phetoho ea e syphilitic roseola. Photo bakuli bao letlalo e koahetsoe le rashes, bonang palatable. The lekhopho le hlaha hobane karolo ea kokoana-hloko e timetsoa ke tlhaselo ea lisele boitshireletso ba mmele le totobatsa e endotoxin - e chefo e kotsi e nang le thepa angioparaliticheskim. Sena se letšoao mokaola fumanoa ka 80% ea linyeoe nakong ea mahareng.

mele ke hangata ho bonolo ho batla ho fokotsa pathogen, oo ka oona lefu lena le fetoha latent (patiloe) sethaleng. The lekhopho disappears ka nakoana, kapele ho hlaha hape. Ho ikatisa ea microorganisms e thibile, empa fokolisa ya boitshireletso ba mmele isang khutlela mokhoeng ka. Ke hobane tsamaiso e khopo ea bona sa 'mele ke sa khone ho hlōla ka ho feletseng lefu lena. Ho feta moo, batho mocheso oa 'mele ke sebakeng se loketseng phutholohile bakeng sa bophelo ba kokoana-hloko ena. nako ea bobeli e ka ba teng ka ho tloha ka ba lilemo 2 ho 4, e phallang maqhubu, 'me ho fumana matšoao a tsohle li be ncha ea tleleniki.

Seo mafu letlalo ka ho ferekanngoa?

Syphilitic roseola e tšoanang le pathologies tse ling tsa letlalo, tse tsejoang ke lekhopho pinki:

• Chefo dermatitis ka itšoara joang ka lik'hemik'hale meriana, lijo, lelapa. alejiki litsila tse teng phapang ke hore ba ba atisa ho kopane, ho hlohlona, kopane le mong le e tse ling.
• Pinki zoster bontša ka lekanang matheba chitja. Sena se kotsi diso bongata ba kokwanahloko letlalo le fetelang ntle kalafo. Ka tsela eo ha ho kamehla motsoali pakellanang (bophara 1 cm,) e lemoha pele 'me o na e le boholo kholoanyane. Likarolo setseng hlaha butle-butle, sebopeho bona le litekanyo ka 'na ba e fapaneng' me e fapaneng le e mong le tse ling.
• marbling ea letlalo e ka etsahala ka lebaka la hypothermia ka batho ba phetseng hantle ka ho feletseng. Ka letlalo dilated methapong feela translucent, ho fana e le tinge marbled. Syphilitic roseola mora maqephe matla hohla fetoha esita le khanya le 'mabole palo, ho fapana le hoo, ho disappears.
• Scaly matheba (mala) ba boetse ba hanelana ka 'mala pinki, empa ka linako tse ling e gets tlas'a moriti oa kofi le lebese. Ba leng teng ka morao, sefubeng, 'me hangata ka halofo e ka holimo ea' mele. Simoloha ho tloha melomo ea follicles moriri ka matla shelled ho fapana le liponahatso mokaola.
• Ho ba teng ha linta dikahlolo bontša mesaletsa ea ploschits longoa. E bohareng ba ka bohlooho-pherese matheba o ka kamehla hlokomela le lethebanyana nyenyane. Mesaletsa ha lia ka tsa nyamela ha ba sutumelletsa.
• Ha rubella lekhopho e fumanoa ha feela 'mele empa hape sefahlehong. Ho litora fetela ho veils e nyenyane, e ama pharynx le disappears ka letsatsi la boraro. e hlaha 'mele mocheso, ho conjunctivitis, ho ruruha lisele tsa mmele nodes.
• Maselese e hape tšoauoa ka ho phahama bohale mocheso, eyelid edema, ho ruruha lera ya Lufthansa ka holimo, le bothata ba ho hema le ho conjunctivitis. Lekhopho kgolo, le tsekamelo ea ho draining ka lera la mucous tsa molomo oa ka le marenene le hlaheletseng matheba tšoeu.
• Typhus le feberu feberu ea mala le hlaha ka matla kakaretso botahoa ea 'mele, feberu le bofokoli. Ha litsila tse teng kirisi le tharollo ya joala ya a iodine litareng e, ba ba tlas'a moriti le leso kudu.

Syphilitic roseola: phumano differential

Roseola, bakoang ke mokaola, ho ke ho hlokahala hore ho khetholla (phapang) ho tswa ho mefuta e meng ea lekhopho spotty, ka tsela e tšoanang ba shebahalang ka eona. Hammoho le ho tswa ho longoa ke likokoanyana, kulisoa, mafu a tšoaetsanoang (herpes, qhoshola). Mabaka a ho hlaha ha foqoha ha tse ling tse fapaneng haholo, e le lintlha tsa bontshiweng, ponahalo, matšoao tloaelehile hore batho ba le mekhoa kalafo.

Ka thuso ea mekhoa laboratori ea ka etsa qeto ea hore le lekhopho - sena roseola syphilitic. Diff. phumano e thehiloe serological mali ke e batlang antigens le lisireletsi ho pathogen ena. RIF fana e phethahetseng lebaka hlahlojoe. Ho etsa sena, ka ho noa mali a mokuli a ho ithuta le a phaella ka ho mali a mmutla silafalitsoe le moemeli causative lefu lena, 'me e le serum khethehileng. Ha ba ne ba nka ka khanyang ya microscope ka ho ba teng ha e phelang treponema tiisa gabe - khanyang. Ho ba sieo ha tshwaetso le hlaha yellowish-tala phatsima.

E le hantle e thahasellisang ke hore haeba mokuli a entoe kena ho tswa di ml 3 ho ea 5 ea acid e nicotinic (0.5% tharollo), le matheba a ba feta e hlakileng Hue. Hape ea bohlokoa haholo bakeng sa fumanoe ke ho ba teng ha matšoao a tse ling tsa mokaola mahareng. Hape sebopeho sa chancre tsa mokaola mathomo ka mohato.

le matšoao a mang

Silafalitsoeng pinki kapa ho potoloha sebopeho khubelu bonahala syphilitic roseola. Matšoao a sa mokaola mahareng hape e kenyeletsa:

• microfocal kapa diffuse alopecia (tloaelehile 20% ea bakuli le fetela le ho e le qalo ea phekolo);
• "Sefaha tsa Venus" ka molaleng, ka seoelo mahetleng, maoto le theola khutlela;
• papular syphilide;
• pustular syphilide;
• tshenyo lithapo lentsoe le hoarseness.

matšoao a lekhopho

Syphilitic roseola, photo photo photo photo ea tse le ngata ho Internet, e tšoauoa ka makgetha a ho itseng:

• matheba motho boholo bo ho fihlela ho 1 cm,;
• rashes tse sa hlakang contour;
• litsila tse teng holim'a boreleli, tsoekame;
• contour lekaneng le tsoekame;
• ha fused ho likarolo e mong le tse ling;
• litsila tse teng ha protrude holim'a letlalo;
• u se ke ua hōla ka periphery ea;
• le khatello, o fokolang lightening ya mmala, empa e se nako e telele;
• ha ho na bohloko, gommage le ho hlohlona.

Long ha feta roseola ka be le bosehla sootho Hue. Ba Itlhahisa ka rashes ke ha e kotsi 'me ha li kotsi. Leha ho le joalo, ba ile ba ba pontšo ea 'mele ea hore o ne a hloka thuso e potlakileng.

Syphilitic roseola: diriswa lekhopho

libaka tse ratang matheba sebakeng nkoa pheletsong le lehlakoreng bokaholimo ea 'mele (sefubeng le mpa). Mohlomong ka bends leoto, ho otla karolong e ka holimo ea maoto e. Roseola seoelo etsahala ka maoto, matsoho le sefahleho. lekhopho tsa bodulo mokhoa o sa laoleheng le ho ba ngata. O ile a bonahala butle-butle, ho finyella ntshetsopeleng ho qetela matsatsi a 8-10. Syphilitic roseola mefuta e thehiloe ponahalo ea matheba.

Types of roseola syphilitic

Latelang mefuta roseola:

• foreshe (ponahalo ea pele), le lekhopho ho fetisisa bongata ba mala e khanyang;
• urticaria kapa oedematous (tšoana urticaria);
• annular syphilitic roseola e tšoauoa ka le likoatipa ka sebōpeho sa masale kapa halofo mehele, arcs le setaele se kang moqhaka;
• le matheba iphetang kapa aa tsoa roseola boholo, hangata haholo kholoanyane, le ho penta - le matla haholo ho feta, empa palo e nyenyane.

seoelo haholo, bakuli ba hlahisa gommage roseola koahetsoeng poleiti sekala, hammoho le tšoanang le machachetsi, lelele ka holimo letlalo.

lera la Mucous hangata e develops erythematous syphilitic angina. Ka tsoelang 'metso etymology hlaha lefifi khubelu, ka linako tse ling le bb type genus. Likemiso tsa bona sharply sehelane moeli le ka bophelo bo botle mucosa veils. Mokuli ha ikutloa bohloko, ho ke ke ha e le feberu, 'me kakaretso boemo ba hoo e batlang e robehile.

kalafo

Haeba u belaella sa mofuta syphilitic tsa lekhopho le ke habohlokoa hore re retelehele ho ngaka e le hang ha ho khoneha. Tlhathoba e kopanela dermatologist kapa mafu venereal.

The lekhopho disappears ka boithatelo ka mor'a matsatsi a 'maloa (ka linako tse ling months), butle-butle fetola' mala. Ka mor'a moo, ha ho na le moneketsela e setseng ka letlalo. Ho tšoara ke ke ho hlokahala ha lekhopho, le bakang bona. Ka lehlohonolo, le moemeli causative tsa mokaola ke ka seoelo kokoana-hloko eo ntse a e-s'o ba qapa ho hanyetsa lithibela-mafu. Syphilitic roseola, eo kalafo o etsoang tsoa ka tloaelehileng ka penicillin (sodium letsoai), atisa ho mpefatsa. Se ka mor'a ea pele a entoe nameng lekhopho fetoha tebileng khubelu Hue. Mokuli a ka tsosoa mocheso. Ho feta moo, matheba a thehoa likarolo tseo tsa 'mele, moo pele e neng e ba ne ba ke ke. Ka phekolo hlakanywa, hammoho le lilemo tse leshome tse fetileng, o ile a sebelisa intravenous Infusion tsa metsoako arsenic ( "Novarsenol", "Miarsenol"). ditharollo tsa letsoai a iodine litareng e le mahlahana a tse ling tse thusang ba a boela a sebelisa. Kalafo lokela ho feta tlasa maemo a ema, e leng lumella ho lula a hlokomela bophelo bo botle ba ho ba le mamello.

phekolo Features

Phekolo e lokela ho ba dithuto, fapanyetsana le khefu le ho ba nako e telele. phekolo sekemeng e khethileng ka bomong le litšobotsi tsa tleleniki ea lefu lena. Ho felisa fifatsa lekhopho e behiloeng mercury mafura, hlatsoa le letsoai, hammoho le ka ho phethahetseng bohloeki tlhokomelo ea letlalo.

The in hlaphoheloa

Ka katleho tšoaroa mokaola ka batho ba phetseng hantle le ba banyenyane ka 'mele le matla. Ka bana ba le batho ba hōlileng ho Forecast lebaka positive, ke kamehla a thata. boemo ba mokuli le ka mpefala ha a na le diso e tebileng pelo, lefu la tsoekere, lefu la liphio, sebete, rickets historing. Ho phaella moo, ba le mamello lokela ba khaotse ho ho noa joala le ho fokotsa ho tsuba nakong ea kalafo.

liphello tsa ho ba le tshwaetso

Ke habohlokoa ho utloisisa hore ho syphilitic roseola - le lekhopho, e bonahala eka ha lefu lena le ke se a ntse a sebetsana le linyeoe tse matla. Ha mothating ona ha aa ka a qala kalafo, ho tla etsa hore liphello irreparable, etsolloa tshenyo ya boko le lesapong la mokokotlo, tsamaiso ea ho potoloha ha mali 'me litho tsa ka hare tse ling tse ka hare. Mokaola ka thelelo le seamlessly switjha ho mohato boraro, e leng ho feletseng ha amenable phekolo. Ka mokaola e phahameng, e leng le hlaha ka 40% ea linyeoe, ho ka etsahala feela ho boloka 'mele oa mesebetsi ea bohlokoa le ho tsitsisoa naha. Joaloka mafu a mangata a tšoaetsanoang ka ho kopanela liphate, mokaola, hangata e qetella bokooa kapa lefu.

thibelo

Mokaola - lefu le ka lintho tse tebileng phekoleha feela ka mekhahlelo lona ba pele. About diso systemic ha phekolo letsatsi le letsatsi ke thuso, e bontša ka lekhopho - syphilitic roseola. Tlhaloso ya mehato tekanyetso e thibelang e ka bakeng sa mefuta eohle ea mafu a tsoaetsanang, mafu a tšoaetsanoang ka ho kopanela liphate. Pele ho tsohle, o lokela ho qoba ho bo hlephileng, ho itlosa bolutu ka mabitso a mang ho kopanela liphate. A mokhoa mokoallo oa lithibela ntse ke haholo-holo e le mokhoa precautionary. Ho sebelisa likhohlopo, batho ba ke ke feela ho itšireletsa tšoaetsong, empa le boetse le sireletsa khahlanong khoneha tshwaetso ya molekane ea ho kopanela liphate. Ka mor'a hore tsohle, ha mong le e mong ke 100% bonnete ba hore o na le bophelo bo botle ka ho feletseng, fuoa hore ba bang ba mafu a ba le nako e telele poloko nako ntle ho matšoao.