Sifilis

Sifilis

Sifilis yra labai užkrečiama liga, dažniausiai perduodama per lytinius santykius, įskaitant vaginalinį, oralinį ir analinį seksą. Liga gali ilgai išlikti organizme, nesukeliant simptomų, todėl galite nežinoti, kad esate užsikrėtęs, ir perduoti ją savo lytiniam partneriui.

Ankstyvoji sifilio stadija sukelia žaizdas, bėrimus ir kitus simptomus. Jei jis nebus gydomas, gali sukelti rimtų ilgalaikių problemų, paveikiančių smegenis, akis, širdį ir kitus organus. Ankstyvojoje sifilio stadijoje jį galima gydyti antibiotiku penicilinu. Vėlesnėse stadijose ligą sunkiau gydyti, todėl labai svarbu kreiptis į gydytoją, jei pastebėsite kokių nors simptomų arba manote, kad galėjote būti užsikrėtęs.

Sifilio priežastys

Sifilį sukelia bakterija Treponema pallidum. Užsikrečiama tiesiogiai kontaktuojant su sifilio opomis ant kito žmogaus kūno. Bakterijos taip pat gali patekti į organizmą per odos įpjovimus ar gleivines. Tai dažniausiai įvyksta per lytinius santykius. Be to, galima užsikrėsti per tiesioginį kontaktą, pvz., dalijantis adatomis su infekuotu asmeniu, kai vartojami intraveniniai narkotikai.

Kūdikiai gali gimti su įgimtu sifiliu, jei motina nėštumo metu sirgo šia liga. Taip pat kūdikiai gali užsikrėsti žindymo metu.

Sifilis neplinta per tualeto sėdynes, durų rankenas, baseinus, vonias, bendrus drabužius ar stalo įrankius.

Rizikos veiksniai užsikrėsti sifiliu

Bet kuris seksualiai aktyvus asmuo gali užsikrėsti sifiliu. Tačiau rizika padidėja, jei:

  • Turite nesaugų seksą
  • Turite daugiau nei vieną seksualinį partnerį
  • Turite ŽIV (virusą, sukeliantį AIDS)
  • Turite kitą LPI, tokią kaip gonorėja, chlamidijos ar herpesas

Vyrai yra labiau linkę užsikrėsti sifiliu nei moterys, ypač jei jie turi lytinių santykių su kitais vyrais.

Sifilio simptomai

Pirmasis sifilio simptomas yra nedidelė opa, vadinama šankru. Opa paprastai yra tvirta, apvali ir neskausminga. Ji atsiranda toje vietoje, kur bakterijos patenka į jūsų kūną, pavyzdžiui, ant varpos, makšties, išangės, tiesiosios žarnos, lūpų ar burnos. Kadangi ji neskauda, kai kurie žmonės nepastebi šankro. Jis gali būti supainiotas su spuogu arba paslėptas makštyje ar tiesiojoje žarnoje.

Po kurio laiko galite pastebėti šiuos simptomus:

  • Bėrimas
  • Žaizdos
  • Karščiavimas
  • Patinę limfmazgiai
  • Gerklės skausmas
  • Galvos skausmai
  • Plaukų slinkimas
  • Svorio netekimas
  • Raumenų skausmai
  • Nuovargis

Sifilio bėrimas

Bėrimas gali atsirasti bet kurioje kūno dalyje, įskaitant delnus ir pėdų padus. Paprastai jis pirmiausia pasirodo ant kūno kamieno (krūtinės, pilvo, dubens ar nugaros). Bėrimas dažnai nekelia niežulio. Jis gali būti raudonas arba rausvai rudas ir šiurkštus. Kartais jis yra toks lengvas, kad galite jo nepastebėti.

Sifilio stadijos

Yra keturios sifilio stadijos:

  • Ankstyvasis arba pirminis sifilis. Šiuo metu atsiranda šankrai, kurie gyja be randų per 3-6 savaites be medicininio gydymo. Tačiau liga vis dar yra organizme, todėl svarbu gauti gydymą, kad liga neprogresuotų į antrąją stadiją.
  • Antrinis sifilis. Ši stadija prasideda nuo bėrimo ant krūtinės, pilvo, dubens ar nugaros. Vėliau jis gali atsirasti ant rankų ir kojų. Sifilio bėrimas paprastai nekelia niežulio kaip kitų ligų sukeltas bėrimas. Kaip ir pirminis sifilis, antrinio sifilio simptomai gali praeiti be gydymo, tačiau liga vis dar lieka organizme.
  • Latentinis sifilis. Jei liga nebus gydoma, ji pereis į latentę arba „paslėptą“ stadiją. Šioje stadijoje simptomų nebėra. Latentinė stadija gali trukti metus, ir jūs galite klaidingai manyti, kad sifilio bakterijų organizme nebėra. Tačiau negydoma liga gali progresuoti į vėlyvąją stadiją, kuri yra labai pavojinga.
  • Tretinis arba vėlyvasis sifilis. Šioje pažengusioje stadijoje sifilis gali pažeisti širdį, smegenis, kraujagysles, kepenis, kaulus, sąnarius ir nervus. 30–40% negydytų sifilio atvejų pasiekia tretinę stadiją. Galite tapti paralyžiuotas, apakti, prarasti klausą ar išsivystyti demencija. Tretinis sifilis gali būti mirtinas.

Sifilio komplikacijos

Negydomas sifilis gali sukelti komplikacijas visame kūne:

  • Gumbai (gumos). Šie gumbai gali augti ant odos, kaulų ar organų ir sunaikinti aplink juos esantį audinį.
  • Nervų sistemos problemos. Sifilis gali sukelti galvos skausmus, insultą, smegenų pažeidimus, paralyžių, šlapimo pūslės problemas ar erekcijos sutrikimus.
  • Širdies ir kraujagyslių problemos. Liga gali pažeisti širdies vožtuvus arba sukelti aneurizmas ar aortos uždegimą.
  • ŽIV. Sifilis gali padidinti riziką užsikrėsti ŽIV.
  • Nėštumo ir gimdymo problemos. Jei esate nėščia, galite perduoti sifilį savo kūdikiui, o tai gali sukelti persileidimą, negyvagimį ar naujagimio mirtį.

Sifilis nėštumo metu

Rekomenduojama nėščiosioms bent kartą nėštumo metu atlikti sifilio tyrimą, geriausia pirmojo prenatalinio vizito metu. Negydomas sifilis gali sukelti kūdikiui rimtų komplikacijų, įskaitant vystymosi vėlavimą, traukulius ar net mirtį.

Kūdikiai, gimę su sifiliu, gali turėti šiuos simptomus:

  • Žaizdos ir bėrimai
  • Karščiavimas
  • Gelta
  • Anemija
  • Patinusi blužnis ir kepenys
  • Sloga
  • Kaulų pokyčiai

Vėlesni požymiai gali apimti:

  • Kurtumą
  • Dantų problemas
  • Nosis deformaciją

Sifilio diagnozavimas

Norėdamas diagnozuoti sifilį, gydytojas atliks fizinę apžiūrą ir gali skirti šiuos tyrimus:

  • Kraujo tyrimai. Greitas testas gydytojo kabinete ar sveikatos klinikoje gali diagnozuoti sifilį. Tai pagrindinis būdas diagnozuoti sifilį.
  • Cerebrospinalinio skysčio tyrimai. Jei gydytojas įtaria, kad turite neurosifilį, jis atliks skysčio, paimto iš stuburo smegenų, tyrimą.
  • Tamsiojo lauko mikroskopija. Mikroskopu galima stebėti sifilio bakterijas, paimtas iš odos opos ar limfmazgių skysčio.

Sifilio gydymas

Sifilis yra išgydomas, jei jis greitai diagnozuojamas ir gydomas. Tačiau jei liga gydoma per vėlai, ji gali negrįžtamai pažeisti širdį ir smegenis, net jei infekcija bus išgydyta.

Kadangi sifilį sukelia bakterinė infekcija, jis gydomas antibiotikais. Penicilinas yra dažniausiai naudojamas antibiotikas. Labai svarbu baigti vartoti visus gydytojo paskirtus vaistus, net jei simptomai išnyksta.

Negalima užsiimti lytiniais santykiais, kol infekcija visiškai nepraeis. Praneškite savo esamiems ir buvusiems seksualiniams partneriams, kad jie taip pat pasitikrintų ir, jei reikia, gydytųsi.

Kai kurie žmonės po pirmojo gydymo gali patirti Jarisch-Herxheimer reakciją, kuri gali apimti karščiavimą, šaltkrėtį, galvos skausmą, skrandžio sutrikimus, bėrimą ar sąnarių ir raumenų skausmus. Šie simptomai dažniausiai išnyksta per 24 valandas.

Sifilio prevencija

Galite iš naujo užsikrėsti sifiliu po gydymo. Vienintelis būdas visiškai išvengti sifilio yra nenaudoti analinio, oralinio ar vaginalinio sekso. Tačiau riziką galite sumažinti:

  • Nesant intymaus kontakto su žmogumi, kuris serga sifiliu.
  • Naudojant prezervatyvus teisingai kiekvieną kartą, kai turite lytinių santykių.
  • Naudojant dentalines plėveles oralinio sekso metu.
  • Nesidalijant seksualiniais žaislais.
  • Turint ilgalaikius monogaminius santykius su partneriu, kuris neturi sifilio.

Jei esate santykiuose su asmeniu, sergančiu sifiliu, jums gali tekti pasitikrinti ir galbūt gydytis.

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