Chirwere chinotapukira chinokonzerwa nebhakitiriya, syphilis ndiyo inonyanya kuzivikanwa ye treponematoses. Nekudaro, kune mamwe treponematoses aripo anogara mune mamwe matunhu ane urombo epasi. Ndezvipi zvirwere izvi? Nzira yekuvaziva uye kuvabata sei?

Treponematosis, kana treponemosis, ishoko rinoratidza seti yezvirwere zvinokonzeresa treponemes, genus yebhakitiriya yemhuri yespirochetes.

Pakati peakanyanya treponematoses anobata vanhu, pane mana akasiyana ekiriniki mafomu: 

Venereal syphilis

Syphilis venereal chete, inokonzerwa neTreponema pallidum, kana kuti "pale treponema," chirwere chepabonde. Mushure mekuda kunyangarika muma1990 muFrance, yave ichitangazve kubva muna 2000. Inosanganisira 3 matanho anoramba achiwedzera kuipa uye anotungamirira kune chancre (bhatani) panzvimbo yekutapurirana uye maronda eganda.

Endemic treponematoses

Mamwe matreponematoses ane endemic uye akafanana kuti anocherechedzwa achiri mudiki uye haambokonzeri kukuvadzwa kwetsinga uye zvinopa maitiro akafanana serological maitiro sesyphilis. Tinosiyanisa:

• Endemic non-venereal syphilis kana "bejel", inokonzerwa neTreponema pallidum endemicum, inowanikwa munzvimbo dzakaoma dzeSahelian dzeAfrica;
• Le pian, inokonzerwa neTreponema pallidum pertenue, ikozvino inowanikwa zvakanyanya mu foci muCentral neSouth America;
• The pint kana kuti “mal del pinto” kana kuti “caraté”, inokonzerwa neTreponema pallidum carateum, inobata vana venzvimbo dzinopisa dzinopisa kana dzeequatorial kumakondinendi ese muCentral neSouth America, anoonekwa nemaronda eganda.

Zvichienderana nerudzi rwe treponematosis, nzira yekusvibiswa yakasiyana. Chirwere chinotapurirana zvikuru, asi chisingawanzotapurirwa netsaona (kurumwa), kuburikidza neropa (kuwedzerwa), kana transplacental (amai kuenda kumwana mudumbu).

Endemic treponematoses 

Kutapurirana kwavo kunoitika zvakanyanya panguva yepedyo, yepedyo pakati pevana uye dzimwe nguva pakati pevana nevakuru mumamiriro eunzenza uye hutsanana husina kugadzikana:

• The bejel: kutapurirana kunoitika nemuromo kuonana kana nekugovana ndiro;
• Yaws: iyo yakanyanya kupararira inoda kusangana zvakananga neganda uye inofarirwa nekukuvara kweganda;
• La pinta: Kutapurirana pamwe kunoda kusangana neganda rakakuvadzwa asi harisi kunyanya kutapurirana.

Iyo venereal fomu yesyphilis inofungidzirwa kuti yakatanga kuEurope nekuMiddle East mushure mekuchinja kutsva uye nzira yakasarudzika yekutapurirana kuburikidza nekuita zvepabonde nemunhu mukuru asina kudzivirirwa nemunhu ane syphilis panguva yekutanga kwechirwere. 

• Mhando dzose dzepabonde dzisina kudzivirirwa dzinogona kusvibisa, kusanganisira zvepabonde nemumuromo kana, dzimwe nguva, kutsvoda zvakadzama;
• Kutapurirana kubva kunaamai-ku-fetus kunogona zvakare kutapurirwa panguva yekuzvitakura.

Syphilis, senge endemic treponematoses, inoshanduka nenzira imwecheteyo. Chirwere chekutanga chinoteverwa nekupararira kwechipiri maronda, ipapo nguva yekumirira uye pakupedzisira chirwere chinoparadza chinononoka.

Endemic treponematoses

• The bejel: maronda emucosal uye maronda eganda, anoteverwa nemapfupa uye maronda eganda; 
• Yaws inokonzera periostitis uye maronda eganda;
• Maronda epinta anongovharirwa kune dermis. 

Njovhera

Mushure mekutapukirwa, munhu wacho anozoona pundu dzvuku panhengo yavo yesikarudzi kana kuseri kwehuro yavo. Iyi pimple inoshanduka kuva ronda risingarwadzi rinogona kupfuurira kwemwedzi 1 kusvika ku2. Mavhiki mashomanana mushure mekutanga kweronda, chirwere chefuruwenza chinonzwika. Mapundu kana kutsvuka zvinogona kuonekwa pazvanza zvemaoko uye pasi petsoka. Dzimwe nguva zvirwere zvakadai se meningitis, kuremara kwechikamu chechiso, zviripo. Mune zvimwe zviitiko, maziso anobatwa.

Makore maviri mushure mekusvibiswa, zviratidzo zvinopera. Ichi chikamu chinogona kugara kwemakumi emakore akawanda.

Chirwere chakapfava kana chikarapwa nenguva, chakakomba kana chikafuratirwa kana kuregeredzwa.

Syphilis, se endemic treponematoses, inogona kurapwa nejekiseni rimwe chete remushonga unorwisa mabhakitiriya kubva kumhuri yepenicillin. 

WHO inokurudzira kunyorerwa kwejekiseni rimwe chete re benzathine benzylpenicillin (2,4 MU), intramuscularly (IM), kana kuti pane allergy kune iyi antibiotic, doxycycline, yemhuri yecyclin. Kana chinhu ichi chisingagoni kushandiswa, mamwe maantibioti angasarudzwa. 

Kubudirira kwemishonga inorwisa mabhakitiriya kunogona kuongororwa nekuongorora ropa nguva dzose.