Sirifi inowanzobatwa ne penicillin, iyo mishonga inoshandiswa kurapa chirwere kubva muna 1943. Kunyange chirwere chebhakitiriya chinogona kurapwa nemamwe marudzi emishonga inorwisa mabhakitiriya, kune mamiriro ezvinhu apo penicillin ndiyo chete chisarudzo. Mumwe weavo vane hutachiwana angangodaro akachengetedzwa kuti azvidzivirire pane zvirwere. Zvimwe kunze kwemishonga inorwisa mabhakitiriya, hapana imwe nzira yemishonga inobatsira mukuchenesa utachiona hwechirwere.
Mishonga
Chirwere chechiphilisano chinowanzoda chirwere chimwe chete. Nzira yekurapa inonyanya kutungamirirwa nechikamu chetachiona (primary, secondary, latent, secondary) uye zvimwe zvinokonzera.
Penicillin G inofungidzirwa semishonga yekusarudza. Kune vanhu vanokonzera penicillin , zvinodhaka zvinodhaka zvakadai se doxycycline, tetracycline, azithromycin, uye ceftriaxone zvinogona kushandiswa. Izvo chete zvingadai zvichange zviri neurosyphilis (inononoka-dambudziko rinosangana neuropi uye pakati pehutano system) kana congenital syphilis (apo utachiona hunopfuudzwa kubva kuna amai kuenda kumwana panguva yekuzvitakura) umo penicillin ndiyo chete inosarudzwa.
Mune zviitiko zvakawanda, mushonga uyu uchaendeswa nejoka remukati (IM), kazhinji mumatumbu anonzi gluteal (matope). Mumatambudziko akaoma, mishonga inogona kupiwa intravenously (kuburikidza ne IV).
Kusiyana nezvimwe zvirwere zvebhakitiriya umo vanhu vanofungidzirwa kuti vanorapwa mushure mekupedzisa kurapwa, vanhu vane chirwere chinonzi syphilis vanofanira kuongororwa mutsva kuti vaone kuti utachiona hwakabviswa.
Kunyange zvazvo munhu asingazivikanwi achipindira maawa makumi maviri apedza kupedza kurapwa, vamwe vanachiremba vanorumbidza kudzivisa kusvikira kutsvakurudza kuve kwakapedzwa.
Mazano Okurapa
Muna 2015, Centers for Disease Control and Prevention (CDC) yakabudisa mazano anotsvaga pamusoro pekurapa kwechiphilis iyo ichiri kuteverwa nhasi:
- Syphilis Primary, Secondary, or early latent: Chimwe chirwere chinoputika muBenzathine penicillin G
- Late latent syphilis, chirwere chinonzi latent chinyorwa chisingazivikanwi, kana chirwere chepamusoro-soroti: Majekiseni matatu emishonga yeBenzathine penicillin G akaburitsa vhiki imwe chete
- Neurosyphilis kana macular syphilis: Aqueous crystalline penicillin G IV kushungurudza kwakaendeswa maawa ose mana pamasere gumi kusvika ku14, zvichida kuteverwa nejovo rimwe remakumbo yeBenzathine penicillin G; kushandiswa kwakasiyana-siyana neprocaine penicillin G kunogona kuonekwa mune dzimwe nguva
Apo penicillin G inofungidzirwa zvakanyanya mukuchenesa utachiona hwechirwere, vamwe vanhu vangadikanwa mishonga inowanikwa kana kuongororwa kwemashure iko zvino kuratidzira kukonzera kudonha muzwi (titer) rwechirwere antibodies. Uyezve, zvinetso zvakakomba zveurouro uye zvinokonzera zvinogona kuitika uye zvinopfuurira kunyange mushure mokunge utachiona hwave huchirapwa.
Izvo zvinorayirwa pamusoro apa zvepakutanga, zvechipiri, zvekutanga latent, uye nekupera kwechirwere chinoshandiswa zvinoshanda kune vacheche nevana, pamwe chete nevakuru. Nokuti nguva iri pakati pepachirwere chetachiona uye siriphi yepamusoro yakakura kwenguva refu (kanowanzova makore anopfuura 10 kusvika ku20), sirifu yakakurumbira inonyanya kuwanikwa muvana.
Vakadzi vane pamuviri
Kurapa kwechiphilisano yakarongedzwa panguva yekudzivirira inotevera mazano akafanana kune vanhu vakuru vakanyorwa pamusoro apa. Zvisinei, penicillin G chete ndiyo inonzi inobudirira mukudzivirira kutapurirwa kumwana asati aberekwa.
Kana amai vane allergiki ku penicillin, chiremba wake achada kumudzivisa nemhando yezvinyorwa zvese . Izvi zvinosanganisira kusvitsa amai kuti vadzivirire penicillin uye kuwedzerwa kuwedzerwa kuwedzerwa kwekudzivirira kuitira kuti pakupedzisira agone kurapwa nemishonga inorwisa mabhakitiriya.
Kunetseka
Mumakore achangobva kupfuura, kuve kune kuwedzera kunetseka pamusoro pekutyisidzira kwemishonga inorwisa mabhakitiriya mukurapa zvirwere zvepabonde.
Zvakawanda zvezvinetso izvi zvakakonzerwa nekushandiswa kwemishonga inorwisa mabhakitiriya mukurapa gonorrhea, tsika iyo yakakonzera kupararira kwakapararira uye kurasikirwa kwepiritsi imwe chete. Somugumisiro, gonorrhea nhasi inobatwa nekubatanidzwa kwejova uye inorwisa mishonga inorwisa mabhakitiriya.
Kusvika ikozvino, pakange kusina zviratidzo zvezviitiko izvi zvichiitika nes syphilis uye penicillin. Ikoko, zvisinei, zvaive zviratidzo zvekusimba kusagadzikana kuAitithromycin , inowanzoenderana nemasikirwo asingakwaniki echirwere chakatanga kubuda mumakore makumi mashanu nemazana ekutanga kwemishonga inorwisa mabhakitiriya.
Saka, apo epidemiologists ichiri kuramba ichicherechedza zviratidzo zvemishonga inorwisa mabhakitiriya, penicillin inofanirwa kuonekwa senzira yakachengeteka uye yakavimbika yekubata chirwere.
Sexual Partners
Kana iwe uine hutachiwana hwechirwere, vako vanoita zvepabonde vanofanira kuziviswa uye kurapwa zvakatevedzana, zvakare zvakare, pamutambo wako wehutachiona:
- Nechirwere chekutanga , chizivo chinofanira kutumirwa chero munhu wawakaita zvepabonde nemasvondo makumi mapfumbamwe asati apera zviratidzo.
- Nechirwere chechipiri , ruzivo runofanira kutumirwa kumunhu chero upi zvake wakamboita zvepabonde nemwedzi inenge mitanhatu isati yaboneka zviratidzo.
- Nekutanga kwechirwere chinonzi latent , chizivo chinofanira kutumirwa chero munhu wawakamboita zvepabonde naye kusvikira gore risati rasvika zviratidzo.
Nekurapa, vazhinji vanachiremba vanobata chero munhu wepabonde sehutachiwana hwehutachiona, sezvo hunogona kutora mazuva makumi mapfumbamwe kuti uwane mhinduro yakarurama yekutsvaga . Zvisinei, kana kuonekwa kwaitika mazuva anopfuura 90 mushure mekuonekwa kwezviratidzo, chiremba angasarudza kuedza mudiwa wacho kutanga.
Nemhaka yokuti njodzi yehutachiona inoderera nokukurumidza mushure megore rokutanga, mukana wekugoverana unogona kana kuti haufaniri kutevedzwa. Sechirwere chisingazivikanwi , chiremba wako anodiwa nemutemo kupa ruzivo pamusoro pehutachiona kune hurumende yehutano hwehutano; zvisinei, zita rako harina kuiswa mumugumo uyu.
> Sources:
> Centres for Disease Control and Prevention. "2015 Zvirwere Zvepabonde Zvirwere Zvokurapa Zvirongwa: Syphilis." Atlanta, Georgia; yakarongedzwa naJune 27, 2017.
> Stamm, L. "Global Challenge yeAntibiotic-Resistant Treponema pallidum." Antimicrob Agent Chemo. 2010; 54 (2): 583-589. DOI: 10.1128 / AAC.01095-09.