Thursday, October 30, 2008

Syphilis

Syphilis - chronic venereal disease, transmitted, in the vast majority of cases, sexually. Infection with syphilis through household is fairly rare, about 3% of cases.

Classification flow of syphilis are divided on the incubation period, primary, secondary and tertiary periods. It should be noted that an unspecified syphilis, when the moment of infection pale trepanned can not be established.

Syphilis typically runs undulating. In the period of syphilis in the mucous membranes, skin, internal organs are usually the active manifestations of the disease. However, often few symptom manifestations of the disease or even without any signs of syphilis.

Syphilis affects the entire body including the skin, mucous membranes, internal organs, the nervous system. Syphilis can last from untreated patients for many years.

The course of the disease wave with the change of periods of worsening latent periods. In the hidden symptoms of syphilis are virtually non-existent, but the positive serological reactions of the blood indicate a syphilitic process.

The forms of syphilis

PRIMARY Syphilis (syphilis I primarily) - stage of syphilis, after the incubation period averaged 3 weeks, characterize emergence primary simplify - chancre, which is the erosion or ulcer (perhaps a few elements), painless, with clear, thick at the base . The emergence of chancre accompanied by an increase in lymph nodes. For primary syphilis is characterized by complications in the form of fimoz, paraffin, gangrene penis in the absence of antisyphilitic treatment.

Primary latent syphilis (syphilis I latent) - syphilis, characterized by a lack of clinical manifestations in patients starting treatment in the primary period of illness and receiving inadequate treatment of syphilis!

SECONDARY Syphilis (syphilis II secundaria) - the next stage of syphilis caused hematogenic (blood) spread of pathogens (pale treponem) from the primary focus.

For secondary syphilis is characterized by the emergence of fresh heavy rash (roseola, papules, pustule) on the skin torso, limbs and mucous membranes.

Secondary recurrent syphilis (syphilis II recidivism) - the period of secondary syphilis, which is manifested few polymorphic grouped rash on the skin and mucous membranes, the defeat of the nervous system, the emergence of syphilitic alopecia, extensive warts, "necklace of Venus," "omnibus" sifilid, papules on the palms and soles.

Secondary latent syphilis (syphilis II latens) - a secondary period of syphilis occurring latent, serological reactions of blood for syphilis - dramatically positive.

Tertiary Syphilis (syphilis III tertiaria) - following the secondary stage of syphilis, which leads to irreversible consequences in the body. Treatment at this stage can only be supportive.

Invisible Syphilis (syphilis latens) - syphilis, in which serological reactions of blood always remained positive, but until a certain time there are no signs of destruction of skin, mucous membranes and internal organs.

Early hidden cifilis (syphilis latens praecox) - latent syphilis, since the infection which took place less than 2 years.

Late latent syphilis (syphilis latens tarda) - latent syphilis, from the time of infection by more than 2 years.

Injuries latent syphilis (syphilis ignorat) - a disease with unknown prescription.

Congenital syphilis (congenital syphilis) - syphilis, in which the contamination comes from the sick mother during intrauterine development.

Early congenital syphilis - congenital syphilis among fetuses and children up to 2 years late congenital syphilis - among children older than 2 years, reflected changes in the type of tertiary syphilis.

Quiet congenital syphilis - congenital syphilis, in which the clinical manifestations are not available, but serological reactions of blood for syphilis are positive.

Syphilis Nervous System - NEYROSIFILIS (neurosyphilis): Early (neurosyphilis praecox) - prescription disease until 5 years later (neurosyphilis) - more than 5 years.

In early neyrosifilise affects the lining of the brain development of meningitis; increasing intracranial pressure leads to a syphilitic hydrocephalus; damaged vessels of the brain.

Late neyrosifilis leads to violations of the higher nervous activity and mental losses: the progressive paralysis, spinal suhotke, gum brain - the development of complete degradation and disability cards.

Syphilis visceral (syphilis visceralis) - syphilis, which affects the internal organs - heart and vascular system, brain, spinal cord, lungs, liver, stomach, kidney).

Syphilis innocentium - syphilis infection which occurs through the household. The most frequent way of contracting syphilis - sex, with various forms of sexual contact (vaginal, anal, oral).

Infection with syphilis occurs through small genital defects or extra genital skin, or through the mucosal epithelium in contact with ulcerous erosive or chancre, erosive papules on the skin and mucous membranes of genitals, mouth, wide condoms containing a large number of pathogens syphilis - pale treponem. Very rarely infected with syphilis may occur in close household contact, in exceptional cases - through the items items.

Syphilis transfusion - transfusion with blood from a patient with syphilis transfusion recipient developed syphilis. Perhaps infection of medical personnel in the examination of patients with syphilis, conducting medical procedures and manipulation during surgery, with an autopsy, especially newborns with congenital syphilis early. There intrauterine infection of the fetus through transplatsentarnoy the causal agent of syphilis transmission from an infected mother.

Syphilis decapitated - contamination occurs when hit trepanned directly into the blood (through a wound, with blood transfusion). Syphilis headless characterized by a lack of primary period immediately direct the development of a secondary stage.

Syphilis malignant - seriously leaking syphilis with massive defeat of internal organs and nervous system, typical for people with reduced immunity, related pathology, HIV, hepatitis B, C and alcohol abusers.

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