RMP (test igazi): ukufunda, zokucazulula

Izifo kwisigaba olusondeleyo phantse lonk nefuthe elibi empilweni yonke eziphilayo. Ngokukodwa ngaba kunxulumene sisifo, ezosulela ngesondo. Ingozi ayikho kuphela ukuba unyango kusoloko kuthatha ixesha elininzi ixesha, amandla kunye luvo, kodwa yokuba izigulo ezininzi lunokwenzeka isicwangciso lamakholwane bamfihla ixesha elide, phantse ayizange ngokwayo. Ezi ziquka isifo negcushuwa leyo eya kunceda ukuseka uvavanyo lwegazi RMP.

Ukubekwa usulelo kusekwangoko

Negcushuwa sisifo ezidluliselwa ngeentlobano zesini, nto leyo ezosulela kakhulu ngokudibana ngesondo. Noko ke, ukungcoliswa kunokwenzeka ngenxa exchange igazi, umzekelo, emva kokusebenzisa sisitshetshe elichasayo okanye isirinji non-abawaziyo. Negcushuwa uyakwazi ukufumana umntwana ngexesha unikezelo nokuba ngokwendalo okanye amalungu osapho abasebenzisa izitya efanayo kunye nezokulala.

Kuba efumanise kusekwangoko isifo kukho vavanyo negcushuwa RMP.

Emva kokufunyanwa ngumtyholwa esi sifo, nto leyo eye yaba treponema lipholi, enxulumene spirochete ekufunyanisweni negcushuwa ekuqaleni iye yaba lula kakhulu. Imiqondiso ecacileyo zivela kuphela kwisigaba sesekondari, xa sifo sele ziphuhliswe emzimbeni. Ukususela ngomhla ekusulelekeni ukuyilwa izilonda ezincinane phezu zangasese, ngokuba chancre, ingathatha iinyanga ezi-3, nangona ixesha ixhaphakileyo - iiveki ezi-3.

Ngelo xesha, bambalwa abantu siqaphela, ngeqhina encinane ekhawulezayo wavela, akuthethi ukuba ubuhlungu. Noko ke, emva kweenyanga 1.5-3 nerhashalala yaye nangecesina, ophuma kwiindawo ezandisiweyo nkovu. Nokuba kweli nqanaba, asingabo bonke abantu baqonde ukuba abe negcushuwa, kwaye ekuqalekeni kunokwenzeka kuphela ngoxilongo kunye uvavanyo lwegazi phezu RMP basabela microprecipitation okanye uvavanyo lwegazi.

Kufuneka kuqatshelwe ukuba chancre can be yenzelwe nje kuphela zangasese, kodwa kwakhona kwi isifo ngomlomo. Apho wayesoloko iphutha ukuba ziinkumbi kwaye uqale unyango engenamsebenzi. Okwangoku, esi sifo uyaqhubeka ngokwanda.

Xa ufuna ukuba bahlolelwe?

Kwezinye iimeko, le HLR (a uvavanyo lwegazi) na amanyathelo ayimfuneko athatyathiweyo ukuthintela usulelo lwe nabanye abantu:

• ngaphambi kokuba aye esibhedlele ukuya esibhedlele okanye uqhaqho olungxamisekileyo;
• phambi igazi lomnikelo phezu iinjongo ukunikela;
• xa ufaka isicelo somsebenzi, ngokubonelela abafowunelwa nendlu ngoko nangoko abantu, oku kuyinyaniso ngakumbi kwimisebenzi efuna ubhaliso iincwadi zempilo;
• akudingi uhlalutyo igazi negcushuwa abafazi wozeleyo inkwenkwe, kwaye uhlalutyo yenziwa njalo;
• Abantu abaye banikwa unyango ngenxa yokugula neze, esehlelwa reanalysis izihlandlo eziliqela emva kokuba igqityiwe ikhosi;
• ukubonakala iimpawu uphawu kuquka negcushuwa - isizathu eliqinisekileyo ukuze uqinisekise kwangoko uxilongo.

Zalisa igazi abale RMP - ntoni na?

Uhlalutyo isekelwe phezu kwenkcazo iklasi omzimba yaveliswa kwiintsuku ezisi-7 emva kokuba lisekiwe chancre, oko kukuthi, akukho zinkcukacha kwasekuqaleni kwesi sifo. Kakade ke, ukuba ukufumanisa ubukho besi sifo kwakhona badlula Wasserman igazi (PB), kodwa le ndlela lwasungulwa ekuqaleni kwenkulungwane yamashumi amabini. RMP kakhulu mihla ngakumbi noluchanekileyo.

Indlela yokujonga lento phandle ukuba ibe yintoni Analysis RMP - negative okanye HIV?

Yiyiphi ingabonisa iziphumo sifundo?

Qinisekisa uxilongo le ndlela ingaba 80% abantu abanengxaki ifomu ephambili ngegcushuwa kunye phantse zonke izigulane kwinqanaba lesibini. Entle okanye embi, ngokulandelelana, ithetha abantu abagulayo okanye akunjalo, oko kukuthi, nokuba kukho kuwo pallidum emzimbeni wakhe. Worth ngokuxhala xa RMP uhlalutyo eyakhayo, kwakunye elihle zobuxoki.

ngenxa okungamanga

Ukuba impendulo ujika ube okungamanga, oku kuchaphazela zifo zilandelayo:

• uhlobo samathambo isifo - isifo samathambo kunye arthrosis, scleroderma;
• Izifo komzimba - lupus, thyroiditis;
• iingxaki kunye nezintso, amalunga, sifo;
• neoplasms amabi;
• diabetes;
• imalariya;
• mikoplazmoznaya kunye chlamydia trachomatis;
• uhlobo mononucleosis esosulelayo;
• fever ebomvu, imasisi okanye irhashalala;
• Isigaba ecacileyo sephepha;
• Leptospirosis, seqhenqa eso;
• kwesibindi esibangelwa yintsholongwane;
• human immunodeficiency virus, ezifunyenwe omzimba deficiency syndrome;
• yamathumba ebandakanya igazi inyama kunye nenkqubo emithanjeni;
• wambi yeziphumo ubugqwetha inokuba kunokubangelwa ubudala ukukhulelwa okanye nangaphezulu, iminyaka engama-70 kunene embundwini;
• inyumoniya.

Impendulo isenokuba elibi lobuxoki, kwiimeko apho sifo kwi okuthatha, nto leyo yinyanga kunye nesiqingatha ukususela betha pathogen emzimbeni, okanye xa uphuhliso sifo sele udlule kakade negcushuwa ephakamileyo.

Indlela ukulungiselela le nkqubo?

Imigaqo analysis RMP delivery ungqamane iingcebiso standard phambi ukuzoba igazi uphando:

• ngeyona ndlela inenzuzo unikele ngegazi ungatyanga kusasa, kodwa ke kuvumelekile ukwenza njalo ngalo naliphi na ixesha lemini, ukuba emva kwesidlo wathabatha iiyure eziyi-8;
• kunqweneleka kakhulu kuba loo mini phambi kokuba inkqubo, ukuba ukuthobela imithetho yokutya - musani ukudla okuneziqholo, okroqiweyo, ukutya kutyetyiswa, yaye ngokukodwa ukuba siphephe chylous (kutyetyiswa) serum, nododobalisa okanye ukutyhefa iziphumo zohlalutyo;
• umthambo kwakhona kangangoko ukuphepha okanye kakhulu ukunciphisa imini phambi kokuba unikezelo;
• iziselo ezinxilisayo abavumelekanga ukuba bathathe ukuya iintsuku ezi-2 phambi kokuba isampulu yegazi;
• iiyure ezi-2 phambi okubi enqwenelekayo ukuyeka ukutshaya;
• Uyakwazi ukusela amanzi acocekileyo, ukungaqukathi gas;
• ukusebenzisa nayiphi na iziyobisi usenokuba kuchaphazela isiphumo uhlahlelo, ke ngoko, ukuba umntu ngaphandle akwenzeki ukufumana, kufuneka wazise ugqirha;
• oluthile, iimeko catarrhal kunye ezingapheliyo izifo kufuneka kwakhona makwazeke kwangaphambili zonyango.

Ngoko unako lula ukuqonda intsingiselo uhlahlelo RMP, ngenxa yokuba ulwazi oluqokelelweyo luza kuba echanekileyo.

Ingaba zikhona ezinye iindlela zokubona izifo?

Ukuba RMP inika impendulo eyakhayo, ngoko ke isiqinisekiso lokugqibela uxilongo ibithethwa wachitha inani lezifundo:

• indlela Wasserman;
• Pha - eyimpumelelo hemagglutination reaction;
• ELISA - enzyme immunoassay;
• Ifa - immunofluorescence;
• RIBT - ukusabela immobilization kuba luthuthu treponemes.

Ukongeza, ukuze kucaciswe kokugqitywa uhlalutyo idla ilawulwa ukuya HLR ukusuka ulwelo lwe-cerebrospinal, nkovu node aspirate, ukukrwela okanye ukunyhibhela ngesikhumba angasese.

isiphelo

Kuba nasiphi orhanelwa negcushuwa kuyimfuneko ngokukhawuleza kangangoko kunokwenzeka ukutyelela ugqirha ukufumana ukudlulisela ngegazi ukuchonga arhente causative. Kwiminyaka emininzi eyadlulayo, esi sifo kwalutyhutyha ubhubhane isantya kwaye ngokoqobo icheba labantu. Kodwa nokulahlwa zezonyango namhlanje imali eyaneleyo ukuze azisinyangi isifo ngokusisigxina.

Okokuqala, oogqirha basebenzisa antibiotics ngemali penicillin. Ubuntununtunu bokuba la machiza spirochetes liphezulu kakhulu, ngoko ke amathuba recovery zingaphezu ngokwenene. Le ethile kuphela kukhonza abadinga unyango esibhedlele, ngenxa yokuba ichiza kufuneka ubeke ngesitofu zonke Iiyure ezi-3, ngaphandle kokuba kumiselwe ngenye indlela ngugqirha.

Le nazo kuquka unyango immunomodulatory, iivithamini kunye neziyobisi ukuthintela neziphumo zonyango zintsholongwane - dysbacteriosis le iphecana zesisu kunye nenkqubo enzala. Emva kweminyaka 5, loo mntu Sinokungaziva siphilile ngokupheleleyo, xa kuvavanywa zange aye rhoqo eboniswe ukwenzeka sifo.

Laphehlelelwa kwisigaba sesithathu negcushuwa kukho isoyikiso ngqo kubomi babantu, echaphazela ingqondo kunye umnqonqo. Ukusilela kwenzeka enesantya noko iphezulu, ngoko ungatsiba ixesha xa ukuze azibuyisele sifo Kusengenzeka. Bekhokelwa ezi ngcamango, unyango kufuneka uqale kwangethuba kangangoko kunokwenzeka kuphela kagqirha. ngoku Kuye kwacaca ukuba kuthetha uhlalutyo RMP.