Congenital mob syphilis

Congenital syphilis yog ib qho mob hnyav, ua rau lub neej tsis zoo, thiab feem ntau ua rau tuag taus ntawm cov menyuam mos. Tus niam cev xeeb tub uas muaj mob syphilis tuaj yeem sib kis tau ntawm tus menyuam mus rau tus menyuam mos hauv plab.

Congenital syphilis tshwm sim los ntawm cov kab mob Treponema pallidum, uas yog dhau ntawm leej niam mus rau menyuam thaum lub sijhawm menyuam loj hlob lossis thaum yug. Txog li ib nrab ntawm tag nrho cov menyuam yaus mob syphilis thaum lawv tseem nyob hauv plab tsis ntev ua ntej lossis tom qab yug.

Txawm hais tias qhov tseeb hais tias tus kab mob no tuaj yeem kho nrog tshuaj tua kab mob yog tias txhom tau thaum ntxov, nce ntawm tus mob syphilis ntawm cov poj niam cev xeeb tub hauv tebchaws Asmeskas tau nce tus naj npawb ntawm cov menyuam mos yug los uas muaj mob syphilis txij thaum 2013.

Feem ntau ntawm cov menyuam yaus uas kis tau ua ntej yug tus menyuam yuav zoo li qub. Ntev mus, cov tsos mob yuav tshwm sim. Hauv cov menyuam mos hnub nyoog qis dua 2 xyoos, cov tsos mob tuaj yeem suav nrog:

• Luag mob siab thiab / los yog hnoos qeev (nqaij hauv plab)
• Ua tsis tiav los ua kom poob ceeb thawj lossis ua tsis taus (suav nrog ua ntej yug, uas tsis tshua muaj menyuam yug)
• Ua npaws
• Vauv
• Kev ua voos thiab tawg ntawm daim tawv nqaij ib ncig ntawm lub qhov ncauj, ntawm lub cev, thiab qhov quav
• Cov pob xoo pib raws li cov hlwv me me, tshwj xeeb tshaj yog ntawm xib teg thiab xib taws, thiab tom qab ntawd hloov mus rau xim tooj liab, tiaj tiaj lossis pob pob liab vog.
• Skeletal (pob txha) txawv txav
• Txav tsis taus rau sab caj npab los yog txhais ceg
• Dej ntws tawm ntawm lub qhov ntswg

Cov tsos mob hauv cov menyuam mos thiab cov menyuam yaus muaj xws li:

• Txawv txav tsis taus thiab tus zoo li tus hniav, hu ua Hutchinson cov hniav
• Mob pob txha
• Dig muag
• Clouding ntawm lub qhov muag (yuav tsum vov ntawm lub qhov muag)
• Tsis hnov ​​lus zoo lossis lag ntseg
• Kev puas tsuaj ntawm lub qhov ntswg nrog cov qhov ntswg plooj (choj ntawm lub qhov ntswg)
• Grey, hnoos qeev zoo li thaj tsam ib puag ncig lub qhov quav thiab lub paum
• Pob qij txha o
• Sab sab shins (teeb meem pob txha ntawm sab ceg)
• Caws pliav ntawm daim tawv nqaij nyob ib ncig ntawm lub qhov ncauj, caj, thiab qhov quav

Yog hais tias xav paub tias muaj tus kab mob thaum lub caij yug, cov kab mob ntshav yuav kuaj seb puas muaj mob syphilis. Kev kuaj lub cev ntawm tus menyuam yuav pom tias muaj lub siab thiab tus po thiab o thiab pob txha o.

Kev kuaj ntshav ib txwm rau mob syphilis yog ua thaum cev xeeb tub. Tej zaum leej niam yuav raug coj mus kuaj ntshav li nram no:

• Fluorescent treponemal antibody nqus mus kuaj (FTA-ABS)
• Kev kho ntshav maim sai reagin (RPR)
• Kev soj ntsuam kab mob vwm (VDRL)

Cov menyuam mos lossis menyuam yaus yuav tsum muaj cov kev ntsuas hauv qab no:

• Pob txha xoo hluav taws xob
• Tsaus-kuaj teb kom paub cov kab mob syphilis hauv qab lub tshuab tsom
• Kev kuaj qhov muag
• Lumbar puncture (txha caj qaum) - kom tshem tawm cov hlwb txha caj qaum rau kev sim
• Kuaj ntshav (zoo ib yam li cov muaj npe rau saum nov rau leej niam)

Penicillin yog cov tshuaj ntawm kev xaiv los kho cov teeb meem no. Nws tuaj yeem raug siv tshuaj IV los yog kev txhaj tshuaj lossis kev txhaj tshuaj. Lwm yam tshuaj tua kab mob kuj yuav siv tau yog tias tus me nyuam muaj kev fab rau penicillin.

Coob tus menyuam yaus uas tau kis ntxov ntxov cev xeeb tub yog tseem yug menyuam. Kev kho mob ntawm kev cia siab leej niam txo qis kev pheej hmoo rau kev mob txha caj dab hauv cov menyuam mos. Cov menyuam mos uas raug kis thaum kis tus menyuam yug tau muaj lub zeem muag zoo dua li cov neeg muaj mob ntxov ua ntej cev xeeb tub.

Cov teeb meem kev noj qab haus huv tuaj yeem ua tau yog hais tias tus menyuam tsis raug kho muaj xws li:

• Dig muag
• Cov lag ntseg
• Kev tsis zoo ntawm lub ntsej muag
• Tej leeg muaj teeb meem hauv lub cev

Hu koj tus kws kho mob yog tias koj tus menyuam muaj mob lossis cov tsos mob ntawm qhov mob no.

Yog koj xav tias koj muaj mob syphilis thiab cev xeeb tub (lossis npaj yuav muaj menyuam hauv plab), hu rau koj tus kws khomob tamsis.

Txoj kev sib deev muaj kev ruaj ntseg pab tiv thaiv kev kis mob syphilis. Yog koj xav tias koj muaj kab mob sib kis xws li mob syphilis, nrhiav kev kho mob sai li sai tau kom tsis txhob muaj teeb meem xws li kis koj tus menyuam thaum cev xeeb tub lossis thaum yug.

Kev saib xyuas ua ntej yog qhov tseem ceeb heev. Kev kuaj ntshav ib txwm rau mob syphilis tau ua thaum cev xeeb tub. Cov no pab txheeb xyuas cov leej niam muaj tus kabmob li ntawd lawv tuaj yeem raug kho kom txo qis kev pheej hmoo rau menyuam mos thiab lawv tus kheej. Cov menyuam mos liab uas yug los ntawm leej niam kis tus kabmob uas tau txais tshuaj zoo rau lub sijhawm cev xeeb tub yog qhov muaj feem yuav mob qog nqaij hlav me nyuam mos.

Tus mob tuag tes tuag taw syphilis

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Kollman TR, Dobson SRM. Syphilis. Hauv: Wilson CB, Nizet V, Malonado YA, Remington JS, Klein JO, eds. Remington thiab Klein's Cov Kab Mob Kis Tau ntawm Fetus thiab Cov Menyuam Mos TshiabCov. 8 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 16.

Michaels MG, Williams JV. Kis tau cov kab mob. Zitelli BJ, McIntire SC, Norwalk AJ, eds. Zitelli thiab Davis 'Atlas Kev Kuaj Mob Rau Menyuam yausCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2018: chap 13.