Like looking at a shanker, what a fuss. Yak shvidko z'yavlyaetsya shanker. The first period of syphilis. Primary syphiloma. See syphilitic chancres
The first manifestation of syphilis is a shanker (syphiloma). With this occasional manifestation of that cob of jubilant therapy, the chances of getting dressed will increase. It is very important for you to know how the shanker looks like in case of syphilis, and about the processes in the body to certify the first appearance.
The resolution of the shanker usually occurs after 3-5 days after infection with syphilis. The beginning of this process is to talk about the transition of the disease from incubation to the primary stage. Syphiloma this time, a debilitating illness, treponema disease, penetrated into the body of an infected person. Here it begins to actively multiply, even if for which one it is necessary the necessary temperature of 37 degrees.
If you don’t get used to going to the spring, you will get sick, you will become richer with trepons. The second and third periods are ce syphilis without a chanker. However, other characteristic symptoms appear, and the nose becomes unsafe for the sick.
In order to make a chanker, it is necessary for the tissue of a healthy person to penetrate the syphilis germ. It is possible for such environments:
- non-stealing articles contact;
- selection of non-sterile medical and cosmetological instruments;
- the appearance of damage on the skin and mucous membranes in case of contact with sickness;
- kiss;
- vikoristannya of other people's speeches;
- blood transfusion and surgical manipulations.
The main route of transmission of infection is unsafe sex. Also, the risk group has representatives of medical professions and drug addicts.
Localization and characteristic features
The method of transmission of the disease is influenced by those who are declared a shanker with syphilis. Most often, yoga is performed on the genitals, as well as on the mouth. When infected through a wound on the skin, syphiloma can be found, whether it is fallow in the localization of ushkodzhennia.
Chancre can appear on such plots:
- head and body of a member, foreskin;
- ruin state;
- perianal area;
- cervix;
- clitoris;
- pubis;
- destroy;
- cheeks from the side of the mouth empty;
- clear;
- throat;
- language;
- sky;
- fingers;
- chest;
- lives;
- rarely - on the sides and conjunctiva of the eyes.
Syphiloma is easy to kill in other types of dentures. For her, the following signs are characteristic:
- on the back of the head, the chervoninnya is showing up without showing any discomfort in my galusi;
- far away vinikaє vuzlichne novootvorennia s bluish vidlivy on the surface of the skin or mucous membranes on the area of redness;
- in the center of the vuzlika there is a virazka, with which pains are felt during the day, it is possible to find out about the typical form of syphiloma;
- the edges of the shanker are slit and equal, the bottom is guessed behind the cartilage structure;
- the form of illumination is more importantly round or oval;
- the color of the virazka is dark-red chi Bury;
- present sightings in a small number of people that tell rot, moreover, these sightings themselves have treponemia;
- increased near the spread of lymph nodes, subfebrile temperature increase.
See the creation of that particularity
A typical solid shanker allows you to simply diagnose illness.
With which syphiloma can be classified according to low criteria:
| Category of classification and photo | Main view |
| Behind the kіlkіs sign
|
|
| Behind the stage of penetration into the fabric structure
|
|
| By size
|
|
| According to the form |
|
| Behind the character of rotting
|
|
Atypical forms
It is more important to diagnose syphilis, as the shanker appears in an atypical form. To that very end, the diagnosis can be made without the qualifications of a doctor.
The following types of atypical syphilomas are most commonly reported:
| Name the photo | Short description |
| chancre herpes
| Show similar to balanoposthitis, the foreskin and the head of the penis are affected, as well as other lips (they can also be seen in the empty mouth). |
| Syphiloma-panaria
| To be on the fingers closer to the nail plate, which can provoke її vodtorgennya. Є yaskravo turns fuse process. |
| Amygdalite
| One of the pharyngeal tonsils is affected, erosive changes in the mucous membrane are daily, there is no pain. All this allows to differentiate the problem of types of angina. |
| Indurative syphiloma
| Blame the sagging of fabrics, zachіpayuchi delyanki bіla shanker. With the onslaught on the newly created, there are no visible traces. |
Such chancres do not complicate the diagnostic process any more, and they are accompanied by different complications. Before that, they are characterized by the presence of painful symptoms, although in case of syphilis this symptom rarely worsens.
M'aky shanker
A special form of shkirnih utensils is chancroid - soft shanker. Vіn vinikaє pіd vplivy streptobacilli, nіmu vіdsutnya syphilis, bіda treponema.
The characteristic signs of such a new creation are:
- soft edges of the visor; presence of a solid foundation;
- presence of a painful symptom;
- color of erosis - bright red;
- presence of bright rotten vision;
- shelling of the skins;
- the appearance of ancient wisps, independent species of chancroid, yak can be angry with him in a single pit of fire.
Through the active reproduction of streptobacillus and its expansion along the bloodstream system, the sick person has signs of global intoxication to the body: nausea, headache and confusion, sickness. The ignition process increases the temperature of the body.
At the sight of a solid chanker, the soft one is transmitted by an exclusive path. Until then, after the clogging of the veins, it leaves commemorative scars, which is due to the strong inflamed superficial lymph nodes and the fastening of the bubo veins, as well as their rosethorn. Syphiloma well known mayzhe without a trace.
Lasts
The presence of a shanker clearly indicates the presence of syphilis in the body. Tse ill by itself є even unsafe, the shards of the building are hostile to the internal organs, provoking the wind of the mother.
Also, the consequences of infection are destructive processes in the bone tissues, which allow the people of the building to lead a normal life and provoke physical indulgence. For a new appearance of glee, the risk of developing neurosyphilis is increasing. Nadali, with the progress of ailments, a lethal result is coming - such is the price of ignoring the problem.
To see without a trace the traces tied to the decisions of the shanker, varto see like this:
- damage to deep tissue balls;
- suppuration and tissue necrosis;
- self-amputation of young children, zocrema of the state organs;
- bleeding;
- enlightenment of rough scars;
- perforation of the urethra;
- arrival of infections;
- endocervitis of the cervix;
- balanoposthitis;
- syphilitic gangrene;
- bartholin.
Similar complications are more important in atypical syphilomas. The primary shanker is often left unmarked and passes without a trace in the world of the transition of the disease to the second phase.
Diagnostics
In order to carry out a successful treatment, it is important to immediately detect a syphilis chanker and proceed to the treatment of illness. Before the admission of drug therapy, it is necessary to confirm the correctness of the diagnosis, but the clearness of the pardoning suspicions is not included.
For diagnostics, you can use the same kind of evidence:
- Wasserman reaction;
- microprecipitation reaction;
- RIBT;
- passive hemagglutination reaction;
- testing of the serological type.
Syphilis is confirmed by the presence of bleed treponemia in tissues, as well as antibodies to it in blood samples. Based on the results of the analysis and physical examination, one can judge the age of infection.
It is also necessary to conduct a differential diagnosis of such illnesses (deposit in the localization of the chanker and the presence of concomitant symptoms):
- angina;
- herpes;
- candidiasis;
- tuberculosis;
- traumatic erosions.
Methods of likuvannya
The sooner it will be roaring, the sooner it will be better for the patient. Instructions for taking medications are compiled in an individual order, depending on the nature of the illness and the characteristics of the patient's body.
As the main liquor preparations and vicorist:
- penicillin antibiotics;
- fluoroquinolones;
- tetracyclines;
- macroliths;
- immonostimulators;
- probiotics;
- vitamin complexes;
- antimycotics;
- preparation of bismuth;
- prepare iodine.
When syphiloma is detected in the mouth, rinses with boric acid, furacilin, gramidicin are prescribed. Obov'yazkovo is necessary to comply with hygiene standards in order to prevent the arrival of secondary infections.
The passage of prophylactic lure and constant guarding of the state partners of the infected person, with whom there is little connection in the rest of the months. Until now, a stable remission is not possible to accept acceptance of liking without obvious reasons, and also to enter into intimate relationships. It is also recommended to watch the video in this article to find out more about syphilitic chancre.
A syphilitic chanker is a virazkove or erosive infection, which is in the first stage of infection with syphilis, and it is the first head symptom. Іsnuє 13 different types of hard chancres in syphilis: typical and atypical. The treatment of syphilis is carried out for the help of medical treatment and the maintenance of a special regimen.
The appearance of a syphilitic shanker is the first sign of illness
Varieties of solid shanker
Syphilitic hardness chancre- Tse dark-chervonі vrazki evenly shaped with precise margins and slightly raised edges, which are blamed for the infection with syphilis. Marvel at how you look at the light, you can in the photo:
Іsnuє 10 main forms of hard chancres:
- solitary;
- multiple;
- gigantic;
- dwarf;
- diphtheritic;
- Kirkovy;
- schіlinny;
- erosive;
- opium;
- herpetiformis.
Usі rіznоvidi z'yavlyayutsya in a month after the infection appears in 20-50 days. These symptoms are often accompanied by inflamed lymph nodes in the vessels.
In the presence of trypanosomal, hard syphilitic chanker does not sound accompanied by pronounced symptoms. Don’t itch, don’t accompany the liver, hurt only when localized, instruct from the urethra or the anal opening.
Single (singular, simple)
A solitary hard shanker, also known as "splendid", or "simple" - a classic manifestation of syphilis, which is most common in the form of infection. Їx diameter to become 2-3 cm, the edges are clear, slightly lowered.
A simple shanker can be localized in different areas:
- genitally: on the state member in men, on the great and small state lips, as well as in women, in other women, on the cervix of the uterus.
- Extragenitally: on the face, on the legs and on the pubis, in the inguinal regions, on the anus, on the breasts of the women, on the mouth - on the tongue, on the tongue, on the throat, on the lips.
In most cases, hard chancres are roztashovanny on the genitals
Genital spread of syphilis is more important: about 90% of all ailments are accompanied by hard chancres in the genital area.
Multiple
Many veins are formed very rarely: in 8-12% cases of illness. There are 2 cases of common syphilomas: chancre twins, which are blamed for one-hour infection, and subsequent hard chancres, which are blamed for infection at the hour of the day.
Before the factors that provoke the adoption of a large number of syphilomas lie:
- injuries of the skin folds;
- virazkovі utvochennya on shkіrі;
- skin infections: scab, eczema;
- eel ailment.
Giant chancres are blamed for 1 out of 10 events
Krіm rose to the world, the gigantic syphilitic streak is not at all disturbed by the savage.
dwarf
Dwarfs are called syphilomas and rosemary from poppy seeds, which do not exceed 1-5 mm in diameter. It is possible to look at such a virazkovy denunciation only with the help of a greater warehouse.
Dwarf hard chancre often roztashovuetsya:
- At the empty mouth: on the tongue and clear, in the sky, at the throat.
- On the main state organs: great and small state lips, members.
- In the region of the groin and the anal opening.
- Use the middle of the penis on the cervix of the uterus in women.
Dwarf hard chancre is most often blamed on empty mouths.
In medical practice, the first syphilomas of small cases are rarely trapped. In females, dwarf virazka is established 3-4 times more often, lower in humans.
diphtheritic
Diphtheritic is called hard chancre with an indescribable evocative look: at the sight of simple veils, which can be smooth and gleaming on the surface, the stink of a necrotic splatter of a grayish-gray veil.
The diphtheritic shanker is ventilated by other species with its own plumage
Syphilomas of this type are common and can be localized in any area.
cork
Hard chancres with stoneworks on the surface vinikayutsya in areas that can easily dry out when the stonework:
- on faces (on the nose, on the nose, on the lips, on the lips);
- on the status of a state member;
- on the abdomen, especially at the lower part.
The cork shanker is most often blamed on the thinnest shkir.
The visual-kirk type of syphiloma may suggest ectima or impetigo.
Shchilinniy
Shankri schіlinnoї forms visually guess the crack of the book's leaves.
The stench roams in dry folds:
- kutochkas have a mouth;
- at the folds between the fingers;
- at the pubic folds;
- at the anal opening.
Slit-like chancres are rarely serrated and form cracks
The stench is very rare: only 5-7% have syphilis. Slit-like chancres are most commonly seen in humans.
Erosive (Folman's balanitis)
An erosive chancre, also known as Folman's balanitis - a primary syphiloma, as it does not exist in the basis of a clear indentation and causes impersonal sharply aggravated erosions, often angry among themselves.
It vibrates all the way into the genital area:
- on the head of a member of a person;
- on the lips of women.
Erosive shanker appears exclusively on the genitals
In 87% of cases, erosive schanker Folman vin is blamed on people.
Opikovsky
Opikov, or combustioform hard chancre - cerosion on a leaf-like base, which may be weak in the base, unremarkable indentation. This type of erosion is shy to a strong peripheral growth.
Opikovsky shanker is slender to the most visible growth
In the process of growth of the syphiloma opioid, it has a smooth contour and the correct shape, and the bottom becomes granular, with a pronounced red tint.
Herpetiformia
Chanker herpetiformis may be similar to genital herpes. Tsya erozivna osvita nagad Folman's balanitis: there may be in the warehouse of anonymous groupings of erosives with sharp edges, like roztashovani zaruch on a small area.
Herpetiform schanker may be a silent group of erosions on a small area.
Dribnі erozії, scho to form a herpetiform chanker, may be in the basis of fuzzy indentation. This type of siphіlu looks like opikovyh and erosive regular form, as well as the same type of zlittya between warehouse parts.
Atypical forms of syphilitic shanker
Atypical chancre - see syphiloma, which are seen in the same species for one or dekilcom signs.
Before them one can see:
- Chancre panarytsiy: a visor with uneven edges that appear on the fingers. Most often, it tingles on the expressive and great fingers, accompanied by a shooting pain syndrome, swollen, blue and suppurating. Tse "professional ailments" of surgeons and gynecologists, like destroying safety equipment.
- Inductive snag: a shanker at the genital gap, which provokes a strong swell, the blue skin and the swell of the state organs. Blame on the state's lips and foreskin. Do not succumb to pain and inflammation.
- Amygdalitis: unilateral, or rather bilateral, shanker that spreads on the tonsils. More that deforms the tonsil, for some kind of rotting, it can be painfully noticeable. The color of the tissue of the eyelid does not change, that ailment can be confused with angina.
For some reason, the significance of the features, atypical forms of a hard chanker, is not why they are not distinguished from the most significant varieties. The development of atypical syphilomas, the time of their appearance is similar to the classical forms.
How a solid shanker develops
Primary syphiloma is confirmed after the incubation period: after 3-4 days after infection. Vaughn is blamed in the mist with shkirnimi ushkodzhennyami, in the yakі drank contaminated with bacteria the natural homeland of the body: sperm, the secret of the uterine cervix.
Virazkov's illumination does not immediately settle down. A red flame rises on the infected area on the back, which, under the influx of treponems and clitin, the immune system is strengthened and transformed into a wuzlik. The lesion is not accompanied by pain and discomfort, which is often incomprehensible to the patient.
For the coming 7-10 days, the knots develop: they grow in size, and become stronger after the turn. The visor can be of two types: on the surface, in the form of an erosis, or in the form of a visor. Virazka or eroziya nabuvaє residual look: nabuє clear, vyrazhenih between, even oval or round shape.
In the days of syphiloma, which manifested itself, one can see the motherland, which is to take revenge on a large number of treponema and clitin of the immune system. The very bottom is filled with a pronounced red color with bluish notes.
This kind of solid shanker is taken for a period of 1-2 months, after which the process of closing and tightening is started. This is signaling about the transition of illness to the second, more unsafe that important stage.
For 3-4 days before the appearance of the shanker on the body of the patient, there are multiple hangings, which are often accompanied by liver and severbine.
Features of jubilation
Pochatkov stage of syphilis, which is accompanied by hard chancres - sickness, which is easily treated with antibacterial therapy. Before the transition of the illness to the second stage of yoga, it is inconvenient to change without compromising the body.
Before the cob of jubilation and after its completion, diagnostic visits are carried out, which allow you to recognize the ailment and її budnik:
- immunofluorescence reaction;
- polymerase lanzug reaction to blid treponemia;
- global and biochemical blood tests.
The first syphilis is favored for the help of the penicillin group of antibiotics: treponema bleeds to penicillin resistance in 3-4 times more, lower to other groups of antibiotics. Faces can look like tablets, injections or ointments.
In case of intolerance to penicillin yogo, it can be replaced with such drugs:
- Erythromycin;
- chlortetracycline;
- Chloramphenicol;
- Streptomycin.
It is important, how to treat a person infected with syphilis, as a follow-up to a venereologist. Self-malignment with the appearance of hard chancres is categorically fenced.
Cream of drug treatment, following a special regimen:
- Utrimatisya in the form of sexual contacts during the hour of jubilation.
- Vikoristovuvaty okremy utensils and special care for hygiene.
- Turn on close contacts and sleep with healthy people.
Sexual partners of an infected person, who have had sexual contact with her after being infected, need to be decontaminated when infected.
Syphilitic, or hard chanker- The main symptom of the primary stage of syphilis. For one’s own medical treatment, the sick person rejoices without compromising the body of an infected person.
If spirochetes have penetrated, it’s time to do a worthless, owing to the unfathomable damage to the integrity of the shkir. After the first incubation period, most often like another type, a small knot appears. Win even more often, but don’t start, it’s clear. Step by step, it transforms into an supraspinal, cartilaginous hardness infiltrate, which establishes the base and edge of the fold, which develops. Such a phenomenon is called a hard shanker among people and women. The photo, the first stage, as the first signs, can be seen in the article.
Symptoms of a hard chanker, cob stage
Specific signs of a hard shanker in syphilis - the onset of changes in the skin curve. Visip, there’s an infiltrate, it’s more flat, sharply vіdmezhovanoy. On the dotik, the same damage is done, there is a hard plaque near the shkir. Ale in the fallow land in the area of yogo localization, the nature of the visipu can be even more different.
Ring out more than one first hanging. Ale porivnyano often streaked sprats of hard chancres. Moreover, all stinks are in the same stage of development, so that all stinks are blamed at the same time in the fallow in one and the same infection. Farther transfers in one and the same ailing type of one shanker are not to be feared, because after infection with a non-barrier, there is a hostility to a new infection. Moving on the other side of the shkir against the mild chancre with this first sign of syphilis is not to be feared.
Rosemary hard shanker photo
The size of the solid shanker is kolivaetsya in the arc of a wide range. The surface of the yoga can be covered with a thin, which may have a glossy glint, nibium eroded epithelium, which is especially characteristic. When matting, a cartilaginous thickening of the infiltrate is observed. With more pronounced surface erosion, the skin is dark red granular. When virazka, the virazka is made less, lower, hard roller, and maє schіlnu base. When looking at it, you can be on the right, marveling at the way of illumination:
- Іz sclerosis, which I have seen.
- We sclerose with viraz.
In the rest of the fall on the right, you can be different. Firstly, even a drier knot, which, having settled down in the area of infection, can turn into a plashechka and a virazka, firstly, a syphilitic infiltrate will appear in the air.
From the other side, showing a small patch, especially a small patch, can serve as a place for the penetration of spirochetes, which are often equal. At the time, the virazka is firmly established.
How to fix a solid shanker photo
The most important role is played by the infiltrating, sclerosing virazoks. Vіn a moment іsnuvati before infection with syphilis or otrimaniy immediately with it. With such an one-hour infection: a soft and hard shanker, which chirps often, a soft shanker develops on the back. Vіn may be richer than a short incubation period, which is longer than the whole day. As a result of an one-hour infection with syphilis, it will be confirmed after 2-3 days. The base and the bezel of the soft fold are strengthened: the “chanker mixte” (chancre mixte) comes out.
Not only that, but a soft shanker's face can flare up, first of all, it can open up. "Zmishany shanker" deserves special respect. Zocrema, a trace of memory, that with the presence of a mild chancre, it is not possible to turn on the possibility of a one-hour infection with syphilis before the end of a decade.
Stages of solid chanker in men and women
Viral sclerosis, which is a syphilitic infiltrate, which gradually disintegrates, can lead to the death:
- then flat,
- either deep or crater-like,
- then smooth or you can smack the bottom,
- then gangrenous chi serpіginoznoї virazki.
It is only important to remember that the collar of a hard chanker is never so sharply marked and such a regular round shape, like a collar of a soft chanker. І scho zavzhdi maє hard bottom that hard roller. It is also characteristic that on the navkolyshny vrazka the edge of the narrow vase, the husband appears as a red, eroded, relieved epithelium.
It looks like a solid shanker, a photo of women and people with syphilis
Fallow in the localization of a solid shanker can represent acts of authority. So, when localized in the crown furrow, sclerosis often appears in the appearance of a slit roller, which goes in parallel to the entire stretch of the furrow. Often phimosis or paraphimosis is established when this happens. Sclerosis, prihovaniya phimosis, seen when matsuvanni is important in looking like hardened hardness.
From the mucous membranes of the sclerosis, the main rank is:
All sclerosis of the mucus membranes disintegrate indefinitely in deep, crater-like ridges from a slit bottom and a roller. The skin area of skin and visible mucous membranes can be the area of localization of primary sclerosis.
Solid shanker on the statuary member and on the head photo
If sclerosis sits on the edge of the foreskin, then perpendicular to the opening of the preputial bear, a gap is established at the looking crack on the slit ring.
A particularly peculiar picture emerges, if on the state organ, as the last camp becomes significant, diffuse fuse swelling.
Then the member of the state becomes absolutely shapeless looking and appears to be a dotty testuto-nabryakov (indurative nabryak).
A similar camp is on the vulva.
Solid shanker on stout lips photo:
Solid shanker photo on hand
If sclerosis sits on the fingers, then the primary lesion may often look like paronychia or panaritium; Recognition can be more collapsible.
Syphilis hard shanker on lips photo
Quite often, primary sclerosis occurs on the lips and on the breast nipple, devines make up the gap, obmezhenu, erozovanu that tufted fluff.
The most important sign of cutaneous primary syphilitic manifestation is, without a doubt, the presence of spirochetes.
Unfortunately, not everyone tries to protect themselves from various ailments. For the very reason, people become victims of the most harmless illnesses. Deyakі such ailments of the building to bring to death. One of these unsafe diseases is syphilis. On the cob development of syphilis on the body of an ill person they blame chancre.
What is the first syphilis?
Primary syphilis The first stage of syphilis is called, as it develops after being infected with treponema. The first syphilis starts from the abode on the skinny fold, and navit from the stagnation in the middle. With primary syphilis, a hard shanker is established on the body. Tsі osvіti can utvoryuvatsya like a shkіrі, і on the mucous membranes.
In today's hour, medicine has seen deeds of recognizability for the clinical picture of primary syphilis, similar to those manifestations that were noted earlier.
For example, earlier at the cob stage, the development of syphilis shanker was established in a single number in almost 90% of ailments. At this hour, the shankri began to appear on the shkir in the kilkost of two dens. Krіm tsyogo, shankri began to zbіshuvatsya at their own rozіrі.
In another article on our site, we discussed.
Hard syphilitic shanker - pochatkova stage of syphilis
First shanker on the very cob it calls itself a flame of a red color, as it transforms into erosion every year.
The main signs of a solid syphilitic chanker:
- The diameter of the patches on the skin or on the mucous membrane can reach 5 cm.
- The shape of the patches is oval.
- Illumination may be clear between.
- Kolir plamy red or red.
- The presence of a yellow purulent infusion.
Solid syphilitic shanker is by no means accompanied by pain or severbіny. A lot of people simply do not mark through the price on their own body. If you squeeze a little bit on the side of the flame, then from it you can see the land of the yellow color.
The drive of a solid shanker is carried out for a month. After all this illumination on the body does not fill the everyday visible traces. Ale, unimportantly on the face, varto indicates that the appearance of a hard shanker to talk about those who are ill can get stuck in the form.
Women
Syphilitic hard shanker in women with rather unsafe venereal diseases. At the early stages of its development, the development of syphilis can lead to a serious infection for sexual partners, and at the advanced stage of infection, it can become a cause of death.
In order for the jubilation to give a positive result, the woman’s shanker must be revealed at the cob stages of her enlightenment.
The period I will show the shanker after the infection sounds is about 3 days. In women, a hard syphilitic chanker can settle down on the lips or clitoris. However, it is more folded to reveal the light, as if it were to be localized in the middle of the world. Such a shanker can be seen only casually during a gynecological examination. The very same is not a varto nekhtuvat by regular visits of a woman's doctor.
For people
A hard syphilitic chanker in humans, as a rule, manifests itself in the area of the state organ. To be more specific, the vein affects the head of the penis, the crown furrow and the scrotum.
If a person is an addict of a non-traditional sexual orientation, then he may appear in the region of the anal opening and at the mouth. Behind the shankry rose, people can be both miniature and gigantic. Why should you designate what the most contagious miniature chancre, The diameter of these is within the reach of the entire kіlka milimetrіv.
The first symptoms of a solid syphilitic chanker may appear. like after 2 days after infection, so after 3 months. A hard shanker is settling down in that mischief, like it was more skhilne before the bleed of treponemia - the head provocateur of illness.
Most of the infected areas are the organs of the human being. However, in this hour, more and more vipadias began to grow, if the shanker appears on the stomach, quilts, and fingers.
Significant signs of a solid syphilitic chanker:
- Utvorennya m'yasistoy erozii.
- The diameter of illumination can reach a number of divas.
- Erosion may lift the edges.
- Plyama maє burgundy chi red vіdtinok.
- Z erozії see the homeland, as if it were called її rob lacquered.
- The basis of enlightenment is the main infiltrate.
A photo
See the syphilitic chancre
As a rule, a syphilitic chanker is divided into such types, which are accompanied by symptoms:
- Giant hard shanker most often it settles down on the mist, as if it were aired by a bright, fatty cellular tissue under the coat of arms. The size of such a shanker can reach the size of a child's palm.
- Dwarf hard chanker resplendent with its own expansion, which can reach the expansion of a poppy seed.
- Diphtheritic solid shanker it is cooled by the fact that its surface is covered with gray swimming, on a diphtheric kshtalt. Tsey species zustrіchaєtsya more often.
- Cork hard shanker settling down in quiet places of the body, on which it is easy to see the hang of the water-cremated (nіs, destroy, disguise).
- A slit-like shanker similar to a crack. Most often, this species settles in the folds of the mouth, between the fingers and in the region of the anus.
At the current stage, the diagnosis and treatment of syphilis are characterized by the use of new methods and highly effective drugs, which allow to avoid serious complications. Knowing that Russia has a classification of ailment, it seems to be better on epidemiological features and specific clinical manifestations of different periods of overcoming ailments. The first syphilis, the second and the third, are distinguished fallow. Stinks, with their blackness, podіlyayutsya on vіdpovіdnі їm pіdvidi.
Cause of illness and її characteristics
The cause of syphilis, or a wake-up call, is the bleed of treponema, which can be attributed to the Spirochaetaecae family, which is not accepted by the farb. The purpose of power, as well as the presence of curls (on average 8-20 and more), which are distinguished by the width, evenness and cut of the wig, and characteristic folds (overtall, sginal, squishy and forward, for the type of whip, the importance of adding a krіtin) value for laboratory diagnostics
The wall of blue treponemia is composed of biochemical components (protein, lipid and polysaccharide), which may fold warehouse and may antigen (allergenic) power. Microorganisms multiply for an average of 32 years, with a path, they spread a lot of parts in a single curl, the buildings pass through a bacterial filter.
A wake-up call for unfriendly minds can be transformed into one of 2 forms of survival. One of them is tse cysts, yakі to wash a stіyka zahisnu obolonka. The stench may be antigenic power and signified by serological (immune) reactions, as a stretch of rich fates after the transferred early form become positive.
Another form of іsnuvannya in unfriendly minds - L-forms, yakі do not avenge the clitin wall, their exchange of speech sharply decreases, the stench is not good for the clitin podіl, but saves intensive DNA synthesis. For the life of the minds, the stench is suddenly restored to the splendid spiral-like form.
The stability of L-forms to antibiotics can be increased in a few dozens and hundreds of thousands of times. In addition, the stench does not suffocate antigenic authorities, or else it remains even lower. At the link with cym, for the help of the classic serological reactions of the health worker, the sickness does not come into play. In this case (at the late stages) it is necessary to conduct RIF (immune fluorescence reaction) or RIT (treponema immobilization reaction).
The cloud of treponema rises with a low stamina to the infusion of a splendid middle. Optimal minds її іsnuvannya є high water content and temperature 37˚C. The posture of the body of a person at a temperature of close to 42 ° C will be in the gin in 3-6 years, and at 55 ° C - with a stretch of 15 strands.
In the blood or blood at 4C, the trivality and survival become at least 1 dobi. Because of the causes of fresh donor blood and preparations, regardless of laboratory control, do not win. Reliable detection of treponemia in blood conservation is indicated after a 5-day withdrawal.
The microorganism retains its activity on various objects only until it dies, and does not survive in such products as ocet, sour wines, sour milk and kefir, kvass and sour gassed drinks (lemonade).
Routes of infection and mechanisms for the development of primary syphilis
Dzherel infected є less sick people. Golovnі vymіvnіnnіna zavіnіstі navіt nepomіtnіh ushkodzhenі horny ball shkіri аbо curved epithelial ball of mucosa and provodzhennya through them in the body wanting b dvoh zbudnіv. At the thought of some clinicians, the mucosal lining is neobov'yazkove.
There are two ways of infection with syphilis:
- direct - state contacts (mostly - 90-95% of cases), kissing, biting, breastfeeding, looking after a child or a sick person, a professional (medical staff when looking at ailments, operations and manipulations, taking a fall, at musicians through a blown air etc.), intrauterine infection of the fetus, transfusion infection (blood transfusion and її preparations);
- indirect - infection for the help of various water subjects of stagnation, biliousness, etc. in the nursery, in children's gardens, in the parts of the country, in Perukarian and cosmetology salons, in medical mortgages (mainly in dentistry and gynecology rooms).
People with primary syphilis are sick 2-6 times more often for women. In the remainder of the cases, there is a secondary and sometimes lingering (latent) syphilis, which often shows up more than once after looking at the conduction of serological serological tests at gynecological consultations and examinations.
The first clinical symptoms of primary syphilis appear in the middle 3-4 days after exposure of the alarm to the soft skin surface or mucous membrane (incubation period). This period may shorten up to 10-15 days, or may be longer up to 2.5-3 months, if not until pivroku, especially with one-hour intake of low doses of antibiotics. To change the trivality of the incubation period, add:
- senility early child age;
- unfriendly likes and labor minds;
- severe psychoemotional anxiety, Rozumova or physical relapse;
- inconsistent eating;
- concomitant chronic illness; circulatory diabetes;
- hostile and chronic infections;
- chronic intoxication (drugs, nicotine, alcohol, drugs);
- re-infection in case of repeated contacts with sick partners.
Increased trivality of the incubation period of primary syphilis is expected in people with high powers of the body, taking antibiotics or antibacterial diseases due to the drive of any kind of flaming illness, for the obvious genetic resistance to sickness.
When the next treponemas get into the body, they intensively grow (reproduce) in the area of stagnation, where the first sign of the primary period of syphilis - syphiloma develops. Pathogenic micro-organisms are widely spread by lymph and blood throughout all tissues and organs. An insignificant number penetrates into the lymph of the perineural (nearly nerve fibers) spaces and ventricles - near the central nervous system.
This process is accompanied by a change in the reactivity of the whole organism, which is an allergic reaction of tissues, and in parallel with the development of immune defenses, directed against an infectious disease. Allergy and immune response are two phenomena of the same universal biological reaction to the body under the influx of an infectious disease, as it is manifested by the clinical symptoms of primary syphilis.
Clinical picture of illness
A specific sign of primary syphilis is a positive laboratory serological reaction. For the entire incubation period and the first day of the week, up to 10 days of the first period, it will become negative. Moreover, some ailments have a negative protract of all ailments, which by a significant world pours into their own diagnosis and syphilis. In the rest of the rocks, there is a greater number of sick people near Daedalus.
The results of the serological reaction are protected against the classification, in which the first syphilis is subdivided into:
- seronegative;
- siropositive;
- attachments.
Syphilis first seronegative- only such a form of ailment, as long as the last period of the treatment course, is characterized by stable savings of negative results in standard serological reactions, which are carried out regularly and not less than 5 days. In this case, the results of Colmer's immunofluorescence reactions, which are modified (cold regime) of the classic Wasserman serological reaction, are not at risk. Although the classic reactions gave even one weak result, the first syphilis is considered to be seropositive.
After the completion of the incubation period, two main signs of illness develop:
- Primary syphiloma, or hard chanker, primary sclerosis, primary viraz, primary erosion.
- Damage to lymphatic vessels and vuzliv.
Roseolosis visip does not develop in primary syphilis. Sometimes there are some episodes of the so-called "headless" syphilis, if the remaining one manifests itself already in the second period (minus the first) after 3 months after infection. A symptom of secondary syphilis is visip. This is important as a result of deep injections of infected needles, internal transfusion of infected blood and drugs after surgery or manipulation of an infected instrument.
Primary syphiloma
A hard chanker is irritated in the middle in 85% of infected people and є erosive or virazkovy luminosity on the skin or mucous membranes at the site of inoculation (inoculation) of treponemia. Incorrect morphological element of the disease. I have been told “primary sclerosis”, which is unremarkable because we are sick ourselves, and a dermatologist. Zia snakes to appear, the small snakes of the worm burial for the rakhunok is a rod-rod-cap, for the last 2-3 days transform to the bezgolizna papula at Vygudi Pivsferi (Shiklna Drenynini without thoroughbred, pidnima nim. an insignificant amount of lusochok of the horny epithelium.
For a few days, the peripheral growth of the papules is observed, and the patches are strengthened. After a mimicry vіdtorgennya, or if the rest of the remains are exposed, the skin of the surface is damaged, so that the surface is eroded, or the surface is ruffled with indentations on the pedestal, like a chancre.
Syphiloma is rarely sickly. Most of the time, she doesn't call out everyday subjective perceptions. After the reach of the singing rozmіru, it is not strong enough to a distant peripheral growth. The average diameter of the shanker should be 1-2 cm, and sometimes “dwarf” (up to 1-2 mm) or “giant” (up to 4-5 cm) lights up. The first forms at times of penetration of treponemia at the depths of the hair follicles and are localized in quiet areas of the skin, in some good cases of the follicular apparatus. The stench is more unsafe for us, which may be unmemorable, and that is the case of infection. Great elements sound ruffled on the clothes, quilts (inner surface), on the front, on the lower skirts of the belly, on the pubis.
The first line of erosion can be oval, rounded, geometrically regular in shape with equal and clearly pronounced boundaries. The bottom of the light roztashovuєtsya less on the even surface of the sharply healthy skins and the trochs are destroyed. In the remaining version, the shanker is filled with a “saucer-like” shape.
Its surface is smooth with a bright-red zabarvlennya, and sometimes covered with a dark grayish-yellow tinge. On this background in the center there may be petechial (dotted) hemorrhages. Sometimes there is more rotting at the central vіddіlakh vіrazki and vіd іd healthy lіlyanok shkiri vіdokremlenіy chervonim obіdkom.
On the vіdkritikh dіlyankah, the body of the viraz's surface is covered with a thin brown pick; The amount of which sharply increases when the surface of the shanker is teased. It is necessary to take revenge on the great number of the health worker and that victorious for smears with a method of microscopic investigation.
The primary syphiloma is called a “hard” chancre at the junction with it, which, in the form of isolated healthy tissues, is surrounded by soft elastic indentations, which extend beyond the boundaries of the virazkovo or erosive surface on a kilo of millimeters. In the fallow form, there are three types of narrowing:
- vozlichne, scho may look like a spherical solution with clear boundaries and deeply penetrate into the tissues; such an insufficiency is indicated in case of an obvious visual inspection and is called the symptom of "visor"; as a rule, it is localized in the region of the crown furrow and on the inner surface of the foreskin, which destroys the rest of the displacement and causes phimosis;
- lamellar part - matched with a coin on the support of the syphilome, placed on the great state lip, the stovburon of the state member or the area of the outer foreskin;
- leaf-like - not too hard base, similar to a thin paper leaf; traplyatsya at localization on the head of the state member.
Different types of solid chanker in primary syphilis
Special types of primary education are:
- Combustiform (opical) solid chanker, which erodes on a leaf-like base from schilnistyu to a peripheral growth. In the world of increased erosion, the correct contours are intertwined, and the bottom is full of granular red zabarvlennya.
- Folman's balanitis (symptomatic complex) is a typical clinical variant of the shanker in the appearance of multiple other erosions without pronounced narrowing. Yogo localization - the head of the state member and the great state of the lips. The development of this symptom complex in primary syphilis with a stagnation of internal antibiotics in the incubation period, or the application of the same symptoms with antibiotics to syphiloma at the cob stage and development.
- Herpetiform chanker, which may be similar to genital herpes. Vin is a grouping of friable erosions with fuzzy indentations on the base.
Fallow in the anatomical specifics of the area of distribution of the primary syphiloma, various options for molding are possible. So, on the glans of the penis, it is marked by erosion with a slight lamellar base, in the region of the crown furrow - by a great bend with nodular indentations, in the region of the bridle of the penis, it looks like a heavy band with a thin base that bleeds during erection. When localized on the distal interprepuce, syphilomas sound multiple and may have a linear character, and on the inner leaf - may look like an infiltrate behind the type of plate that is moving (“hinged” chancre); seeing the head is difficult and is accompanied by tears.
Localization of syphiloma in primary syphilis
Primary syphilomas can be single or multiple. The rest are characterized by a one-hour subsequent development. Mind for one-hour development is the presence of multiple defects in the mucosal membrane or skin twists, for example, in case of concurrent illnesses of the skin, which are accompanied by stinging, trauma or cracks. The last chancres are differentiated by the degree of schіlnostі and razmіrami and are guarded in case of bagatora-like state contacts with an ill partner.
In the rest of the hour, more and more often, bipolar denials are heard, that is, on two distant ones, one on one side of the body (on the outer statuary organs and on the chest cavity or on the lips), and “bows that kiss” - in the area of the dotal surfaces of the small statuary lips, as well as shankri - “beats” on the state member in the crown zone, which often lead to the development of balanoposthitis. Such forms are accompanied by a short term incubation period and more early appearance of seropositive reactions.
Localization of the primary syphiloma and deposited according to the method of infection. Most of all, it settles down on the state organs. On the mucous membranes of the state organs, the shanker can roztashovuvatysya in people near the zone of the oval lapel of the sichnik. In these episodes, there is an increase in the inguinal lymphatic nodes, sickness of the cut, serosanguineous vision, which often stray from gonorrhea. As a result, the stricture (ringing) of the urethra can form.
In case of primary syphilis in women, erosis can form on the mucous membranes of the cervix - at the upper lip (partially) of the uterine cervix, at the zone of the outer cervix of the cervical canal. Vaughn may look like a rounded scaly erosis with a bright-red gleaming surface, or covered with a grayish-yellow tinge and serous or serous-rotten water cream. Significantly, the first blamed on the mucous membrane of the walls of the pikhvi.
In case of serious contacts on any cases of skin folds and mucous membranes, extragenital (positive) singly and multiple syphilomas can develop, which develop (behind different denims) in 1.5-10% of cases of infection. For example, you can blame:
- first syphilis on the face (in the area of the red edge of the lips, more often on the lower, at the folds of the mouth, on the backs, on the back);
- at the folds of the shkіri, rotting around the posterior opening (often there is a similarity with a sizable crack);
- on the ridges of milk ridges (in the area of areolas or nipples);
- at the inguinal region, on the navel, on the skin of the other (partially) phalanx of the fingers.
The extragenital hard shanker is more resistant to rough molding of erosion or to the disease, sickness, trivial overshoot and significant increase in peripheral lymphatic nodes.
During oral sex, the first syphilis of the empty mouth develops with localization in the region of the middle 1/3 of the tongue, on the tonsils, on the mucous membrane is clear, at the neck of one or the other teeth, on the back of the pharynx. In cases of anal sex, like in men, so in women, it is possible to develop primary syphilomas, not only on the shoulders in the region of the opening, but also, in more rare cases, on the mucous membrane of the lower rectum. The stench is accompanied more and more by the act of defecation, bloody visions of mucus and pus in the house. Such syphilomas are often brought to differentiation with rectal polyps, hemorrhoidal nodes and induce malignant neoplasms.
Damage to lymph nodes and lymphatic vessels
Another sign of the primary syphilis is cere lymphadenitis (excess) of regional lymph nodes, or an accompanying "bubo", scleradenitis. Vіn maє important value in the differential diagnosis of primary syphilis and is saved in 3 to 5 months of navitat with adequate specific therapy and with secondary syphilis.
The main sign of syphilitic scleradenitis is the presence of a host of inflammatory manifestations and sickness. As a rule, there is a symptom, the ranks of the pleiad of Rikora. Vіn vyavlyaєtsya zbіlshenny kіlkoh lymfovuzlіv up to 1-2 cm, the prote closest to syphiloma vuzol maє great rіzmіrі, pіvnаnі zіlshі vіddalennymi vіd nї. Lymph nodes do not make a sign of inflammation. The stench may have a rounded or oval shape and a strong elastic consistency, not soldered between itself and with extra fabrics, to be ripped insulated.
Scleradenitis develops, as a rule, on the first day after the formation of syphiloma. With a lower incubation period, which develops in the symptoms of suputnyj intoxication to the body, taking antibacterial, antiviral or immune preparations, then lymphadenitis can appear earlier for the formation of chancre or at the same time with it. Lymphatic nodes can be enlarged from the side of the primary cavity, from the opposite (crosswise) or from both sides.
As the first chancre of ruptures in the area of the outer articular organs, the inguinal nodes react, on the lower lip and the lower lip - the lower lip and the lower lip, in the zones of the upper lip and the tonsils - the lower lip, in the sphere of milk ulcers - peristernal and inguinal, on the fingers of the hands - ulnar and inguinal, on the lower tips - inguinal and subcolonial. Regional lymphadenitis, when viewed from the outside, does not appear in the case of localization of syphiloma on the walls of the pelvis, the cervix, or in the rectum, and the oscillators in these fluctuations react to the lymphatic nodes of the small pelvis.
Until the end of the primary stage of syphilis, a syphilitic polyadenitis develops, so that there is a wider increase in the lymph nodes of the subscheleps, cervical, inguinal, and inguinal ones. Polyadenitis, as well as regional lymphadenitis, a trivial hour is saved when specific therapy is delayed.
Syphilitic damage to lymphatic vessels (lymphangitis) is not an obov'yazkovy symptom. In visibly mild depressions of veins, lesions of other lymphatic vessels are most important in the region of the primary cavity and are accompanied by a painless swelling of the nasty tissues, which is saved by the stretching of decals. Greater lymphatic lesion judges can be seen in the sight of painless minor "dzhgutiv".
Complication of primary syphilis
The main aggravation is the transition of the disease to the second stage due to the presence of specific adequate therapy. Other complications associated with primary syphiloma:
Virazka's tutelage
Sound the back of the head, erosion is being formed. Virazka in such vipadkas is already in vazhaetsya. Її the development of such factors as independent zastosuvannya zvnіshnіh drіvlivyh drіvіvlivih, violating hygienic rules, childish or frail age, concomitant chronic illness, especially sucrose diabetes, anemia and chronic intoxication, weaken the body.
Balanitis (flashing process of the head) or balanoposthitis (scorching in the area of the inner layer of the foreskin, as well as the head)
The stench is blamed as a result of the advent of rotten or other mentally pathogenic flora, including fungal, with an unmanageable special hygiene, mechanical damage or teasing, weakened reactivity of the body. Tsі sládnennya vyyavlyayutsya in hot igniting processes like a shanker - chervoninnі, the appearance of additional erozivnyh raspennyh, swollen fabrics, sickness, rotten or rotten-bloody visions. Everything can be similar to the most obvious banal balanoposthitis and complicate the diagnosis of the main illness.
Phimosis
Phimosis is blamed as a result of the swelling of the head and the foreskin, or the scarring on the foreskin after the destruction of the foreskin process. Tsі zmіni prizvodit to zvuzhennya її kіltsya that pereskodzhayut the vision of the head. In case of forcible infliction, the head is stubborn (paraphimosis), if, in case of unsatisfactory timely help, it can lead to necrosis (death).
Gangrenization
Slightly aggravated chancre, which is caused independently or as a result of activation in case of weakened immunity of saprophytic spirochetes and bacilli (fusispirillosis infection). In addition, staphylococcal and streptococcal infections also come to them. The aggravation is manifested by necrosis, which is suddenly rozpovsyudzhuetsya, on the surface and deep syphiloma. On the surface there is a scab of a brudish yellowish-gray or black scum. When yogi is removed, the surface of the skin is exposed with bright-red granulations.
Gangrenization develops only in the midst of syphilitic veins, and after the attack, which is behind the scab, a scar is established. Gangrenization is accompanied by an increase in the burning state, caused by fever and chills, headaches, the appearance of sickness of the regional lymph nodes, and sometimes by hyperemia (chervoninny) over them shkir.
Phagedinism
Greater rіdkіsne, but more severely complication of primary syphilis, as if called by this bacterial flora. Vіn is characterized by wide tissue necrosis at the borders of the virazkovіy surface, and from healthy tissues, which can be felt. In addition, the deadly after-trafficking scab does not stick. Gangrene is spreading more and more on the health of the village, after which it can be blamed for important bleeding, the destruction of the wall of the sciatica with distant cicatricial buzzing, the external destruction of the foreskin and the head of the penis. Phagedinism is accompanied by such severe symptoms as in gangrenization, but more pronounced.
Diagnostics
As a rule, the establishment of a diagnosis with the appearance of characteristic syphiloma does not lead to everyday difficulties. Tim is not less, it is necessary for laboratory confirmation of microscopic manifestation of treponemia bleed in a smear or a scratch from an erosive (virazkovo) surface or a punctate from a regional maximally large lymph node. Sometimes it takes a long time to reach the current epithelialization process. In addition, sometimes (rarely) the need for a histological examination of tissues from a solid chanker is blamed.
Classical serological analyzes become positive only until the end of the 3rd tyzhnya, or on the cob of the onset of the month of illness, which is less important for the method of early diagnosis.
Differential diagnosis of primary syphilis is carried out with:
- traumatic erosion of state organs;
- with banal, allergic, or trichomonas balanitis and balanoposthitis, which are blamed on people who do not care for natural hygiene;
- with gangrenous balanoposthitis, which can develop independently, or as an aggravated disease;
- with mild chancre, genital herpetic lichen, crusty ecthyma, aggravated staphylococcal, streptococcal or fungal infection;
- with virazkovy processes, vyklikanimi or gonococcal infection;
- with hospitable curves of stately lips in girls who do not live stately lives;
- zі zlojakіsnym newborns and deyakіmi іnshimi ill.
How to exalt the first syphilis
Illness in the middle of the womb, so that adequate therapy is carried out at the early stages, that is, in the period of primary syphilis. Until the beginning of the next course, follow-ups are carried out for additional CSR (a complex of serological reactions), including the microprecipitation reaction (MRP).
The treatment of the primary syphilis is treated with penicillin and yogo pokhіdnymi (behind the rozroblennym schemes), shards of the same antibiotic, until such a sickness viroblyaє stіykіst significantly more and more weakly, compared with others. In case of intolerance to antibiotics similar to penicillin, others are selected. The consequence of a change in the effectiveness of the rest: Erythromycin or Carbomycin (macrolide group), Chlortetracycline (Aureomycin), Chloramphenicol, Streptomycin.
For outpatient treatment, vicarious penicillin preparations and trivalodia are used:
- zakordonny virobnitstva - Retarpen and Extencilin;
- Bicilin 1 (single-component), which is a dibenzylethylenediamine penicillin strength, Bicilin 3, which includes the front, as well as novocaine and sodium salt of penicillin, and Bicilin 5, which is composed of neocaine.
In the minds of stationary jubilation vikoristovuetsya more importantly sodium strength to penicillin, as it is characterized by rapid administration and safety in the body of the cob high concentration of the antibiotic. For the impossibility of congestion of similar penicillins, alternative (recovered more) antibiotics are used.
