Friday, January 11, 2008

Syphilitic infertility

Sexual intercourse by the spread of the disease known as total sexually transmitted diseases, including gonorrhea, syphilis, chlamydia, Mycoplasma infection and toxoplasma infections. These diseases, and some can cause tubal obstruction, caused some endometritis, uterine muscle wall damage, other endocrine dysfunction and infertility; Some important cause organ damage and endanger lives; Some of the illness can occur during pregnancy abortion, premature or stillbirth. Causes syphilis -- from pale spiral stemming from the sexually transmitted disease, is a chronic systemic diseases. Syphilis is spread through sexual intercourse, followed by direct contact with the infection. A clinical performance. A syphilis infection syphilis sexual contact after 10-90 days disease, the vulva, labia, vagina, cervix, such as lips or nipple under rigid chancre, painless inflammatory nodules, round or oval, edge and tidy realm obviously, about 1 cm in diameter, surface shallow ulcers, marginal uplift. Rigid chancre is often the single, accompanied local lymph node swelling, hard, but not pain. Rigid chancre, if not treated, can be 3-4 weeks after healing. Rigid chancre Department based microscopy can be found Treponema pallidum. There rigid chancre 2-3 weeks after Xueqing syphilis experiment was started. 2. Two syphilis Treponema pallidum by hematogenous only cause skin damage, it can also cause multiple organ damage, as retinitis, meningitis, etc., the infectious period of great. Rigid chancre dissipated after two thoughtful six months, the general 6-8 weeks in the trunk, limbs, but also in the face with his forehead appeared rash, for Bihar, or septic filter prevention of herpes. Occipital there will be the "rat-bite" to emerge, vulva, anus and mouth pimples to flatten the surface moist uplift, known as a flat condyloma. gray was surrounded by a dark red infiltration, tickle or burning. During a rash systemic superficial lymphadenopathy, acupuncture aspirated fluid examination showed Treponema pallidum. Serological tests positive. General rash lasted for several weeks or February to March, for the treatment can also dissipated, after penicillin and other anti-syphilis treatment, dissipated rapidly, do not leave scars. 3. Three syphilis a syphilis untreated or treatment is not complete development of the three syphilis, two or directly from syphilis from development. Three syphilis course slow, sustained 10-30 years. In addition to the above mucosal lesions of the skin, internal organs, bone, cardiovascular, nervous system damage and so on. This period of Infectious weak, but is destructive and even deadly. The type of damage have swollen gums and nodular type. If pregnant women for syphilis, Treponema pallidum through maternal placenta and the penetration and diffusion through the role of the placenta, along the umbilical vein peripheral blood or lymphatic gap invasive fetal body, the general pregnancy four months after the fetus vulnerability. Syphilis infection in pregnant women, usually in the 4-8 months pregnant prone to miscarriage, premature or stillbirth. Diagnosis -- should be based on detailed medical history, a comprehensive physical examination and serological diagnostic tests to consider. One can not depend on a check if the serology test that determined the diagnosis, syphilis serology tests have false positive and false negative. Admission skin lesions, the flat wart exudation, swelling of the lymph nodes for dark field microscopy, see typical Treponema pallidum can be diagnosed. Serological tests are : Fahrenheit reaction (fixation test), Kahn reaction (flocculation precipitation reactions), HAZE precipitation slide VDRL test, Huang Treponema antibody absorption test, Treponea dynamic test system. Should be treated early, formal, full volume. Spouses and children of patients should be examined and, if necessary, treatment at the same time. 1. One, two, three significant activity hair and skin and mucous syphilis, syphilis and pregnant women are hidden, procaine penicillin used G60 10000 U, a / d, a total of milrinone. 2. The two recurrent syphilis and cardiovascular, neurological syphilis with procaine penicillin OS-1200 U, at 15 to 20 days intramuscularly. Also available tetracycline 500 mg, 4 / d, a total of 15 days; Erythromycin 500 mg, 4 / d, a total of 15 days. Syphilis patients need regular review, the first three months, the monthly check a serological test after every three months a check, a total of three times, two years after a review; after the first year of an investigation of cerebrospinal fluid; if the original serology tests positive, after consistently negative, also silent for the cure. Syphilis can be cured after marriage, childbearing.

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