About syphilis
• Syphilis is a sexually transmitted disease caused by spiny twisted spiral bacteria
(Treponema pallidum).
• Syphilis is divided into two types: Acquired and congenital, and passes through four stages: primary, secondary, tertiary and third stages.
• The main ways of transmitting the disease are through the sexual transmission of the infected member, the transplacentally transmitted to the child, and through the transfer of blood contents.
• The disease spreads in the South and Southeast Asia region followed by Sub-Saharan Africa, which is more prevalent in males than females due to the prevalence of sex among males. It affects dark skinned people more than light skin. The years of sexual activity are 15 – 40 years.
• The symptoms and signs of the disease vary according to the stage at which they arrived
In the primary stage, the main lesion is the ulcers in the genital area called chancre. These are characterized as being single, oval or round shaped and surrounded by a red halo. The main place of these ulcers is the genital tract. In males, On the penis especially on the front (glans penis) or inside the urethra followed by then the secretion of viscous ducts either in the female and the ulcer appears on the area of vulva (clitoral and clitoris) and vagina and the urethra and the cervix, and may appear in these areas Others in a few patients, especially on the lips and an opening Throat, tongue, and nipples.
In the secondary stage, the symptoms and signs are a reddish-pink rash that spreads throughout most of the body and also affects the mucous membranes. This stage is characterized by the possibility of large infection, and complications of this stage may occur in the eye, optic nerve, liver, nervous system, arthritis and hair loss. Scalp .
• At the latent stage, a stage where the symptoms and signs of the disease are not detected, but diagnosed with laboratory tests, and divided into early stage and late stage. It is noted that 50% of patients with latent syphilis will progress the disease to a late stage, and will remain 25% And 25% will achieve full recovery.
• Stage III is a stage characterized by the presence of gummmas that affect the skin and mucous membranes and bones, and this stage affects two important organs are the nervous system and is the general dystrophy and dorsal seizures and their resulting weakness and paralysis and loss of feeling of pain and heat and vibration, and the other is The circulatory system, which is the formation of aortic aneurysm and aortic aortic and resulting in failure of the heart muscle.
Congenital syphilis is divided into two parts: early and late, which affects the bones, eyes, teeth, nervous system and liver.
• VDRL is diagnosed by laboratory tests followed by a FTA-ABS test to confirm the positive of the first test. Radiation and histological examination of ulcers may assist in diagnosis.
• Prevention of the disease is the safe practice of sex, and advised people who use the drug Vorid not to use the same injection from other people and the use of clean injection, and it is important that the treatment of partners in sex, and it is preventive measures to examine pregnant syphilis in syphilis First visit.
• Drug therapy is mainly through penicillin by muscle at varying doses depending on the stage of the disease, and alternative medicines tetracycline and erythromycin.
• Alternative Chinese medicine is acupuncture and the use of some Chinese herbs, herbs used in the treatment of gokulakanta, indian pennywort, mallow and poppy seeds.