Teri tanosil kasalliklar kafedrasi


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Teri tanosil kasalliklar kafedrasi

  • Birlamchi, ikkilamchi zahm
  • Maruza
  • 4 kurs tibbiy profilaktika fakulteti
  • .

Tanosil kasalliklar –asosan jinsiy yo’l orqali yuqadigan kasalliklar

  • Tanosil kasalliklar –asosan jinsiy yo’l orqali yuqadigan kasalliklar
  • Asosiy tanosil kasalliklar –zahm , so’zak , yumshoq shankr,venerik limfogranulematozi ,donovanoz

Zahm

  • Zahm –kasallik surunkali kechuvchi ,qaytalanuvchi infekcion kasallik .
  • Bu kasallik bosqichlari buyicha kechadi , hamma a’zolar va sistemalar shikastlanadi .Asosan jinsiy yul , hamda placenta orqali utadi .
  • Quzgatuvchisi –rangsiz ,oqish treponema .

Etiologiya

  • O’uzgatuvchisi –ranggsiz ,oqqish treponema
  • 4 hil haraqatga ega :
  • Ilgarilama
  • Ailanma
  • Bukiluvchi
  • Tulqinsimon
  • Kundalang bulinish yo’li bilan ko’payadi
  • Fakultativ anaerob
  • Insonning badan harorati treponema uchun optimal

Patogenez

  • Kasallik manbai-zahmga duchor bulgan bemor
  • Kasallik har hil bosqichida yuqishi mumkin
  • Bevosita va bilvosita yuqish yullari ( jinsiy yul, kontakt-maishiy, transplacentar,transfuzion , professional )
  • Organizmda infekcion allergik va immunologik jarayenlar rivojlanadi

Zahmning tasnifi ( 9 HK)

  • Inkubacion bosqichi (20 – 40 kun )
  • Birlamchi zahm – kechishi 6-7 hafta ( qattiq shankr , poliadenit )
  • Ikkilamchi zahm -2- 3 yil (rozeola ,papula , pustula )
  • Uchlamchi zahm 3-4 yildan keyin boshlanadi va be’morni hayetini ohirigacha kechishi mumkin .
  • Сифилис
  • бирламчи
  • Иккиламчи
  • Учламчи

Birlamchi zahm

  • Klinik alomatlari:
  • Qattiq shankr
  • Regionar limfadenit ,poliadenit
  • Seronegativ va seropozitiv bosqichlari

Umumiy belgilari

  • Bosh og’rigi
  • Suyaklarda , bo’gimlarda ,mushaklarda og’гiq bo’lishi mumkin
  • Kuvvatsizlik
  • Uxlolmaslik
  • Badan haroratini kutarilishi

Qattiq shankr . Klinik alomatlari :

  • Eroziya (yara )
  • Bitta yeki qup miqdorda
  • Chetlari tekis va aniq chegaralangan , liqopchasimon “«laklangan” tuq qizil rangli
  • Kam miqdorda seroz suyuqlik
  • Tubi zich –elastik konsistenciyali .Plastinkasimon infiltrat
  • Ogriqsiz

Shankrning turlari :

  • Ko’p miqdorda shankrlar
  • Shankr –juftlik
  • Gigant qattiq shankr
  • Mayda qattiq sahankr
  • Difteriyasimon shankr
  • Qaloqli qattiq shankr
  • Bichilishga uhshash shankr
  • Extragenital shankr

Qattiq shankrning atipik turlari :

  • Indurativ shish
  • Shankr –amigdalit
  • Hasmol shankr

Birlamchi zahmda har doim uchraydigan klinik belgi

  • Qattiq shankrning asoratlari
  • Balanit
  • Balanopostit
  • Fimoz
  • Parafimoz
  • Ginsiy olat gangrenasi
  • Fagedenizaciya

Ikkilamchi zahm

  • Zahm infekciyasining generalizaciyasi kuzatiladi .
  • Bu bosqishda kasallik avj olgan buladi

Ikkilamchi zahmda terida va chilliq qavatlarda generalizaciyalangan toshmalar paydo buladi

  • Ikkilamchi zahmda terida va chilliq qavatlarda generalizaciyalangan toshmalar paydo buladi

Toshmalar

  • Rozeolez sifilidlar
  • Papulez sifilidlar
  • Pustulez sifilidlar
  • Sifilitik alopeciya
  • Sifilitik alopeciya
  • Sifilitik leykoderma
  • alopeciya
  • Leykoderma
  • розеола, папулез сифилидлар
  • Pigmentli sifilidlar р

Sifilitik roseola

  • Turlari :
  • Shishgan (urtikarli )
  • Qushilgan
  • Kaytalanuvchi ( katta ulchovli )
  • Halkasimon (aylanmalar , халкалар сифатида ).

Papulez sifilidlar

  • Lentikular
  • Miliar
  • Nummular
  • Seboreyali
  • Eroziyalangan
  • Serbar kondilomalar (vegetaciyalanuvchi papulalar )
  • Kadoklangan tugunchalar
  • Psoriaziform tugunchalar

Pustulez sifilidlar

  • Husnbuzarsimon sifilidlar
  • Impetiginoz
  • Suvchechaksimon sifilidlar
  • Sifilitik ektima
  • Sifilitik rupiya
  • Эктима,рупия
  • Сувчечаксимон
  • Хуснбузарсиморн ,импетигминоз

Sifilitik alopeciya

  • Turlari
  • Maydauchokli
  • Diffuz
  • Total turlari

Sifilitik leykoderma

  • Turlari :
  • Dogli
  • Gajimdor
  • Cerebral suyuklikda o’zgarishi bor bemorlarda leykoderma kuzatiladi

Kiyesiy tashhis

  • Psoriaz
  • Kizil yassi temiratki
  • Pushti rangli temiratki
  • Oddiy husnbuzar
  • Kepaksimon temiratki

Patogen shtammlarda 6-8 buramasi bor

  • Patogen shtammlarda 6-8 buramasi bor
  • Kundalang bulinib kupayadi
  • L- formasi boshlangich shtammga utishi mumkin

Бирламчи захм - қаттиқ шанкр

Бирламчи захм - қаттиқ шанкр

сифилитик бубон

Dogli si filidlar

  • Rozeola – yalliglangan dogli element diametri 1 sm gacha , anik bo’lmagan yumalok kurinishda , diaskopiya vaktida yekoladi .Ko’p sonli bo’lganda birikishi mumkin . Kaytalanuvchi zachmda guruchlashadi

Papulez sifilidlar

  • Куп учрайдиган элемент
  • Катталиги буйича: милиарные (туногич бошчасидай), лентикуляр (тарикдай) ва нумуляр (тангасимон) папулез сифилидлар.
  • Бир-икки ой туриб, узидан сунг пигментация колдириб сурилиб кетади
  • Папуланинг марказига босганда огрик кузатилади –Ядассон симптоми
  • Регресс пайтида марказдан периферияга интилувачан кипикланиш - «Биетта ёкачаси» кузатилади

Papulez sifilidlar

Papulez sifilidlar

  • Papulalr kup terlaydigan va ishkalanadigan sohalarda joylashganda , kup holatda nam yeki hullanuvchan , erosiyalangan papulalar paydo buladi . Uzok vakt maceraciya bulsa papulalar gipertrofiyalanishi , vegetaciyasi , keng kondilomalar paydo bulishi mumkin
  • булиши мумкин.

Pustulez sifilidlar

  • Nisbatan kam uchraydi , reaktivligi pasayib ketgan bemorlarda kuzatiladi . Turlari : Husnbuzarsimon, chin chechaksimon , impetiginoz , ektimatoz

Sifilitik alopeciya

  • Kaytalama zahmning klinik kurinishi
  • Diffuz , maydauchokli va aralash
  • Kuprok tepa , ensa sohalari shikastlanadi
  • Hamma soch tukilmaydi
  • Kipriklar notekis tiklanaetganda zinasivon ,har hil uzunlikda buladi – simptom Pinkusa

Laboratoriya tashhisi

  • Vasserman reakciyasi
  • RIT, RIF
  • RIF abs
  • The subject: Introduction to venerology. Epidemiology of syphilis. Syphilis primary and secundaria.
  •      Syphilis is spirochaete Treponema pallidum, ssp.pallidum, which belongs to the order Spirochaetales. Endemic is a subspecies of T. pallidum, which causes bedzhel, or endemic syphilis. Other pathogens treponemy include T. pallidum, ssp.pertenue, causing yaws, and T. carateum, causing pint. There are other types of treponem as live free, and amazing animals. Types of immunity, which may occur with syphilis: - Non-infectious; reinfection; superinfection; resuperinfection. Duration course of each stage of syphilis: - the incubation period of 3-4 weeks.; Primary syphilis - 6-7 weeks.; II syphilis 2-3 years with no treatment; III syphilis - developed through 3-5 years after infection and lasts indefinitely, without treatment results in disability .it could lengthening the incubation period: when receiving insufficient doses of antibiotics to cure syphilis, at the other intercurrent infections with weakly virulent strain treponemy pale, with a strong immunity organism. The main features of primary syphilis: - Chancre - Regionals skleradenit (sometimes in combination with lymphangitis) - detection of pale treponem with chancre in a dark field of view, the positive DAC (starting from the 2nd week after the appearance of solid chancre). Atypical forms of primary syphilis: -- chancre-amigdalit - chancre agnail – in duration edema. Signs to differing chancre-agnail       agnail of streptococcal etiology: - no acute inflamed erythema - Regionals lymphadenitis in elbow lymph nudes. Complications chancre: - Balani and balanopostitis; parafimosis; gangrene; fagedenizm. Characteristics of regional administration skleradenisis: - appears after 7-10 days after the appearance of chancre; differentiate between primary syphilis with: genital herpes, shankriformis pyoderma, scabies rash with secondary syphilis is divided into: a secondary fresh syphilis, recurrent secondary; secondary latent. Elementy observed with secondary syphilis: Spot (roseola, pigmented spots); knots - in rare cases pustulas. The signs that distinguish a secondary fresh syphilis from       Recurrent: rashes: smaller, more abundant, more vivid color. Varieties of syphilitic alopecia: small ariata; diffuse; Laboratory Methods used for diagnosis of syphilis: - a study on the detection treponem pale in a dark field of view (microscopically), serological reactions (PB, mikroreactions precipitation, etc.);
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