There are always many capital coincidences in life, such as:
After staying in a hotel, I went to the hospital and found syphilis.
There are many capital embarrassments, such as:
The uncle was a young man and was hospitalized for surgery in his later years, but he was found to be positive for syphilis.
Syphilis, is it really the hotel towel? How is syphilis contagious? Uncle is a big old man, how can syphilis be positive after a lifetime of peace and stability (the evening festival is not guaranteed)? Can syphilis be cured? I have something growing under here. Is it syphilis?
… …
Speaking of syphilis, we always have a series of questions, so today let’s talk about some common problems about syphilis.
How is syphilis contagious?
About 90% of syphilis is transmitted through sexual behavior, and a small part can be transmitted through blood, mother-to-child vertical transmission and iatrogenic transmission.
In addition to the above clear ways of contracting syphilis, there are always some behaviors wandering on the edge of high-voltage lines, which make us waver. Will they be infected?
1. These are still contagious!
Is oral sex infection?
Yes. Any form of sexual behavior may cause local mucosal or skin damage, thus causing infection, such as oral sex and anal sex.
Is it contagious to wear a condom?
Yes. Condoms only greatly reduce the infectivity of sexual contact, but they cannot be completely eliminated. You can imagine that the process of sexual behavior is multi-faceted, and it cannot be absolutely prevented only by covering the key parts. (There is a little dirt here, please delete it from your brain after reading it, let alone associate it at will)
Therefore, when it is time to exercise restraint in life, one must exercise restraint, love! Yes! Krishnamurti! System!
2. These are not contagious
Treponema pallidum is not a parasite, it will not lie prone on our skin and be ready to attack the next host at any time, nor will it be able to penetrate our normal skin and mucous membrane and become infected by its own strength.
Therefore, the contact in daily life will not infect syphilis, such as shaking hands and using hotel articles for daily use. Then, don’t say that you will be infected with syphilis after staying in the hotel. There are enough blame on the towel back of the hotel!
Does syphilis look like what?
Syphilis is caused by Treponema pallidum infection. This guy’s performance is very different and changeable in different periods.
1. Primary syphilis
Treponema pallidum first invades and reproduces from the direct contact part (mainly the friction part in sexual life), causing inflammation and skin ulceration. Typical skin lesions are called hard chancre.
If the first-stage syphilis is not treated in time or is not treated properly, after a period of time, the first-stage syphilis can subside on its own.
2. Secondary syphilis
Does it mean that it is good to subside on its own?
No!
After that, Treponema pallidum will sneak into the blood, causing systemic reactions, mainly syphilis rash or mucosal rash (systemic rash, palm and plantar erythema are specific). Because Treponema pallidum has entered the blood, some tissues and organs will also be affected, such as nerves, eyes, periosteum, etc.
At this time, if the treatment is not immediately carried out or the treatment is not standardized, after a period of time, the second-stage syphilis can also subside on its own.
3. Syphilis III
After a period of latency, it is stage III syphilis that is making a comeback again.
This phase of syphilis is also called organ syphilis. It mainly invades bone, heart, nerve and other important organs, leading to neurosyphilis, cardiac syphilis, bone syphilis and so on. The consequences will be very serious and even life-threatening.
The terrible thing about syphilis is that it will subside without treatment, which makes people feel that it is the general trend and seems to be good! But every comeback is a deeper invasion. And during the intermission period, syphilis will be very low-key, without any performance, thus it is more likely to cause infection, when it really moistens things silently.
You can rest assured that there is no rash on your body?
No.
First of all, the typical development process of syphilis did come gradually according to Phase 123. However, due to the abuse of antibiotics, individual differences and other reasons, syphilis sometimes does not play according to the routine, that is, not every process will be displayed one by one.
Secondly, even if they are shown one by one, there is still an intermission.
Thirdly, it does not rule out that some people do not know that they are infected with syphilis or what.
If a person is infected with syphilis, but there is no typical manifestation of any stage at all, then there are many invisible syphilis patients, so the absence of rash does not necessarily mean safety.
Why is syphilis positive [can’t be dumped]?
People who have had syphilis may have such a distress: if they are not careful once, they will have the result of [syphilis positive] for life. Why can’t the past become the past forever? !
This starts with the diagnosis of syphilis.
There are many methods for syphilis examination, but at present the most widely used method is to draw blood to check syphilis antibody, which can be summed up in two types:
- Screening test (e.g. RPR) Confirmation test (e.g. TPPA)
No matter whether there are clinical manifestations or not, as long as these two items are positive, syphilis can be labeled.
Among them, the result of RPR tells us the therapeutic effect. With the passage of treatment or time, if the result (titer) of RPR gradually decreases or even disappears into negative, it indicates that the treatment of syphilis is very successful, otherwise it is necessary to find out the reason or even further treatment.
The problem mainly lies in TPPA.
TPPA is to determine whether a person has been infected with syphilis. Generally, as long as you have been infected with syphilis, Yes, as long as they have been infected, the test results will be positive for the rest of their lives. It will not turn negative because of the success of syphilis treatment. This is why some elderly old men accidentally found themselves positive for syphilis when they were tested in their later years.
Syphilis said, I was here.
How should such a difficult disease be treated?
Penicillin is the most effective drug for the treatment of syphilis, which is cheap and easy to use. However, the types, administration routes and treatment courses of penicillin used in different periods and types of syphilis are different, requiring doctors to give specific medication guidance according to the personal situation of patients.
Although syphilis is difficult, if we cure syphilis in the first and second stages (early stage), there will generally be no sequelae, but once we enter the third stage (late stage), even if we treat it, we may still leave irreparable losses.
Therefore, when there is a situation, go to a doctor quickly. Don’t cover it up. After all, health is the most important thing.