Friday, May 20, 2011

Syphilis and CHILDREN

Baby M. born in refugee camps, often natural born, New baby. My parents also met at the refugee camp and lived together since then, my mother was pregnant, the birth sequence to date, no antenatal care at all because there is no refugee camp obstetrician or midwife, and her laboratory . Healthy children, sign language can only eat so I keep a runny nose and again, the corners of each foot and running water, her parents for drinking "cold medicines" out there forever. New blood test she discovered she was suffering from congenital syphilis, which means you have syphilis infected by bacteria transmitted through maternal blood. Because my mother is not pregnant should consult with syphilis during pregnancy without knowing it. Baby was treated with penicillin and speedy recovery.


Fortunately, cases like barely seen in Vietnam's children settled in this area. However, in the general U.S. population and in a minority ethnic group (ethnic minorities) or some particular group as part of homosexuality (homosexuals), injecting drug use and blood vessel (intravenous drug users) sex and gender, sardines syphilis are increasing rapidly and therefore the cases of congenital syphilis in children is also growing fetus was due to syphilis bacteria from passing through the mother's blood. 1990 statistics of the Center for Diseases Control recorded 2.867 cases of infants infected with germs of syphilis (congenital syphilis), compared with 859 children in 1989 and is the highest in 40 years, although methods of prevention and treatment more closely. Particularly for our Vietnamese people in the U.S., with the number of people travel to Vietnam as well as the international playboy growing, perhaps we would not be surprised to witness an increase in cases giang bring on tomorrow from foreign although no exact figures. Adults caught the disease may not be a source of disease brought from outside in, plus the drive of domestic syphilis is often accompanied with soy ke and prostitution are threatening the youth of this country.
Syphilis (syphilis) described a long illness. According to anecdotal Christopher Columbus and his crew brought the disease from the Caribbean to Europe in the 15th century and thus the spread of syphilis in Europe to a large epidemic killed many. However, probably syphilis has been a long time before Columbus, now thought to be leprosy cases described in the biblical truth that there are cases of syphilis in China and ancient documents also described symptoms consistent with syphilis.
Syphilis caused by Treponema pallidum bacteria, a germ of helical (spiral). Germs enter the body through mucous membranes (mucosa, mucosa) and red skin that is thin in the genitals, anus or mouth, sometimes fall through the normal skin areas of the body if the skin scratched (such as caressing the bite). About three weeks after infection (after transmission), the patient will see the sores on the genitals, wounds usually painless swelling of lymph nodes and attached (lower commitment, chancre). If the patient is not treated a patient two months after the second stage (secondary syphilis) with general symptoms such as fatigue, headache, fever and signs of skin, or in the mucosa (mucous membranes) the genitals. Without fire, disease progress through the third period of syphilis, including the terrace in the skin, internal organs (heart, liver, stomach) and cause neurological symptoms are diverse.
In fact, syphilis is important for the health of young people on the following aspects:
1 .- Although antibiotics such as penicillin era appearance, syphilis usually have the typical manifestations as described above, current symptoms are not usually so obvious, if not alert patients Doctors also easily be mistaken for not only thinking about syphilis. For the teenage years (adolescence), syphilis rates have all increased, and rates among young women increasingly appear higher than before. Most of the girls she does not know that I take for syphilis in women with symptoms such as itchy, with white blood, sores sometimes been viewed as signs of normal, primary treatment lean like sundry other women. Where some advocates now need a blood test for syphilis quest (routine screening for syphilis) for all kids "sexual activity" (Adolescent sexually active.) To the parents should be aware if their children and visit them a question about any symptoms related to urinary or reproductive tract, parents should be understood and seek medical help if needed. Some practical points need to be reminded to her he said: First, birth control pills have no effect against the disease "sexually" including syphilis, the second of the symptoms of syphilis in the first phase is it can go away after some time, but does not mean the disease was eradicated diseases, whereas disease is still progressing through the next stage, dangerous, difficult to detect and more stubborn. Also, unlike AIDS, largely limited to a certain gender (homosexuality, drug addiction), syphilis and gonorrhea (gonorrhea) is much more common. Each year about 100,000 people in the U.S. have caught this disease and all walks of life can suffer. Recently it was found AIDS and syphilis often go together, partly because of the sores of syphilis skin makes AIDS virus spreads easily from person to person.
Should also recall some common symptoms such as skin rash, swollen glands, so when the signs of syphilis and help the doctor discover and treat disease before it is too late.
2 .- Syphilis in the mother can pass through the fetus if the mother was pregnant. Currently at the first prenatal check obstetrician will all her blood tests for syphilis quest and timely treatment to prevent mother to the fetus. Recently, doctors are advised to test blood again at near birth. But if the woman is pregnant and are not concealing their families at a carefully monitored election, if they carry disease and syphilis can not be detected or are detected too late as near as your baby from birth treated promptly and brought the symptoms of syphilis at birth. These symptoms may be heavier or lighter depending on circumstances. I could die at birth (still birth), premature birth, brain membrane swelling, swollen liver, anemia, v. .. v. .. Treatment and monitoring of the baby is expensive and complicated and prolonged.
Recurring syphilis based on clinical symptoms (symptoms at medical records, clinical signs) but also depends largely on the test (test) blood of patients or other substances from the body diseases (such spinal drain, cut a piece of swollen lymph nodes for testing, cut a piece of skin to try to find the bacteria Treponema).
Most common blood test. People with syphilis infection carried in the blood a substance called reagin (now called cardiolipin antibodies, anticardiolipin antibodies), if blood tests show the disease, people with substance reagin Treponema suspect. Previous standard tests used in Vietnam or Bordet Wassermann (hereinafter referred to as BW), we have heard, "BW positif" or "BW negatif" to refer Wassermann reaction positive (infected) or negative (no disease .) Now rarely used this reaction, the reaction often people use the name of RPR for "purification" (screen) syphilis suspect quickly. Then if necessary we use these tests more complicated but more accurate, do not go deep within this article.
Syphilis treatment is relatively simple as emerging diseases. In the past people have used these highly toxic drugs such as mercury (mercury), these drugs are sometimes found used in Vietnam. Current treatment with penicillin is the most effective method. People who are allergic to penicillin are treated with erythromycin or tetracycline.
In conclusion, syphilis is a disease "sexually" has tended to increase especially among young females. The disease can cause long-term consequences for patients as well as their children. But the disease can easily with the simplest of means (condoms) if diagnosed early and relatively simple treatment (antibiotics Penicillin, Erythromycin) and very effective.

1 comment:

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