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November 19, 2016 00:15

Syphilis and Pregnancy

Another infection, dangerous in terms of intrauterine infection, syphilis is.

like tuberculosis, syphilis at one time was considered a social disease associated with insufficient cultural level of the population.It is impossible to say with certainty that it is not, because success in the fight against it at some stage had to face.A special role is played by the fact that patients with syphilis were looking almost like criminals (with the police) and forcibly treated, thereby further disrupting the chain of infection.Today, the approaches to the identification and treatment of the disease have changed somewhat.And if even 15-20 years ago, the demonstration studentammedikam syphilis patient was a rare success for a teacher, but now the infection again become very common in society.

Congenital syphilis as the cause of stillbirths occur in 0.5-0.8% of cases.Infection of the fetus occurs regardless of whether the woman was ill before pregnancy, or contracted during conception or after.And the fruit is

affected sooner, the shorter the period that has elapsed from the moment of infection.Thus, if a woman was infected after a few pregnancies, then with each subsequent risk of intrauterine infection is reduced and even pregnancy can result in the birth of a healthy baby.However, it should be noted that the birth of a healthy child has still mainly in the treatment of women.

usually intrauterine infection of the fetus Treponema pallidum (the causative agent of syphilis) occurs between 6 and 8 months of pregnancy (rarely used).And spirochete immediately get to the fruit, and only later damaged placenta.Once in the body of the fetus, spirochetes multiply and cause specific changes in its tissues.Most often affects the liver, lungs, bone tissue.

In addition to these changes, in newborns with congenital syphilis there are other symptoms: rhinitis (syphilitic rhinitis), pemphigus (blisters on the skin), and, in contrast to pemphigus caused by pyogenic microorganisms (staphylococcus) with syphilitic pemphigus blisters may appear on thepalms and feet newborn.Symptoms of congenital syphilis may not appear immediately, but after some time (up to 10 weeks).

placenta is affected after being infected fruit.According umbilical vessels spirochetes enter the placenta and cause damage to the vessel walls.These changes are widespread in nature and seriously affect all the functions of the placenta.If this happens, the fetus dies in utero and pregnancy ends or miscarriage or premature birth.

According to statistics, spontaneous abortion in women with syphilis are found in 10-15% of cases of stillbirth - 5-50%, the birth of sick children - in 20-30% of cases.Prevention of congenital syphilis is that all pregnant women infected with syphilis, serological subjected to 2 times: 1 time in the first half of pregnancy and 1 time - second.If a woman shows signs of active syphilis, it will be treated.

antisyphyllitic Specific treatment should be started from the beginning of pregnancy to prevent the possibility of a timely transition pale spirochete through the placenta.In the treatment of syphilis certainly repeated during subsequent pregnancies.As for tuberculosis, syphilis treatment is carried out taking into account the possibility of medication fetopathy.Treatment is carried out and the newborn, even in cases where the mother received a full course of therapy antisyphyllitic.