The transmission and pathogenesis of syphilis is characterized by periodic latent and recurrent syphilis
big ass anal , which is related to the production of immunity. When the immunity of the body decreases, Treponema pallidum can invade some parts of the body. Syphilis-associated nephropathy mainly occurs in acquired secondary syphilis, and its incidence is low. The clinical manifestations of acquired syphilis renal damage are varied, such as acute nephrotic syndrome, membranous glomerulonephritis, acute progressive glomerulonephritis and so on, but the incidence of the latter is not high. However, syphilis tests should be performed routinely in patients with newly developed nephrotic syndrome to rule out the possibility of syphilis. So, what is the treatment of syphilis nephropathy?
How should syphilis be treated in the early and late stages?
1. Early syphilis
Including primary and secondary syphilis and latent syphilis with a disease period of less than 2 years. Effective anti-spirochete drugs should be selected to eliminate the living spirochetes in the body, so as to make the lesions lose infectivity in the shortest time, so as not to infect others, and make the body repair tissue damage as soon as possible to promote the rapid healing of lesions. Early syphilis can be completely cured if treated in time, and can prevent further development and deterioration of pathological changes and clinical symptoms, and protect vital organs of the human body.
(1) penicillins: benzylpenicillin is the first choice. If there is no penicillin, penicillin can also be used as an alternative drug. The common dose of benzylpenicillin was 2.4 million U, intramuscularly injected on both sides of gluteus once a week, twice a week, APPG 800000 U / day, intramuscular injection for 15 consecutive days, total amount 8 million ~ 1200 million U, water agent penicillin G 1.2 million unit, intramuscular injection, 3 times a day, continuous 20 days, total amount 36 million ~ 7200 million U.
(2) the following drugs were used for patients with penicillin hypersensitivity: tetracycline hydrochloride 0.5g, oral, 4 times a day for 15 days (forbidden in patients with liver and kidney insufficiency), erythromycin, 0.1g doxycycline (doxycycline) 0.1g, oral, twice a day for 15 days.
2. Late syphilis
Including advanced skin, mucous membrane, bone and joint syphilis, the disease period of more than 2 years or can not determine the stage of latent syphilis. Late syphilis is destructive to various tissues and organs of the body, so it is necessary to cure the lesions
penis pumping , promote the body to repair tissue trauma, and prevent the progression and loss of function of important organs. Late syphilis can appear some injuries that can not be completely repaired, such as pharynx, nose defects, bone deformities and so on. Orthopedic surgery can correct some deformities and disabilities and restore part or all of the function.
(1) penicillins: benzylpenicillin is preferred, or water agent penicillin is used as an alternative drug. Benzylpenicillin 2.4 million U, intramuscular injection, once a week, a total of 3 times. APPG 800000 U / d was injected intramuscularly for 20 days as a course of treatment with a course of 1600 million U. The second course of treatment, with a total amount of 3200 million units, can also be considered. The drug was stopped for 2 weeks during the course of treatment. The water agent penicillin G 1.2 million U was injected intramuscularly 3 times a day for 20 days as a course of treatment, with a course of 7200 million U. The second course of treatment, with a total amount of 14400 million units, can also be considered. The drug was stopped for 2 weeks during the course of treatment.
(2) for patients with penicillin allergy, the following drugs were selected: tetracycline hydrochloride 0.5g/ times, oral, 4 times a day, 30 days as a course of treatment, the course of treatment was 60.0g. Erythromycin is the same as tetracycline. Doxycycline (doxycycline) 0.1 g, orally, twice a day for 30 days.
An inventory of the four dietary principles of syphilis
1. Foods rich in vitamin An are carrots
wand vibrator , spinach, Chinese cabbage, leek, amaranth, broccoli, hollow cabbage, mustard, alfalfa, Malan head, golden needle, fennel, coriander, kale, apricot and so on.
2. Vitamin B6 plays an important role in regulating the synthesis of fat and fatty acids, inhibiting sebum secretion and stimulating hair regeneration.
3. Foods rich in vitamin B6 include potatoes, broad beans, herring, oranges, sesame and so on.
4. In addition, eating foods rich in vitamin B2 and vitamin C also has a certain effect on seborrheic alopecia.
Introduction of 5 dietotherapy prescriptions for syphilis patients
Fang Yi
Composition: 120 grams of Flos Sophorae, appropriate amount of liquor. Usage: stir-fry the locust flowers and add two pieces of wine, fry more than ten boils, and take it hot. Indications: syphilis.
Fang two
Composition: appropriate amount of ginger and pugen. Usage: smash and apply externally. Indications: horizontal fatigue and collapse, do not shut up for a long time, shaped like a fish mouth, also known as fish mouth
Fang San
Composition: 300 grams of ginger, 300 grams of Poria cocos, 100 grams of Sophora flavescens. Usage: wash it with fried soup. Indications: early onset of syphilis.
Fang Si
Dandelion porridge
Dandelion 40-60g, fresh product dosage is 60Mel 90g, japonica rice 30-60g, wash, chop, fry medicine juice, remove dregs, boil into japonica rice for porridge, 3Mel for 5 days as a course of treatment, 2Mel 3 times a day. It has the function of clearing heat and detoxification, reducing swelling and dispersing knots, which can be used in the whole process of syphilis.
Fang Wu
Plum blossom porridge first boil japonica rice as porridge, when the porridge will be ready, add the right amount of white plum blossom, boil two or three times and then eat. 3Mel takes 5 days as a course of treatment and eats warm food twice a day on an empty stomach, which can clear the residual heat and adapt to the later stage of syphilis rehabilitation.
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