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» What is Shankr. What is a solid chancre in syphilis and what to treat him? Symptoms of solid Shankra, initial stage

What is Shankr. What is a solid chancre in syphilis and what to treat him? Symptoms of solid Shankra, initial stage

Shankre is a morphological formation located in the upper layer of epidermis or mucous membrane having an external similarity with ulcers. The main cause of the infection of infectious sexually transmitted disease. There are two varieties of Shankra - hard and soft. Most often, the formation is painless and indicates a syphilis infection or other venereal disease.

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    Chancre

    Solid Shankre is an ulcerative formation, differing in dark red, round shape and raised edges. Its base on the structure resembles solid cartilage. Another name is the primary syphil, or syphilitic Shankr, as it is not a separate disease, but arises on the initial one.

    The basis of education is distinguished by bright red, it covers a transparent film, having a characteristic shine. In the case of its location, the film acquires a dirty tint. The shape of this kind of Shankra is correct, with even edges. It has a clear border with surrounding tissues.

    Chancre

    This symptom does not cause a contaminated person of expressed discomfort.After passing the treatment of the ulcer disappears, leaving a pigment spot, also eliminating over time. Effective therapy of this disease is possible in the case of timely appeal to the doctor. Therefore, when the symptoms are found, a specialist must be visited.

    Chancroid

    The reason for the occurrence of soft Shankra is Streptobacillina Dosurea.This species is also called venereal ulcer, chancroids or III venereal disease.

    First, a reddish swelling of a small size is formed, the edges of which are raised and uneven. The base of ulcers is distinguished by an incorrect shape, a bright red shade and plenty of pus. One of the pronounced signs of soft Shankra is an increase in local lymph nodes.

    Chancroid

    The name "Venerable ulcer" he received thanks to the characteristic places of education, which the genitals most often act. The appearance of Shankra is accompanied by pronounced pain.

    The causative agent of infection is a dingure stick (Haemophilus Ducreyi) - a microorganism, developing in heat and humidity conditions. Therefore, this disease is most common in African countries, Asia and South America, where it has come from and from all over the world.

    The only wayinfection - Sexual act with a sore partner.The probability of infection in this case is 50%. Other transmission paths today are not confirmed and are part of a part. Moreover, the representatives of both sexes can be infected with the same probability. However, women are most often the carriers of infection. The best method of prevention is the use of barrier contraceptives.

    Localization

    Solid Shankre Specialists are called a syphilitic "marker", since the primary location of ulcers on the skin indicates a section of infection penetration into the body. The most common way of infection is a sexual act, in most cases the formation of this type is located in the field of external organs of the sexual system.

    The location of the solid and soft chancro localization is identical to the representatives of both sexes, which is explained by the method of infection. In women, the ulcerative seal most often appears on the genital lips and the clitoris. In men Soft Shankr is localized on the pubic, head, bridle, extreme flesh, inner or outer surface of the penis.

    Localization

    In cases of infection with non-standard sexual acts, lesions are located in the head area - in the mouth, in the tongue, in the throat and almonds, on lips, lactic glands, near the anal opening or other parts of the body. In some situations, the placement location is the urethra in men, the walls of the vagina and the cervix in women.

    Development of the disease

    Usually, from infection of the bacterium of pale treponam (spirochetes) until the formation of a solid Shankra as the initial sign of syphilis takes place for several weeks.

    Initially, a reddish stain is formed. Gradually occurs the destruction of epithelial tissue, erosion is formed. The ulcer manifests itself when the spirochete reaches the subcutaneous layer of fiber, the submissible layer or the muscle layer.

    It is characterized by a circular shape and can increase in the size of up to 1.5 cm. The base of the ulcers of the brown-red shade, with a purulent rode. The form remains unchanged, the surrounding tissues are not amazed.At the same time there are no pain and itching.

    After 4-13 weeks, Shankra's own disappearance occurs.The characteristic features of syphilitic ulcers are a limited place accommodation and a favorable forecast of the cure of the disease. It does not affect the internal organs and does not penetrate the body. However, its disappearance does not indicate a cure, but indicates the transition of the disease to the next phase - (hidden clinical form).

    The nature of the development of soft Shankra is standard. The incubation period is from men from 3 to 5, in women - from 7 to 11 days after the penetration of infection in the body. The immune system does not cope with the exposure to the pathogen, therefore cases of re-infection are possible. This pathology for external signs has similarity with the solid chalkroid, but differs from it the presence of pronounced pain.

    The development of the disease begins with redness of the infected site and the formation of a small-size purulent capsule. In the short time, the capsule bursts, a wet peptic seal is formed in its place. For ulcers of this type, an incorrect form is characterized, an intensive increase. Education size - from 10 to 20 mm. In the inside, blood cluster and pus occurs.

    After spilling out, the exudate leads to the formation of new small-sized ulcers on nearby tissues surrounding the primary focus of inflammation. When the infection is progressing, merging into a single focus. The ulcers are formed for 20-40 days, after which there is an independent purification from the pus and the scarring process. In the absence of timely medical intervention, the infection affects lymph nodes, which leads to an increase in their size and increased pain syndrome.

    Symptoms

    The main symptom of the development of soft Shankra at the initial stage is the appearance of ulcers - chancaroid, for which is characteristic:

    • the softness of the base;
    • presence at the bottom of the pus;
    • connecting the inflammatory process;
    • the appearance of bleeding;
    • sharp pain (men syndrome are less pronounced than women).

    The first stage of syphilis is accompanied by the following symptoms:

    • the appearance of a reddish spot;
    • location location - upper layers of epidermis or mucous membranes;
    • the gradual destruction of the epidermis accompanied by the erosion process.

    With the development of the disease, a solid ulcer is formed, characterized by the following symptomatics:

    • rounded form of ulcerative education;
    • size - from 0.1 to 5 cm;
    • burot-red base;
    • the presence of yellowish pus at the bottom;
    • preservation of the initial form throughout the entire period of ulcer's development;
    • lack of itching and pain symptoms;
    • when pressed from solid chancre, a transparent liquid is released having a slightly yellowish shade;
    • independent disappearance of ulcers after 3-12 weeks.

    If medical assistance was not rendered on time, solid or soft Shankr go into a more launched stage of the development of the disease, which is fraught with serious consequences for life and health. One of the most common complications is the defeat of lymph nodes, leading to inflammation of almonds (amygdalitis).

    Complications

    After the incubation period, the disease passes into a more launched stage - aggravated Shankr, the main sign of which is the defeat of lymph nodes:

    • Lymphadenitis - the size of the nodes is increasing, they are combined, and the skin is blue. Inside the formation of pus, which leads to the development of sepsis, if it falls into the circulatory system.
    • Lymphangitis - the lymphatic assembly is compacted, the skin blushes over it and swells, which is accompanied by intense pain.

    The launched disease over time leads to the emergence of other complications from any person, regardless of gender. In men often develops phimos - swells the extreme flesh, in the middle of a pus from the head of the penis. Often there is another complication - paraphomosis - the extreme flesh is inflamed, which is accompanied by the latter of the head and leads to necrosis.

    Treatment

    When the first signs of the disease should be immediately applied for consultation to a venerolologist who will correctly give a diagnosis based on research conducted and prescribe comprehensive therapy.

    From the periphery of the formation takes the scraping, the fabric sample is analyzed for the presence of the causative agent. To clarify the diagnosis and exclusion of syphilis, bacteriological sowing and PCR are used.

    Standard therapy includes the use of antibiotics, specialized omises of outdoor local action and antiseptic compositions. Polyicillins are most often prescribed, which have the highest efficacy against pale treponam (Bicyllin, ampicillin). Therapy with antibiotics is complemented by means of stimulating the functions of the immune system, normalizing the intestinal microflora. Physiotherapeutic procedures are prescribed. The use of modern therapeutic techniques allows you to completely eliminate infection at the primary stage of development.

    The main tasks of therapy in this situation are to eliminate the pathogen, block the dissemination of the disease, strengthen the immune functions of the body, eliminate possible complications.

    At the same time, it is removed from the primary syphilis, and the solid Shankre is eliminated as its main symptom. Systemic drugs allow you to destroy the pale trepoon, and the means of local therapy are signs of the disease. When developing a treatment regimen, a specialist takes into account the features of each specific situation - allergic reactions to certain medicines, the severity of disease flow, localization of ulcers, etc.

22.06.2017

Primary syphilis manifests itself in an increase in lymph nodes andsolid Shankra. What is solid chancre? it syphilis symptomswhich are round with a diameter of about one centimeter of ulcers on the body of the patient.

In color, they are red with blue, sometimes they are painful, but mostly the patient does not perceive pain in the place of erosion. First signssyphilisa In men: the formation of Shankra on the penis head, and in womensyphilis symptoms manifest on the walls of the uterus and on the external genital organs. Also, these ulcers are on the pubic, near the anal opening, in language and lips.

Syphilis develops quickly, and lymphatic nodes are first inflamed, and then educationsolid Shankra.

It may be resolved by itself, even without medication treatment, from one month to two. It passes almost without a trace, although if the ulcers are large, the stains of the dark color can remain.

Shankr at syphilis - This is the source of syphils, whichforms On the site of treponam in the body.

Shankr received its name from a French word, which means ulcer, erosion. In some infectious diseases there is SHAKR, but for the disease syphilis, this erosion is the first signsyphilisa In the first stage. Educationsolid chancra On the body later, a little more than 4 weeks, from the moment of infection with this disease. During this period, the source infection has time to get into many organs and in lymph, while begin to multiply, which causes an inflammatory process and cantemperature appear.

Types of Shankra

Classified by type, size, the number of ulcers on the body, the location of their location.

By type, Shankr shares:

  • erosive is erosion that affects the layers of the mucous membrane;
  • yazvnaya Shankr is ulcers that penetrate deep layers of fabrics.

According to the quantitative classification of Shankre to share on:

  • one is Shankr, which consists of one ulcers;
  • multiple is erosion, which consists of a variety of ulcers, and create a single wound.

Sofils of solid Shankra There are:

  • small (dwarf) - diameter less than 10 mm;
  • average - diameter of 20 mm;
  • large (giant) - 50 mm diameter and above.

The place of the appearance of solid Shankra on the body:

  • extgazenital - It is amazed by ulcers, anus, chest, throat, legs, gums;
  • genital - this is erosion,appearing on the genital organs of a sick person;
  • bipolar is chancresses that are simultaneouslyappear On the genitals and other parts of the body.

By the end of the primary period of syphilis, Shankre becomes a form of a disease that:

  • has localization in specific places, in the oral cavity and in genitalia;
  • has a numerous form;
  • does not affect internal organs;
  • pretty easily treated and leaves after myself the consequences.

Features of the development of solid chankra

People who have become infectedsyphilis infections and at the same time have reduced immunity, ulcerative defeatappears necessarily. Also, the formation of ulcers on the body occurs in chronic infections, toxicing the body and in the age reasons. Due to self-medicationsyphilisa Brutal erosions are formed, which, after attenuation, leave pigment stains and scars.

It begins to develop with redness, which does not cause itching and pain. After 48 - 72 hours from this redness begins to form a tubercle and Papula is formed. At this point, the epithelium from Shankra can be sewed, and the infected person first begins to feel pain.

In the next hours and the days of Symphoma becomes more, spreading around the circumference. On Papula begins to form a solid crust, under which an ulcer is formed. Over time, the crust is rejected and a sign of syphilis - solid chancre appears.

Shankra shape is slightly raised, with clear round edges. Sometimes these edges are oval form. Shankra smooth surface, sometimes it has a grayish flare, but basically the color of Shankra is red.

Shankra shape is different:

  • summary shape - This ulcer has clear boundaries. This ulcer grows into deep layers of fabric and retains its clear boundaries. This chancre is localized on the extreme flesh of the penis;
  • the shape of the plate or coin - Shankre is localized on the upper layers of the fabric and is on the sexual lips, the penis barrel, on the scrotum;
  • last shape - erosion has clear boundary lines and is located mainly on the head of the phallus.

Atypical chancre

In addition to hard Shankra, there is still atypical chance and a lot of his species:

  • indecented edema is a large seal that is formed on the extreme flesh of the penis, genital organs in women and in the area of \u200b\u200bthe lips on a person's face;
  • panarium is Shankre, which develops on the nails and does not heal for several months. Maybe even the rejection of the nail;
  • lymph nodes - increase in this period. Depending, in which part of the body, Shankre was formed, then the nearest lymph nodes are inflated;
  • bubon is a lymph node that has a moving shape and does not have painful signs and is closest to Shankra: on the neck of the patient if Shankre in the almonds, and the groin part of the body, ifshankre for a member , in the area of \u200b\u200bthe genital organs;
  • polyadenitis is inflammation and sealing of all lymph nodes, from that moment we can assume that the symptoms of secondary syphilis began to appear.

Complications for syphilis in the first period are very serious as for women, also serious consequences for the male part of the population.

Solid Shankre in the Women's Organization

In the female body arises:

  • on large and small sexual lips;
  • on the clitoris;
  • on the walls of the cervix;
  • in the area between the anus and the vagina.

On the walls of the vagina,solid SHAKKR during syphilis It occurs very rarely, since the acidity of the vagina is adversely acting on the trepony.

Very often, Syphilis Syphilis is formed on the cervix. This Shankre invisible and is diagnosed mainly in the second stage of the disease.

Over 10 percent of the syphilis of women in the first stage have a hard chance on the walls of the cervix.Syphilis Shankre It is detected only at the time of inspection of the uterus using medical equipment. This survey conducts a gynecologist or venereologist.

In the oral cavity, the Shankre is formed in the language, lips, soft heaven and almonds. Cases of occurrence of ulcers on gums, cheeks of fingers and chest.

Diagnosis of syphil

The diagnosis of syphilis consists of several types of surveys and analyzes:

  • serological diagnostics is the detection of bacteria by Treplen from the Solid Shankra scope. According to the results of this survey, the doctor establishes a diagnosis;
  • the immobilization reaction of treponama;
  • immunofluorescence reaction;
  • vasserman reaction;
  • microreactment on glass;
  • linked immunosorbent assay;
  • microprocipatition reaction;
  • reaction of passive hemagglutination.

Communication of solid Shankra with primary syphilis

Syphilis is a venereal disease that flows in a classic form.Syphilis Solid Shankre, the main sign of this disease. Solid Shankr, is a symptom of only primary syphilis.

Syphilis in the first stage of its development is manifested in increasing lymphatic nodes and solid chaver. Closer to the end of this period such symptoms are becoming:

  • general ailment state;
  • constant headache;
  • increased temperature;
  • pain in muscle tissues;
  • sounds and pain in the bones;
  • reduced hemoglobin;
  • significant increase in leukocytes.

Syphilic chancre It has properties to pass by itself and not to leave marks, therefore people who are engaged in self-medication can assume about the cure of syphilis.

This is a delusion, because the disappearance of solid Shankra is preceded by secondary syphilis, which is much more dangerous than syphilis in the first stage of development and the treatment of this type is much more complicated and longer.

Complications of syphilitic solid chankra

Complications of syphilitic Shankra may have other infections into Shankr, which leads to painful symptoms and pus accumulation in this place.

The reasons for the penetration of infection are several:

  • injury to Shankra;
  • non-compliance with hygiene;
  • disease diabetes;
  • HIV infection;
  • development in the body of tuberculosis sticks.

In the female organism develops:

  • syphilitic gangrena;
  • infectious vaginitis;
  • inflammatory bartholynitis;
  • endocervicitis cervix.

Complications in the male organism lead to:

  • balanitu;
  • balanopostitu Penis Head;
  • phymsu of extreme flesh;
  • paraphomy of the extreme flesh;
  • gangreese Penis Head;
  • phaginenism of the penis.

Treatment of syphils

At the initial stage, the task is to cure infection and do not give syphilis to go to the second stage.Solid Shankr, Treatment It must be carried out as early as possible.

The main drugs that are used in treatment are antibiotics of different groups and directions:

  • penicillins;
  • macrolites;
  • tetracyclines;
  • fluoroquinolones.

Together with antibiotics in the treatment process involved:

  • antifungal drugs;
  • immunomodulators;
  • polyvitamins;
  • probiotics.

The treatment scheme of syphil is prescribed the attending physician, on the basis of diagnostics and results of analyzes.

Under the course method of treatment, tetracyclines and bismuth-based drugs and iodine are added to penicillins. This complex of drugs is able to increase the effect of an antibiotic in the body.

With the diagnosis of syphilis, both sexual partners are treated.

At the time of therapy, the patient prescribes food, in the diet of which protein food and restriction in the consumption of fat and carbohydrates prevail.

During this period, smoking and alcohol use is contraindicated, and it is also necessary to reduce the physical activity on the body.

The main condition for high-quality treatment, it is observing the rules of personal hygiene and during the treatment period - not to have sex.

Treat Shankre to antibiotics:

  • EXTENTIONALLIN - intramuscular injeces, it is enough to carry out the procedure twice;
  • Bicyllin - injections, twice, after 5 calendar days;
  • Erythromycin - 0.5 mg to take 4 times a day;
  • Doxycycline - 0.5 mg to take 4 times a day.

For the local treatment of solid Shankra, a binding on chancra from drugs by benzylpenicillin and Dimeksid preparation.

It is necessary to lubricate syphilitic Shankr with heparin ointment, erythromycin ointment, ointment based on mercury and bismuth. Syntycinic ointment and leviversity ointment, contribute to the separation of pus from ulcers.

Shankra, which are in the mouth, need to rinse with solutions:

  • furacillina;
  • boric acids;
  • gramicidine.

Solid Shankre is a very important feature in the recognition of syphilis in the body. The earlier the infection in the body was revealed, the faster the treatment of the disease will begin, and the duration of the course of drug treatment may be minimal. In this case, the treatment of folk remedies and self-treatment is contraindicated.

Only a competent doctor will be able to diagnose and register the necessary treatment. The fulfillment of all prescriptions of the doctor, a healthy lifestyle, compliance with hygiene, will give a positive result in the cure of syphilis at the first stage of the development of the disease.

Externally, syphilis is manifested by such skin symptoms as chancre, ulcers, small rash, white spots. The effect of pale treponam is also distributed on the internal organs, which leads to a late appeal to the doctor or the complete absence of treatment to the most severe consequences. In the event of suspicious rashes, it is necessary to undergo a survey.

What does Shankr look like during syphilis

Syphilic Shankr has the form of a red spot, which eventually begins to be converted into erosion. It may be single or multiple. Erosions are formed not only on the skin cover, but also on the mucous membranes. The peptic process arises in them after entering the pale treponam, the causative agent of syphilis. Often, damage affects muscle tissues.

Solid chancresses do not deliver special inconveniences to the patient: there are no pain in the field of defect, there is no itching. Sometimes patients do not notice such formations at all. When pressing from syphil, a liquid having a transparent yellowish shade begins. It contains a large number of trepoon.

SHAKRR in syphilis develops in patients in the first stage of this venereal disease.

The incubation period is not accompanied by skin manifestations and often remains unnoticed. The initial stage of syphilis is rarely manifested by symptoms. Not always laboratory testing of blood reflect infection. Upon receipt of a positive result, using nonspecific tests, confirmation of the diagnosis is required using more expensive tronewable methods.

Stages of solid chancra in men and women

Not always syphilis manifests itself with a rash or ulceal formations on the skin. In some cases, the venereal disease occurs in a hidden form, gradually destroying the tissues of internal organs and causing irreversible violations of their functions. When infecting a person suffering from chronic pathologies and reduced immunity, the probability of the appearance of solid chancre is extremely high.

Initially, redness arises, which does not cause a patient discomfort. After 2-3 days, a stalk form is formed with a further transformation into papula. With the exhaustion of the epithelium with Shankra, a person may feel pain. Next, syphil is enlarged, a dense crust is formed on its surface, which begins to form an ulcer. After rejection of the solid layer, Shankre develops in the patient.

Solid SHAKKR during syphilis

Shankre has a raised view and rounded shape with clear convection. Its upper part is smooth and has a red tint. In some cases, a gray flare is observed. Syphilians have a certain morphological basis, but may vary in shape:

  1. Nodules. Such chancresses have clear boundaries. They are able to germinate in the deep layers of tissue and keep the clarity of the boundaries. The localization area of \u200b\u200bsolid Shankra is a member, its extreme flesh.
  2. Rounded formations resembling coins. They are located on the surface of the skin. The scrotum, sexual lip, the barrel of the penis - these zones are subject to the appearance of Shankra.
  3. Sheloid ulcers. They are characterized by clear boundaries and are localized on the head head.

The formation of solid Shankra begins after entering the skin or mucous pathogen of syphilis.

Pale Treplema can get not only with unprotected sexual acts, but also with a kiss, using someone else's thing.

Infection infection in rare cases occurs when the use of non-sterile tools in medical clinics and cosmetology cabinets. Pale Treplema can get into the organ during blood transfusion and surgical manipulations.

Dimensions

Syphilians can have different dimensions:

  • small, sometimes called "dwarf" (less than 1 cm in diameter);
  • average - from 2 to 5 cm;
  • large - from 5 cm and more.

Chancroid

The appearance of soft Shankra is associated with the penetration of pathogenic pathogens - streptobacilli. In the formation itself does not contain spirochetes. Shankroid differs from syphilitic ulcers with soft edges and the lack of a dense base. It may be sick, peel, merge with other rashes and form a large inflammatory hearth.

The active spread of the infection on the circulatory system contributes to the development of the symptoms of intoxication in the patient: vomiting, headaches, dizziness, muscle weakness. With an inflammatory process, body hyperthermia occurs.

Soft changr is transmitted only with sexual contacts. When healing, a scar tissue appears in its place. It arises due to the strong inflammation of surface lymph nodes and the development of bubonic ulcers. Syphils caused by pale tronal, do not leave after healing of traces on the skin.

In the absence of therapy of ulcers caused by streptobacillia, there are 3-4 weeks. Complications are manifested in the form of phimosis, paraffimose. In severe cases, genitals are subject to necrotic processes, and the gangrene of the penis is developing.

With a timely examination and coupling rate, the chalkroids disappear in a week. The patient is assigned a complex of drugs for indoor and outdoor use. At the end of therapy, the patient should be observed from a venereologist for another 6 months.

Condoms help to prevent streptobacilli contamizes. With a sexual act with an infected partner without means of barrier protection, sulfonamide is required in the first hours after contacting.

Localization of ulcers

Primary solid Shankr in 95% of patients is localized in the zone of genital organs (pubis, egg, the top inner part of the hips, the abdomen).

This arrangement is due to the fact that most of the cases of infection occurs during sexual contacts. Ulcers can be formed next to the rear pass. They look like assemblies, folds and cracks. Patients feel pain under the act of defecation. It is possible to release a thick colorless mucus.

Often, representatives of the strong gender Shankra arise on the fingers of the hands and have the appearance of Panaritis. It is possible to distinguish a syphilitic formation by sealing the tissue, the puffiness of the finger and the increase in it in size.

Solid Shankre on genitals

In male patients, ulcers arise mainly on the head and body of the penis, in female - in the area of \u200b\u200bthe rear spike of large sexy lips, a masterbatch.

On the penis and head

Ulcerative education can appear in men on the bridle of the penis. It has an oval shape and is capable of bleeding during erections. If Shankre develops in a urethral channel, it becomes painful and compacted. Despite the frightening photos of syphilitic Shankra, some of the patients simply does not notice or take for ordinary inflammation on the skin. The yaser on the head of the member can be like a small erosion, have a gray raid and often not at all.

On sexy lips, photos

A woman infected with pale treponam may not pay attention that defects appeared on the sex lips. On the mucous vagina, ulcers in syphilis are developing extremely rare. Much more often they arise on the cervix and cable channel. They should be differentiated with conventional erosions. With a syphilitic infection, non-external lymph nodes are affected by gluing, but internal, located in a small pelvis. They do not succumb to palpation, but well visible in the implementation of computer tomography.

Solid Shankr on the lip and mouth

Syphilitic ulcers may occur in patients and in the mouth. When it is located on the lips and mucous membranes of the oral cavity, they are similar to erosions developing in candidides. You can distinguish the chance of fungal infection in reddish and dense edges and spilled perifocal inflammation. When forming in the corner of the mouth or in the zone of the red border of the lips, they are covered with yellow crusts. At the same time, fine cracks arise on the skin surfaces.

If pale treponams got into the mouth, then the language is amazed. The development of Shankra begins with a dense papule (tuberca) having a smooth surface. Later it is ulcerated and erosion appears. Much less often, Shankre arises next to the cracks of the language and acquires a star or a sliding form.

The zone of the lower lip and the tip of the tongue is amazed by pale treponams most often. On the glow, solid and soft sky, sip and almonds, chancres are rarely formed. They have clearly limited from healthy skin shape, compacted edge and bottom. Syphilitic infection is sometimes confused with sharp tonsillitis. Under the damage to the throngs of the rotogling, the patient observes the asymmetry of the almonds, an unpleasant feeling and soreness when swallowing, a feeling of lump in the throat. When the pronounced indexing edema of tissues, the patient may complain about the difficulties with breathing arising when walking and physical exertion.

Syphilitic manifestations in the zone of conjunctiva, century and eyelashes area are observed infrequently. Usually they develop among the inhabitants of Arab countries, in which during sexual caresses it is customary to contact with the language with these regions.

Healing and treatment

Uncomplicated solid chancres heal after 1-2 months, often until the secondary syphilis develops. At this stage of the venereal disease, their appearance can have an approaching character: on the skin and mucous ulcers are saved about 45 days, and then independently disappear, later it is possible again.

The main task of the doctors is the complete deregulation of infection, preventing complications and the spread of syphilis.

During diagnostics, it is necessary to differentiate a venereal infection that manifests the formation of ulcers and other rashes, from sharp tonsillitis, herpes, fungal disease, tuberculosis, traumatic erosions. In case of suspicion of Syphilis, the doctor issues a direction to the study of blood using nonspecific tests (Vasserman reaction, PRP). Upon receipt of a positive result, additional specific tronewn diagnostics are carried out, which helps reveal antibodies to microorganisms.

The causative agents of the disease have high sensitivity to antibacterial drugs from a group of penicillins, tetracycline and macrolides. Patients are often appointed doxycycline, ceftriaxone, azithromycin. During therapy with these drugs, the patient must regularly donate blood to test research. Check is necessary to assess the effectiveness of prescribed drugs.

Therapy is carried out by all persons who are in sexual relationship with patients without the use of condoms. A man and his partner should not take into contacts during the treatment, if the location of solid shankra is genital. When the syphilitic ulcers are formed in the oral cavity and on the skin of the fingers, it is necessary to use individual cutlery, dishes, toothbrushes, pasta, towels, linen.

Shankra therapy begins with the use of oral antibacterial drugs. Along with medicines, the means for external use with antiseptic and anti-inflammatory effects are prescribed.

Scheme of therapy

Shankra treatment includes the use of the following medicines:

  1. Extensively. This is the main drug used for therapy of a venereal disease. It is intended for intramuscular injections and is entered twice. Dosage 2.4 million units. Mixed with novocaine 0.5% (calculation of 100 thousand units per ml). If the sernegative syphilis has a primary shape, the medicine is entered once. Injections are put in the buttock muscle.
  2. Bicyllin. The patient is introduced in the dosage of 3 million units. Double: once every 5 days.
  3. Erythromycin. Assigned to a dosage of 0.5 mg four times a day. Tablets are accepted on an empty stomach for half an hour before meals, if it is impossible to drink an empty stomach preparation - 1.5 hours after meals.
  4. For the disinfection of syphilitic ulcers, domexide and benzylpenicillin in the form of a bath and a lotion are used. Such methods help active drug substances fall deep into damaged tissues. Applications can be prescribed using ointments based on mercury or heparin. To accelerate the healing of chancro with the presence of selections, products with erythromycin are used. High efficiency has syntomic acid, mercury-bismuth ointment.
  5. Rinsing the oral cavity in the presence of syphilitic ulcers on its mucous membranes is recommended to be carried out with a furacilline solution mixed with gramicidine or boric acid. The proportions for breeding components will indicate a venereologist.
  6. With the attachment of fungal infections against the background of therapy with antibacterial agents, antiprotozoic drugs (metronidazole, tinidazole) are prescribed to the patient.
  7. After the end of treatment with erythromycin, the Bicyllin patient is prescribed probiotic agents to help restore the microflora of the digestive tract (Linex, Bifiform).
  8. To maintain the normal function of the immune system and improving the general condition, the doctor prescribes a course with a multivitamin complex (Vitrum, Alphabet, Duovit).

All drugs are prescribed to the patient individually. The doctor takes into account the presence of combined infections, chronic diseases, the sensitivity of the body to antibacterial agents. At the tendency of the patient, antihistamines are prescribed to allergic reactions.

In the event of side effects, the patient's antibiotics occurs, should contact the doctor who will select more suitable dosages or replace the drug to suitable.

Complications of syphilitic solid chankra

In the event of a solid Shankra, a number of dangers associated with the penetration of other pathogenic organisms appear. As a result, the ulcer not only begins to be, but also to deliver painful sensations due to the development of the inflammatory process and accumulating purulent fluid.

There are several reasons provoking penetration into solid infection:

  • accidental injury;
  • lack of hygiene measures;
  • tuberculosis.

The presence of syphilitic ulcers in women can lead to the development of infectious vaginite, inflammatory bartholynitis, endocervicitis of the mother liquor. In men, the complications of Shankra are balanits, balanopostites, phimos of the leftmost flesh, necrotic processes of the penis head.

The consequences of the presence for a long period of time in the body of pale trepunia and Shankra may have serious changes in bone tissues. Such violations lead to the loss of the ability of the patient to live in a normal life. In case of untimely treatment or its absence, neurosimifilis is possible, in which the infection affects the central nervous system, causing meningitis, paralysis, meningomyelitis. In the absence of therapy there is a deadly outcome.

Solid Shankre appears in the first or second stage of syphilis and often remains unnoticed by the patient himself.

The risk of presence on the skin and mucous membranes of such peptic formations is associated not only with a high risk of infection with other infections, but also the high probability of transmission of pale trepony with healthy people with sexual and domestic contacts.

The timely diagnosis of a venereal disease allows you to cure the patient as soon as possible and prevent the spread of pathogenic microorganisms.

Unfortunately, not everyone is trying to protect themselves from various diseases. It is for this reason that some people become victims of the most dangerous diseases. Some such ailments are capable of leading even to death. One of these dangerous diseases is syphilis. At the initial development of syphilis on the body of a sick person appear shankra.

What is primary syphilis?

Primary syphilis Called the original stage of syphilis, which develops after infection with a pale trone. Primary syphilis begins with formations on the skin, as well as with the introduction inside. With primary syphilis on the body there is a solid chancre. These formations can be formed both on the skin and on the mucous membranes.

Currently, modern medicine has allocated some differences regarding the clinical picture of primary syphilis, compared with those manifestations that were seen earlier.

For example, earlier at the initial stage of the development of syphilis, Shankre was formed in a single amount of almost 90% of patients. At present, chancresses began to appear on the skin in the number of two formations. In addition, Shankra began to increase in their size.

In another article on our site we discussed.

Solid Syphilic Shankr - Starting Stage of Syphilis

Primary Shankra At the very beginning, externally represents a stain of red, which over time turns into erosion.

The main signs of solid syphilitic Shankra:

  • The diameter of the spots on the skin or mucous membrane can reach 5 cm.
  • Form flax oval.
  • Education has clear boundaries.
  • Color spots red or bard.
  • The presence of a yellow purulent laid.

Solid syphilic Shankr is never accompanied by pain or itching. Many people simply do not notice him because of this on their own body. If you slightly press the side of the stain, then yellow liquid can be isolated.

Saving a solid Shankra occurs within a month. After that, this formation on the body does not leave any visible traces. But despite this, it is worth noting that the disappearance of the solid Shankra indicates the one that the disease can take a hidden form.

Among women

Syphilical solid Shankre in women is a very dangerous venereal disease. Even at the initial stages of its development, syphilis refers to a serious infection for sexual partners, and at the launched stage, the disease may cause fatal outcome.

So that the treatment gave some positive result, Shankre in a woman needs to be revealed at the initial stages of its education.

The period of the manifestation of Shankra after infection usually takes about 3 weeks. In women, a solid syphilitic Shankre can be formed on sex lips or clovers. However, it is much more difficult to detect education if it is localized inside the vagina. Such Shankr can only be seen by chance when gynecological examination. It is for this reason that one should not be neglected by regular visits to the female doctor.

In men

Solid syphilic Shankre in men, as a rule, manifests itself in the area of \u200b\u200bthe genital organ. To be more specifically, it strikes the penis head, a corrosion and scrotum.

If a man is a supporter of non-traditional sexual orientation, the formation may appear in the area of \u200b\u200bthe anal opening and in the mouth. In the size of chancres, men can be both miniature and gigantic. And it is worth noting that the most contagious is the miniature chance, the diameter of which reaches only a few millimeters.

The first symptoms of the manifestation of solid syphilitic Shankra can manifest As 2 weeks after infection, and after 3 months. A solid Shankre is usually formed in that place, which was subject to the introduction of pale treponama - the main provocator of the disease.

Most often, the fields of infection are genital organs. However, there are currently more and more occurrence when Shankre manifests itself on the stomach, hips, face and fingers.

External distinctive features of solid syphilitic Shankra:

  • The formation of meaty erosion.
  • The diameter of education can reach several cm.
  • Erosion has raised edges.
  • The stain has a burgundy or red shade.
  • From erosion there is a liquid, which externally makes it lacquered.
  • The basis of education is a dense infiltration.

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Types of syphilitic Shankra

As a rule, Syphilic Shankr is divided into the following types that differ from each other with symptoms:

  • Giant hard chance Most often is formed in place, which is characterized by an abundant fatty tissue under the skin. The value of such a chancra can reach the size of the children's palm.
  • Dwarf solid chancre It is characterized by its size that can reach up to the size of the poppy seed.
  • Diphestic solid chancre It is distinguished by the fact that its surface is covered with a gray film, like diphtheria. This species is found very often.
  • Cork solid chance It is formed in those areas of the body, on which the drying of the separated (nose, lips, face) is easily occurring.
  • Slitual Shankr looks like a crack. Most often this species is formed in the corners of the mouth, between the fingers and in the area of \u200b\u200bthe rear pass.

It is a rather dangerous disease that is sexually transmitted. One of the primary signs of the disease can be syphilic Shankr. This neoplasm of a benign nature appears on the human body in a few weeks of the disease. In the absence of competent treatment, syphilitic chance can turn into erosion.

Types of syphilitic Shankrov

There are many characteristics that describe SHAKR in syphilis. Depending on the criterion, several classifications and types of Shankra are distinguished. Depending on the depth of lesion, the skin is distinguished by a peptic (rather deep) and erosive (less deep, located on the surface of the skin). Shankra can be located in a single instance, and can be represented by whole groups of neoplasms.

Shankra sizes during syphilis may differ. There are the following types of neoplasms under a venereal disease:

  • Dwarf (size does not exceed one centimeter);
  • Average (size can reach two centimeters);
  • Giant (can grow up to five centimeters in diameter).

Not many know what the disease, like syphilis, can provoke the appearance of solid and soft chancro. It is necessary to know what the solid chancre looks like. It is he who arises as the primary symphilis symptom. Shankr may affect almost all parts of the human body.

Its distinctive characteristic is the geometrically proper plot on the skin with a whiten film from above. In this film there is a huge set of syphilis pathogens.

Syphilis can develop atypical forms of Shankra:

  • Shankr Panarium. A similar type of Shankra is located in the field of hands and fingers. Quite often, chancresses on index and large fingers appear in gynecologists and surgeons as a professional disease. Panarium is a rather painful neoplasm;

  • Shankr Amigdalit. Shangars of this nature appear on one of the tonsils in the throat of a person with syphilis. The neoplasm of such a plan practically does not hurt and does not worry a person. The only difference is that the affected almond is significantly different from healthy in size. Shankr Amigdalit can affect the health of the pharynx;

  • Indecented swelling. Such a neoplary appears on the genitals in women and men. The fabric of the genital organs become more dense, swell and increase in size. It does not observe unpleasant and painful sensations.

The first signs of the appearance of syphilitic Shankra

Syphilis is a dangerous disease not only for health, but also for human life. In the absence of treatment, the disease passes into a chronic shape, constantly torments the patient with remissions, until it leads to a fatal outcome. Bacteria that causes syphilis, provoke the appearance of symptoms of the disease. As a rule, they manifest themselves in two or three weeks after infection.

Shankre can appear in the following parts of the human body:

  • Genitals. The appearance of Shankra on the genital organs in a person infected with syphilis is most often found. The pathogen, as the main disease and its consequences, is pale treponema. The transfer of the pathogen occurs when sex contact with the carrier. If the genitics of a woman or man already have damage, the pathogen quickly penetrates into it and forms Shankr in a few weeks;

  • Large skin surfaces. Giant syphilitic chance that achieve in sizes of five centimeters is most often located on the hips, back and abdomen. They grow pretty rapidly and spread through the body, can form whole groups of neoplasms;
  • Hands and fingers hands. Venerical neoplasms in the hands arise quite rarely. Most often, their appearance is provoked by infection not through sexual contact, but when working directly with the causative agent. Doctors and laboratory technicians who work closely with infected and their biological material fall into the risk zone.

In rare cases, SHAKRR syphilitic can appear on the mucous membrane, on the face and other parts of the body.

Visual signs of Shankra

The period from the emergence of the first signs of the neoplasm before the formation of a full-fledged solid Shankra can be about a month. In very rare cases, the first signs of the disease were manifested in seven or ten days, after the traponam in the human body. On the contrary, a long lack of primary symptom can provoke antibiotics that kill part of bacteria or slow down their livelihoods.

The process of forming syphilitic Shankra:

  • The solid syphilic Shankre is formed in two or three weeks after the start of the vital activity of the treponam in the human body;
  • Developing regional scleradenitis. It is characterized by the following symptoms:
  1. The emergence of small formations in the field of lymph nodes, which are located near Shankra;
  2. At palpation of education, they have an inhomogeneous structure and rather dense;
  3. Nodes can move under the skin when exposed to them;
  4. One of the nodes usually more than anyone else;
  5. The skin in the formation of nodes does not change.

A few weeks after the formation of Shankra, it is possible to analyze the syphilis. Serological response in the presence of the causative agent in the body will be positive.

Visually syphilitic Shankr can be compared with the circle. It has dense and even bases. Its edges completely coincide with the geometric figure. When visual evaluation of Shankra differs its similarity with nodules and small cartilage. When it is located on closed clothing, the Shankre body has a bright red or slightly crimson tint. Permanent contact with the external environment causes a darkening of Shankra to brown.

A neoplasm that causes primary syphilis is not distinguished by specific symptoms. It does not hurt, it does not bope, does not cause any discomfort. In many cases, there is a symptom of "cryankra". At the same time, the separation of a turbid dense fluid is observed with external influence on Shankr.

Treatment of syphilitic Shankra

Before starting treatment, you need to know that Shankre is a state that is not an independent disease, but only symptom of syphilis. Its appearance is caused by the disease, which must be urgently treated.

Shankre is the primary manifestation of the disease. In the absence of treatment, it can grow into a painful ulcer and cause infection of the whole organism, and then a fatal outcome.

Daily chancra must be processed by an antiseptic, so that the damaged skin does not connect the secondary infection. To do this, any antiseptic fluid is applied to a sterile bandage and attached to the formation on the skin. Giant chancres can be rinsed, and then turn the bandage.

In the treatment of the disease, it is necessary to use complex drugs that allow you to get rid of the cause and remove the symptoms of the disease. The composition includes the following drugs:

  • Antibacterial ointments and gels;
  • Crims and injections of drugs against syphilis.

The basis of the treatment of syphilis are antibiotics. In venereal diseases, oxacillin, penicillin and ampicillin can be used. With proper treatment, small chancres completely disappear after two weeks of applying antibiotics, gigantic - in a month.

Even with the use of a wide spectrum of antibiotics, the human body is not able to cope with the disease alone. To cure syphilis faster, it is necessary to use drugs that form human immunity. A venereal disease can significantly reduce the immune defense of the body and cause secondary infection.

Syphilic Shankre does not require surgical removal. The "cutting" of the neoplasms will not affect the disease. Full cure from Shankra can only be achieved after the victory over the syphilis. Already in the first days of the effective therapy, Shankre begins to be gradually pale and decrease, and then completely disappears. If you do not injure Shankr on the spot of its formation there will be no trace. The exception can be sexual organs on which small bright markings can be formed.