|
卫生部：10年内基本消除先天梅毒
来源：扬州晚报 2010年06月22日08:19
针对全国梅毒疫情连年攀升的严峻形势，卫生部近日出台《中国预防与控制梅毒规划(2010-2020年)》提出，加强梅毒和艾滋病防治有效结合，通过5年努力，有效遏制梅毒疫情快速上升；通过10年努力，降低一期和二期梅毒发病率，并实现基本消除先天梅毒目标。
扬州市梅毒目前的发病情况如何，在防治措施上有什么好办法？相关专家告诉记者：“近4年来，扬州淋病、梅毒的发病人数已占到各类传染病的前5位，发病数有明显上升趋势,其中高危人群中发病率相当高。”
一个月查出8例患者 最大岁数70多
20岁出头的王先生最近手掌、脚掌有多处不痛不痒的暗红斑。起先王先生以为是某种真菌性皮肤病，用皮炎平、达克宁霜等药涂抹后，毫无效果。无奈之下，王先生找到皮肤科的医生。
医生一看他手上的暗红斑，心里就有数了：“这不是一般的皮肤病，是梅毒。”医生安排王先生做梅毒血清试验，结果显示二期梅毒。至于为什么会患上梅毒，王先生自然想起了几个月前的一次高危行为：“谁想到会一次就患上这个病了呢？！”
70多岁的孟大妈看到检查结果，怎么也不敢相信。“我都70多岁了，什么坏事也没干，肯定是医院检查出了问题。”但再次检查仍显示她患上了梅毒。”原来，是孟大妈的家人有梅毒，她因个人卫生没注意好被间接传染上了。
苏北医院临床检测中心主任王晓铃告诉记者，最近一个月，中心检查出梅毒阳性的有8个，“很多人自身还没感觉到症状，多是在手术前或妊娠孕妇中查出的。最大岁数的70多岁，最小的是刚出生的婴儿。”而儿科，就在最近两月，接连收治了7名“梅毒宝宝”。
“90年代初，性病病种以淋病、尖锐湿疣、非淋菌性尿道炎为主，近几年来，梅毒发病呈快速上升之势，其增长幅度超过其他病种。”疾控专家指出，由于许多感染者无症状或出于个人隐私等原因，常常到“黑诊所”求诊，导致疾控部门无法统计监测到准确数据，实际发病率可能还要高。有专家认为，梅毒等性病大幅增加，与不洁性行为人群蔓延扩散有着必然的联系。
婚检、孕检掉以轻心 孩子一出生就是梅毒儿
于女士是外地人，去年怀孕后就放弃手头工作随打工的丈夫来扬。生孩子本是高兴的事，但家人却被告知宝宝是梅毒儿，需要马上抢救治疗。
“其实于女士在当地孕前检查时就被查出是梅毒患者，但因她没感觉到有明显不适，就放弃了治疗。在我们医院分娩前被查出她是梅毒，孩子生下来后检查发现血液中病毒浓度很高。随后送入儿科治疗。”妇幼保健院产科主任顾春美介绍，这名患儿病情比较严重，梅毒已侵犯到他的骨头。母亲非常后悔，但悲剧已发生。
记者了解到，近年来，我市各医院不断接生出患先天性梅毒的胎儿，有些还没出生就胎死腹中。
“新生儿梅毒是母体血液中的梅毒螺旋体经胎盘进入胎儿血液循环，造成胎儿全身性感染。小宝宝出生后，除了出现皮疹外，还可能引起多发性的骨骼病变，严重影响宝宝的身心健康。”顾春美说，目前之所以出现越来越多的梅毒儿，很重要的一个原因是强制婚检取消了，还有一些准妈妈不重视孕期检查，“其实只要进行了婚前检查或者孕前检查，梅毒是很容易被发现的，而且通过治疗可以将这个病控制得很好，也不会传染给下一代。对于准妈妈而言，越早治疗效果越好。”
花了上万元 梅毒却没治得好
王芳出现了一些妇科症状，与梅毒特别相似，但去大医院难为情，又怕碰上熟人，于是选择了一家小医院。“没错，你这就是梅毒，不过不用担心，我们这正好有一种新药，保证能治好，就是价钱贵点。”
王芳开始在医院输液，一、两天后她觉得症状确实有所缓解，便放心治疗了，继续购买两个疗程，花费4千元。可接下来，问题出现了，只要一停用，病情就反复。她再次来到这家医院，医生解释是——梅毒很难根治，需要长期、坚持用药。为巩固疗效，王芳又买了几个疗程，花费已近万元。四五个月后，王芳感到不对劲，病情似乎没任何好转，她决定去大医院就诊。
的确，王芳患有梅毒，“这没什么好担心的，用青霉素治疗，可能几百元就看好了，怎么要万把块呢？”为王芳看病的医生也很不解，“青霉素是梅毒最好的克星，价格非常便宜，如果青霉素过敏还可以用红霉素。梅毒患者不要轻信一些小医院宣传，应选择正规医院规范、科学治疗。”
提醒：性病患者得艾滋概率高300倍
“有关数据显示，我国暗娼人群中梅毒患病率为5-18%（部分地区低档场所暗娼中的感染率高达30%以上）。性病的流行不仅成为严重的疾病负担，且将会加速HIV的流行。”市疾控中心急传科科长张军告诉记者，大量研究表明，性病与HIV感染之间存在协同关系，可以增加HIV的传染性和易感性，相对危险性可高达300倍，促进HIV的持续传播和扩散，成为HIV传播的重要危险因素。通俗来说，性病患者较普通人更易感染上艾滋病。这是因为性病在艾滋病的传播上起着双向作用。由于不洁性行为的增加，性病发生率也随之增加。
此外，性病患者感染艾滋病病毒、感染后传播给他人的几率都很高。这是因为性病患者皮肤的破损部位，是艾滋病病毒传播的重要途径。“洁身自好，是预防梅毒最有效的途径！”
- 艾滋病早期治疗是康复与延长30～60年生命的保
- 艾滋病免疫重建的重要意义是挽救生命的根本
- 从食品植物研究开发的治疗艾滋病新药三合皂甙
- 康生丹颗粒免疫实验提示符合艾滋病、肿瘤等应
- 鸡尾酒疗法并非万能，抗药性与毒副作用导致联合疗法与中药疗法应用的迫切性
- 公布几例康生丹治疗艾滋病的检测报告照片
- 康生丹配合西药治疗AIDS总结
- 三合皂甙，康生丹片
- 中药康生丹治愈艾滋病中医论析
-
-
Ministry of Health: the basic elimination of congenital syphilis in 10 years
Source: Yangzhou Evening News at 8:19 on the June 22, 2010
Syphilis outbreaks year after year for the country's grim situation, the Ministry of Health recently published "Prevention and Control of syphilis Planning (2010-2020)" proposed to strengthen the effective integration of prevention and treatment of syphilis and AIDS, through the 5-year effort to effectively curb the epidemic of syphilis rose rapidly; Through 10 years of efforts to reduce one and two syphilis, and to achieve the basic goal of elimination of congenital syphilis.
Yangzhou City, the incidence of syphilis current situation, prevention and control measures in any good way? Experts told reporters: "Over the last four years, Yangzhou gonorrhea, syphilis incidence of various infectious diseases have accounted for the top five, there is clear upward trend in incidence, in which high-risk groups in the incidence rate is very high."
Month, the maximum age of 8 patients found more than 70
Mr. Wang in his early 20s recently palms and soles, dark multiple superficial erythema. Wang initially thought it was some kind of fungal skin diseases, with Pi Yan Ping, Miconazole Nitrate Cream and other drugs smear, no effect. In desperation, Mr. Wang to find skin doctor.
Doctors saw a dark red spot in his hand, there are a few of the heart: "This is not an ordinary skin diseases, syphilis." Medical arrangements for Mr. Wang to do syphilis test results show that secondary syphilis. As to why the risk of syphilis, Wang naturally think of a few months ago a high-risk behavior: "Who thought I'd be the first to suffer from the disease out?!"
Mon 70-year-old Aunt to see test results, how could believe. "I have more than 70 years old, have not been doing a bad thing, definitely check out the hospital issue." But again, check the remains showed that she suffered from syphilis. "So, is Aunt Meng's family has syphilis, she did not pay attention to good personal hygiene is a result of indirect transmission on the.
Northern Hospital, Wang Ling, director of clinical testing told reporters last month, the center check out the syphilis positive in eight, "yet many people feel their symptoms, more than before the surgery or pregnancy, pregnant women identified. Maximum age 70 years old and the youngest is a newborn baby. "paediatrics, in the past two months, admitted the seven series of" syphilis baby. "
"The early 90s, sexually transmitted diseases to gonorrhea, genital warts and non-gonococcal urethritis based, in recent years, syphilis was fast on the rise, its growth rate than other diseases." Disease control experts, as Many infected asymptomatic or for privacy reasons, often to the "black clinics" treatment, resulting in disease control departments to accurate statistical monitoring data can not be the actual incidence may be even higher. Some experts believe that a substantial increase in syphilis and other sexually transmitted diseases, and spreading dirty sex groups intrinsically linked.
Premarital examinations, pregnancy testing lightly children born with syphilis children
Ms is the outsider, the work at hand to give up last year after pregnancy with her husband working to Yang. Having children is a happy thing, but his family was told that the baby is syphilis children, need immediate emergency treatment.
"In fact, Ms at the local pre-pregnancy check was found to be syphilis, but she did not feel significant discomfort, give a treat. In our hospital was diagnosed before delivery she was syphilis, a child born after the examination revealed high concentrations of virus in the blood. then sent to pediatric treatment. "Maternal and Child Health Hospital obstetrics director Gu Chun-Mei introduction, this more serious illness in children, syphilis has been violated to his bones. Mother, regret, but the tragedy has occurred.
This reporter learned that, in recent years, city hospitals continue to take birth with congenital syphilis in the fetus, some not yet born stillborn.
"Neonatal maternal syphilis is Treponema pallidum in the blood through the placenta into the fetal circulation, resulting in fetal systemic infection. The baby was born, skin rash, may also be caused by multiple bone lesions, serious impact on your baby's physical and mental health. "Gu Chun-mei said that the current syphilis was the result of more and more children, a very important reason is that ups removed, some mothers do not attach importance to pregnancy check," In fact, as long as was premarital examination or inspection before pregnancy, syphilis is easily found, but also by the treatment of this disease can be controlled very well and will not be transmitted to the next generation. mother is concerned for the para, the sooner the better treatment. "
Million spent on the good government of syphilis Quemei
Fang there have been some gynecological symptoms, and syphilis in particular similar, but go to major hospitals embarrassed, afraid run into an acquaintance, so he chose a small hospital. "Yes, this is your syphilis, but do not worry, we just have a new drug that is guaranteed to cure, is the price of your point."
Fang started in the hospital transfusion, a day or two later she felt really eased symptoms, treatment will be assured, and continue to buy the two treatments, spent four thousand dollars. But then the question arises, as long as a disabled, his condition again. She once again came to the hospital, doctors explained that - difficult to cure syphilis, require long-term, persist in drug use. To consolidate the curative effect, Fang bought a few treatments, spent nearly 10,000 yuan. Four months later, Fang was wrong, the condition did not seem any better, she decided to go to big hospital.
Indeed, Wang Fang syphilis, "It's nothing to worry about, treatment with penicillin may be several hundred dollars on the optimistic, and how to 10000 block it?" Physicians for the Fang also very puzzled, "syphilis is penicillin best nemesis, the price is very cheap, if allergic to penicillin, erythromycin can also be used. syphilis Do not believe propaganda of some small hospitals, the hospital should be chosen formal specification, scientific treatment. "
Reminder: STD patients were 300 times higher probability of HIV
"The data show that among China's commercial sex workers in syphilis prevalence was 5-18% (low places sex workers in some areas the infection rate as high as 30% or more). STD epidemic has not only become a serious burden of disease, and will accelerate HIV, Pop. "city chief of the CDC emergency transfer Zhang Jun told reporters that a large number of studies have shown that sexually transmitted diseases and HIV infection synergies between, and can increase susceptibility to infectious HIV, the relative risk of up to 300 times, to promote the continued spread of HIV and spread to become a major risk factor for HIV transmission. Popular for sexually transmitted diseases more than the average person infected with HIV. This is because the spread of sexually transmitted diseases in the AIDS plays a dual role. Since the increase of dirty sex, sexually transmitted diseases have increased incidence.
In addition, the STD patients infected with HIV, the infection on to others the chances are very high. This is because the skin of the damaged parts of STD patients is an important means of HIV transmission. "Abstinence is the most effective way to prevent syphilis!"
|
