梅毒不仅侵害性器官 Syphilis is not only infringe upon sex organ

啊？眼睛也会染梅毒！ ah?The eye also can dye syphilis!

受访专家/广州中医药大学第一附属医院眼科主任医师 黄仲委 Interviewed experts/guangzhou university of Chinese medicine first affiliated hospital of ophthalmology HuangZhongWei chief physician

　　一说到梅毒，大家都知道是性病，以为受害的部位肯定是性器官。其实不然，梅毒几乎可以累及所有器官和系统，梅毒甚至可以侵犯眼部，引起各种眼部病变。如果你有过不洁性生活史，又出现了眼部疾病，在就医时应坦诚相告，可以帮助医生准确诊断，以免贻误了治疗时机。

Said to syphilis,Everyone knows that is venereal disease,Think victimized parts must be sex organ.Actually otherwise,Syphilis can almost all the organs and systems,Syphilis can even infringe upon eye,Cause all kinds of eye disease.If you had impurity sexual life,Again appeared eye disease,In when go to a doctor should tell the truth,To help doctors accurate diagnosis,In order to avoid delay the treatment time.

不洁性生活可致眼梅毒 Dirty sex can cause eye syphilis

　　广州中医药大学第一附属医院眼科主任医师黄仲委介绍，梅毒病原体叫梅毒螺旋体，对人体泌尿生殖器官的皮肤黏膜有很强的亲和力，只要有极细微的破损，它就可以乘机钻进去而致病。性接触是梅毒的主要传播途径，占其95%以上。梅毒螺旋体存在于患者的血液、分泌物、乳汁中，因此，除性接触直接传染外，还可能通过接吻、哺乳、握手、输血和接触被患者分泌物污染的衣裤、被褥和日常用品造成传播。患者年龄分布很广，从婴幼儿到成年人，甚至高龄老人患病也屡有所见。

The first affiliated hospital of guangzhou university of Chinese medicine eye chief physician HuangZhongWei is introduced,Syphilis pathogens that treponema pallidum,On human urogenital organs of the mucous membrane of the skin has a strong affinity,As long as there is extremely slight damage,It can seize the opportunity to drilling and cause disease.Sexual contact is the main route of transmission of syphilis,Of the more than 95%.Treponema pallidum in patients with blood/secretion/Breast milk,therefore,In addition to sexual contact directly outside the infection,May through the kiss/lactation/Shake hands/Blood transfusion and contact is patient discharge pollution and tights/Bedding and articles of everyday use has transmission.Patient age distribution is very wide,From infants to adults,Even elderly sick also often see somewhat.

　　据报道，广东今年梅毒发病的特点是以隐性梅毒为主，隐性梅毒大多是在体检、婚检、献血前检查、手术前检查发现的。隐性梅毒的可恶之处就是没有症状，患者并不知道自身患病，但是有传染性，越是早期传染性越强，几年后会发展为晚期的三期梅毒。黄仲委介绍，很多人印象中，梅毒只发病于性器官，其实不然，梅毒几乎可以累及所有器官和系统，甚至眼部都可能被梅毒侵犯！

According to the report,This year the characteristics of guangdong syphilis disease is recessive syphilis is given priority to,Recessive syphilis are mostly in the physical examination/check-ups/Blood donation inspection/Before the operation of the findings.Recessive syphilis wretched place is no symptoms,Patients do not know their own sick,But there are infectious,The stronger the more early infectious,A few years later will be to develop advanced three syphilis.HuangZhongWei introduced,A lot of people the impression,Syphilis only disease in the genitals,Actually otherwise,Syphilis can almost all the organs and systems,Even eye may be syphilis invasion!

双眼受累，视力受损 Eyes involvement,Visually impaired

　　黄仲委主任曾接诊过一位七十多岁的老人，他因为症状较重的葡萄膜炎住院。老人身材高大，丧偶，是位工程师，退休后应聘到外地工作。医生按常规询问，老人否认有风湿、结核等葡萄膜发炎的常见因素。在专科治疗的同时，医生给他做了梅毒血清检查，果然是阳性！追问病史，老人对自己患上梅毒很愕然，但承认在外地工作期间，曾有不洁性生活史。这显然是隐性梅毒患者。

HuangZhongWei director had accepts a more than seventy - year - old man,Because of his symptoms heavier uveitis in hospital.The old man tall,widowed,Is an engineer,After retiring to apply for work outside.The doctor ask according to routine,The old man denies rheumatism/Tuberculosis and grape membrane inflammation common factors.In specialist treatment at the same time,The doctor gave him an syphilis serum examination,It was positive!Cross-examine history,The old man to oneself have syphilis was startled,But admit in the field during the work,There have been impurity sexual life.This obviously is recessive syphilis patients.

　　据了解，梅毒的各型各期均可发生眼部病变，常双眼受累，比较常见的有角膜基质炎、葡萄膜炎、视网膜脉络膜炎、视神经炎、视神经萎缩，对患者视力造成严重的损害。其中，葡萄膜炎多发生在感染梅毒6周以后；眼睑或结膜下疳在梅毒一期就可以发生；泪囊炎多发生于梅毒在二期；巩膜炎较多在梅毒二期或三期发病。梅毒三期可侵犯眼运动神经、视神经等，表现为上睑下垂、斜视、瞳孔大小不一、视神经萎缩等。梅毒螺旋体可通过胎盘脐带血传播，引起婴儿先天性梅毒性眼病。

It is understood,Syphilis of various periods all can happen eye lesions,Often eyes involvement,More common are corneal stroma inflammation/uveitis/Retinal choroiditis/Optic neuritis/Optic atrophy,Vision to patients caused severe damage.the,Uveitis occurs in syphilis infection after 6 weeks;Eyelid or conjunctival chancre in syphilis a period can happen;Dacryocystitis multiple was born in syphilis in the second phase;Scleritis is more in the second phase of syphilis or the third phase of disease.Syphilis three period can be encroached eye motor nerve/Optic nerve, etc,For the performance of the ptosis/strabismus/Pupil size is differ/Optic atrophy, etc.Treponema pallidum can through the placenta cord blood spread,Cause birth syphilitic ophthalmopathy.

早期正确治疗，眼梅毒可治愈 Early correct treatment,Eye syphilis can heal

　　黄仲委提醒，如果知道自己患有梅毒，或有过不洁性生活史，而眼部出现疾病后，就医时应该主动把病史告知医生，避免让治疗走弯路。

HuangZhongWei remind,If know themselves with syphilis,Or had impurity sexual life,And the eye appears after the disease,When go to a doctor should be active in the history told the doctor,Avoid let treatment detours.

　　眼梅毒临床表现根据传染途径、部位而不同，只要能早期做出诊断，并给予正确的治疗，是有可能治愈的。对眼梅毒的治疗，应该以积极治疗梅毒为前提，争取血清阴转率早日真正实现，这样，眼科治疗的效果才能巩固，才有可能达到根治或控制的目的。梅毒的治疗不要误信江湖术士，青霉素是杀灭梅毒螺旋体的有效药物，要及时、正规、足量、持续给药，才能避免病情反复。

Eye syphilis clinical manifestations according to the route of infection/Parts and different,As long as you can make early diagnosis,And give the correct treatment,It is possible to cure.The treatment of ocular syphilis,Should be positive for syphilis as the prerequisite,For serum Yin turn rate true as soon as possible,this,Eye treatment effect to consolidate,Can be cured or the purpose of control.The treatment of syphilis river don't mistakenly believed the warlock,Penicillin is kill treponema pallidum effective drugs,To timely/normal/enough/Continue to medicine,To avoid the illness relapses.

　　梅毒性眼病患者平时要注意个人卫生，经常洗手，不要用手揉眼睛；内衣裤、毛巾、被褥等要单独使用，经常煮沸消毒。要注意公共道德，沾有眼分泌物的纸巾不要乱丢。梅毒患者的亲密接触者也应做血清学检查，以排除被传染的可能。(文/记者 陈辉 通讯员 张秋霞)

Syphilitic patients with eye diseases at ordinary times should pay attention to personal hygiene,To wash your hands often,Do not use hand rub eyes;underwear/towel/Bedding should used alone,Often boil disinfection.Attention should be paid to public morals,Is stained with eye secretion of tissue don't litter.Syphilis patients with intimate contact person also should do serology check,To rule out the possibility of infected.(Wen/reporter ChenHui correspondent ZhangQiuXia)