Can syphilis be cured

Syphilis is a sexually transmitted disease, which has a high chance of being transmitted to others. The main route of transmission is through sexual intercourse, and a small number of cases can be transmitted through blood transfusion or other routes. Syphilis has different stages, some are stage one, some are stage two, and some are stage three. This disease has received a lot of attention and requires active cooperation in treatment. So can syphilis be cured?

Do you know about syphilis? It is a sexually transmitted disease, and it can be transmitted through sexual intercourse, blood transfusion, kissing and other ways. If a pregnant woman has this disease, there is a high chance that it will be transmitted to the fetus. This requires early treatment. So can syphilis be cured?

1. Treatment principles

Emphasis is placed on early diagnosis, early treatment, regular treatment courses and adequate dosage. Clinical and laboratory follow-up were performed regularly after treatment. Sexual partners should be examined and treated together. Early syphilis can be clinically cured and its infectiousness eliminated through thorough treatment. Treatment of late syphilis can eliminate inflammation in tissues, but damaged tissues are difficult to repair.

Penicillins, such as aqueous penicillin, procaine penicillin, benzathine penicillin, etc., are the first choice drugs for syphilis at different stages. Those who are allergic to penicillin can choose tetracycline, erythromycin, etc. Some patients may experience Jasper-Hertz reaction at the beginning of penicillin treatment, which can be prevented by starting with a small dose or using other drugs. After treatment of syphilis, serum should be checked every 3 months in the first year, and then every 6 months for a total of 3 years. Neurosyphilis and cardiovascular syphilis should be followed up lifelong.

2. Early syphilis (including primary, secondary syphilis and early latent syphilis)

(1) Penicillin therapy: Benzathine penicillin G (long-acting penicillin) is injected intramuscularly into both buttocks once a week for 2-3 times. Procaine penicillin G, intramuscular injection, for 10 to 15 consecutive days, total amount 8 million units to 12 million units.

(2) For those who are allergic to penicillin, take tetracycline hydrochloride orally for 15 consecutive days. Doxycycline, taken for 15 consecutive days.

3. Late syphilis (including tertiary skin, mucosal, and bone syphilis, late latent syphilis) and secondary recurrent syphilis

(1) Penicillin benzathine penicillin G, once a week, intramuscularly, for a total of 3 times. Procaine penicillin G, intramuscular injection, for 20 days. The treatment can be repeated once after an interval of 2 weeks.

(2) For those who are allergic to penicillin, take tetracycline hydrochloride orally for 30 days. Doxycycline, taken for 30 days.

4. Neurosyphilis

The patient should be hospitalized for treatment. To avoid the occurrence of Gibson-Hertz reaction during treatment, oral prednisone should be taken one day before the penicillin injection, once a day for 3 consecutive days.

(1) Aqueous penicillin G is given intravenously for 14 consecutive days.

(2) Procaine penicillin G is injected intramuscularly and probenecid is taken orally for 10 to 14 days.

After the above treatment, benzathine penicillin G is continued, once a week, intramuscularly, for 3 consecutive weeks.

5. Syphilis during pregnancy

Treatment should be given according to the syphilis treatment plan for the corresponding stage of the disease. One course of treatment should be applied within the first 3 months of pregnancy and one course of treatment should be applied in the last 3 months of pregnancy. For those who are allergic to penicillin, erythromycin is used for treatment. It should be taken for 15 days in early stage syphilis and for 30 days in secondary recurrent and late stage syphilis. The baby born to her should be treated with penicillin.

6. Congenital syphilis

Early congenital syphilis (under 2 years old) with abnormal cerebrospinal fluid: treatment with aqueous penicillin G or procaine penicillin G. The specific dosage is subject to the doctor's advice. For patients with normal cerebrospinal fluid: benzathine penicillin G, one injection (into the gluteal muscles on both sides). If there is no condition to examine the cerebrospinal fluid, the patient can be treated as a patient with abnormal cerebrospinal fluid.

7. Treatment of syphilis in pregnant women

(1) Married women with a history of syphilis must undergo a comprehensive syphilis test before pregnancy. Women who have had unclean sexual life or have been infected with syphilis should go to a regular hospital for a comprehensive syphilis test before planning to get pregnant. For married women who have completed syphilis treatment and whose syphilis symptoms are not obvious, they can only become pregnant after confirming that syphilis has been cured.

(2) Syphilis detection and treatment during pregnancy: Syphilis serological tests should be performed in the first 3 months and the last month of pregnancy. If syphilis is found, regular treatment should be received to reduce the chance of congenital syphilis.

8. The Jaguar-Hai reaction in the treatment of syphilis

Within a few hours after the first use of the drug for syphilis treatment, fever, headache, joint pain, nausea, vomiting, and aggravation of the syphilitic rash may occur. These are called Jihai reactions, and the symptoms will usually be relieved within 24 hours. To prevent the occurrence of the Jasper-Hertz reaction, penicillin can be started from a small dose and gradually increased to the normal dose. For neurosyphilis and cardiovascular syphilis, a short course of prednisone can be given before treatment, administered in divided doses, and gradually discontinued 2 to 4 days after anti-syphilis treatment. Corticosteroids can reduce the fever of the Gilles reaction, but their effect on the local inflammatory response is uncertain.

9. Dietary considerations

The dietary adjustment after suffering from syphilis is the same as that of other infectious diseases. You should eat fresh vegetables and fruits rich in vitamins, eat less greasy food, avoid spicy food, quit smoking and drinking, and drink more water to help eliminate toxins in the body.

Can syphilis be cured? Doesn't this disease make us feel very scared? It is what we usually call AIDS. If someone is infected with such a disease, we will stay away from them. Syphilis is also contagious and a sexually transmitted disease. It is very harmful to the patient's physical and mental health. We must be able to prevent it in time.