Lymphogranuloma venereum

ʻO Lymphogranuloma venereum (LGV) kahi maʻi bacteria i hoʻoili ʻia i ka moekolohe.

ʻO LGV kahi maʻi lōʻihi (mau) o ka ʻōnaehana lymphatic. Hoʻokumu ʻia ia e kekahi o nā ʻano ʻekolu (serovars) o ka bacteria Chlamydia trachomatis. Hoʻolahalaha ʻia nā bacteria e ka pili kolohe. ʻAʻole hoʻokumu ʻia ka maʻi e nā koʻohune like i kumu ʻia ka chlamydia genital.

ʻOi aku ka maʻamau o LGV ma Central a me ʻAmelika Hema ma mua o ʻAmelika ʻĀkau.

ʻOi aku ka maʻamau o LGV i nā kāne ma mua o ka wahine. ʻO ka mea nui weliweli ka HIV-maikaʻi.

Hiki i nā ʻōuli o LGV ke hoʻomaka i kekahi mau lā i hoʻokahi mahina ma hope o ka pili ʻana me nā bacteria. ʻO nā hōʻailona me:

• Kahe ma o ka ʻili mai nā lymph node i ke aʻa
• ʻO ka neʻe ʻana o ka ʻōpū ʻeha (tenesmus)
• ʻO ka ʻehaʻeha liʻiliʻi ma luna o nā genital kāne a i ʻole i ka maʻi genital wahine
• ʻO ka pehu a me ka ʻula o ka ʻili i ka ʻeha
• ʻO ka pehu ʻana o ka labia (i nā wahine)
• Pehu nā pūnana lymph ma nā ʻaoʻao ʻelua a ʻelua paha; pili paha ia i nā lymph node a puni ka rectum i ka poʻe i loaʻa ka anal
• Koko a i ʻole puʻupuʻu mai ka pololei (ke koko i loko o nā noho.

E nānā ka mea mālama ola iā ʻoe. E nīnau ʻia ʻoe e pili ana i kāu mōʻaukala a me kāu mōʻaukala. E haʻi i kāu mea hāʻawi inā loaʻa ka moekolohe me kekahi āu e manaʻo ai ua loaʻa nā ʻōuli o LGV.

E hōʻike paha kahi hōʻike kino:

• ʻO kahi kuʻi ʻana, pili pilina (fistula) i ka ʻāpana o ka ʻāwaha
• ʻO kahi ʻeha ma nā genital
• Kahe ma o ka ʻili mai nā lymph node i ke aʻa
• ʻO ka pehu ʻana o ka vulva a labia paha i nā wahine
• Pehu nā lymph node i ke aʻa (inguinal lymphadenopathy)

E komo pū paha nā hoʻāʻo:

• ʻO Biopsy o ka lymph node
• ʻO ka hoʻāʻo ʻana i ke koko no nā koʻohune e kumu ai iā LGV
• Hōʻike Laboratory e ʻike iā chlamydia

Mālama ʻia ʻo LGV me nā lāʻau antibiotic, me doxycycline a me erythromycin.

Me ka lāʻau, maikaʻi ka nānā a hiki ke manaʻo ʻia ka hoʻōla piha.

ʻO nā pilikia olakino i hopena ʻia mai ka maʻi LGV me:

• Nā pilina maʻamau ma waena o ka pololei a me ka ʻōpū (fistula)
• ʻO ka mumū o ka lolo (encephalitis - kākaʻikahi loa)
• Nā maʻi i loko o nā hono, nā maka, ka puʻuwai, a me ke akepaʻa
• ʻO ka hoʻowahā lōʻihi a me ka ʻōhū o nā genital
• Scarring a me ka hoʻopili ʻana o ka pololei

Hiki i nā pilikia ke kū i nā makahiki he nui ma hope o kou maʻi mua.

Kāhea i kāu mea hāʻawi inā:

• Ua launa pū ʻoe me kekahi i loaʻa i ka maʻi lele i ka moekolohe, e like me LGV
• Hoʻolālā ʻoe i nā ʻōuli o LGV

ʻO ka loaʻa ʻole o ka hana moekolohe ke ala hoʻokahi e pale aku ai i ka maʻi lele. Hiki paha i nā hana moekolohe ke palekana i ka hopena.

ʻO ka hoʻohana kūpono o nā condoms, ke ʻano kāne a wahine paha, e hoʻoliʻiliʻi nui i ka makaʻu ʻana i ka maʻi i lawe ʻia e ka moekolohe. Pono ʻoe e ʻaʻahu i ka pale pale mai ka hoʻomaka a i ka hopena o kēlā me kēia hana moekolohe.

LGV; Lymphogranuloma inguinale; Lymphopathia venereum

• ʻŌnaehana Lymphatic

ʻO Batteiger BE, ʻo Tan M. Chlamydia trachomatis (trachoma, nā maʻi urogenital). I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 180.

Gardella C, Eckert LO, Lentz GM. ʻO nā maʻi maʻi genital: vulva, vagina, cervix, maʻi hōʻeha kūpilikiʻi, endometritis, a me salpingitis. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 23.