Chancroid

ʻO Chancroid kahi maʻi bacteria i pāhola ʻia ma o ka pili moekolohe.

Hoʻokumu ʻia ʻo Chancroid e kahi bacteria i kāhea ʻia Haemophilus ducreyi.

Loaʻa ka maʻi i nā wahi he nui o ka honua, e like me ʻApelika a me ʻAkia hema hema. He kakaikahi loa ka poʻe i ʻike ʻia ma ʻAmelika Hui Pū ʻIa i kēlā me kēia makahiki me kēia maʻi. ʻO ka hapa nui o ka poʻe maʻAmelika Hui Pū ʻIa i ʻike ʻia me ka chancroid i loaʻa ka maʻi ma waho o ka ʻāina i nā wahi e ʻike pinepine ʻia ai ka maʻi.

Ma waena o 1 lā a i 2 mau pule ma hope o ka maʻi ʻana, e loaʻa i kahi kanaka kahi puʻupuʻu liʻiliʻi ma nā genital. Lilo ka puʻupuʻu i ulcer i loko o hoʻokahi lā ma hope o kona ʻike mua ʻia. ʻO ka ulcer:

• Nā laulā i ka nui mai 1/8 ʻīniha a i 2 ʻīniha (3 millimeter a i 5 kenimika) i ke anawaena
• ʻEhaʻeha
• Palupalu
• Ua wehewehe pono i nā palena
• Loaʻa kahi kumu i uhi ʻia me kahi mea hina a hina melemele-hina
• Loaʻa kahi kumu e kahe maʻalahi ke kuʻi ʻia a ʻānai ʻia paha

Ma kahi o hoʻokahi hapalua o nā kāne i loaʻa i ka maʻi i loaʻa i kahi maʻi maʻi maʻi hoʻokahi wale nō. Loaʻa i nā wahine he 4 a ʻoi aʻe o nā maʻi maʻi maʻi. Hōʻike nā ulcer i nā wahi kikoʻī.

ʻO nā wahi maʻamau o nā kāne:

• ʻŌmaka
• ʻO ke aniani ma hope o ke poʻo o ka peni
• Kahi o ka peni
• Ke poʻo o ka penis
• Wehe i ka penis
• ʻĀkala

I nā wahine, ʻo ka wahi maʻamau no ka ulcer ka lehelehe o waho o ka ʻūhū (labia majora). E hoʻomohala paha ka "honi ʻana i nā maʻi ʻeha." ʻO ka honi ʻana i nā ulcer nā mea e kū ma nā ʻaoʻao ʻē aʻe o ka labia.

ʻO nā wahi ʻē aʻe, e like me nā lehelehe loko o loko (labia minora), kahi ma waena o nā genital a me ka anus (perineal area), a me nā ʻūhā o loko e pili pū kekahi. ʻO nā hōʻailona maʻamau i nā wahine he ʻeha me ka urination a me ka moekolohe.

E like paha ka ulcer me ka ʻeha o ka syphilis mua (chancre).

Ma kahi o ka hapalua o ka poʻe i loaʻa i ka chancroid e hoʻomohala i nā lymph node i hoʻonui ʻia i ke aʻa.

I hoʻokahi hapalua o ka poʻe i pehu i nā aʻa lymph node, haki nā piko i loko o ka ʻili a hoʻonā i nā abscesses. ʻO nā lymph node pehu a me nā abscesses i kapa ʻia hoʻi he bubo.

Hoʻomaopopo ka mea mālama ola i ka chancroid e ka nānā ʻana i ka ulcer (s), ke nānā nei no nā pehu lymph pehu a me ka hoʻāʻo ʻana (e hoʻoholo ana) no nā maʻi i loaʻa i ka moekolohe. ʻAʻohe hōʻike koko no chancroid.

Mālama ʻia ka maʻi me nā lāʻau antibiotic e like me ceftriaxone, a me azithromycin. Pono e ninini ʻia nā huehue lymph node nui, me ka nila a i ʻole ke ʻoki kūloko.

Hiki ke ʻoi aku ka maikaʻi o Chancroid ma kāna iho. ʻO kekahi poʻe he mau mahina o ka maʻi ʻeha a me ka hoʻokahe ʻana. Hoʻomaʻemaʻe pinepine ka lāʻau Antibiotic i nā liona me ka scarring liʻiliʻi loa.

Hoʻopili nā pilikia me nā fistula urethral a me nā kaha i ka ʻōmaka o ka peni i nā kāne ʻoki poepoe ʻole ʻia. Pono e nānā ʻia ka poʻe me ka chancroid no nā maʻi i lawe ʻia e ka moekolohe, e like me syphilis, HIV, a me genital herpes.

I ka poʻe me HIV, hiki i ka chancroid ke hoʻolōʻihi i ka manawa e hoʻōla ai.

Kāhea i kahi manawa me kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā ʻōuli o chancroid
• Ua moe kolohe ʻoe me kahi kanaka āu e ʻike ai he maʻi lele kolohe (STI)
• Ua hana ʻoe i nā hana moekolohe kiʻekiʻe

Hoʻolahalaha ʻia ʻo Chancroid e ka pilina moekolohe me kahi kanaka maʻi. ʻO ka pale ʻana i nā ʻano hana moekolohe ʻo ia wale nō ke ala ākea e pale aku ai i kahi maʻi i loaʻa i ka moekolohe.

Eia nō naʻe, e hōʻemi paha nā ʻano moekolohe ʻoi aku kou palekana. ʻO ka hoʻohana kūpono o nā condoms, ke ʻano kāne a wahine paha, e hoʻoliʻiliʻi nui i ka makaʻu ʻana i ka maʻi i loaʻa i ka moekolohe. Pono ʻoe e ʻaʻahu i ka pale pale mai ka hoʻomaka a i ka hopena o kēlā me kēia hana moekolohe.

Kanikau palupalu; Ulcus molle; Maʻi maʻi hoʻoili - chancroid; STD - chancroid; Ka maʻi lele - chancroid; STI - chancroid

• ʻŌnaehana hānau kāne a wahine

James WD, Elston DM, McMahon PJ. Nā maʻi bacteria. I: James WD, Elston DM, McMahon PJ, hua. Nā maʻi a Andrews o ka Atlas Clinical Skin. Piladelapia, PA: Elsevier; 2018: chap 14.

ʻO Murphy TF. Haemophilus laha e komo pū ana H. influenzae a H. ducreyi (Chancroid). 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 225.