Donovanosis (granuloma inguinale)

ʻO Donovanosis (granuloma inguinale) kahi maʻi i lawe ʻia i ka moekolohe i ʻike ʻole ʻia ma United States.

Hoʻokumu ʻia ʻo Donovanosis (granuloma inguinale) e ka maʻi bacteria Klebsiella granulomatis. ʻIke ʻia ka maʻi ma nā wahi tropical a subtropical e like me India Hikina Hema, Guyana, a me New Guinea. Aia ma kahi o 100 mau hihia i hōʻike ʻia i kēlā me kēia makahiki i United States. Loaʻa ka hapa nui o kēia mau hihia i ka poʻe i huakaʻi a i ʻole mai nā wahi e ʻike pinepine ʻia ai ka maʻi.

Hoʻolahalaha nui ka maʻi ma o ka moekolohe a anal paha. Kākaʻikahi loa, hoʻolaha ʻia i ka wā o ka moekolohe ʻana.

Loaʻa ka hapa nui o nā maʻi i nā makahiki 20 a 40.

Hiki i nā ʻōuli ke hana i 1 a 12 mau pule ma hope o ka launa ʻana me ka maʻi e loaʻa ai ka bacteria.

Pākuʻi ʻia kēia mau mea:

• Nā ʻeha ma ka ʻāpana anal ma kahi o ka hapalua o nā hihia.
• ʻIke ʻia nā puʻupuʻu liʻiliʻi, pipi-ʻulaʻula ma nā genital a i ʻole ke anus.
• E hele mālie ka ʻili, a lilo nā puʻupuʻu i kiʻekiʻe, pipiʻulaʻula, a me nā nodule velvety i kapa ʻia heʻiʻo granulation. ʻAʻohe o lākou ʻeha, akā maʻalahi lākou i ke koko inā ʻeha.
• Hoʻolahalaha iki ka maʻi a luku i nāʻiʻo o ke kino.
• Hoʻolahalaha paha nā ʻino i ka aʻa.
• ʻO nā genital a me ka ʻili a puni lākou e nalowale ke kala o ka ʻili.

I kona wā mua, he paʻakikī paha e haʻi i ka ʻokoʻa ma waena o donovanosis a me chancroid.

I nā wā ma hope, nānā paha ka donovanosis e like me nā maʻi ʻōiwi holomua, lymphogranuloma venereum, a me ka amebiasis cogenese anogenital.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Ka moʻomeheu o nā hāpana kiko (paʻakikī e hana a ʻaʻole loaʻa maʻamau)
• ʻO ka ʻoki ʻana a i ʻole biopsy o ka leona

ʻO nā hoʻokolohua Laboratory, e like me ka mea i hoʻohana ʻia e ʻike ai i ka syphilis, aia wale nō ma kahi kumu noiʻi no ka diagnose donovanosis.

Hoʻohana ʻia nā antibiotic e mālama i ka donovanosis. Hiki i kēia mau mea ke komo pū me azithromycin, doxycycline, ciprofloxacin, erythromycin, a me trimethoprim-sulfamethoxazole. E hoʻōla i ke ʻano, pono ka mālama wā lōʻihi. Holo ka hapa nui o nā papa hana i 3 mau pule a i ka wā i pau pono ai ka ʻeha.

He mea nui ka hoʻokolokolo hope ʻana no ka mea hiki ke hele hou ka maʻi ma hope o ka hoʻōla ʻia ʻana.

ʻO ka mālama ʻana i kēia maʻi e hoʻoliʻiliʻi i ka manawa i ka pohō a i ʻole ka scarring. ʻO ka maʻi i hana ʻole ʻia e alakaʻi aku ai i ka hōʻino ʻia o nā aʻa genital.

ʻO nā pilikia olakino i hopena ʻia mai kēia maʻi ʻo:

• Ka hōʻino kino a me ka scarring
• Ka nalowale ʻana o ke kala o ka ʻili ma kahi genital
• Hoʻomaʻamaʻa paʻa paʻa mau ma muli o ka scarring

Kāhea i kahi manawa me kāu kahu mālama ola inā:

• Ua moe kolohe ʻoe me kahi kanaka i ʻike ʻia he donovanosis kāu
• Hoʻokumu ʻoe i nā ʻōuli o ka donovanosis
• Hoʻolālā ʻoe i kahi ulcer i ka genital area

ʻO ka pale ʻana i nā hana moekolohe ʻo ia wale nō ke ala e pale aku ai i kahi maʻi i lawe ʻia e ka moekolohe e like me donovanosis. 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.

Granuloma inguinale; Maʻi maʻi hoʻoili - donovanosis; STD - donovanosis; Maʻi maʻi hoʻoili - donovanosis; STI - donovanosis

• Nā ʻili o ka ʻili

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 Saunders; 2017: chap 23.

ʻO Ghanem KG, Hoʻolaha EW. Granuloma inguinale (Donovanosis). I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier Saunders; 2020: chap 300.

ʻO Stoner BP, Reno HEL. Klebsiella granulomatis (donovanosis, granuloma inguinale). 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 Saunders; 2020: chap 235.