ʻO Yaws

ʻO Yaws kahi maʻi bacteria lōʻihi lōʻihi (mau) e hoʻopili nui i ka ʻili, nā iwi, a me nā hono.

ʻO Yaws kahi maʻi i hoʻokumu ʻia e kekahi ʻano o ka Treponema pallidum koʻohune. Pili loa ia i ka maʻi bacteria e kumu ai i ka syphilis, akā ʻaʻole i lawe ʻia kēia ʻano o ke koʻohune i ka moekolohe. Hoʻopili nui ʻo Yaws i nā keiki ma kuaʻāina, mehana, nā wahi wela, e like me, ʻApelika, nā mokupuni Pākīpika Komohana, a me ʻAsia Hikina Hema.

Hoʻouna ʻia ʻo Yaws e ka hoʻopili pololei ʻana me nā ʻeha o ka ʻili o nā kānaka maʻi.

Ma kahi o 2 a 4 mau pule ma hope o ka maʻi, hoʻomohala ke kanaka i kahi ʻeha i kapa ʻia ʻo "yaw makuahine" kahi i komo ai ka bacteria i loko o ka ʻili. He ʻeleʻele a ʻulaʻula paha ka ʻeha a like ke ʻano me ka huaʻalani. ʻOi pinepine ʻole ka ʻeha, akā kumu ʻia ka ʻili.

He mau mahina ka hala ʻana o ka ʻeha. Hiki ke ʻike ʻia he ʻeha hou aʻe ma mua a ma hope paha o ka hoʻōla ʻana o ka makuahine. Hiki i ka ʻeha ʻana o ka ʻeha ke pāhola i nā bacteria mai ka māhu yaw a i ka ʻili uninfected. ʻO ka hope, hoʻōla ka ʻeha o ka ʻili.

ʻO nā ʻōuli ʻē aʻe e like me:

• ʻEha iwi
• ʻArr ʻili o ka ʻili
• ʻO ka pehu ʻana o nā iwi a me nā manamana lima

I ke kūlana kiʻekiʻe, hiki i nā ʻeha ma ka ʻili a me nā iwi ke alakaʻi i ka disfigurement a me ke kīnā ʻole. Kū kēia i loko o 1 i 5 mau kānaka i loaʻa ʻole ka lāʻau antibiotic.

Nānā ʻia kahi laʻana mai kahi ʻili ʻeha ma lalo o kahi ʻano kūikawā o microscope (ninaninau ʻeleʻele).

ʻAʻohe hōʻike koko no nā yaws. Eia nō naʻe, maikaʻi ka hoʻāʻo ʻana o ke koko no ka syphilis i ka poʻe me nā yaws no ka mea pili loa ka bacteria i kumu ʻia ai kēia mau ʻano ʻelua.

Hoʻopili ka mālama ʻana i hoʻokahi mahele lāʻau o ka penicillin, a i ʻole 3 mau pule i kēlā me kēia pule no ka maʻi ma hope. Kākaʻikahi ka hoʻi ʻana o ka maʻi.

ʻO nā kānaka e noho nei i ka hale like me ka mea i loaʻa i ka maʻi pono e nānā ʻia no ka yaws a mālama ʻia inā maʻi lākou.

Inā mālama ʻia i kona wā mua, hiki ke hoʻōla ʻia nā yaws. He mau mahina paha ka leona ʻili e hoʻōla ai.

Ma ke kahua hope loa, ua hōʻino paha ka yaws i ka ʻili a me nā iwi. ʻAʻole paha e hiki ke hoʻohuli hou ʻia, ʻoiai me ka lāʻau.

Hiki i nā Yaws ke hōʻino i ka ʻili a me nā iwi. Hiki ke hoʻololi i ka helehelena o ke kanaka a me ka hiki ke neʻe. Hiki iā ia ke kumu i nā hemahema o nā wāwae, ka ihu, ka pā, a me ka iwi ā luna.

Kāhea aku i kāu kahu mālama ola inā:

• He ʻeha kou a ʻo kāu keiki paha ma ka ʻili a iwi paha i hele ʻole aku.
• Ua noho ʻoe ma nā wahi wela kahi i ʻike ʻia ai nā yaws.

Frambesia tropica

ʻO Ghanem KG, Hoʻolaha EW. Nā treponematoses Nonsyphilitic. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 304.

ʻO Obaro SK, Davies HD. Nā maʻi maʻi nonvenereal treponemal. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 249.