Syphilis hānau

ʻO ka syphilis Congenital kahi maʻi nui, hoʻopau ʻole, a hoʻoweliweli pinepine i ke ola i ʻike ʻia i nā pēpē. ʻO kahi makuahine hāpai i loaʻa ka syphilis hiki ke hoʻolaha i ka maʻi ma o ka placenta i ka pēpē i hānau ʻole ʻia.

Hoʻokumu ʻia ka syphilis Congenital e ka bacteria Treponema pallidum, i hoʻoili ʻia mai ka makuahine a ke keiki i ka wā o ka ulu ʻana o ka fetal a i ʻole ka wā hānau. ʻO ka hapalua o nā pēpē āpau i pā ʻia me ka syphilis ʻoiai lākou i loko o ka ʻōpū e make koke ma mua a ma hope paha o ka hānau ʻana.

ʻOiai ʻo ka ʻoiaʻiʻo o kēia maʻi e hiki ke hoʻōla ʻia me nā lāʻau ʻalopika inā loaʻa i ka wanaʻao, ua hoʻonui ka piʻi ʻana o ka syphilis ma waena o nā wahine hāpai i ʻAmelika Hui Pū ʻIa i ka nui o nā pēpē i hānau ʻia me syphilis kūpuna mai ka makahiki 2013.

ʻO ka hapa nui o nā pēpē i loaʻa i nā maʻi ma mua o ka hānau ʻana he mea maʻamau. Ma ka hala ʻana o ka manawa, ulu paha nā ʻōuli. I nā pēpē ma mua o 2 mau makahiki, hiki i nā ʻōuli ke komo pū:

• Hoʻonui ākea a me / a i ʻole ʻāpala (nuipaʻa i ka ʻōpū)
• ʻO ka loaʻa ʻole o ke kaupaona a i ʻole ʻaʻole e holomua (me ka ma mua o ka hānau ʻana, me ka hānau haʻahaʻa haʻahaʻa)
• Fiva
• Huhū
• ʻO ka huhū a me ka haʻi ʻana o ka ʻili a puni ka waha, nā genital, a me ka anus
• Hoʻomaka ka lapalapa ma ke ʻano he palu liʻiliʻi, keu hoʻi ma nā pāma a me nā kapuwaʻi, a ma hope e loli ana i ke kala keleawe, pālahalaha a huʻi paha.
• Iwi (iwi) abnormalities
• ʻAʻole hiki ke hoʻoneʻe i kahi lima ʻeha a ʻūhā paha
• Pulu wai mai ka ihu

ʻO nā ʻōuli i nā pēpē makua a me nā keiki ʻōpio e hoʻopili pū paha:

• ʻO nā niho notched a me nā kui kui, i kapa ʻia nā niho ʻo Hutchinson
• ʻEha iwi
• Makapō
• Ke ao o ke kole (ka uhi o ka ʻōpeʻe maka)
• Hoʻolohe i ka hoʻolohe a i ke kuli paha
• Deformity o ka ihu me ka palahalaha ihu alahaka (noho lio)
• Pākuʻi hina, e like me ka mucus a puni ka anus a me ka lua
• Huʻi hui
• Mālamalama ʻo Saber (ka pilikia o ka iwi o ka wāwae lalo)
• ʻO ka ʻili ʻana o ka ʻili a puni ka waha, nā genital, a me ka anus

Inā manaʻo ʻia ka maʻi i ka manawa hānau, e nānā ʻia ka placenta no nā hōʻailona o syphilis. Hiki i kahi hoʻokolokolo kino ʻana o ke pēpē ke hōʻike i nā hōʻailona o ke akepaʻa a me ka palapū a me ka mumū o ka iwi.

Hana ʻia kahi hōʻike koko maʻamau no ka syphilis i ka wā hāpai. Hiki i ka makuahine ke loaʻa i nā hoʻokolohua koko aʻe:

• Hoʻomaʻamaʻa ʻia ka hōʻoia antibody treponemal fluorescent (FTA-ABS)
• ʻO ka reagin plasma wikiwiki (RPR)
• Hōʻike keʻena hoʻokolohua noiʻi maʻi maʻi Venereal (VDRL)

Loaʻa i kahi pēpē a keiki paha kēia mau hōʻike:

• Iwi-lā
• Ninaninau i ka mālaʻele e ʻike i nā koʻohune syphilis ma lalo o kahi microscope
• Ninaninau maka
• Lumbar puncture (spinal tap) - e wehe i ka wai o ka iwi kai no ka hoʻāʻo ʻana
• Nā ho'āʻo koko (e like me nā mea i helu ʻia ma luna no ka makuahine)

ʻO Penicillin ka lāʻau i koho ʻia no ka mālama ʻana i kēia pilikia. Hāʻawi ʻia paha e IV a i ʻole he kī ʻana a ʻoki paha. Hiki ke hoʻohana ʻia nā lāʻau ʻino ʻē aʻe inā maʻi maʻi ka pēpē i ka penicillin.

Nui nā pēpē i loaʻa i nā maʻi ma ke kakahiaka nui i ka wā hānau. ʻO ka mālama ʻana i ka makuahine e hāpai ana e hoʻohaʻahaʻa i ka makaʻu no ka syphilis congenital i loko o ke pēpē. ʻOi aku ka maikaʻi o ka nānā ʻana o nā pēpē i hele a hele i loko o ke kahawai hānau ma mua o ka poʻe i loaʻa mua i ka wā hāpai.

Nā pilikia olakino i hiki ke hopena inā ʻaʻole mālama ʻia ka pēpē e komo pū me:

• Makapō
• Kuli ke kuli
• Deformity o ka maka
• Nā pilikia ʻōnaehana hopohopo

Kāhea i kāu mea mālama ola inā loaʻa nā hōʻailona a hōʻailona paha o kāu maʻi i kēia maʻi.

Inā manaʻo ʻoe he syphilis paha kāu a hāpai ʻoe (a i ʻole hoʻolālā e hāpai keiki), e kāhea koke aku i kāu mea hāʻawi.

ʻO nā hana moekolohe palekana e pale i ka hoʻolaha ʻana o syphilis. Inā manaʻo ʻoe he maʻi kolohe kāu e like me syphilis, e ʻimi koke i ka lāʻau no ka hōʻalo ʻana i nā pilikia e like me ka maʻi ʻana i kāu pēpē i ka wā hāpai a hānau paha.

He mea nui ka mālama Prenatal. Hana ʻia nā hoʻokolohua koko maʻamau no ka syphilis i ka wā hāpai. Kōkua kēia mau mea i ka ʻike ʻana i nā makuahine i loaʻa i nā maʻi i hiki ke mālama ʻia e hōʻemi i nā pilikia i ke keiki a me lākou iho. ʻO nā pēpē i hānau ʻia i nā māku maʻi i loaʻa i ka lāʻau antibiotic kūpono i ka wā o ka hāpai ʻana he mea liʻiliʻi ia no ka syphilis.

Syphilis Fetal

ʻO Dobson SR, ʻo Sanchez PJ. Syphilis. I: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. ʻO Feigin lāua ʻo Cherry's Textbook of Pediatric Infectious Diseases. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 144.

ʻO Kollman TR, Dobson SRM. Syphilis. I: Wilson CB, Nizet V, Malonado YA, Remington JS, Klein JO, hua. ʻO nā maʻi maʻi Remington a me Klein o ka Fetus a me ke keiki hānau. 8th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 16.

Michaels MG, Williams JV. Nā maʻi maʻi maʻi. Zitelli BJ, McIntire SC, Norwalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2018: chap 13.