Trachoma

ʻO Trachoma kahi maʻi o ka maka i hoʻokumu ʻia e nā bacteria i kapa ʻia ʻo chlamydia.

Hoʻokumu ʻia ʻo Trachoma e ka maʻi me nā bacteria Chlamydia trachomatis.

Kū ke ʻano a puni ka honua. ʻIke pinepine ʻia ia i nā wahi kaiāulu o nā ʻāina kūkulu. Hoʻopili pinepine ʻia nā keiki. Eia nō naʻe, ʻaʻole e ʻike ʻia ka scarring e ka maʻi a hiki i ka hope o ke ola. ʻAʻohe laha ke ʻano ma ʻAmelika Hui Pū ʻIa. Eia nō naʻe, hiki ke hana ʻia i nā ʻano nohona lehulehu a haumia ʻole paha.

Hoʻolahalaha ʻia ʻo Trachoma ma o ka pili pololei ʻana me ka maka o ka maka, ka ihu, a me nā wai ʻāʻī. Hiki ke hala pū ʻia e ka launa ʻana me nā mea haumia, e like me nā kāwele a i ʻole nā ​​lole. Hiki i kekahi mau lele ke hoʻolaha i nā bacteria.

Hoʻomaka nā ʻōuli he 5 a 12 mau lā ma hope o ka hōʻike ʻia ʻana i ka maʻi bacteria. Hoʻomoe mālie ke ʻano. ʻIke mua ʻia e like me ka līlū o nā mea e uhi ana i nā lihilihi (conjunctivitis, a i ʻole "maka ʻākala"). ʻAʻole mālama ʻia, hiki i kēia ke alakaʻi i ka scarring.

Pākuʻi ʻia paha nā ʻōuli:

• Kukā opua
• Hoʻokuʻu mai ka maka
• ʻO ka pehu ʻana o nā lymph node ma mua pono o nā pepeiao
• ʻO nā kuʻemaka pehu
• Nā kuʻemaka i hoʻohuli ʻia

E hana ka mea mālama ola i kahi hoʻokolohua maka e nānā no ka scarring ma loko o ka uhi o ka maka o luna, ʻulaʻula o ka ʻāpana keʻokeʻo o nā maka, a me ka ulu ʻana o nā kīʻaha koko hou i loko o ke kō.

Pono nā hoʻokolohua lab e ʻike i ka bacteria a hana i kahi hōʻoia pololei.

Hiki i nā Antibiotics ke pale i nā pilikia lōʻihi inā hoʻohana mua ʻia i ka maʻi. I kekahi mau hihia, pono paha ke kahakaha ʻana o ka maka e pale ai i ka scarring lōʻihi, a hiki i ka makapō ke ʻole e hoʻoponopono ʻia.

Maikaʻi loa nā hopena inā hoʻomaka mua ka lapaʻau ma mua o ka scarring a hoʻololi i nā lihilihi maka.

Inā hoʻonāukiuki loa nā maka maka, e huli paha nā maka maka a hamo i ka ʻili. Hiki i kēia ke kumu i nā ulcer corneal, nā scars hou, ka nalo ʻana o ka hihi, a me ka makapō paha.

Kāhea i kāu mea hāʻawi inā ʻoe a kāu keiki paha i kipa aku i kahi i maʻa mau ai ka trachoma a ʻike ʻoe i nā ʻōuli o ka conjunctivitis.

Hiki ke kaupalena ʻia ka hoʻolaha ʻana ma ka holoi ʻana i kou mau lima a me ka helehelena pinepine, ka mālama ʻana i ka maʻemaʻe o nā lole, a ʻaʻole kaʻana like ʻana i nā mea e like me nā kāwele.

Konohana conjunctivitis; Ophthalmia ʻAigupita; Conjunctivitis - granular; Conjunctivitis - chlamydia

• Maka

Batteiger BE, Tan M. Chlamydia trachomatis (trachoma a me 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.

Nā maʻi Bhatt A. Ocular. 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 61.

Hammerschlag MR. Chlamydia trachomatis. 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 253.

Ramadhani AM, Derrick T, Macleod D, et al. ʻO nā pane immune Ocular, ka maʻi chlamydia trachomatis a me nā hōʻailona olakino o trachoma ma mua a ma hope o ka azithromycin nui lāʻau lāʻau lawelawe i kahi lāʻau lapaʻau naifve trachoma-endemic Tanzanian. ʻO PLoS Negl Trop Dis. 2019; 13 (7): e0007559. PMID: 31306419 pubmed.ncbi.nlm.nih.gov/31306419/.

Rubenstein JB, Spektor T. Conjunctivitis: maʻi lele a me ka maʻi ʻole. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 4.6.