Nā Hōʻaʻike Syphilis

Anter

• He aha nā hoʻokolohua syphilis?
• No ke aha lākou e hoʻohana ai?
• No ke aha e pono ai iaʻu kahi hōʻoia syphilis?
• He aha ka hana ma kahi hōʻike syphilis?
• Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
• Aia kekahi mau pilikia i ka hoʻāʻo?
• He aha ke ʻano o nā hopena?
• Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i nā hoʻāʻo syphilis?
• Nā kūmole

He aha nā hoʻokolohua syphilis?

ʻO Syphilis kekahi o nā maʻi maʻamau i lawe ʻia i ka moekolohe (STDs). He maʻi bacteria ia i hoʻolaha ʻia ma waena o ka wahine, oral, a anal paha me kahi kanaka maʻi. Hoʻokumu ʻo Syphilis i nā pae i hiki ke hala i mau pule, mau mahina, a i ʻole mau makahiki. Hoʻokaʻawale ʻia nā pae e nā wā lōʻihi o ke olakino maikaʻi.

Hoʻomaka pinepine ʻo Syphilis me kahi ʻeha liʻiliʻi, ʻeha ʻole, i kapa ʻia he chancre, ma nā genital, anus, a waha paha. I ka wā aʻe, loaʻa paha iā ʻoe nā ʻōuli like like me ka flu a me ka ʻāwīwī paha. Ma hope o ke kaʻina o ka syphilis hiki ke hōʻino i ka lolo, ka puʻuwai, ke olonā, a me nā mea ʻē aʻe. Hiki i nā hoʻokolohua Syphilis ke kōkua i ka diagnose syphilis i ka wā mua o ka maʻi, ke maʻalahi ka maʻi i ka maʻi.

Nā inoa ʻē aʻe: reagin plasma wikiwiki (RPR), maʻi venereal Research keʻena hoʻokolohua (VDRL), fluorescent treponemal antibody omo (FTA-ABS) hōʻike, aglutination assay (TPPA), darkfield microscopy

No ke aha lākou e hoʻohana ai?

Hoʻohana ʻia nā hoʻokolohua Syphilis e nānā a hōʻoia i ka syphilis.

ʻO nā hōʻike loiloi no ka syphilis e:

• ʻO ka reagin plasma wikiwiki (RPR), kahi hoʻāʻo koko syphilis e nānā no nā mea ʻāpala i ka bacteria syphilis. ʻO nā Antibodies nā protein i hana ʻia e ka ʻōnaehana pale e hakakā i nā mea haole, e like me ka bacteria.
• Ke keʻena noiʻi noiʻi maʻi maʻi Venereal (VDRL) hoʻāʻo, kahi e nānā ai no nā ʻōpala syphilis. Hiki ke hana i kahi hōʻike VDRL ma ke koko a i ʻole ka wai spinal.

Inā hoʻi mai kahi hōʻoia kānana maikaʻi, pono ʻoe i nā hoʻokolohua hou aku e kāpae a hōʻoia i kahi hōʻailona syphilis. E nānā ka hapanui o kēia mau hoʻāʻo i nā mea ʻohina syphilis. I kekahi manawa, e hoʻohana kahi mea mālama ola i kahi hoʻokolohua e nānā no ka bacteria maoli syphilis, ma kahi o nā mea ʻino. Hoʻohana pinepine ʻia nā hoʻāʻo e nānā no nā koʻohune maoli no ka mea hiki ke hana ʻia i nā hale hana kūikawā e nā poʻe loea mālama ola i hoʻomaʻamaʻa kūikawā ʻia.

No ke aha e pono ai iaʻu kahi hōʻoia syphilis?

Pono ʻoe i kahi hōʻoia syphilis inā ua ʻike ʻia kāu ipo me ka syphilis a me / a he mau hōʻailona paha kāu no ka maʻi. Hōʻike pinepine ʻia nā ʻōuli ma kahi o ʻelua a ʻekolu mau pule ma hope o ka maʻi ʻana a hoʻopili pū ʻia:

• Liʻiliʻi, ʻeha ʻole (chancre) ma nā genital, anus, a waha paha
• ʻOʻoleʻa, ʻulaʻula, ma ka mau lima o ka lima a i ʻole ka lalo o nā wāwae
• Fiva
• ʻEha poʻo
• Nūhū pehu
• Ka luhi
• Kaumaha emi
• Lilo ka lauoho

ʻOiai inā ʻaʻohe ou mau ʻōuli, pono paha ʻoe i kahi hoʻokolohua inā ʻoe ma kahi kiʻekiʻe o ka maʻi. ʻO nā kumu pilikia me ka:

• Nā hoa hui lehulehu
• ʻO kahi hoa me nā hoa wahine he nui
• Moekolohe ʻole ʻia (ka wahine me ka hoʻohana ʻole ʻana i ka condom)
• He maʻi maʻi HIV / AIDS
• ʻO kekahi maʻi i loaʻa i ka moekolohe, e like me gonorrhea

Pono paha ʻoe i kēia hōʻike inā hāpai ʻoe. Hiki ke hoʻoili ʻia ʻo Syphilis mai kahi makuahine i kāna pēpē i hānau ʻole ʻia. Hiki i kahi maʻi syphilis ke hana i nā mea koʻikoʻi, a i kekahi manawa make, nā pilikia i nā pēpē. Paipai nā kikowaena no ka mālama ʻana i ka maʻi a me ka pale ʻana i nā wahine hāpai a pau e hoʻāʻo mua i ka hāpai ʻana. ʻO nā wahine i loaʻa nā pilikia no ka syphilis e hoʻāʻo hou ʻia i ke kolu o ka trimester o ka hāpai ʻana (28-32 mau pule) a ma ka hānau hou ʻana.

He aha ka hana ma kahi hōʻike syphilis?

ʻO kahi hoʻokolohua syphilis ka mea maʻa mau i ke ʻano o ka hoʻāʻo ʻana i ke koko. Ma kahi hoʻokolohua koko syphilis, e lawe kahi loea mālama ola i kahi laʻana koko mai kahi aa i kou lima, e hoʻohana ana i kahi nila liʻiliʻi. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. Hiki paha iā ʻoe ke ʻoni iki i ka wā e hele ai a kuʻi paha ka nila. Lōʻihi kēia ma mua o ʻelima mau minuke.

Hiki i nā pae kiʻekiʻe o ka syphilis ke hoʻopili i ka lolo a me ka iwi kuamoo. Inā hōʻike kāu mau ʻōuli i kou maʻi ma ke ʻano holomua, kauoha paha kāu mea mālama ola i kahi hōʻike syphilis ma kāu wai cerebrospinal (CSF). He wai maopopo ka CSF i loaʻa i kou lolo a me ka iwi kuamoo.

No kēia hoʻāʻo, e hōʻiliʻili ʻia kāu CSF ma o ke kaʻina hana i kapa ʻia he lumbar puncture, i ʻike ʻia hoʻi me ke kāʻei ʻōiwi. Ma ke kaʻina hana:

• E moe ʻoe ma kou ʻaoʻao a noho paha ma ka papa ʻaina hōʻike.
• E hoʻomaʻemaʻe kahi mea mālama ola i kou kua a hoʻokomo i kahi anesthetic i kou ʻili, no laila ʻaʻole ʻoe e ʻeha i ka wā o ke kaʻina hana. Hiki i kāu mea hāʻawi ke kau i ka kirima numbing ma kou kua ma mua o kēia kuʻi.
• I ka manawa e ʻōlohelohe loa ka ʻāpana o kou kua, e hoʻokomo kāu mea lawelawe i kahi nīni lahilahi a hakahaka ma waena o ʻelua vertebrae i kou iwi ʻaoʻao lalo. ʻO Vertebrae nā iwi hope liʻiliʻi e hana i kou kuamoʻo.
• E huki hou kāu mea hāʻawi i kahi wai o ka cerebrospinal no ka hoʻāʻo ʻana. E ʻelima paha minuke kēia.
• Pono ʻoe e noho mālie ʻoiai ke huki ʻia nei ka wai.
• E noi paha kāu mea lawelawe iā ʻoe e moe i kou kua no hoʻokahi hola a ʻelua paha ma hope o ke kaʻina hana. Pale paha kēia iā ʻoe mai ka loaʻa ʻana o ka ʻeha ma hope.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

ʻAʻole pono ʻoe i kahi hoʻomākaukau kūikawā no kahi hōʻike koko syphilis. No ka puncture lumbar, noi paha ʻoe e ninini i kāu ʻōpū a me kou ʻōpū ma mua o ka hoʻāʻo.

Aia kekahi mau pilikia i ka hoʻāʻo?

ʻAʻohe liʻiliʻi loa i ka hōʻoia ʻana o ke koko. Loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi o ka nila i hoʻokomo ʻia ai, akā ʻo ka hapa nui o nā ʻōuli e hele wikiwiki aku.

Inā loaʻa ʻoe i kahi lumbar puncture, loaʻa paha iā ʻoe ka ʻeha a palupalu paha i kou kua i kahi i hoʻokomo ʻia ai ka nila. Hiki paha iā ʻoe ke ʻehaʻeha ma hope o ke kaʻina hana.

He aha ke ʻano o nā hopena?

Inā maikaʻi ʻole a maʻamau paha kāu mau hopena kānana, no laila ʻaʻole i loaʻa kahi maʻi syphilis. Ma muli o ka hiki ʻana i nā lāʻau ʻino i loko o ʻelua mau pule e hoʻomohala i ka pane ʻana i ka maʻi bacteria, pono paha ʻoe i kahi hōʻike loiloi hou inā manaʻo ʻoe ua ʻike ʻia ʻoe i ka maʻi. E noi i kāu mea mālama ola e pili ana i ka manawa a i ʻole inā pono ʻoe e hoʻāʻo hou.

Inā hōʻike kāu hōʻike hoʻokolohua i kahi hopena maikaʻi, e loaʻa hou iā ʻoe nā hoʻokolohua ʻana e kāpae a hōʻoia paha i kahi hōʻailona syphilis. Inā hōʻoia kēia mau hōʻoia iā ʻoe he syphilis, e mālama ʻia paha ʻoe me ka penicillin, kahi ʻano antibiotic. ʻO ka hapa nui o nā maʻi syphilis i ke kakahiaka nui e hoʻōla loa ʻia ma hope o ka hoʻomaʻamaʻa antibiotic. Lawe pū ʻia ka syphilis pae hou me nā lāʻau ʻaloʻoloka. Hiki i ka lāʻau lapaʻau antibiotic no nā maʻi hope ke hōʻoki i ka maʻi mai ka ʻino ʻana, akā ʻaʻole hiki iā ia ke wehe i nā ʻino i hana ʻia.

Inā he mau nīnau kāu e pili ana i kāu hopena, a e pili ana i ka syphilis, e kamaʻilio me kāu kauka olakino.

E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i nā hoʻāʻo syphilis?

Inā kuhi ʻia ʻoe me ka syphilis, pono ʻoe e haʻi i kāu hoa moe kolohe, no laila hiki iā ia ke hoʻokolohua a mālama ʻia inā pono.

Nā kūmole

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ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.