Pehea e mālama ai i nā 7 maʻamau o STI

Anter

• 1. ʻO Chlamydia
• 2. ʻO Gonorrhea
• 3. HPV
• 4. ʻO ka herpes genital
• 5. Trichomoniasis
• 6. Syphilis
• 7. HIV / AIDS
• Mālama nui i ka wā o ka mālama ʻana

ʻO ka mālama ʻana no nā maʻi i loaʻa i ka moekolohe (STI), i ʻike ʻia ma mua he mau maʻi i loaʻa i ka moekolohe, a i ʻole nā ​​STDs wale nō, ʻokoʻa e like me ke ʻano kikoʻī o ka maʻi. Eia nō naʻe, hiki ke hoʻōla ʻia ka hapa nui o kēia mau maʻi a, i kekahi mau hanana, inā ʻike ʻia lākou i ka wanaʻao, hiki iā lākou ke hoʻopau loa ʻia me kahi injection hoʻokahi.

No laila, ʻo ka mea nui ka mea, ke kānalua ʻia ka maʻi, e nīnau ʻia kahi infectologist a i ʻole kahi loio e hana i nā hoʻokolohua koko kūpono a hoʻomaka i ka lapaʻau kūpono loa.

ʻOiai i nā maʻi i loaʻa ʻole ka hoʻōla, e like me ka maʻi SIDA, he mea nui loa ka mālama ʻana, no ka mea he mea kōkua ia e pale i ka maʻi mai ka hōʻeha a me nā hōʻailona hōʻino, a me ka pale ʻana i ka lawe ʻia ʻana o ka maʻi i kekahi poʻe ʻē aʻe.

Ma lalo, hōʻike mākou i nā alakaʻi mālama i kēia manawa i ka protocol clinical o ka Ministry of Health.

1. ʻO Chlamydia

ʻO Chlamydia kahi STI i hoʻokumu ʻia e kahi maʻi bacteria, i ʻike ʻia ma Chlamydia trachomatis, hiki ke hoʻopili i nā kāne a me nā wahine, e hana ana i nā ʻōuli e like me ke ahi i loko o ka mimi, ka ʻeha i ka wā o ka moekolohe a i ʻole ka huehue ʻana i ka ʻāina pili.

I mea e hoʻopau ai i nā koʻohune, pili ka lāʻau i ka hoʻohana ʻana i nā lāʻau antibiotic, penei:

1 koho

• ʻO Azithromycin 1 g, i ka papa, i ka mahele hoʻokahi;

a i ʻole

• ʻO Doxycycline 100 mg, papa, 12/12 mau hola no 7 mau lā.

a i ʻole

• ʻAmoxicillin 500 mg, papa, 8 / 8h no 7 mau lā

Pono e alakaʻi ʻia kēia lapaʻau e ke kauka, no ka mea he mea pono paha e hoʻopili i nā ʻano o kēlā me kēia kanaka. ʻO kahi laʻana, i ka hihia o nā wahine hāpai, ʻaʻole pono e hoʻohana ʻia ʻo Doxycycline.

E ʻike he aha nā hōʻailona nui o chlamydia a pehea e lawe ai i ka lawe.

2. ʻO Gonorrhea

Hoʻokumu ʻia ʻo Gonorrhea e ka bacteria Neisseria gonorrhoeae, ʻo ia ke kumu o nā hōʻailona e like me ka hoʻokuʻu melemele-keʻokeʻo, ka makaʻu a me ka ʻeha i ka wā he mimi a lawe ʻia i 10 mau lā e ʻike ʻia ma hope o ka pili kolohe ʻole ʻia.

ʻO ke koho lapaʻau mua me ka hoʻohana ʻana o:

• ʻO Ciprofloxacino 500 mg, kaomi ʻia, i hoʻokahi mahele lāʻau, a;
• ʻO Azithromycin 500 mg, 2 papa, i hoʻokahi mahele lāʻau.

a i ʻole

• ʻO Ceftriaxone 500 mg, hoʻokomo 'intramuscular, i kahi mahele hoʻokahi, a;
• ʻO Azithromycin 500 mg, 2 papa, i hoʻokahi mahele lāʻau.

I nā wahine hāpai a me nā keiki ma lalo o 18, pono e pani ʻia ka ciprofloxacin me ka ceftriaxone.

E kiʻi i ka ʻike ʻoi aku ka maikaʻi o ka gonorrhea, kāna mau ʻōuli a pehea e pale ai i ka maʻi.

3. HPV

ʻO ka HPV kahi hui o nā virus he nui o ke ʻano like i hiki ke hoʻopili i ka ʻōnaehana hānau, ʻo nā kāne a me nā wahine a, i ka hapanui o nā hihia, alakaʻi wale ʻia i ke ʻano o nā warts liʻiliʻi, hiki ke hoʻopau ʻia me ka hoʻohana ʻana i nā kalima, cryotherapy a i ʻole ʻoki kino liʻiliʻi.Pili ke ʻano o ka mālama ʻana i ka nui, ka helu a me nā wahi kahi e kū ai nā warts a, no laila, he mea nui mau ke alakaʻi ʻana mai ke kauka.

E hōʻoia i nā kikoʻī i nā ʻano o ka hana i loaʻa no HPV.

Eia nō naʻe, i ka hoʻohui ʻana i nā warts, aia kekahi ʻano o nā virus HPV i hiki ke alakaʻi i ka maʻi ʻaʻai, ʻo ka mea kaulana loa ʻo ia ka maʻi ʻaʻai cervix i nā wahine, keu hoʻi inā ʻaʻole mālama mua ʻia nā maʻi ʻino e ka maʻi.

Hiki i ka mālama ʻana o HPV ke hoʻopau i nā ʻōuli a pale pū i ka hoʻomaka ʻana o ka maʻi ʻaʻai, akā ʻaʻole ia e hoʻopau i ka maʻi mai ke kino. No kēia kumu, hiki i nā ʻōuli ke reoccur, a ʻo ke ala wale nō e hōʻola ai ke hiki i ka ʻōnaehana pale ke hoʻopau i ka maʻi, i hiki ke hala i mau makahiki.

4. ʻO ka herpes genital

ʻO Genital herpes kahi STI i hoʻokumu ʻia e ka maʻi like i loaʻa iā herpes ma ka lehelehe, ka herpes simplex. ʻO kēia kekahi o nā STI pinepine pinepine e hoʻokumu i nā hiʻohiʻona i piha i ka wai i loko o ka genital, kahi e ʻū a hoʻokuʻu i kahi wai melemele iki.

Hana ʻia ka lapaʻau me acyclovir, kahi lāʻau antiviral ikaika e kūʻē i ka herpes, e like me ka papahana:

ʻAʻole hoʻopau kēia lapaʻau i ka maʻi mai ke kino, akā kōkua ia i ka hōʻemi ʻana i ka ikaika a me ka lōʻihi o nā ʻāpana o nā hōʻailona e ʻike ʻia ma ka ʻāpana genital.

E ʻike i nā ʻōuli i hiki ke hōʻike i ka herpes genital, i nā kāne a me nā wahine.

5. Trichomoniasis

ʻO Trichomoniasis kahi maʻi i hoʻokumu ʻia e ka protozoan ʻO Trichomonas vaginalis, nāna e hoʻoulu i nā ʻōuli ʻokoʻa i nā wahine a me nā kāne, akā ʻo ka ʻeha pū kekahi i ka mimi ʻana, ka hoʻokuʻu ʻana me kahi ʻaʻala maikaʻi ʻole a me ka ʻūlū ʻino loa i ka ʻāpana genital.

E mālama i kēia maʻi, hoʻohana mau ʻia ka lāʻau antibiotic Metronidazole, ma muli o ke kumumanaʻo:

• Metronidazole 400 mg, 5 papa i ka mahele hoʻokahi;
• Metronidazole 250 mg, 2 12/12 papa no 7 mau lā.

I ka hihia o nā wahine hāpai, pono e hoʻoponopono i kēia lapaʻau a, no laila, he mea nui e hoʻokō i ka lāʻau me ka ʻike o ka mea hānau hānau.

E nānā i nā ʻōuli e kōkua ai e ʻike i kahi hihia o trichomoniasis.

6. Syphilis

ʻO Syphilis kahi STI i hoʻokumu ʻia e nā bacteria ʻO Treponema pallidum, ka mea hiki ke hana i nā ʻano like ʻole o nā hōʻailona e like me ke kahua i loko, akā ʻo ka mea i ʻike nui ʻia no nā ʻeha hiki ke hana i ka wahi genital.

E mālama ai i ka syphilis, ʻo ka lāʻau i wae ʻia he penicillin, kahi e lawelawe ʻia ai i nā kau e loli e like me ka pae o ka maʻi.

1. ʻO ke kula nui, ke kula kiʻekiʻe a ʻelua a i ʻole iho nei

• ʻO Benzathine penicillin G, 2.4 miliona IU, i kahi injection intramuscular hoʻokahi, me 1.2 miliona IU i lawelawe ʻia i kēlā me kēia gluteus.

ʻO ka ʻokoʻa i kēia lapaʻau e lawe iā Doxycycline 100 mg, ʻelua manawa i ka lā, no 15 mau lā. I ka hihia o nā wahine hāpai, pono e mālama ʻia me Ceftriaxone 1g, i ka hoʻopili intramuscular, no 8 a 10 mau lā.

2. Latent a i ʻole tertiary latent syphilis

• ʻO Benzathine penicillin G, 2.4 miliona IU, injected i kēlā me kēia pule no 3 mau pule.

ʻOkoʻa, hiki ke hana i ka lāʻau me Doxycycline 100 mg, ʻelua manawa i ka lā no 30 mau lā. A i ʻole, i ka hihia o nā wahine hāpai, me Ceftriaxone 1g, i ka hoʻopili intramuscular, no 8 a 10 mau lā.

E nānā i ka ʻike hou aku e pili ana i nā pae o ka syphilis a pehea e ʻike ai i kēlā me kēia.

7. HIV / AIDS

ʻOiai ʻaʻohe lāʻau hiki ke hoʻōla i ka maʻi HIV, aia kekahi mau lāʻau antiviral e kōkua i ka hoʻopau ʻana i ka viral viral i loko o ke koko, e pale ana ʻaʻole wale ka maʻi e ʻino, akā pale pū kekahi i ka maʻi.

ʻO kekahi o nā antivirals i hiki ke hoʻohana ʻia me Lamivudine, Tenofovir, Efavirenz a i ʻole Didanosine, no ka laʻana.

E ʻike i kēia wikiō i ka ʻike hou aku e pili ana i ka maʻi HIV a me kāna mālama ʻana.

Mālama nui i ka wā o ka mālama ʻana

ʻOiai ʻokoʻa ka mālama ʻana i kēlā me kēia ʻano STI, aia kekahi mau akahele ākea e mālama ʻia. Kōkua kēia mālama i ka loaʻa hou ʻana o ka wikiwiki a me ka hoʻōla ʻana i ka maʻi, akā he mea nui ia e pale ai i ka lawe ʻana o STI i kekahi poʻe ʻē aʻe.

No laila, ʻōlelo ʻia:

• Hana i ka mālama ʻana a hiki i ka hopena, ʻoiai inā hoʻomaikaʻi nā ʻōuli;
• Hōʻalo i ka pili kolohe, ʻoiai inā pale ʻia;
• Hana i nā hoʻokolohua diagnostics no nā STI ʻē aʻe.

Eia hou, i ka hihia o nā keiki a i ʻole nā ​​wahine hāpai, he mea nui ka mālama kūikawā ʻē aʻe, he mea nui e nīnau i ka pediatrician a i ʻole ka mea hānau, mai ka infectologist.