Pehea e mālama ʻia ai ʻo Syphilis (i kēlā me kēia pae)
Anter
- He aha e hana ai i ka hihia o ka maʻi āpau iā Penicillin?
- Hoʻomaʻo i ka wā hāpai
- Iapaau ana no congenital syphilis
- Mālama i ka wā o ka mālama ʻana
- Nā hōʻailona o ka hoʻomaikaʻi i ka syphilis
- Nā hōʻailona o ka syphilis e hōʻino ana
- Nā pilikia kūpono o ka syphilis
Hana ʻia no ka syphilis me nā injection o benzathine penicillin, a ʻike ʻia ʻo benzetacil, a pono e hōʻike ʻia e ke kauka, ʻo ka maʻamau ka gynecologist, obstetrician a infectologist paha. ʻO ka lōʻihi o ka mālama ʻana, a me ka helu o nā injection, ʻokoʻa paha e like me ke kahua o ka maʻi a me nā ʻōuli i hōʻike ʻia.
Ke waiho ʻia ka ʻeha i hoʻokahe ʻole ʻia a ʻeha ka ʻeha, lawe wale i 1 ka nui o ka penicillin e hoʻōla ai i ka syphilis, akā ke hiki mai i ka syphilis kiʻekiʻe a i ʻole ke kolu.
Hoʻohana ʻia nā kuʻina i loko o ka ʻāina gluteal i hoʻokahi manawa i ka pule, e like me ka ʻōlelo aʻoaʻo olakino, akā inā pili i ka syphilis tertiary a i ʻole neurosyphilis, pono ka haukapila, no ka mea he maʻi ʻoi aku ka maikaʻi a me nā pilikia ʻē aʻe.
No laila, a e like me ka CDC a me ka protocol clinical o STI o ke Kuhina Ola, pono e hana ʻia ka mālama ʻana no ka syphilis i nā mākua e like me kēia hoʻolālā.
Kahua maʻi | Paipai lapaʻau | ʻĒ aʻe | Ninaninau e hōʻoia i ka hoʻōla |
Syphilis mua a me ka lua | Single mahele lāʻau o Benzetacil (huina 2.4 miliona naehana) | Doxycycline 100 mg, ʻelua manawa i kēlā me kēia lā no 15 mau lā | VDRL ma 3, 6 a me 12 mau mahina |
ʻO syphilis latent hou | 1 hoʻokahi injection o Benzetacil (ka huina o 2.4 miliona wae) | Doxycycline 100 mg, ʻelua manawa i kēlā me kēia lā no 15 mau lā | VDRL ma 3, 6, 12 a me 24 mau mahina |
Syphilis latent hope loa | 1 injection o Benzetacil i kēlā me kēia pule no 3 mau pule (ka huina o 7.2 miliona ʻāpana) | Doxycycline 100 mg, ʻelua manawa i kēlā me kēia lā no 30 mau lā | VDRL ma 3, 6, 12, 24, 36, 48 a me 72 mau malama |
Syphilis ʻekahi | 1 injection o Benzetacil i kēlā me kēia pule no 3 mau pule (ka huina o 7.2 miliona ʻāpana) | Doxycycline 100 mg, ʻelua manawa i kēlā me kēia lā no 30 mau lā | VDRL ma 3, 6, 12, 24, 36, 48 a me 72 mau malama |
Neurosyphilis | Nā injection injection crystalline Penicillin no 14 mau lā (18 a 24 miliona mau wae i kēlā me kēia lā) | Ka pahu kui o ceftriaxone 2g no 10 a 14 mau lā | VDRL ma 3, 6, 12, 24, 36, 48 a me 72 mau malama |
Ma hope o ka lawe ʻana i ka penicillin, he mea maʻamau ka hopena e hopena ai i ke kuni, ka ʻeha o ka ʻeha, ʻeha ke poʻo, ka puʻuwai wikiwiki, ka hanu haʻahaʻa a me ka hāʻule ʻana o ke kaomi. Hiki ke hala kēia mau hōʻailona no 12 a 24 mau hola a pono e mālama ʻia me Paracetamol.
He aha e hana ai i ka hihia o ka maʻi āpau iā Penicillin?
I ke kumu o ka allergy i ka penicillin, pono i kekahi e koho i ka desensitize i ka penicillin no ka mea ʻaʻohe antibiotic ʻē aʻe e hiki ke hoʻopau i ka treponema palladium. Eia nō naʻe, i kekahi mau manawa hiki i ke kauka ke kuhikuhi i ka doxycycline, tetracycline a i ʻole ceftriaxone.
Hoʻomaʻo i ka wā hāpai
ʻO ka mālama ʻana no syphilis i nā wahine hāpai e pono e hana ʻia me nā lāʻau ʻalopero i lawe ʻia mai Penicillin, e like me Amoxicillin a i ʻole Ampicillin, ʻoiai ʻo nā antibiotic ʻē aʻe hiki ke hana i nā malformations i ka fetus.
Inā kūleʻa ka wahine hāpai i Penicillin, hiki i ke kauka ke koi aku i ka lāʻau ma hope o ka hāpai ʻana, inā latent a hoʻohana paha ka erythromycin i ka papa papa no 15 a 30 mau lā, kaukaʻi ʻia i ka pule o ka hānau.
E ʻike i nā kikoʻī e pili ana i ka mālama ʻana i ka syphilis i ka hāpai ʻana.
Iapaau ana no congenital syphilis
ʻO ka syphilis Congenital ka mea i ʻike ʻia i loko o ka pēpē a lawe ʻia mai ka makuahine i loaʻa i ka maʻi. I kēia mau hihia, pono e alakaʻi ʻia ka lapaʻau e ka pediatrician a, maʻamau, hoʻomaka ʻia ia ma hope pono o ka hānau ʻana me Penicillin pololei i ke aa i kēlā me kēia 12 hola no nā lā 7 mua o ke ola.
Me ka hoʻomaka ʻana o ka lapaʻau ʻana no syphilis congenital, he mea maʻamau ia no kekahi mau keiki hānau hou e hoʻomohala i nā ʻōuli e like me ke kuni, ka hanu wikiwiki ʻana a i ʻole ka hoʻonui ʻia ʻana o ka puʻuwai, i hiki ke kaohi ʻia me nā lāʻau ʻē aʻe e like me ka paracetamol.
E ʻike hou aʻe i nā kikoʻī e pili ana i ka mālama ʻana i ka syphilis.
Mālama i ka wā o ka mālama ʻana
I ka wā o ka mālama ʻana, a i ʻole ma hope koke iho o ka ʻike ʻia o ka syphilis, pono ke kanaka e mālama i kekahi ʻano e like me:
- E hoʻomaopopo i kāu pakanā e hoʻāʻo i ka maʻi a hoʻomaka i ka mālama ʻana, inā pono;
- Hōʻalo i ka pili kolohe i ka wā o ka mālama ʻana, a me kahi condom;
- E hōʻoia i ka HIV, no ka mea aia kahi makaʻu nui i ka maʻi.
ʻOiai ma hope o ka mālama ʻana, hiki i ka mea hoʻomanawanui ke loaʻa hou i ka syphilis a, no laila, he mea nui e hoʻomau i ka hoʻohana ʻana i nā condom i ka wā pili pilikino āpau e hōʻole hou ʻole ʻia me syphilis a i ʻole nā maʻi i lawe ʻia e ka wahine.
Nā hōʻailona o ka hoʻomaikaʻi i ka syphilis
Hōʻike nā hōʻailona o ka hoʻomaikaʻi ʻana i ka syphilis ma kahi o 3 a 4 mau lā ma hope o ka hoʻomaka ʻana o ka mālama ʻana a hiki ke hoʻopili ʻia me ka hoʻonui ʻana i ka maikaʻi, hoʻemi ʻia ka wai a me ka hōʻeha ʻana o ka ʻeha, ʻo kahi laʻana
Nā hōʻailona o ka syphilis e hōʻino ana
ʻO nā hōʻailona o ka syphilis e māhuahua nei ka mea maʻamau i nā mea maʻi ʻaʻole i mālama ʻia i ke ʻano i hōʻike ʻia e ke kauka a komo pū ke kuni ma luna o 38ºC, ʻeha hui a me nā ʻeha, hoʻemi i ka ikaika o ka mākala a me ka lolo palu.
Nā pilikia kūpono o ka syphilis
Kū aʻe nā pilikia o ka syphilis i nā mea maʻi me ka ʻōnaehana nawaliwali nāwaliwali me ka maʻi HIV a i ʻole e loaʻa ana i ka lāʻau lapaʻau kūpono, e like me ke ʻano o ka meningitis, ka maʻi hepa, ka hui pū ʻia a me ka palapū.
E nānā i ke wikiō e hiki mai ana a loaʻa ka ʻike ʻoi aku ka maikaʻi o ka ulu ʻana o kēia maʻi.