Iapaau ana no congenital syphilis

Anter

• Iapaau ana o syphilis i loko o ka pēpē
• 1. Ke kūlana kiʻekiʻe loa i ka loaʻa ʻana o ka syphilis
• 2. Ka pilikia nui o ka loaʻa ʻana o ka syphilis
• 3. Haʻahaʻa haʻahaʻa o ka loaʻa ʻana o ka syphilis
• 4. Ka haʻahaʻa loa o ka loaʻa ʻana o ka syphilis
• Pehea ka hana ʻana i ka wahine hāpai?

Paipai pinepine ʻia ka mālama ʻana i ka syphilis hānau ke ʻike ʻole ʻia ke kūlana lapaʻau o ka makuahine no syphilis, ke hoʻomaka wale ʻia ka lapaʻau ʻana o ka wahine hāpai ma ke kolu o ka trimester a i ʻole ke paʻakikī ka pēpē ma hope o ka hānau ʻana.

ʻO kēia no ka mea hiki i nā pēpē āpau i hānau ʻia i nā makuahine i loaʻa i ka syphilis ke hōʻike i nā hopena maikaʻi ma ka hoʻokolokolo ʻana i nā syphilis i hana ʻia i ka wā hānau, ʻoiai inā ʻaʻole lākou e maʻi, ma muli o ka hele ʻana o nā mea ʻino o ka makuahine ma o ka placenta.

No laila, ma waho o nā hoʻokolohua koko he mea nui nō hoʻi e makaʻala i nā ʻōuli o ka syphilis congenital e ala aʻe i ka pēpē, e hoʻoholo i ke ʻano maikaʻi loa o ka mālama ʻana. E ʻike i nā ʻōuli nui o ka syphilis hānau.

Iapaau ana o syphilis i loko o ka pēpē

Hoʻololi ka mālama ʻana o ka pēpē e like me ka hopena o ka maʻi syphilis ma hope o ka hānau ʻana:

1. Ke kūlana kiʻekiʻe loa i ka loaʻa ʻana o ka syphilis

Hoʻoholo ʻia kēia makaʻu inā ʻaʻole i mālama ka wahine hāpai no ka syphilis, kino ʻole ka nānā kino ʻana o ka pēpē, a i ʻole ka hōʻike ʻana o ka syphilis o ka pēpē i loaʻa iā VDRL 4 mau manawa ke kiʻekiʻe ma mua o ka makuahine. I kēia mau hihia, hana ʻia ka lapaʻau ma kekahi o nā ala aʻe:

• Ka pahu kui o 50,000 IU / Kg o ka penicillin crystalline aqueous i kēlā me kēia 12 hola no 7 mau lā, ukali ʻia e 50,000 IU o ka wai wai Penicillin crystalline i kēlā me kēia 8 mau hola ma waena o ka lā 7 a me ka 10;

a i ʻole

• Ka pahu kui o 50,000 IU / Kg o ka procaine Penicillin hoʻokahi manawa i ka lā no 10 mau lā.

I nā hihia ʻelua, inā ʻoe e nalo ma mua o hoʻokahi lā o ka mālama ʻana, pono ʻoe e hoʻomaka hou i nā injection, e hoʻopau i ka makaʻu ʻole ʻana i ka hakakā ʻana i nā bacteria a maʻi hou paha.

2. Ka pilikia nui o ka loaʻa ʻana o ka syphilis

I kēia hihia, ʻo nā pēpē āpau i loaʻa ka hōʻike kino maʻamau a me ka hōʻike syphilis me kahi waiwai VDRL i like a i ʻole emi ma mua o 4 mau manawa o ka makuahine, akā hānau ʻia i nā wahine hāpai i loaʻa ʻole ka lapaʻau syphilis kūpono a i hoʻomaka paha i ka lapaʻau ʻoi aku ka liʻiliʻi. , 4 mau pule ma mua o ka lawe 'ana.

I kēia mau hihia, me ka hoʻohui ʻana i nā koho lapaʻau i hōʻike ʻia ma luna, hiki ke hoʻohana ʻia i kahi koho ʻē aʻe, kahi o hoʻokahi injection o 50,000 IU / Kg o benzathine Penicillin. Eia nō naʻe, hiki ke hana i kēia lapaʻau inā maopopo inā ʻaʻohe hoʻololi o ka hoʻokolokolo kino a hiki i ka pēpē ke hele pū me ka pediatrician e hana i nā hoʻokolohua syphilis maʻamau.

3. Haʻahaʻa haʻahaʻa o ka loaʻa ʻana o ka syphilis

ʻO nā pēpē ma ka liʻiliʻi o ka loaʻa ʻana o ka syphilis i loaʻa i kahi hoʻokolohua kino maʻamau, kahi hōʻike syphilis me kahi waiwai VDRL i like a i ʻole ma lalo o 4 mau manawa i ka makuahine a me ka wahine hāpai i hoʻomaka i ka lapaʻau kūpono ma mua o 4 mau pule ma mua o ka hānau.

ʻO ka maʻamau, hana ʻia ka lapaʻau me ka ʻume hoʻokahi wale nō o 50,000 IU / kg o benzathine Penicillin, akā hiki i ke kauka ke koho ʻaʻole e hana i ka ʻoki a mālama wale i ka nānā ʻana i ka ulu ʻana o ka pēpē me nā hoʻokolohua syphilis pinepine, e nānā inā maoli ka maʻi. , a laila e mālama ana i ka lāʻau.

4. Ka haʻahaʻa loa o ka loaʻa ʻana o ka syphilis

I kēia hihia, loaʻa i ka pēpē kahi hoʻokolohua kino maʻamau, kahi hōʻike syphilis me kahi waiwai VDRL i like a i ʻole emi ma mua o 4 mau manawa o ka makuahine, a ua hana ka wahine hāpai i ka lāʻau kūpono ma mua o ka hāpai ʻana, hōʻike i nā waiwai VDRL haʻahaʻa i loko o ka hāpai ʻana. .

ʻO ka maʻamau, ʻaʻole pono ka mālama ʻana no kēia mau pēpē, a e ukali wale ʻia me nā hōʻike syphilis maʻamau. Inā ʻaʻole hiki ke mālama i ka nānā pinepine ʻana, hiki i ke kauka ke koi aku e hana i hoʻokahi injection o 50,000 IU / Kg o benzathine Penicillin.

E nānā i ka wikiō aʻe a aʻo hou e pili ana i nā ʻōuli, ka lawe ʻana a me ka mālama ʻana i ka syphilis.

Pehea ka hana ʻana i ka wahine hāpai?

I ka wā o ka hāpai ʻana, pono ka wahine e hōʻike i kahi hōʻike VDRL i loko o nā trimesters ʻekolu e nānā ai i ka loaʻa a me ka ʻole o nā bacteria i ke kino. ʻO ka emi ʻana o ka hopena hōʻike ʻaʻole ia he kumu ua hoʻōla ʻia ka maʻi a, no laila, pono e hoʻomau i ka mālama ʻana a hiki i ka hopena o ka hāpai ʻana.

ʻO ka mālama ʻana i nā wahine hāpai i ka wā hāpai e like me kēia:

• I ka syphilis mua: ka huina nui o 2,400,000 IU benzathine penicillin;
• I ka syphilis lua: ka huina nui o 4,800,000 IU benzathine penicillin;
• I ka syphilis kiʻekiʻe: ka huina nui o 7,200,000 IU benzathine penicillin;

Ke hana nei i ka hoʻāʻo serological no ka syphilis ma o ka lawe ʻana i kahi hāpana koko mai ka umbilical cord he mea nui ia e ʻike inā ua hele a maʻi ka pēpē me ka maʻi ʻaʻole paha. ʻO nā laʻana koko i lawe ʻia mai ka pēpē i ka wā hānau he mea nui no ka loiloi inā ʻaʻole ʻo ia i maʻi ʻia me ka syphilis.

I ka neurosyphilis, koi ʻia e hana i 18 a 24 miliona IU i kēlā me kēia lā o ka penicillin crystalline crystalline G, i loko o ka naʻau, haki ʻia i nā kaha o 3-4 miliona U i kēlā me kēia 4 mau hola, no 10 a 14 mau lā.

E ʻike i nā mea hou aʻe e pili ana i ka mālama ʻana, me ke ʻano o ka mālama ʻana i ka wā he maʻi maʻi ka wahine hāpai iā Penicillin.