ʻO ka Lepera

Hōʻike ākea o ka maʻi

ʻO kēia kahi pathology maʻi o ke kumu infectious, i hoʻonāukiuki ʻia e ka bacteria. Leprae Mycobacterium… Ua ʻike ʻia kēia maʻi no ka manawa lōʻihi. Hoʻopili pinepine ka maʻi lepera i ka ʻili, ka ʻōnaehana ʻōnaehana ākea, a i kekahi mau hihia ka wāwae, nā lima, nā maka, a me nā testicle.

ʻO ka maʻi lepera a lepera paha ka mea maʻa mau i nā ʻāina me nā aniau tropical. I nā makahiki he 50 i hala iho nei, ua heleleʻi nui ka poʻe maʻi me ka maʻi lepera. Eia nō naʻe, mai 3 a 15 miliona mau maʻi me ka maʻi lepera e ʻike ʻia i kēlā me kēia makahiki i ka honua. ʻO ka wahi mua i ka helu o nā hihia i hoʻopaʻa inoa ʻia e Nepal a me India, ʻo Brazil ka lua a ʻo Burma ke kolu. Kūpono ka poʻe kamaʻāina o nā ʻāina me nā kūlana nohona maikaʻi ʻole: me ka maikaʻi ʻole o ka meaʻai, ka wai haumia, a me nā mea e ʻeha nei i nā maʻi e hoʻopau i ka ʻōnaehana pale - AIDS a me ka hepatitis.

He lōʻihi ka hoʻoulu ʻana o ka maʻi lepera, hiki ke hoʻomaka ʻia mai 5-6 mau mahina a i mau mau makahiki, he asymptomat ia, ma ka awelika, ʻo kona lōʻihi ma kahi o 5 mau makahiki. ʻO ke kumu o ka maʻi he kanaka maʻi lepera. I nā keiki e launa me kahi kanaka maʻi, ʻoi aku ka wikiwiki o ka maʻi ma mua o ka poʻe mākua.

Nā ʻano a me nā ʻōuli o ka maʻi lepera

• ʻano lepera ʻo ka maʻi lepera ka mea i manaʻo nui ʻia. Ma ka ʻili o ka helehelena, nā wāwae, ka ʻūlū, nā pūlima, nā wahi erythematous poepoe me kahi papa laumania i hoʻokumu ʻia, ma ke ʻano he rula, ʻulaʻula ke kala, akā naʻe, i ka hala ʻana o ka manawa ua melemele lākou. I ka hala ʻana o ka manawa, lilo ka ʻili ma nā wahi i hoʻopilikia ʻia i mea nui, a hana ka maʻi lepera a infiltrates paha ma ke kahua o nā kiko. Me ka maʻi o ka maʻi ma ka wahi o ka maʻi lēpera, kū mālie ka hou, nui ka māhuahua a hoʻonui ʻia ka ʻili i ka kala. Hoʻokomo nā infiltrative transforms i nā ʻili i ka ʻili, mānoanoa ka ihu a me nā kuʻemaka, a hoʻololi nā helehelena. Hiki i ka Perforation o ka nasal septum ke hoʻololi i ke kinona o ka ihu. Inā maʻi ka larynx, e loli paha ka leo o ka mea maʻi;
• ʻano tuberculoid ʻaʻole pili i nā lālā o loko. Hoʻopili kēia ʻano lepera i ka ʻili a me nā ʻōnaehana nūhou. Hōʻike nā papule poni ma ka pahu o ka mea maʻi, nā lālā o luna a i ʻole ke alo o ka mea maʻi. I ka hala ʻana o ka manawa, hui nā papula a hana i nā pā, kahi e hāʻule ai ka lauoho vellus a hoʻomōhala a hoʻomaloʻo. Me kēia ʻano lepera, hiki ke hoʻopili ʻia nā kui o nā lima, hana ʻino ʻia, mānoanoa a lilo i hina. ʻO nā wahi i hoʻopili ʻia o ka ʻili e nalowale i ka noʻonoʻo, no laila ua makaʻu lākou i nā ʻeha a me nā wela, kahi e hoʻōla maikaʻi ʻole ai a me ka momona. Mānoanoa nā lālā o ke aʻalolo helehelena, parotid, a me nā aʻalolo radial, malia paha he hana hewa i ka hana kaʻa o nā manamana a me nā manamana wāwae
• ʻano ʻaʻano ʻole hoʻopili i nā ʻaoʻao haʻahaʻa. ʻIke ʻia nā lehele dermatological ma ke ʻano he nodule, plaques, a i ʻole asymmetric ulaula. Hōʻike ka hōʻino nerve iā ia iho i ke ʻano o asymmetric neuritis a i ʻole polyneuritis me ka maʻi lōlō. Hiki i ka borderline form of pathology ke lilo i tuberculoid a i ʻole lepromatous.

Nā kumu o ka maʻi lepera

Kū ka maʻi ma o ka hoʻokuʻu ʻana mai ka ihu a me ka waha, ka waiū o ka waiū, ka semen, ka mimi, i ka wā pili loa me nā mea maʻi me ka maʻi lepera. Kū pinepine ka maʻi me Mycobacterium leprae ma o nā droplets airborne. ʻO kahi mea maʻi me ka maʻi lepera e hūnā ma kahi o hoʻokahi miliona bacteria i kēlā me kēia lā. Hiki i ka maʻi ke hōʻeha ʻia ka pololei o ka ʻili e nā nahu insect a i ʻole ke noi ʻana i nā peʻa.

ʻO ka poʻe me ka palekana olakino ke kūpaʻa kiʻekiʻe i nā maʻi pilikino i hōʻike ʻia. Ke komo ke koʻohune lepera i ke kino, ma kahi o 10-20% o ka poʻe i maʻi. Pono ka maʻi maʻi i ka wā lōʻihi a pili kokoke me kahi kanaka maʻi. Hoʻomaopopo e maʻalahi ke kāne i ka maʻi lepera ma mua o ka wahine.

Nā pilikia o ka maʻi lepera

I ke kumu o ka hoʻomaʻamaʻa untimely me ka ʻano lepromatous, hiki paha i nā maka ke hoʻopili ʻia, iridocyclitis a me ka conjunctivitis e ulu, i kekahi mau hihia e ʻike ʻia ka makapō. ʻO ka hanana ʻana o ka maʻi lepera ma ka nasal mucosa e hoʻonāukiuki i ka ihu, ka puka ʻana o ka septum, a hiki i ka deformity o ka ihu. ʻO nā hoʻololi i ka ʻili ma ka maka e alakaʻi i ka deformity. ʻO ka eo ʻana o nā mea o loko e alakaʻi i ka nephritis, prostatitis, orchitis, hepatitis mau.

Hiki i ke ʻano tuberculoid ke alakaʻi i nā leona koʻikoʻi o nā wāwae a me nā lima, atrophy muscle, paresis and paralysis. Inā kū nā granulomas i nā iwi, hiki i nā haki.

Kāohi ʻana i ka maʻi lepera

ʻO ka mea nui i ka pale ʻana i ka maʻi i manaʻo ʻia he mālama pono i nā rula o ka hoʻomaʻemaʻe, hoʻomaikaʻi i nā kūlana noho a me ke ʻano o ke ola. Pono i ka mea maʻi lepera i kēlā me kēia kīʻaha, kahi kāwele, ka lole moe. Kākaʻikahi loa ia, akā naʻe, ua hōʻoia ʻia nā hihia o ka hoʻi ʻana o ka maʻi lēpera. No laila, ʻaʻole ʻae ʻia ka poʻe i loaʻa i kēia maʻi e hana i ka lumi kuke, i nā wahi olakino a mālama keiki.

Inā loaʻa ka maʻi lepera i kekahi o ka ʻohana, a laila pono i nā lālā o ka ʻohana āpau ke nānā i ka lāʻau lapaʻau i kēlā me kēia makahiki. Hoʻokaʻawale koke ʻia nā keiki i hānau ʻia e nā makuahine me ka maʻi lepera a hānai hānai ʻia.

I nā hana pale, pono e nānā ʻia ka poʻe i ka foci o ka maʻi ahulau no ka ʻike mua ʻana i nā hihia o ka maʻi a me ka manawa kūpono.

Ka mālama ʻana i ka maʻi lepera i ka lāʻau mainstream

Ke mālama ʻana i ka maʻi lepera, pono nā kūkā kamaʻilio ʻana o nā loea ʻē aʻe: kahi loea o ka maʻi infectious, a orthopedist, a ophthalmologist a me kahi neuropathologist. Me ka hōʻoia manawa kūpono, hiki ke hoʻōla loa i ka maʻi lepera.

ʻO ka maʻi lepera e lōʻihi lōʻihi a ākea hoʻi. ʻO ka mea mua, kauoha ka loea ʻoi loa i ka maʻi infectious ma ka liʻiliʻi he 3 mau mea antileprotic o ke kaʻina sulfone. ʻO ke kaʻina hana no ka maʻi lepera a hiki i kekahi mau makahiki, hele ka mea hoʻomanawanui i kekahi mau papa o ka hoʻomaʻamaʻa, ma waena o kahi hemahema e pono ai. I mea e hōʻalo ai i ka hōʻalo, hoʻololi ʻia nā hui pū ʻana o nā lāʻau antileprosy i kēlā me kēia papa o ka therapy. I ka mālama ʻana i ka maʻi lepera, pono ʻia nā lāʻau ʻaloʻalo, nā lāʻau anti-inflammatory, nā immunomodulator, nā hepatoprotector, nā ʻākena me ka hao, adaptogens a me nā huakini.

Paipai nā Physiotherapists no nā maʻi lepera i nā kau lomilomi, mechanotherapy, a me ka hoʻoikaika kino hoʻoikaika kino.

E nānā!

ʻAʻole kuleana ke alakaʻi no nā hoʻāʻo e hoʻohana i ka ʻike i hāʻawi ʻia, a ʻaʻole ia e hoʻohiki ʻaʻole e hōʻeha iā ʻoe iho. ʻAʻole hiki ke hoʻohana i nā mea e kuhikuhi ai i ka lāʻau lapaʻau a hana i kahi kuhi. E nīnau mau i kāu kauka loea.