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Treponematosis a me treponemosis: he aha kēia mau maʻi?
ʻO kahi maʻi lele lele i hoʻokumu ʻia e nā bacteria, ʻo syphilis ka mea kaulana loa o nā treponematoses. Eia nō naʻe, aia kekahi mau treponematose ʻē aʻe i loaʻa i ka hopena ma kekahi mau wahi ʻilihune o ka honua. He aha kēia mau maʻi? Pehea e ʻike ai iā lākou a mālama iā lākou?
He aha ka treponematosis a me ka treponemosis?
ʻO Treponematosis, a i ʻole treponemosis, kahi huaʻōlelo e kuhikuhi ana i kahi hoʻonohonoho o nā maʻi i kuleana no treponemes, kahi ʻano o nā koʻohune e pili ana i ka ʻohana spirochetes.
Ma waena o nā treponematose nui e pili ana i nā kānaka, aia he 4 ʻano ʻano like ʻole.
Syphilis Venereal
ʻO ka syphilis venereal wale nō, i hoʻokumu ʻia e Treponema pallidum, a i ʻole "pale treponema," kahi maʻi i loaʻa i ka moekolohe. Ma hope o ka nalowale ʻana i nā makahiki 1990 ma Palani, ua ola hou ia mai ka makahiki 2000. Aia nā ʻanuʻu he 3 e holomua ana a alakaʻi i kahi chancre (pihi) ma ke kiko o ka lawe ʻana a me nā ʻili ʻili.
Nā treponematoses hopena
He hopena nā treponematoses ʻē aʻe a loaʻa like i ʻike ʻia lākou i ka wā kamaliʻi a ʻaʻole loa e hōʻeha i ka neurological a hāʻawi i nā hopena serological like syphilis. ʻIke mākou:
- Endemic non-venereal syphilis a i ʻole “bejel”, i hoʻokumu ʻia e Treponema pallidum endemicum, i kū i nā wahi maloʻo Sahelian o ʻApelika;
- Le pian, i hoʻokumu ʻia e Treponema pallidum pertenue, i loaʻa i kēia manawa ma ka foci ma Central a me ʻAmelika Hema;
- ʻO ka pint a i ʻole "mal del pinto" a i ʻole "caraté", i hoʻokumu ʻia e Treponema pallidum carateum, e pili ana i nā keiki o nā tropical tropical a i ʻole nā ʻaoʻao equatorial ma nā ʻāina āpau ma Central a me ʻAmelika Hema, i ʻike ʻia e nā ʻili lesiona.
He aha nā kumu o ka treponematosis a me ka treponemosis?
Kaukaʻi ʻia i ke ʻano o ka treponematosis, ʻokoʻa ke ʻano o ka hoʻohaumia. He maʻi lele loa ia, akā ʻaʻole pinepine ʻia e ka ulia (nahu), ma o ke koko (transfusion), a i ʻole transplacental (makuahine i fetus).
Nā treponematoses hopena
Kū pinepine kā lākou lawe i ka wā kokoke, pili pili i waena o nā keiki a i kekahi manawa ma waena o nā keiki a me nā mākua i kahi ʻano o ka moekolohe a me ka hoʻomaʻemaʻe kūpaʻa ʻole:
- ʻO ka bejel: lawe ʻia ma ke kamaʻilio waha ʻana a i ʻole kaʻana like ʻana i nā kīʻaha;
- ʻO Yaws: ka mea ākea ākea e koi ai i ka hoʻopili pololei ʻana me ka ʻili a makemake ʻia e ka ʻeha o ka ʻili;
- La pinta: Pono ka hoʻouna ʻana i ka launa ʻana me ka ʻili i hōʻino ʻia akā ʻaʻole ia he maʻi lele loa.
ʻO ka ʻano venereal o ka syphilis i manaʻo ʻia ua puka mai i ʻEulopa a me ka Hikina Waena ma hope o kahi hoʻololi hou a me kahi ʻano makemake o ka lawe ʻana ma o ka moekolohe makua ʻole me kahi kanaka me syphilis i ka wā mua o ka maʻi.
- Hiki ke hoʻohaumia nā ʻano moekolohe pale ʻole āpau, e like me ka moe waha a i ʻole, i kekahi manawa, honi hohonu ʻana;
- Hiki ke hoʻoili ʻia ka lawe ʻana i nā mākua-i-fetal i ka wā hāpai.
He aha nā hōʻailona o ka treponematosis a me ka treponemosis?
ʻO Syphilis, e like me nā endpon treponematoses, e ulu i ke ala like. ʻO kahi leona mua e ukali ʻia e nā leona ʻelua i hoʻolaha ʻia, a laila kahi wā kali a ʻo ka hopena he maʻi luku hope loa.
Nā treponematoses hopena
- ʻO ka bejel: nā lepe mucosal a me nā ʻili, a ukali ʻia e nā iwi a me nā ʻili;
- Hoʻokumu ʻo Yaws i nā periostitis a me nā ʻili ʻili;
- Hoʻopili ʻia nā liona pinta i ka dermis.
Sypilis
Ma hope o ka maʻi, e ʻike ke kanaka i hoʻokahi a i ʻole nā pimples ʻulaʻula ma ko lākou genital a i ʻole ma ka hope o ko lākou puʻu. Hoʻololi kēia pimple i kahi maʻi maʻi ʻeha ʻole hiki ke hoʻomau no 1 a 2 mau mahina. I kekahi mau pule ma hope o ka hoʻomaka ʻana o ka ulcer, ʻike ʻia kahi maʻi like flu. ʻIke paha nā pimples a ʻulaʻula paha i nā poho o nā lima a me nā kapuwaʻi o nā wāwae. I kekahi manawa aia nā maʻi e like me ka meningitis, ka maʻi lōlō o ka ʻāpana o ka maka. I kekahi mau hihia, hoʻopili nā maka.
ʻElua mau makahiki ma hope o ka haumia, nalowale nā ʻōuli. Hiki ke hoʻomau i kēia pae i mau kekeke.
Pehea e mālama ai i ka treponematosis a me ka treponemosis?
He maʻi ʻino ia inā mālama ʻia i ka manawa, koʻikoʻi inā nānā ʻole ʻia a mālama ʻole ʻia paha.
ʻO Syphilis, e like me nā endpon treponematoses, hiki ke mālama ʻia me kahi injection hoʻokahi o kahi antibiotic mai ka ʻohana penicillin.
Paipai ka WHO i ke kuhikuhi o kahi injection hoʻokahi o ka benzathine benzylpenicillin (2,4 MU), intramuscularly (IM), a i ʻole inā he allergy i kēia antibiotic, doxycycline, o ka ʻohana cyclin. Ke hiki ʻole ke hoʻohana i kēia mea, loaʻa nā koho antibiotic ʻē aʻe.
Hiki ke loiloi i ka hopena o ka lāʻau antibiotic e nā hoʻokolohua koko maʻamau.