Me ka ʻoi aku o 200 miliona mau kānaka i loaʻa i ka honua i kēlā me kēia makahiki, ʻo trichomoniasis kekahi o nā maʻi maʻi maʻamau.

ʻO ka maʻi pinepine a me ka asymptomatic, ʻo ka trichomoniasis kahi maʻi i lawe ʻia e ka wahine e hiki ai ke hoʻopiʻi a ʻaʻole pono e poina. ʻO ka pale a me ka mālama kūpono e hoʻopau i kēia parasite i 90% o nā hihia.

Ma keʻano laulā, ʻo ka manawa incubation o ka parasite mai 5 a 30 mau lā ma hope o ka contamination. ʻO ka pinepine o ka infestation he asymptomatic i loko o ke kanaka.

I nā wahine

Ma kahi o 50% o nā hihia, hiki ke ʻike ʻia nā hōʻailona i nā wahine. ʻO ka maʻi maʻi me Trichomonas Vagonalis ka helu ma kahi o 30% o ka vulvovaginitis a me 50% o ka vaginitis me ka hoʻokuʻu ʻana i nā wahine.

ʻOkoʻa ka ikaika o nā hōʻailona, ​​mai nā ʻano asymptomatic a hiki i ka nui, melemele-'ōmaʻomaʻo, huʻihuʻu me ka ʻala iʻa. Aia kekahi ʻeha ma ka vulva a me ka perineum e pili ana i ka ʻeha i ka wā e moe ai a me ka ʻeha i ka wā mimi (dysuria).

Hiki i ka ma'i asymptomatic ke lilo i hō'ailona i kēlā me kēia manawa ke ulu ka mumū o ka vulva a me ka perineum a me ka edema o ka labia (vagina).

ʻOi aku ka nui o ka ʻeha i ka hoʻomaka a me ka hopena o ka menstrual cycle ma muli o ka piʻi ʻana o ka pH vaginal, maikaʻi i ka hoʻomohala ʻana o ka parasite. ʻO ka menopause, kahi e hoʻololi ai i ka pH ma ka pae vaginal, maikaʻi nō hoʻi no ka hoʻomohala ʻana o ka parasite. I nā wahine hāpai, ʻo Trichomonas Vaginalis paha ke kuleana no ka hana mua ʻana i nā wahine maʻi.

I ke kanaka

Kakaʻikahi nā hōʻailona maʻi, ʻo ka infestation he asymptomatic ma 80% o nā hihia. I kekahi manawa, hōʻike ʻia ka urethritis e ka hoʻoheheʻe ʻana o ka urethral i hiki ke loli, ʻeleʻele a i ʻole purulent a i ʻole e hōʻeha i ka wā e mimi ai (dysuria) a i ʻole ke koi pinepine ʻana e mimi (pollakiuria), maʻamau i ke kakahiaka. Hoʻomaʻamaʻa pinepine ka urethritis.

ʻO nā pilikia kakaikahi wale nō ʻo ka epididymitis (ka wela o ka ʻauwai e hoʻopili ana i ka testis i ka prostate) a me ka prostatitis (ka wela o ka prostate).

I loko o nā kāne, ʻo ka trichomoniasis ke kuleana no ka ʻeha mau o nā ʻano like ʻole i ka wā o ka moekolohe.

Hoʻokumu ʻia ka ʻimi ʻana iā Trichomonas Vaginalis ma ka nānā pololei ʻana i kahi laʻana urogenital a i ʻole ma ka molecular diagnostic technique (PCR).

ʻO kēia ʻenehana molecular (PCR), ʻaʻole i uku hou ʻia, pono ke kumuhana o kahi ʻōlelo kuhikuhi kikoʻī a ʻaʻole i hana ʻia i ka wā o ka hoʻokolokolo maʻamau o kahi laʻana vaginal maʻamau.

ʻOiai ʻo trichomonas Vaginalis he parasite mobile, hiki ke ʻike maʻalahi i ka wā o ka hoʻokolokolo microscopic inā e hana koke ʻia ma hope o ka lawe ʻana i ka laʻana. A i ʻole, hana ʻia ka hoʻokolokolo pololei ma hope o ka hoʻopaʻa ʻana i kahi slide i heluhelu ʻia ma lalo o kahi microscope. Hiki i ka nānā 'ana i ka Pap smear ke hō'ike i nā 'ano like 'ole o ka cytological (ke a'o 'ana i nā pūnaewele) e hō'ike ana i ka ma'i Trichomonas Vaginalis. Eia naʻe, ʻaʻole ia e ʻae i ka hopena i kahi infestation e ka parasite.

ʻO Trichomonas Vaginalis kahi maʻi maʻi maʻi. Manaʻo ʻia e hoʻāʻo no kona noho ʻana i nā poʻe me nā STI ʻē aʻe, no ka mea hiki i ka mea hope ke hoʻonui i kā lākou hoʻouna ʻana ma muli o ka mumū e hoʻoulu ai i ka pae urogenital.

ʻAʻole hiki ke hoʻouna pinepine ʻia e nā kāwele pulu, ka wai ʻauʻau a i ʻole nā ​​aniani i haumia mua. Hiki i ka parasite ke ola a hiki i 24 mau hola ma nā wahi o waho inā maikaʻi nā kūlana.

I loko o nā wāhine, hiki i ka trichomoniasis ke hoʻonui i ka pilikia o ka loaʻa ʻana o ka maʻi HIV i ka wā e moe ai me ka hoa lawe i ka maʻi maʻi AIDS. Ma kekahiʻaoʻao, hiki i ka trichomoniasis ke hoʻonui i ka pilikia o ka laweʻana i ka maʻi HIV mai ka wahine me ka maʻi AIDS i kāna hoa.

Hoʻokumu ʻia ka lāʻau lapaʻau ma luna o ka hoʻokele waha o kahi lāʻau antiparasitic mai ka ʻohana nitro-imidazole (metronidazole, tinidazole, etc.). Hiki ke hoʻopaʻa ʻia ka lāʻau hoʻokahi ("minuke" lapaʻau) a i ʻole e lawe ʻia i kekahi mau lā ma muli o nā hōʻailona, ​​​​me ka ʻai ʻole ʻana i ka waiʻona i ka wā o ka mālama ʻana. I loko o ka trimester mua o ka hāpai ʻana, ʻoi aku ka maikaʻi o ka hāʻawi ʻana i ka mālama kūloko (ova, cream) ʻoiai ʻaʻohe contraindication i ka lawe ʻana i nā nitro-imidazoles waha.

I ka wā o ka hānai ʻana, ua ʻōlelo ʻia e hoʻōki i ka wā o ka mālama ʻana a me 24 mau hola ma hope o ka hopena o ka hopena.

I nā hihia a pau, ʻoiai me ka ʻole o nā hōʻailona, ​​​​pono e mālama i ka hoa (s) o ka mea maʻi. ʻAʻohe lāʻau lapaʻau e pale ai i ka maʻi me Trichomonas Vaginalis. Hoʻokumu ʻia ka pale ʻana ma ka pale ʻana i ka moekolohe.