Hiki i kāu pēpē ke loaʻa i ka syphilis? E aʻo kākou e pili ana i ka syphilis hānau

Inā he makuahine e hiki mai ana ʻoe, pono ʻoe e noʻonoʻo nui e pili ana i kou olakino a me ke olakino o kāu pēpē i kēia mau lā, ʻeā? I kekahi manawa aia nā kūlana a mākou i ʻike ʻole ai, akā hiki ke hoʻopilikia i ka pēpē. ʻO kekahi o ia ʻano maʻi ʻo 'Congenital Syphilis'. Mai hopohopo, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī. Inā ʻike ʻoe i kēia, hiki iā ʻoe ke pale aku i nā pilikia he nui.

He aha ka syphilis hānau? No ke aha he mea weliweli?

I ka ʻōlelo maʻalahi, ʻo ka syphilis congenital kahi kūlana e hoʻoili ai ka makuahine i ka syphilis i kāna pēpē i ka wā hānau. Inā loaʻa iā ʻoe ka syphilis i ka wā hāpai, hiki ke hoʻoili ʻia ka maʻi i kāu pēpē. Hiki ke hana ʻia kēia ma o ka placenta i ka wā hāpai a i ʻole ma o kahi ʻeha syphilis ma ke kino o ka makuahine i ka wā hānau. He maʻi hoʻoili moekolohe ka Syphilis (STI). Akā ʻo ka mea maikaʻi loa, hiki ke mālama ʻia me nā antibiotics. Hiki iā ʻoe ke loaʻa i kēia lāʻau lapaʻau ʻoiai inā hāpai ʻoe. Ke loaʻa iā ʻoe kēlā ʻano lāʻau lapaʻau, ʻaʻole ʻoe e hoʻomaikaʻi wale, akā hiki nō hoʻi iā ʻoe ke pale i ka fetus i loko o kou ʻōpū. Akā, e noʻonoʻo ua hāpai ʻoe, loaʻa iā ʻoe ka syphilis, akā ʻaʻole ʻoe i loaʻa ka lāʻau lapaʻau. A laila hiki i kēia maʻi ke hōʻeha nui i kāu pēpē. Hiki ke kumu i ka hāʻule ʻana o ka pēpē, ka hānau ʻana o ka pēpē, a i ʻole ka make ʻana o ka pēpē i kekahi mau lā ma hope o ka hānau ʻana. ʻOiai inā ola ka pēpē, hiki iā ia ke loaʻa nā pilikia olakino like ʻole.

No laila, inā hāpai ʻoe a he kānalua iki paha ʻoe he syphilis paha, e ʻike koke i ke kauka a e hoʻāʻo ʻia no ka syphilis. Ma kēlā ala, hiki iā ʻoe ke ʻike maopopo inā loaʻa iā ʻoe ka maʻi a ʻaʻole paha. Inā loaʻa iā ʻoe, hiki iā ʻoe ke hoʻomaka koke i ka mālama ʻana. Inā loaʻa iā ʻoe ka mālama ʻana i ka wā hāpai mua, ʻoiai i ka trimester mua, hiki ke pale nui ʻia ka syphilis congenital.

He mea nui loa hoʻi e kamaʻilio me kāu mau hoa moe e pili ana i kēia a e hoʻāʻo ʻia lākou. No ka mea, ua loaʻa paha iā lākou ka maʻi a pono paha e mālama ʻia. Inā ʻaʻole lākou e loaʻa ka mālama ʻia, ua loaʻa hou paha iā ʻoe ka maʻi (a laila pono ʻoe e hoʻomaka hou i ka mālama ʻana). ʻOiaʻiʻo, i kēia mau lā, ua piʻi iki ka syphilis hānau a me ka syphilis i loaʻa ma ka honua a ma ko mākou ʻāina. ʻO ke ʻano kēia, ʻaʻole paha i ʻike ka poʻe he nui ua loaʻa iā lākou ka maʻi. No laila, ʻo ke kamaʻilio pololei e kōkua nui iā ʻoe a me kāu hāpai ʻana.

Aia kekahi mau ʻano o ka palekana kūlohelohe?

ʻAe, hoʻokaʻawale nā ​​kauka i ka syphilis congenital e like me ka manawa e ʻike ʻia ai nā hōʻailona:

• ʻO ka syphilis hānau mua: ʻIke ʻia nā hōʻailona ma mua o ka piha ʻana o ka pēpē i 2 mau makahiki (ʻo ia hoʻi i loko o ʻekolu mahina o ka hānau ʻana).
• ʻO ka syphilis hānau hope loa: Hōʻike ʻia nā hōʻailona ma hope o 2 mau makahiki.

He aha nā hōʻailona o kēia ʻano maʻi hānau?

I kēia manawa, e nānā kākou i nā hōʻailona o kēlā me kēia ʻano.

Hoʻonaʻauao kamaliʻi (mai ka hānau ʻana a hiki i 2 mau makahiki)

I loko o kēia manawa, hiki i ke keiki ke hōʻike i nā hōʻailona e like me:

• Nā ʻano ʻino o ka iwi: No ka laʻana, kahi ʻano e like me ka osteochondritis .
• Ka hoʻonui ʻia ʻana o ke akepaʻa .
• Ka hoʻonui ʻia ʻana o ka spleen .
• Jaundice : Melemele o nā maka a me ka ʻili.
• Ua emi ka nui o nā hunaola koko ʻulaʻula ( anemia ) a me nā platelets (thrombocytopenia).
• Nā ʻeha palupalu e like me ka wart: Ua kapa ʻia kēia he 'condyloma lata'.
• Ka ʻili ʻana i ka ʻili ma nā lima a i ʻole nā ​​wāwae.
• ʻIke ʻia kahi ʻulaʻula ma ka ʻāʻī, nā lima, a me ka waha.
• Ka kahe pinepine ʻana o ka ihu (`syphilitic rhinitis` a i ʻole "snuffles"): Hoʻomau pinepine kēia, e hoʻomaka pinepine ana i loko o hoʻokahi pule o ka hānau ʻana. Hiki ke keʻokeʻo a i ʻole ke koko ke kahe ʻana o kēia ihu.

Ma kahi o 6 o 10 mau pēpē hānau hou me ka syphilis hānau e loaʻa i ka syphilis e hoʻopilikia ai i ka ʻōnaehana nerve (`Neurosyphilis`) . Hiki i kēia ke komo pū me:

• Ka hoʻopilikia ʻia o ke kahe koko i ka lolo ( stroke ).
• Nā ʻano ʻino o ka maka: No ka laʻana, nā cataracts a i ʻole ka mumū o nā papa o loko o ka maka (chorioretinitis).
• Nā kūlana e like me nā hōʻailona epileptic (Seizures).

ʻAʻole hōʻike kekahi mau pēpē i kekahi mau hōʻailona i ka wā hānau. Akā hiki ke ʻike ʻia nā hōʻailona i kekahi mau lā, nā pule, a i ʻole nā ​​mahina ma hope. Akā inā hōʻike nā hoʻokolohua he pilikia ka maʻi, e hoʻomaka koke nā kauka e mālama i kēlā pēpē.

ʻO ka maʻi hānau hope loa (ma hope o 2 mau makahiki)

I loko o kēia wā, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Nā ʻano ʻē i ka ulu ʻana o ka iwi.
• Nā ʻano ʻino o ka maka: No ka laʻana, ka mumū o ka cornea.
• Ka nalowale o ka lohe.
• Nā ʻano niho ʻē: Nā māka ʻoki ma nā niho a i ʻole nā ​​​​waha ma waena o nā niho ('Nā niho o Hutchinson').

Hiki paha iā ʻoe ke ʻike i kekahi o kēia mau hōʻailona iā ʻoe iho, akā ʻo ka hapa nui o lākou e pono e hōʻoia ʻia e ke kauka.

No ke aha lā e kū mai ai kēia ʻano manaʻo?

ʻO ke kumu nui o ka syphilis hānau ʻana, ʻo ia ka maʻi syphilis o ka makuahine.ʻO ke ʻano o ka huaʻōlelo "congenital" ʻo ia hoʻi "hānau ʻia me" kēia maʻi. Hānau ʻia nā pēpē me kēia maʻi. Akā i kekahi manawa, hiki i ka maʻi ke pepehi i ka ʻōpū ma mua o ka hānau ola ʻana o ka pēpē. ʻO nā bacteria kikoʻī e hoʻoulu ai i ka syphilis (kahi ʻano Treponema pallidum) e komo i loko o ka ʻōpū ma o ka placenta. Hele pololei nā bacteria i loko o ke kahe koko o ka ʻōpū, mai kahi e hiki ai iā lākou ke laha ma ke kino holoʻokoʻa, e hōʻino ana i nā iwi a me nā ʻōpū nui. Hiki i kekahi mau pēpē ke loaʻa i ka maʻi, ʻoiai he kakaikahi, ma ka launa pū ʻana me nā ʻeha syphilis o ko lākou makuahine i ka wā hānau. Eia naʻe, ʻaʻole nā ​​​​pēpē a pau i hānau ʻia i nā makuahine me ka syphilis e loaʻa i ka syphilis congenital. Aia ka pilikia i ka wā i loaʻa ai ka makuahine. ʻOi aku ka kiʻekiʻe o ka pilikia no nā maʻi hou kokoke a i ʻole i ka wā hāpai ma mua o nā maʻi i loaʻa ma mua o hoʻokahi makahiki ma mua o ka hāpai ʻana.

He aha nā kumu pilikia no kēia maʻi?

ʻO kekahi o nā kumu pilikia nui no ka hoʻomohala ʻana i ka syphilis congenital ʻo ia ka loaʻa ʻole o ka mālama kūpono ma mua o ka hāpai ʻana. ʻO ia hoʻi, ʻaʻole ʻoe e ʻike i ke kauka i kou wā hāpai, a i ʻole e lohi loa. Inā ʻaʻole ʻoe e loaʻa i kēia mau hoʻokolohua, ʻaʻole paha ʻoe e ʻike he syphilis kou. Inā ʻaʻole i mālama ʻia, hiki iā ia ke alakaʻi i ka syphilis congenital a me nā pilikia pili (me ka hāʻule ʻana o ka hāpai keiki).

He mea nui loa ka hoʻomaka ʻana e ʻike i ke kauka a hele i kahi keʻena lapaʻau i ka wā mua o ka hapai ʻana. I loko o kēia mau keʻena lapaʻau e hiki ai i kāu kauka ke ʻike i nā pilikia olakino e hoʻopilikia paha i kāu hāpai ʻana i ka wā mua.

Aia kekahi mau kumu ʻē aʻe e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka syphilis i ka wā hāpai (a no laila syphilis congenital):

• Ka loaʻa ʻana o nā hoa moe he nui.
• Ka hoʻohana ʻana i nā lāʻau lapaʻau me ka moekolohe (me ka ʻole o ke kauoha lapaʻau).
• Moe kolohe no ke kālā a i ʻole nā ​​​​lawelawe (moe kolohe hana).

He aha nā pilikia o kēia maʻi?

Hiki i ka syphilis congenital ke hoʻoulu i nā pilikia i ka wā hāpai e like me:

• Ka hāʻule ʻana o ka hāpai keiki.
• Ka hānau mua ʻana.
• Kaumaha hānau haʻahaʻa.
• Hānau make.
• Make ke pēpē i kekahi mau lā ma hope o ka hānau ʻana.

Inā ʻaʻole mālama ʻia, hiki i nā pēpē i hānau ʻia me ka syphilis congenital ke loaʻa nā hōʻailona koʻikoʻi a make paha.

Pehea e ʻike ai i ka palekana kūlohelohe?

Hoʻoponopono nā kauka i kēia maʻi ma kēia mau ʻano:

• Ma ka hoʻāʻo ʻana iā ʻoe no ka syphilis i ka wā hāpai: Hiki i nā hoʻokolohua koko ke haʻi inā loaʻa iā ʻoe kahi maʻi syphilis. Ma muli o kēia mau hopena, hoʻoholo nā kauka i ka pilikia o ka loaʻa ʻana o ka syphilis congenital i loko o ka fetus.
• ʻO ke kani ultrasound o ka ʻōpū:I kekahi manawa hiki i nā kauka ke ʻike i nā hōʻailona o ka syphilis hānau (e like me ka hoʻonui ʻia ʻana o ke akepaʻa a me ka hōʻiliʻili ʻana o ka wai) ma kahi ultrasound. Eia nō naʻe, ʻaʻole ʻike mau ʻia ka syphilis hānau ma kahi ultrasound. Hānau ʻia kekahi mau pēpē me kēia maʻi ʻoiai he mau hopena ultrasound maʻamau kā lākou.
• Ka hoʻokolokolo kino ʻana o nā keiki hānau hou a me nā hoʻokolohua ʻē aʻe: E nānā pono nā kauka i nā keiki hānau hou i manaʻo ʻia he syphilis congenital a nānā i nā hōʻailona. Hiki iā lākou ke hana i hoʻokahi a ʻoi aku paha mau hoʻokolohua, e like me nā hoʻokolohua koko, kahi puncture lumbar, a me nā kukuna X. No ka laʻana, hiki i nā kukuna X ke ʻike i nā ʻano ʻē o ka iwi i maʻamau i nā pēpē me ka syphilis congenital.

Ua hānau olakino kekahi mau pēpē, akā ma hope e loaʻa nā hōʻailona o ka syphilis hānau. Ua kapa ʻia kēia he syphilis hānau hope. I nā keiki he 2 makahiki a ʻoi paha, hana nā kauka i kahi hoʻokolokolo kino piha e nānā i nā hōʻailona o ka syphilis hānau.

He aha nā lāʻau lapaʻau no ka syphilis congenital?

Hoʻohana nā kauka i ka penicillin antibiotic e mālama i ka syphilis congenital. Hoʻohana lākou i kekahi a i ʻole nā ​​​​​​ʻano ʻelua:

• Ke mālama ʻana iā ʻoe i kou wā hāpai: ʻO kēia ka hāʻawi ʻana iā ʻoe i hoʻokahi a ʻoi aku paha nā inikini o ka penicillin.
• Ka mālama ʻana i ka pēpē ma hope o ka hānau ʻana: Ma kēia ʻano, hāʻawi ʻia ka penicillin i ke pēpē ma o ka intravenous a i ʻole ma ke ʻano he injection.

ʻO ke ʻano kikoʻī o ka lāʻau i hāʻawi ʻia e pili ana i kēia mau kumu:

• I ka manawa hea ʻoe i ʻike mua ai he syphilis kou?
• Inā ua hoʻomaka ʻia ka lāʻau lapaʻau i ka wā hāpai, a inā pēlā, i ka manawa hea.
• ʻO ka pilikia o ka loaʻa ʻana o ka syphilis i ka pēpē i ka wā hānau.
• Nā hōʻailona e hōʻike ana i ke pēpē ma hope o ka hānau ʻana.

ʻOi aku ka maikaʻi o ka hoʻomaka ʻana i ka lāʻau lapaʻau i ka wā hāpai, ma ka liʻiliʻi he 30 mau lā ma mua o ka hānau ʻana o kāu pēpē. E kōkua kēia i ka hoʻomaʻemaʻe ʻana i kāu maʻi a kōkua i ka maʻi o kāu pēpē. Eia nō naʻe, inā loaʻa koke ka lāʻau i ka makuahine, hiki i kekahi mau pēpē ke hānau ʻia me ka syphilis congenital. E loiloi nā kauka i ka pilikia o kāu pēpē e loaʻa ana ka syphilis i ka wā hānau a hoʻolālā i ka lāʻau lapaʻau e like me ia. Pili kēia pilikia i nā mea he nui, me ka loaʻa ʻana o ka lāʻau lapaʻau a me nā hopena o kekahi mau hoʻāʻo koko. Inā ua mālama ʻia ʻoe no ka syphilis ma mua o kou hāpai ʻana a ua hoʻōla loa ʻia, ʻoi aku ka liʻiliʻi o ka loaʻa ʻana o ka syphilis i kāu pēpē. I ka hapa nui o nā hihia, ʻaʻole pono kāu pēpē i ka lāʻau lapaʻau. Inā loaʻa iā ʻoe ka syphilis i ka wā hāpai, e loiloi pono nā kauka i ka pilikia o kāu pēpē. E nānā lākou i kāu mōʻaukala lapaʻau a hoʻoholo i ka pilikia o kāu pēpē e loaʻa ana ka syphilis congenital. Pono nā pēpē i ka pilikia kiʻekiʻe e noho i ka haukapila a loaʻa ka penicillin. Inā loaʻa iā ʻoe ka lāʻau lapaʻau i ka wā mua o kou hāpai ʻana, ʻaʻole pono paha kāu pēpē e noho i ka haukapila no ka lāʻau lapaʻau. Hiki ke hoʻouna ʻia lākou i ka home ma lalo o ka nānā pono ʻana o ke kauka, pinepine me ka hoʻokahi injection o ka penicillin. E haʻi pololei kāu hui lapaʻau iā ʻoe i ka mea e manaʻo ai i ka wā o ka mālama ʻana o kāu pēpē.

He aha ka mea e hana ai inā he kuli hānau ko kaʻu keiki?

Aia ia i ke ʻano o ka hopena o ke kūlana i ka ulu ʻana o ka ʻōpū a/a i ʻole ke olakino o ka pēpē ma hope o ka hānau ʻana. Hiki i nā lāʻau antibiotic ke ho'ōla i ka syphilis, akā ʻaʻole hiki iā lākou ke hoʻihoʻi i ka pōʻino i hana mua ʻia. ʻO ke ʻano kēia, hiki i kekahi mau pēpē ke loaʻa nā hopena lōʻihi mai ka maʻi (e like me nā loli i ka ʻike a i ʻole ka lohe). E wehewehe ka hui lapaʻau o kāu pēpē i ka mea e manaʻo ai a pehea e kākoʻo ai i nā pono o kāu pēpē.

Ke ola nei nā pēpē me nā ʻano maʻi hānau ʻole?

ʻAe. Pili ko lākou manawa e ola ai i nā mea he nui, e like me ka wā e hoʻomaka ai ka lāʻau lapaʻau. Eia nō naʻe, i kekahi mau hihia, hiki i ka syphilis congenital ke make. Inā he make ʻana o ka fetal ma hope o 20 mau pule o ka hāpai ʻana, pono ʻoe e hoʻāʻo ʻia no ka syphilis.

Hiki ke pale ʻia ka syphilis congenital?

ʻAe, hiki nō iā ʻoe! Eia kekahi mau mea hiki iā ʻoe ke hana e pale aku ai a hōʻemi nui paha i ka pilikia o kāu pēpē e loaʻa ana i ka syphilis congenital:

• E hoʻomaʻamaʻa i ka moekolohe palekana ma mua a i ka wā hāpai: ʻO ka moekolohe palekana ke ʻano o ka hoʻohana ʻana i nā condom a me nā pale niho i kēlā me kēia manawa āu e moe ai. Eia kekahi, e noi i kāu mau hoa moe e hoʻāʻo ʻia no nā STI a e haʻi pololei iā ʻoe e pili ana i nā hopena. E hoʻomanaʻo, ʻaʻole hiki i nā ʻano pale e like me nā condom ke pale loa i nā STI, akā hiki iā lākou ke hōʻemi i ka pilikia. I mea e pale aku ai i ka loaʻa ʻana o ka syphilis a i ʻole nā ​​STI ʻē aʻe i ka wā hāpai, hiki iā ʻoe ke pale i ka hana moekolohe a hiki i kou hānau ʻana.
• Ka nānā ʻana no ka syphilis i ka wā hāpai: E like me nā ʻāina he nui, hana ʻia kēia hoʻāʻo ma ke kipa mua ʻana i ke keʻena lapaʻau. I kekahi manawa, hana ʻia kēia hoʻāʻo i ka trimester hope o ka hāpai ʻana a/a i ʻole i ka wā hānau. Inā he kiʻekiʻe kou pilikia o ka loaʻa ʻana o ka syphilis, hiki i kāu kauka ke ʻōlelo aku e hana hou i ka hoʻāʻo ʻana.
• E kiʻi i ka lāʻau no ka syphilis: Inā hoʻāʻo maikaʻi ʻoe no ka syphilis ma mua a i ʻole i ka wā hāpai, hiki i ka lāʻau ke hoʻōla i ka maʻi a hōʻemi i ka pilikia o ka hoʻoili ʻana i ka syphilis i kāu pēpē. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau, ʻoi aku ka maikaʻi o nā hopena. ʻO ka lāʻau e hoʻomaka ana i loko o 30 mau lā o ka hānau ʻana, ʻaʻole paha e like ka maikaʻi o ka pale ʻana i kāu pēpē. ʻO ia ke kumu he mea nui loa ka hoʻāʻo ʻia i ka wā hāpai.

Inā ʻoe e hopohopo nei e pili ana i kou pilikia o ka loaʻa ʻana o ka syphilis a i ʻole kekahi STI ʻē aʻe, e kamaʻilio me ke kauka. Hiki iā lākou ke haʻi iā ʻoe e pili ana i nā hoʻokolohua a wehewehe i nā STI e hiki ke hoʻopilikia i kāu hāpai ʻana a i ʻole pēpē. Hiki iā ʻoe ke manaʻo ʻoluʻolu ʻole e kamaʻilio me ke kauka e pili ana i ka moekolohe a i ʻole nā ​​STI. Akā e hoʻomanaʻo, ʻo kā lākou hana ke kōkua iā ʻoe a hana i nā mea āpau e hiki ai iā lākou ke kākoʻo i kou olakino. E ʻimi i kahi kauka e hōʻoluʻolu iā ʻoe, palekana, a mahalo ʻia.

Āhea wau e ʻimi ai i ke aʻo lapaʻau?

Inā hāpai ʻoe a manaʻo paha he syphilis kou, e ʻike koke i ke kauka. He mea nui loa ka hoʻāʻo ʻia a hoʻomaka i ka mālama ʻana inā loaʻa iā ʻoe ka maʻi. Inā ʻaʻohe āu kauka ʻohana maʻamau, hiki iā ʻoe ke loaʻa ke kōkua mai kahi kikowaena olakino kaiāulu a i ʻole hui ma kou wahi. Inā ua ʻike ʻia kāu pēpē me ka syphilis hānau, pono ʻoe e hoʻomau i nā hoʻokolohua lapaʻau ('follow-ups') ʻoiai ma hope o ka pau ʻana o ka mālama ʻana. He mea nui kēia mau mea e hōʻoia i ka pau ʻana o ka maʻi a e nānā i ka ulu ʻana o kāu pēpē. E hōʻoia e lawe i kāu pēpē no kēia mau hoʻokolohua a pau a hahai i nā ʻōlelo a kāu hui lapaʻau. Malia paha ua hāpai ʻoe a ua ʻike wale ʻoe he syphilis kou. Ke noʻonoʻo nei paha ʻoe, "He aha kaʻu e hana ai i kēia manawa?" A i ʻole ua hānau mua ʻoe a ke mālama ʻia nei kāu pēpē no ka syphilis hānau. Hiki iā ʻoe ke manaʻo he kōkua ʻole a kaumaha. ʻAʻole kēia ka mea āu i manaʻo ai. E ʻike he kōkua, ma hea ʻoe. E kamaʻilio me kāu hui lapaʻau e pili ana i kou manaʻo. E hāʻawi lākou iā ʻoe i ke kākoʻo a me nā kumuwaiwai āu e pono ai. ʻAʻole pono ʻoe e hele wale i kēia.

Leka Lawe-Home

ʻAe, e hōʻuluʻulu kākou i kekahi o nā mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• He maʻi koʻikoʻi ka syphilis congenital i hoʻoili ʻia mai ka makuahine a i ka pēpē, akā hiki ke pale ʻia inā ʻike ʻia a mālama ʻia i ka wā mua.
• Inā hāpai ʻoe, e hōʻoia e hoʻāʻo ʻia no ka syphilis. ʻO ke ala maikaʻi loa ia e pale aku ai iā ʻoe iho a me kāu pēpē.
• Inā ʻike ʻoe he syphilis kou, mai hopohopo a hoʻomaka koke i ka lāʻau. Aia nā lāʻau palekana e hiki ke lawe ʻia i ka wā hāpai.
• ʻAʻole he mau huaʻōlelo wale nō ka moekolohe palekana , he mea nui loa ia no kou olakino a me ko kou ʻohana.
• Inā he mau nīnau a hopohopo paha kāu, e kamaʻilio ākea me ke kauka. Aia lākou ma laila e kōkua iā ʻoe.

Manaʻolana wau he mea kōkua kēia ʻike iā ʻoe. E loaʻa iā ʻoe ka ikaika e lilo i makuahine olakino a loaʻa kahi pēpē olakino!

---

ʻO Syphilis, syphilis hānau, hāpai keiki, olakino keiki, nā maʻi i laha ma ke moekolohe, ka mālama ʻana, ka pale ʻana