E aʻo pono kākou e pili ana i ka LGV (Lymphogranuloma Venereum), he maʻi i laha ma ke ʻano moekolohe?

Ua lohe paha ʻoe i kahi ʻulaʻula e kū mai ana ma kou ʻōpū a laila lilo i puʻupuʻu ma kou ʻūhā? A i ʻole ua lohe paha ʻoe i kahi hoaaloha e kamaʻilio ana e pili ana i kēia mau hōʻailona? I kekahi manawa hiki i kēia ke lilo i mau hōʻailona o kahi maʻi i laha ma ke ʻano moekolohe. I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia mau maʻi , ʻo LGV (Lymphogranuloma Venereum) . ʻOiai he inoa lōʻihi iki ia, e kamaʻilio mākou e pili ana i ke ʻano o ia mea, pehea e ulu ai, he aha nā hōʻailona, ​​​​aia kekahi lāʻau lapaʻau, a pehea e palekana ai.

He aha ka LGV? E ʻike kākou ma nā huaʻōlelo maʻalahi.

I ka ʻōlelo maʻalahi, he maʻi laha ma ke ʻano moekolohe ʻo LGV (Lymphogranuloma Venereum) . Kāhea mākou i kēia he maʻi laha ma ke ʻano moekolohe (STD) . ʻIke mua ʻia ʻo LGV ma ke ʻano he mau pehu liʻiliʻi ma nā ʻōpū. A laila, i ka lua o ka pae, pehu a ʻeha nā lymph nodes ma ka ʻūhā, pelvis, a i ʻole rectum.

E noʻonoʻo e like me kahi pilikia liʻiliʻi me kā mākou ʻōnaehana lymphatic. ʻO ka nūhou maikaʻi, hiki ke mālama ʻia me nā antibiotics. Eia nō naʻe, inā waiho ʻole ʻia, hiki iā ia ke hōʻeha lōʻihi i kā mākou ʻōnaehana lymphatic. Hoʻonui pū ka LGV i ka pilikia o ka maʻi HIV a me nā maʻi ʻē aʻe i laha ma ke ʻano moekolohe. No laila he mea nui e makaʻala i kēia.

ʻO wai ka mea hiki ke loaʻa iā LGV? ʻO wai ka mea i pilikia nui loa?

ʻO ka ʻoiaʻiʻo, hiki i kekahi mea e moe kolohe ana ke loaʻa iā LGV. Eia nō naʻe, ʻo ka poʻe moe kolohe ma waena o 15 a me 40 mau makahiki ka mea i loaʻa i ka pilikia nui loa. Hiki i kēia maʻi ke hoʻopilikia i nā kāne a me nā wahine.

Eia nō naʻe, ua ʻike ʻia e ka noiʻi ʻana he ʻoi aku ka nui o ka loaʻa ʻana o LGV i nā kāne e moe kolohe ana me nā kāne (MSM) ma mua o nā wahine. ʻOi aku ka nui o ka pilikia o ka poʻe i loaʻa i ka maʻi HIV i ka loaʻa ʻana o LGV.

No laila, ʻoiai inā ʻaʻole ʻoe no kekahi o kēia mau ʻano, inā ʻoe e hana moekolohe, he mea nui loa ia e makaʻala i kēia mau maʻi.

Pehea ka maʻamau o LGV? Loaʻa anei ia ma Sri Lanka?

ʻO ka LGV ka mea maʻamau ma nā wahi wela a me nā wahi subtropical. He mea kākaʻikahi ia ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa. Eia nō naʻe, ua hōʻike ʻia nā maʻi ahulau LGV ma nā ʻāina e like me ʻAmelika ʻĀkau, ʻEulopa, a me Australia i waena o nā kāne e moe kolohe me nā kāne. No ka laʻana, i ka makahiki 2018, ua hōʻike ʻia he 2,389 mau hihia o LGV mai 22 mau ʻāina ʻEulopa.

He mea maikaʻi ia no kākou, ka poʻe e noho ana i kahi aniau wela e like me Sri Lanka, e hopohopo no kēia. No ka mea, inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he mea naʻauao ke ʻike i ke kauka ma kahi o ka noʻonoʻo ʻana, "ʻAʻohe ala e hiki mai ai kēia iaʻu."

No ke aha e hana ʻia ai kēia LGV? He aha ke kumu?

Hoʻokumu ʻia ʻo LGV e Chlamydia trachomatis.ʻO kahi bacteria i kapa ʻia ʻo LGV ua hoʻokumu ʻia e ʻekolu mau ʻano kikoʻī o kēia bacteria, nā serovars L1, L2, a me L3 .

Ua lohe paha ʻoe i kekahi maʻi ʻē aʻe i laha ma ke ʻano moekolohe i kapa ʻia ʻo "chlamydia." Hoʻokumu ʻia hoʻi e ka bacteria like, ʻo Chlamydia trachomatis. Akā ua hoʻokumu ʻia e kahi ʻano ʻokoʻa (serovar DK) . No laila, ua like ʻo LGV me kahi lālā ʻokoʻa iki, he mea weliweli paha o ka ʻohana Chlamydia.

Hiki ke laha ka LGV ma o ka moekolohe anal, vaginal a waha paha . ʻO ke ʻano kēia inā pili ʻoe i ka moekolohe me kahi mea i loaʻa i ka maʻi, hiki iā ʻoe ke loaʻa i ka maʻi.

He aha nā hōʻailona o LGV? ʻEkolu mau pae!

Hoʻomaka pinepine nā hōʻailona LGV i loko o ʻekolu a ʻumikūmālua (3-12) mau lā o ka maʻi. Eia nō naʻe, i kekahi mau hihia, hiki i nā hōʻailona ke hala a hiki i 30 mau lā e ʻike ʻia. Loaʻa kēia mau hōʻailona i ʻekolu mau pae nui:

Pae 1: Ke ʻike ʻia nā ʻūlū liʻiliʻi

I loko o kēia pae, ʻike ʻia nā pehu liʻiliʻi i piha i ka wai (1 a 6 milimita ka nui) ma kāu penis a i loko paha o kou vagina. ʻAʻohe ʻeha o kēia mau mea a ho'ōla koke. I kekahi manawa hiki ke ʻike ʻia kēia mau pehu i loko o kou waha a i ʻole ka puʻu. ʻAʻole paha e nānā nui ka poʻe he nui i kēia mau pehu, no ka mea, nalo koke lākou.

Pae ʻElua: ʻO ka wā pehu a ʻeha

Hoʻomaka kēia pae ʻelua ma kahi o ʻelua a ʻeono pule ma hope o ke pae mua. ʻO nā hōʻailona nui e ʻike ʻia ma kēia pae:

• ʻO nā lymph node pehu a palupalu ma ka ʻāpana groin (i kapa ʻia hoʻi ʻo 'buboes'). He mea maʻamau kēia i nā kāne.
• I nā wahine, hiki i nā lymph nodes i loko o ke pelvis a me ka rectum ke pehu a ʻeha.

Hiki i ka ʻili ma luna o kēia mau lymph node pehu ke haki i kekahi manawa, e ʻae ana i ke koko a i ʻole ka pus e kahe ma o lākou a hiki i ka ʻili o ka ʻili (ua kapa ʻia kēia he sinus tract).

Ma waho aʻe o kēia mau hōʻailona nui, hiki ke ʻike ʻia kekahi mau hōʻailona ʻē aʻe i kēia pae:

• ʻEha ʻōpū
• ʻEha anal
• ʻEha hope a ʻeha pelvic paha i nā wahine
• ʻEha kino, luhi
• Ka paʻa ʻana o ka ʻōpū
• Manaʻo e like me ʻoe e pono e hele pinepine i nā ʻōpala
• ʻEha poʻo a me ke kuni
• Ka mumū ʻana o ka rectum a me ka anus (proctitis)
• Ke kahe koko ʻana o ka rectal, ka maneʻo a i ʻole ka hoʻokuʻu ʻana
• ʻEha i ka wā mimi (dysuria) a me ka ʻeha i ka wā e neʻe ai ka wai
• Ka pohō kaumaha i wehewehe ʻole ʻia

Pae ʻEkolu: He aha ka mea e hana inā ʻaʻole ʻoe e loaʻa i ka lāʻau kūpono

Hiki mai kēia kahua inā ʻaʻole mālama pono ʻia ʻo LGV. I ke kolu o ke kahua, ʻoiai inā ua ho'ōla ʻia nā ʻeha ma mua, e mau ana paha nā ʻōpala. ʻO nā "sinus tracts" i ʻōlelo mua ʻia (nā ala kahe purulent) e mau ana paha.

I kēia hihia, hiki ke loaʻa nā pilikia koʻikoʻi:

• Nā ʻōpū
• Nā kahawai anal maʻamau ʻole (Anal fistulas)
• Nā ʻōpū kino kīnā
• Nā ʻūmiʻi rectal
• Ka hana ʻino o ka papahele pelvic
• Ka pehu ʻana o nā ʻōpū

ʻIke ʻoe, ʻoiai he mea maʻalahi ka hoʻomaka ʻana, hiki ke lilo i mea koʻikoʻi inā ʻaʻole mālama ʻia. No laila he mea nui e makaʻala i kēia mau hōʻailona.

Pehea e ʻike ai ke kauka i ka LGV?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike i ke kauka. E nīnau mua ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a me kou ola moekolohe. A laila, e hana ʻo ia i kahi hoʻokolokolo kino.

Inā kānalua ʻia ʻo LGV, hiki i kāu kauka ke kuhikuhi i kekahi mau hoʻokolohua, e like me:

• He hoʻāʻo koko: Nānā kēia i nā antibodies i hana ʻia i loko o ko mākou kino e kūʻē i ka bacteria (Chlamydia trachomatis).
• Hoʻāʻo Hoʻonui ʻAkika Nucleic (NAAT): Ke nānā pololei nei kēia i ka bacteria Chlamydia trachomatis i loko o kahi hāpana i lawe ʻia mai kou ʻūhā, rectum, a i ʻole ka lymph node pehu. ʻO kēia ka hoʻāʻo i hoʻohana pinepine ʻia e hōʻoia i ka LGV.

ʻO ka maʻamau, hiki ke ʻike ʻia nā kāne i nā pae mua o ka maʻi. Eia nō naʻe, i ka wā e ʻike ʻia ai nā wahine, hiki i kekahi manawa ke ʻoi aku ka holomua o ka maʻi. ʻO kēia no ka mea i kekahi manawa ʻike ʻia nā hōʻailona o nā wahine i loko, no laila ʻaʻole paha e ʻike nui ʻia nā hōʻailona o waho.

He aha nā lāʻau lapaʻau no LGV? Hiki ke ho'ōla ʻia?

ʻAe, hiki ke mālama pono ʻia ʻo LGV me nā lāʻau antibiotic! ʻO kēia ka mea nui loa.

ʻO ka maʻamau, kuhikuhi nā kauka i kahi lāʻau antibiotic i kapa ʻia ʻo doxycycline . Pono ʻoe e lawe i 100 milligrams o kēia lāʻau lapaʻau ʻelua i ka lā no 21 mau lā. He mea nui loa ia e lawe i ka lāʻau lapaʻau e like me ka mea a kāu kauka e ʻōlelo ai iā ʻoe, no ka lōʻihi o ka lāʻau lapaʻau.

I kekahi manawa, hiki ke hāʻawi ʻia nā lāʻau antibiotic ʻē aʻe, e like me ka erythromycin a i ʻole azithromycin, ma kahi o ka doxycycline.

Inā he mau lymph node pehu (buboes) piha i ka pus ma kou ʻāpana groin, hiki i kāu kauka ke ʻōlelo aku i kahi fine needle aspiration (FNA) e wehe i ka pus. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka ʻoluʻolu ʻole.

E hoʻomanaʻo, inā ua ʻike ʻia ʻoe me LGV, he mea nui loa ia e hoʻomaopopo i kāu mau hoa moe a e hoʻāʻo ʻia lākou. ʻO kēia kekahi mea i moe me ʻoe i nā lā 60 ma mua o ka hoʻomaka ʻana o kāu mau hōʻailona. E ʻae kēia iā lākou e hoʻāʻo ʻia a mālama ʻia inā pono.

He aha kā mākou e hana ai e hōʻemi i ka hanana o LGV?

Aia kekahi mau mea e hiki ai iā mākou ke hana e pale iā mākou iho mai nā maʻi i laha ma ke ʻano moekolohe e like me LGV:

• E hōʻalo i ka moekolohe palekana ʻole , e like me ka loaʻa ʻana o nā hoa moekolohe he nui i ka manawa like.
• I ka hōʻailona mua o kahi maʻi i laha ma ke ʻano moekolohe (STD) , e ʻimi i ke kōkua lapaʻau a loaʻa i ka lāʻau lapaʻau e pono ai. Mai hilahila a makaʻu paha. ʻO kou olakino ka mea nui loa.
• Inā haʻi aku ke kauka iā ʻoe he LGV kou, e haʻi i kāu mau hoa moe i hiki iā lākou ke hoʻāʻo ʻia a loaʻa ka lāʻau lapaʻau inā pono.
• E hoʻohana i nā condom a i ʻole nā ​​​​ʻano palekana ʻē aʻe i kēlā me kēia manawa āu e moe ai. Hiki i kēia ke pale aku iā ʻoe mai LGV wale nō, akā, mai nā maʻi ʻē aʻe he nui i laha ma ke ʻano moekolohe.

He aha nā pilikia e hiki mai ana o LGV? Pono anei au e hopohopo?

Inā ʻaʻole mālama pono ʻia ʻo LGV a me ka wikiwiki, hiki ke loaʻa kekahi mau pilikia. No laila ke paipai nei mākou e ʻike i ke kauka i ka wā e ʻike ai ʻoe i nā hōʻailona. Eia kekahi o nā pilikia e hiki ke loaʻa inā ʻaʻole mālama ʻia:

• Nā kahawai anal maʻamau ʻole (Anal fistulas)
• Ke ālai ʻia ʻana o ka lymphatic
• Ka hoʻonui ʻia ʻana o nā ʻōpū
• Ka hānau ʻole ʻana
• ʻO ka arthropathy reactive (maʻi hui i hoʻokumu ʻia e ka maʻi)
• Nā ʻūmiʻi rectal
• ʻO ka pehu nui o nā ʻōpū (i kapa ʻia hoʻi he elephantiasis)

Eia kekahi, hiki ke piʻi aʻe ka pilikia o ka loaʻa ʻana o nā maʻi e like me ka hepatitis a me ka pneumonia . Inā ua hōʻeha nui nā fistula a i ʻole nā ​​strictures i loko o ka rectum, pono paha ke ʻoki ʻana.

Akā, ʻaʻohe pono e makaʻu i kēia mau mea, inā loaʻa koke ka lāʻau lapaʻau, hiki ke pale ʻia kekahi o kēia mau pilikia.

He aha ka wā e hiki mai ana no kekahi me LGV? E ola piha anei?

He pilikia kēia i loaʻa i nā poʻe he nui. Inā ʻike ʻia a mālama ʻia ʻo LGV i ka wā mua, hiki ke ho'ōla loa ʻia! Ua hōʻike ʻia e ka noiʻi ʻana ʻo ka lawe ʻana i ka doxycycline no 21 mau lā e ho'ōla ana ma mua o 98.5% o nā maʻi LGV.

Eia nō naʻe, inā ua hōʻino ʻo LGV i kāu mau kīʻaha lymphatic, hiki ke hoʻomau ka pehu ʻana.

ʻO kekahi mea nui ʻē aʻe, ʻo ia ka nui o ka pilikia o ka poʻe me LGV i ka loaʻa ʻana o nā maʻi ʻē aʻe i hoʻouna ʻia ma ke ʻano moekolohe (STDs). Eia kekahi laʻana:

• ʻO ka maʻi gonorrhea
• HIV
• Hepatitis B
• Hepatitis C
• ʻO ka maʻi syphilis

No laila, inā loaʻa iā ʻoe ʻo LGV, hiki i kāu kauka ke hoʻāʻo iā ʻoe no nā maʻi ʻē aʻe e like me kēia. A laila, hiki ke hoʻomaka koke ʻia ka lāʻau lapaʻau e pono ai. Eia kekahi, he manaʻo maikaʻi e hoʻāʻo hou ʻia no `(Chlamydia trachomatis)` ma kahi o ʻekolu mahina ma hope o ka pau ʻana o ka lāʻau LGV.

Inā loaʻa iā ʻoe ʻo LGV, pehea ʻoe e mālama ai iā ʻoe iho?

Pono ʻoe e hōʻalo loa i ka moekolohe i ka wā o ka mālama ʻana no LGV. Ma hope o ka pau ʻana o ka mālama ʻana, e hoʻomanawanui a hiki i ka ʻōlelo ʻana o ke kauka, "ʻAe, ʻaʻohe pilikia i kēia manawa."

A laila, i mea e pale ai i kēia ʻano maʻi mai ka hanana hou ʻana i ka wā e hiki mai ana, e hoʻomaʻamaʻa mau i ka moekolohe palekana, e like me ka hoʻohana ʻana i nā condom.

Leka Lawe-Home

ʻAe, ua kamaʻilio nui mākou e pili ana iā LGV i kēia manawa. Eia nā mea nui loa e pono ai ʻoe e hoʻomanaʻo:

• He maʻi laha ka LGV i ke moekolohe e hoʻoulu mua ai i nā pehu ma nā ʻōpū, a ukali ʻia e nā kini lymph pehu.
• Hiki ke laha ma o ka moekolohe anal, vaginal, a i ʻole ka moekolohe waha.
• Inā ʻaʻole e mālama koke ʻia, hiki ke loaʻa nā pilikia e like me ka hānau ʻole ʻana a me ka pehu ʻana o ka genital.
• Eia nō naʻe, hiki ke mālama pono ʻia ʻo LGV me nā lāʻau antibiotic! Inā mālama ʻia i ka wā mua, hiki ke ho'ōla piha ʻia.
• He mea nui loa ka hana ʻana i ka moekolohe palekana a e ʻimi i ke kōkua lapaʻau i ka wā e ʻike ai ʻoe i nā hōʻailona.

Inā he mau nīnau hou aku kāu e pili ana i kēia, a inā paha e manaʻo ʻoe he loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia, mai hilahila a makaʻu paha e ʻike i ke kauka. He mea nui loa kou olakino iā ʻoe.

LGV , Lymphogranuloma Venereum, Nā Maʻi i Hoʻoili ʻia e ke Kāne, STD, Chlamydia, Lymphadenopathy, Moe Palekana