He paʻakikī ke kīkī a me ka mimi, ʻeā, e ke kaikaina? ʻAʻole hiki ke lilo i gonorrhea!

I kekahi Pōʻakahi, i ka wā hana nui ma koʻu keʻena lapaʻau, ua hālāwai mua wau me Ryan. He mea hoʻomohala polokalamu ʻo Ryan he 26 ona makahiki. Ua komo mai ʻo ia i loko o ka lumi me ka hilahila a me ka makaʻu. I kona komo ʻana mai a noho i lalo ma kona noho, ua ʻike au ua kaumaha loa ʻo ia no kēia pilikia olakino.

"E Kauka Priya, he mea paʻakikī iki kēia iaʻu e ʻōlelo aku," hoʻomaka ʻo Ryan, me ka haʻalulu o kona leo i kona hoʻopili ʻana i kona mau manamana lima. "No nā lā i hala iho nei, ua loaʻa iaʻu kahi ʻano wela i ka wā e mimi ai au. Ua loaʻa pū iaʻu kahi kahe keʻokeʻo a melemele paha, e like me ka pus mai koʻu urethra."

Ua minoʻaka au a hōʻoluʻolu iā ia. "E Ryan, ʻaʻole pono ʻoe e hilahila a makaʻu paha i kekahi mea. Ua like nā maʻi i laha ma ke ʻano moekolohe me ke anu maʻamau. ʻO ka mea maikaʻi loa e hana ai ke loaʻa iā ʻoe kahi pilikia e like me kēia, ʻo ia ke ʻike i ke kauka a kamaʻilio ākea. E nānā kākou i ka mea e hoʻopilikia nei iā ʻoe."

He aha ka gonorrhea?

Ma hope o ka nānā pono ʻana i nā hōʻailona o Ryan a me kāna mōʻaukala olakino, ua ʻike au he gonorrhea paha ia. He maʻi bacteria maʻamau ka gonorrhea i laha ma o ka moekolohe. Hoʻokumu ʻia ia e ka bacteria Neisseria gonorrhoeae .

I nā kāne, hoʻopilikia pinepine kēia bacteria i ka urethra . Eia nō naʻe, ma muli o ke ʻano o ka hana moekolohe, e like me ka moekolohe waha a i ʻole ka moekolohe anal, hiki i kēia maʻi ke loaʻa i loko o ka puʻu, nā maka, a i ʻole ka rectum.

Wahi a ka World Health Organization (WHO), ʻoi aku ma mua o 82 miliona mau kānaka ma ka honua holoʻokoʻa i loaʻa i ka gonorrhea i kēlā me kēia makahiki, e lilo ia i hoʻokahi o nā maʻi maʻamau i hoʻouna ʻia ma ke ʻano moekolohe (STI) i hoʻokumu ʻia e ka bacteria.

🚨 Nā hae ʻulaʻula e pono ai ke kōkua koke ʻia e ke kauka

ʻOiai hiki i ka maʻi gonorrhea ke hoʻoweliweli i ke ola inā laha ia ma ke kino holoʻokoʻa, pono ʻoe e ʻimi koke i ka haukapila a me ka mālama ʻana inā ʻike ʻoe i kēia mau hōʻailona:

• ʻEha nui a me ka pehu ʻana i nā hono me ke kuni nui: He hōʻailona kēia o ka Disseminated Gonococcal Infection (DGI) , kahi kūlana i hoʻokumu ʻia e ka laha ʻana o ka bacteria i loko o ke koko.
• ʻIke ʻia nā pehu liʻiliʻi i piha i ka nahu a i ʻole nā ​​​​​​ʻulaʻula ma nā wahi o ka ʻili.
• ʻEha nui a me ka pehu ʻana i loko o nā testicles (Epididymitis).
• ʻEha nui hiki ʻole ke hoʻomanawanui ma ka ʻōpū haʻahaʻa a i ʻole ka ʻāpana pelvic i nā wahine (nā hōʻailona PID).

Nā hōʻailona o ka gonorrhea

ʻO ka hapa nui o ka poʻe (ʻoi aku hoʻi nā wahine) i loaʻa i ka gonorrhea ʻaʻole lākou e ʻike i nā hōʻailona o waho.

1. Nā ʻano e kū mai ana i nā kāne:

• ʻEha nui i ka wā e mimi ai: Ua wehewehe ʻo Ryan i ka ʻeha hiki ʻole ke hoʻomanawanui me he mea lā e ʻoki ana kahi pahi ʻumiʻumi i ka urethra mai loko mai.
• Hoʻokuʻu ʻana o ka mimi: He kahe ʻana e like me ka nahu keʻokeʻo, melemele, a ʻōmaʻomaʻo paha mai ka urethra.
• ʻEha testicular: Hiki paha iā ʻoe ke manaʻo i ka ʻeha iki a i ʻole ka pehu ʻana i loko o nā testicles a i ʻole ka ʻāpana groin.

2. Nā hōʻailona e kū mai ana i nā wahine:

ʻAʻole ʻike ʻia ma mua o 50% o nā wāhine kekahi mau hōʻailona, ​​a inā loaʻa nā hōʻailona, ​​​​ua like paha lākou me nā maʻi maʻi urinary maʻamau:

• ʻEha a me ke kuni i ka wā o ka mimi ʻana.
• ʻOi aku ka nui o ka hoʻokahe ʻana o ka vaginal ma mua o ka maʻamau a i ʻole e loli kona kala.
• ʻO ke kahe ʻana o ke koko ma waho o ka wā o ka menstruation a i ʻole ka ʻeha nui i ka wā o ka moekolohe.
• ʻEha mau ma ka ʻōpū lalo (i hoʻokumu ʻia e ka Pelvic Inflammatory Disease - PID ).

Nā ʻano hōʻailona a me ka mālama ʻana

1. Nā hoʻokolohua e hōʻoia i ka maʻi

Hana ʻia nā hoʻokolohua aʻe e hōʻoia pololei inā he gonorrhea kāu:

• Hoʻāʻo Mimi: He hoʻāʻo maʻalahi loa a ʻeha ʻole.
• Hoʻāʻo Swab: Lawe ʻia kahi swab mai ka urethra, vagina, puʻu, a i ʻole anus. Hiki i nā hoʻokolohua genetic hou e like me Nucleic Acid Amplification Tests (NAATs) ke ʻike i nā bacteria me ka pololei ma mua o 95%.

2. Nā lāʻau lapaʻau i hāʻawi ʻia no ka mālama ʻana

ʻOiai he maʻi bacteria ka gonorrhea, he 100% hiki ke ho'ōla ʻia me nā antibiotics:

• Lāʻau pale Ceftriaxone: Hāʻawi pinepine ʻia ma ke ʻano he mahele hoʻokahi i hoʻokomo ʻia i loko o ka ʻiʻo o ka puhaka.
• Doxycycline a i ʻole Azithromycin: Hiki i kāu kauka ke kuhikuhi i kēia mau pila inā manaʻo ʻia he maʻi ʻē aʻe i laha ma ke moekolohe (e like me chlamydia).

⚠️ Mea nui: I kēia manawa, ke pālahalaha nei nā ʻano gonorrhea kūʻē i ka antibiotic (Super Gonorrhea) ma ka honua holoʻokoʻa. No laila, he mea nui e lawe i ka nui piha o ka lāʻau i kuhikuhi ʻia e ke kauka no ka helu piha o nā lā.

Nā mea e pono ai a me nā mea ʻaʻole e pono ai

Nā kumu ʻepekema (Nā Kuhikuhi)

• 📚 Gonorrhea - NHS
• 📚 Nā maʻi Neisseria gonorrhoeae - PMC