E aʻo hou aʻe kākou e pili ana i ka syphilis ocular, ka mea e hoʻopilikia pū i nā maka.

Ua lohe paha ʻoe i nā maʻi i laha ma ke ʻano moekolohe (STD). Hiki i kekahi o kēia mau maʻi ke hoʻopilikia i nā ʻāpana ʻē aʻe o ke kino inā ʻaʻole mālama pono ʻia. Pēlā nō, inā ʻaʻole mālama pono ʻia, hiki i kahi maʻi i kapa ʻia ʻo syphilis ke hoʻopilikia i kou mau maka. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi maʻi i kapa ʻia ʻo ocular syphilis, kahi e hoʻopilikia ai i nā maka. ʻOiai he moʻolelo koʻikoʻi kēia, ʻo ka hoʻomaopopo pono ʻana hiki ke pale i nā pilikia he nui.

I ka ʻōlelo maʻalahi, he aha ka syphilis ocular?

I ka ʻōlelo maʻalahi, ʻo ka Ocular Syphilis kahi pilikia o ka syphilis e kū mai ana i nā maka inā loaʻa iā ʻoe ka maʻi a ʻaʻole i mālama pono ʻia. He maʻi bacteria ka Syphilis a he maʻi i hoʻouna ʻia ma ke ʻano moekolohe (STI). Hiki ke hoʻoili ʻia kēia maʻi mai kahi makuahine hāpai i kāna pēpē.

Inā ʻaʻole mālama ʻia, hiki i ka syphilis ke laha i kou ʻōnaehana nerve, ka lolo (Neurosyphilis), nā pepeiao (Otosyphilis), a me nā maka (Ocular Syphilis). Inā ʻaʻole mālama ʻia, hiki i ka syphilis ocular ke hoʻopilikia i ka nalowale o ka ʻike a me ka makapō. ʻO ia ke kumu he mea nui e makaʻala i kēia.

Pehea ka maʻamau o kēia ʻano?

Ma ka honua holoʻokoʻa, ua hōʻike ʻia ma kahi o 12 miliona mau hihia syphilis hou i kēlā me kēia makahiki. Ma kahi ʻāina e like me ʻAmelika, ua ʻōlelo ʻia ma waena o 1% a me 5% o ka poʻe i loaʻa i ka "Neurosyphilis" e loaʻa i ka "Ocular Syphilis". ʻAʻole i nele kēia ʻano ma Sri Lanka, no laila pono mākou e hopohopo no kēia.

He aha nā hōʻailona? Pehea ʻoe e ʻike ai?

Ua kapa nā kauka i ka syphilis ʻo "ka mea hoʻopunipuni nui." ʻO ia no ka mea hiki i ka maʻi ke hoʻohālike i nā hōʻailona o nā maʻi ʻē aʻe he nui. ʻO ia hoʻi, i kekahi manawa he mea paʻakikī ke ʻike iā ia he syphilis.

Hiki ke ʻike ʻia nā hōʻailona o ka `(Ocular Syphilis)` i kēlā me kēia pae o ka syphilis. Eia nō naʻe, ʻike pinepine ʻia lākou i nā pae hope o ka maʻi. Inā ʻaʻole ʻoe e loaʻa i ka lāʻau lapaʻau, e holomua mālie ka maʻi ma nā pae like ʻole.

E aʻo pū kākou e pili ana i nā pae o ka syphilis.

Hiki ke hoʻokaʻawale ʻia ka syphilis i kekahi mau pae nui:

• Kahua Mua: Hiki ke hoʻomaka kēia kahua i loko o ʻelua a ʻumikūmālua pule ma hope o kou pili ʻana me kekahi me ka syphilis. ʻO kēia ka wā e ulu ai kahi ʻeha ʻeha ʻole (`chancre`) ma kou wahi genital. ʻOiai e ho'ōla ponoʻī kēia ʻeha i loko o kekahi mau lā, hiki nō iā ʻoe ke hoʻoili i ka maʻi i kekahi.
• Pae Lua: I loko o hoʻokahi a ʻeono mahina ma hope o ka ho'ōla ʻana o ka ʻeha i ʻōlelo ʻia ma luna, e loaʻa iā ʻoe kahi ʻulaʻula. Hiki nō iā ʻoe ke hoʻopili i nā poʻe ʻē aʻe i kēia pae.
• Kahua Latent: Inā ʻaʻole ʻoe i mālama ʻia, loaʻa nō iā ʻoe ka syphilis i kēia pae. Eia nō naʻe, ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona. I loko o kēia pae, haʻahaʻa ka pilikia o ka hoʻoili ʻana i ka maʻi i nā hoa moe.
• Kahua ʻEkolu: ʻO kēia ka pae hope loa a koʻikoʻi loa o ka maʻi. ʻO ke kikoʻī, i loko o kēia pae e hiki ai ke loaʻa nā pilikia olakino koʻikoʻi. Hiki ke ʻike pinepine ʻia nā kūlana e like me ka `(Ocular Syphilis)` i kēia wā.

He aha nā hōʻailona e ʻike wale ʻia ma nā maka?

I kēia manawa, e nānā kākou i nā hōʻailona e hoʻopilikia pono i nā maka i ka hihia o `(Ocular Syphilis)`:

• ʻUlaʻula o nā maka.
• Ke ʻike ʻana i nā mea liʻiliʻi e lana ana i mua o nā maka (`(Eye floaters)`).
• ʻEha maka.
• ʻIke i ka mālamalama, ʻo ia hoʻi ka paʻakikī i ka nānā ʻana i ka mālamalama (Photophobia).
• Nā neʻe ʻana o nā maka maʻamau ʻole.
• ʻO ka haumāna ʻo Argyll Robertson: He kūlana kēia e ʻūmiʻi ai ka haumāna o ka maka, ʻoiai ke nānā kokoke aku i kahi mea. Eia naʻe, ʻaʻole ia e ʻūmiʻi ke hōʻike ʻia i ka mālamalama ʻālohilohi.
• ʻIke pōwehiwehi a nalowale loa paha ka ʻike.
• Nā ʻeha, nā puʻupuʻu, a i ʻole nā ​​kiko i loko a puni paha o nā maka.
• I ka liʻiliʻi loa, hiki ke ulu kahi ʻeha ʻeha ʻole (`(Chancre)`) ma ka lihilihi.

Mea nui: Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui loa ia e ʻimi koke i ke kōkua lapaʻau. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke pale aku i ka pōʻino nui.

He aha nā ʻāpana o ka maka e hoʻopilikia ai kēia?

Hiki i ka syphilis ke hoʻopilikia i kekahi ʻāpana o ka maka. Eia nō naʻe, hoʻopilikia pinepine ia i ka uvea. ʻO ka uvea ka ʻāpana e like me ka membrane o ka maka e waiho ana ma lalo o ke keʻokeʻo o ka maka (ka sclera). Loaʻa iā ia ka iris, choroid, a me ke kino ciliary.

ʻO kēia mumū a me ka maʻi o ka `(Uvea)` ua kapa ʻia ʻo `(Uveitis)`. Manaʻo ka nui o nā kauka e pono e hoʻāʻo ʻia nā mea a pau me `(Uveitis)` no ka syphilis. Aia paha he pilina ma waena o nā mea ʻelua.

He aha ke kumu o kēia? Pehea e laha ai?

ʻO ka syphilis a me ka syphilis ocular ke kumu o ia mea e ka bacteria Treponema pallidum.

Hoʻolaha ʻia ka syphilis ma o ka pili kokoke ʻana o ka ʻili a i ka ʻili me kahi kanaka i loaʻa i ka maʻi. ʻO ka hapa pinepine, hoʻolaha ʻia ka syphilis ma o ka moekolohe waha, anal, a me ka vaginal me ka pale ʻole.

Inā hāpai ʻoe, hiki ke hoʻoili ʻia kēia maʻi i kāu pēpē. ʻO ia ke kumu he mea nui loa ka hoʻāʻo ʻia no ka syphilis i ka wā hāpai. Inā loaʻa iā ʻoe ka syphilis, hiki iā ia ke hōʻeha i kāu pēpē.

ʻO wai ka mea i ʻoi aku ka pilikia?

Aia paha kekahi poʻe i ka pilikia nui o ka hoʻomohala ʻana i ka Ocular Syphilis. ʻO kēia mau mea:

• ʻO ka poʻe i moe kolohe me ka pale ʻole, ʻoiai inā he ʻoi aku ma mua o hoʻokahi hoa moe kā lākou.
• ʻO nā kāne e moe kolohe me nā kāne (MSM).
• ʻO ka poʻe i loaʻa i ka maʻi HIV i kēia manawa a i ʻole ua hōʻoia ʻia he maʻi ʻē aʻe i laha ma ke moekolohe.
• ʻO ka poʻe i moe me kekahi i hōʻoia ʻia he syphilis.

He aha nā pilikia inā ʻaʻole mālama ʻia?

Inā ʻaʻole mālama pono ʻia ka Ocular Syphilis, hiki ke loaʻa nā pilikia e like me kēia i ka hala ʻana o ka manawa:

• Nā katarata.
• ʻO ke kūkulu ʻia ʻana o nā kīʻaha koko hou i loko o ka maka (`(Neovascularization of your eye)`).
• Ka ʻōlinolino o ka maka.
• ʻO ka Glaucoma (Glaucoma).
• Ka ʻūmiʻi ʻana o ka retina o ka maka (`(Macular pucker)`).
• Ka pehu ʻana o ka macula (macular edema).
• Ka ʻeha o nā ʻiʻo o ka maka.

He mea weliweli paha ka lohe ʻana i kēia mau mea, akā e hoʻomanaʻo, hiki ke pale ʻia kēia mau mea āpau inā ʻike mua ʻia ka maʻi a mālama pono ʻia.

Pehea ʻoe e ʻike pono ai i kahi o kēia?

No ka ʻike ʻana inā he syphilis ocular kou, e nīnau kāu kauka iā ʻoe i nā nīnau e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino. A laila, e hana kahi kauka maka i kahi hoʻokolokolo maka piha a me kekahi mau hoʻokolohua ʻē aʻe. E nānā lākou no:

• Kou ʻike maka.
• Ka hana a ke apo ʻeleʻele i loko o kou mau maka.
• Ke kaomi i loko o kou mau maka.
• Nā hoʻāʻo koko āu.
• I kekahi manawa, hiki ke hoʻāʻo ʻia ka wai cerebrospinal (CSF).

He aha nā hoʻokolohua e hana ʻia nei?

Eia kekahi o nā hoʻokolohua nui i hoʻohana ʻia no ka ʻike ʻana i ka syphilis ocular:

• Nā hoʻāʻo koko (ʻoi aku hoʻi nā hoʻāʻo no ka syphilis).
• Hoʻāʻo Tonometry no ke ana ʻana i ke kaomi o nā maka.
• ʻO kahi hoʻokolokolo microscopic i kapa ʻia ʻo "slit lamp exam" (hiki iā ʻoe ke ʻike i loko o ka maka me nā kikoʻī).
• ʻO ka angiography Fluorescein (Pili kēia i ka hoʻokomo ʻana i kahi wai kūikawā i loko o ka maka a me ka lawe ʻana i nā kiʻi o nā kīʻaha koko i loko).

Pehea e mālama ʻia ai kēia? Hiki ke ho'ōla ʻia?

ʻO ka nūhou maikaʻi, hiki ke ho'ōla loa ʻia ka Ocular Syphilis me nā antibiotics! ʻO ka penicillin ka antibiotic maʻamau i hoʻohana ʻia. Eia nō naʻe, ʻokoʻa paha ka lāʻau lapaʻau ma muli o ke kahua o ka syphilis. Hiki i kāu kauka ke ʻōlelo aku i nā kulu maka a i ʻole nā ​​​​lāʻau lapaʻau waha ʻē aʻe.

He aha nā lāʻau lapaʻau i hāʻawi ʻia?

Hoʻomaopopo pinepine nā kauka i nā lāʻau lapaʻau e like me kēia:

• Hāʻawi ʻia kahi lāʻau antibiotic i kapa ʻia ʻo `(Penicillin G)` ma o ka intravenous (`(IV)`) no 10 a 14 mau lā.
• I kekahi manawa, hāʻawi pū ʻia kahi inikini i kapa ʻia ʻo Benzathine penicillin G, kahi i hoʻokomo ʻia i loko o ke ʻiʻo (intramuscular) no ʻekolu pule, me kahi lāʻau lapaʻau i kapa ʻia ʻo Probenecid, kahi i lawe ʻia ma ka waha.
• Inā he maʻi ʻoe i ka penicillin, hiki ke hāʻawi ʻia iā ʻoe nā lāʻau antibiotic ʻē aʻe e like me ceftriaxone a i ʻole azithromycin.

ʻO ka lāʻau lapaʻau maikaʻi loa no ka syphilis ocular a me ka neurosyphilis ʻo ia ka penicillin intravenous. Inā he maʻi ʻoe i ka penicillin, e hoʻāʻo pinepine nā kauka e hoʻomaʻemaʻe i kou naʻau i ka lāʻau i hiki iā ʻoe ke hoʻohana.

Kūikawā: Ka mālama ʻana i ka Syphilitic Keratitis, kahi maʻi i hoʻokumu ʻia e ka syphilis

Aia kahi ʻokoʻa liʻiliʻi ma ʻaneʻi. Inā loaʻa iā ʻoe ka Syphilitic Keratitis, kahi mumū o ka cornea o kou maka i hoʻokumu ʻia e ka syphilis, e kuhikuhi kāu kauka i nā steroids ma kahi o nā antibiotics.

Ma hope o ka hoʻomaka ʻana i ka lāʻau antibiotic, hiki i kāu kauka ke kuhikuhi i nā steroids waha a i ʻole nā ​​​​kulu maka e hōʻemi i ka mumū i kou mau maka. Hiki iā lākou ke kuhikuhi i nā lāʻau lapaʻau maka ʻē aʻe, e like me:

• ʻO nā lāʻau anti-inflammatory nonsteroidal (NSAIDS) e hōʻemi ana i ka mumū.
• Nā kulu maka e hōʻemi ana i ka maloʻo (Lubricants).
• Nā lāʻau lapaʻau e hoʻonui ai i ka pupil o ka maka (`(Mydriatics)`).

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

Hiki i nā lāʻau lapaʻau syphilis ke hana i kekahi mau hopena ʻaoʻao a i ʻole nā ​​​​pilikia. ʻO kekahi o lākou:

• `(Jarisch-Herxheimer reaction (JHR))`: He hopena kēia e hiki ke hana me nā lāʻau lapaʻau intravenous. Hiki iā ia ke hana i ke kuni a me ka hou, ka ʻeha poʻo, ka piʻi ʻana o ka mahana o ke kino, a i ʻole ka hoʻonui ʻana i ka mumū o nā maka. Ke nānā nei nā kauka i kēia.
• Poho mau loa ka ʻike: ʻO ka hoʻohana ʻana i nā steroids wale nō me ka ʻole o nā antibiotics hiki ke hoʻopilikia i ka pohō ʻike. Inā loaʻa iā ʻoe ka uveitis ma muli o ka syphilis, pono ʻoe e lawe i nā antibiotics.
• Nā pilikia o ka hoʻohana ʻana i nā steroid: ʻOiai he lāʻau lapaʻau pono loa nā steroid, hiki iā lākou ke hana i nā hopena ʻaoʻao ke hoʻohana ʻia no ka manawa lōʻihi. ʻO kēia mau mea ka piʻi ʻana o ke kaumaha, nā loli o ke ʻano, ka hiamoe ʻole, a me ke koko kiʻekiʻe a me nā pae kō.

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi ma hope o ka lāʻau lapaʻau?

ʻO ka maʻamau, ʻelua pule ka lōʻihi o ka mālama ʻana no ka Ocular Syphilis, a i kekahi manawa ʻoi aku ka lōʻihi. Hiki iā ʻoe ke hoʻomaka e ʻoluʻolu i loko o kekahi mau lā o ka hoʻomaka ʻana o ka mālama ʻana. Eia nō naʻe, he mea nui e lawe i ka papa holoʻokoʻa o ka lāʻau i kuhikuhi ʻia e kāu kauka.

He aha ka mea e hana ʻia i ka wā e hiki mai ana? E hoʻōla piha anei ia?

ʻO ka Syphilis, a me ke ʻano i kapa ʻia ʻo `(Ocular Syphilis)` , he maʻi hiki ke ho'ōla ʻia. E like me nā maʻi maka āpau, ʻo ka ʻike mua ʻana a me ka mālama koke ʻana i ka `(Ocular Syphilis)` hiki ke hōʻemi nui i ka hōʻino ʻana i kou ʻike. Inā loaʻa iā ʻoe nā maʻi ʻē aʻe, e like me `(HIV)`, a inā paha he ʻike maikaʻi ʻole kou i ka hoʻomaka ʻana, hiki i kēia mau mea ke hoʻopilikia i nā hopena.

Hiki ke pale ʻia kēia mai ka hana ʻana?

ʻO ke ala wale nō e pale aku ai i ka syphilis, ʻo ia ka pale ʻana i ka moekolohe me kahi mea i loaʻa i ka syphilis a me ka pale ʻana i ka hoʻopā ʻana i nā ʻeha syphilis.

Pehea e hōʻemi ai i ka pilikia?

Hiki iā ʻoe ke hana i kēia mau mea e hōʻemi i kēia pilikia:

• Ke kāpae nei i ka moekolohe.
• ʻO ka moekolohe ʻana me hoʻokahi wale nō hoa hilinaʻi i hōʻoia ʻia ʻaʻohe ona maʻi i laha ma ke moekolohe.
• E hoʻohana pono i nā condom latex a me nā dental dams inā he moekolohe waha, anal, a vaginal paha ʻoe me nā poʻe ʻē aʻe.

Āhea ʻoe e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi loli i kou ʻike, a inā paha e loaʻa iā ʻoe nā hōʻailona hou a inā paha e ʻoi aku ka ʻino o kāu mau hōʻailona i kēia manawa, e ʻike koke i ke kauka.

Āhea ʻoe e pono ai e hele i ka lumi pilikia?

I kēlā kūlana, e hele koke i kahi lumi pilikia ( ETU ):

• Inā nalowale koke kou ʻike.
• Inā ʻike ʻoe i ka ʻeha nui ma kou mau maka.
• Inā pilikia ʻoe i ka hanu ʻana ma muli o kahi maʻi allergy i ka lāʻau lapaʻau.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• He aha nā mea nui e pono iaʻu e ʻike e pili ana i ka Ocular Syphilis?
• He aha ka lāʻau lapaʻau āu e paipai mai ai iaʻu?
• He aha nā pilikia me kēia lāʻau lapaʻau?
• He aha nā hopena ʻaoʻao e pono iaʻu e hōʻike koke aku?
• Pehea ka hana o ke kaʻina hana o ka hoʻomaopopo ʻana i kaʻu mau hoa moe e loaʻa paha iā lākou ka syphilis?

ʻAʻohe mea makemake e lohe ua loaʻa iā lākou kahi maʻi i laha ma ke ʻano moekolohe, e like me ka syphilis. Manaʻo paha ʻoe he pili wale kēia ʻano maʻi i ka ʻōnaehana hānau. Akā, ʻaʻole pēlā ka hihia me ka syphilis. Hiki iā ia ke hoʻopilikia i kou mau maka, e hōʻeha ai i ka ʻike a me ka makapō. Eia nō naʻe, inā loaʻa koke a mālama ʻia me kahi papa piha o nā antibiotics, hiki i kāu kauka ke ho'ōla i ka Ocular Syphilis. Inā ua loaʻa iā ʻoe kahi maʻi allergy i ka penicillin, e hōʻoia e haʻi i kāu kauka e pili ana i ia mea. ʻO Penicillin ka lāʻau lapaʻau nui no kēia.

ʻO kā mākou leka lawe-i-ka-home

No laila, ke lana nei koʻu manaʻo ua maopopo iā ʻoe i kēia manawa ke ʻano i kapa ʻia ʻo `(Ocular Syphilis)` a mākou i kamaʻilio ai i kēia lā. ʻO ka mea nui e hoʻomanaʻo ai, he maʻi hiki ke ho'ōla ʻia kēia, ʻoiai inā ʻike mua ʻia a mālama pono ʻia. Inā he kānalua a hōʻailona paha kāu, mai hilahila a makaʻu paha e ʻimi i ke aʻo lapaʻau. Eia kekahi, ʻo ka moekolohe palekana ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai ia mau maʻi. He waiwai nui kou mau maka, a ʻo kou kuleana ke pale aku iā lākou.

ʻO ka Syphilis maka, Syphilis, Syphilis i nā maka, nā maʻi i laha ma ke ʻano moekolohe, nā maʻi maka, Uveitis, nā hōʻailona Syphilis, ka mālama ʻana i ka Syphilis