I kēia lā e kamaʻilio kākou e pili ana i ka maʻi ʻili i kapa ʻia ʻo yaws!

Ua lohe paha ʻoe i kahi maʻi ʻili i kapa ʻia ʻo 'Yaws'? Malia paha he mea hou kēia inoa iā ʻoe. Akā, he maʻi pōkole ia e hiki ke ʻike ʻia ma kekahi mau wahi, ʻoi aku hoʻi i waena o nā keiki, a i kekahi manawa hiki ke hōʻino ʻaʻole wale i ka ʻili akā i nā iwi. No laila, ʻaʻohe mea e hopohopo ai, e kamaʻilio kākou e pili ana i kēia 'Yaws' me nā kikoʻī a maʻalahi loa i kēia lā, ʻae?

He aha ʻo Yaws? I ka ʻōlelo maʻalahi...

He maʻi ʻili bacteria lōʻihi ka Yaws. Hoʻokumu ʻia ia e kahi ʻano kūikawā o ka bacteria 'Treponema pallidum' (subspecies pertenue). Hoʻomaka ia ma ke ʻano he puʻupuʻu ma kekahi ʻāpana o ka ʻili a hiki ke laha i nā ʻāpana ʻē aʻe o ke kino i ka hala ʻana o ka manawa. Inā ʻaʻole mālama pono ʻia, hiki ke hoʻi hou ma hope o nā mahina a i ʻole nā ​​​​makahiki. Inā hana ʻia kēia, hiki iā ia ke hōʻeha mau loa i ka ʻili, nā iwi, a me nā ʻiʻo ʻē aʻe.

No loko o kahi hui o nā maʻi bacteria i kapa ʻia ʻo 'endemic treponematoses' ka Yaws. Ua ʻike ʻia hoʻi ia ma kekahi mau wahi ma nā inoa ʻo 'pian', 'framboesia' a me 'bouba'.

He aha nā pae o Yaws?

ʻEhā mau pae nui o ka yaws. E nānā kākou i ko lākou ʻano.

Pae mua (Nā Yaws mua)

ʻO kēia ke kahua e hoʻomaka mua ai ʻoe e ʻike i nā hōʻailona . Hoʻomaka ia me kahi puʻupuʻu liʻiliʻi ma ka ʻili, kahi e ulu mālie ai a hiki ke hana i kahi ʻōpala ma luna. ʻO ka maʻamau, he ʻekolu a ʻeono mahina kēia.

Ka lua o ka pae (ʻelua o nā Yaws)

Hoʻomaka ka lua o ka pae i kekahi mau mahina ma hope o ka ʻike ʻia ʻana o nā hōʻailona mua. I loko o kēia pae , hiki ke ʻike ʻia nā puʻupuʻu ma nā wahi he nui o ka ʻili . I kekahi manawa, hiki i kēia mau mea ke laha i nā iwi.

Nā Yaws Latent

I kēia pae, ʻoiai inā ua hoʻāʻo maikaʻi ʻoe no ka bacteria T. pallidum, ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona . Hiki i kēia ke mau no nā makahiki. Eia nō naʻe, ua ʻōlelo ʻia hiki nō iā ʻoe ke hoʻopili i kekahi i loko o kēia manawa.

ʻO nā Yaws Tertiary/Late

Inā ʻaʻole mālama ʻia, ma kahi o 10% o ka poʻe e loaʻa ana i ka yaws e loaʻa i kēia pae ʻekolu ʻelima a ʻumi mau makahiki ma hope o ka ʻike ʻia ʻana o nā hōʻailona mua. Ua kapa ʻia hoʻi kēia ʻo "late yaws." I loko o kēia pae , hiki ke ulu nā ʻeha laha a luku ma ke kino holoʻokoʻa .

He aha ka ʻokoʻa ma waena o Yaws a me Syphilis?

Ua lohe paha ʻoe i ka syphilis. Ua like loa ka bacteria e hoʻoulu ai i ka yaws me ka bacteria e hoʻoulu ai i ka syphilis. Akā, ʻo ka mea nui, ʻaʻole he maʻi laha ka yaws i ka moekolohe . Hoʻolaha ʻia ia ma o ka haki ʻana o ka ʻili, e like me ka ʻoki a i ʻole ka ʻeha.

He aha nā hōʻailona o Yaws?

ʻO nā hōʻailona nui o ka yaws nā pae ʻekolu i ʻōlelo ʻia ma luna, ʻo ia hoʻi ke ʻano o nā puʻupuʻu, nā ʻeha, a me nā ʻōpū ma ka ʻili, e laha a loli ana i ka hala ʻana o ka manawa. Eia kekahi, hiki ke ʻike ʻia nā hōʻailona penei:

• Nā ʻōpū lymph pehu
• ʻEha a me ka pehu ʻana i nā iwi
• Luhi
• Malaise

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

Nā hōʻailona o ka pae mua

ʻO kēia ka puʻupuʻu mua e ʻike ʻia ma ka ʻili i ka wā e ulu ai ka yaws. Hoʻokumu ʻia e ka bacteria 'Treponema pallidum pertenue'. Hiki ke ʻike ʻia ma nā wahi āpau o ke kino, akā ʻike pinepine ʻia ma nā wāwae a i ʻole nā ​​​​wāwae . I kekahi manawa ua kapa ʻia ʻo "mother yaw". Hoʻomaka ia ma ke ʻano he pehu liʻiliʻi, a laila lilo i ʻōpū nui a ʻānai. Hiki ke piha i ka pus a me ka ʻili ma luna. Hoʻōla pinepine ia iā ia iho i loko o kekahi mau mahina, e waiho ana i kahi ʻeha.

Nā hōʻailona o ka lua o ka pae

Hoʻomaka pinepine nā hōʻailona o ka lua o ka pae ma kahi o hoʻokahi a ʻelua paha mahina ma hope o ka puka ʻana o ka ʻōhū mua. Akā i kekahi manawa hiki ke hoʻomaka a hiki i ʻelua makahiki. I loko o kēia pae , ʻike ʻia nā ʻōhū ma kekahi mau wahi o ka ʻili , ʻoi aku hoʻi ma nā lima, nā wāwae, a me nā wāwae. Hiki iā lākou ke nānā aku penei:

• E like me ka wart
• ʻEha a ʻeha paha
• Hāpai ʻia a puʻupuʻu / "like me ka raspberry"
• He kala ʻulaʻula melemele
• Palahalaha, e like me ke koʻa
• ʻAno mānoanoa a paʻakikī

I kēia pae, hiki i ka yaws ke laha i nā iwi , e hōʻeha ana i ka ʻeha a me ka pehu ʻana ma nā manamana lima, nā manamana wāwae, nā lima, a me nā wāwae.

Nā hōʻailona o ke kolu o ka pae

Inā ʻaʻole mālama ʻia, loaʻa i kekahi poʻe kēia pae hope o ka yaws ʻelima a ʻumi mau makahiki ma hope o ka ʻike ʻia ʻana o nā hōʻailona mua. I kēia manawa, ua pālahalaha paha nā ʻeha yaws i nā wahi he nui o ke kino . E ʻike paha ʻoe i nā mea e like me:

• Nā puʻupuʻu nui kokoke i nā hono
• Nā ʻeha hāmama e komo hohonu ana i loko o ka ʻili, ke cartilage, a i ʻole ka iwi
• Nā ʻāpana mānoanoa a paʻakikī (plaques) ma nā poho lima a me nā kapuwaʻi o nā wāwae

He aha ke kumu o ka yaws?

Hoʻokumu ʻia ka Yaws e kahi ʻano kūikawā o ka bacteria Treponema pallidum i kapa ʻia ʻo pertenue. I nā pae mua a me ka lua o ka yaws, loaʻa nā bacteria i loko o nā ʻeha ʻili a me nā ʻeha. No laila, ua laha ka maʻi i nā poʻe ʻē aʻe ma ka launa pū ʻana me nā ʻeha a me nā ʻeha o ke kanaka me ka yaws .

He maʻi lele anei ʻo Yaws?

ʻAe, he maʻi lele ka yaws.Hoʻolaha ʻia ka maʻi ʻūlū mai ke kanaka a i ke kanaka ma o ka pili ʻana o ka ʻili a i ka ʻili me ka ʻōhū. No ka laʻana, i ka wā e pāʻani pū ana nā keiki ʻōpio, inā loaʻa i kahi keiki me ka ʻōhū ʻūlū nā germs ma kahi ʻoki liʻiliʻi a i ʻole kahi ʻeha ma ka ʻili o kekahi keiki, hiki ke laha ka maʻi. He laha ka ʻūlū i nā pae mua ʻelua. ʻAʻole ia he laha i ke kolu o ka pae.

ʻO wai ka mea e loaʻa pinepine ana i ka yaws?

Ma nā wahi o ka honua kahi i ʻike nui ʻia ai ka yaws, ʻoi aku ka maʻamau o ka maʻi i nā keiki ma lalo o 15 mau makahiki . Akā hiki i nā pākeke ke loaʻa iā ia. Manaʻo nā loea e hoʻomohala ka poʻe pākeke ma ia mau wahi i ka pale ʻana iā ia i ka hala ʻana o ka manawa. Eia nō naʻe, ʻo ka mea e hele mai ana mai kahi wahi i ʻike ʻole ʻia ai ka yaws i kekahi o kēia mau wahi, ua pilikia ʻo ia i ka loaʻa ʻana o ka maʻi no ka mea ʻaʻohe o lākou ia ʻano pale.

ʻAuhea kahi i loaʻa pinepine ai ka Yaws?

ʻIke pinepine ʻia nā Yaws (endemic) ma nā wahi tropical me nā aniau wela a pulu . Eia kekahi laʻana:

• ʻO kekahi mau ʻāina ma Asia Hikina Hema
• Nā ʻāina ma ʻApelika Komohana a me ʻApelika Waena
• Ma nā mokupuni Pākīpika

ʻOi aku ka nui o kēia ma nā wahi kua'āina.

He aha nā pilikia e hiki mai ana o ka yaws?

Inā ʻaʻole mālama pono ʻia ka yaws, hiki mai nā pilikia e like me:

• Ka pehu ʻana o nā manamana lima a me nā manamana wāwae (dactylitis)
• Nā maʻi o nā iwi a i ʻole ko lākou uhi waho (periostitis)
• Make ʻana o nā ʻiʻo (necrosis)
• Ka hōʻino ʻana i ke ʻano
• Ka luku ʻia ʻana o nā iwi a me ke kāʻei o ka ihu (`gangosa`)
• Nā maʻi bacteria ʻē aʻe
• Ka paʻakikī i ka hele wāwae a i ʻole nā ​​​​palena kino ʻē aʻe ma muli o nā palaki a i ʻole nā ​​​​​​hōʻino ʻē aʻe ma nā poho lima a me nā ʻaoʻao.

He mea koʻikoʻi loa kēia mau pilikia, ʻeā? No laila he mea nui e ʻike koke i ke kauka inā loaʻa iā ʻoe nā hōʻailona o ka yaws.

Pehea e ʻike ʻia ai ka maʻi Yaws?

E ʻike ke kauka i nā yaws ma ka nānā ʻana i kou ʻili a me ka nīnau ʻana e pili ana i kou mōʻaukala olakino. Hiki iā lākou ke hoʻāʻo i nā laʻana mai nā ʻeha a i ʻole nā ​​laʻana koko no ka bacteria T. pallidum. Ke nānā ʻia ma lalo o kahi microscope, ʻano like loa nā bacteria e hoʻoulu ai i nā yaws a me nā bacteria e hoʻoulu ai i ka syphilis. ʻO ke ala wale nō e ʻike ai i ka ʻokoʻa ma o kāu mau hōʻailona.

Hiki ke ho'ōla ʻia nā yaws?

ʻAe, ʻo ka nūhou maikaʻi, hiki ke ho'ōla ʻia nā yaws! ʻO ka maʻamau, hiki i kahi mahele nui o nā antibiotics ke ho'ōla loa iā ia. Hāʻawi pinepine nā kauka i kahi pila i kapa ʻia ʻo `azithromycin` a i ʻole kahi lāʻau pale i kapa ʻia ʻo `benzathine penicillin G`. Hiki ke mālama ʻia nā yaws i kēlā me kēia pae. Eia nō naʻe, inā loaʻa iā ʻoe ka lāʻau i nā pae mua, hiki iā ʻoe ke hōʻemi nui i ka pilikia o nā pilikia koʻikoʻi.

He aha ka mea e hana ai inā loaʻa iā ʻoe ka yaws? He aha ka manaʻo?

He maʻi hiki ke mālama ʻia ka Yaws. Maikaʻi loa nā hopena, ʻoiai inā mālama ʻia i ka wā mua o ka maʻi. Eia nō naʻe, inā waiho ʻole ʻia, hiki iā ia ke waiho i nā ʻeha mau loa a me ka hōʻino ʻana i ke ʻano .

Pehea e pale ai iā ʻoe iho mai nā Yaws?

I mea e pale aku ai iā ʻoe iho mai ka yaws, pono ʻoe e pale i ka hoʻopā ʻana o ka ʻili me ka mea i loaʻa i ka yaws . ʻAʻole laha ka Yaws ma o ka ʻili ʻili o ke kolu o ka pae. Eia kekahi, hiki i nā kauka ke hāʻawi i nā antibiotics i nā pilina pili o ka mea i loaʻa i ka yaws e pale aku i ka maʻi.

Ke hoʻokō nei ka World Health Organization (WHO) i kahi papahana nui e hoʻopau loa i ka Yaws. ʻO kā lākou hana, ʻo ia ka mālama ʻana i nā mea āpau ma nā kaiāulu kahi i laha ai ka Yaws, ʻaʻole wale ka poʻe me nā hōʻailona.

Āhea ʻoe e ʻike ai i ke kauka?

Inā ʻoe i loko o kēia kūlana, e ʻike pono i ke kauka:

• Inā ua huakaʻi ʻoe a noho paha i kahi i loaʻa pinepine ai ka yaws, a loaʻa iā ʻoe nā hōʻailona.
• Inā ua ʻike ʻia kekahi o kou ʻohana pili me Yaws.
• Inā he ʻeha kou ma kou kino e ho'ōla ʻole ana, a inā paha e hoʻi hou mai ana.

Inā mālama ʻia i ka wā mua, hiki ke ho'ōla ʻia ka maʻi ma mua o ka hiki ʻana mai o ka pōʻino mau loa.

I ka manawa hea ʻoe e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi koʻikoʻi e like me kēia, e hele koke i kahi lumi pilikia:

• kuni nui (ma luna o 103 Fahrenheit/40 Celsius)
• Inā ʻulaʻula ka ʻili a puni kahi ʻeha, wela paha, a ʻeha nui paha
• Pōʻino, nāwaliwali
• Nā palpitations o ka puʻuwai
• Ke koko haʻahaʻa
• Ua emi a nalowale paha ka mimi ʻana

Nā nīnau e nīnau aku ai i kāu kauka

Ke hele ʻoe e ʻike i kāu kauka, he mea kōkua ke nīnau i kēia mau nīnau:

• He aha ke kahua o kēia maʻi?
• E maikaʻi anei koʻu ʻili?
• Pehea e hiki ai iaʻu ke pale i koʻu ʻili a hiki i kona ho'ōla ʻana?
• Pono anei koʻu ʻohana pili e lawe i nā lāʻau antibiotic?
• Pehea ka lōʻihi e hiki ai iaʻu ke hoʻopili i kekahi mea ʻē aʻe?

ʻO ka hope loa, e hoʻomanaʻo

He maʻi ʻili ka Yaws e hiki ke hoʻomaka liʻiliʻi a laha ma ke kino holoʻokoʻa, e hōʻeha nui ana. ʻO ka mea maʻamau ia ma nā wahi i paʻakikī ai ke komo ʻana i nā hale olakino. Inā manaʻo ʻoe he yaws kou, e ʻike koke i ke kauka. Hiki ke mālama maʻalahi ʻia me kahi mahele hoʻokahi o nā antibiotics. Eia nō naʻe, i nā pae hope, ʻaʻole paha e hoʻihoʻi ʻia ka pōʻino. No laila, ʻoi aku ka maikaʻi o ka mālama mua ʻana!

`yaws, framboesia, pian, treponema pallidum pertenue, maʻi ʻili, maʻi tropical, olakino keiki