Namhlanje siza kuthetha ngesifo solusu esibizwa ngokuba yi-yaws!

Ngaba wakha weva ngesifo solusu esibizwa ngokuba yi-'Yaws'? Mhlawumbi eli gama litsha kuwe. Kodwa sisifo esihlala ixesha elifutshane esinokubonwa kwezinye iindawo, ingakumbi ebantwaneni, kwaye ngamanye amaxesha singonakalisa kungekuphela nje ulusu kodwa namathambo. Ngoko ke, akukho nto ifanele ixhalabe ngayo, masithethe ngale 'Yaws' ngokweenkcukacha nangokulula namhlanje, kulungile?

Yintoni uYaws? Ngamafutshane...

I-Yaws sisifo sesikhumba esibangelwa yintsholongwane esihlala ixesha elide . Sibangelwa yintsholongwane ekhethekileyo yebhaktiriya ethi `Treponema pallidum` (iintlobo ezihlala ixesha elide). Siqala njengeqhubu kwelinye icala lesikhumba kwaye sinokusasazeka kwezinye iindawo zomzimba ngokuhamba kwexesha. Ukuba asinyangwa kakuhle, sinokuphinda sibuye emva kweenyanga okanye iminyaka. Ukuba oku kuyenzeka, kunokubangela umonakalo ongunaphakade kulusu, emathanjeni nakwezinye izicwili.

I-Yaws ikwiqela leentsholongwane ezibizwa ngokuba yi-'endemic treponematoses'. Ikwaziwa kwezinye iindawo ngamagama athi `pian', `framboesia' kunye ne `bouba'.

Zithini izigaba ze-Yaws?

Kukho amanqanaba amane aphambili okuqubha. Makhe sijonge ukuba ziintoni.

Inqanaba lokuqala (I-Primary Yaws)

Eli linqanaba apho uqala ukubona iimpawu . Liqala njengeqhubu elincinci eluswini, elikhula kancinci kancinci lize lenze uqweqwe phezulu. Oku kuhlala malunga neenyanga ezintathu ukuya kwezintandathu.

Inqanaba lesibini (Ukuqaqanjelwa kwesibini)

Inqanaba lesibini liqala emva kweenyanga ezimbalwa emva kokuvela kweempawu zokuqala. Ngeli nqanaba , amaqhuma anokuvela kwiindawo ezininzi zesikhumba . Ngamanye amaxesha, la maqhuma anokusasazeka aye emathanjeni.

IiYaws ezifihlakeleyo

Kule nqanaba, nokuba uvavanywe ukuba unayo intsholongwane ye-T. pallidum, usenokungabi nazimpawu . Oku kunokuhlala iminyaka. Nangona kunjalo, kuthiwa usenokosulela omnye umntu ngeli xesha.

Ukuqunjelwa Kwesithathu/Okusemva Kwexesha

Ukuba ayinyangwa, malunga ne-10% yabantu abafumana i-yaws baya kukhula kweli nqanaba lesithathu emva kweminyaka emihlanu ukuya kwelishumi emva kokuvela kweempawu zokuqala. Oku kukwabizwa ngokuba yi-"late yaws." Ngeli nqanaba , izilonda ezisasazekileyo nezitshabalalisayo zinokukhula emzimbeni wonke .

Yintoni umahluko phakathi kweYaws kunye neSyphilis?

Mhlawumbi ukhe weva nge-syphilis. Iibhaktheriya ezibangela i-yaws zifana kakhulu neebhaktheriya ezibangela i-syphilis. Kodwa into ebalulekileyo kukuba i-yaws ayilosulelo oludluliselwa ngesondo . Isasazeka ngokuqhekeka kwesikhumba, njengokusikeka okanye isilonda.

Zithini iimpawu ze-Yaws?

Iimpawu eziphambili ze-yaws zizigaba ezintathu ezikhankanyiweyo apha ngasentla, eziquka ukubonakala kwamaqhuma, izilonda, kunye nezilonda eluswini, ezisasazeka kwaye zitshintsha ngokuhamba kwexesha. Ukongeza, ezi mpawu zilandelayo zinokubonwa:

• Ii-lymph nodes ezivuvukileyo
• Intlungu kunye nokudumba emathanjeni
• Ukudinwa
• UMalaise

Ngoku makhe sibone ukuba zinjani iimpawu kwinqanaba ngalinye.

Iimpawu zesigaba sokuqala

Eli liqhuma lokuqala elivela eluswini xa kuvela i-yaws. Libangelwa yintsholongwane ethi `Treponema pallidum pertenue`. Linokuvela naphi na emzimbeni, kodwa lihlala libonakala emilenzeni okanye ezinyaweni . Ngamanye amaxesha libizwa ngokuba yi-"mother yaw". Liqala njenge-blister encinci, lize liguquke libe sisilonda esikhulu nesirhawuzelayo. Linokuzaliswa yi-pus kunye ne-crust phezu kwalo. Lihlala liphola lodwa kwiinyanga ezimbalwa, lishiye isilonda.

Iimpawu zesigaba sesibini

Iimpawu zesigaba sesibini zihlala ziqala malunga nenyanga okanye ezimbini emva kokuba kuvele irhashalala yokuqala. Kodwa ngamanye amaxesha inokuqala emva kweminyaka emibini. Ngeli nqanaba , irhashalala ibonakala kwiindawo ezahlukeneyo zesikhumba , ingakumbi ezingalweni, emilenzeni nasezinyaweni. Zinokujongeka ngolu hlobo:

• Njengeentsumpa
• Isilonda okanye inxeba
• Iphakanyisiwe kwaye inamaqhubu / "ifana nerasbheri"
• Umbala obomvu otyheli
• Ithe tyaba, njengekorale
• Indalo etyebileyo, eqinileyo

Kule nqanaba, ukudumba kungasasazeka emathanjeni , nto leyo ebangela iintlungu nokudumba kwiminwe, iinzwane, izandla kunye neenyawo.

Iimpawu zesigaba sesithathu

Ukuba ayinyangwa, abanye abantu bakhula kweli nqanaba lokugqibela le-yaws emva kweminyaka emihlanu ukuya kwelishumi emva kokuvela kweempawu zokuqala. Ngeli xesha, izilonda ze-yaws zisenokuba zisasazeke kwiindawo ezininzi zomzimba . Ungaphawula izinto ezinje:

• Amaqhuma amakhulu kufutshane namalungu
• Amanxeba avulekileyo angena nzulu eluswini, kwi-cartilage, okanye emathanjeni
• Amabala aqinileyo, aqinileyo (iiplaki) ezintendeni zezandla nasezinyaweni zeenyawo

Yintoni ebangela ukudumba?

I-Yaws ibangelwa yintlobo ethile yebhaktiriya iTreponema pallidum ebizwa ngokuba yi-pertenue. Kwinqanaba lokuqala nelesibini le-yaws, iibhaktiriya zifumaneka kwizilonda zesikhumba. Ngoko ke, esi sifo sisasazeka kwabanye ngokudibana nezilonda kunye nezilonda zomntu one-yaws .

Ingaba iiYaws ziyasulela?

Ewe, i-yaws sisifo esosulelayo.I-Yaws isasazeka ukusuka komnye umntu ukuya komnye ngokudibana kwesikhumba nesikhumba ne-rash. Umzekelo, xa abantwana abancinci bedlala kunye, ukuba umntwana one-yaws rash ufumana iintsholongwane kwinxeba elincinci okanye inxeba eluswini lomnye umntwana, isifo sinokusasazeka. I-Yaws iyosulela kwizigaba ezimbini zokuqala. Ayisuleli kwinqanaba lesithathu.

Ngubani ofumana i-yaws kakhulu?

Kwiindawo zehlabathi apho ukudumba kuxhaphake khona, esi sifo sixhaphake kakhulu kubantwana abangaphantsi kweminyaka eli-15 ubudala . Kodwa nabantu abadala banokuba naso. Iingcali zikholelwa ukuba abantu abadala kwezo ndawo bahlakulela ukungakhuseleki kuso ngokuhamba kwexesha. Nangona kunjalo, umntu ohamba esuka kwindawo apho ukudumba kungaqhelekanga ukuya kwenye yezi ndawo usengozini yokufumana esi sifo kuba akanaso eso sifo.

Iphi iYaws exhaphake kakhulu?

I-Yaws ixhaphake kakhulu kwiindawo ezishushu nezinomoya oshushu . Umzekelo:

• Amanye amazwe akuMzantsi-mpuma weAsia
• Amazwe aseNtshona naseMbindini Afrika
• Kwiziqithi zePasifiki

Oku kudla ngokuxhaphaka kakhulu kwiindawo zasemaphandleni.

Ziziphi iingxaki ezinokubakho ngenxa ye-yaws?

Ukuba i-yaws ayinyangwanga kakuhle, iingxaki ezifana nezi:

• Ukudumba kweminwe neenzwane (dactylitis)
• Usulelo lwamathambo okanye isigqubuthelo sawo sangaphandle (i-periostitis)
• Ukufa kwezicubu (i-necrosis)
• Ukonakala kwesimo
• Ukutshatyalaliswa kwamathambo kunye ne-cartilage yempumlo (`gangosa`)
• Ezinye izifo ezibangelwa yibhaktheriya
• Ubunzima bokuhamba okanye ezinye izithintelo zomzimba ngenxa ye-plaque okanye omnye umonakalo kwiintende zezandla kunye neenyawo.

Ezi ngxaki zinzima kakhulu, akunjalo? Yiyo loo nto kubalulekile ukubona ugqirha ngokukhawuleza ukuba uneempawu zokuqunjelwa.

Isifo sikaYaws sifunyanwa njani?

Ugqirha uza kuxilonga i-yaws ngokuhlola ulusu lwakho aze akubuze ngembali yakho yezonyango. Banokuvavanya neesampuli ezivela kwizilonda okanye iisampuli zegazi ukuze babone intsholongwane i-T. pallidum. Xa ijongwa ngemakroskopu, iintsholongwane ezibangela i-yaws kunye neentsholongwane ezibangela i-syphilis zifana kakhulu. Indlela ekuphela kwayo yokubona umahluko kukujonga iimpawu zakho.

Ngaba ii-yaws zinganyangeka?

Ewe, iindaba ezimnandi zezokuba i-yaws inokunyangeka! Ngokwesiqhelo, idosi enye ephezulu yee-antibiotics inokunyanga ngokupheleleyo. Oogqirha badla ngokunika ipilisi ebizwa ngokuba yi-`azithromycin` okanye isitofu esibizwa ngokuba yi-`benzathine penicillin G`. I-yaws inokunyangeka nangaliphi na inqanaba. Nangona kunjalo, ukuba ufumana unyango kumanqanaba okuqala, ungawunciphisa kakhulu umngcipheko weengxaki ezinkulu.

Kwenzeka ntoni ukuba uyakhwaza? Injani imeko yakho?

I-Yaws idla ngokuba sisifo esinokunyangwa . Iziphumo zilungile kakhulu, ingakumbi xa inyangwa kwangethuba kwintsholongwane. Nangona kunjalo, ukuba ayinyangwa, ingashiya amanxeba angapheliyo kunye nomonakalo owonakalisayo .

Ungazikhusela njani kwi-Yaws?

Ukuze uzikhusele ekuqhawukeni, kufuneka uphephe ukudibana nolusu nomntu oqhawukileyo . Ukuqhawuka akusasazeka kwisigaba sesithathu sesikhumba. Kwakhona, oogqirha banokunika amayeza okubulala iintsholongwane ukuvala unxibelelwano lomntu oqhawukileyo ukuthintela usulelo.

I-World Health Organisation (WHO) ikwasebenzisa inkqubo enkulu yokuphelisa ngokupheleleyo iiYaws. Into abayenzayo kukuphatha wonke umntu kwiindawo apho iiYaws zixhaphake khona, kungekuphela nje abo baneempawu.

Ufanele uye nini kugqirha?

Ukuba ukule meko, qiniseka ukuba ubona ugqirha:

• Ukuba ukhe waya okanye uhlala kwindawo apho ukudumba kuxhaphake khona, kwaye uneempawu.
• Ukuba isalamane sakho esisondeleyo sifunyenwe sinesifo sokuwa.
• Ukuba unenxeba emzimbeni wakho elingapholiyo, okanye ukuba lihlala libuya.

Ukuba inyangwa kwangethuba, usulelo lunokunyangeka ngaphambi kokuba kubekho umonakalo ongunaphakade.

Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba uneempawu zosulelo olukhulu olufana nolu, yiya kwigumbi likaxakeka ngokukhawuleza:

• Umkhuhlane ophezulu (ngaphezulu kwe-103 Fahrenheit/40 Celsius)
• Ukuba ulusu olujikeleze inxeba lubomvu, luvakala lushushu, okanye lunentlungu eqatha
• Isiyezi, ubuthathaka
• Ukubetha kwentliziyo
• Uxinzelelo lwegazi oluphantsi
• Ukuchama okunciphileyo okanye okulahlekileyo

Imibuzo omele uyibuze ugqirha wakho

Xa usiya kugqirha wakho, kuyanceda ukubuza le mibuzo:

• Liliphi inqanaba lesi sifo?
• Ngaba ulusu lwam luya kuba ngcono?
• Ndingalukhusela njani ulusu lwam lude luphole?
• Ngaba izalamane zam ezisondeleyo nazo kufuneka zithathe amayeza okubulala iintsholongwane?
• Ndingamosulela omnye umntu ixesha elingakanani?

Okokugqibela, khumbula

I-Yaws sisifo solusu esinokuqala kancinci size sisasazeke emzimbeni wonke, nto leyo ebangela umonakalo omkhulu. Sixhaphake kakhulu kwiindawo apho amaziko ezempilo angafikeleleki lula khona. Ukuba ucinga ukuba une-yaws, bona ugqirha ngokukhawuleza. Inganyangwa ngokulula ngedosi enye yee-antibiotics. Nangona kunjalo, kwizigaba zokugqibela, umonakalo usenokungabuyeki. Ke ngoko, unyango lwasekuqaleni lolona lulungileyo!

"i-yaws, i-framboesia, i-pian, i-treponema pallidum pertenue, usulelo lolusu, isifo sasetropiki, impilo yabantwana