Nā maʻi venereal: gonorrhea, syphilis

ʻO nā maʻi venereal - gonorrhea, syphilis - kahi i laweʻia i nā maʻi mai kekahi kanaka i kekahi kāne'ē aʻe, e like me nā pilina waha a me nā anal-genital. ʻO ka maʻi me ka maʻi hōʻehaʻaʻole i hōʻike mau i ka moe kolohe o kekahi kanaka:ʻoiai me kekahi hoa pili i ka moekolohe, aia kekahi pilikia eʻaelike (inā heʻuʻuku) . ʻO nā maʻi maʻamau maʻamau o ka maʻi syphilis a me gonorrhea. ʻO nā maʻi'ē aʻe, e like me ka urogenital chlamydia, trizomoniasis, mycoplasmosis, candidiasis, a me nā maʻi male kāne viral i hoʻohālikelikeʻia e ka WHO e like me nā maʻi i hoʻounaʻia i ke kolohe me ka hōʻinoʻana i ka pūnaewele urogenital kanaka.

ʻO Gonorrhea

ʻO nā maʻi kolohe maoli, i hanaʻia e ka gonococci. I waena o nā maʻi no nā maʻiʻeha o ka wahine hānau keiki,ʻo ka maʻi gonorrhea ka lua.

Hiki i nā'ōpana o ka genitarianinary pūnaewele me ka epithelium cylindrical: ka mucosa o ka ureter, ke kahawai o ke kino, nā piko o nā momona bartholin, ka membrane mucous o kaʻehu uterine, nā pullopola tubes, nā ovaries, ka peritoneum o ke pelvis. I ka wā'ōpiopio, i ka wā kamaliʻi a i ka manawa o ka menopause, hiki i ka gonorrhea ke hana.

ʻO ke kumu o ka maʻi he kanaka me ka gonorrhea.

Keʻano o ka maʻi .

- ke lawe 'ia ka maʻi ma muli o ka pilina' ana;

- ma waena o nā pilina e pili ana i ka moeāne, nā pilina o ke kino;

- i keʻano nuiʻole ma kaʻohana - ma o nā holoi lole, nāʻaʻahu, nā lole;

- i ka wā hānau o kahi makuahine maʻi (ka maka a me kaʻinoʻino o nā kaikamāhine).

I nā wahine,ʻaʻoheʻaʻahu ke kāpili o ka gonorrhea a ua kauʻia ma ka localization o ka hana, ka virulence o ka maʻi, ka makahiki o ka mea maʻi, ka hanuʻana o kona kino, ka wā o ka maʻi (ka lōʻihi).

ʻO ka hou gonorrhea i loko o kahi'āpanaʻano e hōʻikeʻia e ke kiʻi kalapili i'ōleloʻia: piʻi ka mahana, loaʻa nāʻeha nui ma ka'ōpū lalo, a me ka puka ākea ka'ōmaʻomaʻo-'ōmaʻomaʻo. Loaʻa kaʻeha a me ke ahi i ka wā eʻimi ai, e makemake pinepine ai. Aia kekahi'ōhū a me hyperemia o ka genitalia waho.

Hoʻohui pūʻia kaʻano o ka gonorrhea me kahiʻano hoʻohālikelike, pinepineʻia ke nānāʻana i nā hōʻailona maʻi. No laila, lawe i kahi maʻi i hoʻomakaʻole ma mua oʻelua pule i hala. Hōʻikeʻia ka'ōpala Torpid e nā'ōnaehana hoʻokolohua liʻiliʻi a iʻole he asymptomatic, akā, ua loaʻa i ka wahine kekahi o nā gonococci i kahi kānalua diagnostoply o ka hulu. Me kaʻano hoʻomau o ka lāʻau gonorrhea no ka hoʻopaʻaʻana i ka bacteria a me ka bacterioscopic,ʻaʻole kokoke i kahi maʻi, akā,ʻo ka maʻi ke kumu o ka maʻi.

ʻO Gonorrhea i loko o nā wāhine hāpai e like me ka mea asymptomatic. Hiki i ka hopena o ka hāpaiʻana, ka hānau hānau a me ka wā o ka lālani, a he mea kūpono hoʻi no ka'ōpū a me ke keiki hānau. ʻO nā pilikia i ka makuahine (chorioamnionitis, subinvolution o ka'ōpū, endometritis), i loko o ka pēpē (mua, anophthalmia, sepsis intrauterine, make). Hoʻopilikiaʻia ka hoʻopauʻana o ka'ōpū ma muli o ka hikiʻana o ka maʻi o ka kōpū, ovaries, tub tublopian.

ʻO Gonorrhea i nā keiki. ʻO keʻano o ka maʻi: i nā keiki hou, ke maʻi ka maʻi ke hele ke keiki ma o ke kaheʻana i ka maʻi hānau, aiʻole i ka utero ma loko o ka wai amniotic, a mai ka maʻi maʻi i ka mālamaʻana i ke keiki hou. Hiki i nā 'ōpio ke pale i kahiʻaila umauma aiʻole ke kāwele, ka holoi lole, kaʻauʻau. ʻO ka Gonorrhea i nā kaikamāhine he koʻikoʻi nui loa a me ka hyperemia o nā pēpē mucous o nāʻanoʻano, ka hoʻopiʻi kaomi, ka pinepine pinepine a me kaʻeha, ka wela, kaʻili. Hiki ke piʻi ke kino o ka kino, akā hiki ke holo a me ka holoʻana o asymptomatic. ʻO Gonorrhea i nā kaikamāhine e hāʻawi like i nā pilikia likeʻole iʻikeʻia i loko o nā wāhine makua. Hoʻopilikiaʻoleʻia ka uluʻana o nā keikikāne ma muli o nāʻano pilikino o ka hananaʻana o nāʻano o ke kino.


Nā Syphilis

ʻO nā maʻi kolohe maoli, i laweʻia i ka moe kolohe.

ʻO ka mea nāna i hoʻopuka i ka maʻi,ʻo ia ka micropganism pale treponema. ʻO ke kumu o ka maʻi he kanaka maʻi.

'Oiho mau ala o ka maʻi :

- Nānā - ke poʻo;

- me nā pilina pili kāne kāne, ka pilina o ke kino;

- ka hale - pinepine i nā keiki, me ka pilina pilina pilikino (i ka wā e hiamoe ana kekahi keiki me kekahi makua maʻi, hoʻohana i nā mea hoʻomaʻemaʻe). ʻO ke ala maʻamau o nā maʻi o nā mākua e loaʻa loa i keʻano maʻamau, e like me ka wā e honi ai, i ka wā ma ka mucous membrane o nā lehelehe o ka waha, he mau'ōpikipiki syphilitic me kahi'ōmaʻomaʻo;

-ʻoihana - i ka hoʻokolokolo 'ana i nā maʻi no ka syphilis, a he mau kulū ma kaʻili aiʻole ka membrane mucous me kaʻulu maʻemaʻe;

- ka transipcent (ma o ka placenta) - ma nā hihia kahi i hoʻopiliʻia ai ka wahine hāpai me syphilis,ʻo ia hoʻi ke kula kiʻekiʻe. A laila kūkulu ke keiki i nā congenital syphilis;

- Transfusion (rare rare) - no ke kaheʻana o ke koko i laweʻia mai ka mea maʻi me syphilis.

Ke Kulanui. Ma muli o ka komoʻana o ka maʻi maʻi i loko o ke kino a hiki i nā hōʻailona mua o ka maʻi, heʻekolu mau wiki. ʻO kēia ka wā i kapaʻia he'ākuhu. Ua komo mua ka mea hoʻopuka i loko o ke kino, akā,ʻaʻole i loaʻa i ka mea maʻi ke kuhi a me nā hōʻailona o ka maʻi. ʻOiai i loko o kēia wā ua pio ke kanaka. Ma hope o ka hopena o ka manawa hoʻolālā, kahi wale kahi i komo ai ka pathogen i nā hōʻailona mua. ʻO kēia ka mea i kapaʻia he "hard hardcre". ʻO ka luʻuluʻu heʻaʻaʻole i loko o kaʻili a me ka membrane mucous (kaʻaleʻana), heʻanoʻole - hohonu (ʻo kahi maʻi, i ka wā e ola ai, e waiho ana i kahi maʻile). ʻO kahi kūpaʻa paʻa o keʻano o ka'ōleʻele a iʻole ka oval, heʻeleʻele i ke kumu me ka mālamalama, i ke poʻo iki aʻe a me ka pukaʻole o ka mumū a puni, me kaʻoluʻoluʻole, me kaʻoluʻoluʻoluʻolu a me nā huna hilahilaʻole. Ma kahi o kekahi pule ma hope aku, i ka wā e waihoʻia ai ka chancre ma nā maʻi, nā kinipona lyuthe inguinal ma kekahiʻaoʻaoʻaoʻao. ʻAʻole i nui ka uluʻana o nā lmph nodes. ʻO kēia ka lā mua o syphilis, e like me keʻano o ka chancre he 6-8 mau wiki. I ka nui pinepineʻole nā ​​wāhine i ke kilokilo i ka chancre ma ko lākou genitals ma muli o kona hemahema a nalowale i ka papahana mua o syphilis. Ma hope o 6-8 mau mahina ma hope o ka hoʻouluʻana o kahi chancre ikaika, hiki ke mahana o ka maʻi maʻi, nā poʻo hina o ka pō, nā maʻi ā iwi. ʻO kēia manawa prodromal i kēia manawa pale nui treponema nui, komo i loko o ke koko a me nā mea maʻi i kaʻili a me nā membmo mucous kahi e hoʻopuehuʻia. ʻO keʻano o kēia heleʻana o syphilis i ke kula kiʻekiʻe. ʻO ka hamo mua he roseola - liʻiliʻi (0.5-1 knm.) He mauʻulaʻula ma kaʻili o ke kumu, ka'ōpū, nā lālā, ka meaʻole e hoʻoulu,ʻaʻole e pākuʻi ma luna o kaʻili o kaʻili aʻaʻole e flake. A laila aia nā nodules. I kēia manawa, hiki keʻikeʻia nā papules erosive ma kaʻili a me nā pēpena mucous o nā'ōpū kino wahine. He palupalu lākou, neostroospavitelnye, me ke anawaena o nā millimeters a 1 knm, me ka lepo māmā, kahi e nui ai nā pathogens (pale treponem), no laila lākou e lele nui. ʻAʻole lākou i pōʻino. No ka hopena a me ka huhū, ua ulu aʻe kēia mau nodu a lilo i mau papule hypertropic aiʻole condylomas ākea.

Hoʻomaʻaʻia nā maʻi o ka gonorrhea a me syphilis i keʻano o kekahi haukapila kūikawā o ka clinical dermatovenerologic, ma muli o ke aʻoʻana o MOHʻo Rusia. I kekahi mau kumu, ua mālamaʻia ka mea hoʻomana e kekahi venereologist ma kahi polyclinic. Ke kohoʻana i ke kauka, pono ke kauka e nānā i keʻano o ka maʻi, ke koʻikoʻi o ke kaʻina hana, ke kūʻana o nā pilikia. Hoʻohanaʻia ka hoʻomaʻamaʻaʻana i ka hoʻopauʻiaʻana o ka pathogen, nā hiʻohiʻona o ka paneʻana o ke aloha, e hoʻonui ana i ka hoʻonākiuki immunobiological o ke kino. ʻO kēia ke kumu no ka pilikinoʻana o ka lāʻau pono'ī a paʻakikī i nā pilikia nui.