Heaha ka Gonoreia Nui? | Nā Hōʻailona & Ka Lapaʻau

Heaha ka Gonoreia Nui?

ʻO ia ka maʻi like i hoʻokumu ʻia e ka maʻi bacteria like, ʻo Neisseria gonorrhoeae, akā ua ulu kēia ʻano kikoʻī e ola i nā lāʻau i pepehi iā ia maʻalahi. E noʻonoʻo e like me ka luna o kahi pāʻani wikiō i aʻo e pale i kāu mau hoʻouka maʻamau, e koi ana iā ʻoe e ʻimi i kahi hoʻolālā hou.

ʻAʻole kēia he hoʻomaka koke. Loaʻa i ka bacteria ma hope o ka gonoreia kahi mōʻaukala lōʻihi o ka hoʻopunipuni ʻana i kā mākou mau mea kaua lapaʻau. - I ka makahiki 1940, ua ulu kona pale ʻana i nā sulfonamides.

• A laila ua ulu ia ma mua o ka penicillin a me ka tetracycline.
• ʻO ka mea hou loa, ua hoʻomaka ka hōʻike ʻana i ka pale ʻana i ka azithromycin a me ka ciprofloxacin kumu.

ʻO kēia ʻano o ka pale ʻana o Neisseria gonorrhoeae ka mea i alakaʻi iā mākou i ka pilikia o kēia manawa o ka gonoreia pale lāʻau. I kēlā me kēia manawa e emi ai ka pono o ka lapaʻau, e hoʻokokoke ana mākou i nā maʻi i ʻoi aku ka paʻakikī ke hoʻokele.

Heaha na Hōʻailona o ka Gonoreia Nui?

ʻO kēia ka mea nui loa e lawe aku ai: ʻO nā hōʻailona o ka gonoreia nui ka mea like me nā hōʻailona o ka gonoreia maʻamau, hiki ke lapaʻau.

ʻAʻole pili ka ʻāpana "nui" i nā hōʻailona koʻikoʻi a ʻokoʻa paha. Pili ia i ka hiki o ka maʻi ke pale i nā lāʻau 'ākena. ʻO ka hiʻohiʻona hoʻokaʻawale ʻaʻole ia pehea ʻoe e manaʻo ai i ka mua, akā ʻo ka mea e hana ma hope o kou loaʻa ʻana i ka lapaʻau maʻamau. Inā mau kou mau hōʻailona, ​​hoʻi koke mai ma hope o ka hoʻopau ʻana i kāu lāʻau, a inā maikaʻi mau kāu hoʻāʻo hōʻoia, e pili ana paha ʻoe i kahi ʻano gonoreia pale lāʻau 'ākena.

No ka mea like nā hōʻailona, ​​he mea nui ka ʻike ʻana iā lākou ma mua. Eia naʻe, ʻo ka poʻe he nui, ʻoi aku ka wahine, hiki ke asymptomatic, ʻo ia hoʻi, ʻaʻole lākou e hōʻike i nā hōʻailona kumu. Hoʻolilo kēia i ka hoʻokolokolo STI maʻamau no ka poʻe moe kolohe i mea nui loa.

Eia kahi hoʻokaʻawale ʻana o nā hōʻailona kūpono e nānā ai.

Nā Hōʻailona o ka Gonoreia i nā Kāne

Ke ʻike ʻia nā hōʻailona i nā kāne, ʻike pinepine lākou a ʻoluʻolu ʻole. ʻO nā hōʻailona maʻamau o ka gonoreia i nā kāne pū ʻia:

• Hoʻokuʻu Kūpono ʻole: He hoʻokuʻu keʻokeʻo, melemele, a ʻōmaʻomaʻo paha mai ka piko o ka penis.
• ʻEha ka Mīkini: He ʻā a ʻeha paha ka ʻeha ke mīkini ʻoe (kahi maʻi i kapa ʻia ʻo urethritis).
• ʻEha Nā Testicle: ʻEha, palupalu, a pehu paha i kekahi a i ʻole ʻelua mau testicle, ʻoiai ʻaʻole pinepine kēia.
• Kūmau ka Urethra: He ʻeha ʻoluʻolu ʻole i loko o ka penis.

Nā Hōʻailona o ka Gonoreia i nā Wahine

ʻO ka mea pōʻino, ʻo ka maʻi ka mea huna i nā wahine, hiki ke alakaʻi i nā pilikia koʻikoʻi inā ʻaʻole ʻike ʻia. Ke loaʻa lākou, hiki i nā hōʻailona o ka gonoreia i nā wahine ke haʻahaʻa a maʻalahi ke huikau me ka maʻi ʻōpū a ʻōpū paha. Aia lākou:

• Hoʻonui ʻia ka Hoʻokuʻu ʻana o ka ʻōpū: Hiki ke lahilahi, wai, a me ka ʻōmaʻomaʻo a melemele paha.
• ʻEha a ʻAʻā ʻana paha i ka wā e Mīkini ai: E like me ka maʻi ʻōpū (UTI).
• Koko ma waena o Nā Menstruation: Kulu a i ʻole ke koko nui ma waho o kou pōʻai maʻamau.
• ʻEha i ka wā o ka moekolohe: ʻAʻole ʻoluʻolu a ʻeha paha ma ka ʻaoʻao o ka ʻōpū i ka wā o ka moekolohe.
• ʻEha ma ka ʻaoʻao haʻahaʻa o ka ʻōpū a i ʻole ka ʻōpū: He ʻeha mau a ʻeha paha i loko o ka ʻōpū haʻahaʻa.

Nā Hōʻailona ma nā Wahi ʻē aʻe (Rectal a me ka ʻāʻī)

Hiki i ka Gonoreia ke hoʻopōʻino i ka ʻōpū a me ka ʻāʻī ma o ka moekolohe anal a me ka waha. ʻAʻole pinepine kēia mau maʻi i asymptomatic.

• Nā Hōʻailona Rectal: Hiki ke komo pū me ka ʻeha ʻana o ka ʻaoʻao, palupalu, koko, hoʻokuʻu, a i ʻole nā ​​helehelena ʻeha.
• Nā Hōʻailona Gonoreia Waha: ʻO ka hōʻailona maʻamau ka ʻeha ʻāʻī mau. ʻO nā hōʻailona gonoreia waha ʻē aʻe pū ka ʻulaʻula i loko o ka ʻāʻī a me nā ʻōpū pehu i loko o ka ʻāʻī, hiki ke maʻalahi ke huikau me ka strep throat a i ʻole ke anu maʻamau kumu.

Inā ʻoe e ʻike i kekahi o kēia mau hōʻailona, ​​he mea nui ʻole e nānā ʻole iā lākou. ʻO ka ʻimi ʻana i ka ʻōlelo aʻo lapaʻau koke ka ʻanuʻu mua i ka hoʻoholo ʻana a me ka mālama pono.

Heaha ka Maʻi "Nui"? Ka Piʻi ʻana o ka Pale ʻana i ka Lāʻau ʻĀkena

No laila, pehea ka maʻi gonoreia maʻamau e lilo ai i "nui"? ʻO nā kumu o ka gonoreia nui pili i ka pilikia olakino lehulehu o ka honua o ka pale ʻana i ka lāʻau 'ākena. He mau mea ola nā bacteria, a ʻo kā lākou pahuhopu ka ola a me ka hoʻonui ʻana. Ke ʻike ʻia lākou i kahi lāʻau 'ākena, pepehi ʻia ka hapa nui, akā ʻo kekahi me nā hoʻololi genetic maʻamau e ola paha.

A laila hoʻonui kēia mau mea ola, e hana ana i kahi ʻano hou o ka bacteria e lawe ana i nā ʻano like o ka pale ʻana i ka lāʻau. Hoʻokūʻiwi kēia kaʻina e kekahi mau kumu nui:

1. Hoʻohana Hōʻole ʻole o nā Lāʻau ʻĀkena: ʻO ka lawe ʻana i nā lāʻau 'ākena no ka maʻi viral e like me ka flu (ʻaʻole lākou e mālama) a i ʻole ʻaʻole ka hoʻopau ʻana i kahi papa i kuhikuhi ʻia e hāʻawi i ka bacteria i ka manawa e hoʻololi a ola ai.
2. Hoʻoholo Hōʻole ʻole: No ka laʻana, inā hoʻohoka ʻia ka maʻi gonococcal ʻāʻī ma ke ʻano he strep throat a mālama ʻia me ka lāʻau 'ākena hewa, hiki i ka bacteria gonoreia ke ʻike i ka lāʻau me ka ʻole e make, hiki ke hoʻoikaika i kona pale ʻana.
3. Huakaʻi Honua: Hiki i nā ʻano pale lāʻau ke laha maʻalahi mai kekahi ʻāpana o ka honua i kekahi, e paʻakikī ai ka hoʻopaʻa ʻana.

ʻO kēia kaua mau loa ka hiʻohiʻona maopopo o ka pale ʻana o Neisseria gonorrhoeae i ka hana, he mea nui ia no nā hui olakino honua.

Hoʻoholo: ʻO ia ka "Nui" a i ʻole ka Gonoreia Maʻamau?

Maʻalahi ka hoʻoholo ʻana i ka gonoreia. Maʻamau ka mea nāna e mālama i ka hoʻohana ʻana i kahi laʻana mīkini a i ʻole ka pulupulu mai ka wahi i hoʻopili ʻia (urethra, cervix, rectum, a ʻāʻī paha) e hoʻāʻo no ka loaʻa ʻana o ka bacteria Neisseria gonorrhoeae kumu.

Eia naʻe, ʻaʻole hiki i kēia hoʻāʻo mua ke haʻi iā ʻoe inā pale ka ʻano i ka lāʻau 'ākena. ʻO ka hoʻokūʻiwi ʻana o ka gonoreia pale lāʻau maʻamau ma kekahi o kēia mau ʻano ʻelua:

1. Hoʻopau ʻole ka Lapaʻau: ʻO ke ala maʻamau e ʻike ʻia ai ʻo ia ka wā ʻaʻole hoʻopau ʻia nā hōʻailona o ka mea maʻi ma hope o ka hoʻopau ʻana i ka lapaʻau maʻamau. He ʻulaʻula nui kēia no ka pale ʻana.
2. Nā Laʻalaʻi Lapaʻau: Inā manaʻo ʻia ka pale ʻana, hiki i ka laʻalaʻi ke hoʻoulu i ka bacteria mai ka laʻana i loko o kahi pā petri. A laila hoʻolauna lākou i ka bacteria i nā lāʻau 'ākena like ʻole e ʻike i ka mea e pono ai ka pepehi ʻana iā ia. Hoʻoholo kēia hoʻāʻo, i kekahi manawa i kapa ʻia he antibiogram a i ʻole ka hoʻāʻo hoʻomanawanui, e hōʻike maopopo ana i nā lāʻau i pale ʻia ai ka ʻano.

He mea nui kēia ʻanuʻu keu no ke alakaʻi ʻana i ka ʻanuʻu aʻe: ka ʻimi ʻana i kahi lapaʻau gonoreia nui e hana.

Ka Lapaʻau ʻana i ka "ʻAʻole hiki ke Lapaʻau": Nā Koho Lapaʻau Gonoreia Nui

ʻOiai he mea nui ka "gonoreia nui", ʻaʻole ia he mea ʻole ke lapaʻau. Eia naʻe, ke emi nei nā koho, a ʻoi aku ka ikaika o ka lapaʻau ma mua o ka ʻano ʻaʻole pale.

ʻO ka ʻōlelo aʻo mua mua mai ka Centers for Disease Control and Prevention (CDC) no ka gonoreia ʻaʻole paʻakikī he hoʻokahi, kiʻekiʻe ka nui o ka maʻi ʻino o ka lāʻau 'ākena ceftriaxone kumu. He lāʻau 'ākena ikaika kēia, a no kēia manawa, pono ia i ka hapa nui o nā ʻano.

Akā he aha ka mea e hana ai i ka hihia o ka hoʻopau ʻole ʻana o ka lapaʻau gonoreia kahi ʻaʻole pono kēia lāʻau ikaika?

I kēia mau hihia liʻiliʻi a paʻakikī, pono nā kauka e kamaʻilio me nā mea loea maʻi. Hiki i ka hoʻokokoke ke komo pū me: * Nui Kaʻoi a i ʻole Ka Lapaʻau Hui: Hoʻohana i ka nui kiʻekiʻe o ka ceftriaxone, i kekahi manawa i hui pū ʻia me nā lāʻau 'ākena waha a intravenous (IV) ikaika ʻē aʻe. * Hoʻokomo i ka Halemai: I nā hihia koʻikoʻi, hiki ke pono nā lāʻau 'ākena IV i hāʻawi ʻia i loko o kahi halemai e hōʻoiaʻiʻo i ka hoʻouna pono ʻana o ka lāʻau.

Ma hope o ka lapaʻau no kahi ʻano pale, he mea pono loa ka hoʻāʻo hōʻoia "test of cure" 7 a 14 mau lā ma hope e hōʻoiaʻiʻo i ka hoʻopau ʻia ʻana o ka maʻi.

Nā Pōʻino o ka Loaʻa ʻana: Nā Pilikia o ka Gonoreia Nui ʻAʻole i Lapaʻau

ʻO ka hoʻoweliweli o kahi STI ʻaʻole hiki ke lapaʻau he weliweli, a ʻo nā hopena olakino o ka maʻi mau loa he koʻikoʻi a hiki ke mau loa. ʻO ia ke kumu he mea nui ka hoʻomaopopo ʻana i nā pilikia o ka gonoreia ʻaʻole i lapaʻau—hoʻokūʻiwi ia i ka pono o ka hoʻoholo ʻana a me ka lapaʻau pono.

No Nā Wahine

Hiki i ka gonoreia ʻaʻole i lapaʻau ke laha i ka ʻōpū a me nā paipu fallopian, e hana ana i ka Pelvic Inflammatory Disease (PID). He maʻi koʻikoʻi ka PID hiki ke hana i: * Hana ʻana i nā aʻa palū e pani i nā paipu fallopian. * Ectopic pregnancy (he hāpai pōʻino i ke ola ma waho o ka ʻōpū). * Infertility (ʻaʻole hiki ke hāpai). * ʻEha mau ka ʻōpū a me ka ʻōpū.

No Nā Kāne

I nā kāne, ʻo nā pilikia nui o ka maʻi ʻaʻole i lapaʻau pū ʻia:

• Epididymitis: He ʻeha ʻino o ka paipu ma hope o nā testicle e mālama a lawe i ka sperm. Inā ʻaʻole i lapaʻau ʻia, hiki ke alakaʻi i ka infertility.
• Hoʻohua ʻia ka urethra, hiki ke hoʻolilo i ka mīkini paʻakikī.

No Ka Poʻe A Pau

I nā hihia liʻiliʻi, hiki i ka maʻi ke laha ma ke koko i nā ʻāpana ʻē aʻe o ke kino. ʻO kēia maʻi, i kapa ʻia ʻo Disseminated Gonococcal Infection (DGI), he mea weliweli no ke ola. Hiki ke hana i ka arthritis, nā ʻeha ʻili, a me nā maʻi o nā puʻuwai a i ʻole ka lining o ka lolo kumu.

Eia kekahi, ʻo ka loaʻa ʻana o ka gonoreia e hoʻonui i ka pilikia o kekahi kanaka o ka loaʻa a me ka hoʻoili ʻana o ka HIV.

Aia Kou Ola i Kou Mau Lima: Ka Pale ʻana a me ka Hana

ʻO ka piʻi ʻana o ka gonoreia pale lāʻau 'ākena he mea nui ia no ka olakino lehulehu, akā he mea hiki iā mākou ke hakakā. ʻO ke kī ka lilo ʻana i mea hoʻoikaika e pili ana i kou olakino moekolohe.

No ka hoʻopaʻa ʻana: ʻo nā hōʻailona gonoreia nui ka mea like me ka gonoreia maʻamau, akā mau ka maʻi ma hope o ka lapaʻau maʻamau. ʻO nā kumu o ka gonoreia nui e pili ana i ka pale ʻana i ka lāʻau 'ākena, a ʻo nā pilikia o ka gonoreia ʻaʻole i lapaʻau hiki ke hoʻololi i ke ola.

Heaha kāu e hana ai?

1. E Hoʻāʻo Koke: Inā ʻoe e ʻike i kekahi o nā hōʻailona i ʻōlelo ʻia ma luna, a inā manaʻo ʻoe ua pili ʻoe, e ʻike i ka mea nāna e mālama i ke olakino koke. Mai kali ia e hala maʻalahi.
2. E Hōʻole i ka Lapaʻau: Inā ua ʻike ʻia ʻoe me ka gonoreia, e lawe i nā lāʻau āpau e like me ke kuhikuhi. Inā loaʻa iā ʻoe kahi maʻi, e hōʻoiaʻiʻo e hoʻopau ʻoe i nā lāʻau 'ākena waha e hiki ke hāʻawi pū ʻia me ia.
3. E Hōʻoiaʻiʻo i ka Mālama: E hele i kāu koho hope e hōʻoiaʻiʻo i ka pono o ka lapaʻau. He mea nui kēia inā e mālama ʻia ʻoe no kahi ʻano pale.
4. E Hana i ka Moekolohe Palekana: ʻO ka hoʻohana mau a me ka pololei ʻana o nā condom kekahi o nā ala ʻoi loa e pale ai i ka hoʻoili ʻana o ka gonoreia a me nā STI ʻē aʻe.
5. E Kamaʻilio me nā Hoa: E kamaʻilio ākea a ʻoiaʻiʻo me kāu mau hoa moekolohe e pili ana i ka hoʻāʻo ʻana a me ke kūlana. E hōʻoiaʻiʻo i nā hoa mua i hoʻomaopopo ʻia i hiki iā lākou ke hoʻāʻo a mālama ʻia.

Inā ua mālama ʻia ʻoe no ka gonoreia a ʻaʻole i hoʻopau ʻia kou mau hōʻailona, ​​mai hilahila a makaʻu paha. E kāhea koke i kāu kauka. Hiki paha ʻoe e pili ana i kahi hihia o ka hoʻopau ʻole ʻana o ka lapaʻau gonoreia, a ʻo ka lawe ʻana i ka hana wikiwiki ka mea nui loa āu e hiki ai ke hana no kou olakino wā lōʻihi.