Yaws

I-Yaws luhlobo lwexesha elide (olungapheliyo) losulelo lwebacteria oluchaphazela ikakhulu ulusu, amathambo kunye namalungu.

I-Yaws lusulelo olubangelwa luhlobo lwe I-Treponema pallidum iintsholongwane. Inxulumene kakhulu nebacteria ebangela igcushuwa, kodwa le fomu yebacteria ayidluliswanga ngesondo. I-Yaws ichaphazela ikakhulu abantwana abasemaphandleni, abafudumeleyo, kwiindawo ezishushu, ezinje nge-Afrika, iziqithi zeNtshona ye-Pacific, kunye ne-mpuma ye-Asia.

I-Yaws idluliselwa ngokudibana ngokuthe ngqo kunye nezilonda zolusu zabantu abosulelekileyo.

Malunga neeveki ezi-2 ukuya kwezi-4 emva kokosuleleka, umntu lowo uvela isilonda ekuthiwa "ngumama ozamayo" apho intsholongwane ingene kulusu. Isilonda sinokuba mnyama okanye bomvu kwaye sikhangeleka ngathi sijingijolo. Ihlala ingenantlungu, kodwa ibangela ukurhawuzelela.

Izilonda zinokuhlala iinyanga. Izilonda ezingaphezulu zinokubonakala kwakamsinya ngaphambi okanye emva kokuba umama ezamisile. Ukukhuhla isilonda kungasasaza ibhaktheriya ukusuka kumama we-yaw ukuya kwesikhumba esingenasifo. Ekugqibeleni, izilonda zesikhumba ziyaphola.

Ezinye iimpawu zibandakanya:

• Intlungu yethambo
• Ukukrala kolusu
• Ukudumba kwamathambo neminwe

Kwinqanaba elihambele phambili, izilonda kulusu namathambo zingakhokelela ekonakaleni kakhulu kunye nokukhubazeka. Oku kwenzeka ukuya kuthi ga kubantu aba-5 abangalufumaniyo unyango lwezifo.

Isampulu yesikhumba esibuhlungu iyavavanywa phantsi kohlobo oluthile lweemicroscope (uvavanyo lomhlaba omnyama).

Akukho vavanyo lwegazi kwi-yaws. Nangona kunjalo, uvavanyo lwegazi lwe-syphilis luhlala luhle kubantu abane-yaws kuba ibhaktheriya ebangela ezi meko zimbini zihambelana kakhulu.

Unyango lubandakanya idosi enye yepenicillin, okanye iidosi ezi-3 zeveki zezifo zamva kwexesha. Kunqabile ukuba isifo sibuye.

Abantu abahlala kwindlu enye nomntu osulelekileyo kufuneka bahlolwe i-yaws kwaye banyangwe ukuba bosulelekile.

Ukuba uphathwe kwinqanaba lokuqala, i-yaws inokunyanga. Izilonda zolusu zinokuthatha iinyanga ezininzi ukuphola.

Ngexesha layo lokugqibela, i-yaws inokuba sele ibangele ukonakala kulusu namathambo. Isenokungabi nakuguqulelwa ngokupheleleyo, nangonyango.

I-Yaws inokonakalisa ulusu kunye namathambo. Inokuchaphazela ukubonakala komntu kunye nokukwazi ukuhamba. Inokubangela ukukhubazeka kwemilenze, impumlo, inkalakahla kunye nomhlathi ongasentla.

Nxibelelana nomboneleli wakho wezempilo ukuba:

• Wena okanye umntwana wakho unezilonda kulusu okanye kwithambo elingahambiyo.
• Uhlale kwimimandla yetropiki apho kwaziwa khona i-yaws.

IFrambesia tropica

IGhanem KG, iHook EW. Iimpawu ze-Nonsyphilitic treponematoses. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 304.

I-Obaro SK, iDavies HD. Izifo ezingaselungeni ze-treponemal In: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 249.