Babasokraman

*Wɔatwerɛ nsɛm wei wɔ *'Asante Kasa**'' ''mu'' 

**Babasokraman** a wɔsane nso frɛ no **Sifilis*' ([[:en:Help:IPA/English|/ˈsɪfəlɪs/]]) yɛ yareɛ bi a wɔnya firi nna mu a mmoawa [[:en:Treponema_pallidum|Treponema pallidum]] *pallidum* na ɛde ba. Nsɛnkyerɛne ahodoɔ a εfa babasokraman ho no gyina nnoɔma nnan so. Wɔ deɛ ɛdi kan mu no, wɔtaa de [[:en:Chancre|chancre]] baako (yareɛ bi a esi honam so a ɛnyɛ ya, na ɛnkeka, na ne tɛtrɛtɛ yɛ 1 cm ne 2 cm ntam) na ɛwɔ hɔ nanso ɛtumi yɛ akuro pii. Sɛ obi nya babasokraman a ɛtɔ so mmienu a, nsaa tumi gu ne nsa ne ne nan ase. Ɛkuro nso tumi ba deɛ ɔyare no ano anaa n'ase. Sɛ obi nya babasokraman no bi a, ɛtumi tena hɔ mfeɛ pii a, ɛnyi ne ho sɛ ɔwɔ yare bi. Sɛ obi nya babasokraman a, ɔhwɛ sɛ ɔbɛnya kuro a ɛnyɛ kokuroo ([[:en:Gumma_(pathology)|gummas]]), ne nsono mu haw, anaa komayareɛ. Babasokraman yɛ yareɛ a nkurɔfoɔ frɛ no "suasuafoɔ kɛseɛ" efirisɛ ɛbɛtumi ama obi anya nyarewa a ɛte sɛ yareɛ afoforɔ pii.
Wɔtaa nya babasokraman wɔ nna mu. Wɔ tumi nso nya firi ɛna hɔ akɔ abofra no so wɔ nyinsɛn anaa awoɔ mu, a deɛ ɛde ba ne nyinsɛn mu nneyɛɛ ahodoɔ bi. Yareɛ afoforɔ a [[:en:Treponema|Treponema]] mmoawa no de ba no bi ne [[:en:Yaws|yaws]] ([[:en:Treponema_pallidum|T. pallidum]] subspecies *pertenue*), [[:en:Pinta_(disease)|pinta]] ([[:en:Treponema_carateum|T. carateum]]), ne [[:en:Nonvenereal_endemic_syphilis|nonvenereal endemic syphilis]] (*T. pallidum* subspecies *endemicum*). Yareɛ ahodoɔ yi mu mmiɛnsa no ntaa mfa nna mu na ɛba. Yareɛ no ho nhwehwɛmu no taa fa mogya mu nhwehwɛmu so; wɔbɛtumi de [[:en:Dark_field_microscopy|dark field microscopy]] nso ahunu yareɛ mmoawa no. [[:en:Centers_for_Disease_Control_and_Prevention|Centers for Disease Control and Prevention]] (U.S) hyɛ nkuran sɛ wɔnhwehwɛ nyinsɛn nyinaa mu. Sɛ obi [[:en:Latex|latex]] de anaa [[:en:Polyurethane|polyurethane]] [[:en:Condom|condom]] di dwuma a, ɛbɛtumi ama yareɛ no so ate. Wobɛtumi de nnuru a ɛko tia yareɛ mmoawa adi nyarewa no ho dwuma yie.  Nnuru a wɔgye tom sɛ ɛko tia yareɛ mmoawa di dwuma wɔ nnipa dodoɔ no ara mu ne a [[:en:Benzathine_benzylpenicillin|benzathine benzylpenicillin]] a wɔde wɔ obi ntini mu. Wɔ wɔn a wɔwɔ [[:en:Penicillin_allergy|penicillin allergy]]<nowiki/>ho nsanyare a emu yɛ den mu no, wɔbɛtumi de [[:en:Doxycycline|doxycycline]] anaa [[:en:Tetracycline|tetracycline]] adi dwuma. Wɔ wɔn a wɔwɔ [[:en:Neurosyphilis|neurosyphilis]] mu no, wɔhyɛ [[:en:Benzylpenicillin|benzylpenicillin]] anaa [[:en:Ceftriaxone|ceftriaxone]] a wɔde fa ntini mu no ho nkuran. Berɛ a wɔreyɛ wɔn saa no, wɔtumi nya atiridii, tipaeɛ, ne ntini mu yaw, a wɔfrɛ no [[:en:Jarisch–Herxheimer_reaction|Jarisch–Herxheimer]].
== Nsɛnkyerɛnne ==
Babasokraman mu yareɛ no bɛtumi aba wɔ tebea ahodoɔ anan mu: nea edi kan, nea ɛto so abien, nea ɛtaa ba, ne nea ɛto so abiɛsa, na ebetumi aba bere a wɔawo obi. [[:en:Sir_William_Osler|Sir William Osler]] frɛɛ no "ɔkyerɛkyerɛfoɔ kɛseɛ" ɛsiane sɛdeɛ na ɔyɛ nneɛma ahodoɔ no nti.

== Deɛ ɛde ba ==
*Treponema pallidum* subspecies *pallidum* yɛ mmoawa a wɔn ho yɛ den a wɔn ho yɛ den. Yareɛ mmienu a ɛha nnipa no bi ne *Treponema pallidum* subspecies, [[:en:Yaws|yaws]] (subspecies *pertenue*) ne [[:en:Nonvenereal_endemic_syphilis|bejel]] (subspecies *endemicum*), na baako nso ne *Treponema carateum*, [[:en:Pinta_(disease)|pinta]]. Dea ɛnte sɛ subspecies *pallidum* no, wɔmfa nsamanwa mu yareɛ mma. Nnipa nko ara ne abɔdeɛ mu nneɛma a ɛwɔ hɔ a wɔnim sɛ *pallidum'' asefoɔ no wɔ hɔ. 

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