Ngakhale kuti ndikunyozeka kwambiri komwe kumayambitsidwa ndi matenda a herpes , kwa anthu ambiri sizodetsa nkhawa kwambiri. Ndipotu, anthu ambiri omwe ali ndi matenda a herpes sakudziwa kuti ali ndi kachilombo ka HIV, chifukwa matenda ambiri amadziwika bwino kapena osadziwika .
Mavuto a Matenda a Mthempha Pa Nthawi Yoyembekezera
Ndipotu, vuto lalikulu la zachipatala chifukwa cha matenda a herpes ndi zomwe zimachitika ndi kachilombo pa nthawi ya mimba ndi kubala .
Matenda a nthenda yotchedwa Neonatal infections angakhale oopsa, ngakhale opha. Kufa kwa chiwerengero cha matenda opatsirana pogonana omwe angabereke ana angakhale oposa 40 peresenti. Mwamwayi, chiŵerengero cha matendawa ndi chochepa, ndipo amayi makamaka akuwoneka kuti ali pangozi pamene atenga kachilombo pa nthawi ya mimba. Mavutowa ndi otsika kwambiri ngati kachilombo ka HIV kamayambira kale ndipo kachilombo ka HIV kamakhala kovuta pamene mayiyo ali ndi pakati, ngakhale atakhala ndi pakati pomwe ali pafupi ndi nthawi yoberekera.
Icho ndi chinthu chabwino kwambiri chifukwa kafukufuku wasonyeza kuti matenda a herpes ndi odabwitsa kwambiri pamene ali ndi mimba. Malinga ndi kafukufuku wina amene adafufuza za herpes poopseza kwambiri amayi oposa 15,000 omwe anabadwira ku Seattle pakati pa 1989 ndi 2010, ndipo pafupifupi 19,000 ali ndi pakati, amayi ambiri ali ndi kachilombo ka HSV-1 - oposa 65 peresenti. Chiwerengero ichi chinali chapamwamba kwambiri ku African American, Puerto Rico, ndi Akazi a ku Asia kusiyana ndi anzawo a White, kufika pa 90 peresenti pazaka zina.
Chochititsa chidwi n'chakuti ngakhale kuti chiwerengero cha amayi omwe ali ndi kachilombo ka HSV-1 chinangopitirira pang'ono pa phunziro - kuyambira 69 mpaka 65% - chiwerengero cha amayi omwe ali ndi kachilombo ka HSV-2 anatsika mofulumira. Anakana pafupifupi theka - kuyambira 30 mpaka 16 peresenti.
Poyang'ana mimba, mmalo mwa amayi, 76 peresenti inali yabwino kwa mtundu umodzi wa HSV.
Ambiri makumi asanu ndi atatu ndi atatu anali otetezeka kwa HSV-1 okha, 15 peresenti ya HSV-1 ndi HSV-2, ndi 9 peresenti yokha ya HSV-2 yokha. Komabe, ngakhale kuti amayi ambiri ali ndi pakati pamene amayi ali ndi kachilombo ka HIV, matenda ophera tizilombo toyambitsa matendawa anali ochepa.
Pansi pa kuchepa
Chochititsa chidwi n'chakuti pangakhale vuto limodzi la kuchepa kwa matenda opatsirana pogonana omwe amapezeka mwa amayi omwe ali ndi pakati pazaka 10 zapitazi. Popeza kuti kachilombo ka HIV panthawi yomwe ali ndi mimba ali ndi chiopsezo chachikulu chowopsya, ngati mayi ali ndi kachilombo ka HIV, ndiye kuti ndibwino kuti matendawa asanakhalepo mimba m'malo mimba. Amayi ochepa omwe ali ndi kachilombo kaye asanakhale ndi pakati, amatha kukhala ndi chiopsezo chachikulu chotenga kachilombo ka HIV. Ngakhale kuti iwo sangatenge kachilombo konse, izi ndizoopsa kuti madokotala ndi maanja azidziwa. Zingakhale zovuta ngakhale kwa amuna okhaokha omwe ali ndi zibwenzi, monga kupatsirana kwa STD sikuchitika nthawi iliyonse pamene anthu agonana, kotero wina akhoza kutenga mimba ndi abambo omwe ali ndi kachirombo ka HIV popanda kutenga kachilomboka.
Zotsatira:
Corey L, Wald A. Amayi komanso Amuna Omwe Amachiza Matenda Aakulu a Simplex Virus. N Engl J Med. 2009 Oct 1; 361 (14): 1376-85. onetsani: 10.1056 / NEJMra0807633. Erratum mu: N Engl J Med. 2009 Dec 31; 361 (27): 2681.
Delaney S, Gardella C, Saracino M, Magaret A, Wald A. Kusokonezeka kwa Herpes Simplex Vuto 1 ndi 2 Pakati pa Akazi Oyembekezera, 1989-2010. JAMA. 2014 Aug 20; 312 (7): 746-8. lembani: 10.1001 / jama.2014.4359. Pemphani PMID: 25138337; Kutumizidwa ku Central PMCID: PMC4414330.
James SH, Kimberlin DW. Matenda a Neonatal Herpes Simplex Infection: Epidemiology ndi Chithandizo. Clin Perinatol. 2015 Mar; 42 (1): 47-59, viii. lembani: 10.1016 / j.clp.2014.10.005.