Zizindikiro, Chithandizo, ndi Kuyesedwa
Matenda a chiberekero ndi amlomo amachititsidwa ndi mabanja awiri a tizilombo toyambitsa matenda omwe amatha kupatsira anthu. Mavairasiwa ndi ovuta kwambiri kulengeza, ndipo amavomereza kwambiri. Mavairasi awiri a herpes okhudzana ndi chiwerewere ndi amlomo herpes ndi awa:
- HSV1 : Kawirikawiri imayambitsa zilonda zam'mimba, koma imathandizanso kupha chiwalo cha chiberekero
- HSV2: Chifukwa chachikulu cha zipsinjo za m'mimba , koma zingayambitsenso zilonda zakumaso pamaso
Zizindikiro
Matenda a chiberekero (chiberekero kapena pakamwa) Matendawa amapezeka ndi kuphulika kwa zilonda zazing'ono zomwe zingapangidwe ndi pus. Kawirikawiri, kusanachitike kumene, anthu adzakhala ndi zizindikiro zotchedwa prodromal zizindikiro, zomwe zimaphatikizapo kuyabwa kapena kumangirira pamalo omwe ali ndi kachilombo ka HIV. Zizindikirozi zimasiyana ndi munthu aliyense, koma pamapeto pake anthu ambiri omwe ali ndi ziphuphu zochitika kawirikawiri amadziwa zomwe zizindikiro zimasonyeza kuti zilonda zowonongeka zili pafupi kuwonekera.
Anthu ambiri omwe ali ndi tizilombo toyambitsa matenda sadzakhala ndi zizindikiro zilizonse. Kawirikawiri, ngati zizindikiro ziwoneka, zidzasonyeza mkati mwa masabata awiri nthawi yoyamba ya matenda. Chifuwa choyamba ndi choipa kwambiri, ndipo anthu ambiri omwe ali ndi zizindikiro adzachita chimodzimodzi. Kwa ena ambiri, zizindikiro zowopsya komanso zowonjezereka zidzachepa pakapita nthawi.
Kukula
Mavairasi a herpes ndi ofala kwambiri. Amodzi mwa amayi anayi ndi amodzi mwa amuna asanu aliwonse ku United States adzakhala ndi kachirombo ka HSV2 panthawi ina.
HSV1 ndi yofala kwambiri. Anthu oposa theka la anthu onse a ku America amakhala ndi herpes - chiwerewere kapena pakamwa - ndipo mukhoza kukhala ndi matenda opatsirana komanso opatsirana pogonana nthawi yomweyo . Mosiyana ndi chikhulupiliro chofala, matenda amodzi samakutetezani kwa wina
Kusayeruzika kwakukulu kumayendetsedwa kwa anthu omwe ali ndi zoweta za m'mimba, koma nkofunika kuti anthu azikumbukira kuti ndi kachilombo komwe kamakhudza gawo lalikulu la anthu panthawi ina m'miyoyo yawo.
Kukhala ndi herpes sikutanthauza kuti wina ndi wodetsedwa, kapena munthu woipa . Zimangotanthauza kuti adziwidwa ndi matenda omwe amakhudza anthu oposa theka la anthu. Kuwonjezera apo, aliyense yemwe adakhalapo ndi chimfine chozizira wakhala akugwidwa ndi kachilombo ka herpes. Chisoni ndi kusankha kopambana koposa chiweruzo. Mayeso a herpes angakhale ndi nthawi yovuta kusiyanitsa pakati pa mitundu ya matenda , kupatula ngati munthu ayesedwa panthawi ya chiwopsezo.
Kupewa
Matenda a nthendayi amatha kufalikira ndi pakamwa, m'mimba, kumagonana , komanso kugonana. Chifukwa chakuti imafalikira ndi khungu ndi khungu, osati chifukwa chosinthana ndi madzi, makondomu sangathe kuteteza kachilombo ka HIV, ngakhale kuti amachepetsa chiopsezo . Pankhani yogwiritsira ntchito mankhwala popewera matenda, palibe kafukufuku wosonyeza kuti chithandizo choyambitsa chithandizo cha pre-exposure prophylaxis chothandizira sichikuthandizani kuchepetsa chiopsezo, koma chithandizo chopweteka kwa wokondedwa yemwe watenga kachilomboka chawonetsedwa kuti chichepetse kutenga.
Ndikofunika kudziwa kuti herpes akhoza kupatsirana ngakhale popanda zizindikiro zilizonse , ngakhale pali chiopsezo chachikulu chotenga matenda pamene zilonda zikuwoneka. Anthu omwe ali ndi kachilombo ka HIV nthawi zambiri amalangizidwa kuti asamachite zachiwerewere panthawi yovutitsa, ndipo matenda a herpes angathe kuwonjezera chiopsezo cha munthu kutenga HIV.
Njira yokhayo yopezera matenda opatsirana pogonana ndi kupewa kugonana. Chiwerewere chotetezeka kwambiri ndicho chimene chimachitika pakati pa nthawi yayitali, mgwirizano wamodzi wokhawokha ndi mnzanu amene ayesedwa ndikupezeka kuti alibe chifukwa cha kachilombo ka herpes. HSV1, ngakhale kuti nthawi zambiri imayambitsidwa ndi zilonda zozizira, imakhala yowonjezera kwambiri kuposa HSV2, ndipo asayansi ena amakhulupirira kuti chiwerengero cha ziwalo zoberekera zogonana ndi HSV1 chikhoza kukula.
Chithandizo
Palibe mankhwala opatsirana pogonana, zirizonse zomwe ena anganene , koma angathe kuchiritsidwa. Mankhwala oletsa tizilombo angagwiritsidwe ntchito kuchepetsa nthawi ya kuphulika ndi kuchepetsa maulendo awo.
Kwa anthu omwe ali ndi zibwenzi zambiri, kapena omwe sagwidwa ndi matenda, mankhwala opatsirana tsiku ndi tsiku angapangidwe. Pankhani imeneyi, mankhwala opatsirana pogonana angatengedwe nthawi zonse kuti achepetse chiopsezo cha zizindikiro osati kupatsira . Komabe, ngakhale mankhwala oponderetsa athandiza kwambiri kuthetsa kutuluka kwa munthu yemwe ali ndi kachirombo ka HIV, amatha kupatsira kachilombo ka herpes.
Mimba
Matenda a herpes akhoza kupha ana. Mwamwayi, kutenga kachilombo koyambitsa matenda kuchokera kwa mayi kupita kwa mwana pamene ali ndi pakati ndi kosavuta. Komabe, ngati mukudziwa kuti muli ndi kachilombo ka HIV, muyenera kukambirana ndi aphunzitsi anu. Gawo lotsekemera likhoza kulangizidwa ngati muli ndi chibwibwi mwamsanga pa nthawi yomwe mubereka.
Kukhala ndi Herpes
Matenda a nthendayi ndi mantha oopsa kwa anthu ambiri. Sukulu ingawawonetsere iwo mauthenga omwe akusonyeza kuti anthu omwe ali ndi matenda okhudza mawere a herpes ali odetsa kapena mwinamwake akulakwitsa, ndipo ndiko kuyesa kuthamanga ndi kuyang'ana wina kuti aziimba mlandu. Komabe, ziwalo za m'mimba ndi matenda ngati ena - nthendayi, yomwe imakhudza pafupifupi mmodzi mwa asanu ku America. Ndipo, chifukwa chosachiritsika, ndi chinthu chomwe amatha kukhala nawo, ndikuchita nawo kwa zaka zambiri. Mwamwayi, mungathe kuchita zinthu zambiri kuti mukhale ndi herpes mosavuta.
Zotsatira:
CDC Herpes Fact Sheet: http://www.phppo.cdc.gov/std/Herpes/STDFact-Herpes.htm#Popeza
C-Health: Herpes Virus Page
Viruses Herpes (Gawo la Microbial World ya Ken Todar ku U. Wisconsin Madison)
Xu, F. et al. (2006) "Trends mu Herpes Simplex HIV Type 1 ndi Type 2 Kusamvana ku United States" JAMA, 296: 964-973