Asanasankhe chithandizo cha mankhwala a ziwalo zoberekera, wothandizira zaumoyo ali ndi zambiri zofunika kuziganizira. Zambiri zokhudzana ndi chithandizo cha mankhwala a chiberekero.
Mankhwala Opatsirana Amtundu
Mankhwala atatu oletsa tizilombo toyambitsa matenda omwe asonyezedwa m'maphunziro kuti athandizire phindu la mankhwala a chiberekero. Mankhwalawa ndi acyclovir, valacyclovir, ndi famciclovir.
Acyclovir ndi imodzi mwa mankhwala oyambirira omwe angagwiritsidwe ntchito pozilombo toyambitsa matenda kuphatikizapo herpes. Zimathandiza mwa kuchepetsa kubwezeretsa ndikufalitsa kachilombo ku maselo ena. Sungalepheretse kuwonongeka kwa maselo omwe ali kale ndi kachirombo ka HIV. Valacyclovir imagwiritsidwa ntchito mophatikiza mu chiwindi ndi matumbo kwa acyclovir ndipo ikhoza kugwiritsidwa ntchito poyeza mlingo kuposa acyclovir. Famciclovir imagwiranso ntchito mwa kuchepetsa kubwezeretsa kwa kachilombo ka herpes.
Chiyambi Choyambitsa Matenda a Chiberekero
Anthu ambiri omwe ali ndi kachilombo koyambitsa matenda a chiberekero komanso kachilombo ka HIV kameneka ayenera kulandira chithandizo popeza zizindikiro zikhoza kukhala zovuta komanso zowonjezereka. Zotsatirazi ndizotheka ma regimens omwe angagwiritsidwe ntchito ndipo onse amatengedwa mwachangu:
- Acyclovir 400 mg katatu patsiku kwa masiku 7 mpaka 10
- Acyclovir 200 mg kasanu pa tsiku kwa masiku 7 mpaka 10
- Famciclovir 250 mg katatu pa tsiku kwa masiku 7 mpaka 10
- Valacyclovir 1 g kawiri pa tsiku kwa masiku 7 mpaka 10
Matenda Achilendo Omwe Amayamba Kuchitika - Kuchiza Mankhwala Opatsirana
Munthu amene ali ndi ziwalo zochepa zokhudzana ndi chiberekero zimayamba chaka chimodzi ndipo chitetezo cha m'thupi chimakhala chofuna kuganizira kumwa mankhwala pokhapokha pakutha. Ngati mankhwalawa asankhidwa, mankhwala ayenera kuyamba mkati mwa tsiku limodzi la zizindikiro.
Pachifukwa ichi, munthu amene asankha njirayi ayenera kale kukhala ndi mankhwala pamanja. Izi ndizo njira zothetsera chithandizo ndipo zimatengedwanso pamlomo:
- Acyclovir 400 mg katatu pa tsiku kwa masiku asanu
- Acyclovir 800 mg katatu pa tsiku kwa masiku awiri
- Acyclovir 800 mg kawiri pa tsiku kwa masiku asanu
- Famciclovir 125 mg kawiri pa tsiku kwa masiku asanu
- Famciclovir 1000mg kawiri pa tsiku kwa tsiku limodzi
- Valacyclovir 500 mg kawiri pa tsiku kwa masiku atatu
- Valacyclovir 1000 mg kamodzi pa tsiku kwa masiku asanu
Mphuno Yachibadwidwe Yachibadwidwe Yachibadwidwe - Kupatsirana Kwachidwi
Munthu yemwe ali ndi zoposa 6 zaberekiti zimayamba chaka ndipo chitetezo cha mthupi chiyenera kuganizira kumwa mankhwala tsiku ndi tsiku. Izi zimachepetsa mafupipafupi a ziwalo zoberekera zobwereka ndi 70% mpaka 80 peresenti. Thandizo lopweteka limachepetsa koma silichotsanso kukhetsa mavairasi . Izi ndizo njira zothetsera chithandizo ndipo zimatengedwanso pamlomo:
- Acyclovir 400 mg kawiri pa tsiku
- Famciclovir 250 mg kawiri pa tsiku
- Valacyclovir 500 mg kamodzi pa tsiku
- Valacyclovir 1000 mg kamodzi pa tsiku
Kuchiza Mankhwala Opatsirana Opatsirana Opaleshoni kwa Amuna Okwatirana
Ngati mnzanu wina ali ndi kachilombo ka HIV ndipo wina sagwirizana kapena ayi (mankhwala osokoneza bongo), mankhwala opatsirana tsiku ndi tsiku ndi valacyclovir 500mg amachepetsa mlingo wofalitsa.
Thandizo lopweteka liyenera kuganiziridwa mozama kuwonjezera pa kugwiritsa ntchito kondomu nthawi zonse komanso kupeĊµa kugonana nthawi yobwereza.
Matenda Achilendo ndi Mankhwala Osakaniza
Mankhwala ena ambiri asankhidwa ngati njira zothandizira mankhwala kapena kuponderezedwa kwa zitsamba zoberekera kuphatikizapo lysine , zinki, echinacea, eleuthero, ndi njuchi. Mwamwayi, kuyesa kovuta kwachipatala sikusowa pazifukwa izi. Komabe, kafukufuku wina adawonetsa kuti Propolis, chinthu chokhazikika chomwe njuchi zimatulutsa kuchokera ku mitengo ina yamtengo wapatali, nthawi yowononga bwino poyerekeza ndi acyclovir. Popeza kuti zofufuza zoyambirirazi zikuwoneka zowonjezereka, kufufuza kwina kwa mankhwala a njuchi kungakhale pamapeto.
Zotsatira:
> CDC. "Matenda Opatsirana pogonana Njira Zothandizira, 2006." Kuchiza ndi Kufa Sabata Sabata. 55 (2006): 16-20.
> Corey, Lawrence, et al. "Tsiku Lomwe-Daily Valacyclovir Kuchepetsa Kuopsa kwa Kutumiza kwa Zilonda Zachibadwa". The New England Journal of Medicine. 350 (2004): 11-20.
> Habif, Tomasi. "Warts, Herpes Simplex, ndi Matenda ena Achilombo" Clinical Dermatology, Edition 4. Mkonzi. Thomas Habif, MD. New York: Mosby, 2004. 381-388.
> Wangwiro, Michelle, et al. "Kugwiritsa Ntchito Mankhwala Okwanira Omwe Akuthandizira Kuchiza Mankhwala Opatsirana". Herpes. 12 (2005): 38-41.
> Vynograd N, et al. "Kuwerengera kwapakati pa mitundu yambiri ya mphamvu ya propolis, acyclovir, ndi placebo pochiza mawere a m'mimba (HSV)". Phytomedicine. 7 (2000): 1-6.
> Yeung-Yue, Kimberly. "Matenda a Herpes simplex 1 ndi 2." Dermatologic Clinics 20 (2002): 1-21.