Herpes - pakamwa

Matenda a pakamwa ndi matenda amilomo, pakamwa, kapena m'kamwa chifukwa cha kachilombo ka herpes simplex. Zimayambitsa zilonda zazing'ono zopweteka zomwe zimatchedwa zilonda zozizira kapena zotupa za malungo. Matenda a pakamwa amatchedwanso herpes labialis.

Matenda a pakamwa ndi matenda ofala mkamwa. Amayambitsidwa ndi kachilombo ka herpes simplex mtundu 1 (HSV-1). Anthu ambiri ku United States ali ndi kachilombo aka ali ndi zaka 20.

Pambuyo pa kachilombo koyambirira, kachilomboka kamagona (kumakhala nthawi yayitali) m'minyewa yaminyewa pankhope pake. Nthawi zina, kachilomboka kumadzuka (kuyambiranso), ndikupangitsa zilonda zozizira.

Matenda a Herpes virus 2 (HSV-2) nthawi zambiri amayambitsa matenda opatsirana pogonana. Komabe, nthawi zina HSV-2 imafalikira pakamwa panthawi yakugonana mkamwa, kuyambitsa matenda am'mimba.

Mavairasi a Herpes amafalikira mosavuta kuchokera kwa anthu omwe ali ndi matenda opatsirana kapena zilonda. Mutha kutenga kachilomboka ngati:

• Khalani ndiubwenzi wapamtima kapena wamunthu amene ali ndi kachilomboka
• Gwirani zilonda za herpes zotseguka kapena china chake chomwe chakhala chikukumana ndi kachilombo ka herpes, monga malezala, kachilombo, mbale, ndi zinthu zina

Makolo amatha kufalitsa kachilomboka kwa ana awo pazochitika zatsiku ndi tsiku.

Anthu ena amatenga zilonda za mkamwa akayamba kudwala kachilombo ka HSV-1. Ena alibe zizindikiro. Zizindikiro nthawi zambiri zimachitika mwa ana azaka zapakati pa 1 ndi 5.

Zizindikiro zingakhale zofatsa kapena zovuta. Amawonekera kwambiri patadutsa sabata limodzi kapena atatu mutakumana ndi kachilomboka. Amatha kukhala milungu itatu.

Zizindikiro zochenjeza ndizo:

• Kuyabwa kwa milomo kapena khungu mozungulira pakamwa
• Kutentha pafupi ndi milomo kapena pakamwa
• Kuyera pafupi ndi milomo kapena pakamwa

Matuza asanawonekere, mutha kukhala ndi:

• Chikhure
• Malungo
• Zotupa zotupa
• Kumeza kowawa

Matuza kapena ziphuphu zitha kupangika pa yanu:

• Nkhama
• Milomo
• Pakamwa
• Pakhosi

Mabala ambiri amatchedwa mliri. Mutha kukhala ndi:

• Matuza ofiira omwe amatseguka ndikutuluka
• Zotupa zazing'ono zimadzazidwa ndi madzi amtundu wachikasu
• Ziphuphu zing'onozing'ono zingapo zomwe zimatha kukula limodzi kukhala chithuza chachikulu
• Ziphuphu zakuda ndi zotumphukira zikachira, zomwe pamapeto pake zimasanduka khungu la pinki

Zizindikiro zimatha kuyambitsidwa ndi:

• Kusamba kapena kusintha kwa mahomoni
• Kukhala kunja padzuwa
• Malungo
• Kupsinjika

Zizindikiro zikabweranso pambuyo pake, nthawi zambiri zimakhala zofatsa nthawi zambiri.

Wothandizira zaumoyo wanu amatha kudziwa ngati ali ndi nsungu zam'mlomo poyang'ana pakamwa panu. Nthawi zina, amatenga nyemba za zilondazo ndipo amazitumiza ku labotale kukayang'anitsitsa. Mayeso atha kuphatikiza:

• Chikhalidwe cha virus
• Mayeso a Viral DNA
• Kuyesa kwa Tzanck kuti muwone ngati HSV

Zizindikiro amatha okha popanda chithandizo mu 1 mpaka 2 milungu.

Wothandizira anu akhoza kukupatsani mankhwala olimbana ndi kachilomboka. Izi zimatchedwa mankhwala antiviral. Ikhoza kuthandizira kuchepetsa kupweteka ndikupangitsa kuti zizindikiro zanu zichoke posachedwa. Mankhwala omwe amachiza zilonda mkamwa ndi awa:

• Acyclovir
• Famciclovir
• Valacyclovir

Mankhwalawa amagwira ntchito bwino ngati mumamwa mukakhala ndi zidziwitso zakumva pakamwa, matuza asanakwane. Ngati mumalandira zilonda zam'kamwa pafupipafupi, mungafunike kumwa mankhwalawa nthawi zonse.

• Mafuta a khungu la antiviral amathanso kugwiritsidwa ntchito. Komabe, ndiokwera mtengo ndipo nthawi zambiri amangofupikitsa kufalikira kwa maola ochepa mpaka tsiku.

Njira zotsatirazi zingathandizenso kuti mukhale bwino:

• Ikani ayezi kapena nsalu yofunda yotentha pazilondazo kuti muchepetse ululu.
• Tsukani matuza mwakachetechete ndi sopo yolimbana ndi majeremusi (antiseptic) ndi madzi. Izi zimathandiza kupewa kufalitsa kachilomboka kumadera ena.
• Pewani zakumwa zotentha, zakudya zonunkhira komanso zamchere, ndi zipatso.
• Gargle ndi madzi ozizira kapena idyani ma popsicles.
• Muzimutsuka ndi madzi amchere.
• Tengani mankhwala ochepetsa ululu monga acetaminophen (Tylenol).

Matenda a pakamwa nthawi zambiri amachoka paokha mpaka milungu iwiri kapena iwiri. Komabe, itha kubwereranso.

Matenda a Herpes atha kukhala owopsa komanso owopsa ngati:

• Zimapezeka kapena pafupi ndi diso.
• Muli ndi chitetezo chamthupi chofooka chifukwa cha matenda ena ndi mankhwala.

Matenda a Herpes m'maso ndi omwe amachititsa khungu kwambiri ku United States. Zimayambitsa ziphuphu za diso.

Zovuta zina zamatenda am'mimba zimatha kuphatikiza:

• Kubwerera kwa zilonda mkamwa ndi matuza
• Kufalitsa kachilomboka kumadera ena akhungu
• Matenda a khungu la bakiteriya
• Matenda omwe ali ponseponse, omwe atha kukhala owopsa kwa anthu omwe ali ndi chitetezo chamthupi chofooka chifukwa cha atopic dermatitis, khansa, kapena kachilombo ka HIV

Itanani omwe akukuthandizani ngati muli ndi:

• Zizindikiro zomwe zimakhala zovuta kapena zomwe sizimatha pakatha milungu iwiri
• Zilonda kapena zotupa pafupi ndi maso anu
• Zizindikiro za Herpes ndi chitetezo chamthupi chofooka chifukwa cha matenda ena kapena mankhwala

Nawa maupangiri otetezera zilonda mkamwa:

• Ikani mafuta oteteza ku dzuwa kapena pakamwa okhala ndi zinc oxide pamilomo yanu musanatuluke panja.
• Pakani mankhwala odzola kuti milomo isakhale youma kwambiri.
• Pewani kukhudzana mwachindunji ndi zilonda za herpes.
• Sambani zinthu monga matawulo ndi nsalu m'madzi otentha mukatha kugwiritsa ntchito.
• Osagawana ziwiya, mapesi, magalasi, kapena zinthu zina ngati wina ali ndi zitsamba zam'kamwa.

Musamagonane pakamwa ngati muli ndi zilonda zapakhosi, makamaka ngati muli ndi zotupa. Mutha kufalitsa kachilomboko kumaliseche. Ma virus am'kamwa ndi maliseche nthawi zina amatha kufalikira, ngakhale mulibe zilonda mkamwa kapena zotupa.

Chilonda chozizira; Malungo chithuza; Pakamwa nsungu simplex; Nsungu labialis; Matenda a Herpes simplex

• Herpes simplex - kutseka

Khalani TP. Warts, herpes simplex, ndi matenda ena a ma virus. Mu: Habif TP, mkonzi. Matenda Opatsirana Matenda. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2016: chap 12.

Hupp WS. Matenda am'kamwa. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2019. Philadelphia, PA: Elsevier; 2019: 969-975.

Lingen MW. Mutu ndi khosi. Mu: Kumar V, Abbas AK, Aster JC, olemba, eds. Ma Robbins ndi Matenda a Cotran Pathologic. 9th ed. Philadelphia, PA: Elsevier Saunders; 2015: mutu 16.

(Adasankhidwa) Whitley RJ, Gnann JW. Matenda a Herpes simplex virus. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 350.