Chilichonse Chimene Muyenera Kudziwa Zokhudza Herpes ndi Momwe Mungayesere

Zamkati

• Kodi Herpes Ndi Chiyani Kwenikweni?
• Kodi Kusiyana Pakati pa HSV1 ndi HSV2 ndi Chiyani?
• Kodi mungadziwe bwanji ngati muli ndi herpes?
• Zizindikiro za Herpes
• Momwe Mungayesere Herpes
• Chifukwa Chomwe Madotolo Samayesa Herpes Nthawi Zonse
• Ndiye Kodi Muyenera Kuyezetsa Herpes Ngakhale Mulibe Zizindikiro?
• Kodi Mumatani Herpes?
• Mfundo Yofunika Kwambiri
• Onaninso za

Ngati pali china chilichonse chophimbidwa ndi #fakenews kuposa chisankho cha 2016 kapena ubale wa Lady Gaga ndi Bradley Cooper atatulutsidwa Nyenyezi Imabadwa, ndi herpes.

Zachidziwikire, anthu ambiri amatha kukuwuzani kuti herpes ndi matenda opatsirana pogonana. Koma kupyola apo, ambiri sakudziwa momwe imafalira, momwe mungadzitetezere, kapena ngakhale ali nayo. Ichi ndi zenizeni kulephera kumbali ya dongosolo lathu la thanzi la kugonana poganizira kuti kachilomboka ndi kofala kwambiri-monga momwe, pafupifupi 50 mpaka 80 peresenti ya anthu akuluakulu akukhala ndi herpes ndipo 90 peresenti adzakhala ndi kachilombo ka HIV pofika zaka 50, wamba, kwa John's Hopkins Medicine.

Kuti titsimikize zowona za nthano yakutawuni, madotolo atatu omwe ali ndi mbiri yokhudzana ndi kugonana ali pano kuti athetse matenda opatsirana pogonana kwambiri. Pansipa, phunzirani zomwe herpes ndi, zizindikiro za herpes, momwe zimafalira, momwe angayesere herpes, komanso chifukwa chomwe madokotala ambiri sangayesere herpes pokhapokha momveka funsani (zolusa, sichoncho?).

Kodi Herpes Ndi Chiyani Kwenikweni?

Tiyeni tiyambe ndi zomwe inu (mwina) mukudziwa kale: Herpes ndi matenda opatsirana pogonana omwe amafalitsidwa ndi khungu ndi khungu. Makamaka, herpes ndi matenda opatsirana pogonana, akufotokoza Kimberly Langdon, MD, ob-gyn, mlangizi wa zamankhwala ku Parenting Pod. Tanthauzo, mosiyana ndi matenda opatsirana pogonana (ie chlamydia kapena gonorrhea) omwe amatha kuchiritsidwa kwathunthu ndi maantibayotiki, herpes amakhalabe mu dongosolo la mitsempha mutangotenga (monga nkhuku kapena HPV). Chifukwa chake, ayi, herpes satha.

Koma izi zikuwoneka zowopsa kuposa momwe ziliri! "Kachilomboka kakhoza kukhala kapena kugona, zomwe zikutanthauza kuti anthu ena amatha kutenga kachilomboka koma amatha zaka zingapo ataphulika, pomwe ena samayambukiranso," akufotokoza. Kuphatikiza apo, pali njira zothanirana ndi kachilomboka (zambiri pansipa) kotero kukhala ndi moyo wosangalala, wathanzi, wokhutira ndi chisangalalo ndizotheka. Kutanthauzira: Mutha kukhala ndi herpes ndipo simudzakhala ndi zizindikilo, motero simudziwa.

Zambiri zikuwonetsa kuti pali mitundu yopitilira 100 ya kachilombo ka herpes. Pali zisanu ndi zitatu zomwe zimakhudza anthu, kuphatikizapo mitundu yomwe imayambitsa nkhuku, shingles, ndi mono, koma mwina mwamva ziwiri zokha: HSV-1 ndi HSV-2.

Kodi Kusiyana Pakati pa HSV1 ndi HSV2 ndi Chiyani?

Gladddd mwafunsa! HSV-1 ndi HSV-2 awiri ndi mitundu yosiyana pang'ono ya banja lomwelo la ma virus. Ngakhale mudamvapo anthu akunena kuti HSV-1 = herpes oral, pamene HSV-2 = genital herpes, kuti oversimplification si yolondola. (Hei, palibe mthunzi, nkhani zabodza zitha kupatsirana kuposa kachilombo!)

Matenda a mtundu wa HSV-1 amakonda matumbo am'mimbamo (pakamwa panu), pomwe vuto la ma virus HSV-2 limakonda kwambiri mamina am'mimba (aka junk yanu). (Kakhungu kamene kamakhala ndi chinyezi chokhala ndi tiziwalo timene timapangitsa ntchofu, madzi othinana, oterera-ndipo ndi mtundu wa malo omwe matenda ena opatsirana pogonana amakula bwino.) Koma sizitanthauza kuti matendawa amatha kokha kufalitsa madera enieniwo, akufotokoza Felice Gersh, MD, wolemba wa PCOS SOS: Lifeline wa Gynecologist wa Kubwezeretsa Malingaliro Anu, Mahomoni, ndi Chimwemwe.

Mwachitsanzo, tinene kuti, munthu yemwe ali ndi HSV-1 herpes pakamwa samapereka zotchinga (werengani: palibe kondomu kapena dziwe la mano) kugonana mkamwa kwa mnzake. Wokondedwayo amatha kutenga HSV-1 pamaliseche awo. M'malo mwake, "masiku ano, HSV-1 ndiye yomwe imayambitsa matenda opatsirana pogonana," akutero Dr. Gersh. N'zotheka kuti HSV-2 itenge pakamwa ndi milomo. (Zokhudzana: Chilichonse Chimene Muyenera Kudziwa Zokhudza Matenda Opatsirana Pakamwa, Koma Mwina Osati)

Malingaliro a Dr. Gersh ndi akuti anthu ambiri sadziwa kuti zilonda zozizira (zomwe nthawi zina zimatchedwa fever blisters) ndi mtundu wa herpes, choncho musaganizire mowirikiza za kupatsa wokondedwa wawo kugonana m'kamwa pamene ali ndi chithuza. , ndipo anthu ambiri amene ali ndi nsungu sadziwa kuti ali nako, choncho musaganize mobwerezabwereza za kugonana m’kamwa. (Kachiwiri, palibe mthunzi-mwina simunadziwe.) Zomwe zimatifikitsa ku funso ...

Kodi mungadziwe bwanji ngati muli ndi herpes?

Tidzanenanso kwa anthu omwe ali kumbuyo: Simungadziwe ngati inu (kapena wina aliyense) muli ndi matenda opatsirana pogonana pongowayang'ana kapena zosowa zawo - zomwe zimaphatikizapo nsungu. Ndipotu, malinga ndi Dr. Gersh, kwinakwake pakati pa 75 ndi 90 peresenti ya anthu omwe ali ndi nsungu amanena kuti alibe zizindikiro.

Zizindikiro za Herpes

Ngakhale zambiri sizimadziwika, chizindikiro chachikulu cha herpes ndi zilonda za herpes, zomwe nthawi zambiri zimakhala gulu la zotupa / zotupa / zopweteka / zotupa pamilomo, kumaliseche, chiberekero, mbolo, bum, perineum, anus, kapena ntchafu .

Zizindikiro zina za herpes ndi monga:

• Kutupa kwa ma lymph nodes
• Mutu kapena thupi kuwawa
• Malungo
• Ululu kwinaku akutuluka
• Kupweteka kwa minofu
• Kutopa kwathunthu

Zizindikiro zikachitika, zimatchedwa "herpes kuphulika." Anthu ena adzakhala ndi mliri umodzi wokha m'miyoyo yawo! Ndipo ngakhale kwa iwo omwe abuka pambuyo pake, a Dr. Gersh ati kubuka koyambirira nthawi zambiri kumakhala koyipa kwambiri. Izi ndichifukwa choti pakubuka koyamba (komwe kumatchedwa 'matenda oyamba'), thupi limapanga ma antibodies omwe amathandiza chitetezo cha mthupi kuthana ndi matendawa, akutero. Ichi ndichifukwa chake zinthu zomwe zimalepheretsa chitetezo cha mthupi monga kupsinjika (kwakuthupi kapena kwamaganizidwe), kusinthasintha kwa mahomoni (kusamba, kutenga mimba, kapena kusintha kwa njira zakulera), kuwonekera pakusintha kwa kutentha, komanso kukhala ndi matenda ena kumatha kuyambitsa kuphulika komwe kumayambitsa kapena kubweretsa kuphulika kwanthawi yayitali. Kutalika.

Koma, izi ndizofunikira: Ndizotheka kuti ma herpes atengeke kapena kufalikira popanda zizindikiro zilizonse, chifukwa cha china chake chotchedwa, 'viral shedding' (pomwe kachilombo kamangobwereza mkati mwa thupi lanu ndipo ma cell amtundu wa virus amatulutsidwa ku chilengedwe ). Chifukwa chake, njira yokhayo yodziwira ngati muli ndi herpes ndi kukayezetsa. (Zogwirizana: Kodi Muyenera Kuyesedwa Nthawi Zingati Matenda Opatsirana pogonana?)

Momwe Mungayesere Herpes

Ngati muli ndi zilonda za herpes, dokotala akhoza kuyesa mayeso a swab. Izi zimaphatikizapo kuthyola chithuza chotseguka (kapena kutsegula chithuza kuti musunthe madzi mkati), kenako kutumiza zosonkhanitsidwa ku labu kukayezetsa kotchedwa polymerase chain reaction (PCR) test, yomwe imatha kuzindikira HSV. (Izi zati, dokotala wanu akhoza kukudziwani pokhapokha mutayang'ana zilonda, malinga ndi Centers for Disease Control and Prevention kapena CDC.)

Ngati mulibe zilonda, mayeso a swab sagwira ntchito; "chizolowezi chachikopa kapena mkatikati mwa nyini kapena mkamwa sichingakhale chopanda zipatso," akutero Dr. Langdon. M'malo mwake, adokotala amatha (kuzindikira: akhoza, satero) kukayezetsa magazi ndikuyesa magazi anu ngati ali ndi ma HSV-1 kapena HSV-2. Thupi lanu mwachibadwa limapanga ma antibodies poyankha omwe akubwera (monga ma virus a herpes) kuti athandize kulimbana ndi matendawa. Ngati ma antibodies alipo, zikuwonetsa kuti mwapezeka ndi kachilomboka. "Kuyesedwa kwa magazi kumatha kugwiritsidwanso ntchito ngati zilonda zilipo," akutero Dr. Langdon.

Chifukwa Chomwe Madotolo Samayesa Herpes Nthawi Zonse

Apa ndi pomwe zimakhala zovuta: Ngakhale mutapita kwa dokotala kukayezetsa matenda opatsirana pogonana, ambiri opereka chithandizo chamankhwala ambiri samayesa herpes. Inde, ngakhale mutati: "Ndiyeseni pa chirichonse!"

Chifukwa chiyani? Chifukwa CDC kokha imalimbikitsa kuyesa anthu omwe akumva zizindikiro zakumaliseche. Nchiyani chimapereka?

Pongoyambira, CDC imalimbikitsa kuyesa kwa STD kwa chinzonono ndi chlamydia ndi kapena popanda zizindikilo chifukwa ngati sizingalandiridwe, atha kukhala ndi thanzi labwino. (Ganizirani: matenda otupa m'chiuno, kusabereka, ndi zovuta pa nthawi ya mimba.) Komabe, herpes siyambitsa matenda aakulu. (Zilekeni zimenezo). "Monga momwe tikudziwira, palibe zotsatirapo za nthawi yaitali za matenda a herpes," akutero Dr. Gersh. Ndipo ngakhale kuphulika sikungakhale kosangalatsa, akuti anthu ambiri amangophulika pang'ono m'miyoyo yawo. (Zokhudzana: Kodi Matenda Opatsirana pogonana Angadzichokere Okha?)

Chachiwiri, kudziwa kuti munthu ali ndi matenda opatsirana pogonana sikunawonetsenso kusintha kwa mchitidwe wogonana - monga kuvala kondomu kapena kupewa kugonana - komanso sikunaletse kufalikirako, malinga ndi CDC. Kwenikweni, malingaliro awo ndi akuti anthu sakonda kugwiritsa ntchito chitetezo (chomwe, mwambiri, chimachepetsa kwambiri kufalikira kwa matenda opatsirana pogonana akagwiritsidwa ntchito moyenera), ndipo kuzindikiridwa koyenera sikupangitsa kusiyana kwa kachilomboka kufalikira kudzera mwa anthu. .

Pomaliza, ndizotheka kupeza zotsatira zoyesera zamagazi zabodza (kachiwiri, ndiye mtundu wa mayeso omwe akuyenera kuchitidwa pakalibe zizindikiritso). Tanthauzo lake, mutha kuyesa ma antibodies a HSV pomwe mulibe kachilomboka, malinga ndi CDC. Chifukwa chiyani? Thupi lanu limapanga ma antibodies awiri osiyana chifukwa cha virus ya herpes yomwe imayambitsa mayeso a herpes antibody: IgG ndi IgM antibodies, malinga ndi American Sexual Health Association (ASHA). Kuyesedwa kwa iliyonse yamatendawa kumakhala ndi zovuta zingapo. Mayeso a IgM amatha kupanga zabwino zabodza chifukwa nthawi zina zimayenderana ndi ma virus ena a herpes (monga: nkhuku kapena mono), sangathe kusiyanitsa pakati pa ma HSV-1 ndi HSV-2 antibodies, ndipo ma antibodies a IgM samawoneka nthawi zonse pakuyesa magazi ngakhale nthawi mliri wodziwika wa herpes, malinga ndi ASHA. Mayeso a antibody a IgG ndi olondola kwambiri ndipo amatha kusiyanitsa pakati pa ma antibodies a HSV-1 ndi HSV-2; Komabe, nthawi yomwe ma antibodies a IgG amafikira pamlingo wodziwikiratu amatha kusiyanasiyana pakati pa munthu ndi munthu (kuyambira milungu mpaka miyezi), komanso sizingadziwitse ngati tsamba la kachilomboka ndi la mkamwa kapena maliseche, malinga ndi ASHA.

Ndikoyenera kutchula kuti ma virus swabs ndi mayeso a PCR, omwe amatha kuchitika zilonda ndi pano, ndi olondola modabwitsa, malinga ndi Dr. Gersh.

Ndiye Kodi Muyenera Kuyezetsa Herpes Ngakhale Mulibe Zizindikiro?

Madokotala akugwa m'misasa iwiri pano. "Ngakhale kuti matenda a nsungu nthawi zambiri amakhala abwino komanso opanda vuto lalikulu, m'malingaliro mwanga, ndi bwino kuti anthu adziwe momwe thupi lawo lilili," akutero Dr. Gersh.

Madokotala ena amatsutsa kuti palibe phindu pakuyesa kwa herpes popanda kupezeka kwa zizindikilo. "Malinga ndi zamankhwala, [kuyesa ma herpes popanda zizindikiro] sikofunikira," akutero Sheila Loanzon, M.D., wolemba Inde, ndili ndi Herpes ndi board-certified ob-gyn yemwe ali ndi zaka zopitilira 15 zakudwala komanso zokumana nazo payekha pozindikira nsungu. "Ndipo chifukwa chakusalidwa kwa kachilomboka, kupimidwa kumatha kuwononga thanzi la munthu ndikupangitsa manyazi, kupsinjika kwamaganizidwe, komanso kupsinjika." Kuwona kupsinjika kumalumikizidwa ndi nkhani zambiri zathanzi monga chiwopsezo chowonjezeka cha matenda opha ziwalo, matenda osachiritsika, matenda amtima, ndi zina zambiri, matendawa atha kuvulaza kuposa zabwino.

Kaya mupempha dokotala wanu kuti akuyeseni ngati ali ndi herpes zili ndi inu. Zizindikiro kapena ayi, muli ndi ufulu wodziwa momwe muli ndi HSV. Chifukwa chake, ngati mukufuna kudziwa, imani ndi kufunsa dokotala wanu kuti akuyeseni za herpes. Chidziwitso: Kuyesedwa kwa STD kunyumba ndikosavuta kwambiri, ndipo makampani ambiri amaphatikizapo kuyesa kwa herpes kunyumba-kawirikawiri kuyesa magazi kwa PCR-monga gawo la zopereka zawo. Izi zati, zopereka zoyezetsa herpes kunyumba zimasiyana ndi kampani; Mwachitsanzo, ena amangoyesa mtundu umodzi wokha wa kachiromboka, ena amapereka upangiri pambuyo pofufuza, etc.

Komabe, musanaganize zokayezetsa, khalani ndi nthawi yophunzira zina mwazomwe zimachitika chifukwa cha HSV zomwe zakhazikitsidwa kale mchikhalidwe. "Kuchuluka kwamanyazi ozungulira nsungu ndi kopanda tanthauzo; palibe chochititsa manyazi kukhala ndi kachilombo," akutero Dr. Gersh. "Kuchita manyazi wina chifukwa chokhala ndi herpes ndizopusa monga kuchitira munthu manyazi chifukwa chokhala ndi coronavirus." Makamaka chunk yayikulu kwambiri ya anthu yomwe ili nayo kapena itha kuyigwira m'moyo wawo.

Kutsatira maakaunti opanda Instagram opatsirana pogonana a Instagram monga @sexelducation, @hsvinthecity, @Honmychest, kuwonera TedTalk ya Ella Dawson "Matenda Opatsirana Sichotsatira, Ndiosapeweka," ndikumvera Podcast Chinachake Chabwino kwa Anthu Okhazikika ndibwino malo oyambira.

Mwinanso mungafune kuganizira za zomwe mungachite ndi izi. "Ngati mutayezetsa, simunayambe mwakhalapo ndi mliri, ndipo mulibe mnzanu wokhala ndi ma antibodies, zingakhale zovuta kuti mudziwe zoyenera kuchita ndi chidziwitso," akutero Dr. Loanzon. Mwachitsanzo, kodi mukumwa mankhwala oletsa tizilombo toyambitsa matenda (zambiri pa izo, pansipa) kwa moyo wanu wonse ngakhale simunayambe mwadwalapo matenda? Kodi inu ndi okondedwa wanu mudzayamba kugwiritsa ntchito makondomu ndi madamu a mano ngati simunawagwiritsepo ntchito? Kodi muwauza anzanu onse am'mbuyomu za matendawa? Awa ndi mafunso onse omwe muyenera kuyankha ndikudziwika kuti muli ndi matenda. Dzifunseni kuti: Kodi mungafune kuti mnzanu achite chiyani akanakhala kuti ali mumkhalidwe wanu? Kudziwitsa zenizeni-ndikuthana ndi manyazi, kotero kuti nonse muwone chithunzi chonse osati kungodziwa matendawo - mutha kupita kutali. (Onani Zambiri: Upangiri Wanu pakulimbana ndi Matenda Opatsirana Opatsirana pogonana)

Kodi Mumatani Herpes?

Herpes sangathe kuchiritsidwa ndipo "samachoka" Koma kachilomboka angathe kuyang'aniridwa.

Ngati mwapezeka ndi HIV, mutha kumwa mankhwala oletsa ma virus monga acyclovir (Zovirax), famciclovir (Famvir), ndi valacyclovir (Valtrex). "Izi zitha kutengedwa kuti muchepetse kuphulika kapena zitha kuyambika ndikuyamba kwa zizindikiro kuti muchepetse kuopsa kwake komanso kutalika kwake," akufotokoza Dr. Langdon. (Kumangirira ndi kupweteka m'dera lomwe herpes alipo komanso kutentha thupi kocheperako kumakhala kofala pomwe blister isanatuluke, akutero.)

Akamwedwa moyenera, mankhwala amatha kuchepetsa kwambiri chiopsezo chotenga kachilomboka kwa mnzanu, malinga ndi kafukufuku. Komabe, amateroayi zimapangitsa kuti matendawa asapatsirane. Kumbukirani: Herpes akhoza kukhala Zambiri zimapatsirana zizindikiro zikapezeka, koma zimapatsirana ngakhale palibe zizindikiro, malinga ndi Planned Parenthood.

Zachidziwikire, pali zifukwa zambiri zomveka zomwe wina sangafune kumwa anti-virus. "Anthu ena amapeza kuti kumwa mankhwala tsiku lililonse kumayambitsa, kapena kumawona kuti kumawakumbutsa za momwe amapezera matenda mokhumudwitsa," akutero Dr. Loanzon. "Ena amakhala ndi miliri yosawerengeka kotero kuti sizingakhale zomveka kuti atengepo kanthu masiku 365 pachaka kwa kachilombo komwe kamangoyamba zaka zingapo zilizonse." Ndipo kumbukirani, kuti anthu ena amakhala ndi vuto limodzi lokha. Kuphatikiza apo, anthu ena sangakhale ogonana, ndiye kuti chiopsezo chotenga kachilomboka si nkhani.

Ngakhale mutasankha kumwa mankhwala kapena ayi, "kaya mwayamba kudwala matenda opatsirana pakamwa kapena kuphulika kwa ziwalo zoberekera kapena ayi, ndibwino kuti muulule za HSV kwa mnzanu chifukwa mutha kukhala opanda chodetsa komanso kupitilira matenda,” akutero Dr. Gersh. Mwanjira imeneyi mnzanu amatha kupanga chisankho chodziwitsa mtundu wa njira zomwe mungagwiritse ntchito pogonana. (BTW: Nayi Momwe Mungakhalire ndi Kugonana Motetezedwa Nthawi Zonse Mukatanganidwa)

Mfundo Yofunika Kwambiri

Ngati mukukumana ndi zizindikiro za herpes, kuyezetsa herpes kungakuthandizeni kupeza chithandizo (kapena mtendere wamumtima) muyenera kuchepetsa kukhumudwa ndi kuthetsa nkhani zina. (Pambuyo pake, pali zifukwa zambiri zomwe mungakhale mukukumana ndi zotupa zachisawawa kapena kuzungulira nyini yanu.) Popanda zizindikiro, ndi chisankho chanu ngati mukufuna kuyesa herpes kapena ayi-podziwa kuti matenda abwino amabwera ndi ndondomeko yakeyake. zotsatira.

Pamapeto pake, chofunikira kwambiri ndikuti mumvetsetse kuti pokhapokha mutapempha mayeso a herpes, dokotala wanu mwina sangaphatikizepo pagulu lanu la matenda opatsirana pogonana.

Onaninso za