I-herpes yama-vaginal iyisifo segciwane lesitho zangasese, ikakhulukazi esithinta ubulili. Lesi sifo sibangela igciwane le-herpes simplex, ikakhulukazi uhlobo lwayo lokuqala (amacala angu-20%) nohlobo lwesibili (80%).
Izimbangela ze-herpes yangasese
Ukutheleleka ngegciwane le-herpes kwenzeka ngesikhathi sokulala ngokobulili (ngokobulili, ngomlomo noma ngomlomo), ezinye izindlela zokutheleleka cishe akunakwenzeka. Ingozi yokuthola igciwane le-herpes kumlingani wesandulela ngculazi ukhona kuwo wonke owesifazane wesihlanu, ukusebenzisa ikhondomu kunciphisa lo mkhuba kabili. Ukuzivikela okuphansi, ukuziphatha ngokobulili ngokobulili, ukulala ngokobulili okungavimbelwe yizinto ezikhulisa amathuba okubeletha kwesisu.
Kubalulekile ukuthi uqaphele ukuthi odokotela abavame ukuhlola ukuthi i-herpes iyinikazi, ngokuvamile ukuqhuma komzimba kunomkhawulo wesikhumba se-perineum, i-anus kanye nama-genitalia wangaphandle futhi akuvamile ukuthi isakazeke emzimbeni nasesibilini.
Yini i-herpes yangasese ebonakalayo?
I-herpes yama-vaginal ibonakala ngokuqhuma emzimbeni:
- Ukuhlambalaza kubonakala kwamabhulebhu amancane, ngaphakathi kwawo okuyizikhukhula ezinamafu;
- indawo yokubukeka kwe-blisters ivuvukala futhi iyabetha, futhi ibuye ibuhlungu futhi ishisa;
- kungakapheli isonto emva kokubonakala, ama-vesicles aqhuma, eshiya izilonda ezibomvu;
- izilonda ziphulukisa, i-flake, zingakapheli amasonto amabili zishintshwa yisikhumba esinempilo.
Izibonakaliso ezingavamile eziphathelene namagciwane omzimba wesifazane kubangelwa abesifazane ngaphambi kokuba kubonakale ukuvuthwa nokubonakala kwe-malaise jikelele, ubuhlungu besisu, ukushisa komzimba okwandisiwe.
Indlela yokuphatha i-herpes yesisu?
Embuzweni ovamile "indlela yokuphulukisa ngokuphelele i-herpes yesisu," bonke odokotela baphendula ngendlela efanayo: namuhla azikho izidakamizwa ezingakwazi ukuqeda ngokuphelele i-herpes virus emzimbeni womuntu. Ukwelashwa kwe-herpes yangasese kuyisimangaliso. Lokhu kusho ukuthi imishanguzo yokwelashwa ihlose ukuqeda izimpawu zamagciwane e-vaginal, ukunciphisa inkinga yesifo nokunciphisa izinga lokuphindaphinda.
Njengoba ukwelashwa okuyinhloko, izidakamizwa ezithile zokulwa namagciwane (antiherpetic) zisetshenziswa:
- I-Acyclovir kanye nezifanekiselo zayo - Zovirax, Herpes, Medovir, Cyclovax nabanye;
- I-Valaciclovir kanye ne-analogue Valtrex;
- I-Famciclovir ne-analogue Famvir;
- I-Penziklovir neyakhe, kodwa engabhalisiwe ezweni lethu, i-analogue ye-Denavir.
Ukwelashwa okusizayo kwe-herpes yangasese kuhlale kungalungile, kodwa ngezinye izikhathi kuyasetshenziswa, ikakhulukazi: izidakamizwa ezilinganisa ukuzivikela, ukwandisa ukumelana komzimba futhi kuvuselele ukukhiqizwa kwe-interferon. Isikhathi sokwelashwa kwama-herpes wesifazane sangasese singumuntu ngamunye.
I-herpes yama-vaginal ekukhulelwe
I- herpes yama-vaginal ekukhulelwe , eqinisweni, ibonisa ingozi yokutheleleka emntwaneni wesisu, ovame ukuvela ngesikhathi sokubeletha, lapho ingane idlula emgodini wokubeletha othintekile. Izinga leengozi likhonjiswe yizimo eziningana:
- Uma owesifazane esebenzile igciwane le-herpes ngaphambi kokukhulelwa (okungukuthi, uma kunesifo esisodwa se-herpes yangasese ngaphambi kokuba ukhulelwe), kungenzeka ukuthi amathuba okutheleleka kwengane ayinaki, ngoba ukuzivikela okukhona kakade kwe-herpesvirus ezinyangeni eziyisishiyagalolunye kudluliselwa emntwaneni.
- Uma i-herpes e-vagin kuqala ibonakala ku-trimester yokuqala noma yesibili, ngemva kwalokho iphathwa ngokuphumelelayo, khona-ke ingozi yokutheleleka kwengane iyingcosana, kodwa ikhona.
- Ingozi ebalulekile yokutheleleka kwe-fetus ingathi uma izimpawu ze-herpes zangasese kumuntu wesifazane zivele kuqala ku-III trimester. Ngaphansi kwezimo ezinjalo, ukuzivikela kungenaso isikhathi sokuthuthukisa futhi kudluliselwe emntwaneni, i-herpes neonatal iqala njalo emntwaneni ngamunye wesine. Ukuze ugweme ukutheleleka kwe-fetus, odokotela bavame ukuphoqeleka ukuba basebenzise esigabeni sokudla.
Ukunakekelwa kwama-herpes wesisu ngesikhathi sokukhulelwa kuvame ukuqhutshwa nge-Acyclovir noma ukufana kwayo. I-herpes engavunyelwe ukubeletha kumama ingozi kumntwana onokungafani okuhlukahlukene emisebenzini yobuchopho nemisebenzi yezinye izitho.