Cishe sonke sibhekene ne-herpes ngesikhathi esithile. Ama-rash abonakala ngalesi simo angavela ngaphezulu kwesikhumba, ikakhulukazi ngomkhuhlane kanye namakhaza. Singasho ngokuphephile ukuthi akubona bonke abantu abazi ukuthi i-herpes ingathinta ikhanda. Kubalulekile ukwazi ukuthi lesi yisifo esiyinkimbinkimbi sokuthi, ngemuva kokutholwa, sidinga ukwelashwa okusheshayo.
Ezindebeni, ukuqhuma kwe-herpes kuyanyamalala cishe ezinsukwini eziyisikhombisa, kuyilapho ezinwele nasekhanda kungahlala kuze kuphele inyanga, futhi isiguli singaba nobuhlungu obukhulu. Mayelana nokwelashwa kwe-herpes ekhanda, ukuthi ukubonakaliswa kwayo kubukeka kanjani nokuthi lokhu kungasabisa kanjani isiguli, kungokuhle ukuthola ukuthi wonke umuntu onendaba nempilo yakhe uqobo.
Izinhlobonhlobo nezimbangela zesehlakalo
I-Herpes ekhanda inendawo ye-atypical. Kwenzeka kaningi kakhulu kunesifo esaziwayo ezindebeni nakwezinye izindawo zesikhumba. Okuyikhona okuvame kakhulu namuhla izinhlobo ezintathu eziyinhloko zale ndlela, evela ngenxa yezici ezahlukahlukene zangaphandle nezangaphakathi:
- i-herpes yohlobo lokuqala, etholwe ngokutheleleka ngomlomo, - GT1,
- uhlobo lwesibili, oludluliselwa ngocansi - GT2,
- uhlobo lwesithathu (inkukhu pox) - GT3.
I-Herpes ekhanda ezinweleni, ukwelashwa esizoxoxa ngakho ngokuhamba kwesikhathi, kungokwemvelo yegciwane, kuvela ngenxa yokudluliselwa kwethosi yenkukhu kwabahlukunyeziwe. Amacala angavamile aqashelwa lapho umkhuhlane ojwayelekile ohlukahluka kwe-GT1 ubangela ukuvuvukala kukonxantathu we-nasolabial bese udluliselwa ngesifo esikhumbeni.
Ukuqhuma ezinweleni kubonakala kakhulu kakhulu uma ukutheleleka kuhlala engxenyeni elimele yesikhumba. Isibonelo, uma isiguli sine-herpes vesicles ezindebeni zakhe, ezibabayo kakhulu, futhi beziklwebeka, uthinta isikhumba. Ukuba khona kokuhlukumezeka okuncane kukhona okwanele ukuthi leli gciwane lingangena.
Ukwenza kwasendaweni
Indawo eyinhloko yokutheleleka kwe-herpes ukuqina kwezinzwa. Okwesikhathi esithile, kungenzeka kungazivezi nganoma iyiphi indlela, noma kunjalo, ngokuncipha okwashiwo kokungazethembi, kunengozi yokuphinda ubuye. Lapho i-herpes ingena kwi-nerve ye-trigeminal etholakala ekhanda, lesi sifo sizibonakalisa lapho.
Izindlela zokutheleleka
Njengoba kuphawuliwe ngenhla, izilonda ezibandayo ekhanda - ngemuva kwekhanda, ngaphezulu kwekhanda noma kumathempeli - zingatholwa ngokuzilimaza. Yebo, lokhu akwenzeki kaningi, kodwa kuyenzeka. Imvamisa, igciwane lohlobo lokuqala nolwesithathu lungadluliswa ngokushesha ngokuxhumana okusondelene nesiguli, kanye nalapho sabelana ngezinto ezijwayelekile naye.
Ukutheleleka ngegciwane le-herpes kuvame ukubonwa ezinganeni. Vuma, kuyaqabukela ukuthi omunye wabo wayengenayo inkukhu - inkukhu. Futhi uma bekungenzeka ukukugwema, khona-ke, ngesikhathi sokutheleleka, i-inkukhu kunzima kakhulu ukuthi abantu abadala babekezelele.
Ezinye izindlela
Ungathola i-herpes ekhanda ezimweni ezilandelayo:
- lapho igciwane lidluliswa ngokuxhumana ngesandla esinegciwane noma ngeminwe yezindawo ezonakalisiwe zesikhumba (ngokuxhumana nama-microcracks esikhumba),
- sisebenzisa izinto ezifanayo zokuhlanzeka ndawonye nomuntu onegciwane, ikakhulukazi amathawula nelineni lombhede, ngoba kulezi zinto ukutheleleka kuhlala kusebenza kumahora angama-5,
- ngokumpontshelwa igazi.
Kufanele uqaphele ukusebenzisa ama-combs ajwayelekile lapho amagciwane ayingozi angakhula khona. Uma kukhona ngisho nokuklwebeka okuncane ekhanda, i-herpes ingaqala ukukhula ngokushesha.
Izici ezivusa inkanuko
Igciwane elihlasela isikhumba lihluke kancane kwizilonda ezibandayo ezihlala ekhaleni nasezindebeni. Ekuthuthukisweni kwayo, ngeke kwanele ukuthola isifo esibandayo, njengoba kwenzeka kaningi phambi kokutheleleka ngegciwane ngokutheleleka kwesikhumba sobuso.
Isigaba esikhulu sabantu abasengozini yokuthola lesi sifo esichaziwe ngesibonakaliso sesimo semishayo ekhanda bangabameli besikhathi esivuthiwe ngokwengeziwe, ngaphezulu kweminyaka engama-65 ubudala. Kuyaphawuleka ukuthi ezimweni eziningi abesifazane bahlushwa yilolu hlobo lwegciwane, futhi lokhu kuhlotshaniswa nesizinda sabo sokushintsha kwamahomoni.
Kubantu abasha, i-herpes yalolu hlobo akuvamile ukwenzeka. Imvamisa kakhulu ngenxa yesimo sokugonywa esinamandla: ubukhona be-HIV noma ingculaza. Uma lesi sifo siqhamuka ngaphambi kweminyaka yobudala engama-40, umuntu kufanele ahlole amasosha omzimba ukuthola lawo ma-pathologies noma ukuphika ubukhona bawo.
Umfutho we-GT1 kungaba yizici eziningi, izimfanelo zokuqala:
- ukugula kwakamuva
- ukungondleki okungalingani
- ukulala iDemo nokubi
- izimo ezicindezela njalo, njll.
Eqinisweni, lesi akusona isimo esiyingozi ikakhulukazi, ngakho-ke i-herpes ebangelwa yileli gciwane ilula kakhulu kune-GT3.
Izimpawu zesifo
Ngaphandle, izimpawu ze-herpes esikhumbeni cishe azifani nezimpawu zalesi sifo ezindebeni. Kodwa-ke, kunzima kunalokho ukubona ama-vesicles asobala ajwayelekile we-herpes ezinweleni. Lesi sifo sivame ukuqala ngamazinga okushisa aphakeme. Uma kwenzeka kulimala i-trigeminal nerve, sonke isikhathi sesiguli singaphazamiseka ngobuhlungu obukhulu.
Inqubo yokuvuvukala iba ngezigaba, futhi izimpawu ze-herpes ekhanda ezinweleni zingahluka.
- Ekuqaleni, kungahlanganiswa nezimpawu zomkhuhlane ojwayelekile. Ngaphezu kwezinga lokushisa eliphakeme, isiguli singase sizwe izinhlungu emehlweni nasezimisipha, umuzwa wokucanuzelelwa kwenhliziyo, ikhanda, kanye nokuwohloka kwenhlala-kahle. Ukulunywa nokushiswa kungenzeka kwezinye izingxenye zomzimba. Isikhumba singavuvukala futhi sibe yi-hyperemic. Imvamisa, i-herpes yalolu hlobo ivela entanyeni nasemathempelini.
- Ngemuva kwamahora acishe abe yi-10, ama-vesicles asobala ekhanda, futhi ngokuhamba kwesikhathi, aya ngokuya eba maningi. Uma kungekho ukwelashwa okunekhono, ukuvuvukala kunganda ezindaweni ezinkulu zesikhumba.
- Uma imivimbo ingakhathazi, izoqhuma, yenze amanxeba amancane. Ukutheleleka kungakhula kubo, ngoba okuvame ukuvela ukuxhaswa okwengeziwe. Kuyaphawuleka ukuthi izinga lokushisa lingancipha, isiguli singazizwa sithuthukile, kepha izinhlungu zizoqhubeka zibonakale.
- Amanxeba aphilisiwe aba amakhaza ngemuva kwesikhathi esithile. Azinqunyelwe kakhulu ukulimala, ukuze kungangezeli isikhathi senqubo yokululama ngokuphelele. Ngemuva kwezinsuku ezimbalwa, amakhonkolo azowela ngokwawo.
Imvamisa, isiguli esinalesi sifo sinokwanda kwama-lymph node. Ukwelashwa kwe-herpes ekhanda ezinweleni kuleli cala kudinga ngokushesha.
Izinkinga
Ngaphandle kokwelashwa okufanele, i-herpes esikrinini ingadala izinkinga ezinkulu futhi eziyingozi. Isibonelo, kungaba yi-neuralgia, ehambisana nobuhlungu obuthakathaka. Uma ukungatheleleki kuncishiswe kakhulu, ukudabuka kungaqhubeka ngisho nokunyamalala kwezimpawu zangaphandle.
Njengoba ukutheleleka kusebenza impela ohlelweni lwezinzwa, imizwa ebuhlungu ingavela emaphethelweni wezinzwa. I-localization yezinhlungu ithintwa yindawo ethintekile yemicu yezinzwa. Uma bethole ukushisa ngokweqile, umuntu angaba nokukhubazeka kwemisipha yobuso, kanye nokwephulwa kokuhamba kwabo.
Ingozi futhi ukuthi i-herpes yalolu hlobo itholakala eduze kwengqondo, futhi, ukungena ngaphakathi, leli gciwane lingadala i-meningoencephalitis. Ngaphezu kwalokho, kunengozi yokuthi ukutheleleka kuzosakazeka ngamehlo nangezindlebe, kuthi kanye ekhaleni, i-herpes ifudukele ngqo emaphashini, ibangele inyumoniya.
Igciwane lalolu hlobo ngaphandle kokwelashwa okuphuthumayo nolwanele kungadala imiphumela emibi eminingi, ngakho-ke, ekubonisweni kokuqala kwezimpawu zalo ekhanda, kufanele uvakashele udokotela ngokushesha.
Ukwelashwa kweHerpes
Udokotela kuphela okufanele akhethe uhlobo lokwelashwa kwe-herpes ekhanda ezinweleni. Ukuzilapha kungadala izinkinga ezidabukisayo.
Umuthi ofanele yiFenistil Pencivir, inani lentengo emakhemisi asendaweni ahlukahluka ukusuka kuma-ruble angama-300 kuye kwangama-400. Ukuphuza umuthi kufanele kuqale lapho kuvela izimpawu zalo zokuqala. Lokhu kuzosiza ukusheshisa ukululama, futhi kusize ukuvikela izinkinga ezingaba khona.
Uhlobo lokwelashwa
Ukwelashwa kwe-herpes kwenziwa ngohlelo lokwamukelwa kokuhumusha yisiguli ngemithi edingekayo yokwelashwa kwemithi:
- Amaphilisi we-antiviral. Umthamo kufanele unqunywe ngudokotela ohola isiguli, ozokhumbula isimo esivamile sesiguli. Esebenzayo yisidakamizwa esithi "Famciclovir", imiyalo esetshenziswayo ekhombisa ukuthi ivunyelwe ukusetshenziswa ngabantu abadala abaneminyaka engu-18 ubudala. Ngaphezu kwalokho, odokotela bavame ukunquma i-Famvir, i-Zovirax, iMinaker, iValvir neValtrex. Uma kwenzeka ungenwa yigciwane lengane, kusetshenziswa i-Acyclovir efanelekayo yezingane. Imiyalo yokusetshenziswa kwaleli thuluzi ifaka ukwamukelwa kwayo yizingane zezigaba ezahlukahlukene zobudala.
- Izithako zokuthambisa. Izimali ezinjalo zivimbela ukusakazeka kokuqhuma kwe-herpes kwezinye izingxenye zekhanda. Lokhu kufaka "i-Fenistil pencivir" (intengo yayo nayo icishe ibe ngama-ruble angama-300-400).
- Ama-immunomodulators. Benza ukuthi kube nokugcina ukungavikeleki kwemvelo okuphezulu kweziguli. Kunemithi eminingana engabekwa udokotela. Akunconywa ngokwezigaba ukuthi uzisebenzise wedwa, sengathi kukhethwe ngokungafanele, ama-immunomodulators angalimaza impilo yakho.
- Ama-antiseptics wokusetshenziswa kwe-topical. Lolu hlobo lwethonya lokwelapha lusiza ukuvikela amathuba okuphinda enzeke. Kunconywa ukugcoba izindawo ezinamakhanda ekhanda ngeChlorhexidine, Miramistin noma iFukortsin. Ngokwakhiwa kwama-croples, kunconywa ukwelapha isikhumba senhloko ngamafutha aqukethe i-erythromycin. Ngaphezu kwalokho, lokhu kuzosheshisa inqubo yokuvuselelwa kwezicubu.
- Ukupholisa nobuhlungu. Lapho belapha izilonda ezibandayo ekhanda ezinweleni, basiza ukunciphisa ubuhlungu, okuvumela isiguli ukuba silale ngendlela ejwayelekile. Ngenkambo yesifo esibi kakhulu, kunconywa ukusebenzisa ama-antidepressants.
Uma isiguli sinokushisa okuphezulu, kungahle kunikezwe izidakamizwa ze-antipyretic. I-physiotherapy iyasebenza impela: ukwelashwa kwe-laser, i-irradiation ngesibane se-ultraviolet noma i-quartz, UV.
Ukuvimbela I-Herpes
Ukuze uvimbele ukwenzeka kwe-herpes ekhanda ngokuzayo, udinga:
- khipha zonke izinhlobo zokuxhumana nabantu abagulayo,
- gcina imithetho yokuhlanzeka komuntu,
- hlukanisa abantu abanegciwane uma kungenzeka
- thambisa umzimba
- uhambe njalo emoyeni omusha,
- Gwema ukuzikhandla ngokweqile komzimba,
- yidla kahle
- qaphela umbuso wokuphumula nomsebenzi,
- ukwelapha okufika ngesikhathi izifo ezingalapheki, susa i-foci yokuvuvukala.
Phakathi kokunye, njengoba kushiwo ngaphambili, lapho izinsolo zokuqala zensangu zingane, ngemuva kokubonisana nodokotela kuqala, kufanele uqale ngokushesha ukusebenzisa i-Acyclovir ezinganeni.
Imiyalo yokusebenzisa i- "Famciclovir" nayo ihlinzeka ngomphumela omuhle emzimbeni otheleleke ngegciwane le-herpes, kodwa kubantu abadala kuphela. Ngendlela, lezi zimali zingasetshenziswa njenge-prophylaxis.
I-Herpes ekhanda iyindlela yokukhohlisa ecashile, engavusa ukuthuthukiswa kwezinkinga ezithile. Isifo salolu hlobo kufanele siphathwe kahle futhi ngokushesha sifune usizo lodokotela lapho sikhomba izimpawu zokuqala. Ukwelashwa okufanelekile futhi okufika ngesikhathi kungasiza ukususa i-virus emzimbeni ngaphandle kwemiphumela kanye nezinkinga ezahlukahlukene.
Izigaba Nezimpawu
I-Pathology iqhubeka ngezigaba ezi-4, ngasinye sazo sihambelana ne-dalili ethile:
- Kuqala, isikhumba siqala ukulunywa, ukucindezela, kuvela imizwa ebuhlungu. Kamuva, isikhumba saphenduka saba bomvu. Isimo esivamile sesiguli sifana nokuqala kokubanda, izinga lokushisa lingaphakama. Ubuhlungu bekhanda kungenzeka.
- Ngemuva kwamahora ayi-12, kuqala ukuvuvukala kwesikhumba. Ama-bubble avela agcwele uketshezi (ama-vesicles), ngokuhamba kwesikhathi, inani lama-rashes landa ngokuqinile.
- Amasende aqhuma. Ubuhlungu buyancipha.
- Scabs ifomu esizeni lama-bubble, okuthi ngemuva kwezinsuku ezimbalwa ziwe. Lolu phawu lukhombisa ukululama.
Ngemuva kwenyanga yesifo, inqubo ye-pathological iyaphela. Kepha ngokugomeka okubuthakathaka kwesiguli, imizwa ebuhlungu emithanjeni ethintekile ingaqhubeka izinyanga ezi-1-2.
Ukuxilonga
Leli gciwane litholakala endaweni yezokwelapha ngalezi zindlela ezilandelayo:
- Ukuhlolwa kwezimpawu zangaphandle kanye nodliwanondlebe neziguli.
- Ukuhlaziywa kwe-PCR. Umphumela walolu cwaningo ukhomba uhlobo oluthile lwegciwane le-herpes. Ngokucwaninga, izinto ezibonakalayo zesiguli ziyadingeka. Ocwaningweni, thatha okuqukethwe ama-blisters.
- Indlela ye-Hybridization. Injongo ukunquma i-herpes genome kumaseli.
- Enzyme immunoassay. Ibona ukuba khona kwama-antibodies kunegciwane.
Ukwelashwa ngezidakamizwa
Ukwelashwa kwe-herpes yekhanda kuhloswe ukunciphisa izimpawu ezihambisana nenkambo yesifo, ukulwa naleli gciwane. Ngale njongo, kuvame ukusetshenziswa:
- Ukuthatha izidakamizwa ze-antipyretic. Lezi izidakamizwa ezine-paracetamol ne-ibuprofen, zinomphumela we-analgesic.
- Ukutholwa nemithi elwa namagciwane - i-Vatsiklovir, Acyclovir. Izidakamizwa zinobuthi obuphansi futhi zinomphumela wokukhetha. Baphuzwa ngomlomo ngendlela yamathebulethi, asetshenziswa endaweni yakini njenge-ointment.
- Ukwelashwa kwezindawo ezithintekile ngamafutha antiviral - Herpevir, Zovirax.
- Esigabeni lapho ama-bubble aqhume khona uketshezi, kuyadingeka ukwenza ukwelashwa kwe-disinitness kulezi zindawo. Kulokhu, kusetshenziswa i-hydrogen peroxide, bese yomiswa ngohlaza okotshani. Ukwelashwa okusheshayo, baphathwa nge-Streptocide noma iPanthenol.
- Ngokwakheka kwamakhaza endaweni yama-blisters, i-erythromycin ointment izonikeza ukwelashwa kwangaphambili.
- Ngobuhlungu obukhulu, ungafaka izinhlungu zokunciphisa izinhlungu namafutha asuselwa ku-lidocoin. Inomphumela oqinile wokubulala izinzwa futhi uyakwazi ukwenza i-anesthetize amahora ayi-12.
- I-physiotherapy iyasebenza ukubulala leli gciwane - i-ultraviolet, i-quartz.
- Ukwelashwa okuyinkimbinkimbi, amavithamini namaminerali, ama-immunomodulators kufanele athathwe. Lokhu kuzosiza ukubuyisa ukuqina komzimba okuncishisiwe.
Ukunaka! Ngezilonda ezibandayo, akunconywa ukugeza izinwele zakho kaningi ukugwema ukutheleleka kwezindawo ezinempilo. Ngokuhlanzeka kwezinwele, kungcono ukusebenzisa ama-shampoos anezisekelo zemvelo, ezinezinga elijwayelekile le-Ph.
Umuthi wabantu
Phakathi kokupheka kwemithi yendabuko, kunemithi ephumelelayo neyemvelo yezilonda ezibandayo ekhanda:
- ukugcotshwa kwezindawo ezithintekile ngamafutha e-alimondi ahlanganiswe ne-clove yegalikhi egayiwe kanye ne-valocordin,
- ukunciphisa ukushiswa nokulunywa, kusetshenziswa ama-decoctions amagxolo we-oki, i-chamomile, i-calendula,
- njengoba kusetshenziswa ama-lotions: i-lemon balm, peppermint, dieelle,
- I-Willow bark nama-ginger akhulisa ukungatheleleki.
Ingozi yegciwane
Ngenxa yokufana kwezimpawu zokuqala nomkhuhlane ojwayelekile, lesi sifo siyaqhubeka, ukwelashwa akuqali. Ukufuna usizo olufanele kubonwa kuphela ngokubonakala kwezimpawu ezisobala - amarash.
Ukubonisana ngokushesha nodokotela kuzokuvumela ukuba uqede lesi sifo esikhathini esiyizinsuku ezi-5 kuya kwesonto. Uma uqinisa isikhalo esikhungweni sezokwelapha, ukwelashwa kuzothatha amasonto amabili. Ukuze uthole ukuxilongwa nokwelashwa kwe-herpes yesikhumba, kufanele uthintane nodokotela wezokwelapha, udokotela wamazinyo, nodokotela oyi-neurologist. Kuyadingeka ukufuna usizo ngezimpawu ezilandelayo:
- umuzwa wokumiswa nokushiswa ekhanda,
- ikhanda nekhanda,
- ubuthakathaka, ukunganaki kokudla, isicanucanu,
- ukuvuvukala kwama-lymph node,
- ukubukeka kwezilonda ezincane ngemuva kwekhanda namathempeli (kungahlangana kube yinto eyodwa).
Akunconywa ukuhlehlisa ukuvakasha kudokotela, ngoba i-pathology iyingozi kwezinye izitho nezinhlelo. Kuyinto kungaholela kulezi zinkinga ezilandelayo:
- Ukutholwa kwendawo ngegciwane kusikhumba kuyingozi ngenxa yokusondela kobuchopho. Uma ingena ebuchosheni, ibangela izinencephalitis.
- Igciwane lingaholela ekutheni inyumoniya.
- Uma leli gciwane lidlulela ezindlebeni noma emehlweni, isiguli singaba impumputhe noma isithulu.
- I-Herpes yekhanda ingaholela ku-radiculitis, inzalo, ukulimala kwesibindi, namanye ama-pathologies angamahlalakhona.
- I-Pathology ivame ukuholela ezinkingeni ngendlela yobuhlungu bekhanda obukhulu.
- Leli gciwane lishuthekwa emaphethelweni ezinzwa. Ngokuvuvukala kwayo yonke izinzwa, ukukhubazeka kwezicubu zobuso noma ukwephulwa kwemisebenzi yazo yezimoto kungenzeka.
Amavidiyo awusizo
Indlela yokususa i-herpes.
Kungani kwenzeka isilonda esibandayo ekhanda?
I-Herpes esikhumbeni ibangelwa uhlobo lwegciwane le-Varicella Zoster, elibangela i-chickenpox ezinganeni kanye nokugunda kwabadala.
Ukucaciswa kwaleli gciwane ukuthi alinyamalali emzimbeni unomphela, yize iqiniso lokuthi ngemuva kokugula kungazeleleki emzimbeni.
Ngesikhathi esesimweni sokulala kuma-nerve plexuses, ulindele ithuba.
Lapho amasosha omzimba ebuthaka, igciwane liyasebenza, libangele ukuvuvukala kwendawo eseduze yesistimu yezinzwa. Uma kwenzeka kulimala i-nerve ye-trigeminal nerve eduze kwendlebe noma igatsha lamehlo, kuvela imishayo ekhanda.
Izimbangela zokwakhiwa kwe-herpes zingaba:
- Thintana ngqo nomuntu ophethe lapho kusebenza khona leli gciwane.
- Ukuphinda uqalile kwenkukhupox, obekungakudala kudala, le ndlela ibangelwa yizici zokungatheleleki komzimba.
- Ukutheleleka ngqo kwesikhumba, kwenzeka uma umuntu esebenzisa okungokwakhe isiguli esiteji esisebenzayo, isibonelo, ikamu. Kuyo, leli gciwane lingena emanxebeni amancanyana esikhunjeni liqhubeke likhule. Le ndlela iyivelakancane.
Ukwelashwa kwezidakamizwa
Indlela eyinhloko yokwelashwa ukusetshenziswa kwemithi. Babekwa udokotela ngokuya ngesigaba senqubo kanye nokuxaka kwayo. Okokuqala, izidakamizwa ezingama-antiviral zibekiwe: I-Acyclovir, Famvir, Zivirax, Heperax, yathathwa ngomlomo. Zifakelwa imithambo ye-antiviral: Gerpevir, Zovirax, elapha indawo ethintekile.
Ngaphezu kwalokho, basebenzisa izibulala-magciwane: Uhlaza okgqamile, uFukortsin, uMiramistin, uChlorhexidine, abavumeli ukuthi amagciwane asabalale futhi anciphise ukuvuvukala. Ngemuva kokuqhuma kwama-vesicles, ungasebenzisa i-erythromycin ointment, esheshisa ukuphulukiswa kwenxeba.
Ukunciphisa izimpawu, ama-anti-inflammatory, antipyretic kanye nama-painkillers anqunyelwe ukuthuthukisa isimo somzimba jikelele. Ngokufanelekile ekwelashweni okuyinkimbinkimbi kufaka phakathi ama-vithamini tata nama-immunomodulators. Zenza izivikeli mzimba zivikele, zilisize ekulweni nalo leli gciwane.
Izinqubo zomzimba zisetshenziswa njengezindlela ezisebenzayo. Ngakho-ke, ukwelashwa nge-quartz noma i-ultraviolet kusiza ukubulala leli gciwane kumabhamuza.
Uma kwenzeka kuqalwa ukwelashwa okufika ngesikhathi, isikhathi sayo singaba isonto, ngezimo ezithuthukile zingakhuphuka ziye kumaviki amabili.
Ngesikhathi sokulashwa, kubalulekile ukugwema ama-shampoos anolaka kanye nama-detergents. Ngokujwayelekile ungenqaba ukugeza izinwele zakho isikhathi sokwelashwa noma ukusebenzisa i-baby shampoo.
Amakhambi esintu
Ungangezela ukwelashwa kwezidakamizwa ngamakhambi abantu, kepha ngaphambi kokuqala, kufanelekile ukukhumbula ukuthi lokhu kungezelelwa okungathathi indawo yokwelashwa okuyinhloko.
Izindlela zokuqala zokulwa ne-herpes ama-lotions:
- Ngokusekelwe kuviniga we-apple cider, kunciphisa ukulunywa nobuhlungu, kwenziwa kathathu ngosuku. Ukuze wenze lokhu, i-bandage ebanzi igoqa kaninginingi, imunyiswa ngamaphesenti angu-9 we-apple cider uviniga bese ifakwa endaweni ethintekile imizuzu engu-15. Awukwazi ukubamba isikhathi eside, ngoba lokhu kungadala ukuvutha kwesikhumba.
- Kusuka ithanga. Ekwenzeni kwawo, uginindela wethanga ufohlozwa nge-grinder yenyama noma ku-blender kwisimo se-puree, khona-ke usetshenziswe esikhumbeni bese kwenziwa i-bandage ye-gauze, egqokwa amahora angama-2-3.
Isikhumba singagcotshwa ngemithambo yokwakheka:
- Kwithisipuni elilodwa le-ash ash lokhuni engeza ingxenye yesipuni uju kanye nama-clove amathathu kagalikhi, zonke izithako ziyashaywa nge-blender, isisindo esiphumela sisetshenziswa ezindaweni ezithintekile.
- Endebeni, hlanganisa isipuni sikasawoti wezimbali ze-calendula nezamafutha, lokhu kuhlanganiswa kusetshenziselwa ukugcoba amanxeba ekhanda kaningana ngosuku.
- Amagremu ayi-100 kagalikhi athululelwa cishe ama-millilitha we-oyili we-castor bese efakwa ukushisa okuphansi. Inqubo yokudangala ihlala emahoreni amathathu kuya kwayi-4, bese umkhiqizo ususwa ekushiseni, upholile futhi uhlungiwe. Isisindo esiphumela sisetshenziselwa ukuthambisa isikhumba izikhathi ezi-4-5 ngosuku.
Njengomuthi osebenzayo, ukufakwa kwamafutha kalamula nakho kungasetshenziswa. Ilungiselelwe ngesilinganiso se-1 ithisipuni lamaqabunga omisiwe ngengilazi yamanzi abilayo. Phuza kathathu ngosuku ngengxenye yengilazi. Isenzo esinjalo asinciphisi ukuvuvukala kuphela futhi sisuse imikhiqizo yokudakwa, kuyasiza ekuphumuleni nasekuthuthukiseni isimo somzimba jikelele.
Ividiyo mayelana ne-herpes evela kuchwepheshe:
Ungalapha imishayo ye-herpes ekhanda ngemithi noma amakhambi abantu. Kodwa-ke, kubaluleke kakhulu ukuthi kulondolozwe isimo somzimba jikelele ukuze kuvikeleke ukubonakaliswa kwesifo okulandelayo.
Izimpawu, izigaba kanye nezimbangela
- ubuthakathaka
- ukunwetshwa kwezindawo zomlomo wesibeletho,
- isicanucanu
- ukuhlanza
- ikhanda
- amazinga okushisa akhuphuka aze afike ku-39 ° C,
- ukulahleka kwesifiso.
I-Herpes yesikhumba iqhubeka ngezigaba ezi-4. Ngamunye ubonakala ngezimpawu ezithile:
- okokuqala - ukulunywa, ubomvu, ubuhlungu, ubuthakathaka,
- owesibili - kwakheka ama-bubble osayizi abahlukahlukene (ama-vesicles), agcwele okuqukethwe okusobala,
- Okwesithathu - kuqhume izinto eziwuketshezi,
- Okwesine, kuvela uqweqwe endaweni yama-vesicles.
Kungakapheli nenyanga ngemuva kokuqala kwesifo, inqubo ye-pathological iyancipha, kepha, ezigulini ezinokungazinzi komzimba, imizwa engakhululekile eduze nezinzwa ezithinteke yileli gciwane ingaqhubeka (postherpetic neuralgia). Kwesinye isikhathi ukuzwela kwesikhumba kuyaphazamiseka. I-postherpetic neuralgia ikhathazeka kakhulu uma lesi sifo siyinkimbinkimbi ngokulimala kwamehlo.
Izimbangela ze-herpes ekhanda ukutheleleka okuyisisekelo ngenxa yokungena kwaleli gciwane ngokuhlahlela esikhunjeni noma ukuvuselelwa kabusha kwalo ngokuncipha kokuzivikela komzimba. Izici ezahlukahlukene zingavusa ukugula:
- ukuntuleka komsebenzi wezimoto,
- imikhuba emibi
- Izinguquko ze-hormonal (ukuya esikhathini, ukuya esikhathini, ukukhulelwa),
- ukucindezela isikhathi eside
- i-hypothermia noma ukushisa ngokweqile,
- ukungenelela kokuhlinzwa
- imvelo emibi
- ukungondleki okungalingani
- izifo ezingamahlalakhona.
I-Herpes ekhanda imvamisa iba yinkinga yabantu beqembu labantu abadala (ngemuva kweminyaka engama-65). Lesi sifo sivame ukwenzeka kwabesifazane.
Ukudlula ekhanda ezinganeni nakwabesifazane abakhulelwe
Ezinganeni, ukuqhuma kwe-herpetic kuvame ukuvela esikhathini sekwindla-sentwasahlobo. Kodwa-ke, uhambo oluya olwandle, umkhuhlane ongalashwa, i-hypovitaminosis, i-hypothermia noma ngokweqile kungasicasula lesi sifo.
Ukwelashwa okulimala ezinganeni kushesha ukwedlula kubantu abadala. Ukwelashwa kwenziwa ngemithi elwa namagciwane futhi elwa nokuvuvukala. Ukwandisa ukungasebenzi komzimba, kunconywa izakhi zamavithamini zezingane (i-Complivit, Pikovit). Izinkinga zalesi sifo azivamile ukutholakala.
I-Herpes ekhanda ezinweleni zabesifazane abakhulelwe, kuya ngesikhathi lapho inqubo yaqala khona, isho izinketho ezahlukene kanye nobunzima bezinkinga.
Ukutheleleka okokuqala kwaleli gciwane ku-trimester yokuqala kuyinkomba yokuqedwa kwaso, ngoba ubungozi be-fetus bukhulu kakhulu. Ukuphinda kubuye kwalesi sifo kuphathwa ngezidakamizwa ezisetshenziswayo (Acyclovir).
Ngokusebenza kwegciwane le-herpes ekhanda ezinweleni ku-trimester yesibili neyesithathu, ukwelashwa kuhlanganiswa nemithi ye-antiviral, ukuqapha njalo kusetshenziswa inqubo ye-ultrasound ye-fetus.
Ingane etheleleke ku-utero noma esenkulumweni yokuzalwa izalwe inefomu le-neonatal le-chickenpox, esivame ukuhlanganiswa yinkimbinkimbi ye-encephalitis, hepatitis, pneumonia.
I-Herpes endaweni yekhanda
I-Herpes yekhanda iyinto evamile. Lesi yisifo esithathelanayo esibuhlungu noma esingamahlalakhona esijwayelekile esihambisana nokuncipha komzimba. Ama-virus we-Herpes atholakala emzimbeni womuntu cishe wonke umuntu. Okokuqala, i-pathogen ihlangana nabantu ebuntwaneni. I-Herpes esikrinini ilula kanye ne-herpes zoster. Esimweni sokuqala, isikhumba sobuso siyabandakanyeka kule nqubo. Izindebe nekhala kuyathinteka.
Olunye lwezimpawu zezilonda ezibandayo ekhanda ukushiswa kwesikhumba.
Abantu abadala abagulayo nezingane. Ukutheleleka nge-Herpetic kuyingozi ngoba leli gciwane linophawu lwezicubu zezinzwa. Kukhona ithuba lokusabalala kwe-pathogen kanye nokulimala kobuchopho. I-Herpes ekhanda ifaka isandla ekuthuthukiseni i-meningitis ne-encephalitis. Kuqhamuka uhlobo lokugula kwalesi sifo. Kutholakala ikakhulukazi ezinganeni ezisanda kuzalwa. Abantu abangaphezulu kweminyaka engama-50 bavame ukuthuthukisa i-herpes zoster.
Ukwelashwa okuhlukile nokuvinjelwa
Amakhambi e-Folk angasetshenziswa wedwa noma ahlanganiswe nemithi.
Umphumela omuhle utholakala ngokufaka kuhlamvu lwamakhanda eligezwe kahle nge-plantain, i-violet noma isiqu sameva we-tatarnik. Izitshalo ezisundululiwe kumele zisetshenziswe ezindaweni eziyinkinga kaningi ngosuku.
Yehlisa umsebenzi wegciwane usakaza imichilo ngejusi yegalikhi, i-aloe.
Isheshisa inqubo yokupholisa amanxeba okugcotshwa nge-valocordin, i-almond, i-sea sihlahla sivame ukutholakala, uwoyela wefir.
I-tincture eyenziwe ngama-ginger rhizomes, yandisa ukungaziguli. I-150 g yesitshalo kufanele igcwaliswe ngama-800 ml we-vodka futhi ishiywe endaweni emnyama amasonto ama-2. Thatha izikhathi ezi-2 ngosuku nge-1 tsp.
Itiye leViburnum libuye lithuthukise ukumelana nomzimba. Ama-20 g amajikijolo athululelwa engilazini yamanzi abilayo futhi afakwa amahora amane. Inkambo yokwelashwa ingamaviki ama-1-3.
Kwandisa ukungatheleleki kanye ne-tincture yama-willow bark. 5 tbsp. l wezinto zokusetshenziswa udinga ukuthulula 1 litre wamanzi abilayo bese ugcizelela ihora eli-1. Thatha ama-50 g ngaphambi kokudla izikhathi ezintathu ngosuku.
I-decoction ye-birch efihlekile isheshisa ukuphulukiswa komonakalo. Izinso ezincane zithululelwa ubisi futhi zibanjwe imizuzu engaba ngu-7 ekushiseni okuphansi. Lapho-ke umhluzi uyahlungwa bese ufoshelwa ngoboya bekotini noma nge-gauze kuwo, kufakwe endaweni ethintekile.
Umphumela omuhle wokupholisa uhlanganiswa yingxube ye-celandine enoju ngezilinganiso ezilinganayo. Isetjenziswa ku-cheesecloth futhi ifakwe ezindaweni zamaphambi.
Ukusizwa kokulunywa nokushiswa kusiza ukudambisa ama-compress ku-burdock, i-dieelle, i-chamomile, i-peppermint, i-oak bark, i-calendula. Iphinde inciphise ngempumelelo ingxube yayo ngokwesilinganiso se-1: 2 ijusi noma ukumnika kwe-balm ye-lime ne-apple cider uviniga.
I-tincture yotshwala ye-calendula inokuphulukisa kwenxeba nomphumela wokulwa nokuvuvukala. I-50 g yezimbali ithululelwa ku-500 ml we-vodka futhi ifakwe amahora ayi-12. Faka isicelo ngendlela yezicindezelo imizuzu eyi-10 izikhathi ezingama-3-5 ngosuku.
Ukwehlisa amathuba okuphindeka kwesifo, kuyadingeka ukuqinisa ukungatheleleki, ukusatshalaliswa kwesikhathi esifanele somsebenzi kanye nokuphumula, ukulala ngokwanele, ukuvivinya umzimba, ukwenqaba imikhuba emibi, umsoco olinganiselayo. Kubalulekile ukugwema ukweqisa kanye ne-hypothermia, ukucabanga ngokweqile kwengqondo noma ngokomzimba.
I-Herpes ekhanda ingumphumela wokwehla komzimba womuntu. Kubalulekile ukuqala ukuyelapha ezinyangeni zokuqala. Kulokhu, ukululama kuzofika ngokushesha futhi ngaphandle kwemiphumela. Ukwelashwa kwesifo ezigabeni zakamuva kusongela ngezinkinga ezinkulu futhi nokufa.
Izici eziyinhloko zokuzimela
Le pathology ine-etiology yegciwane. Ama-ejenti we-causative angamagciwane ezinhlobo zo-1, 2nd no-3. I-Herpes simplex yaziwa njenge-lichen vesicle. Abantu batheleleka ebuntwaneni ngomoya noma ngomshini wokuxhumana. Amasango okungena ayimigwaqo yomoya nesikhumba. Lapho kuphela unyaka owodwa nesigamu, cishe zonke izingane ziyahlangana naleli gciwane.
Kukhona indlela ethe mpo yokutheleleka. Kuyabonakala ngesikhathi sokubeletha. Ngokuvamile, leli gciwane liwela i-placenta liholele ekulimaleni kwe-fetus. Iminyaka eminingi, i-pathogen ingahle ivele. Izimpawu zomtholampilo zenzeka ngokuncipha kokungazinzi noma ukucindezelwa kokukhulu. Izici zobungozi ekuqhamukeni yilezi:
- ukuba khona kwe-leukemia noma ezinye izifo zegazi,
- i-oncological pathology,
- izifo ezinzima somatic
- i-autoimmune pathology,
- isifo sofuba
- Ukutheleleka nge-HIV
- ukwehla komzimba ngenkathi uthatha ama-immunosuppressants kanye nama-corticosteroids,
- ukuvezwa kwemisebe
- ukuntuleka kwamavithamini emzimbeni,
- ukungondleki kahle
- isifo sikashukela mellitus
- Psychology
- i-cachexia
- abangafundile
- njalo i-SARS,
- i-hypothermia,
- izimo ezicindezelayo.
I-Herpes yekhanda iyinto evamile. Lesi yisifo esithathelanayo esibuhlungu noma esingamahlalakhona esijwayelekile esihambisana nokuncipha komzimba.
Ukutheleleka kwenzeka kalula ngesikhathi sokuxhumana nomuntu ogulayo. Izici zokudlulisela zibandakanya amathawula, amathoyizi, izitsha, izinto zomuntu, izihlambi zokugeza, izimbambo, nezandla. I-Herpes yesikhumba ingakhula uma umuntu edlulisela ngokungafanele i-pathogen isuka kwenye ingxenye yomzimba iye kwenye.
Izimpawu zokwelapha zeHerpes
Izimpawu nokwelashwa kwalesi sifo kufanele kwaziwe kudokotela wonke. I-Herpes elulax yenzeka ngezigaba eziningana. Ekuqaleni, izimpawu ezilandelayo zenzeka ekhanda nasebusweni:
Kube sekuvela ukusabela kokuvuvukala. I-Exanthema (i-rash) iyenzeka. Imelelwa ngamabhamuza amancane. Ngaphakathi kuzo kukhona uketshezi lwe-serous olubonakalayo. Lapho amabhaktheriya engena esikhunjeni, ukuvuselelwa kungenzeka. Imfihlo iba ngamafu. Ngaphakathi kuyigciwane. Ama-Herpes malena abuhlungu. Zikhuphuka ngaphezu kwesikhumba futhi zihlelwe ngamaqembu. Ububanzi bama-vesicles ngu-2-4 mm.
Izinwele uqobo azithinteki. Ngokutheleleka okuyisisekelo enganeni, isimo esejwayelekile singase sibe sibi. Izinga lokushisa eliphansi kwesinye isikhathi liyabonakala. Esigabeni sesithathu sesi sifo, ama-bubble aqhuma yedwa. Imfihlo iyaphuma. Ngalesi sikhathi, abantu abagulayo bayingozi kakhulu kwabanye. Esigabeni sokugcina se-herpes, amabhamuza ayanyamalala. Endaweni yazo, kuvela amakhaza, bese ekhishwa.
Kwesinye isikhathi amabhamuza ahlangana, akha izinto ezinkulu aze afike ku-10-15 mm ngosayizi. Nge-herpes simplex, i-rash yenziwa yangaphakathi hhayi kuphela esikhunjeni, kepha nasebusweni. Kulokhu, izindebe ziyathinteka. Kungenzeka ukuthi uhlanganyele enqubweni ye-mucosa yomlomo ngokuthuthukiswa kwe-tillillitis eyingozi, i-gingivitis noma i-glossitis. Uma leli gciwane lingena ebuchosheni, khona-ke kuvela uhlobo lokuxilonga lwesi sifo. Izinsana zihlangabezana nalesi sifo.
Isikhumba asithintekile. Kunezimpawu ze-neurological ngendlela yokuxhamazela, ukwazi ukungasebenzi kahle, ukukhuthazeka kanye nobunzima bokuphefumula.Umphumela oyingozi yi-edema yamakhemikhali. I-Herpes zoster ivuza kakhulu. Ikhula kubantu abake baba nenkukhu. Lesi sifo siqoshwa njengamacala angawodwa. I-rash itholakala eduze kwezinzwa.
Ukuhlolwa kwegazi kwelebhu kulungiselelwe ukuhlukanisa i-herpes nezinye izifo zesikhumba
Isikhathi se-prodromal sifinyelela ezinsukwini ezi-4. Kubonakaliswa ukulunywa, umkhuhlane, ikhanda, i-dyspepsia, ukuvutha kanye nokubanda. Ngesikhathi ukuphakama kwezinga lokushisa likhuphuka. Kunobuhlungu emisipha nasekuhlanganeni. Kuqhamuke kuqhume umjondolo. Ingasendaweni ebunzini noma emehlweni. Kwesinye isikhathi kuthinteka amabhangqa ama-3 ezinzwa zomgogodla. Mhlawumbe ukuthuthukiswa kwe-myelopathy ne-meningoencephalitis. I-Tissue edema ne-hyperemia kuthiwa.
Amasu wokuhlola nokwelashwa
I-Herpes ekhanda ezinweleni kufanele ihlukaniswe nge-pyoderma (izifo ze-pustular) kanye ne-seborrhea. Ngama-herpes zoster, kuyadingeka ukukhipha i-neuralgia. Ngaphambi kokwelapha i-herpes ekhanda, izifundo ezilandelayo zizodingeka:
- ukuhlolwa kwegazi ngokuba khona kwe-IgM ne-IgG,
- izivivinyo zemitholampilo ezijwayelekile
- ukusabela kwe-polymerase chain
- Ukuhlaziywa kwe-cytological kokuhluza kusuka ku-scalp noma kokuqukethwe kwama-vesicles.
Ngezimpawu zezindlela zokugula zaleso sifo, kubalulekile ukuhlola isimo sobuchopho. Uma imbangela yamaphashaza ibibanda, khona-ke ekuhlolweni kwegazi okujwayelekile, kungenzeka ushintsho lube khona. Ukuxilongwa kokugcina kwenziwa ngemuva kokuhlonzwa kwegciwane. Nge-herpes ekhanda ezinweleni, ukwelashwa kufaka ukusetshenziswa kwemithi ye-antiviral, i-ointments ne-immunostimulants.
Ukusuka ku-herpes ekhanda, ukugcoba kukaHerperax kusiza kahle
Lapho kutholakala i-HSV, kusetshenziswa i-Acyclovir Akrikhin, i-Zovirax, iValvir, iValtrex, iValtsikon ne-Famvir. I-recombinant alpha interferon ivame ukubekwa. Ikuvumela ukuthi ukhulise isimo sakho sokuzivikela komzimba. Lokhu kusiza ukucindezela igciwane. Ukuqedwa ngokuphelele kwe-pathogen akunakwenzeka. Ngokwezinkomba, kugonywa umuthi wokugomela i-antiherpetic. Akusebenzi ngaso sonke isikhathi. Konke kuncike esimweni sokugonywa.
Abantu ababuthakathaka bavame ukubekwa ngama-immunostimulants (Neovir). Ngama-herpes we-cerebral congenital herpes, kunconywa ukuthi kusetshenziswe imithi ye-antiviral. Uma kunesidingo, i-oxygenation, ukomisa kanye nokuphathwa kwama-anticonvulsants kuyadingeka. Ukwengeza amandla onke, amavithamini anqunyelwe iziguli.
Ngomkhuhlane kanye nezinye izimpawu zokudakwa, ukwelashwa kwe-infusion kuyenziwa. Ukusuka kumakhambi angaphandle ekwelapheni i-herpes yekhanda, ukugcoba kukaHerperax sekufakazele kahle. Iziguli zelulekwa ukuthi zidle ukudla okusha okusha, okunamavithamini amaningi nokuningi okunama-protein. Nge-herpes zoster, kunikezwa imithi yokuxutshwa.
Isiza i-UV, i-quartz ne-laser therapy. I-Homologous immunoglobulin ivame ukuphathwa ezigulini. I-prognosis yendlela elula yesifo iyathandeka. Nge-herpes ye-cerebral Congenital herpes, iba mubi kakhulu. Ngakho-ke, i-HSV ingadala ukulimala esikhunjeni sobuso nasekhanda, kanye nohlelo lwezinzwa oluphakathi.
Izindlela zokwelapha
Ukutholwa kwesifo kusheshe kwenziwa, futhi ngokushesha ukwelashwa kwaso kuqala, kuphakama amathuba okuba lesi sifo singabe sisesimweni esibi.
Ukwelashwa kwale patology kwenziwa ikakhulukazi ngudokotela wesikhumba.
Ungayiphatha kanjani i-herpes enziwe ekhanda? Ukwelapha okuphumelelayo kuqinisekiswa ukusetshenziswa okuyikho nokwenziwa kwangaphambili kwemithi ye-antiviral. Izidakamizwa ezisebenza kakhulu okwamanje yi-Famciclovir, Acyclovir neZovirax. Izindawo ezithintekile kwesikhumba kufanele zifakwe ngomunye walemithi engenhla kuze kube izikhathi eziyisithupha ngosuku. 
Uma isiguli siqala ukwelashwa ngendlela esheshayo, inethuba lokususa konke ukubonakala kwesifo entanyeni nasekhanda phakathi nesonto lokuqala. Lapho lesi sifo sitholakala esigabeni sesithathu sentuthuko, ukwelashwa ngezidakamizwa kungahlala amasonto amabili noma ngaphezulu.
Kuyadingeka ukuphatha i-herpes hhayi ngosizo lwezidakamizwa zendawo, kodwa futhi nokuba nomthelela wangaphakathi ekuthelelekeni ngegciwane. Ngaphezu kwama-ejenti we-antiviral, enye yezidakamizwa ezilwa nokuvuvukala (ngokusekelwe kuParacetamol noma i-Ibuprofen), kanye nama-immunostimulants, angasiza ohlelweni lokuqalisa imisebenzi yokuvikela umzimba, kufanele ithathwe.
Ungazinaki izindlela zokwelashwa zasekhaya ezisiza ngokuphumelelayo ukulwa nezilonda ezibandayo zekhanda:
- Ngomxube we-valocordin, ugalikhi kanye ne-oymond ye-almond, ukugcotshwa okuphumayo kukhothisiwe
- Iqabunga le-plantain lisetshenziselwa njenge-compress.
- Ukuze wandise imisebenzi yokuvikela umzimba, ungathatha njalo i-tincture yama-willow bark nezimpande ze-ginger.
- Umphumela omuhle impela unikeza i-lotion eyenziwe nge-decoction yamakhambi anjenge-dieelle, i-mint ne-lemon balm. Izinto ezenziwe ngokugaywa zithathwa ngokulinganayo futhi kuxutshaniswe kahle. Ngemuva kwalokho isipuni sezithako zamakhambi sithululelwa ngo-200 ml wamanzi abilayo bese sigcizelelwa imizuzu engama-20.
- Ukuze wehlise isilinganiso senqubo yokuvuvukala, i-tincture yotshwala yamafutha kalamula kanye ne-calendula ingafakwa ezindaweni ezithintekile kwesikhumba.
Ngokukhulisa lesi sifo, udinga ukwenqaba ukugeza izinwele zakho. Lokhu kuzokwenza ukuthi sikwazi ukuqeda ingozi yokutheleleka ngokusakazeka kwizicucu ezinempilo zesikhumba.
Kufanele futhi ukhumbule ngezindlela zokuthibela, okokuqala, ukuqinisa amasosha omzimba. Ochwepheshe emkhakheni wesifo sokudonswa kwezikhumba bacebisa ukuthi ukudla kube ngokwejwayelekile, banamathele ohlelweni lwansuku zonke, futhi “benze lukhuni” lomzimba.
Izimbangela nezindlela zesifo se-herpetic ekhanda
Imbangela ye-herpes ekhanda ingaba izinhlobo ezimbili ze-herpes virus:
- i-herpes simplex virus
- igciwane le-herpes zoster.
Futhi, ngaphansi kwethonya lezinto ezingezinhle, umzimba uyawohloka ngaphambi komsebenzi we-pathogen. Umuntu uthola ukubuyela emuva kwegciwane elingene emzimbeni emzimbeni:
- kwehle ukungatheleleki,
- izimo ezicindezelayo
- izimo zokugonywa
- ukungondleki
- ukukhulelwa
- ukungalingani kwe-hormone
- imikhuba emibi
- imvelo emibi
- ukuphazamiseka kwe-metabolic emzimbeni.
I-Herpes ekhanda ivela ngendlela yesifo esibuhlungu kakhulu noma esingamahlalakhona esihambisana nokuncipha komzimba.
I-Herpes simplex virus. I-pathology iba khona ezinweleni uma umenzeli wesifo esihlasela isifo eyi-virus ye-herpes eyi-1. Ukutheleleka kwesikhumba kwenzeka ngamaconsi omoya. Ukuthuthukiswa kwe-herpes esikhumbeni kuleli cala kwenzeka ngezikhathi ezithile futhi kwenzeka ngokumelene nesizinda sokwehla okunamandla kokungazethezeki. Lesi sifo sivezwa ukuqhuma kanye ne-microtrauma ekhanda. Abantu abangenwe yileli gciwane kufanele bahlolelwe i-HIV.
Tinea versicolor. Ukuthuthukiswa kwamakhanda ekhanda kungabonakala kaningi kwabaluphele. Lesi sifo sizibonakalisa ngesimo sokuqhakaza kwenkukhu. Yize enama-shingles, ngisho ne-chickenpox, ngemuva kokwelashwa, igciwane le-Varicella-Zoter lihlala likhona emzimbeni womuntu. Kucindezelwa njalo amasosha omzimba, kuphela lapho amasosha omzimba ebuthakathaka lapho igciwane lingasebenza.
Izimpawu zesifo ziyahlukahluka ngokuya ngokuthi hlobo luni lwegciwane oludale ukuthi kusebenze lesi sifo. I-Herpes ekhanda nasezinweleni ayenzeki ngokushesha, ezinye izimo nemizwa engakhululekile ihambisana nayo. Izimpawu zingahluka kancane ngokuya nge-etiology yesifo.
Izimpawu ze-herpes simplex virus
Igciwane lohlobo 1 linezimpawu ezihlukile ezingadideki. I-Herpes yenzeka hhayi esikhumbeni kuphela, kodwa futhi nasezindebe, kulwelwesi lwama-mucous. Lesi sifo sibonisa imichilo ngendlela yama-vesicles amancane anokuqukethwe uketshezi ngaphakathi. Lesi sifo siqala ngezigaba eziningana:
- Eyokuqala. Kulesi sigaba, ukutheleleka kuvezwa njengokubomvu nokuzwa kokulunywa ezindaweni zokwenza ukwenziwa kwasendaweni. Uma ukwelashwa kuqalwa ezimpawu zokuqala, khona-ke kuqedwa ngokushesha futhi akubangeli zinkinga.
- Isigaba sesibili sibonakaliswa ukwanda kwama-bubble nokubonakala koketshezi osobala ngaphakathi kwabo, oba ngamafu ngokuhamba kwesikhathi. Ukuqhuma nokulunywa kuyaqhubeka.
- Esigabeni sesithathu, ama-bubble aqhuma futhi agudluzwe. Uketshezi oluvela ebhulini eliqhumayo lenza indawo yokuwohloka esikhunjeni ngaphansi kwezinwele.
- Esigabeni sesine sesifundo lesi, kufakwa imfantu. Ukuhlukumezeka kwabo kuholela ekopha.
I-Herpes simplex virus ekhanda
Inkambo yesifo emnene ayithinti isimo esigcwele sesiguli, kepha ifomu elinzima alilinganiselwe ekubonisweni kwendawo esikhumbeni. Umuntu unemizwa engemnandi ngendlela ye:
- umkhuhlane
- ubuthakathaka obujwayelekile
- ukuvuvukala kwama-lymph node
- nobuhlungu obukhulu.
Ngaphandle kokwelashwa, igciwane le-herpes ekhanda ngeke linyamalale, ukuvimbela ukukhula kwezinkinga, kubalulekile ukubonana nodokotela wezimpawu zokuqala bese uqala ukwelashwa.
Izimpawu ze-herpes zoster
Ama-Shingles angenzeka noma kuphi emzimbeni. Izimpawu zincike endaweni yelepisi. Ngokuthuthukiswa kwe-herpes zoster ekhanda, izinzwa zoxantathu nobuso ziyathinteka. Izimpawu ezinjalo zihambisana:
- ukuphazamiseka kwe-neuralgic
- ukukhubazeka nokukhubazeka kwenhliziyo nethambo lezinyanga ezintathu,
- umkhuhlane
- Ubuhlungu emehlweni nasezindlebeni
- ukuthuthukiswa kokuqubuka kwezilonda emgodini womlomo,
Shingles ekhanda
Kunezimo zomonakalo ezibangelwa yigciwane lezinzwa zesibindi. Le nkinga enkulu kakhulu, engaholela emiphumeleni engenakuphikwa.
Ukwelashwa kweHerpesx
Ukwelashwa kwe-herpes ekhanda kudinga ukuthathwa ngokungathi sína. Ngokufinyelela kudokotela ngesikhathi, lesi sifo asibangeli zinkinga. Ukwelashwa nge-Herpesvirus kususelwa ekusetshenzisweni kwemithi elwa namagciwane futhi elwa nokuvuvukala. Imithi yokuthambisa ifaka i-Acyclovir, Famciclovir, Valaciclovir. Izidakamizwa ezilwa nokuvuvukala zibandakanya iParacetamol, Ibuprofen.
I-Valityclovir ne-Famciclovir
Futhi, ngesikhathi sokwelashwa, ungadinga:
- ukuphathwa kokuzenzakalelayo komgomo wokugomela i-antiherpetic (udokotela unquma isikimu nodosi),
- thatha izidakamizwa ezikhulisa ukungaziphathi,
- kaningi ngosuku ukuze aphathe ama-vesicle aqhuma nge-miramistin noma i-panthenol,
- Faka amafutha erythromycin, opholisa izilonda esiteji sokukhula kwesibanda,
- ukusetshenziswa kwamafutha anomphumela wokubulala izinzwa,
- i-physiotherapy - imisebe ye-ultraviolet nesibani se-quartz kungalimaza leli gciwane.
Ungasusa i-herpes esikrinini uma ulandela zonke izincomo zikadokotela. Ukwelashwa okuyinkimbinkimbi kuphela okuzosiza ukumisa ukuqhubeka kwesifo futhi kuvikele ukuthuthuka okuqhubekayo kwezinkinga.
I-Herpes Zoster Ukwelashwa
Isiguli kufanele silaliswe esibhedlela kuphela uma kunosongo lokulimala kobuchopho. Ukuthuthukiswa kweHerpes-Zoster ekhanda kubangela ukungakhululeki kumuntu omdala, ngakho-ke ukwelashwa kusekelwe ekunciphiseni izinhlungu nasekuvimbeleni ukutheleleka kwesibili. Njengoba kwenzeka nge-herpes simplex, izidakamizwa zibekiwe:
- unqulo wesi arab
- anti-ukuvuvukala
- ama-painkiller
- kuthuthukisa ukungatheleleki.
Ngezinhlungu ezingabekezeleleki, odokotela banquma lezi zinyathelo ezengeziwe ezilandelayo:
- I-blockade. Ukukhwabanisa ukwethulwa kwemithi yezinhlungu kwizicubu ezithambile eziseduze nerve ethintekile. Ngemuva kwenqubo, isiguli sizwa impumuzo isikhashana.
- Ukugqugquzela kukagesi kwezinzwa. Inhloso yenqubo ukwenza umsebenzi ojwayelekile wokuphelisa izinzwa ususe nobuhlungu.
Lapho leli gciwane lithinta amagatsha ezinzwa, kuvela izimpawu zokuqunjelwa noma isifo sohudo, ukungahambi kahle komchamo, ukukhubazeka noma ukuzwakala ezingxenyeni ezihlukene zomzimba. Ngezinkinga ezinjalo, udokotela unquma i-narcotic analgesics.
Ukwelashwa kwe-herpes ekhanda, ikakhulukazi, ekwelapheni ama-shingles, ungasebenzisi hhayi izindlela zokwelapha kuphela, kodwa nezindlela ezihlukile. Banikela ngokusetshenziswa kwama-tinctures ahlukahlukene okudingeka ukuthi angeniswe ngaphakathi futhi asebenze ama-compress endaweni ethintekile, afakwe ku-decoction ekhethekile yamakhambi. Zonke izenzo zakho kumele zixoxwe nodokotela wakho. Ukwelashwa okufanele kuphela okungakusindisa ekuthelelekeni.
Ukwelashwa kwe-Shingles
Ngingakwazi ukugeza izinwele zami ngezinhlungu ezibandayo?
Ukugeza amakhanda ngenxa yezilonda ezibandayo kufanele kukhawulelwe. Izinqubo zamanzi akufanele zithathwe ekuqaleni kwalesi sifo. Uma kwenzeka unesidingo esiphuthumayo, ungageza izinwele zakho nge-shampoo yezingane ngaphandle kokusebenzisa udayi kanye namakha. Ukuhlikihla isikhumba akuvunyelwe nakancane. Ngemuva kokugeza, kubalulekile ukwenza ukwelashwa kwama-rashes.
Izinkinga ezingaba khona
I-Herpes ekhanda ngokuphathwa okufanele akuyona ingozi. Kepha, uma lesi sifo singanakwa, lokhu kuphumela emiphumeleni engenakuphikwa:
- Ukuqhuma okuvela ekhanda kungaya endaweni yezindlebe namehlo, kudale ukulahleka kokuzwa nokubona.
- Ukutheleleka kungathinta intambo yomgogodla nobuchopho. Ngokuphikisana nesizinda sezilonda ezinjalo, i-meningitis kanye nokukhubazeka komzimba kukhula. Ngokukhubazeka kwemisipha yokuphefumula yesiguli ayikwazi ukulondolozwa.
- Ukuvela kokuguguleka okujulile kubangela ukusakazeka kwaleli gciwane ngohlelo oluphambili lwezinzwa. Lokhu kunganikeza umfutho ekwakhekeni kwe-encephalitis. Amaphesenti angamashumi ayisithupha abantu abane-meningoencephalitis abancishayo bafa, kanti abanye bahlala bekhubazekile impilo yonke.
- Lapho kufakwa i-inhaling fluid ephuma kumabhamuza, i-herpes pneumonia kungenzeka.
- Ubuhlungu besikhathi eside endaweni ethintekile bubangela i-neuralgia ye-trigeminal.
Uma kutholakala izimpawu zokuqala zokulimala kwesikhumba, thintana nodokotela wamazinyo ngokushesha okukhulu. Lesi yisifo esibi esibangela imiphumela emibi. Lapho uqala ukwelashwa ngokushesha, kuphakama amathuba okuba umphumela ophumelelayo. Futhi, umsoco ofanele, ukuvivinya umzimba ngokulinganisela, ukuyeka imikhuba emibi kungaqinisa amasosha omzimba futhi kuvimbele ukusebenza kwegciwane.
Umnyombo we-pathology
Abaningi bebelokhu bejwayelene negciwane le-herpes kusukela ebuntwaneni. Kungale minyaka lapho ukutheleleka kuvame ukwenzeka. Ngokwezibalo, ama-90% abantu emhlabeni angabathwali begciwane. Kuma-17% kuphela abantu abangenwe yilesi sifo esibonakalalisa ngaso leso sikhathi ngemuva kokutheleleka, lapho leli gciwane “lilinda” okwesikhashana (kungathatha iminyaka ukuthi kubonakale izimpawu).
I-Herpes yisifo se-virus se-etiology esithathelwanayo, esihambisana nomtholampilo othize. Inkambo ejwayelekile yezifo ezidonswa igciwane le-herpes ibonakala ngokuvela kwama-vesicles anoketshezi endaweni ye-lesion (isikhumba, ulwelwesi lwama-mucous).
Isayensi iyayazi inqwaba yezinhlobo zegciwane, kepha eziyi-8 zazo zingalimaza umzimba womuntu. Uhlobo ngalunye lubangela i-pathologies ethile, inesimo sendawo, inezinga eliphakeme lokungasebenzi. Lapho isisemzimbeni, leli gciwane lishuthekwe emithonjeni yezakhi zofuzo yamangqamuzana ezinzwa, ngenxa yalokho akunakwenzeka ukulelapha kuze kube phakade.
Izindlela zokudlulisela: ezokundiza, zasendlini, zangasese, mpo.
Kuyathakazelisa! Ukuqhuma kwe-herpetic ekhanda kuvame ukukhathaza abesifazane abaneminyaka yobudala engama-65.
I-Herpes ekhanda iyisibonakaliso somsebenzi wegciwane le-herpes simplex virus 1 (Herpes simplex, HSV 1) noma uhlobo lwegciwane le-herpes simplex 3 (Varicella Zoster). Kungenzeka ukuthi ezinye izinhlobo ze-pathogen zingavusa le ndlela, ngoba isifo ngasinye singenzeka ngokwe-atypically.
I-HSV 1 yiyona ebizwa ngokuthi i-labial herpes, ebonakala njenge "bandayo "ezindebeni, kumaphiko ekhaleni, nakunxantathu nasolabial. Uma kwenzeka wephula ubuqotho besikhumba ekhanda, "ukudluliselwa" kwaleli gciwane kusuka ekugxiliseni okuyinhloko akunqunyelwe (isiguli sikwenza lokhu uqobo - kusabalalisa ukutheleleka, kukhuthaza ukusakazeka kokuqhuma).Kungangenwa futhi ukutheleleka ngokuxhumana nomuntu osulelekile (ngokwesibonelo, ezokuxhumana kwezemidlalo, noma ngokuya kumuntu wezinwele).
Kodwa-ke, ukubonakala kwe-herpes esikweleni kuyinkomba yomsebenzi we-shingles. Lesi sifo, njenge-chickenpox ezinganeni, sicasulaza i-varicella zoster. Ngemuva kokunqoba inyosi ebuntwaneni, umzimba womuntu uba nomzimba wokuphila kuyo yonke. Kepha leli gciwane lihlala lisemzimbeni unomphela nangemva kwamashumi ambalwa eminyaka (emva kweminyaka engama-50) leli gciwane lingazibonakalisa kuyi-lichen, okukhombisa ukubonakala kokuqhuma kwe-herpetic kunoma iyiphi ingxenye yomzimba lapho kuhlangana khona izinzwa. Ukwenza kwasendaweni okungafani nomuntu ngamunye kubonakaliswa ukuqhuma okuqoqiwe okufana nomaka webhande. Imisebe ekhanda ikhombisa ukulimala kwenhliziyo ye-trigeminal nerve.
Izimbangela zesithombe somtholampilo
Izimbangela ze-herpes ekhanda ziyefana ngokufanayo kuzo zonke ezinye izingxenye zomzimba. Amasosha omzimba aphendula ekungenisweni kwaleli gciwane ngokukhiqizwa kwama-antibodies athize akwazi ukugcina umsebenzi wawo ulawulwa. Kepha ngaphansi kwezimo ezithile, umzimba awukwazi ukubhekana nomsebenzi we-pathogen. Lezi zimo yilezi:
- kwehle ukungatheleleki,
- izimo ezicindezelayo
- ukusebenza kanzima
- Ukuphumula okunephutha
- ukungondleki
- ukukhulelwa
- immune system.
Zonke izifo ze-herpetic zinomtholampilo ofanayo. Isikhathi sokufakelwa sithatha isilinganiso sezinsuku ezingama-21 emva kokutheleleka. Esigabeni sokuqala, umuntu uzizwa eshayekile, kuphakama izinga lokushisa lomzimba, isicanucanu, isiyezi, ukuncipha kokudla, futhi kwandiswe nokwanda kwezimpawu zomlomo wesibeletho. Isikali siphenduka sibomvu, ukulunywa kubonakala, kepha kungenzeka ukuthi isiguli ngeke sikubone lokhu ngaphansi kwezinwele. Izimpawu zokutheleleka okubandayo okufana nokubandayo noma ubuthi.
Ngemuva kwezinsuku eziyi-1-2, izimpawu zomlingiswa ziqala ukuvela. Ijubane lokushisa liyaqoshwa, kuqhamuke ama-Bubble anoketshezi ekhanda. Ngokunqotshwa kwe-HSV-1, ikhanda lonke lingathinteka, isiguli sizwa ukulunywa, lapho uhlobo lwegciwane le-3 luvulwa, kuqhume kuqhume uhlangothi uhlangothi (kaningi entanyeni, emathempelini), indawo ethintekile ibuhlungu kakhulu.
Ngaphansi kwethonya lezinto zangaphandle, ama-bubble avuleka ngokuzimela, bese kumiswa ukuguguleka okuncane. Kulesi sigaba, umuntu uyathathelana kakhulu, ngaphezu kwalokho, kunengozi yokwazisa imbaza ebulala amagciwane emalungeni, okungaholela ekwakhiweni kwezinkinga. Izilonda zimbozwe ngamakhaza awela ngaphandle kokushiya umkhondo (nge-HSV-1). Uma kwenzeka kulimala i-varicella zoster, izibazi ngokujula zingahlala esikhumbeni.
Enganeni, ukuqunjelwa kwenzeka ngemuva kwesizinda sezinkukhu, lapho kuvela izilonda ze-herpetic emzimbeni wonke (kusukela ekhanda kuye ezinzwaneni). Izingane zithwala lesi sifo kulula kakhulu kunabantu abadala. Emavikini amabili nje kuphela, ukululama okugcwele kuqala.
Ngokuya ngezinga lokuvikelwa komzimba, izimpawu zingaqhubeka kusuka kumaviki amabili kuya kwayi-4. Endabeni ye-herpes zoster ekhanda, imizwa ebuhlungu emaphethelweni ezinzwa ingahambi isikhathi eside (kusuka ezinyangeni eziningana kuye eminyakeni eminingana).
Izindlela zokuxilonga nokwelapha
Ungayiphatha kanjani i-herpes ekhanda, udokotela kuphela oyokuphendula. Lapho kuvela izimpawu zokuqala, udinga ukuxhumana nodokotela wezokwelapha, i-virologist, udokotela oyi-neurologist noma dermatologist. Uchwepheshe onolwazi, ngokususelwa ekuhlolweni kwesiguli, ukuthatha umlando, uzokwazi ukuxilonga ngokunembile. Kodwa-ke, ngesinye isikhathi kuhlaziywa uketshezi olusuka kuma-vesicles wokuthayipha leli gciwane.
Akunakwenzeka ngokuphelele ukwelapha lesi sifo. Izinjongo zokwelapha - ukuvimba ukwanda kwegciwane, ukunciphisa izimpawu, ukunciphisa inani lokuqhamuka, kunciphisa ubungozi bezinkinga.
Iqembu eliyinhloko lezidakamizwa ezisetshenziselwa noma yisiphi isifo se-herpetic yi-antiviral. Amacwecwe namaphilisi kuyaphumelela ukusebenza kwezilonda ezibandayo ekhanda. Ukwelashwa kwendawo ngamafutha okugcoba, okhilimu, ama-gels kuyinkimbinkimbi ngokuba khona kwezinwele. I-Valityclovir ne-Famciclovir zithathwa ngabadala ngamaphesenti angama-500 kathathu ngosuku ngezinsuku ezingama-7-10. Ngaphezu kwalokho, ukuthatha isidakamizwa sesibili kunganciphisa amathuba okuthuthukisa i-postherpetic trigeminal neuralgia. Ezimweni ezinzima, kukhonjiswa imijovo ye-intravenous and intramuscular.
Ukwelashwa kwezingane kusuka ngonyaka, i-Acyclovir ichazwa kathathu ngo-100-200 mg kathathu ngosuku (inkambo yokwelashwa ayidluli ezinsukwini ezingama-5).
Amafutha e-Acyclovir, ukhilimu weFenistil Pencivir uzosiza ukukhulisa ukusebenza ngempumelelo kokwelashwa kwe-herpes ekhanda ezinweleni. Faka ungqimba oluncane okungenani amahlandla ama-5 ngosuku esikhunjeni esithintekile. Ukuze wenze lokhu, udinga ukuhlanganisa izinwele zakho kahle, uhlukanise eceleni ukuhlukanisa ngokucophelela wonke amabhamuza. Imvamisa, ukufaka amafutha okugcoba kanye nama-okhilimu we-herpes ekhanda kunzima kakhulu (ikakhulukazi uma izinwele ezinde ezinde), ngenxa yalokhu, inkambo ye-pathology iyanda.
I-Ibuprofen, iParacetamol izosiza ukubulala izinzwa, ukuqeda umkhuhlane, ukuqaqamba komzimba. Ukuze unciphise ukulunywa, ukushiswa, i-puffiness, bathatha amaphilisi ngomphumela we-antihistamine weTavegil, Suprastin.
Ngobuhlungu be-neurological, kunconywa ukusebenzisa i-patch eneVersatis lidocaine, engenayo i-contraindication futhi isebenza amahora angama-12.
Awudingi ukugeza ikhanda lakho kaningi, usebenzisa i-shampoo yezingane ngaphandle kwamakha, udayi nezinye izinto eziyingozi. Ngemuva kwenqubo, amanxeba aphathwa nge-antiseptics yendawo (Chlorhexidine, Miramistin).
Esiteji sokukhiqizwa kwezilonda, ukuvikela ingress ye-bacterium microflora, iFucortsin, iDaymond Green, iyasetshenziswa.
Lapho amakhubalo esekhulile, uwagcobe kahle ngamafutha e-Erythromycin - lokhu kuzosheshisa inqubo yokuphulukisa. Ungasebenzisa futhi i-Levomekol, Solcoseryl.
Izingane nabesifazane abakhulelwe abane-herpes banqunyiwe ngamafutha e-zinc, okuyinto ephephe kakhulu futhi engasebenzi kangako.
Ezinye iziguli zinentshisekelo kulo mbuzo - ungaziphatha kanjani izilonda ezibandayo ekhanda nge-physiotherapy? Amaseli wegciwane afe ngaphansi kwethonya lesibani se-quartz, imisebe ye-ultraviolet ne-laser. Lezi zinqubo zingafakwa enkambweni yokwelashwa kwe-herpes.
Ukwandisa ukumelana nomzimba, ama-multivitamin agents athathwa (Vitrum, Vitaminoral). Ukufakwa kwamavithamini we-B, i-zinc ne-calcium kulusizo.
Imithetho eyisisekelo
Impumelelo yokwelapha incike ezicini eziningana, phakathi kwazo okuyindawo enkulu ukuvakasha kwodokotela okufika ngesikhathi. Ukwelashwa ngokushesha kuqala, kube ngcono esigulini nasempilweni yakhe.
Ukuze uthole umphumela omuhle, kufanele uhambisane neminye imithetho:
- ungazenzisi
- yidla ngakwesokudla - khipha ukudla okuthosiwe, okunamafutha, okunosawoti, ukucebisa ukudla ngezithelo ezintsha, imifino, okusanhlamvu, imikhiqizo yobisi,
- vimbela ukusabalala kwegciwane - geza izandla zakho kahle ngemuva kokuxhumana ngakunye nezindawo ezithintekile,
- izinga eliphakeme lokutheleleka kudinga ukuhlukaniswa kwesiguli - izinto zasendlini yomuntu siqu, izinto zokulala nezesekeli zokugeza,
- hlanganisa izinwele zakho ngobumnene ngensimbi enamazinyo angavamile (ukwelashwa kwangaphambili nge-antiseptic yendawo) ngaphandle kokuthinta isikhumba,
- landela zonke izincomo zikadokotela wakho ngokunemba.
Ngaphezu kwalokho, udinga ukuhamba nsuku zonke emoyeni omusha, futhi ekhaya uhlanze okumanzi futhi unikeze umoya.
Ekholweni ejwayelekile, ukwelashwa kwenziwa ngaphandle kwesikhashana. Ukulaliswa esibhedlela kuncike kubantu abanezindawo ezithinta kakhulu, abesifazane abakhulelwe, izingane ezincane, iziguli ezine-pathologies ebucayi (i-HIV, ingculaza, i-oncology, i-hepatitis C, i-cirrhosis).
