Izixhumanisi zezifo eziningana
I-human herpesvirus 6, ebizwa nangokuthi i-HHV-6, kungenzeka ukuthi ilele phansi emzimbeni wakho okwamanje. Uma uyingxenye ethile encane, noma kunjalo, kungase kubangele ukugula okukodwa noma ngaphezulu.
Njengoba igama liphakamisa, i-HHV-6 yayiyingxenye yesithupha ye-herpesvirus "umndeni" okufanele itholakale. Ezinye i-herpesvirus zihlanganisa igciwane le-Epstein-Barr, i- cytomegalovirus , ne- herpes simplex eyodwa nobili , okubili kokubili okungabangela izilonda ezibandayo kanye nezilonda zomzimba ezithathelwana ngocansi.
Wonke amagciwane omndeni we-herpes-ahlala emzimbeni wakho ngokuphila, ngokuvamile elele amanga. Lokho kusho ukuthi noma ngabe une-HHV-6 emzimbeni wakho, kungenzeka ukuthi ayisebenzi noma abangela izimpawu isikhathi esiningi. Izimpawu zitholakala kakhulu uma uqala ukutheleleka, kodwa kungenzeka ukuthi igciwane liphinde liphinde lenzeke. Uma kunjalo, kungabangela izinkinga zempilo kufaka phakathi noma yiziphi izimo eziningana zezinzwa. I-HHV-6 ingabhekisela ohlelweni lwesifo sezinzwa, esakhiwa ubuchopho bakho nomkholomu womgogodla, isimiso somzimba sokuzivikela, nezinhlobo ezihlukahlukene zezitho.
Kuza ngezinhlobo ezimbili, okuthiwa u-A no-B. Ososayensi ekuqaleni babecabanga ukuthi yizifo ezihlukahlukene zegciwane elifanayo, kodwa manje bakholelwa ukuthi zihluke ngokuphelele komunye nomunye. I-HHV-6 A ayivamile futhi ngokuvamile itholakala kubantu abadala, kanti uhlobo lwe-B ngokuvamile lubangela izingane.
I-HHV-6 B: i-Roseola, isifo se-Epilepsy, i-Encephalitis
HHV-6 B yiyona ejwayelekile kakhulu. Abaningi bethu-abangaphezu kwamaphesenti angama-90-banesandulela ngethuba leminyaka yethu yokuqala yokuphila, ngakho-ke bakuthwala nathi ngenxa yobuningi bezimpilo zethu.
Ezinganeni eziningi, ukutheleleka kokuqala akubangeli izinkinga zempilo ezibonakalayo.
Nokho, cishe amaphesenti angu-20, ukutheleleka kwe-HHV-6 B kubangela isimo okuthiwa i- roseola . Izimpawu ze-roseola ziza ngezigaba ezimbili. Okokuqala kungafaka:
- Umkhuhlane omkhulu osenqenqemeni (ngaphezu kuka-103 F) ohlala izinsuku ezintathu kuya kwezinhlanu
- Umkhuhlane omncane
- Iphutha le-Runny
- Isikhukhula
- Ukuvuvukala i-lymph nodes entanyeni
- Ukuthukuthela
- Uhudo oluhle
- Ukunciphisa ukudla
- Amajwabu amaqabunga
Kungakapheli usuku lomkhuhlane uhamba, ingane ingase ihlakulele ukuqhuma okungahambi noma kungabangela ukungazizwa kahle. Ukuqhuma kuqukethe izindawo eziningi ezincane zama-pink noma ama-patches, amanye awo angase abe nomngcele omhlophe owazungezile. Kuvame ukuqala kulesi sifo bese usakazeka emlenzeni futhi mhlawumbe ubuso. Ingahamba ngendlela encane njengamahora ambalwa noma ihlale ilungele izinsuku ezimbalwa.
U-Roseola ngokuvamile akayona into embi, kodwa ezimweni ezingavamile, ingane ingase ihlakulele umkhuhlane ophezulu ongabangela izinkinga, kuhlanganise ne-febrile seizures. Ukwelashwa ngokuvamile kuyimithi yokugcina umkhuhlane uvela ku-spiking, futhi uphumule.
Ngaphezu kokuqothulwa komkhuhlane, i-HHV-6 B iye yaxhunyaniswa nesithuthwane -isifo esingapheli esinokukhubazeka-ne-encephalitis (ukuvuvukala kobuchopho), okungaba yingozi. Izimpawu zesithuthwane zingahluka futhi zingabandakanya noma yiziphi izinqubo ezihlanganiswa ubuchopho. Izimpawu ezivamile zihlanganisa:
- Ukunyakaza okungalawulwa okungalawulwayo
- Ukudideka okwesikhashana
- Ukuqhaqhazela isikhala okwesikhashana
- Ukwesaba nokukhathazeka
- Umqondo we-vu we-deja
- Ukulahlekelwa kokwazi
- Ukulahlekelwa kokuqwashisa
Ukufa kwesifo kuyinto engapheli, okusho ukuthi yisimo esidinga ukwelashwa isikhathi eside nokuphathwa .
I-encephalitis ingabangela izimpawu eziningi, kufaka phakathi:
- Ukuzizwa
- Izinsizwa
- Ubuhlungu be-muscle noma obuhlangene
- Ukukhathala
- Ukungabi namandla
- Fever
- Ukudideka
- Ukukhubazeka ngokwengxenye
- Izinkinga zokukhuluma
- Ukuzwa izinkinga
- Ukulahlekelwa kokwazi
Ezinganeni nasezingane ezincane, kungase kubangele nokuthi:
- Ukuqhakaziza ezindaweni ezithambile ze-skull
- I-nausea
- Ukuvota
- Ukugubha
- Ukuthukuthela
- Ukudla okumbi
- Ukulala ngezikhathi zokudla
Uma usola ingane enakekelayo ine-encephalitis, kubalulekile ukuthi ufune ukunakekelwa ngokushesha. Noma yiluphi uhlobo lokuthunjwa nalo lufuna ukwelashwa okuphuthumayo.
I-HHV-6 A: Ukubopha Izimo Eziningana
Ucwaningo lubandakanya iHHV-6 A kuya kwezimo eziningi zezinzwa.
Ezinye zalezi zixhumanisi zisekelwa ubufakazi obuningi, kuyilapho ezinye izibopho zingekho futhi zivulekile ukuphenywa. Ngalesi sikhathi, asikwazi ukusho ngokuqondile ukuthi i-HHV-6 idala ngqo kulezi zimo.
Ngesikhathi noma ubani engakwazi ukuvuselelwa kabusha kwe-HHV-6, ivame kakhulu kubantu abanamasosha omzimba okwehliswa ukugula noma imithi. Lokho kufaka phakathi labo abane-HIV / AIDS, isifo se-autoimmune, noma ukuguquka komzimba.
Izifo ezihlanganiswe nokuvuselelwa kwe-HHV-6 ziningi. Kodwa iningi lazo, asazi ukuthi i-HHV-6 iyimbangela yangempela. Lezi zifo zifaka:
- Ukuzibulala ngokuzenzakalelayo ( Hashimoto's thyroiditis , i- Sjogren's syndrome , lupus , multiple sclerosis , i- Guillain-Barre syndrome )
- Ukunciphisa umzimba we-bone
- I-Cancer (i- Hodgkin lymphoma , i- gliomas , umdlavuza wesibeletho )
- Ukhathala okungapheli syndrome (okubizwa nangokuthi i- myalgic encephalomyelitis noma i-ME / CFS )
- Ukungasebenzi kwengqondo (delirium, amnesia)
- I-Colitis
- Encephalitis
- Izidakamizwa ze-Endocrine (hormonal)
- Ukufa kwesifo
- Isifo senhliziyo ( myocarditis , arteriopathies, ukungasebenzi kwe-ventricle kwesokunxele)
- Hypersensitivity ( Stevens-Johnson syndrome , ukusabela okungalungile kwezidakamizwa)
- Isifo sezinso
- Isifo sesibindi (isifo sofuba, isifo se- HIV / AIDS )
- Isifo se-Lung (ukuhlela i-pneumonia, i-pneumonitis)
- I-Sarcoidosis
Abanye abantu abane-HHV-6 ukutheleleka okusebenzayo bangathuthukisa okungaphezu kweyodwa yalezi zifo. Kodwa-ke, iningi labantu abanegciwane lesandulela ngculaza abanalo izimpawu nhlobo, futhi abaningi banempawu ezimnene, ezincane.
Ukuthola ukutheleleka okusebenzayo kwe-HHV-6
Sinezivivinyo ezimbalwa ezihlukile zegazi ezingakwazi ukubona ukuthi usulelekile yini ngeHHV-6. Enye yezivivinyo zibuya ngempendulo ethi "yebo" noma "cha", okwamanje, akuyona into ewusizo kakhulu. Khumbula ukuthi iningi lethu cishe lithwale leli gciwane nxazonke kusukela ebuntwaneni.
Esikhundleni sokubheka ukuthi ngabe ukhona yini, esinye isilingo sibheka izinga lama-antibodies egazini lakho, ngoba inombolo ephakeme ingabonisa ukutheleleka okusebenzayo kunokuba kube ne-latent.
Ukuphoqa izinto yiqiniso lokuthi ukuthola umphumela omubi ekuhlolweni kwegazi akusho ukuthi awunayo igciwane elisebenzayo. Kungenxa yokuthi i-HHV-6 ingathinta isitho esisodwa, kuhlanganise nobuchopho, inhliziyo, amaphaphu, isibindi, nesisu. Lokhu kusho ukuthi izicubu kufanele zihlolwe ukuze zithole ukuthi ngabe unesifo.
Njengoba ukuhlolwa kwegazi kungenokwethenjelwa, odokotela ngezinye izikhathi bahlonza ukuvuselelwa kwe-HHV-6 ngokusekelwe ezimpawu. Kudingeka futhi baphathe ezinye izimbangela ezifanayo zezimpawu ezifanayo, njenge- mononucleosis , ebangelwa igciwane le-Epstein-Barr. Ngaphambi kokubona ukuthi i-roseola enganeni, odokotela ngokuvamile bacabangela ezinye izimbangela zokushaywa komkhuhlane nomkhuhlane-eziningi zazo.
Udokotela wakho angase futhi asebenzise i-imaging yokuxilonga, i- biopsy ye-tissue , i- lumbar puncture , noma indlela yokubuka ngaphakathi kwe-airways yakho ebizwa ngokuthi i-bronchoscopy.
Ukuhlola okuhlukile kwelebhu kusetshenziselwa ukuxilongwa kabusha kwe-HHV-6 ekutholeni izitho zokufakelwa komzimba noma abantu abane-hepatitis, encephalitis, noma amasosha omzimba ahlasekile.
Ukwelapha i-HHV-6 Infection
Ngalesi sikhathi, asinayo imithi yokwelashwa enesiqiniseko sokutheleleka okusebenzayo kwe-HHV-6. Ngenxa yokuthi izimpawu zingashintsha kakhulu kusuka komuntu oyedwa kuya kwesinye, odokotela ngokuvamile balungiselela ukwelashwa kweso simo ngasinye.
Imithi yokuvimbela i-anti-virus ihlolisise ukwelapha i-HHV-6, kodwa kuze kube manje, ihlala ingavunyelwe. Ezinye zezidakamizwa ezivame ukuphakanyiswa ngaleli gciwane ziyi-Cytovene (gancilovir) ne-Foscavir (foscarnet).
Ngesinye isikhathi, umntwana osulelekile angadinga ukungena esibhedlela ukwelashwa, kodwa lokhu akuvamile.
Asinayo umgomo wokuvimbela i-HHV-6.
Izwi elivela
Uma ucabanga ukuthi ungase ube nesifo esingahlobene nokutheleleka kwe-HHV-6 noma ukuvuselelwa kabusha, qiniseka ukuthi uyayikhulisa nodokotela wakho. Ukuxilongwa okufanele kuyisinyathelo sokuqala ukuthola izindlela zokwelapha ezikusiza uzizwe ungcono futhi ubuyele empilweni yakho.
Izifo eziningi ezixhunywe ku-HHV-6 zihlala zingelapheki, ngakho-ke kufanele uhlale nabo futhi ufunde ukuziphatha. Ukuzifundisa wena, ukusebenzisana nodokotela wakho, nokuhlola izindlela zokwelashwa ezihlukile kubalulekile uma kuziwa ekutholeni umgomo wokwelashwa okulungile.
> Imithombo:
> Ablashi D, Agut H, Alvarez-Lafuente R, et al. Ukuhlukaniswa kwe-HHV-6A ne-HHV-6B njengezifo ezihlukile. I-Archives ye-virology. May Meyi 2014; 159 (5): 863-70. i-doi: 10.1007 / s00705-013-1902-5.
> Ablashi D, Jacobson S, uPellett P, et al. Isigaba esikhethekile se-HHV-6. Isingeniso. Journal of virology emitholampilo. 2009 Sep; 46 (1): 9. doi: 10.1016 / j.jcv.2009.05.012.
> Casselli E, Zatelli MC, Rizzo R, et al. Ubufakazi be-virologic ne-immunologic obusekela ubudlelwane obuphakathi kweHHV-6 noHashimoto's thyroiditis. Ama-PLoS amagciwane. 2012; 8 (10): e1002951. i-doi: 10.1371 / iphephandaba.ppat.1002951.
> Lautenschlager I, iRazonable RR. Ukutheleleka kwe-human herpesvirus-6 ezinsoweni, isibindi, amaphaphu, nokufakelwa kwenhliziyo: ukubuyekezwa. Ukuguqulwa kwamazwe ngamazwe. 2012 Meyi; 25 (5): 493-502. doi: 10.1111 / j.1432-2277.2012.01443.x.