Iningi le-herpes infections kuphela lenza izinkinga zendawo. Bangela izilonda ngomlomo noma izitho zangasese ezixhuma futhi zihambisane nesikhathi. Eqinisweni, iningi le-herpes infections alitholanga nje ukutheleleka kwendawo, kubangele ukutheleleka kwendawo kungabonakali izimpawu ezibonakalayo. Nokho, ezingavamile, i-herpes ingabangela ukugula komzimba okuphelele. Lokhu kubizwa ngokuthi i-herpes yokusakazwa.
Ngokuvamile, izifo ezisakazwa yizifo ezisakazwa kuwo wonke umzimba.
Izingozi Ze-Herpes Esabalalisiwe
Ukusakazwa kwe-herpes kubonakala sengathi kuyinkinga ye- herpes ye- neonatal . Izifo ze-herpes ze-Neonatal ngokuvamile zenzeka lapho umntwana evezwa igciwane le-herpes ngesikhathi sokukhulelwa noma ngesikhathi sokuzalwa. Noma kunjalo, ukusakazwa kwezifo kungase kwenzeke nakubantu abadala. Ukutheleleka kwe-herpes kungase kubonakale nje njengezilonda ezindaweni eziningi zesikhumba. Lokho akusiyo njalo okuphuthumayo. Ukutheleleka okunjalo kunzima nakakhulu lapho isifo sifana nesistimu enkulu yezinzwa. Isimiso sezinzwa esiyinhloko sihlanganisa intambo yomgogodla nobuchopho.
Lapho i-herpes igula isimiso sezinzwa esiyinhloko (CNS), singabangela i- encephalitis noma i- meningitis . Incephalitis ukuvuvukala kobuchopho. I-Meningitis ukuvuvukala kwezingxenye ezivikelayo zobuchopho nomgogodla. Ukushiywa engaphenduliwe, kusakazwa i-herpes infections ezithinta i-CNS inezinga eliphezulu lokulahleka.
Ngenhlanhla, ukufa kanye nezinkinga zesikhathi eside kunganciphisa ukwelashwa okusheshayo nge-acyclovir. Lesi sidakamizwa singase sizwakale sijwayele ngoba sisetshenziselwa ukuphatha izifo ze-herpes zendawo.
Ukusakaza ukutheleleka kwe-herpes kungatholakala ngokusebenzisa i- PCR . Lokhu kuhlolwa kwamangqamuzana kungabheka ama-herpes viruses ngo-fluid kusuka emthonjeni womgogodla.
Noma kunjalo, lolu hlobo lokuhlola lungabangela ukungalungi kwamanga . Ngakho-ke, njengoba ukungabikho kokuphuthuma okusheshayo kungabulala, odokotela abaningi bayokwelapha ngokucophelela nge-acyclovir esekelwe izimpawu zesiguli. Ngamanye amazwi, bayokwelapha ukuthi ngabe umuntu uhlolwe yini noma cha, uma baziwa ukuthi bane-herpes futhi banezibonakaliso zokutheleleka kwe-CNS. Lokhu kungenziwa ngoba i-acyclovir isidakamizwa esiphephile. Ngakho-ke, izingozi zokwelapha umuntu ongazange asakaze i-herpes ziphansi kakhulu kunezingozi zokungaphathi umuntu owenzayo.
Izimpawu zesimiso sezinzwa zomphakathi ze-herpes zihluke kakhulu ezilonda ezihlobene nezifo ezivamile zendawo. Izimpawu ze-CNS herpes zingabandakanya:
- ikhanda
- ukuhlanza
- ezinye izibonakaliso zezinzwa
Izinsana Ezine-Herpes Esabalalisiwe
Izinsana ezisakazwa i-herpes infections ngokuvamile ziqala ukukhombisa izimpawu zingakapheli izinsuku ezingu-5-9 emva kokuzalwa. Lezi zimpawu zingase zibandakanye ukugwinya, ukukhathazeka ukuphefumula, ukucasula, kanye ne-jaundice. Ukusakaza i-herpes ezinsaneni kuyingozi kakhulu. Unesilinganiso sokufa samaphesenti angu-85 uma ukutheleleka kusalokhu kungaphathwa kabi. Ngeshwa, ngisho nokwelashwa okusheshayo akuyona isiqinisekiso sokusinda kwesimangaliso sempawu. Izinsana eziningi zithola izinkinga ze-neurological emva kokulashwa.
Kodwa-ke, ukwelashwa okusheshayo nokufanele kwenza umehluko omkhulu emiphumeleni yezingane ngemuva kokutheleleka. Linciphisa kokubili izinga lokufa kanye nobukhulu bezimpawu.
Ingabe Bewazi: Iningi lamacala okutheleleka kwe-neonatal herpes kwenzeka ngesikhathi sokubeletha. Abesifazane basengozini yokudlulisela ingane yabo ukutheleleka kwe-herpes uma bekhulelwe ngenkathi bekhulelwe noma bephethe izilonda ngesikhathi sokubeletha. Yingakho kubalulekile ukuba nobulili obuphephile - kufaka phakathi ubulili obukhuluma ngokuphepha - ngenkathi ukhulelwe. Ngaphezu kwalokho, uma usulelekile, ukwelashwa okucindezelayo eduze nesikhathi sokubeletha kunganconywa. Odokotela abaningi bancoma ukuthi isigaba se-C uma abesifazane besinezilonda zesisu ngesikhathi sokubeletha.
Yimiphi i-Herpes Types Yenza Imisakazo Yasakazwa?
Ukusakaza izifo ze-herpes kungabangelwa i- varicella zoster virus nezinye izifo ze-herpes zomuntu. (I-Varicella zoster virus, noma i-VZV, igciwane elibangela ukukhukhumeza inkukhu.) Akubangelwa kuphela amagciwane e-herpes simplex abangela ukutheleleka ngokobulili nangomlomo . Kuzo zonke izimo, ukusakazwa kwezifo kungase kube khona kubantu abangenakuzivikela , njengalabo abane- AIDS ephakeme.
Izwi elivela ku-Varicella Ukugonywa nokukhulelwa
Uma uhlela ukukhulelwa, futhi ungenalo inkukhu yenkukhu, khuluma nodokotela wakho mayelana nokuthi ukuthola umgomo weVVV kunengqondo kuwe. Ngokuvamile, imishanguzo ye-varicella ayinconywa ngesikhathi noma ngokushesha ngaphambi kokukhulelwa ngoba aqukethe igciwane bukhoma. Kodwa-ke, uma ulindele ukukhulelwa, umgomo ungase ube into ofuna ukuyihlola. Uma usukhulelwe kakade futhi ungenayo inkukhu yezinkukhu, umgomo we-VZV unconywa ngesikhathi se-postpartum emva kokubeletha.
Imithombo:
UKnezevic A, Martic J, Stanojevic M, Jankovic S, Nedeljkovic J, Nikolic L, Pasic S, Jankovic B, Jovanovic T. Basakaza i-herpes ye-neonatal ebangelwa izinhlobo zegciwane le-herpes simplex 1 no-2. Emerg Infect Dis. 2007 Feb; 13 (2): 302-4.
> Imininingwane kaS SG, Kimberlin DW. Ukuvimbela i-herpes simplex virus enganeni. I-Clin Perinatol. 2014 Dec; 41 (4): 945-55. i-doi: 10.1016 / j.clp.2014.08.012.
> Swamy GK, u-Heine RP. Ukugonywa kwabesifazane abakhulelwe. I-Obstet Gynecol. 2015 Jan; 125 (1): 212-26. i-doi: 10.1097 / AOG.0000000000000581.
U-Tyler KL. I-Herpes simplex virus izifo zesimiso sezinzwa eziphakathi: i-encephalitis ne-meningitis, kuhlanganise noMollaret's. I-Herpes. 2004 Jun; 11 Oku-2: 57A-64A.
Watanabe D, Kuhara T, Ishida N, Takeo T, Tamada Y, Matsumoto Y. Ukusakaza i-herpes simplex virus ukutheleleka emzimbeni wesifazane ongenamakhono. I-Int J STD AIDS. 2010 Mar; 21 (3): 213-4.