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Genital herpes chirwere chepabonde. Inokonzerwa neherpes simplex virus (HSV).

Ichi chinyorwa chinotarisana neHSV yerudzi rwechipiri hutachiona.

Genital herpes inokanganisa ganda kana mucous membranes enhengo yesikarudzi. Utachiona hunopararira kubva kune mumwe munhu kuenda kune mumwe panguva yepabonde.

Kune maviri marudzi eHSV:

• HSV-1 inowanzo bata muromo nemiromo uye inokonzeresa maronda anotonhora kana mabliv fever. Asi inogona kutambanuka kubva pamuromo kuenda kunhengo dzepabonde panguva yemukanwa bonde.
• HSV mhando 2 (HSV-2) inowanzo kukonzera genital herpes. Inogona kupararira kuburikidza nekubatana kweganda kana kuburikidza nemvura dzinobva mumuromo kana pamitezo.

Iwe unogona kutapukirwa neherpes kana ganda rako, nyini, nhengo yemurume, kana muromo ukasangana nemumwe munhu anotova neherpes.

Iwe unonyanya kuwana herpes kana iwe ukabata ganda remumwe munhu ane herpes maronda, blisters, kana rash. Asi hutachiona hunogona kupararira, kunyangwe pasina maronda kana zvimwe zviratidzo zviripo. Mune zvimwe zviitiko, iwe hauzive kuti une hutachiona.

Genital HSV-2 hutachiona hwakajairika muvakadzi kupfuura varume.

Vanhu vazhinji vane genital herpes havana kana maronda. Kana ivo vane zviratidzo zvakapfava zvisingaonekwe kana kukanganiswa nekurumwa kwezvipembenene kana imwe mamiriro eganda.

Kana zviratidzo nezviratidzo zvikaitika panguva yekutanga kubuda, zvinogona kuve zvakanyanya. Uku kutanga kubuda kazhinji kunowanzoitika mukati memazuva maviri kusvika kumavhiki maviri ekutapukirwa.

Kazhinji zviratidzo zvinogona kusanganisira:

• Kuderedza kudya
• Kupindwa nechando
• Kazhinji kurwara kunzwa (malaise)
• Tsandanyama aches muzasi musana, magaro, zvidya, kana mabvi
• Kuzvimba uye nyoro lymph node mune iyo groin

Zviratidzo zveGenital zvinosanganisira zvidiki, zvinorwadza mablister akazadzwa neakajeka kana ehuswa-ane mavara emvura. Nzvimbo dzinogona kuwanikwa maronda anosanganisira:

• Kunze kwemuromo wemuromo (labia), vagina, chibereko, kutenderedza anus, uye pahudyu kana magaro (mune vakadzi)
• Penis, scrotum, kutenderedza anus, pazvidya kana magaro (mune varume)
• Rurimi, muromo, maziso, matadza, miromo, minwe, uye zvimwe zvikamu zvemuviri (mune vese varume nevakadzi)

Blisters dzisati dzaonekwa, panogona kunge paine kurira, kupisa, kuchenesa, kana kurwadziwa panzvimbo inoonekwa mablister. Kana mablister akatsemuka, anosiya maronda asina kudzika anorwadza zvikuru. Izvi zvipenga zvinoputika uye zvinopora mumazuva manomwe kusvika gumi nemana kana kupfuura.

Zvimwe zviratidzo zvinogona kusanganisira:

• Marwadzo kana uchipfuura weti
• Vaginal kubuda (mune vakadzi) kana
• Zvinetso kudurura dundira izvo zvingangoda urineti catheter

Kuputika kwechipiri kunogona kuoneka vhiki kana mwedzi gare gare. Inowanzo kuve yakanyanya kusanyanya uye inoenda nekukurumidza kupfuura kutanga kwekutanga. Nekufamba kwenguva, huwandu hwekuputika hunogona kudzikira.

Miedzo inogona kuitwa pazvironda zveganda kana mablisters ekuongorora herpes. Iyi bvunzo inowanzoitwa kana mumwe munhu aine chekutanga kuputika uye kana vakadzi vane nhumbu vachikura genital herpes zviratidzo. Miedzo inosanganisira:

• Tsika yemvura kubva kune blister kana yakavhurika ronda. Bvunzo iyi inogona kuve yakanaka kune HSV. Inonyanya kubatsira panguva yekutanga kubuda.
• Polymerase cheni reaction (PCR) yakaitwa pane fluid kubva kune blister. Iyi ndiyo bvunzo yakatwasuka kutaura kuti herpes hutachiona huripo mublister.
• Ropa bvunzo dzinoongorora hutachiona hwehutachiona kune herpes hutachiona. Iyi bvunzo inogona kuratidza kana munhu akatapukirwa neherpes virus, kunyangwe pakati pekuputika. Mhedzisiro yekubvunzwa kana munhu asina kumbobvira abuda chirwere ingaratidza kusangana nehutachiona pane imwe nguva yapfuura.

Panguva ino, nyanzvi hadzisi kukurudzira kuongororwa kweHSV-1 kana HSV-2 mukuyaruka kana vakuru vasina zviratidzo, kusanganisira vakadzi vane nhumbu.

Genital herpes haigone kurapwa. Mishonga inorwisa hutachiona (yakadai seacyclovir kana valacyclovir) inogona kupihwa.

• Iyi mishonga inobatsira kubvisa marwadzo uye kusagadzikana panguva yekumuka nekuporesa maronda nekukurumidza. Vanoratidzika kunge vanoshanda zvirinani panguva yekurwiswa kwekutanga pane kuputika kwakazotevera.
• Zvekudzokorora kuputika, mushonga unofanirwa kutorwa nekukasira kana kutsva, kutsva, kana kuchenesa kwatanga, kana nekukurumidza panobuda mablister.
• Vanhu vane kuwanda kuzhinji vanogona kutora mishonga iyi zuva nezuva pamusoro penguva yakati. Izvi zvinobatsira kudzivirira kuputika kana kupfupisa urefu hwazvo. Izvo zvinogona zvakare kudzikisa mukana wekupa herpes kune mumwe munhu.
• Mhedzisiro mhedzisiro isingawanzo neacyclovir uye valacyclovir.

Vakadzi vane nhumbu vanogona kurapwa herpes mukati memwedzi wekupedzisira wepamuviri kuti uderedze mukana wekuve nekuputika panguva yekusununguka. Kana paine kuputika kwakatenderedza nguva yekuendesa, C-chikamu chinokurudzirwa. Izvi zvinoderedza mukana wekutapurira mwana.

Tevedza rairo yako yemubatsiri wezvehutano nezvekuti ungachengeta sei herpes zviratidzo kumba.

Unogona kudzikisira kushushikana kwekurwara nekujoinha herpes rutsigiro boka. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Kana uchinge watapukirwa, hutachiona hunogara mumuviri wako kweupenyu hwako hwese. Vamwe vanhu havana kumboita imwe episode. Vamwe vanowanzo kubuda kunogona kukonzerwa nekuneta, kurwara, kuenda kumwedzi, kana kushushikana.

Vakadzi vane pamuviri vane hutachiona hwehutachiona hwehutachiona pavanobereka vanogona kutapurira utachiona kumwana wavo. Herpes inogona kukonzera hutachiona hutachiona muvacheche vachangozvarwa. Izvo zvakakosha kuti mupi wako azive kana iwe uine herpes maronda kana kuti wakambove nekuputika munguva yakapfuura. Izvi zvinobvumidza matanho kutorwa kudzivirira kupfuudza hutachiona kumwana.

Utachiona hungapararira kune dzimwe nhengo dzomuviri, kusanganisira huropi, maziso, esophagus, chiropa, musana, kana mapapu. Aya matambudziko anogona kukura muvanhu vane immune system isina simba nekuda kweHIV kana mimwe mishonga.

Fonera mupiki wako kana iwe uine chero zviratidzo zvebonde herpes kana kana iwe uchikura fivha, kutemwa nemusoro, kurutsa, kana zvimwe zviratidzo panguva kana mushure mekuputika kweherpes.

Kana iwe uine genital herpes, iwe unofanirwa kuudza mumwe wako kuti une chirwere, kunyangwe iwe usina zviratidzo.

Makondomu ndiyo nzira yakanakisa yekuchengetedza kubva pakubata genital herpes panguva yepabonde.

• Shandisa kondomu nenzira kwayo uye nguva dzose kubatsira kudzivirira kupararira kwechirwere.
• Makondomu eratex chete ndiwo anodzivirira hutachiona. Makondamendi emhuka (makanda emakwai) makondomu haashande nekuti hutachiona hunogona kupfuura nepakati pavo.
• Kushandisa kondomu revanhukadzi kunoderedzawo njodzi yekuparadzira mitezo yebonde.
• Kunyangwe iri zvishoma kushomeka, iwe unogona achiri kuwana genital herpes kana iwe ukashandisa kondomu.

Herpes - genital; Herpes simplex - genital; Herpesvirus 2; HSV-2; HSV - antivirals

• Mukadzi wekubereka anatomy

Habif TP. Zvirwere zvepabonde. Mune: Habif TP, rakanyorwa. Clinical Dermatology. 6th ed. Philadelphia, PA: Elsevier; 2016: chits. 11.

Schiffer JT, Corey L. Herpes simplex hutachiona. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro eUchirwere Hutachiona. 9th ed. Elsevier; 2020: chits. 135.

US Preventive Services Task Force, Bibbins-Domingo K, Grossman DC, et al. Serologic yekuongorora genital herpes hutachiona: US Preventive Services Task Force kukurudzira chirevo. JAMA.2016; 316 (23): 2525-2530. PMID: 27997659 www.ncbi.nlm.nih.gov/pubmed/27997659.

Whitley RJ, Gnann JW. Herpes simplex hutachiona hutachiona. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 350.

Workowski KA, Bolan GA; Nzvimbo dzekudzivirira nekudzivirira hosha. Zvirwere zvepabonde zvirwere zvekurapa, 2015. MMWR Inokurudzira Rep. 2015; 64 (RR-03): 1-137. PMID: 26042815 www.ncbi.nlm.nih.gov/pubmed/26042815.