Munyori: Mark Sanchez
Zuva Rekusika: 4 Ndira 2021
Gadziridza Zuva: 21 Mbudzi 2024
Anonim
Zvese zvaunoda Kuti Uzive Nezve Herpes uye Maitiro Ekuti Uedze Kwazvo - Mararamiro
Zvese zvaunoda Kuti Uzive Nezve Herpes uye Maitiro Ekuti Uedze Kwazvo - Mararamiro

Zvemukati

Kana paine chero chinhu chakafukidzwa mune mamwe ma #fakenews kupfuura sarudzo dza2016 kana hukama hwaLady Gaga naBradley Cooper mushure mekuburitswa Nyeredzi Inozvarwa, ari herpes.

Chokwadi, vanhu vazhinji vanogona kukuudza herpes chirwere chepabonde (STI). Asi kupfuura izvozvo, vazhinji havazivi kuti zvinopararira sei, kuti ungazvidzivirire sei, kana kunyangwe kana vainazvo. Ichi chi chaiye kukundikana pachikamu chehutano hwedu hwepabonde tichifunga hutachiona hwakanyanya kuwanda - sezvazviri, inofungidzirwa kuti makumi mashanu kusvika makumi masere muzana muzana yevanhu vakuru parizvino vari kugara neherpes uye makumi mapfumbamwe muzana vachabatwa nehutachiona pazera remakore makumi mashanu, zvakajairika, kuna John's Hopkins Mushonga.

Kumisa chokwadi kubva kungano yemudhorobha, vanachiremba vatatu vanoita zvehutano hwepabonde vari pano kuti vaparadze iyi super-duper-common STI. Pazasi, dzidza chaizvo kuti herpes chii, zviratidzo zveherpes, kuti inopararira sei, maitiro ekuedzwa herpes, uye nei vazhinji vanachiremba vasingazoite herpes bvunzo kutoti iwe zvakajeka kukumbira (musango, handiti?).


Chii chinonzi Herpes, Chaizvoizvo?

Ngatitangei nezvamunoziva (zvichida): Herpes chirwere chepabonde chinoparadzirwa neganda-ku-ganda kusangana. Kunyanya zvakanyanya, herpes chirwere chetachiona, inotsanangura Kimberly Langdon, MD, ob-gyn, chipangamazano wezvekurapa kuParenting Pod. Zvinoreva, kusiyana nehutachiona hweSTIs (kureva chlamydia kana gonorrhea) iyo inogona kurapwa zvachose nemishonga inorwisa mabhakitiriya, herpes inogara muhurongwa hwemitsipa kana uchinge waiwana (senge chickenpox kana HPV). Saka, kwete, herpes haiperi.

Asi zvinonzwika zvinotyisa kupfuura zvazviri! “Hutachiona hunogona kupera kana kupera, zvinoreva kuti vamwe vanhu vanogona kunge vaine hutachiona asi vachipfuura makore pakati pekubuda, vamwe vasina kana kumbotanga kubuda,” anotsanangura kudaro. Uyezve, pane nzira dzekugadzirisa hutachiona (zvimwe pane izvo zviri pazasi) saka kuva nehupenyu hwepabonde hunofadza, hune hutano, hwakazara zvinokwanisika. Dudziro: Iwe unogona kunge uine herpes uye usati wakambove nezviratidzo, uye nekudaro hauna zano.

Imwe dhata inoratidza kuti kune anopfuura zana marudzi ehutachiona hweherpes. Kune zvisere zvinokanganisa vanhu, kusanganisira maronda anokonzera chickenpox, shingles, uye mono, asi iwe unogona kunge wakangonzwa nezveviri: HSV-1 uye HSV-2.


Ndeupi musiyano uripo pakati peHSV1 neHSV2?

Gladdddd iwe wakabvunza! HSV-1 neHSV-2 maviri akasiyana mhando dzemhando imwechete yehutachiona. Kunyange iwe ungangodaro wakanzwa vanhu vachiti HSV-1 = oral herpes, nepo HSV-2 = genital herpes, kuti kuwedzeredza hakuna kunyatso. (Hei, hapana mumvuri, nhau dzenhema dzinogona kunge dzichitapukira kupfuura hutachiona!)

Hutachiona hwehutachiona HSV-1 inowanzo sarudza mukanwa mucus membranes (aka muromo wako), nepo hutachiona hweHSV-2 hunowanzo sarudza genital mucus membranes (aka junk yako). (Makasi membrane inzvimbo yakanyorova ine magiramu anoita makusi, mvura yakakora, inotsvedza—uye imhando yenzvimbo apo dzimwe njovhera dzinokura.) Asi hazvirevi kuti marudzi iwayo anogona chete utapure iwo chaiwo mavara, anotsanangura Felice Gersh, MD, munyori we PCOS SOS: Hupenyu hweGynecologist Kudzoreredza Rhythms Yako, Mahomoni, uye Mufaro..

Ngatitii, semuenzaniso, mumwe munhu ane HSV-1 oral herpes anopa chipingamupinyi-chisina (verenga: hapana makondomu kana mazino dhamu) zvepabonde nemumuromo kune mumwe wavo. Mudiwa uyu anogona kubata HSV-1 panhengo dzavo dzesikarudzi. Muchokwadi, "mazuva ano, HSV-1 ndiyo inonyanya kukonzera genital herpes," anodaro Dr. Gersh. Izvo zvakare zvinoita kuti HSV-2 itapure muromo nemiromo. (Yakabatana: Zvese zvaunofanirwa Zvichida Kuziva Nezve Oral STDs, Asi Pamwe Usadaro)


Pfungwa yaDr. Gersh ndeyekuti vanhu vazhinji havazive kuti maronda anotonhora (dzimwe nguva anonzi fever blisters) imhando yeherpes, saka usafunge kaviri nezvekupa mumwe wavo (barrier-free) pabonde nemumuromo kana vaine blister , uye vanhu vazhinji vane genital herpes havazivi kuti vanayo, saka usafunga kaviri nezvekugamuchira bonde remukanwa. (Zvakare, hapana mumvuri-iwe pamwe wanga usingazive.) Zvinotisvitsa kumubvunzo...

Iwe Unoziva Sei Iwe Kana Uine Herpes?

Tichazvitaura zvakare kune vanhu vari kumashure: Iwe haugone kuziva kuti kana iwe (kana mumwewo munhu!) Une njovhera nekungovatarisa kana junk-uye izvo zvinosanganisira herpes. Muchokwadi, maererano naDr. Gersh, pane imwe nzvimbo pakati pe75 ne90 muzana yevanhu vane herpes mushumo kuva zvachose asymptomatic.

Herpes Zviratidzo

Kunyangwe kazhinji zviitiko zvisina chiratidzo, chiratidzo chikuru chehepe maronda ehepe, ayo anowanzo kuve boka rezvishoma / rinotyisa / kana maronda anorwadza / mapundu akatenderera pamiromo, mukadzi, chibereko, penis, bum, perineum, anus, kana chidya .

Zvimwe zviratidzo zveherpes zvinosanganisira:

  • Kuzvimba lymph nodes
  • Musoro kana kurwadza kwemuviri
  • Kupindwa nechando
  • Marwadzo paunenge uchidongorera
  • Kutambudzika kwemhasuru
  • Kuneta kwakawanda

Kana zviratidzo zvikaitika zvinozivikanwa se "herpes kubuda." Vamwe vanhu vanongova nekumwe kumuka muhupenyu hwavo! Uye kunyangwe kune avo vanotevera kubuda, Dr. Gersh anoti kubuda kwekutanga kazhinji ndiko kwakaipisisa. Izvi zvinodaro nekuti panguva yekutanga kubuda (kunozivikanwa se 'hutachiona hwekutanga'), muviri unogadzira masoja anobatsira immune system kurwisa hutachiona, anodaro. Ndosaka zvinhu zvinokanganisa immune system sekushushikana (panyama kana nemanzwiro), kuchinja kwehomoni (kwakadai kuenda kumwedzi, kubata pamuviri, kana shanduko yekudzivirira kuberekwa), kuratidzwa kushanduka kwetembiricha, uye kuva nezvimwe hutachiona kunogona kukonzera kuputika kunotevera kana kukonzera kuputika kunogara kwenguva refu. kureba.

Asi, izvi zvakakosha: Zvinogoneka kuti herpes abatwe kana kutapurirwa pasina zviratidzo, nekuda kwechinhu chinodaidzwa kuti, 'viral shedding' (apo hutachiona hunenge huchidzokorora mukati memuviri wako uye masero ehutachiona anobva aburitswa munzvimbo. ). Saka, iyo chete nzira yekuziva kana uine herpes ndeyekuongororwa. (Inoenderana: Unofanira Kuedzwa Kakawanda Sei MaSTD?)

Nzira yekuongororwa Herpes

Kana iwe uine herpes anooneka maronda, chiremba wako anogona kuita swab bvunzo. Izvi zvinosanganisira kuchenesa blister rakavhurika (kana kuvhura blister kuti urove mvura mukati), wozotumira muunganidzwa kurabhoritari kune chinhu chinodaidzwa kuti polymerase chain reaction (PCR) bvunzo, inogona kuona HSV. (Izvo zvakati, chiremba wako anogona kukwanisa kukuongorora iwe nekungotarisa chironda, maererano neCenters for Disease Control and Prevention kana CDC.)

Kana pasina maronda aripo, iyo swab test haishande; "tsika isina kujairika yeganda kana mukati memukadzi kana muromo zvinogona kunge zvisina zvibereko," anodaro Dr. Langdon. Pane kudaro, chiremba aigona (ona: aigona, kwete kuita) kuongorora ropa uye kuongorora ropa rako kune masoja ekudzivirira chirwere eHSV-1 kana HSV-2. Muviri wako unogadzira masoja ekudzivirira varwi vekunze (senge herpes hutachiona maseru) kubatsira kurwisa hutachiona. Kana masoja ekudzivirira chirwere aripo, zvinoratidza kuti wakambosangana nehutachiona. "Kuongororwa ropa kunogona kushandiswa zvakare kana maronda aripo," anodaro Dr. Langdon.

Nei Vanachiremba Vasingagare Vachiedza Herpes

Apa ndipo pazvinoita hunyengeri: Kunyangwe paunoenda kuna chiremba kunoongororwa njovhera, vazhinji varapi vehutano vakawanda havaongorori herpes. Yep, kunyangwe kana iwe ukati: "Ndiedzei pane zvese!"

Sei? Nekuti CDC chete inokurudzira kuongororwa vanhu vari kuona zviratidzo zvesikarudzi. Chii chinopa?

Kutanga, CDC inokurudzira kuongororwa kweSDD kwegonorrhea uye chlamydia ine kana isina zviratidzo nekuti ikasiiwa isina kurapwa, izvo zvinogona kuve nemhedzisiro yehutano. (Funga: chirwere chepachivi chinoputira, kushaya mbereko, uye kunetseka panguva yekuzvitakura.) Herpes, kune rumwe rutivi, haitungamire kune chero zvakakomba zvinetso zvehutano. (Rega izvozvo zvinyure mukati). "Sekuziva kwedu, hapana zvachose hutano hurefu kwenguva refu hwekuve neherpes," anodaro Dr. Gersh. Uye kunyangwe kubuda kuchigona kusagadzikana, anoti vanhu vazhinji vanongove nekubuda kushoma muhupenyu hwavo. (Inoenderana: Inogona here kuti njovhera iende kure pachayo?)

Chechipiri, kuongorora genital herpes mune mumwe munhu asina zviratidzo hakuna kuratidza shanduko mune yavo pabonde maitiro - senge kupfeka kondomu kana kurega bonde - uye hakuna kumisa hutachiona kupararira, sekureva kweCDC. Chaizvoizvo, maonero avo ndeekuti vanhu vane crummy pakushandisa kudzivirira (uko, kune rekodhi, kunodzora zvakanyanya kupararira kwezvirwere zvepabonde kana ikashandiswa nemazvo), uye kuongororwa kwakanaka hakuiti mutsauko muhutachiona 'kupararira kuburikidza nevanhu .

Chekupedzisira, zvinokwanisika kuwana manyepo-akanaka eropa bvunzo mhedzisiro (zvakare, ndiyo mhando yemuyedzo inoda kuitwa mukusavapo kwezviratidzo). Zvinoreva, iwe unogona kuyedza zvine mutsindo maHSV antibodies kana iwe usina hutachiona, zvinoenderana neCDC. Sei? Muviri wako unogadzira ma antibodies maviri akasiyana mukupindura iyo herpes hutachiona iyo inokonzeresa mu herpes antibody bvunzo: IgG uye IgM antibodies, maererano neAmerican Sexual Health Association (ASHA). Ongororo yeimwe neimwe yeaya masoja ekudzivirira chirwere ane nyaya shoma dzakasiyana. IgM bvunzo dzinogona kuburitsa manyepo ekunyepa nekuti dzimwe nguva anoyambuka-pamwe nemamwe mahepe virus (ex: chickenpox kana mono), haigone kunyatso kusiyanisa pakati peHSV-1 neHSV-2 antibodies, uye maGM antibodies haagari achionekwa mukuedzwa kweropa kunyangwe panguva inozivikanwa herpes kuputika, maererano neASHA. IgG antibody bvunzo dzakanyanya uye dzinogona kusiyanisa pakati peHSV-1 neHSV-2 masoja ekudzivirira chirwere; zvisinei, nguva inotora kuti IgG antibodies isvike mazinga anoonekwa anogona kusiyana kubva kumunhu kusvika kumunhu (kubva kumavhiki kusvika kumwedzi), uye haigoniwo kuziva kana nzvimbo yehutachiona ndeyemuromo kana yepabonde, maererano neASHA.

Zvakakodzera kutaura kuti viral swabs uye PCR bvunzo, izvo zvinogona kuitwa kana maronda vari zviripo, zvakanyatsojeka, sekureva kwaDr Gersh.

Saka Unofanirwa Kuongororwa Here Herpes Kunyangwe Iwe usina Zviratidzo?

Vanachiremba vanowira mumisasa miviri pano. "Kunyange hutachiona hweherpes husina kunaka uye husina chinhu chikuru, mukuona kwangu, zvakanaka kuti vanhu vazive mamiriro emuviri wavo," anodaro Dr. Gersh.

Vamwe vanachiremba vanopokana kuti hapana rubatsiro kune herpes kuyedza pasina kuvapo kwezviratidzo. "Kubva pakuona kwechiremba, [kuyedzwa kwehepe pasina zviratidzo] hakuna basa," anodaro Sheila Loanzon, MD, munyori we Ehe, Ndine Herpes uye bhodhi-rakasimbiswa ob-gyn ane makore anopfuura gumi nemashanu ekutsungirira uye wega ruzivo rwekuongorora herpes. "Uye nekuda kwekushorwa kwehutachiona, kuongororwa kunogona kukanganisa hutano hwemunhu uye kuunza kunyara kusiri madikanwa, kushushikana mupfungwa, uye kushushikana." Kufunga nezvekushushikana kwave kwakabatana neakawanda ezvehutano nyaya sekuwedzera njodzi yekurohwa, chirwere chisingaperi, chirwere chemwoyo, uye nezvimwe, kuongororwa kunogona kuita kukuvadza kupfuura kunaka.

Kunyangwe iwe kana kwete iwe kubvunza chiremba wako kuti akuyedze iwe herpes zviri kwauri. Zviratidzo kana kwete, une kodzero yekuziva yako HSV mamiriro. Saka, kana iwe uchida kuziva, mira uye bvunza chiremba wako zvakajeka kuti akuedze iwe herpes. Ongorora: Pamba-kumba STD kuyedza ikozvino kwakanyanya kupusa, uye makambani mazhinji anosanganisira yekumba-herpes bvunzo-kazhinji kuongororwa kwePCR kweropa - sechikamu chezvavanopa. Izvo zvakati, kumba herpes kuyedza zvipiriso zvinosiyana nekambani; semuenzaniso, vamwe vanoedza bvunzo yehutachiona humwe chete, vamwe vachipa kuraira kwepashure pekuongororwa, nezvimwe.

Nekudaro, usati wafunga kuongororwa, pedza imwe nguva uchidzidzira imwe yeHSV-ruseko rwakadzika midzi mutsika. "Kuwanda kwechinyadzo chakakomberedza herpes ndekwekuseka zvachose; hapana chinonyadzisa nezve hutachiona," anodaro Dr. Gersh. "Kunyadzisa mumwe munhu kuti ave nehepe inoseka sekunyadzisa mumwe munhu kuti ave necoronavirus." Kunyanya kana yakakura kudaro chunk yevagari iinayo kana pamwe ichaizobata muhupenyu hwavo.

Kutevera zvinonyadzisa-zvisina STI-ruzivo Instagram maakaundi akadai se @sexelducation, @hsvinthecity, @Honmychest, vachiona Ella Dawson's TedTalk "STIs Haisi Mhedzisiro, Hazvigoneke," uye kuteerera iyo Podcast Chimwe Chinhu Chakanaka kune Vakanaka Vanhu vakanaka nzvimbo dzekutangira.

Iwe unogona zvakare kuda kufunga nezve izvo iwe zvaungaite neruzivo irworwo. "Kana ukaonekwa kuti une hutachiona, usina kumbobvira watanga, uye usina mudiwa nema antibodies, zvinogona kunge zvakaoma chaizvo kuziva zvekuita neruzivo," anodaro Dr. Loanzon. Semuenzaniso, uri kuenda kunotora antiviral mishonga (zvimwe pane izvo, pazasi) kwehupenyu hwako hwese kunyangwe iwe usati wambove nekuputika? Iwe nemumwe wako muchatanga kushandisa makondomu nemadhamu emazino kana musati mazvishandisa kare? Iwe uchaudza vese vako vekare shamwari nezve chirwere? Iyi ndiyo yese mibvunzo iwe yaunofanirwa kugadzirisa neyakajeka kuongororwa. Zvibvunze kuti: Chii chaungade kuti mumwe wako aite kana vari mumamiriro ako ezvinhu? Kuzvidzivirira neicho chokwadi-uye nekugadzirisa kushorwa, saka imi mose munoona mufananidzo uzere kwete kungoongororwa - munogona kuenda kure. (Ona Zvimwe: Gwara Rako rekubata nePositive STI Kuongororwa)

Unorapa Sei Herpes?

Herpes haigoni kurapwa uye "haiendi." Asi hutachiona unokwanisa kutungamirirwa.

Kana ukawanikwa uine hutachiona, unogona kunwa mushonga unodzivirira hutachiona seacyclovir (Zovirax), famciclovir (Famvir), uye valacyclovir (Valtrex). "Izvi zvinogona kutorwa kudzivirira kuputika kana kuti zvinogona kutangwa nekutanga kwezviratidzo kuderedza kuoma uye nguva," anotsanangura kudaro Dr. Langdon. (Kudzvinya uye kurwadza munzvimbo iyo herpes iripo uye yakaderera-giredhi fever inowanzoitika pasati paitika blister, anodaro.)

Kana ikatorwa nemazvo, zvinodhaka zvinogona kudzikisa zvakanyanya njodzi yekuendesa kune mumwe wako, sekutsvaga. Zvisinei, vanodarokwete ita kuti utachiona husapararire zvachose. Rangarira: Herpes inogona kunge iri zvimwe inotapukira kana zviratidzo zviripo, asi zvinotapukira kunyangwe pasina zviratidzo zviripo, maererano ne Planned Parenthood.

Ehe, pane zvakawanda zvikonzero zvine musoro mumwe munhu angave asingade kutora anti-hutachiona. "Vamwe vanhu vanoona kunwa mushonga mazuva ese kuchikonzera, kana kunzwa kuti kunovayeuchidza nezvekuonekwa kwavo nenzira inogumbura," anodaro Dr. Loanzon. "Vamwe vanoputika zvisingaite zvekuti hazviite kuti vatore chimwe chinhu mazuva makumi matatu nemazana matatu pagore kuhutachiona hunongobuda makore mashoma ega ega." Uye rangarira, kuti vamwe vanhu vane denda rimwe chete. Uyezve, vamwe vanhu vanogona kunge vasina kuita bonde, saka njodzi yekutapurirana haisi-nyaya.

Zvisinei kuti wasarudza kunwa mushonga here kana kuti kwete, "kunyangwe wakamboputika nemukaka kana kuti genital herpes kubuda kana kwete, zvakanakisa kuburitsa chimiro chako cheHSV kune mumwe wako nekuti unogona kunge usina chiratidzo uye uchingopfuura hutachiona, "anodaro Dr. Gersh. Nenzira iyoyo mumwe wako anogona kutora danho rine ruzivo nezvekuti ndeipi mhando yemaitiro akachengeteka epabonde auchazoshandisa. (BTW: Heino Maitiro Ekuita Bonde Rakachengeteka Pese Paunenge Wakabatikana)

Icho Chinokosha

Kana iwe uchinge uine herpes zviratidzo, kuongororwa herpes kunogona kukubatsira iwe kuwana kurapwa (kana rugare rwepfungwa) iwe unofanirwa kudzikisira kusagadzikana uye kutonga kunze dzimwe nyaya. (Mushure mezvose, pane zvikonzero zvakawanda zvaungave uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge waita. zvemigumisiro.

Pakupedzisira, chinonyanya kukosha ndechekuti unonzwisisa kuti kunze kwekunge iwe *zviri pachena* ukakumbira kuongororwa herpes, chiremba wako anogona kunge asiri kuisanganisira mune yako yenguva dzose STI panel.

Ongororo ye

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