Izidlo zesisu
I-agent causative ye-herpes yomzimba yintsholongwane ye-herpes simplex (HSV), ngokuqhelekileyo yohlobo lwe-II. Esi sifo sibhekisela kwizifo ezithathelwana ngesondo. Uhlobo lwe-HSV I, ngokuqhelekileyo kubangela ukuba "kubanda" emlonyeni, kunokukhokelela kwiimpawu zobunini emva kwesondo lomlomo.
• Iimpawu
Ubunzima besifo singakwazi ukusukela kwi-mild to severe. Kwiintsuku ezingama-2-7 emva kokusuleleka, inxalenye encinane yesikhumba se-genitalia yangaphandle ibangela ukucasula. Kwiiyure ezili-12 ezizayo, iindawo ezincinci ezibomvu zivela kule nkqaku ekhuselekileyo, leyo leyo ibe ngokukhawuleza ibe ngamachule amancinci. Ezi zizayo ziza kuvulwa ngokukhawuleza kwezilonda ezininzi ezibuhlungu ezinokuthi zifakwe kwi-scab. Ngokuqhubeka nokuphuhliswa kwesi sifo, i-lymph nodes inguinal yanda. Umqathango jikelele wesigulane unesifo sempawu ezinjenge-influenza. Ukubonakaliswa kokuhlaselwa kokuqala kosulelo (i-herpes yokuqala) inokuhlala kwiiveki ezintathu.
• Ukuxilonga
Ukubonakala kweemvumba ziqhelekileyo, kodwa ukuqinisekisa ukuba ukuxilongwa kuyimfuneko ukuthatha i-swab yegciwane ukuba ihlukaniswe. Uvavanyo lwegazi luyakubonisa ukuba uqhagamshelana nosulelo, kodwa aluvumeli ukuba i-herpes iyona yeso sizathu.
• Ukuchazwa
Ingxenye yesithathu yezigulane zilibala ngesifo emva kokuhlaselwa kokuqala; Elinye lesithathu ngezinye izihlandlo linokunciphisa okuncinci; Ukuhlaziywa okunye kuboniswa ubuncinci kanye ngonyaka, nangona zihamba ngokulula ngaphezu kokuhlaselwa kokuqala, kwaye zihlala zisonjululwa ngeveki. Ngohlaselo oluphambili lwentsholongwane yokuguga, ubude beembonakaliso ezinqamlekileyo kunceda ukunciphisa iziyobisi zonyango, njenge-acyclovir okanye i-famciclovir. Noko ke, le mali ayiyi kukwazi ukunciphisa ubude bokuphindaphinda, ukuba unyango luqaliswa emva kokubonakala kwimiba elukhumbeni. Ukuxhaswa kweemvakalelo ezibuhlungu, i-anesthetics iyanconywa, umzekelo, i-paracetamol okanye isicelo sesicingo se-gel anesthetic. Esi sifo esibi kakhulu ngentlungu enzima ngexesha lokucoca, ibhubha elifudumele lisiza ekunciphiseni ukubandezeleka kwabasetyhini. Amayeza anjalo kwiimeko ezinjalo azinamandla. Ukuba ukubuyela kwakhona kuvela ngaphezu kwamahlanu ngamawaka, kucetyiswa ukuba kwenziwe unyango olukhuselayo, olubonelela ukutyunjwa kwezilwanyana zokulwa neyeza ngenxa yeenyanga ezintandathu. Kwiimeko ezinzima kakhulu, unyango olukhuseleyo lunokuhlala iminyaka. Umntu onesifo sofuba ngumthombo wesifo sobomi, ngoko ke, ngexesha lokwabelana ngesondo kufuneka basebenzise iikhondom, ingakumbi ukuba iqabane lingakayifumana isifo. Ukuhlasela okuphambili kwe-herpes ekupheleni kokukhulelwa kungabangela ingozi enkulu umntwana, ngoko ukuhanjiswa kwimeko elolo hlobo kuqhutyelwa yicandelo le-caesarean. Ukuhlaselwa okuphindaphindiweyo okanye i-herpe eyimfuneko ekukhulelweni kokuqala akuyi kuba yingxaki ephezulu yengxaki yomntwana. Ubuhlungu kunye nokucasula kwindawo yangasese yomzimba akusiloko idibaniswa nezifo ezithathelwana ngesondo. Ukuvuvukala kunokuphuhliswa ngenxa yokuphulwa kwemilinganiselo ye-microorganism ye-microflora eqhelekileyo, ukusabela okuthe tye okanye isifo sephepha lesikhumba, umzekelo, i-eczema.
Abantu abaninzi baya kubagqirha, besaba ukuba baye bafumana i-herpes yezofuzo, nangona ngokwenene ulusu lwekhumba kwindawo yokuzalwa yangasese ingachazwa ngezizathu ezahlukileyo. Ezi ziquka, ngokukodwa:
• Uhlobo lwe-candidiasis (i-thrush)
Ukusuleleka kwesi sifo kuhambisane nokucaphukisa, ukubomvu kunye nokukhwabanisa kwesikhumba kwi-vulva, i-foreskin kunye ne-glans penis, kunye nakummandla we-perianal (malunga ne-anus). Kubasetyhini, ngokuqhelekileyo kukho ukukhulelwa kwamanzi kunye nokubunjwa kwezinto ezincinci esikhumbeni, ingakumbi xa uhlamba okanye udibanisa.
Kubantu, ubomvu kunye nokukhathazeka kwi-foreskin kunye ne-glans penis ziphawulwe, ukubunjwa kwezilonda akulona uphawu. Ngokungafani nama-herpes omzimba, ukuqhuma okuvuthayo kuthatha indawo ezininzi zolusu; umkhuhlane kunye ne-lymph nodes ezikhulisiweyo azigcinwanga. Ukuqinisekisa ukuxilongwa, i-swabs inokuthathwa kwi-laboratory testing, nangona ukubonakaliswa kwesikhumba kudla ngokuqhelekileyo ukuchonga i-candidiasis kunye nokumisela i-agents entiweyo. Ukusebenzisa isepha okanye inyopho ecocekileyo yokuhlamba kunokugqithisa iimpawu.
• Ukuvakalelwa kwiimpembelelo zangaphandle
Ukuthukuthela isikhumba kwendawo ye-genitalia yangaphandle kunokuvusa isepha, i-gel yetshe okanye i-foam yokugeza, kunye nama-creams ahlukeneyo kunye nama-lotion. Kwiimeko ezinjalo, ukuze ukwazi ukujamelana neengxaki, kunokuba ukwanele ukushiya la mayeza kwaye uhlambe ulusu oluchaphazelekayo ngamanzi ahlambulukileyo olulandelwe ukusetyenziswa kwekhamera yokunciphisa amanzi. Izifo zesikhumba eziqhelekileyo zingathintela ulusu lwalowo nxalenye yomzimba, kubandakanywa nendawo yesini. Nangona kunjalo, ukubonakaliswa kwesikhumba se-genitalia yangaphandle kunokungafani kakhulu neklinikhi yomfanekiso wesifo. Kukho neqela leemeko ezikhethekileyo zekhumba (ezi ziquka, umzekelo, iindlebe ze-sclerosing), eziqhelekileyo zivela kwiindawo zangaphandle. Ezi zifo zidinga ukutyunjwa kwonyango oluthile, ngokukodwa - ioli e-steroid. Ngaloo ndlela, ukuba izilonda zesikhumba kwindawo yangasese engazange zanyange emva kokusebenzisa izilwanyana ezilula, kufuneka ufune uncedo lomgudu oqhelekileyo oza kukuthumela kwingcali xa kuyimfuneko. Zonke iintlobo zokukhula okungavumelekanga kwesikhumba sezitho zangasese zangaphandle zingabonakala ngenxa yentsholongwane yentsholongwane okanye i-infestation ye-parasitic. Kwiimeko ezininzi, uhlobo oluthile lweemfucuza lwenza kube lula ukufumanisa imbangela yesifo, kwaye ngokuqhelekileyo unyango alubangele ubunzima.
Iimfazwe zesini
Izilwanyana zomzimba, okanye iilts, ezibangelwa ukusuleleka kwi-papillomavirus yabantu (HPV). Kufuneka kuqatshelwe ukuba iintsholongwane ezithathelwana ngesondo (ikakhulu iintlobo 6, 8 kunye no-11) zihluke kwezo zikhokelela ekubonakaleni kweemfazwe kwezinye iindawo zomzimba womntu. Ezinye iintlobo zeentsholongwane ezithunyelwa ngexesha lokwabelana ngesondo (ngokukhethekileyo iintlobo ezili-16 kunye ne-18) zibhekwa njengezoxanduva lokuphuhliswa komhlaza wesibeleko, nangona i-condylom isingabikho.
• Iimpawu
Ukufikelela kwi-90% yazo zonke i-papillomavirus yabantu abangenayo i-clinical manifestations, ngoko ukuhamba ngokuthethelela kwintsholongwane kunye nokutshintshelwa kwintsebenziswano yezesondo kunokuhlala iinyanga ezininzi kunye neminyaka. Ukuba iimpawu zibonakala, kwenzeka emva kweenyanga ezi-6-9 emva kokusuleleka.
• Ukubonakala
Imfazwe yentsapho ibini lomzimba ngokubonakalayo ayifani neemfazwe zenye indawo. Ukuhluma kungaba nzima kwaye kulukhuni ukuya kumgca, kwaye kuyithambile kwaye kukhululekile; Izinto zokuhlahlela ziyakwazi ukubonakala ngaphaya kwesikhumba (i-exophytic) okanye ingabonakali (iplati). Ngokuqhelekileyo, ama-warts awadluli ama-millimeters ambalwa ububanzi, kodwa ngamanye amaxesha kukho ukuqukwa kufinyelela kubukhulu be-1 cm okanye ngaphezulu. Ziyakwazi ukufumaneka kunoma yiphina indawo yesikhumba sendawo yangaphambili, kwaye inani labo lingahluka ukusuka kwi-1-2 ukuya kwe-20 okanye ngaphezulu. Indawo eqhelekileyo yendawo ye-warts yindawo ye-penis, i-vulva kunye nommandla ojikeleze i-anus. Ngaphantsi kaninzi kubonakala kwi-membrane yebhinqa, umlomo wesibeleko kubasetyhini kunye ne-urethra kumadoda. Uninzi lweemfazwe alubanga umnikazi wazo nayiphi na inkxalabo, ungabangeli, kodwa ufunyanwa, kunoko, ngethuba. Ukuhluma okukhulu kakhulu kunokubonisa ukukhubazeka okukhulu kwe-immune system, njenge-HIV; Umzekelo ofanayo unokuphinda ubonwe ngokukhulelwa.
• Ukuxilonga
Iimvavanyo ezichanekileyo zokuchongwa kwee-virus azikho, ukuxilongwa kusekelwe ekuhloleni ukubonakala kwimiba. Ababelethi be-Gynecologists bahlala bedibana nazo zonke iintlobo zokukhula kwe-warty kunye neemviwo eziqhelekileyo zokuhlola i-cervix kubafazi. Ukuba ukusuleleka kwintsholongwane yegciwane le-papilloma sele isenzekile, akunakwenzeka ukuba uyilahle. Nangona amayeza anamhlanje enza ukuba kunokwenzeka ukuphelisa naluphi na ukubonakaliswa okutyunjweyo, okwangoku akukho ndlela zokutshabalalisa intsholongwane ngokwayo.
Ukuphindaphinda
Iimfazwe zomzimba emva kokususwa zingabonakala kwakhona, kwaye umphathisi-ntsholongwane uya kuba ngumthombo wentsholongwane kumlingane onesondo esingakhuselekanga kwiinyanga ezininzi neminyaka. Ukuba iiltshi ezikhoyo zingasuswanga, zinokuqhubeka ziinyanga kunye neminyaka, ngamanye amaxesha ngaphezulu nangaphezulu. Okwangoku, iindlela ezininzi zokunyanga izilwanyana zomzimba ziyaziwa, phakathi kwazo ziindawo zokusetyenziswa kwe-podophylline (i-podophyllotoxin) kunye nokudibanisa (ukuqhwala) nge-nitrogen yamanzi. Ezi nkqubo zivame ukuqhutyelwa kwiikliniki ezizodwa, kodwa ngamanye amaxesha ziyakwenziwa ngumguli ngesigxina. Kwiimeko ezinzulu kakhulu, iindiza ezinokutsha zitshiswa ngoncedo lombane wamandla (i-electrocautery) okanye i-laser phantsi kwe-anesthesia yendawo. Ekubeni ukusuleleka kwi-papillomavirus yabantu kubangelwa ngokuqhagamshelana ngokwesondo, kuyacetyiswa ukuba uhlolisiso lokulawulwa lugqitywe kuzo zombini amaqabane. Njengoko sele kuthethwe ngazo, iimvulo zomzimba kunye nomhlaza wesibeleko kubangela iintlobo ezahlukeneyo ze-HPV, ngoko ke umfazi emva kokususwa kweemfazwe zesini somzimba akudingeki ukuba ahlolwe ngokwengeziwe kwintsholongwane yomlomo wesibeleko. Esi sifo, esibizwa ngokuba yi-molluscum contagiosum, kubangelwa yi-ntsholongwane eya kuhanjiswa ngokusondeleyo (kungekhona isondo). Nangona kunjalo, le meko ixhaphake kakhulu kumaqabane abesondo ngokwesini kwaye ibonakala ngokubonakala kwimibala ekhethekileyo elukhumbeni lendawo yesini.
• Iimpawu
Izinto ze-Vysypnye ngendlela encinci (ama-3-10 mm), amaqhina aqhoqhoqhozayo, amancinci avela kwindawo yendawo kunye nesikhumba esiseduze. Abangabangeli intlungu okanye bahlaziyeke, banokusasazeka kwiindawo ezininzi, nangona ngamanye amaxesha ukukhawuleza kuphelelweyo kwizinto ezimbalwa nje. Xa uhlolisiswa ngenyameko ngeglasi, uyabona ukuba iigununu zinexinzelelo oluncinci phakathi. Xa kungabikho unyango, ukugqithisa kungaphikelela kwiiveki kunye neenyanga.
• Ukuxilongwa kunye nokunyanga I-Diagnosis isekelwe kwimihlobo yokuhlula. Ukufumana unyango, ukulungiswa kwe-nitrogen okanye i-moxibustion isetyenzisiweyo, njengokuba kunjalo kwiimfazwe. Indlela yokubulala ii-nodlusc nodules ngokusebenzisa i-phenol iyaziwa kwakhona. Ukugqithisa iimviwo zinconywa kubalingani bobulili bobabini. I-scabies mite (itch intshi) ingena emzimbeni ngokusondelelana nomntu ogulayo. Eyona nto ibhekene nentsholongwane kubantwana. Nangona ngokuqhelekileyo esi sifo sichaphazela isikhumba sezandla, izandla kunye ne-trunk, ngamanye amaxesha kunokwenzeka ukuba kuncinci (2-5 mm), ukuxubusha kakhulu iifomula kunye nommandla woluntu lwangaphandle. Ukuxilongwa kwesi sifo kuqhutyelwa kwisiseko sokufumanisa i-itch mite, amaqanda ayo okanye indle kwiisampuli zefrapes ezithathwe ukusuka kumgangatho we-node. Nangona i-scabi ngokwazo inokutshabalaliswa ngokukhawuleza kunye ne-insecticide lotion, efana ne-malathion, isisombululo se-itch singathatha ngaphezu kwenyanga, apho i-antihistamines inceda ukunciphisa iimpawu. Isilwanyana sePubic sisasazwa ngoqhagamshelwano lwezesondo. Ezi ziincinci (2 mm) ezinambuzane ezimnyama-ezimnyama, ezihamba ngokukhawuleza kwesikhumba phakathi kweenwele ze-pubic.
Iimpawu zokusuleleka
• I-Folliculitis
I-folliculitis ibonakala ngokubonakala kwezinto ezincinci ezinokutsha eziphantsi kweenwele. Esi siqhelo sisoloko sikhula kwindawo yeenwele ze-pubic, kunye nokubandakanyeka okunokwenzeka kwenani elikhulu leenwele zezinwele. Kwisiqulatho se-pubis ebomvu i-tubercles zenziwe, zijoliswe kwizinwele; banako ukutshatyalaza kancane kwaye babangele ukuvakalelwa. Utyando lubandakanya ukusetyenziswa kwezicwibisi ezinqabileyo zokuhlambalaza okanye ukuhlamba imihla ngemihla nge-antiseptic.