Herpes - ngomlomo

I-herpes yomlomo sisifo somlomo, umlomo, okanye iintsini ngenxa yentsholongwane ye-herpes simplex. Kubangela amadyungudyungu amancinci, abuhlungu abizwa ngokuba ngamathumba abanda okanye izilonda zomkhuhlane. I-herpes yomlomo ikwabizwa ngokuba yi-herpes labialis.

I-herpes yomlomo sisifo esiqhelekileyo somlomo. Kubangelwa yintsholongwane ye-herpes simplex yohlobo 1 (HSV-1). Uninzi lwabantu base-United States bosulelwe yile ntsholongwane xa beneminyaka engama-20.

Emva kokosuleleka okokuqala, intsholongwane iyalala (iba ilele) kwizihlunu zemithambo-luvo ebusweni. Ngamanye amaxesha, intsholongwane ivuka kamva (iphinde isebenze), ibangele izilonda ezibandayo.

Uhlobo lwe-Herpes virus 2 (HSV-2) luhlala lubangela i-herpes yesini. Nangona kunjalo, ngamanye amaxesha i-HSV-2 isasazeka emlonyeni ngexesha lokwabelana ngesondo ngomlomo, ibangela i-herpes yomlomo.

Iintsholongwane zeHerpes zisasazeka ngokulula kubantu abanesifo esibuhlungu okanye esibuhlungu. Ungayifumana le ntsholongwane ukuba:

• Unxibelelwano olusondeleyo okanye lobuqu nomntu osulelekileyo
• Chukumisa isilonda esivulekileyo se-herpes okanye into edibene nentsholongwane ye-herpes, ezinje ngeerhasi ezinesifo, iitawuli, izitya kunye nezinye izinto ekwabelwana ngazo

Abazali banokusasaza intsholongwane ebantwaneni babo kwimisebenzi yesiqhelo yemihla ngemihla.

Abanye abantu bafumana izilonda zomlomo xa beqala ukudibana nentsholongwane ye-HSV-1. Abanye abanazimpawu. Iimpawu zihlala zenzeka kubantwana abaphakathi kweminyaka eyi-1 ukuya kwe-5 ubudala.

Iimpawu zinokuba mnene okanye zibe nzima. Zihlala zibonakala kwisithuba seeveki ezi-1 ukuya kwezi-3 emva kokuba udibene nentsholongwane. Banokuphela ukuya kwiiveki ezi-3.

Iimpawu ezilumkisayo zibandakanya:

• Ukurhawuzelelwa kwemilebe okanye ulusu olujikeleze umlomo
• Ukutshisa kufutshane nemilebe okanye indawo yomlomo
• Ukucofa kufutshane nomlomo okanye umlomo

Ngaphambi kokuba i-blisters ivele, unakho:

• Umqala obuhkungu
• Ifiva
• Amadlala adumbileyo
• Ukuginya okubuhlungu

I-blisters okanye i-rash ingenza ifom yakho:

• Iintsini
• Imilebe
• Umlomo
• Umqala

Amadyungudyungu amaninzi abizwa ngokuba sisifo. Unokuba:

• Amadyunguza abomvu aqhekeka avuleke
• Amadyungudyungu amancinci azaliswe lulwelo olucacileyo olutyheli
• Amadyungudyungu aliqela anokukhula kunye abe yiblister enkulu
• I-blister etyheli kunye ne-crusty njengoko iphilisa, ethi ekugqibeleni ijike ibe lulusu olupinki

Iimpawu zinokubangelwa ngu:

• Ukuya exesheni okanye ukutshintsha kwehomoni
• Ukuba phandle elangeni
• Ifiva
• Uxinzelelo

Ukuba iimpawu zibuyela kamva, zihlala zinobulali ngakumbi kwiimeko ezininzi.

Umboneleli wakho wezempilo unokuchonga i-herpes yomlomo ngokujonga kwindawo yakho yomlomo. Ngamanye amaxesha, kuthathwa isampulu yesilonda kwaye ithunyelwe elebhu ukuze ihlolwe ngakumbi. Uvavanyo lunokubandakanya:

• Inkcubeko yintsholongwane
• Uvavanyo lwe-Viral DNA
• Uvavanyo lweTzanck ukukhangela i-HSV

Iimpawu zinokuhamba zodwa ngaphandle konyango kwiveki e-1 ukuya kwezi-2.

Umboneleli wakho unokumisela amayeza okulwa intsholongwane. Oku kubizwa ngokuba liyeza. Inokukunceda ukunciphisa iintlungu kwaye wenze ukuba iimpawu zakho zihambe ngokukhawuleza. Amayeza asetyenziselwa ukunyanga izilonda zomlomo aquka:

• Icycylovir
• Famciclovir
• Ukuxabiseka

La mayeza asebenza kakuhle xa uwathatha xa unezilumkiso zomlomo obuhlungu, ngaphambi kokuba kuvele amablister. Ukuba ufumana izilonda zomlomo rhoqo, unokufuna ukuthatha la mayeza ngalo lonke ixesha.

• Izithambisi zolusu zingasetyenziswa. Nangona kunjalo, ziyabiza kwaye zihlala zinciphisa uqhambuko ngeeyure ezimbalwa ukuya kusuku.

La manyathelo alandelayo anokukunceda uzive ungcono:

• Faka isicelo somkhenkce okanye ilaphu lokuhlamba elifudumeleyo kwizilonda ukunceda ukunciphisa iintlungu.
• Geza i-blisters ngobumnene nge-germ yokulwa ne-germ (antiseptic) kunye namanzi. Oku kunceda ukuthintela ukusasazeka kwintsholongwane kwezinye iindawo zomzimba.
• Gwema iziselo ezishushu, ukutya okunezipayisi kunye netyuwa, kunye ne-citrus.
• Qhawula ngamanzi apholileyo okanye utye iipopu.
• Yipule ngamanzi anetyuwa.
• Thatha isiqabu sentlungu njenge-acetaminophen (iTylenol).

I-herpes yomlomo ihlala ihamba iyodwa kwiiveki ezi-1 ukuya kwezi-2. Nangona kunjalo, inokubuya.

Usulelo lwe-Herpes lunokuba nzima kwaye lube yingozi ukuba:

• Kwenzeka ngaphakathi okanye kufutshane neliso.
• Unamajoni omzimba abuthathaka ngenxa yezifo ezithile kunye namayeza.

Usulelo lwe-Herpes lweliso ngoyena nobangela wokungaboni eMelika. Kubangela ukonakala kwe-cornea.

Ezinye iingxaki zomlomo we-herpes zingabandakanya:

• Ukubuya kwezilonda zomlomo kunye namadyungudyungu
• Ukusasazeka kwintsholongwane kwezinye iindawo zolusu
• Usulelo lwegciwane lesifo
• Ukusasazeka komzimba, okungasongela ubomi kubantu abanesistim somzimba esibuthathaka ngenxa yesifo se-atopic dermatitis, umhlaza okanye intsholongwane kaGawulayo.

Fowunela umnikezeli wakho ukuba unayo:

• Iimpawu ezinzima okanye ezingapheliyo emva kweeveki ezi-2
• Izilonda okanye izilonda kumehlo akho
• Iimpawu zeHerpes kunye nenkqubo yamajoni omzimba ebuthathaka ngenxa yezifo ezithile okanye amayeza

Nazi ezinye iingcebiso zokuthintela izilonda zomlomo:

• Faka isithintelo selanga okanye i-lip balm equkethe i-zinc oxide kwimilebe yakho ngaphambi kokuba uphume.
• Thambisa amafutha aqholiweyo ukuthintela ukuba imilebe yomile kakhulu.
• Gwema ukudibana ngqo nezilonda ze-herpes.
• Hlamba izinto ezinje ngeetawuli kunye nelinen emanzini ashushu abilayo emva kokusetyenziswa ngakunye.
• Musa ukwabelana ngezinto, izitro, iiglasi, okanye ezinye izinto ukuba umntu une-herpes yomlomo.

Musa ukulala ngesondo ngomlomo ukuba unayo i-herpes yomlomo, ngakumbi ukuba une-blisters. Unokusasaza intsholongwane kwizitho zangasese. Zombini iintsholongwane ze-herpes zomlomo kunye nezobufazi ngamanye amaxesha zinokusasazeka, nokuba awunayo izilonda zomlomo okanye iblisters.

Ukubanda; Fever blister; I-herpes simplex yomlomo; Iherpes labialis; I-Herpes simplex

• Herpes simplex - kufutshane

IHabif TP. Iimfazwe, i-herpes simplex, kunye nezinye izifo zentsholongwane. Ku: Habif TP, ed. Zonyango lwezonyango. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2016: isahluko 12.

IHupp WS. Izifo zomlomo. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2019. IPhiladelphia, PA: Elsevier; Ngo-2019: 969-975.

ILingen MW. Intloko nentamo. Ku: Kumar V, Abbas AK, Aster JC, ii-eds. Robbins kunye neCotran Pathologic Isiseko seZifo. Umhla we-9. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 16.

UWhitley RJ, uGnann JW. Usulelo lwe-Herpes simplex virus. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 350.